Clinical Supervision in Mental Health Nursing (eBook)

Graham Sloan (Autor)

eBook Download: PDF

2006
John Wiley & Sons (Verlag)
978-0-470-03462-0 (ISBN)

Infos

Nursing research has focused on evaluating the effectiveness of clinical supervision, but there remains uncertainty as to what facets of clinical supervision are potent in realising effectiveness.

This book reports on an investigation on the practice of clinical supervision in mental health nursing. Incorporating three case studies, it illuminates the reciprocal interactions between clinical supervisor and supervisee. While the book uncovers a number of limitations in the process of clinical supervision and gaps in mental health nurses' level of competence in interpersonal relations it provides a basis for a more critical approach to this important element of professional development.

Graham Sloan is a Clinical Specialist in Cognitive Psychotherapy and works in Consulting and Clinical Psychology Services, NHS Ayrshire and Arran. He completed his PhD in May 2004 studying with the School of Nursing,Midwifery and Community Health, Glasgow Caledonian University. He has had several papers relating to clinical supervision and cognitive and behavioural psychotherapy published in the recent nursing literature and has presented at international conferences. He provides clinical supervision to mental health nurses, cognitive and behavioural psychotherapists, clinical psychologists and psychiatrists and provides education on clinical supervision and CBP within the Trust. He is also employed as a Visiting Lecturer at Glasgow Caledonian University.

