HEMŞİRELİKTE KLİNİK SÜPERVİZYON

Klinik süpervizyon, genel olarak “hemflirelerin klinik yeterlili¤i art›rmak amac›yla kullan›lan profesyonel bir iliflki, destek süreci” olarak tan›mlanmaktad›r. Bu makalenin amac›, özellikle Kuzey Amerika ve Avrupa ülkelerindeki hemflirelik literatüründe yayg›n olarak tart›fl›lan, ancak ülkemizde henüz konu ile ilgili bir yay›na rastlanmayan, klinik süpervizyon kavram› hakk›nda bilgi sunmakt›r. Makalede klinik süpervizyonun tan›mlar›, gereklili¤i, yararlar›, uygulama süreci, klinik süpervizörün özellikleri, klinik süpervizyonun uygulamas›na yönelik elefltiriler ve baflar› için gerekenler tart›fl›lm›flt›r.
Anahtar Kelimeler:

klinik süpervizyon, hemşirelik

Clinical supervision has generally been described as “a professional relationship and support process by which nurses are assisted to improve their competencies in order to enhance quality of care”. It is a videly discussed concept within nursing literature in the North American and Europian countries. However this issue has not yet been the subject of any article in our country. The aim of this paper is to present an overview of clinical supervision in nursing. Various aspects of the definitions, potential for its success, benefits, components and processes of clinical supervision are explored. Current debates and problematic areas and the need for clinical supervision in nursing are also discussed.

