Factors that influence the clinical supervision implementation for nurses: A scoping review

Area of Science:

• Nursing Practice and Healthcare Management
• Implementation Science
• Health Services Research

Background:

• Clinical supervision is crucial for nursing professional development and patient care quality.
• Effective implementation of clinical supervision is essential but faces various challenges.
• Understanding influencing factors is key to optimizing clinical supervision programs.

Purpose of the Study:

• To systematically identify and map existing evidence on factors affecting clinical supervision implementation in nursing.
• To analyze these factors using the Consolidated Framework for Implementation Research (CFIR) domains.
• To highlight gaps in the evidence regarding the outer setting's influence.

Main Methods:

• A scoping review following JBI methodology.
• Searches conducted in MEDLINE, PsycINFO, and CINAHL databases.
• Included empirical studies in English on clinical supervision implementation for nurses, analyzed using CFIR constructs.

Main Results:

• Logistical challenges (shift work, work time control) and organizational factors (culture, managerial support) significantly impact implementation.
• The influence of the outer setting on implementation is less explored.
• Variability in the design, purpose, and application of clinical supervision complicates consistent implementation.

Conclusions:

• Policy documents require clear definitions of clinical supervision design and purpose.
• Equitable implementation is necessary to avoid perpetuating inequalities.
• Implementation strategies must acknowledge the non-linear nature of complex interventions and align with anticipated challenges.