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Author Yarker-Hitchcock, V.
Title Clinical supervision in a home care context Type
Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Clinical supervision; Home care; Rural nursing; Rural health services
Abstract Despite the widespread acceptance of the value of supervision among practitioners and the large quantity of literature on the topic, there is very little empirical evidence in relation to its effect on clinical practice. It is not clear whether supervision actually produces a change in clinician behaviour, or whether it produces benefits in terms of client outcomes. This thesis evaluates the impact of clinical supervision on five co-ordinators in a rural home care setting. It looks at the impact clinical supervision has on their practice and professional growth. The nurses all belong to one organisation, Access Homehealth Ltd. The study builds on the findings of a clinical supervision pilot, which was trialed within the organisation in 2002. The pilot examined which model of supervision was most beneficial for Access Homehealth staff. Clinical Supervision is defined as a designated interaction between two or more practitioners within a supportive environment, that enhances reflective practice and professionalism, which in turn contributes to improved practice and client outcomes. The methodology of this research was qualitative evaluation. The themes which emerged related to personal support, managing stress and alleviating feelings of isolation, reflection, enhancing practice, improved communication skills and the concept of clinical supervision as a safety net. Participants also revealed that one-on-one supervision appeared more helpful than group supervision, and that phone supervision facilitated in-depth dialogue. These findings are important, as they demonstrate it is feasible to simultaneously offer a number of formats of clinical supervision within one organisation, allowing for the organisation to provide what works best for different workers. They also show that clinical supervision is a valuable and useful support tool for home care co-ordinators in order to facilitate empowerment, reflection and growth in practice. Further research is needed to provide evidence of the benefits of supervision on improving client outcomes.
Call Number NRSNZNO @ research @ 593 Serial 579
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Author Murray, C.
Title Clinical supervision in nursing: An investigation of supervisory issues from critical experiences Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue (up) Pages
Keywords Clinical supervision; Nursing
Abstract
Call Number NRSNZNO @ research @ 742 Serial 728
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Author Codlin, K.C.
Title Mental health nurses and clinical supervision: A naturalistic comparison study into the effect of group clinical supervision on minor psychological disturbance, job satisfaction and work-related stress Type
Year 2004 Publication Abbreviated Journal University of Otago Library
Volume Issue (up) Pages
Keywords Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health
Abstract
Call Number NRSNZNO @ research @ 845 Serial 829
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Author Farrell, E.
Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
Year 2003 Publication Abbreviated Journal Auckland University of Technology
Volume Issue (up) Pages
Keywords Public health; Nursing; Clinical supervision; Professional competence
Abstract
Call Number NRSNZNO @ research @ 887 Serial 871
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Author Trimmer, W.C.
Title The way things are done around here: Perceptions of clinical leadership in mental health nursing Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 13 Issue (up) Pages 68-69
Keywords Psychiatric Nursing; Leadership; Clinical supervision
Abstract Based on the author's thesis, this research project explored nurses' perceptions of clinical leadership in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses.
Call Number NRSNZNO @ research @ 1057 Serial 1041
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Author Haggerty, C.
Title Critical case study: Supporting the new graduate entering specialist psychiatric mental health nursing practice Type
Year 2000 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue (up) Pages
Keywords Psychiatric Nursing; Clinical supervision; Students; Preceptorship
Abstract This critical case study was undertaken for the purposes of illuminating information relating to new graduate nurses' experiences in their first clinical placement, in order to consider ways an established entry to practice programme can better support and enhance the students' transition from student nurse to staff nurse within psychiatric mental health nursing practice. Seven current students of the programme participated in the research. This provided the researcher with a variety of challenges related to her dual role as researcher and programme coordinator. Data was collected through the use of discussion groups, with participants and researcher jointly identifying the themes that were explored. These themes related to preceptorship and support, socialisation of the new graduate and risk management. The research has provided rich data that has already, and will continue to be used to inform future developments within both the educational and clinical components of the programme. The research has also provided opportunities for personal and professional growth through the sharing of experiences, and working together to identify emancipatory action which has in turn lead to transformation.
Call Number NRSNZNO @ research @ Serial 450
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Author Findlay, W.
Title The effect of peer learning and review groups on practice nurses' clinical practice: A mixed method survey Type
Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue (up) Pages
Keywords Primary health care; Nursing; Education; Clinical supervision
Abstract The aim of the study was to explore how practice nurses perceive engagement in Peer Learning and Review Groups impacts personally and professionally on their clinical practice. An anonymous self-administered postal questionnaire was completed by 55 practice nurses who attend Peer Learning and Review Groups in the South Island. A mixed method design was utilised to obtain both qualitative and quantitative data. Practice nurses considered group attendance was important for professional development with the majority perceiving that their attendance had a positive effect on their clinical practice. The nurses perceived clear linkages between the significant learning that occurred in the groups and changes in delivery of patient care. Additional benefits included improved collegial relationships, professional awareness and personal growth. The author concludes that, together, these findings underline the importance of Peer Learning and Review Groups as an effective tool for ongoing personal and professional development within nursing.
Call Number NRSNZNO @ research @ Serial 490
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Author Sims, D.A.
Title The benefits and challenges of one New Zealand nursing undergraduate clinical education model: A case study Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Clinical supervision; Preceptorship; Education; Students; Nursing
Abstract This research project utilised a case study approach to give ward managers a voice in the literature, by exploring and describing from their perspective the benefits and challenges of one particular nursing undergraduate clinical education model. The tertiary education provider contracts the health provider to provide Clinical Nurse Educators (CNEs) to support second and third year undergraduate nursing students during their clinical experiences. The CNEs are seconded from their respective wards to meet the organisation's contractual obligations. Data were gathered from two ward managers using semi-structured interviews. The findings elucidate the role of the undergraduate CNE, highlighting benefits such as the CNE being supernumerary to ward rosters and having time to teach, not only supervise students. CNEs are student-focused and easily accessible as they are based on site. The CNE was the one person who was 'there' for a student as a student's preceptor can change shift-by-shift and day-by-day. One significant challenge which emerged was the replacement of ward staff, not only of senior nurses who can leave their wards for up to 12 weeks to undertake the CNE role but also that of the student's preceptor if the student's preceptor was on annual, sick or study leave. Other challenges such as the inability of ward managers to pre-book casual staff; preceptor work-loads; skill-mix issues and fluctuating fulltime equivalents are also discussed.
