Relevance of Nursing Clinical Supervision Strategies

Friday, 26 July 2013: 10:55 AM

Regina Maria Pires, MD, RN
N.a, Escola Superior de Enfermagem do Porto, Porto, Portugal
Maria Margarida Reis dos Santos Ferreira, MD, RN, PhD
Escola Superior de Enfermagem do Porto, Portugal, Porto, Portugal
Filipe Miguel Soares Pereira, MD, RN, PhD
Escola Superior de Enfermagem do Porto, Porto, Portugal

Learning Objective 1: To depth knowledge in the area of nursing clinical supervision

Learning Objective 2: To discuss the most relevant nursing clinical supervision strategies for practice development

Purpose: Nursing clinical supervision (NCS) is understood as a facilitator process of professional development, contributing to the quality of the practice, promoting safety of care and protection of clients in clinical complex situations.

In Portugal the discussion and research on the implementation of the NCS in practice has been highlighted in the last decade, increased partnerships between the academic and practice to design programs of NCS and identify the most relevant CS strategies for nurses.

Aim of the study: to identify the strategies that nurses consider more relevant in NCS.

Methods: We carried out a descriptive and exploratory study. Data collection was done using a questionnaire and took place between May and October of 2012.

Results: The convenience sample included 262 nurses (84% females), aged between 24-58 years, (average 33,9 years, SD=6,98), 64% (n=167) work at hospital and 36% (n=94) at health care centers. Experience in nursing between 1-36 years (average 10,9 years; SD= 6,63), 82,1% were registered nurses, 16,4% specialized nursing and 1,4% head nurses. The majority (87,4%) considered that NSC are important to professional development.

Related to the supervision strategies nurses considered very relevant (VR) and totally relevant (TR): Feedback VR 37%, TR 45,8%; Support VR 39,3%, TR 41,2%; Practice Reflection VR 38,9%, TR 46,2%; Observation VR 34,7%, TR 44,3%; Individual Case Analyze VR 48,5%, TR 32,4%; Group Case Analyze VR 44,7%, TR 23,3%; Auto Supervision VR 43,9%, TR 37%; Record Analyze VR 47,7%, TR 29,8%; Demonstration VR 38,5%, TR 40,8%; Reflexive Report VR 45,8%, TR 16,4%; Supervision by Phone VR 16,8%, TR 7,3%; Supervision by e-mail VR 18,3%, TR 7,3%; Continuing Education in Nursing VR 42,7%, TR 43,9%.

Conclusion: The identification of this set of strategies will contribute to the design of a NCS program based on strategies that nurses consider more relevant to their professional development.