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  • Barrett, R. (2002) Mentor Supervision and Development: Exploration of Lived Experience. Career Development International, 7(5); 279-283.
  • Bishop, V. (1994) Clinical Supervision for an Accountable Profession. Nursing Times, 90(24); 35-39.
  • Butterworth, T., Faugier, J. (1992) Clinical Supervision and Mentorship in Nursing. London, Chapman & Hall.
  • Clouder, L., Sellars, J. (2004) Reflective Practice and Clinical Supervision: an Interprofessional Perspective. Journal of Advanced Nursing, 46(3); 262-269.
  • Cottrel, S., Smith, G. (2003) The Development of Models of Nursing Supervision in the UK. http://www.clinical-supervision.com.
  • Darley, M. (1995) Clinical Supervision: the View from the Top. Nursing Management, 2(3); 14-15.
  • Eddison, G. (1994) Monitoring Mentoring. Nursing Standard, 8(30);99.
  • Edwards D., Cooper L., Burnard P., Hanningan B., Adams J.,Fothergill A. & Coyle D. (2005) Factors Influencing the Effectiveness of Clinical Supervision. Journal of Psychiatric and Mental Health Nursing, 12, 405–414.
  • Edwards D, Burnard P, Hannigan B, Cooper L, Adams J, Juggessur T, Fothergil A. (2006) Clinical Supervision and Burnout: the Influence of Clinical Supervision for Community mental health nurses. Journal of Clinical Nursing, 15, 1007–1015.
  • Gilbert, T. (2001)Reflective Practice and Clinical Supervision: Meticulous Rituals of the Confessional. Journal of Advanced Nursing, 36(2); 199-205.
  • Goorapah, D. (1997) Clinical Supervision. Journal of Clinical Nursing, 6; 173-178.
  • Heath, H., Freshwater, D. (2000) Clinical Supervision as an Emancipatory Process: Avoiding Inappropriate Intent. Journal of Advanced Nursing, 32(5); 1298-1306.
  • Holm, A.K., Lantz, I., Severinsson, E. (1998) Nursing Students’ Experiences of the Effects of Continual Process-Oriented Group Supervision. Journal of Nursing Management, 6(2); 105-113.
  • Hyrkas. K., Koivula, M., Paunonen, M. (1999) Clinical Supervision in Nursing in the 1990s- Current State of Concepts, Theory and Research. Journal of Nursing Management, 7(3); 177-187.
  • Hyrkas, K., Koivula, M., Lehti, K., Paunonen- Ilmonen, M. (2003) Nurse Managers' Conceptions of Quality Management as Promoted by Peer Supervision. Journal of Nursing Management, 11(1); 48-58.
  • Hyrkas, K., Lehti, K. (2003) Continuous Quality Improvement Through Team Supervision Supported by Continuous Self-monitoring of Work and Systematic Patient Feedback. Journal of Nursing Management, 11(3); 177-188.
  • Hyrkas K. , Appelquist- Schmidlechner K., Kivimaki K. (2005) First-Line Managers' Views of The Long-Term Effects of Clinical Supervision: How Does Clinical Supervision Support and Develop Leadership in Health Care? Journal of Nursing Management, 13, 209–220.
  • Hyrkas K., Appelqvist-Schmidlechner K., Haataja R. (2006) Efficacy Of Clinical Supervision: Influence on Job Satisfaction, Burnout and Quality of Care. Journal of Advanced Nursing, 55(4); 521–535.
  • Johns, C. (2001) Depending on the Intent and Emphasis of the Supervisor, Clinical Supervision can be a Different Experience. Journal of Nursing Management, 9(3); 139-145.
  • Jones, A. (1998) Getting Going with Clinical Supervision. Journal of Advanced Nursing, 27(3); 560-566.
  • Knutton, S., Pover, J. (2004) The Importance of Honesty in Clinical Supervision. Nursing Management, 10 (9)
  • Landmark, B., Hansen, G.S., Bjones, I., Bohler, A. (2003) Clinical Supervision- Factors Defined by Nurses as Influential upon the Development of Competence and Skills in Supervision. Journal of Clinical Nursing, 12(6); 834-841.
  • Lyth, G.M. (2000) Clinical Supervision: a Concept Analysis. Journal of Advanced Nursing, 31(3); 722-729.
  • Marrow. C.E., Macauley, D.M., Crumbie, A. (1997) Promoting Reflective Practice through Structured Clinical Supervision. Journal of Nursing Management, 5(2); 77-82.
  • McCallion, H., Baxter, T. (1995a) Clinical Supervision: How it Works in the Real World. Nursing Management,1(9); 20-21.
  • McCallion, H., Baxter, T. (1995b) Clinical Supervision: Take it from the Top: Nursing Management, 1(10); 9.
  • Mills J.E., Francis K.L., Bonner A. (2005) Mentoring, Clinical Supervision and Preceptoring: Clarifying the Conceptual Definitions for Australian Rural Nurses. A review of the literature. Rural & Remote Health, 5 (3); 1-10.
  • Nicklin, P. (1995) Super Supervision. Nursing Management, 2(5); 24-25.
  • Nicklin, P. (1997) A Practice Centred Model of Clinical Supervision. Nursing Times, 93(46); 52-54.
  • Northcott, N. (1996) Supervise to Grow. Nursing Management, 2(10); 18-19.
  • Nylund. L., Lindholm, L. (1999) The Importance of Ethics in the Clinical Supervision of Nursing Students. Nursing Ethics, 6(4); 278-286.
  • Porter, N.J. (1998) Providing Effective Clinical Supervision. Nursing Management, 5(2); 22-23.
  • Proctor, B. (1987) Supervision: A Cooperative Exercise in Accountability: Enabling and Ensuring Supervision in Practice. Cited in Slaon, G., Watson, H. (2002) Clinical Supervision Models for Nursing: Structure, Research and Limitations. Nursing Standard, 17(4); 41-46.
  • Rogers, P., Morris, B.T. (1997) Clinical Supervision for Forensic Mental Health Nurses. Nursing Management, 4(5); 13-15.
  • Ryan, T. (1998) Clinical Supervision in Mental H e a l t h N u r s i n g . h t t p : / / w w w . c l i n i c a l - supervision.com
  • Severinsson, E,I. (1994) The Concept of Supervision in Psychiatric Care- Compared with Mentorship and Leadership. A review of the Literature. Journal of Nursing Management, 2(6); 271-278.
  • Severinsson, E.I. (1996) Nurse Supervisors’ Views of their Supervisory Styles in Clinical Supervision. a Hermeneutical Approach. Journal of Nursing Management, 4(4); 191-200.
  • Sloan, G. (1999) Understanding Clinical Supervision from a Nursing Perspective. British Journal of Nursing, 8 (8);524-29.
  • Slaon, G., Watson, H. (2001) Illuminative Evaluation: Evaluating Clinical Supervision on its Performance Rather than Applause. Journal of Advanced Nursing, 35(5); 664-673.
  • Slaon, G., Watson, H. (2002) Clinical Supervision Models for Nursing: Structure, Research and Limitations. Nursing Standard, 17(4); 41-46.
  • Sloan G. (2005) Clinical Supervision: Beginning the Supervisory Relationship. British Journal of Nursing, 14(17); 918-923.
  • Smith, J.P. (1995) Clinical Supervision: Conference Organized by the NHSE on 29 November 1994. Journal of Advanced Nursing, 21(5); 1029-1031.
  • Smith, C. (1997) Supervise to Practice. Nursing Management, 4(7); 20.
  • Teasdale, K ., Brocklehurst, N., Thom, N. (2001) Clinical Supervision and Support for Nurses: An Evaluation Study. Journal of Advanced Nursing, 33(2); 216-224.
  • Waterworth, S., Pillitteri, L., Swift, F. (1997) Clinical Supervision: Empowerment in Practice. Nursing Management, 3(9); 14-16.
  • White, E., Butterworth, T., Bishop, V., Carson, J., Jeacock, J., Clements, A. (1998) Clinical Supervision: Insiders Reports of a Private World. Journal of Advanced Nursing, 28(1); 185-192.
  • Wright, S.G. (1986) Building and Using a Model of Nursing, Edward Arnold, London. Cited in Butterworth, T., Faugier, J. (1992) Clinical Supervision and Mentorship in Nursing. London, Chapman & Hall.
  • Wright, H. (1989) Group Work: Perspective and Practice. Scutari Press, London. Cited in Clouder, L., Sellars, J. (2004) Reflective Practice and Clinical Supervision: an Interprofessional Perspective. Journal of Advanced Nursing, 46 (3); 262-269.
  • Yegdich, T. (1998) How not to do Clinical Supervision in Nursing. Journal of Advanced Nursing, 28(1); 193-202
  • Yegdich, T. (1999) Clinical Supervision and Managerial Supervision: Some Historical and Conceptual Considerations. Journal of Advanced Nursing, 30(5); 1195-1204.
  • Kaynak: Waterworth, S., Pillitteri, L., Swift, F (1997) Clinical Supervision: Empower- ment in Practice. Nursing Management, 3(9); p16. GİRİŞ
  • Bilim ve teknolojideki hızlı gelişmeler, toplumun sağlık ve hastalık anlayışını ve sağlık hizmetlerinin sunumunu da etkilemektedir (Yiğit, 1996; Erdemir&Pınar, 2004). Bu değişim ve gelişime paralel olarak, hemşirelik hizmetleri de yeniden belirlenmiştir. Hemşireliğin genel amaçları yüzyıllardan beri aynı kalmakla birlikte, uygulamaların kapsamı ve niteliği değişen gereksinimlere göre değişmektedir (Bayraktar
  • Erdemir, 1998; McCash, 2000).
  • Hemşirelik; insanları sağlıklı kılmak, rahatlığını sağlamak, hastalandığında bakmak ve bireylere güvende oldukları duygusunu yaşatmak isteği ile ortaya çıkmış bir meslektir (Erdemir, 1998; Erdoğan