Inhalt

Cover 1
Contents 9
About the Author 15
Foreword 17
Acknowledgements 21
List of Figures 23
List of Tables 25
1: Introduction 27
BACKGROUND TO THE STUDY 27
INITIAL EXPERIENCES 27
DEVELOPMENT 28
CURRENT EXPERIENCES 29
CLINICAL SUPERVISION IN NURSING 29
OPPORTUNITY FOR RESEARCH 30
2: Literature Review 33
INTRODUCTION 33
LITERATURE REVIEW STRATEGY 33
CLINICAL SUPERVISION: GROWING POPULARITY IN NURSING 33
POLITICAL INFLUENCE 34
FORMATS AND FRAMEWORKS 36
CLINICAL SUPERVISION IDEALISED 39
BENEFIT AND OUTCOME STUDIES 41
REDUCING THE STRESS EXPERIENCED BY NURSES 41
KNOWLEDGE DEVELOPMENT AND SKILLS ACQUISITION 48
CONFIRMATION OF THE NURSE’S ROLE 52
SUMMARY OF BENEFIT AND OUTCOME STUDIES 52
CHARACTERISTICS OF THE CLINICAL SUPERVISOR 54
CHARACTERISTICS OF A GOOD SUPERVISOR: A NURSING PERSPECTIVE 54
COUNSELLING, PSYCHOLOGY AND PSYCHOTHERAPY 56
INTERPERSONAL INTERACTIONS DURING SUPERVISION 58
DISCUSSION 63
CONCLUSION 65
3: Methodological Considerations 67
INTRODUCTION 67
GENERAL AIM OF THE STUDY 67
RESEARCH QUESTIONS 67
OBJECTIVES OF THE STUDY 67
CHOICE OF RESEARCH APPROACH 68
ILLUMINATIVE EVALUATION 69
PREVIOUS ILLUMINATIVE-EVALUATION RESEARCH 72
ILLUMINATIVE EVALUATION IN NURSING RESEARCH 72
SUMMARY OF METHODOLOGICAL CONSIDERATIONS 74
DISCUSSION OF DATA-COLLECTION TECHNIQUES 75
INTERVIEW 75
AUDIO-RECORDING OF CLINICAL SUPERVISION 78
CLINICAL SUPERVISION SESSION RECORD 81
OTHER DOCUMENTS RELATING TO CLINICAL SUPERVISION 81
CRITICAL INCIDENT JOURNAL 82
SUMMARY OF DATA-COLLECTION TECHNIQUES 84
DATA ANALYSIS 84
CONTENT ANALYSIS 84
THEMATIC ANALYSIS 85
ANALYSIS OF VERBAL TRANSACTIONS 86
THE LEARNING MILIEU 86
CONCLUSION 86
4: Analytic Framework 87
INTRODUCTION 87
PEPLAU’S THEORY OF INTERPERSONAL RELATIONS 87
SIX CATEGORY INTERVENTION ANALYSIS 90
NURSES’ INTERPERSONAL SKILLS 94
HERON’S FRAMEWORK AND CLINICAL SUPERVISION 97
HERON’S FRAMEWORK AS AN ANALYTIC TOOL 99
CONCLUSION 99
5: Study Design and Methods 101
INTRODUCTION 101
LOCATION 101
POPULATION AND SAMPLING ISSUES 102
CASE SITES, PARTICIPANTS AND THEIR ROLE IN THE TEAM 103
CASE SITE ONE 103
Staff Complement for Case Site One 105
Participants and their team role 105
CASE SITE TWO 106
Staff complement for Case Site Two 107
Participants and their team role 107
CASE SITE THREE 108
Staff complement for Case Site Three 109
Participants and their team role 109
CASE SITE FOUR 110
INSTRUCTIONAL SYSTEM 110
TRUST DISCUSSION PAPER 110
MODULE DESCRIPTOR 111
RECURRING THEMES IN THE NURSING LITERATURE 112
Clinical supervision as a supportive resource 112
Managerial agendas encroaching on clinical supervision 112
The broad scope of clinical supervision 113
DATA-COLLECTION METHODS 113
INTERVIEW 114
AUDIO-RECORDING OF SUPERVISION SESSIONS 116
Audio-recording equipment 117
CLINICAL SUPERVISION SESSION RECORDS 117
CRITICAL INCIDENT JOURNAL 117
SUMMARY OF DATA-COLLECTION METHODS 119
TRIANGULATION 119
TRUSTWORTHINESS 121
DATA ANALYSIS 122
ETHICAL CONSIDERATIONS 125
ETHICAL APPROVAL AND ACCESS TO PARTICIPANTS 127
CONCLUSION 128
6: Pilot Study 129
INTRODUCTION 129
LOCATION, PARTICIPANTS AND ACCESS 129
CASE SITE DESCRIPTION 130
STAFF COMPLEMENT FOR PILOT STUDY SITE 130
PARTICIPANTS AND THEIR TEAM ROLE 130
DATA-COLLECTION METHODS 131
INTERVIEW 131
CLINICAL SUPERVISION SESSION RECORD 131
CRITICAL INCIDENT JOURNAL 131
AUDIO-RECORDING OF CLINICAL SUPERVISION 132
DATA ANALYSIS 132
ANALYSIS OF AN AUDIO-RECORDING OF A SUPERVISION SESSION 133
Stimuli for the focus of supervision 133
Structure 134
Content 134
Supervisor interventions 135
Exploring the supervisee’s work 135
Taking the lead 136
Suggesting an option 136
Giving information 136
Catalytic interventions 136
Prescriptive interventions 137
Informative interventions 137
Supportive interventions 137
Degenerate interventions 138
The supervisee’s contribution 139
Obstacles to supervision 139
Potential changes resulting from clinical supervision 139
CONCLUSION 139
7: Report of Findings and Discussion 141
INTRODUCTION 141
OBJECTIVES OF THE STUDY 141
OBJECTIVE 1 141
Managerial agendas 142
Clinical supervision as a therapeutic endeavour 143
Client-related issues: absence of relating to the client 146
The broad scope of clinical supervision 148
OBJECTIVE 2 150
The routine: hierarchy 150
The frequency and duration of sessions 153
The supervisor’s agenda 154
The supervisee’s contribution 157
Overcoming the unhelpful aspects of clinical supervision 158
OBJECTIVE 3 160
The stimuli for what is discussed during clinical supervision 160
Preparation for clinical supervision 162
Previous experiences of receiving clinical supervision 162
Supervision module 163
OBJECTIVE 4 164
Absence of a conceptual model 164
Seeking information 165
Information-giving 166
Agreeing with the supervisee 169
Suggesting an option 170
Giving feedback 171
Catalytic interventions 172
Empathic divining 173
Informative interventions 174
Supportive interventions 174
Prescriptive interventions 175
Confronting interventions 176
Cathartic interventions 176
Delivery of two interventions simultaneously 177
Catalytic degenerate interventions 178
Cathartic degenerate interventions 179
Prescriptive degenerate interventions 181
Comparisons with previous research using Heron’s framework 182
OBJECTIVE 5 182
OBJECTIVE 6 183
Case Site One 183
Case Site Two 184
Case Site Three 186
CONCLUSION 188
8: Conclusion 189
INTRODUCTION 189
MAJOR INSIGHTS GAINED FROM THE STUDY 189
THE CONTENT OF CLINICAL SUPERVISION 189
INTERPERSONAL INTERACTIONS AND THEIR INFLUENCE ON CONTENT 190
ORGANISATIONAL FACTORS AND THEIR INFLUENCE ON THE SUPERVISORY PROCESS 191
The stimuli for what is discussed during clinical supervision 191
Preparation for clinical supervision 191
The routine 192
CHANGES REPORTED FROM THE EXPERIENCE OF INDIVIDUAL CLINICAL SUPERVISION 192
ILLUMINATIVE EVALUATION 193
STUDY DESIGN 193
THEMATIC ANALYSIS 194
ANALYTIC FRAMEWORK 195
IMPLICATIONS OF THESE INSIGHTS 196
Practice 196
Nurse education 197
Nursing research 198
LIMITATIONS OF THE STUDY 198
RESEARCHER 198
PARTICIPANTS 198
STUDY DESIGN AND METHODS 199
Study site 199
Critical incident journal 199
Audio-recording supervision sessions 199
Six Category Intervention Analysis 199
Trustworthiness 200
CONTRIBUTION TO KNOWLEDGE 200
CLINICAL SUPERVISION 200
NURSE EDUCATION 201
NURSING RESEARCH 201
SIX CATEGORY INTERVENTION ANALYSIS 201
CONCLUSION 201
RECOMMENDATIONS 203
Appendix 205
REFERENCES 221
Index 241

Rezensionen

"...should be required reading for all those interested in setting up supervision systems, and not just in mental health nursing." (Nursing Standard, October 2006)

Produkt-Details

• Erscheint lt. Verlag: 14.6.2006
• Sprache: englisch
• Themenwelt: Pflege ► Fachpflege ► Neurologie / Psychiatrie
• Schlagworte: Book • Case Studies • Clinical • Clinical supervision • Effectiveness • facets • Health • investigation • Krankenpflege • Mental • nursing • Pflege • Potent • Practice • realising • reciprocal • remains • Reports • Research • Supervision • Uncertainty
• ISBN-10: 0-470-03462-9 / 0470034629
• ISBN-13: 978-0-470-03462-0 / 9780470034620