一项随机试验:在自我教育的基础上增加互动式临床监督培训，使物理治疗师临床监督的有效性有了小的提高。

IF 9.7 1区医学 Q1 ORTHOPEDICS Journal of Physiotherapy Pub Date : 2024-01-01 DOI:10.1016/j.jphys.2023.11.002

Sarah Osiurak , Nicholas F Taylor , Timothy Albiston , Kimberley Williams , Taya A Collyer , David A Snowdon

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引用次数: 0

摘要

问题:在自我教育中加入互动式临床监督培训项目是否能提高物理治疗师临床监督的有效性，减少倦怠，减少离职意向，提高临床监督的参与度?设计:随机对照试验，采用隐蔽分配、评估盲法和意向治疗分析。参与者:在公立医疗服务机构工作的物理治疗师(n = 58)。干预措施:两组受试者均接受临床督导自我教育培训包。此外，实验组的参与者接受互动式临床监督培训，包括三个90分钟的讲习班。结果测量:主要结果测量是训练后4个月临床监督的有效性，使用曼彻斯特临床监督量表(MCSS-26)测量。次要结果为Maslach倦怠量表、离职意向量表和参与监督。焦点小组也被用来评估干预的印象。结果:互动式临床监督训练的增加略微提高了临床监督的有效性，MCSS-26的组间平均差异为6.3个单位(95% CI 0.3 ~ 12.3)。对报告有效临床监督的物理治疗师比例(即MSCC-26评分≥73)的影响估计尚不清楚(OR 1.97, 95% CI 0.50至7.81)。实验组物理治疗师报告的人格解体水平略低(MD -3.0单位，95% CI -4.6至-1.3)。其他倦怠领域、离职意向和参与临床监督的影响可以忽略不计或不确定。从质量上讲，与会者报告说，讲习班使他们意识到，监督者可以在监督的重点方面拥有更大的自主权。结论:在自我教育的基础上增加互动式临床监督培训，可使物理治疗师临床监督的效果有小幅提高。注册:osf.io / yz3kx。

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Interactive clinical supervision training added to self-education leads to small improvements in the effectiveness of clinical supervision of physiotherapists: a randomised trial

Question

Does adding an interactive clinical supervision training program to self-education improve the effectiveness of clinical supervision of physiotherapists, reduce burnout, decrease intention to leave and increase participation in clinical supervision?

Design

Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants

Physiotherapists (n = 58) working at a publicly funded health service.

Intervention

Participants in both groups received a self-education clinical supervision training package. In addition, participants in the experimental group received interactive clinical supervision training consisting of three 90-minute workshops.

Outcome measures

The primary outcome measure was effectiveness of clinical supervision 4 months after training measured using the Manchester Clinical Supervision Scale (MCSS-26). Secondary outcomes were the Maslach Burnout Inventory, the Intention to Leave Scale, and participation in supervision. Focus groups were also used to gauge impressions of the intervention.

Results

The addition of interactive clinical supervision training slightly improved effectiveness of clinical supervision, with a between-group mean difference of 6.3 units (95% CI 0.3 to 12.3) on the MCSS-26. The estimate of the effect on the proportion of physiotherapists reporting effective clinical supervision (ie, MSCC-26 score ≥ 73) was unclear (OR 1.97, 95% CI 0.50 to 7.81). Physiotherapists in the experimental group reported slightly lower levels of depersonalisation (MD –3.0 units, 95% CI –4.6 to –1.3). There were negligible or uncertain effects on the other burnout domains, intention to leave and participation in clinical supervision. Qualitatively, participants reported that the workshops made them realise that supervisees could take greater ownership of where supervision focused.

Conclusion

Adding interactive clinical supervision training to self-education leads to small improvements in the effectiveness of clinical supervision of physiotherapists.

Registration

osf.io/yz3kx.

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来源期刊

Journal of Physiotherapy ORTHOPEDICS-REHABILITATION

CiteScore

11.40

自引率

7.40%

发文量

审稿时长

72 days

期刊介绍： The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.