Clinical Supervision in Mental Health Nursing

Nursing research has focused on evaluating the effectiveness of
clinical supervision, but there remains uncertainty as to what
facets of clinical supervision are potent in realising
effectiveness.

This book reports on an investigation on the practice of
clinical supervision in mental health nursing. Incorporating three
case studies, it illuminates the reciprocal interactions between
clinical supervisor and supervisee. While the book uncovers a
number of limitations in the process of clinical supervision and
gaps in mental health nurses' level of competence in
interpersonal relations it provides a basis for a more critical
approach to this important element of professional development.

Auteur
Graham Sloan is a Clinical Specialist in Cognitive Psychotherapy and works in Consulting and Clinical Psychology Services, NHS Ayrshire and Arran. He completed his PhD in May 2004 studying with the School of Nursing,Midwifery and Community Health, Glasgow Caledonian University. He has had several papers relating to clinical supervision and cognitive and behavioural psychotherapy published in the recent nursing literature and has presented at international conferences. He provides clinical supervision to mental health nurses, cognitive and behavioural psychotherapists, clinical psychologists and psychiatrists and provides education on clinical supervision and CBP within the Trust. He is also employed as a Visiting Lecturer at Glasgow Caledonian University.

Résumé
Nursing research has focused on evaluating the effectiveness of clinical supervision, but there remains uncertainty as to what facets of clinical supervision are potent in realising effectiveness. This book reports on an investigation on the practice of clinical supervision in mental health nursing. Incorporating three case studies, it illuminates the reciprocal interactions between clinical supervisor and supervisee. While the book uncovers a number of limitations in the process of clinical supervision and gaps in mental health nurses' level of competence in interpersonal relations it provides a basis for a more critical approach to this important element of professional development.

Contenu
About the Author. Foreword.

Acknowledgements.

List of Figures.

List of Tables.

1. Introduction.

Background to the Study.

Initial Experiences

Development.

Current Experiences.

Clinical Supervision in Nursing.

Opportunity for Research.

2. Literature Review.

Introduction.

Literature Review Strategy.

Clinical Supervision: Growing Popularity in Nursing.

Political Influence.

Formats and Frameworks.

Clinical Supervision Idealised.

Benefit and Outcome Studies.

Reducing the Stress Experienced by Nurses.

Knowledge Development and Skills Acquisition.

Confirmation of the Nurse's Role.

Summary of Benefit and Outcome Studies.

Characteristics of the Clinical Supervisor.

Characteristics of a Good Supervisor: A Nursing Perspective.

Counselling, Psychology and Psychotherapy.

Interpersonal Interactions During Supervision.

Discussion.

Conclusion.

3. Methodological Considerations.

Introduction.

General Aim of the Study.

Research Questions.

Objectives of the Study.

Choice of Research Approach.

Illuminative Evaluation.

Previous Illuminative-evaluation Research.

Illuminative evaluation in Nursing Research.

Summary of Methodological Considerations.

Discussion of Data-collection Techniques.

Interview.

Audio-recording of Clinical Supervision.

Clinical Supervision Session Record.

Other Documents Relating to Clinical Supervision.

Critical Incident Journal.

Summary of Data-collection Techniques.

Data Analysis.

Content Analysis.

Thematic Analysis.

Analysis of Verbal Transactions.

The Learning Milieu.

Conclusion.

4. Analytic Framework.

Introduction.

Peplau's Theory of Interpersonal Relations.

Six Category Intervention Analysis.

Nurses' Interpersonal Skills.

Heron's Framework and Clinical Supervision.

Heron's Framework as an Analytic Tool.

Conclusion.

5. Study Design and Methods.

Introduction.

Location.

Population and Sampling Issues.

Case Sites, Participants and their Role in the Team.

Case Site One.

Staff complement for Case Site One.

Participants and their team role.

Case Site Two.

Staff complement for Case Site Two.

Participants and their team role.

Case Site Three.

Staff complement for Case Site Three.

Participants and their team role.

Case Site Four.

Instructional System.

Trust Discussion Paper.

Module Descriptor.

Recurring Themes in the Nursing Literature.

Clinical supervision as a supportive resource.

Managerial agendas encroaching on clinical supervision.

The broad scope of clinical supervision.

Data-collection Methods.

Interview.

Audio-recording of Supervision Sessions.

Audio-recording equipment.

Clinical Supervision Session Records.

Critical Incident Journal.

Summary of Data-collection Methods.

Triangulation.

Trustworthiness.

Data Analysis.

Ethical Considerations.

Ethical Approval and Access to Participants.

Conclusion.

6. Pilot Study.

Introduction.

Location, Participants and Access.

Case Site Description.

Staff Complement for Pilot Study Site. Par...