Operational nursing managers' experiences of clinical supervision at a Johannesburg Hospital.

Bonginkosi I Shongwe, Charlene Downing, Sanele Nene
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Abstract

Background:  Clinical supervision is pivotal in supporting nurses in rendering quality, safe patient care. Therefore, it is essential to understand clinical supervision from operational nursing managers' context to define existing challenges and propose suitable recommendations.

Objectives:  This study aimed to explore and describe operational nursing managers' experiences of clinical supervision within the context of an academic hospital in Gauteng province and propose evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.

Method:  An exploratory, sequential, mixed-method design was used and implemented over two phases to take advantage of the strengths of both the qualitative and quantitative research designs. Unstructured individual interviews were conducted to collect data in phase one, and an adapted Manchester Clinical Supervision Scale (MCSS) questionnaire was used to collect data in phase two.

Results:  Operational nursing managers work in stressful conditions and environments with a gross shortage of staff and tools of the trade while being expected to deliver high-quality and safe nursing care. Of the sampled respondents, 36% (n = 17) were dissatisfied with the supervision they received, while 64% (n = 30) were indifferent in the sense that they did not think it was adequate or inadequate.

Conclusion:  Clinical supervisors should be trained and supported in clinical supervision, with regular workshops on interpersonal relations.Contribution: A clearer understanding of clinical supervision within the hospital context and evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.

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约翰内斯堡一家医院的业务护理经理对临床监督的体验。
背景: 临床监督对于支持护士提供优质、安全的病人护理至关重要。因此,有必要从业务护理经理的角度了解临床督导,以确定现有的挑战并提出适当的建议: 本研究旨在探讨和描述豪登省一家学术医院的业务护理经理在临床监督方面的经验,并提出循证实践建议,以改善患者安全和临床监督质量: 采用探索性、连续性、混合方法设计,分两个阶段实施,以发挥定性和定量研究设计的优势。第一阶段采用非结构化个人访谈收集数据,第二阶段采用改编的曼彻斯特临床督导量表(MCSS)问卷收集数据: 业务护理管理者的工作条件和环境压力很大,人手和工作工具严重不足,同时还要提供高质量和安全的护理服务。在抽样调查的受访者中,36%(n=17)的人对他们所接受的监督不满意,64%(n=30)的人对他们所接受的监督无所谓,认为监督不充分或不适当: 结论:临床督导人员应接受临床督导方面的培训和支持,定期举办人际关系讲习班:贡献:更清楚地了解医院背景下的临床督导,并提出循证实践建议,以提高患者安全和临床督导质量。
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