临床督导对心理健康护理人员队伍的影响:范围审查》。

Joshua McDonough, Kate Rhodes, Nicholas Procter
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摘要

临床督导是一种心理安全实践,旨在为包括心理健康护士在内的医疗保健行业工作者提供支持和培训。多年来,临床督导一直被认为是一种能够改善心理健康护士个人及其所在机构的工作成果的实践方法。本范围综述旨在研究探讨临床督导与心理健康护士工作成果之间关系的证据。本研究收录了来自六个数据库的 28 篇文章。最常评估的工作成果是能力(14 篇)、工作场所文化(13 篇)和同情心(7 篇)。研究报告显示,临床督导与劳动力结果之间的关系主要是积极的,但在能力、工作场所文化、工作满意度和职业倦怠方面的结果不一。关于参与者所接受的临床督导类型的详细资料很有限,本综述中包含的大多数证据都是定性研究和参与者自我报告他们从临床督导中感知到的益处,而不是在实验和/或纵向研究设计中使用经过验证的工具。对于在工作场所实施强制性临床督导的组织机构来说,应该慎之又慎,因为这可能会对精神健康护士的工作成果产生相反的影响,因为这些护士本来就时间少、工作量大,还有那些对临床督导漠不关心或怀有敌意的护士。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Clinical Supervision on the Mental Health Nursing Workforce: A Scoping Review.

Clinical supervision is a psychologically safe practice that aims to provide support and training for workers within the healthcare industry, including mental health nurses. Over the years, clinical supervision has been cited as a practice to improve workforce outcomes for both individual mental health nurses and the organisations they work in. The aim of this scoping review is to examine the evidence exploring the relationship between clinical supervision and workforce outcomes for mental health nurses. Twenty-eight articles sourced from six databases were included in this study. The most frequently evaluated workforce outcomes were competence (n = 14), workplace culture (n = 13) and compassion (n = 7). Studies reported that the association between clinical supervision and workforce outcomes was predominantly positive, but there were mixed results for competence, workplace culture, job satisfaction and burnout. Details on the type of clinical supervision received by participants were limited, and most of the evidence included in this review included qualitative research and participants self-reporting their perceived benefits from clinical supervision, as opposed to using validated instruments in experimental and/or longitudinal study designs. Organisations should be hesitant to implement mandatory clinical supervision within workplaces, as this could have the opposite effect on workforce outcomes for mental health nurses who are already time-poor and overworked, as well as those who are indifferent or hostile to clinical supervision.

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