Professional supervision

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Professional supervision supportingand
developing your professional identity
Dr Wendy H McIntosh PhD RGN, Grad. Dip. MH, MN
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1 CNE Points Continuing Nurse Education Points as
part of Royal College of Nursing,
Australia Lifelong Learning Program (3LP)
This session has been Endorsed by APEC No.
060210229 as Authorised by Royal College of
Nursing, Australia according to approved
criteria Royal College of Nursing Australia
recommends that nurses should aim to achieve 20
CPD points per year.
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(No Transcript)
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Objectives

• Discuss purpose of professional supervision
• Demonstrate understanding of the term supervision
• Demonstrate understanding different modes of
  professional supervision
• Discuss the history of professional supervision
  in health
• Describe process of professional supervision
• Reflect on stories from the field

and....
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Invite reflection of how professional
supervision may assist you in your practice
(clinical, research, education)
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Definitions
Supervision .. the act of watching over the work
or tasks of another who may lack full knowledge
of the concept at hand. Supervision does not
mean control of another but guidance in
work, professional or personal context (accessed
9/10/2011 supervision.askdefine.com)
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Purpose of professionalsupervision

• develop clinical wisdom
• deepen understanding of functioning of patient
• allows dialogue between practicing
• professionals to enable further development
• of professional skills (Butterworth, 1994)
• facilitate the development of an increasing
  capacity
• to tolerate feelings born of not knowing what
  
• to do until something more clinically
  relevant
• begins to emerge (Bion, 1967)

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• to create and provide an environment that
  permits
• and provokes the emergence of the supervisees
• spontaneity and creativity that will support
• them past their impasse (frustration,
  despondency,
• anger) so that they can re-enter the clients
  system
• to do what they have to do with confidence
  (Fergus,
• 19892-20)

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• interpersonal process where the supervisee can
• become more conscious of their own
  characteristic
• patterns of relating and through this process
  can also
• begin to see more clearly the characteristic
• dysfunctional patterns of how their clients
  relate
• and make interventions which address these in
  an
• integrated way (Eckstien Wallerstein, 1958)

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Four modes
administrative mainly supervisor directed
supervisor decides what the supervisee should
learn in order to be a safe practitioner
consultative - supervisee decides what needs
to be learnt and consults with a colleague who
takes up certain roles so that difficult
matters might be thoroughly examined
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educational supervisor assists the supervisee
to formulate an adequate conceptualization of
the clients difficulty therapeutic focus is
on the internal world of the supervisee in
this mode the supervisor is primarily a
therapist focusing on the supervisory
relationship itself (Fay 1993)
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Clinical Supervision (CS)
Brunero Stein-Parbury (2008). proposed that
in CS the clinician reflects back on clinical
experiences in order to recount them and deepen
understanding and / or identify areas for further
improvement
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Restorative Normative Formative
(Proctor, 1987)
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Effectiveness of CS
Restorative - ventilates thoughts feelings,
reduce levels of anxiety and conflicts, develop
better interpersonal relationships and improve
coping ability Normative developing
strategies to manage professional
accountability quality issues, developing a
stronger sense of professional identity job
satisfaction has been associated with decreased
stress decreased burnout Formative -
knowledge, self awareness,
creativity and innovation

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Reflective not reactive Objective
Understanding the Unspoken dynamic
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Stories
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Benefits - Individual
White et al, (1998) found that CS provided a
structured opportunity to talk meaningfully to
a trusted colleague about their circumstances at
work p629
Increased clinical insight, Increased personal
confidence and stronger working
relationships Professional development Support Re
flection Improvements to standards of care (White
Roche, 2006)
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Benefits - Organisation
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Acknowledgment
Like to thank the work of Mike Consedine (1998)
for his work and writing on professional
supervision for psychiatric nurses in New Zealand
and Australia. Your writing and commitment
to supervision has been an inspiration to me
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References
Bion, W. (1967). A theory of thinking. In Second
thoughts, selected papers on
psychoanalysis. Heineman London. Brunero, S.,
Stein-Parbury, J. (2008). The effectiveness of
clinical supervision in nursing an
evidenced based literature review.
Australian Journal of Advanced Nursing, 23 (3),
86-94. Butterworth, T. (1952). Clinical
supervision as an emerging idea in nursing.
In Butterworth, T., Faugier, J. Clinical
supervision and mentoring in nursing.
Chapman Hall London. Consedine, M. (1998).
Utilization of role theory in clinical
supervision (1998) Thesis to the Board of
Examiners of the Australian New Zealand
Psychodrama Association Incorporated Ekstein,
R., Wallerstein, R. (1958). The teaching and
learning of psychotherapy. 2nd edition
(1972). International Press New York.
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Fay, J. (1993). Lifetime psychotherapy sessions
The territory and the map. Presentation at
plenary session of the New Zealand Association
of Psychotherapists Annual Conference. Proctor W
hite, E., Butterworth, T., Carson, J., Jeacock,
J., Clements, A. (1998). Clinical
supervision insider reports of a private world.
Journal of Advanced Nursing, 28 (1), 185-192.
White, E., Roche, M. (2006). A selective
review of mental health nursing in New
South Wales, Australia, with particular reference
to clinical supervision. International
Journal of Mental Health Nursing, 15,
209-219.
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Next 2 day workshop on professional
boundaries Date Nov 3rd 4th Venue Davaar
Consultancy 184 Patrick Street, Laidley, Qld.
4341 Download flyer from website www.davaar.com
.au
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Resources
Want to access our new internet training tool on
professional boundaries ? go to
http//training.davaar.com.au/
Contact us wendy_at_davaar.com.au Web
www.davaar.com.au Mobile [phone]