Mrs Pamela Shaw (UK)

Building resilience and shaping practice through clinical supervision

Pamela Shaw:

Practice Educator/Health Visitor/Queen’s Nurse (MSc, BSc (Hons), ILM Coach, PGCE,

PGDip, RHV, RM, RGN, QN)

Building resilience and shaping practice through clinical supervision

Aims of presentation

What is clinical supervision and what are the benefits?

What does an effective system of clinical supervision look like?

How clinical supervision was utilised to help health visiting/school nursing services thrive, empower supervisors, inform supervisees and benefit clients

Nursing is a rewarding profession…………

Clinical Supervision

The purpose of clinical supervision is to provide a safe and confidential environment for staff to reflect, allowing them to discuss personal and professional response to their work.

Benefits of Clinical

Supervision

Feel supported in practice delivery

Feel confident & competent

Be open to challenges & considering different options

Be reflective

Be responsibleBe aware of risk management issues

Clinical Supervision

is NOT….

A performance management tool

An assessment

Controlled and delivered by the manager

An appraisal

A teaching session

A place to run down other team members or place for gossiping or moaning

A personal soap box

An opportunity to practice as a counsellor

Part of a reporting process or place of blame

A judgement on you or your practice

Clinical Supervision Framework

Proctor’s clinical supervision Framework

• Normative – Develops reflection and practice about local policy / codes of conduct

• Formative – Development of skills, knowledge and attitudes

• Restorative – Developing resilience to provide motivation and encouragement

Driscoll’s reflective model

• What? A description of the event

• So What? An analysis of the event

• Now What? Proposed actions following

• There are other models available……

Pros and cons of Group Clinical Supervision

Pros of Group Clinical Supervision Cons of Group Clinical Supervision

• Issues raised could go off on a tangent

• Inner conflicts/feelings can be masked and not addressed

• Lack of time to deal with an issue in depth

• A talking shop without any achievement

• Learn from shared experiences

• reduce isolation through collaboration

• Increased sense of support

• Safe environment to discuss problems without criticism

Pros and cons of 1:1 Clinical Supervision

Pros of 1:1 Clinical Supervision Cons of 1:1 Clinical Supervision

• Expensive to deliver to large numbers of people on regular basis.

• Facilitator and participant need to be appropriately matched.

• Need enough identified and trained facilitators in an organisation to be able to provide an ad hoc service reliably.

• Development of trusting relationships between facilitator and participant maximising opportunity for challenge and growth.

• Ad hoc sessions useful for providing more immediate support and opportunities for learning from difficult situations that arise.

The contract

Lines of accountability

Frequency & duration

Venue

Expectations of supervisee & supervisor

Written records

Confidentiality

Evaluation

Establishing Rapport and

Trust

Introductions at the start of the session

Set ground rules

Aims/expectations/concerns

Ice breakers & warm ups

An Effective clinical

supervisionsystem

Accessible to clinicians

Clear, up-to-date policy

Supported by senior managers

Trained supervisors who are supported to perform their role

Mandatory clinical supervision

Supervisors access their own clinical supervision

Clinical supervision should be frequent

Examples of feedback from attendees at group supervision

The framework used enable me to be solution

focussed

Affirms my work is meaningful and

enabled me to develop strategies

for building resilience

Feel more confident in my decision making

Good to know I am not on my

own

I felt safe to discuss

uncertainties & concerns

Provided time to think, reflect and

learn

Strengthened my connection with colleagues

Enabled me to identify training & development

needs

Reflection on an established group clinical supervision in practice• Enhanced well-being and resilience• Improved practice from confident practitioners • Facilitate access to resources available within and external to the organisation• Improved recruitment and retention of staff• Promote exchange of ideas, learning and reflections on practice• Increased accountability and motivation• Improved communication among workers• Maintenance of clinical skills and quality practice• Increased job satisfaction• Safeguarding of standards of patient care by promoting best practice• Promoting self-awareness and professional accountability

Thank you for listening

Any questions?