Call Number NRSNZNO @ research @ Serial 598
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Author Kwai, K.
Title The value of a programme of clinical supervision for graduate nurses: An evaluative study Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Clinical supervision; New graduate nurses; Mentoring
Abstract The function and implementation of clinical supervision in the practice setting presents a number of challenges for new graduate programmes for registered comprehensive nurses. There have been numerous reports and papers promoting its benefits as important and providing the impetus for change. Clinical supervision has been well established as part of social work, counselling, psychotherapy and psychoanalytic practice, and in mental health nursing and midwifery. Its utilisation for graduate nurses is clearly important and should be seen as integral to professional practice. This study evaluated a programme of clinical supervision as a component of a new graduate nurse programme in a secondary health care practice environment. The clinical supervision component aimed to support graduate registered nurses' transition from the role of student nurse to staff nurse in the context of professional clinical practice. This report is also intended to inform the ongoing provision of clinical supervision at Hutt Valley District Health Board. The evaluation process was guided by the work of Owen (1990) and used utilisation focussed evaluation as the framework on which to undertake the evaluation. A mix of quantitative and qualitative methodology was used to collect and analyse the data. Data were collected from nurse graduates of the new graduate programme using a postal questionnaire that covered three areas; clinical supervision, the Hutt Valley District Health Board new graduate programme and an evaluation of stakeholder roles. Twelve of the new graduates responded to the survey. Findings suggest clinical supervision provided professional support and assisted the new graduate in the identification of education needs. Difficulties associated with accessing the structured component of the new graduate programme and clinical supervision were highlighted. The recommendations made to Hutt Valley District Health Board to improve the programme include considering accessibility, consumer rights, acceptability, a comprehensive approach, the Treaty of Waitangi, efficiency and a coordinated approach.
Call Number NRSNZNO @ research @ Serial 603
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Author Robertson, G.
Title Disquiet in the development of clinical supervision for professional development in nursing practice: A literature review Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (up) Pages
Keywords Clinical supervision; Professional development; Nursing
Abstract Nursing literature reflects that nurses have been exploring and experiencing the process of clinical supervision for well over a decade. Nurses in the United States, United Kingdom, Scandinavia, and Australasia have written much over the past fifteen years. However, the author notes that nurses grapple with what clinical supervision is within nursing development and disquiet continues to emerge in the literature. This literature review expands on themes that surround this disquiet. These centre on continued confusion and lack of clear definition; whether psychotherapy is implemented under the guise of clinical supervision, who uses it, and the dearth of empirical evaluation of its effectiveness. The lack of significant empirical evidence of its ability to assist practitioners to deliver improved patient/client care continues despite claims of improved professional and personal development, therapeutic relationship, and occupational stress management. These claims come from both supervisees and supervisors. The manner in which clinical supervision is portrayed in nursing in that it is frequently referred to as a support system, rather than one of learning a complex set of communication skills is also highlighted. The continued debate on what model(s) best suit nurses, or whether line management should provide clinical supervision as a means to ensure quality standards and control over nursing practice and optimal patient care is discussed. Whether nursing should stop borrowing from other fields and develop their own model(s) is also raised. Two emerging stances focus on a process that is practice-based as identified by senior staff and management, or one that continues along the lines of what psychotherapy has developed with practitioner-identified developmental needs. These issues raise many questions for further development in nursing, one being are nurses developed enough in their self-awareness to understand what they are to adopt into their practice? Authentic voices from those nurses experienced in the practice of providing and receiving clinical supervision, are shaping therapeutic practice for nurses in the future, and continue to sharpen the debate. Some reference to unpublished data and local practice in the Wellington area have been included as a stimulus for further incorporation of clinical supervision in local practice development.
Call Number NRSNZNO @ research @ Serial 794
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Author Doughty, L.
Title Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue (up) Pages
Keywords Clinical supervision; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1113
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Author Trimmer, W.C.
Title The way things are done around here: Perceptions of clinical leadership in mental health nursing Type
Year 2006 Publication Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume Issue (up) Pages
Keywords Leadership; Psychiatric Nursing; Clinical supervision: Mental health
Abstract This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed.
Call Number NRSNZNO @ research @ Serial 1149
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Author Anderson, P.R.
Title Determining competency for entry to nursing practice: A grounded theory study Type
Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue (up) Pages
Keywords Professional competence; Clinical supervision; Nursing; Education
Abstract Critical Comparative Nursing Assessment (CCNA) is a theory about how the competence of completing Bachelor of Nursing students in New Zealand is determined. Semi-structured, audio-taped interviews and field notes were used to collect data from twenty-seven nurses with experience in undertaking competency assessment. A Glaserian grounded theory approach was used to guide the data collection and analysis. This utilised the processes of constant comparative analysis, theoretical sampling and saturation to generate a middle range substantive grounded theory. This is presented as a model consisting of four emergent categories that explain how nurses formulate professional judgements about competence. These are a) gathering, which describes the processes used to collect evidence of practice to inform decisions; b) weighing up, which explains how evidence is analysed using the processes of benchmarking and comparative analysis; c) judging brings into focus the tensions inherent in making professional judgements about competence and how nurses formulated these, and d) moderating, which describes the processes nurses use to validate decisions and ensure that professional responsibilities and public safety are upheld. The basic social psychological process of comparing integrates these categories to explain how nurses resolve the tensions associated with making decisions about competence. This research presents a new way of viewing and understanding how nurses assess competence. It identifies where the challengers and tensions related to the assessment of competence lie and suggests strategies that if implemented, the author suggests could further enhance the validity and reliability of assessment outcomes.
Call Number NRSNZNO @ research @ Serial 1182
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Author Irvine, HJ
Title Professional supervision for nurses and midwives Type Report
Year 1998 Publication Abbreviated Journal NZNO Library
Volume Issue (up) Pages 53 pp
Keywords Professional Supervision; Clinical supervision
Abstract Report to the Winston Churchill Memorial Trust on Professional Supervision for registered Nurses and Midwives, May 1998.

