J Korean Soc Matern Child Health.  2023 Oct;27(4):215-230. 10.21896/jksmch.2023.27.4.215.

A Scoping Review on the Clinical Supervision and Mentoring for Nurses in Maternal and Child Health

• Park B
• June KJ
• Jo Y
• Yu J

• KMID: 2547472
• DOI: http://doi.org/10.21896/jksmch.2023.27.4.215

Abstract

Purpose
This scoping review aimed to identify application methods, effectiveness, facilitating factors, and obstacles to clinical supervision for nurses in maternal and child health and to understand its discriminatory characteristics compared to mentoring.
Methods
This study was based on the scoping review methodology and consisted of six stages: (1) identifying research questions; (2) identifying relevant studies (search strategy); (3) study selection; (4) charting of the data; (5) collating, summarizing, and reporting the results; and (6) consultation. From April to July 2022, 1,323 studies were searched in PubMed, CINAHL, Cochrane, and Open Gray, and finally eleven studies were selected through the literature selection process.
Results
Because clinical supervision aimed to strengthen the professional capabilities of nurses, reflective practice was applied. However, mentoring was designed to acquire knowledge or skills that can be applied directly in practice. Therefore, indicators to measure the effects of clinical supervision consisted of psychosocial factors, such as job satisfaction and exhaustion, but the effects of mentoring were evaluated primarily using knowledge levels and skills. The model, which is applied mainly in clinical supervision, reflects the restorative function. When applying clinical supervision and mentoring, listening, supportive environment, and accessibility were identified as facilitating factors, while criticism, lack of time and space, and excessive workload were identified as obstacles.
Conclusions
Time and space must be secured to provide effective clinical supervision. The confidentiality of the supervisee must be guaranteed, and sufficient information must be provided in advance so that nurses can accurately recognize the clinical supervision process. Finally, a policy for institutionalizing clinical supervision should be supported to ensure its applicability and sustainability.

Keyword

Mentoring, Education, Nursing, Maternal-child nursing, Review

Figure

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  Fig. 1. Process of study selection.

Reference

Arksey H., O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005. 8:19–32.

Austin C., Halpin Y. Evaluation of a personal professional mentor scheme for newly qualified nurses. Br J Nurs. 2021. 30:672–6.

Beam RJ., O'Brien RA., Neal M. Reflective practice enhances public health nurse implementation of nurse-family partnership. Public Health Nurs. 2010. 27:131–9.

Bellerose M., Alva S., Magalona S., Awoonor-Williams K., Sacks E. Supervision of community health nurses in Ghana: a mixed-methods study on experiences and mentorship needs. Health Policy Plan. 2021. 36:720–7.

Bradley J., Jayanna K., Shaw S., Cunningham T., Fischer E., Mony P, et al. Improving the knowledge of labour and delivery nurses in India: a randomized controlled trial of mentoring and case sheets in primary care centres. BMC Health Serv Res. 2017. 17:14.

Driscoll J., Stacey G., Harrison-Dening K., Boyd C., Shaw T. Enhancing the quality of clinical supervision in nursing practice. Nurs Stand. 2019. 34:43–50.

Family Nurse Partnership. What is FNP? [Internet]. Family Nurse Partnership;2023. [cited 2023 Aug 1]. Available from: https://fnp.nhs.uk/about-us/what-is-fnp.

Fowler J. The organization of clinical supervision within the nursing profession: a review of the literature. J Adv Nurs. 1996. 23:471–8.

Fraser S., Grant JM., Mannix TG. The role and experience of child and family health nurses in developed countries: a review of the literature. Neonatal Paediatr Child Health Nurs. 2014. 17:2–10.

Goyet S., Rajbhandari S., Alvarez VB., Bayou A., Khanal S., Pokhrel TN. On-site clinical mentoring as a maternal and newborn care quality improvement method: evidence from a nurse cohort study in Nepal. BMC Nurs. 2020. 19:3.

Health Education England. Multi-professional framework for advanced clinical practice in England [Internet]. Health Education England;2017. [cited 2023 Aug 1]. Available from: https://bit.ly/2P54h8Y.

