Ekberg, A & Lidfors, J Manlig omvårdnadshandledningsgrupp. En kvalitativ studie om faktorer som påverkar upplevelserna, förväntningarna samt yrkesidentiteten vid deltagande i en homogen omvårdnadshandledningsgrupp. Examinationsarbete i omvårdnad 10 poäng. Malmö Högskola: Hälsa och Samhälle, Utbildningsområde omvårdnad, 2006.Omvårdnadshandledning har utvecklats och definieras som ett stödjande forum där möjlighet ges att reflektera över upplevelser, tankar och känslor i olika omvårdnadssituationer. Vid sjuksköterskeutbildningen introduceras omvårdnadshandledning för att studenterna ska ges möjlighet att utveckla ett yrkesetiskt riktigt förhållningssätt samt att kombinera teori och praktik. Det finns vid Hälsa och Samhälle, Malmö Högskola, omvårdnadshandledningsgrupper med endast manliga deltagare, här benämnda som homogena grupper. Syftet med studien var att kartlägga de faktorer som påverkade manliga studenternas upplevelser av och förväntningar på deltagandet i en homogen omvårdnadshandledningsgrupp samt hur de upplevt att deltagandet har påverkat deras yrkesidentitet. Studien är kvalitativ och semistrukturerade intervjuer genomfördes med sex män som deltagit i en homogen grupp. Innehållsanalys användes för bearbetning och analys av resultatet, som indelades i olika kategorier under respektive frågeställning. Under faktorer som påverkar upplevelsen av deltagandet framkom fem olika kategorier; Strukturens, stämningens, diskussionsämnets, personlighetens och gruppsammansättningens betydelse. Förväntningarna bland deltagarna har varit såväl höga som låga och deltagandet i gruppen har i ringa grad påverkat deras yrkesidentitet. De resultat som erhållits tyder på att många faktorer varit avgörande för hur gruppen fungerat. Det framkom att bortsett från könstillhörighet, var det deltagarnas personligheter som hade störst betydelse för hur gruppen fungerade.Nyckelord: Förväntningar, homogen grupp, omvårdnadshandledning, sjuksköterskestuderande, upplevelser, yrkesidentitet. / Ekberg, A & Lidfors, J. Clinical supervision group with men only. A qualitative study about the factors which influence experiences, expectations and professional identity during participation in a clinical supervision group with men only. Degree Project, 10 Credit Points. Nursing Programme, Malmö University: Health and Society: Department of Nursing, 2006.Clinical supervision has developed within nursing and is defined as a supportive forum where the opportunity is given to reflect upon experiences, thoughts and feelings in different caring situations. During nursing education clinical supervision is introduced in order to give the students an opportunity to develop an ethically correct behaviour in their profession and to combine theory and practice. At Health and Society, Malmö University, there are clinical supervision groups with only male participants, in this study denominated homogeneous groups. The aim of the study was to map out the male students’ experiences and expectations of participating in a homogeneous clinical supervision group and how they experienced that their participation affected their professional identity. The study is qualitative and semi structured interviews were carried out with six men who had participated in a homogeneous group. Content analysis was used to analyse the findings. The following categories emerged; the significance of structure, atmosphere, topic of discussion, personality and the composition of the group. The expectations among the participants have been high as well as low and the participation has had small effect on their professional identity. The received results indicate that plenty of factors have been conclusive for how the group has functioned. It emerged that, apart from gender, the participants’ personalities were of great importance for the functioning of the group. Key words: Clinical supervision, expectations, experiences, homogeneous group nursing students, professional identity.

