A conceptual analysis of reflective supervision for creating a positive intensive care practice environment

IF 3.1 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2025-12-26 DOI:10.1016/j.ijnss.2025.12.016

Mpho Grace Chipu

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引用次数: 0

Abstract

Objectives

This study aimed to explore and clarify the concept of reflective supervision as a professional self-care strategy to create a positive Intensive Care Unit (ICU) practice environment.

Methods

Walker and Avant’s eight-step concept analysis approach was utilized to identify and define the attributes, antecedents, and consequences of reflective supervision in the ICU. An extensive literature search was conducted across various databases, including Google Scholar, CINAHL, PubMed. Articles published from 2005 to 2025 were identified. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement to indicate the included articles and extract related data based on relevance.

Results

Forty articles were included in the analysis. The identified attributes included the supervisor-supervisee relationship, effective communication, teamwork, collaborations, reflection, competencies, feedback, continuous support, and autonomous choice. The identified antecedents included participation, supportive supervision, flexibility, open-door policy, training, and motivation. Consequences impacting the success of reflective supervision were identified as promotion of resiliency, autonomy, work-life balance, self-awareness, increased self-esteem, professional development, critical thinking, increased job satisfaction, and enhanced commitment.

Conclusions

Reflective supervision is a complex professional self-care strategy that enhances ICU practice, by promoting nurses’ well-being, self-awareness, therapeutic skills, and professional development.

Abstract Image

查看原文本刊更多论文

营造积极的重症监护实践环境的反思性监督概念分析。

目的：本研究旨在探讨和厘清反思性监督的概念，并将其作为一种专业的自我护理策略，以创造一个积极的重症监护病房（ICU）实践环境。方法：采用Walker和Avant的八步概念分析方法来识别和定义ICU反思性监护的属性、前因和后果。在各种数据库中进行了广泛的文献检索，包括谷歌Scholar， CINAHL, PubMed。文章发表于2005年至2025年。我们按照系统评价和荟萃分析首选报告项目（PRISMA） 2020声明指出纳入的文章，并根据相关性提取相关数据。结果：共纳入40篇文献。被识别的属性包括主管-被主管关系、有效沟通、团队合作、协作、反思、能力、反馈、持续支持和自主选择。确定的前因包括参与、支持性监督、灵活性、开放政策、培训和激励。影响反思性监督成功的结果被确定为促进弹性、自主性、工作与生活平衡、自我意识、增强自尊、专业发展、批判性思维、提高工作满意度和增强承诺。结论：反思性监督是一种复杂的专业自我护理策略，通过促进护士的幸福感、自我意识、治疗技能和专业发展，可以提高ICU的实践水平。

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

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.