Clinical supervision promotes learning and growth among metastatic breast cancer nurses: Mixed methods evaluation of a pilot program

IF 1.7 4区医学 Q2 NURSING

Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-18 DOI:10.1016/j.colegn.2025.09.001

Gillian Kruss , Pheona Van Huizen , Thi Thuy Ha Dinh , Jessica Delaney , Ladan Yeganeh , Jane Mahony , Fiona Crawford-Willams , Gabrielle Brand , Julia Morphet , Olivia Cook

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引用次数: 0

Abstract

Problem

Metastatic breast cancer nurses are integral in providing support to those affected by cancer, while the supervision and mentoring for these roles in the workplace are not always available.

Aim

To explore metastatic breast cancer nurses’ perspectives on participation in a 12-month clinical supervision intervention.

Methods

Clinical supervision was offered to participants as part of a pilot metastatic breast cancer nurse training program. Bi-monthly one-hour clinical supervision sessions were held using a video conferencing platform for a 12-month period. The clinical supervision intervention was evaluated using a mixed methods approach. Participants completed the Manchester Clinical Supervision Scale-26© (MCSS-26©) online, and a semistructured interview at the end of the clinical supervision period. Descriptive statistics and thematic analysis were used to summarise and report the findings.

Results

Eight metastatic breast cancer nurses participated in the clinical supervision intervention. All were ‘very satisfied’ with the supervision (N = 8; 100%). The MCSS subscales which scored highest were ‘Reflection’ (M = 11.5, SD = 0.7, range 0–12), ‘Supervisor advice’ (M = 18.9, SD = 1.4, range 0–20), and ‘Improve Care/Skills’ (M = 14.6, SD = 1.5, range 0–16). Three themes were inductively derived: (i) Learning and growth through clinical supervision, (ii) The shared experience, and (iii) Importance of embedding clinical supervision into practice.

Conclusion

Clinical supervision can be used as a learning and support tool for metastatic breast cancer nurses, with peer-to-peer participation being a valuable component. Other specialist cancer nurses may benefit from having clinical supervision embedded into their practice.

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临床监督促进转移性乳腺癌护士的学习和成长：一个试点项目的混合方法评估

问题：转移性乳腺癌护士在为癌症患者提供支持方面是不可或缺的，但在工作场所，对这些角色的监督和指导并不总是可用的。目的探讨转移性乳腺癌护士参与12个月临床监督干预的观点。方法作为转移性乳腺癌护士培训试点项目的一部分，对参与者进行临床监督。通过视频会议平台进行为期12个月的双月1小时临床监督会议。临床监督干预采用混合方法进行评价。参与者在线完成曼彻斯特临床监督量表-26©（MCSS-26©），并在临床监督期结束时进行半结构化访谈。使用描述性统计和专题分析来总结和报告调查结果。结果8名转移性乳腺癌护理人员参与临床监督干预。所有人都对监督“非常满意”（N = 8; 100%）。MCSS得分最高的子量表是“反思”（M = 11.5, SD = 0.7，范围0-12），“主管建议”（M = 18.9, SD = 1.4，范围0-20）和“改善护理/技能”（M = 14.6, SD = 1.5，范围0-16）。归纳得出三个主题：(i)通过临床监督学习和成长；（ii）分享经验；（iii）将临床监督纳入实践的重要性。结论临床督导可以作为转移性乳腺癌护士学习和支持的工具，其中点对点参与是一个有价值的组成部分。其他癌症专科护士可能受益于将临床监督嵌入到他们的实践中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.