The purpose of this study was to investigate breast cancer patients’ experiences of their illness and of traditional nursing care (TNC) or supportive nursing care (SNC) respectively, as well as nurses' experiences of support and of caring for cancer patients. An intervention including extended co-operation between the surgical ward and primary health care, shorter waiting times, and changed routines concerning the information about the diagnosis, as well as training and systematic clinical supervision for the nurses, was implemented. Newly diagnosed breast cancer patients (n=47) from two county councils in the south-east of Sweden were interviewed (IV, V). Thirty-four of them completed scales about well-being, burnout, hopelessness, anxiety and depression (VII). The women who had TNC reported lack of professional support during the initial phase of the disease and suggested changes in the care similar to those implemented in the SNC. In the SNC group the women expressed feelings of safety and security after the professional support and the organizational changes in the care. There were significantly more single women and women who had had breast conserving surgery in the SNC group than in the TNC (VII). The hopelessness scores in the SNC group were significantly higher than in the TNC group. Thirty-nine district nurses (DNs) were interviewed at baseline (I), and thirty-three of them completed scales about burnout, empathy, and sense of coherence (SOC) before and after systematic clinical supervision (VI). Twenty-three of the 39 DNs, as well as 9 hospital nurses (HNs) who participated in the clinical supervision, were interviewed about their experiences of this intervention (III). Twenty-nine tape-recorded supervision sessions in three groups of DNs (n=23) were analysed (II). Baseline interviews and analyses of the content of the supervisory sessions strongly emphasized that DNs experienced problems in the home care of seriously ill cancer patients. Deep human contacts were a source of both strain and enrichment. The clinical supervision was said to provide relief from undesirable thoughts and feelings, confirmation of themselves both as individuals and in their professional role, a broader and deeper knowledge and increased self-confidence. There were no significant differences in the burnout, empathy, and SOC scores between the supervisory group (n=21) and a comparison group (n=12) at the first and second measures, nor over time within the groups. There were some correlations between these phenomena and the Karolinska scales of personality, as well as cor­relations between burnout, empathy and SOC. The groups of women were not entirely similar as regards demographic and medical characteristics, and the sample size of patients and nurses was small. It is obvious that patients in the TNC missed those factors that were implemented in the SNC, at the same time the latter women expressed hopelessness more often than those who had received TNC. This result may be due to the fact that support from nurses had made the women more prepared to express their feelings, that support had not been provided to an adequate extent or in the right way, or that the applied scales were not appropriate. The finding that the nurses experienced the clinical supervision as very positive but that, despite this, there were no significant differences in attitudes measured by scales within or between the groups, can be interpreted in a similar way. Consequently, further research is needed to judge the effects of intervention. The study has, above all, produced qualitative descriptions of patients' experiences of the nursing care after discharge from hospital, and of DNs’ experiences of the care of cancer patients in their homes, and of systematic clinical supervision. / <p>Diss. (sammanfattning) Umeå : Umeå universitet, 1995, härtill 7 uppsatser.</p> / digitalisering@umu

This study had two major purposes: (a) to investigate and compare the perceptions of principals and teachers towards instructional supervision in Zimbabwe, and (b) to attempt to come up with a framework that would improve the effectiveness of instructional supervision in Zimbabwean schools. The study highlights the impact of political, cultural and social realities on instructional supervision in developing countries (including Zimbabwe) from which any theories of effective instructional supervision must derive. The phenomenon of instructional supervision and its related concepts is explored and analysed. The approach and methods used in the study are discussed and finally, the thesis provides a suggested framework for effective instructional supervision in Zimbabwean primary schools which concerns perceptual data which were obtained from 176 principals and 572 teachers drawn from three of Zimbabwe's ten provinces. Factor analysis of the existing situation in Zimbabwe's primary schools produced five major variables that were perceived to be associated with instructional supervision in Zimbabwean primary schools: Lack of a clear vision about what should constitute effective instructional supervision; instructional supervision models that do not promote the professional growth of teachers; ineffective leadership styles; internal and external overloads that significantly interfere with the principal's instructional supervision program; and inadequate principal capacity building for effective instructional leadership. This percetual data, subsequently crystallized into the following suggested instructional supervision initiatives: Utilization of instructional supervision models that encourage interaction between the principal and the teacher as opposed to using models that promote fault-finding or principal dominance during the instructional supervision process; establishment of a school climate that is conducive to effective instructional supervision; establishment of a staff development program that promotes effective instruction; establishment of government policies that reduce interference with the instructional supervision programs of principals; and establishment of mechanisms for building skills for principals so that they can effectively conduct instructional supervision / Educational Studies / D. Ed. (Education Management)

The purpose of this qualitative explorative study is to explain individualized lived experiences of registered nurses working and participating in clinical supervision for nursing students within the clinical environment at selected hospitals. The study explores the challenges faced by registered nurses on a daily basis on how to structure clinical activities for the nursing students and provide high quality care to patients.

The purpose of this qualitative explorative study is to explain individualized lived experiences of registered nurses working and participating in clinical supervision for nursing students within the clinical environment at selected hospitals. The study explores the challenges faced by registered nurses on a daily basis on how to structure clinical activities for the nursing students and provide high quality care to patients.

