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An evaluative study of clinical supervision based on Proctor's three function interactive model.

N Bowles1, C Young

  • 1School of Health Studies, Division of Nursing, University of Bradford, UK. n.b.bowles@bradford.ac.uk

Journal of Advanced Nursing
|October 16, 1999
PubMed
Summary
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Registered nurses report significant benefits from clinical supervision, particularly in skill development and support. Experience with clinical supervision positively correlates with reported benefits, validating its importance in nursing practice.

Area of Science:

  • Nursing
  • Healthcare Management
  • Professional Development

Background:

  • Clinical supervision is crucial for registered nurses in community and mental health settings.
  • Proctor's three-function interactive model (accountability, skill development, support) guides supervisory practice.
  • Understanding the benefits of clinical supervision is key to enhancing nursing practice.

Purpose of the Study:

  • To assess and compare reported benefits of clinical supervision across its three core functions.
  • To examine the impact of contract use, experience, and length of service on these benefits.
  • To evaluate the effectiveness of clinical supervision within a large English NHS Trust.

Main Methods:

  • A study involving 201 registered nurses from a community and mental health NHS Trust.

Related Experiment Videos

  • Development of an instrument based on semi-structured interviews with supervisors and supervisees.
  • Non-parametric statistical analysis to assess reported benefits and influencing factors.
  • Main Results:

    • Reported benefits were experienced in nearly equal proportions across accountability, skill development, and support functions.
    • A significant positive correlation was found between clinical supervision experience and reported benefits.
    • Length of service showed an inverse correlation with overall benefits, but not normative benefits.

    Conclusions:

    • Nurses report clear benefits from clinical supervision across all three functions.
    • The study validates Proctor's three-function interactive model for clinical supervision.
    • Clinical supervision effectively facilitates critical examination and positive change in nursing practice.