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Upervision: how can the gap be bridged?

McDaid Catherine1, Jill Stewart-Moore

  • 1Altnagevin Hospitals Health and Social Services Trust, Londonderry, Northern Ireland.

RCM Midwives : the Official Journal of the Royal College of Midwives
|June 1, 2006
PubMed
Summary

Midwives in Northern Ireland desire clearer, more transparent statutory supervision. They suggest informal methods, study days, and protected time to enhance professional relationships and clinical credibility.

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Area of Science:

  • Healthcare Professionals
  • Nursing and Midwifery
  • Public Health Policy

Background:

  • Statutory supervision for midwives in Northern Ireland (NI) was established to ensure professional standards and patient safety.
  • Previous research on midwifery supervision in NI was limited, necessitating an exploration of current perceptions.
  • Understanding midwives' views is crucial for effective policy development and implementation of supervisory practices.

Purpose of the Study:

  • To investigate midwives' perceptions of the role and effectiveness of statutory supervision in Northern Ireland.
  • To identify challenges and areas for improvement in the current midwifery supervision framework.
  • To gather recommendations from midwives for enhancing the supervisory process.

Main Methods:

  • A qualitative study employing grounded theory methodology.
  • Data collection through semi-structured interviews with a convenience sample of midwives in NI.
  • Data analysis using the constant comparison method, field notes, and memoranda.

Main Results:

  • Midwives expressed a lack of understanding regarding the supervisor's role and desired more informal supervisory mechanisms.
  • There is a need for increased transparency and demonstration of clinical credibility by supervisors.
  • Suggested strategies include study days, seminars, protected time for supervision, and a reduced supervisor-to-midwife ratio.

Conclusions:

  • Current statutory supervision in NI is perceived as lacking clarity and informal engagement.
  • Enhancing transparency, clinical credibility, and professional relationships is essential for effective midwifery supervision.
  • Implementing midwives' suggestions could bridge the gap and improve the supervisory system.

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