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J Psychiatr Ment Health Nurs. 2014 Mar;21(2):154-62. doi: 10.1111/jpm.12066. Epub 2013 Apr 2.

Nursing and health-care assistant experience of supervision in a medium secure psychiatric service for women: implications for service development.

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  • 1St Andrew's Academic Centre, Kings College Institute of Psychiatry, Northampton, UK.


In secure psychiatric services where the potential for 'burnout' by nurses is high, clinical supervision is viewed as a key to reflective practice to support staff in stressful working environments. Barriers to the uptake of clinical supervision in such service settings are personal and organizational. The study was prompted by the need to evaluate the effectiveness of supervision for registered nurses and health-care assistants (HCAs) and a desire to use survey findings to improve the quality and uptake of supervision. The study examined the perceived benefits, the best practice elements and the practical aspects of clinical supervision including how to improve practice. An approximate uptake of clinical supervision by 50% of staff confirmed previous findings; that HCAs were significantly less likely to engage in supervision and less likely to perceive benefit from it. Initiatives to address the training and managerial obstacles to the provision of formal supervision are described.

© 2013 John Wiley & Sons Ltd.


burnout; clinical supervision; health-care assistants; nurses; secure psychiatric services

[PubMed - indexed for MEDLINE]
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