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Models of clinical supervision of relevance to remote area nursing & primary health care: A scoping review.
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- Author(s): Hildebrand, Fiona1,2 ; Gray, Michelle1; McCullough, Kylie1
- Source:
Australian Journal of Rural Health. Oct2023, Vol. 31 Issue 5, p826-838. 13p. 1 Illustration, 1 Diagram, 4 Charts.- Subject Terms:
*MEDICAL information storage & retrieval systems; *SUPERVISION of employees; *CULTURAL identity; *CLINICAL supervision; *MEDICAL quality control; *MEDICAL personnel; *NURSING models; *PRIMARY health care; *CINAHL database; *NURSING education; *MENTORING; *SYSTEMATIC reviews; *MEDLINE; *LITERATURE reviews; *NURSING research; *NURSING practice; *TELECONFERENCING; *MEDICAL preceptorship; *RURAL nursing; *TRANSCULTURAL medical care - Source:
- Additional Information
- Subject Terms:
- Abstract: Introduction: Nurses in remote primary health care settings work in difficult conditions, in isolated and disadvantaged communities, and often must work beyond their scope to provide advanced assessments and treatments to support the community. Therefore, remote area nurses require support to develop their skills and knowledge to work safely within their full scope of practice. Clinical supervision is widely used in health professions for this purpose; however, models of supervision for nursing have not been implemented or evaluated within remote primary health care settings. Objective: The purpose of this study was to search the literature to source suitable clinical supervision models that could pertain to the remote area nursing context. Design: An initial search of the literature found no clinical supervision models developed for remote or isolated practice nurses so a scoping review was conducted searching for publications related to advanced practice generalist health practitioners in primary health care, including practice nurses, nurse practitioners and general practitioners. This was seen as a suitable substitute because the phenomena of interest were the model of supervision rather than the specific skills or knowledge being developed. Findings: The scoping review search yielded 251 articles from 5 journal databases of which 11 articles met the inclusion criteria. Each clinical supervision model was described and synthesised using qualitative description. The 11 models of clinical supervision had differing formats including; individual and group clinical supervision, in‐person, telephone, medical records review and video case study. Discussion: Whilst several models were described in the literature, none were directly transferrable to the remote area context. The absence of supervision for cultural safety was significant. There was a variety of modes including face‐to‐face, virtual, individual and group proposed. Cultural considerations were lacking in all of the models. Conclusion: Our study recommends a hybrid clinical supervision model suitable for consultation and validation through pilot testing with remote area nurses. There is potential for this model to be used globally in isolated contexts due to the option of virtual participation. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Australian Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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