The thesis named "Current practice and possible ways of implementing clinical supervision in nursing" is the first doctoral dissertation establishing the concept of supervision in the Czech nursing environment. Itscentralresearch questionis as follows: How do nurses and university educators in nursing construct, interpret and practically apply theconcept ofclinical supervision and the supervisor's role in the context of nursing education at specific institutions of tertiary education and clinical nursing practice in the Czech Republic? The author draws on international theoretical literature and local empiricalevidence.Her qualitative research took the form of 26 semi-structured interviews with academic nursingeducators from the entire Czech Republic. In justified cases those are supplemented with qualitative data obtained through the study of legislative, policy and strategic documents in nursing and health care, including publicly available information and sources on clinical supervision, in order torefine the resulting picture of her interpretation of current clinical supervision practice in Czech nursing. A shift to the constructivist paradigm enabled one to conceive the term "clinical supervision" mainly in relation to learning, training and professional development of supervisees, also in the context of transformation of education and supervision not only of nurses but also of supervisors themselves in the Czech Republic. The author also focuses on the philosophical and theoretical foundations of clinical supervision and application of the postmodern approach in egalitarian clinical supervision. The empirical part of this dissertation is based on the qualitative research conducted. The author gradually presents her results as individual categoriesand relations between them that ensued from the analysed data in the process of open coding. The author draws a link between the category of implementation of clinical supervision in the context of nurses' professional education andexternal conditions, the environment and a broader professional and social-cultural context. Clinical supervision in nursing is constructed mainly as a unidisciplinaryconcept and a part of the nursing profession. The university nursing educatoris typically constructed as a role professional, but there is also an ongoing process ofdiversification, stratification, profiling and professionalization of non-academic nursing educators. Based on a content analysis of documents and post-modern philosophical-theoretical foundations and strategies of legitimizingclinical supervision, the author views the concept of clinical supervision in nursing as socially constructedand discursively legitimated. The author also defines the limitations of her research that arise from the choice of a qualitative research design. In the conclusion she outlines some future trends of clinical supervision in particular educational institutions that can be interesting and inspiring not only for supervisors but also for teachers of supervision themselves. Based on the results of her empirical analysis the author emphasises the need to integrate the theory and practice of education, clinical supervision and nursing. A comprehensive structure and methodology of system-wide implementation of clinical supervision, based on the situation of clinical nursing practice and supervision needs in the Czech Republic,should in future formthe basis of innovation of existing university programmes in nursing and approaches to the education and training of supervisors, as well as the subject of new research in clinical supervision.

This study had two major purposes: (a) to investigate and compare the perceptions of principals and teachers towards instructional supervision in Zimbabwe, and (b) to attempt to come up with a framework that would improve the effectiveness of instructional supervision in Zimbabwean schools. The study highlights the impact of political, cultural and social realities on instructional supervision in developing countries (including Zimbabwe) from which any theories of effective instructional supervision must derive. The phenomenon of instructional supervision and its related concepts is explored and analysed. The approach and methods used in the study are discussed and finally, the thesis provides a suggested framework for effective instructional supervision in Zimbabwean primary schools which concerns perceptual data which were obtained from 176 principals and 572 teachers drawn from three of Zimbabwe's ten provinces. Factor analysis of the existing situation in Zimbabwe's primary schools produced five major variables that were perceived to be associated with instructional supervision in Zimbabwean primary schools: Lack of a clear vision about what should constitute effective instructional supervision; instructional supervision models that do not promote the professional growth of teachers; ineffective leadership styles; internal and external overloads that significantly interfere with the principal's instructional supervision program; and inadequate principal capacity building for effective instructional leadership. This percetual data, subsequently crystallized into the following suggested instructional supervision initiatives: Utilization of instructional supervision models that encourage interaction between the principal and the teacher as opposed to using models that promote fault-finding or principal dominance during the instructional supervision process; establishment of a school climate that is conducive to effective instructional supervision; establishment of a staff development program that promotes effective instruction; establishment of government policies that reduce interference with the instructional supervision programs of principals; and establishment of mechanisms for building skills for principals so that they can effectively conduct instructional supervision / Educational Studies / D. Ed. (Education Management)

