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Examine the merits and demerits of clinical supervision
Advantages and disadvantages of the clinical supervision model
Reflection of clinical supervision
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Counseling Articles:
Clinical Supervision:
Tony Bush wrote an article regarding overcoming the hindrances to effective clinical supervision, which was published in Nursing Times website. Bush’s publication was influenced by the fact that clinical supervision is one of the most commonly misunderstood practices in contemporary nursing. However, clinical supervision provides a supportive and nurturing service to nurse practitioners by assisting them to critically reflect on the actions during the delivery of patient care. As a result, the author seeks to examine and explore the existing role and status of clinical supervision in the Nursing Health Service.
Clinical supervision is basically described as a complex activity with multi-faceted functions that seeks to provide emotional support to counselors receiving supervision and providing them with extra education. This concept can also be described as a means of evaluating and monitoring counselors’ professional performance and enhancing the quality of their respective duties. In the nursing field, clinical supervision primarily focuses on enhancing nursing practice, enhancing the responsibility of nurse practitioners, and improving patient care Bush, 2005, p.36). This concept should seek to address several challenges that emerge from the feelings of loneliness that nurses experience in the modern nursing environment as they work towards abiding by standards and charters. This results in feelings of hopelessness, which is likely to have considerable effects on the nurse-patient relationship.
Notably, the use of clinical supervision in the nursing profession is hindered by several barriers attributed to individual and organizational factors. Some of these barriers include ...
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... the client’s self-esteem and the counselor’s self-esteem play a crucial role in determining the effectiveness of the process. For the client, self-esteem issues make it difficult to develop appropriate strategies for dealing with his/her problems while the counselor’s self-esteem issues make it difficult to provide the most appropriate support to a client. When working with clients, I will not only examine their self-esteem issues but also examine mine to develop effective interventions. On the other hand, Marley’s article shows the significance of letting clients develop their own self-help strategies when dealing with stress and anxiety. I will encourage clients to develop their own self-help strategies based on personal beliefs, social networks, and coping ideas in order to distract them from their problems as they seek physical and psychological well-being.
Clinical Supervision is the life wire of any health are professional. It is the on the job teaching that takes place between the supervisor and supervisee. It is a lifelong learning used for personal and professional development which is useful both in nursing education and clinical practice. Its benefit cannot be overemphasized as it is known to improve job satisfaction and prevention of stress /burnout. Supervision is important because it allows the novice to gain knowledge, skill and commitment.
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
Having clinical supervision also gives the practitioner time to identify training to continue their development needs within the work place (Quality care commission,2013). According to the Cumbria Partnership NHS Foundation Trust Clinical supervision is vital in achieving and maintaining a high-quality practice which is safe and effective you should be promoting a good experience to the patient. This trust believes it would be best if clinical supervision was available to all clinical staff whether they are registered or not (Cumbria Partnership NHS Foundation, 2014). Supervision should include tasks such as having education and being able to develop skills essential for any tasks you will be involved in, you should always have guidance within your clinical area, if you need support and counselling this should always be available, if you are experiencing problems in care you should always be able to find assistance to help you with these difficult times and also at any given time you should be able to have a discussion on your skills and qualities that you need in the appropriate
Black, B. P., & Chitty, K. K. (2014). Professional nursing: Concepts & challenges(7th ed.). St. Louis, Missouri: Saunders.
More often than not RN’s are not prepared for the responsibility of delegating tasks to co-workers. Being able to delegate takes a certain level of confidence. Anytime that the nurse delegates a task they are held responsible for seeing it through to the end. They are required to assess the situation and evaluate the patient care being given. After the task is completed it is important to appraise the competence of the nurse’s aide. The whole concept of delegation has been around for quite some time now that it dates back to the early nursing efforts that Florence Nightingale that started the movement of nursing. Florence nightingale described delegation to be on the more entry level side of nursing. With this being said it shows that nursing programs of today need to provide more experience with delegation tasks and to stress the importance of being able to work in a leadership role when faced with a situation that makes it necessary to do so. An example of this would be when a code blue is called and many health care team members are together in one room, sometimes it is appropriate for someone to take the leadership role and assign everyone a task.“Forty-one percent of RN’s in the US report that they were not exposed to delegation and supervision content in their nursing curriculum”(Saccomano, 2011). This is a large number of nurse’s that were
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
In consequence, humanists and existentialists argue that people who mostly receive judgment and criticism for their behaviors are more vulnerable to developing a psychological disorder because they fail to recognize their worth (Comer, 2016, pg. 110). Overall, the humanistic-existential treatment model objective is to change clients’ harsh self-standards as they gain self-awareness and self-acceptance by valuing and giving meaning to their thoughts, feelings, and behaviors (Comer, 2016, pg. 110). The main types of therapy for this model are client-centered therapy, gestalt therapy, and existential therapy. In these type of treatments, practitioners avoid giving personal remarks and their opinions, because they allow the client to control the session by creating a supportive and warm atmosphere in which clients are able to accept their weaknesses as well as their strengths while critiquing themselves honestly in an attempt to find their own solutions (Comer, 2016,
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
It was thought that if a social worker was engaging in the life and struggles of a client, it needed to be ensured through supervision that the personal life of the worker did not influence their interactions. Presently, in HSO the notion of supervision demonstrates a dichotomy between hierarchy and control or support and nurture. Kadushin (1985) outlines support, education, and administration, as three areas to consider when looking at the conflict of practice and pressure faced by supervisors and the supervised. Gardner (2006) states that supervision within an organization is going to have it’s own culture, which may differ from the culture of the organization. The culture of supervision is impacted by the importance placed on it. To examine this, one could ask, does the supervisor have an agreement that is followed or an agenda for the meeting? Notability, supervision is a way to develop or maintain learning in a
The nurses do this by following their scope of practice, this involves being with the patient every step of the way and ensuring they are in proper care. While doing such, the nurses consider their own mental state in order to give that proper care. This example meets the standard of professional responsibility and accountability indicator 6(CRNBC,2013) as the nurses were aware of how to maintain fitness to practice by recognizing how to set boundaries and safeguard their emotional
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.