Objective of Project:

To explore the extent of the development of a model of clinical supervision for nurses in the United Kingdom.

Some of the key points that emerged:

- Clinical supervision is a strong and accepted part of nursing culture in Britain. While not mandatory and not available to, or accepted by, all nurses, it is nevertheless generally known about and discussed at main nursing forums

- The strong support and directives coming from nursing leadership is a major factor in the adoption of clinical supervision as a developmental, support and quality control

- The increasing availability of resource material, courses, and in particular the investment made by the Department of Health and the Scottish Home and Health Office in funding a 23 site evaluation project has stimulated implementation of clinical supervision
Call Number NZNO @ research @ Serial 1343
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Author Golding, Cherie
Title Clinical supervision for general nurses in NZ: the imperative of finding a way forward -- nurses perceptions of professional/clinical supervision Type Book Whole
Year 2012 Publication Abbreviated Journal
Volume Issue (up) Pages 63 p.
Keywords Clinical supervision; Professional supervision; Documentation
Abstract Focuses on two broad themes: perceptions and attitudes of general nurses in in-patient hospital settings towards clinical supervision and how they have found such support to be of benefit to themselves or their practice; organisational documentation policies and procedures available to nurses in order to understand their contribution to, and valuing of, clinical supervision. Seeks to discover whether there is evidence of other factors influencing the provision of, or access to, clinical supervision by general nurses, which influences attitudes and perceptions.
Call Number NZNO @ research @ Serial 1582
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