Clinical Supervision in Mental Health Nursing
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Evidence suggests that staff having clinical supervision will:. The Manchester Clinical Supervision Scale MCCS measures the effectiveness of clinical supervision from the perspective of the person being supervised using a quantitative methodology, and has been used effectively to demonstrate specific factors influencing the success of clinical supervision.
Victoria's clinical supervision framework for mental health nurses - founcigutherind.gq
It could be argued that other structured organisational support mechanisms are just as effective, so organisations need to be convinced that clinical supervision will improve efficiency and effectiveness, particularly within the current constraints within NHS organisations. Often healthcare professionals are sent on clinical supervision courses without really knowing what to expect or any understanding of the concept. This can cause anxiety and confusion, so it is essential that myths and misconceptions are challenged from the start.
There is a wealth of literature on the topic and wider reading around the subject is recommended to really fully understand what is involved, and ultimately to be able to engage with clinical supervision effectively. Deciding which type of clinical supervision is for you needs to be given consideration. Approaches include individual one-to-one and group supervision, which might be within the same discipline or multi-professional - but whichever approach is used, getting the supervisory relationship right is paramount and is key to the success of clinical supervision. Within all organisations there will be staff with the skills, knowledge and attitude to undertake the role of supervisors, and it is essential that they are enabled to take on this role while also receiving clinical supervision themselves.
There is a wide range of literature outlining the required competencies to be a supervisor, and engagement in the appraisal system will enable managers to identify staff with the required skills in order that staff can take on these roles. The logistics of planning clinical supervision can be challenging and include identifying protected time, finding a suitable venue free from interruptions, training and support for supervisors, setting up contracts and audit and evaluation. Merely attending training will not equip everyone with the skills and knowledge to take clinical supervision forward, and so training and analysis needs to be ongoing to address additional requirements such as facilitation skills for supervisors or developing reflective practice skills for both supervises and supervisors.
Reflection is a key element of clinical supervision and there are numerous models to adopt to support the process which include Gibbs,16 Johns,17 Kolb,18 and Rolfe et al.
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- Competences for Clinical Supervision in Psychiatric/Mental Health Nursing.
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Healthcare professionals need to embrace reflection and critically analyse situations and experiences to constantly improve and develop practice. The focus should not just be on negative situations, but should also embrace positive experiences so that this learning can be shared across professions. Policies and guidelines are a legal requirement and underpin good practice. They are also required to fulfil clinical governance requirements and ensure resources are used effectively.
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Attendance will be monitored where Trusts are investing in this activity for their staff and where staff identify difficulty in accessing sessions this should be addressed. You do not have to provide in-depth details of discussion, but Trusts may request information from supervisors on key themes, to provide data on future training needs and identify gaps in knowledge and skills. When staff begin to engage in clinical supervision, their main concerns and anxieties seem to focus on key legal and ethical issues, namely:. This seems surprising when these areas are fundamental to everyday practice, and it is important that those involved in clinical supervision discuss and clarify these aspects from the start.
Professional codes of conduct provide a sound basis to start, as these principles will be clearly outlined in these documents. For example the Nursing and Midwifery Council NMC code of conduct21 makes clear reference to all three elements, and as such can form the basis for discussion in clinical supervision sessions so staff can really consider what these mean in practice to ensure safe, high quality care. Local policy will identify what records needs to be kept, and of course as nurses you will keep records of such activity in your personal and professional portfolio for prep requirements.
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In December , the Chief Nursing Officer launched a three-year strategy for nursing, Compassion in Practice, identifying the six Cs of good quality care care, compassion, competence, communication, courage and commitment and six priority action areas. Action area five supports the need to develop models of good practice from areas such as midwifery and mental health in embedding clinical supervision for other professional groups, once again recognising the value of clinical supervision for all front-line staff. Clinical supervision is an important means of supporting your continuing professional development and embracing reflective practice.
Given the current climate of constant change and challenging times within healthcare it has never been more essential for frontline staff. Butterworth T, Faugier J. Clinical Supervision and Mentorship in Nursing. Achieving Effective Supervision.
Victoria's clinical supervision framework for mental health nurses
Drugs and Alcohol Review ; A Vision for the Future. The nursing, midwifery and health visiting contribution to health and health care. London: HMSO; Making a Difference. Clinical Supervision in Primary care. Available at: www. Clinical Supervision for Registered Nurses. London: NMC; Your guide to standards for continuing professional development. Royal College of Speech and Language Therapists. Clinical Supervision Framework. Care Quality Commission.
London: CQC; Bond M, Holland S.
- Clinical Supervision Position Statement.
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Skills of Clinical Supervision for Nurses. These services are funded and regulated by the Commonwealth Government and can be operated by not-for-profit, private or state government providers. Assessment services help older people and their carers to identify care that best meets their needs and access Commonwealth Government services for older people.
The Home and Community Care Program for Younger People provides funding for services which support frail older people, younger people with disabilities and their carers. A Victorian government resource providing information and advice on designing and caring for people with dementia in residential aged care settings. I am delighted to present you with Victoria's clinical supervision framework for mental health nurses. The framework is designed to inform you about the potential professional development that clinical supervision offers, the models and modes you can engage in at an individual or organisational level and to share the stories and experiences of people who have found the value of receiving and providing reflective clinical supervision.
I encourage you to discuss clinical supervision with your managers at your service, as well as visiting the Centre for Psychiatric Nursing website for more information about making clinical supervision a core part of your professional nursing life. As a mental health nurse, I know the value of good clinical supervision and how it can help your professional life.
Clinical supervision has helped me grow and overcome many professional challenges in my career. I have the privilege of providing clinical supervision to a small number off mental health nurses in Victoria. I also continue to engage in my own supervision as a method to reflect on my professional practice as a mental health nurse leader in the sector. I encourage you to make the most of this framework to provide and receive effective clinical supervision.
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TRaNSforM working definition of Clinical Supervision
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