The Development of Guidelines on Clinical Supervision in Clinical Practice Settings

  • Nigel Northcott
Chapter

Abstract

This chapter is based upon the experiences of introducing clinical supervision onto an acute medical ward, which was one of the DoH/King’s Fund-supported Nursing Development Units (NDUs). The contextual issues that led to this project being part of the NDU are explored, along with the understanding of clinical supervision that framed the approach used. The scheme of clinical supervision that was agreed upon is identified, along with guidelines on good practice for clinical supervision that arose from the work. A number of the key questions arising from the staff and the response to these are offered as illustrations of some of the concerns and uncertainties that clinical supervision can generate for nurses. The chapter includes limited evaluation of the experiences on the NDU and offers the profession a case study from which to draw conclusions to inform endeavours to introduce clinical supervision elsewhere.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Adair, L. and Murray, L. 1995 Organisation of Nursing Care project: Nursing Development Unit (King’s Fund) John Radcliffe Hospital Oxford. In Bowman, G. and Thompson, D. (eds) A Classification System for Nurses’ Work Methods: The Bowman Classification. Oxford: National Institute of Nursing.Google Scholar
  2. Bennis, W. and Nanus, B. 1985 Leaders. New York: Harper & Row.Google Scholar
  3. Block, P. 1993 Stewardship. San Francisco: Berrett-Koehler.Google Scholar
  4. Brookfield, S. 1987 Developing Critical Thinkers. Milton Keynes: Open University Press.Google Scholar
  5. Butterworth, T. and Faugier J. 1992 Clinical Supervision. London: Chapman & Hall.Google Scholar
  6. Cooper, C. 1988 Stress, mental health and job satisfaction. Health Service Management Research 1(1).Google Scholar
  7. Corder, L. 1996 Level the playing field. Nursing Times 96(96): 30–2.Google Scholar
  8. Daloz, L. 1987 Effective Teaching and Mentoring. San Francisco: Jossey-Bass.Google Scholar
  9. Ersser, S. and Tutton E. 1991 Primary Nursing in Perspective. London: Scutari Press.Google Scholar
  10. Garbett, R. 1992 Attested development. Nursing Times 88(88): 40–1.PubMedGoogle Scholar
  11. Garbett, R. 1993 Your choice. Nursing Times 89(89): 49–51.PubMedGoogle Scholar
  12. Garbett, R. 1994 Changing philosophy through group interview:a flexible tool in nursing development. Nursing Development News 7: 3–4.Google Scholar
  13. Handy, C. 1994 The Empty Raincoat. London: Arrow Books.Google Scholar
  14. Hawkins, P. and Shohet, R. 1989 Supervision in the Helping Professions. Milton Keynes: Open University Press.Google Scholar
  15. Hingley, P. and Harris, P. 1986 Burnout at senior level. Nursing Times 82(82): 52–3.PubMedGoogle Scholar
  16. Kohner, N. 1994a Clinical Supervision in Practice. London: King’s Fund Centre/Poole: BEBC.Google Scholar
  17. Kohner, N. 1994b Clinical Supervision: an Executive Summary. London: King’s Fund Centre.Google Scholar
  18. Marcellison, F., Winnubusts, J., Buunk, B. and De Wolff, C. 1988 Social support and occupational stress. Social Science and Medicine 26(26): 365–73.CrossRefGoogle Scholar
  19. Maslach, C. 1982 Burnout: The Cost of Caring. New Jersey: Prentice-Hall.Google Scholar
  20. Mezirow, J. 1981 A critical theory of adult learning and education. Adult Education 32(32): 3–24.CrossRefGoogle Scholar
  21. National Health Service Training Authority 1986 Guide and Model Documentation for Individualised Performance Review. Bristol: NHSTA.Google Scholar
  22. Northcott, N. 1994 Organisational culture in a nursing development unit. Nursing Review 12 (3 & 4): 12–14.Google Scholar
  23. Northcott, N. 1996a Appraisal and Professional Fulfilment of Nursing Staff in Oxfordshire. Unpublished thesis. Southampton: University of Southampton.Google Scholar
  24. Northcott, N. 1996b The significance of culture in an NDU. Nursing Developments News 15: 3–5.Google Scholar
  25. Northcott, N. 1996c Contracts for good morale. Nursing Management 3(3): 23.PubMedGoogle Scholar
  26. Pedlar, M., Burgoyne, J. and Boydell, T. 1991 The Learning Company. New York: McGraw Hill.Google Scholar
  27. Scholes, J. 1996 Staff role transition and emotional labour in nursing development units. Nursing Times 92(92): 40–42.PubMedGoogle Scholar
  28. UKCC (United Kingdom Central Council for Nursing, Midwifery and Health Visiting) 1990 The Post-Registration Education and Practice Project. London: UKCC.Google Scholar
  29. UKCC (United Kingdom Central Council for Nursing, Midwifery and Health Visiting) 1992a Scope of Professional Practice. London: UKCC.Google Scholar
  30. UKCC (United Kingdom Central Council for Nursing, Midwifery and Health Visiting) 1992b Code of Professional Conduct. London: UKCC.Google Scholar
  31. UKCC (United Kingdom Central Council for Nursing, Midwifery and Health Visiting) 1996 Position Paper on Clinical Supervision for Nursing and Health Visiting. London: UKCC.Google Scholar
  32. Usher, R. and Edwards, R. 1994 Postmodernism and Education. London: Routledge.CrossRefGoogle Scholar
  33. Vaughan, B. 1989 Developing trends in nursing. In Vaughan, B. and Pilmoor, M. (eds) Managing Nursing Work. London: Scutari Press.Google Scholar
  34. Whitehead, L. 1989 Taking the strain. In Vaughan, B. and Pilmoor,M. (eds) Managing Nursing Work. London: Scutari Press.Google Scholar
  35. Wolfgang, A. 1988 Job stress in health professions. Behavioural Medi-cine 14(14): 43–7.CrossRefGoogle Scholar

Copyright information

© Nigel Northcott 1998

Authors and Affiliations

  • Nigel Northcott

There are no affiliations available

Personalised recommendations