Skills of Clinical Supervision for Nurses: A Practical Guide for Supervisees, Clinical Supervisors, and Managers

By Meg Bond; Stevie Holland | Go to book overview

8
Setting up clinical
supervision

In this final chapter we wish to bring some of the themes of the book together to focus on the practicalities of setting up clinical supervision systems. We are concerned that conditions for effective implementation will fade under the competing pressures on both individuals and organisations. We want to reiterate the themes of the introductory chapters: the need to ensure a balance in implementing the principles of clinical supervision and, in so doing, to seek to diminish the adverse effects of resistant forces. Effective clinical supervision systems need to see a merging of practical endeavours from both those individuals on the ground who will be most directly involved in them, and those within the managerial and organisational structure who can help enshrine them in the fabric of the culture.


Conditions necessary for an effective clinical
supervision relationship

Before we consider the options open to you in terms of delivery models or modes of clinical supervision, we want to place the relationship between supervisee and clinical supervisor at the centre of any strategy for developing any clinical supervision system. It is important to consider the conditions that need to apply for the working alliance to develop.

Unacknowledged fears of relationship can negatively influence the implementation of clinical supervision, creating the conditions for superficiality and resulting in a lack of support and rigour in clinical supervision. We suggest that seven conditions need to apply to give the opportunity for an effective relationship to develop: sufficient frequency of sessions to provide enough face-to-face time together; a long enough period of ‘air time’ at each meeting for the supervisee to be able to reflect in depth; continuity of clinical supervisor or group membership; a clear, mutually negotiated working contract; training in both supervisee and clinical supervisor skills and also in

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