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Implementing a clinical supervision programme for nurses in a hospice setting
Rowena Chilvers1, Sarah Ramsey
1Pilgrims Hospices, 56 London Road, Canterbury, Kent, CT2 8JA.
International Journal of Palliative Nursing
|January 19, 2010
Summary
Clinical supervision for all nursing staff, including registered nurses and healthcare assistants, was expanded in hospices. This initiative aimed to improve patient care standards through a new group-based reflective clinical supervision program.
Area of Science:
- Nursing Practice
- Healthcare Management
- Patient Care Standards
Background:
- Clinical supervision was initially limited to community nurse specialists in a South East England hospice group.
- A clinical governance framework was in place, but supervision access was restricted.
- The need for broader clinical supervision to enhance patient care was recognized.
Purpose of the Study:
- To review and expand the clinical supervision system to include all nursing staff.
- To initiate a reflective clinical supervision program utilizing a group model.
- To detail the implementation process, practicalities, and challenges of providing clinical supervision.
Main Methods:
- Review of the existing clinical supervision system.
- Appointment of key roles: Lead Nurse for Patient Safety and Quality, and Education and Training Co-ordinator.
- Development and implementation of a group-based reflective clinical supervision program.
Main Results:
- Expanded access to clinical supervision for registered nurses, healthcare assistants, and community associate practitioners.
- Implementation of a structured, group-based reflective clinical supervision program across inpatient, day hospice, and community services.
- Identification of practicalities and challenges in delivering the supervision service.
Conclusions:
- Expanding clinical supervision to all nursing staff is crucial for maintaining and improving patient care.
- A group model for reflective clinical supervision can be effectively implemented across diverse hospice services.
- Addressing practicalities and challenges is key to the successful provision of clinical supervision.
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