Jones A. Clinical supervision: what do we know and what do we need to know? A review and commentary. J Nurs Manag. 2006. 14:577–85.

Khnag YH., Cho SH., June KJ., Lee JY., Kim YM., Cho HJ. The Seoul Healthy First Step Project: introduction and expansion, program content and performance, and future challenges. J Korean Soc Matern Child Health. 2018. 22:63–76. https://doi.org/10.21896/jksmch.2018.22.2.63.

Korea Health Promotion Institute. What is a healthcare service for infants and toddlers? Seoul (Korea): Korea Health Promotion Institute;2023. [cited 2023 Aug 1]. Available from: https://www.khepi.or.kr/board?menuId=MENU01688&siteId=null.

Levac D., Colquhoun H., O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010. 5:69.

Little M., Baker T., Jinks AM. A qualitative evaluation of community Nurses' experiences of child safeguarding supervision. Child Abuse Rev. 2018. 27:150–7. https://doi.org/10.1002/car.2493.

Love B., Sidebotham M., Fenwick J., Harvey S., Fairbrother G. ‘Unscram-bling what's in your head’: a mixed method evaluation of clinical supervision for midwives. Women Birth. 2017. 30:271–81.

Lyth GM. Clinical supervision: a concept analysis. J Adv Nurs. 2000. 31:722–9.

Manzi A., Magge H., Hedt-Gauthier BL., Michaelis AP., Cyamatare FR., Nyirazinyoye L, et al. Clinical mentorship to improve pediatric quality of care at the health centers in rural Rwanda: a qualitative study of perceptions and acceptability of health care workers. BMC Health Serv Res. 2014. 14:275.

Mc Carthy V., Goodwin J., Saab MM., Kilty C., Meehan E., Connaire S, et al. Nurses and midwives' experiences with peer-group clinical supervision intervention: a pilot study. J Nurs Manag. 2021. 29:2523–33.

Mills JE., Francis KL., Bonner A. Mentoring, clinical supervision and preceptoring: clarifying the conceptual definitions for Australian rural nurses. A review of the literature. Rural Remote Health. 2005. 5:410.

Nicklin P. A practice-centred model of clinical supervision. Nurs Times. 1997. 93:52–4.

Nurse-Family Partnership. Annual report 2021 [Internet]. Denver (CO): Nurse-Family Partnership;2021. [cited 2023 August 1] Available from: https://www.nursefamilypartnership.org/about/annual-report-2021/.

Nyiringango G., Kerr M., Babenko-Mould Y., Kanazayire C., Ngabonzima A. Assessing the impact of mentorship on knowledge about and self-efficacy for neonatal resuscitation among nurses and midwives in Rwanda. Nurse Educ Pract. 2021. 52:103030.

O'Neill A., Edvardsson K., Hooker L. Clinical supervision practice by community-based child and family health nurses: a mixed-method systematic review. J Adv Nurs. 2022. 78:1588–600.

O'Neill A., Hooker L., Edvardsson K. 'What is it we are trying to achieve here'? Community maternal and child health nurses and clinical supervision: a qualitative descriptive study. J Adv Nurs. 2023. 79:3837–47.

Pollock A., Campbell P., Deery R., Fleming M., Rankin J., Sloan G, et al. A systematic review of evidence relating to clinical supervision for nurses, midwives and allied health professionals. J Adv Nurs. 2017. 73:1825–37.

Proctor B. Supervision: a co-operative exercise in accountability. Marken M, Payne M, editors. Enabling and ensuring: supervision in practice. Leicester: National Youth Bureau and Council for Education and Training in Youth and Community Work;,;1991. p. 21–3.

Tricco AC., Lillie E., Zarin W., O'Brien KK., Colquhoun H., Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018. 169:467–73.

Wallbank S. Maintaining professional resilience through group restorative supervision. Community Pract. 2013. 86:26–8.

Wallbank S., Woods G. A healthier health visiting workforce: findings from the restorative supervision programme. Community Pract. 2012. 85:20–3.