MCur / Department of Advanced Nursing Science / See the attached abstract below

PhDH / Department of Advanced Nursing Science / Introduction and background Professional nurses are responsible to supervise student nurses in the clinical areas in order to assist them in achieving the learning outcomes, develop clinical skills and competence; however, this role is overlooked as pinned to different factors influencing clinical supervision, including the related challenges regarding supervision. This study aimed to explore and describe professional nurses’ and student nurses’ perceptions of clinical supervision in training hospitals of Limpopo Province, South Africa. Research methodology The study used convergent parallel mixed methods design. The population in this study was professional nurses and student nurses working in seven training hospitals of Mopani and Vhembe district of Limpopo Province. Purposive sampling was used to sample districts, hospitals and student nurses whereas, convenience sampling was used to sample professional nurses. Self-administered questionnaires and focus group interviews were used in data collection. Quantitative data was v analysed using Statistical Package of Social Science (SPSS), version 22.0 and Tesch’s’ method was used to analyse qualitative data. Findings Perceptions of professional nurses and student nurses revealed several factors influencing supervision and challenges such as staff shortages, high number of student nurses allocated in clinical areas, heavy workload, inadequate material resources, poor communication and inadequate support. The findings were used in formulation of clinical supervision guidelines. Recommendations The recommendations of this study were based on the study findings. Intervention on the challenges of clinical supervision is recommended by utilisation of the formulated guidelines. This will assist in closing the existing gap regarding clinical supervision. / NRF

Cette recherche s’intéresse à comprendre le vécu expérientiel d’intervenant.es de la protection de la jeunesse ayant travaillé auprès d’un groupe sectaire. Le premier objectif est de décrire leur vécu ainsi que les effets perçus de l’intervention aux plans personnel et professionnel. Ensuite, les facteurs ayant influencé leur vécu sont explorés. En dernier, des pistes afin d’améliorer le vécu des intervenant.es sont dégagées en prévision d’intervention dans des contextes similaires. Les contenus d’entrevues individuelles réalisées auprès de douze intervenant.es des équipes de l’évaluation et de l’application des mesures ayant travaillé dans la situation ciblée ont été soumis à une analyse thématique. Les résultats soulèvent plusieurs facteurs influençant la façon dont l’expérience est vécue par les intervenant.es, particulièrement selon l’étape du processus de la protection de la jeunesse. Les deux équipes décrivent une expérience différente. D’un côté, l’équipe de l’évaluation rapporte un vécu lourd et intense. D’un autre côté, les intervenant.es de l’application des mesures décrivent une expérience décevante et frustrante. De plus, selon les répondant.es, l’intervention a eu des effets dans les sphères personnelles (ex. affective) et professionnelles (ex.satisfaction au travail). Les participant.es de l’étude proposent des pistes d’amélioration en lien avec l’organisation et les conditions de travail ainsi qu’avec le soutien psychologique. Le mandat d’intervention différent des deux équipes ainsi que la présence de facteurs de risque associés au développement de difficultés émotionnelles semblent expliquer la distinction entre les vécus. En somme, l’intervention auprès d’un groupe s’apparentant à un mouvement sectaire constitue un contexte de travail exceptionnel et exigeant. Des mesures précoces pour assurer le bien-être ainsi que le soutien psychologique et clinique sont importantes afin d’améliorer le vécu expérientiel. / This research project sought to understand the lived experiences of child protective services caseworkers who intervened with a sect. The primary objective was to describe the CPS caseworkers’ experiences and their perception of the effects of the intervention on their personal and professional lives. Second, the factors that influenced their lived experiences were explored. Last, ways to improve CPS caseworkers’ lived experiences were identified, with a view to future interventions in similar settings. Thematic analysis was performed on the content of the individual interviews conducted with 12 CPS members of the assessment and service provision teams who had worked in the setting in question. The results point to a number of factors that influenced their lived experiences, in particular in relation to specific stages of the child protection process. The two teams described quite different experiences. On the one hand, the assessment team reported an intense, stressful experience. In contrast, the service provision team spoke of a disappointing, frustrating experience. Furthermore, the respondents said that the intervention impacted the personal (e.g., emotional) and professional (e.g., job satisfaction) spheres of their lives. Study participants suggested ways to improve their lived experiences in terms of organization and working conditions, as well as through psychological support. The differences between the lived experiences of the two teams would appear to stem from their different intervention mandates and the presence of risk factors associated with the development of emotional issues. To sum up, CPS intervention with members of a sect-like movement is an exceptional, very demanding work environment. It is essential to take early measures to ensure CPS caseworker well-being and provide psychological support and clinical supervision in order to improve their lived experiences.