目的:探索指导小组成员和外部临床监督促进者发展和建立同行小组临床监督的观点。
背景:医疗保健环境复杂,可能导致员工倦怠和实践挑战。建议将临床监督作为管理和领导此类复杂性的方法。
方法:定性描述性。
方法:对19名同龄组临床监督指导组成员进行了焦点小组访谈,并对来自爱尔兰西部地区的5名外部临床监督促进者进行了个别访谈。数据分析遵循Elo和Kyngäs的内容分析方法,涉及准备,组织和报告,从收集的定性数据中提取含义并识别模式。
结果:开发同行小组临床监督实践需要,明确目的和功能,解决临床监督的利弊。需要组织领导来支持和释放对等小组临床监督的人员,对等小组临床监督人员需要可信,并在实践中具有一定的专业知识水平。当准备和支持时,信心方面,领导力,个人发展和韧性发展。
结论:同行小组临床主管需要培训和持续的专业发展来发挥他们的作用,实践范围和责任。可持续性取决于员工对同行小组临床监督的目的和形式以及会议的规律性的认识和熟悉程度。
■同行小组临床监督是一种支持改善患者护理服务的手段,同时支持员工的个人和专业发展,在工作场所建立韧性。
结论:本研究探索了跨护理和助产学科的工作人员实施同伴小组临床监督的方法。研究发现,实施同伴小组临床监督对员工的福祉和道德以及患者护理的提供都有积极的影响。这些发现影响医疗保健服务提供商以可持续的方式实施同行小组临床监督,使护士能够继续在复杂的医疗保健环境中工作,提供安全的以人为本的护理。
■遵循定性报告指南《报告定性研究标准》(SRQR)。
■在这项研究中,工作人员解决了患者/公众参与的问题,经理,规划者,董事,领导者和教育家参与研究的所有阶段(概念,设计,分析和报告)。
OBJECTIVE: Explore perspectives of steering group members and external clinical supervision facilitators of developing and establishing peer group clinical supervision.
BACKGROUND: The climate of healthcare is complex which can lead to staff burnout and challenges to practice. Clinical supervision is suggested as an approach to managing and leadership of such complexities.
METHODS: Qualitative descriptive.
METHODS: Focus group interviews with 19 members of the peer group clinical supervision steering groups and individual interviews with five external clinical supervision facilitators from the Western region of Ireland were conducted. Data analysis followed Elo and Kyngäs\' content analysis method, involving preparation, organising and reporting, to extract meaning and identify patterns from the qualitative data collected.
RESULTS: Developing peer group clinical supervision practice requires, clarity of purpose and function that address the pros and cons of clinical supervision. Organisational leadership is required to support and release staff for peer group clinical supervision and peer group clinical supervisors need to be credible and have a level of expertise in practice. When prepared and supported, the aspects of confidence, leadership, personal development and resilience develop.
CONCLUSIONS: Peer group clinical supervisors need training and ongoing continual professional development for their role, scope of practice and responsibilities. Sustainability rests on staff awareness and familiarity with the purpose and format of peer group clinical supervision and the regularity of sessions.
UNASSIGNED: Peer group clinical supervision is a means of supporting improvement of patient care delivery while in parallel supporting personal and professional development of staff, building resilience in the workplace.
CONCLUSIONS: This study explored the implementation of peer group clinical supervision for staff across nursing and midwifery disciplines. It found that implementing peer group clinical supervision had a positive impact on staff well-being and morality and on patient care delivery. These findings influence healthcare service providers in implementing peer group clinical supervision in a sustainable way enabling nurses to continue working in complex healthcare environments delivering safe person-centred care.
UNASSIGNED: The qualitative reporting guidelines Standards for Reporting Qualitative Research (SRQR) were followed.
UNASSIGNED: Patient/public involvement was addressed in this study by staff, managers, planners, directors, leaders and educationalists being involved at all stages of the study (concept, design, analysis and reporting).