Quality allied health clinical supervision policy in Australia: a literature review
Sue Fitzpatrick A C , Megan Smith B and Clare Wilding BA Port Kembla Hospital, PO Box 21, Warrawong, NSW 2502, Australia.
B School of Community Health, Charles Sturt University, PO Box 789 Albury, NSW 2640, Australia. Email: mesmith@csu.edu.au; cwilding@csu.edu.au
C Corresponding author. Email: sue.fitzpatrick@hotmail.com.au
Australian Health Review 36(4) 461-465 https://doi.org/10.1071/AH11053
Submitted: 4 June 2011 Accepted: 26 April 2012 Published: 2 November 2012
Abstract
Clinical supervision is presented as a complex set of skills that may broadly apply to any and all allied health professions. However, it is also noted that a clear understanding of clinical supervision and how to implement it in allied health is currently lacking. It is argued that there is a need to reflect upon current approaches to clinical supervision amongst allied health professionals and to gain a shared understanding about what supervision involves, what effective supervision is, and what effective implementation of clinical supervision might look like. By gaining an understanding of what high quality clinical supervision is and how it is best put into practice, it is anticipated that this will form the first step in developing an understandable and useful universal supervision policy for all allied health professionals.
What is known about the topic? Clinical supervision is important because it improves quality of care for clients and it may also improve staff satisfaction and retention rates and clinical governance for organisations. There is a clear need for a well-articulated supervision policy in allied health as there is currently no comprehensive and universally accepted supervision policy for this group of health professionals.
What does this paper add? This literature review argues that if there is no clear supervision policy that is endorsed at a whole of health level there is a risk that disparate, haphazard, and poorly coordinated approaches to supervision may result in poor quality of supervision provision. Much of the recent literature is profession-specific; however, this paper contends that there are many possible reasons for collaboration in establishing clinical supervision in allied health. The possible barriers to implementing a universal policy are also examined.
What are the implications for practitioners? This literature review will help practitioners understand the complex issues that inform the clinical supervision process and particularly those factors that affect the delivery of an excellent quality of supervision. This knowledge will help them to assess the quality of supervision they receive and provide, and may also contribute to motivation to work with colleagues to develop meritorious supervision skill.
References
[1] Garling P. Final Report of the Special Commission of Inquiry: Acute Care in New South Wales Public Hospitals. Sydney: New South Wales State Government, 2008. Vol. 1–3.[2] Allen GJ, Williams BE, Szollos SJ. Doctoral students’ comparative evaluations of the best and worst psychotherapy aupervision. Prof Psychol 1986; 17 91–9.
| Doctoral students’ comparative evaluations of the best and worst psychotherapy aupervision.Crossref | GoogleScholarGoogle Scholar |
[3] O’Connor BP. Reasons for less than ideal psychotherapy supervision. Clin Superv 2001; 19 173–83.
| Reasons for less than ideal psychotherapy supervision.Crossref | GoogleScholarGoogle Scholar |
[4] Hawkins P, Shohet R. Supervision in the helping professions. McGraw Hill Education, Berkshire. UK, 2006.
[5] Cottrell D, Kilminster S, Jolly B, Grant J. What is effective supervision and how does it happen? Med Educ 2002; 36 1042–9.
| What is effective supervision and how does it happen?Crossref | GoogleScholarGoogle Scholar |
[6] Strong J, Kavanagh D, Wilson J, Spence SH, Worrall L, Crow N. Supervision practice for allied health professionals within a large mental health service: exploring the phenomenon. Clin Superv 2003; 2 191–210.
[7] Winstanley J, White E. Clinical supervision: models, measures and best practice. Nurse Res 2003; 10 7–38.
[8] Overholser JC. The four pillars of psychotherapy supervision. Clin Superv 2004; 23 1–13.
| The four pillars of psychotherapy supervision.Crossref | GoogleScholarGoogle Scholar |
[9] Bogo M, McKnight K. Clinical supervision in social work: a review of research literature. Clin Superv 2006; 24 49–67.
| Clinical supervision in social work: a review of research literature.Crossref | GoogleScholarGoogle Scholar |
[10] Busari JO, Koot BG. Quality of clinical supervision as perceived by attending doctors in university and district teaching hospitals. Med Educ 2007; 41 957–64.
| Quality of clinical supervision as perceived by attending doctors in university and district teaching hospitals.Crossref | GoogleScholarGoogle Scholar |
[11] Rice F, Cullen P, McKenna H, Kelly B, Keeny S, Richey R. Clinical supervision for mental health nurses in Northern Ireland: formulating best practice guidelines. J Psychiatr Ment Health Nurs 2007; 14 516–21.
| Clinical supervision for mental health nurses in Northern Ireland: formulating best practice guidelines.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2svhvVKhsg%3D%3D&md5=a0725b6fa1d4b8f8006a759d19f5795dCAS |
[12] Country Health SA. Allied Health Clinical Support Framework. Adelaide: Government of South Australia, 2009; 1–36.
[13] WA Country Health Service Combined Universities Centre for Rural Health. In: WA Country Health Service, editor. Foundations to Supervision. Government of Western Australia, Department of Health WA Country Health Service, 2009. pp. 3–48.
[14] Queensland Government. Allied Health Workforce Advice and Coordination Unit. Queensland Government, 2011.
[15] Clinical Education and Training Institute. The superguide: a handbook for supervising allied health professional, CETI, Sydney. Gladesville, NSW: CETI, 2011.
[16] Boyce RA. Organisational governance structures in allied health: a decade of change. Aust Health Rev 2001; 24 22–36.
| 1:STN:280:DC%2BD3M3ms1Gktw%3D%3D&md5=aeab2e0aeab40db2e0c63511f70841e3CAS |
[17] Everson C. Kathleen Mears Lecture: allied health issues and actions. Am J Electroneurodiagn Technol 1999; 39 131–7.
[18] Turnbull C, Grimmer-Somers K, Kumar S, May E, Law D, Ashworth E. Allied, scientific and complementary professional: a new model for Australian allied health. Aust Health Rev 2009; 33 27–37.
| Allied, scientific and complementary professional: a new model for Australian allied health.Crossref | GoogleScholarGoogle Scholar |
[19] Wagner S, Keane S, McLeod B, Bishop MA. Report: Clinical supervision for allied health professionals in rural NSW. New South Wales Institute of Rural Clinical Services and Teaching, New South Wales Health, 2008; 2–30.
[20] Campbell JM. Becoming an effective supervisor. Philadelphia USA: Taylor and Francis, 2000.
[21] McMahon M, Patton W. Supervision in the helping professions; a practical approach. French’s Forest, NSW: Pearson Education Australia, 2004.
[22] Carroll M, Gilbert MC. On being a supervisee. Kew, VIC: PsychOz Publications, 2006.
[23] Hawkins P, Shohet R. Supervision in the helping professions. Berkshire, UK: Open University Press, 2006.
[24] Australian Association of Occupational Therapists. National framework for professional education. Australian Association of Occupational Therapists, 2006; pp. 1–14.
[25] Australian Association of Social Work. National Practice Standards for Social Workers: Supervision. Canberra: Australian Association of Social Work 2000.
[26] Speech Pathology Australia National Safety and Quality Accreditation Standards. National Safety and Quality Accreditation Standards. 2007.
[27] vanOoijen E. Clinical Supervision made easy. Sydney: Churchill Livingstone, 2003.
[28] Driscoll J. Practising clinical supervision: a reflective approach for healthcare professionals, 2nd edn: Sydney: Bailliere Tindall Elsevier Ltd. 2007.
[29] Jones A. Clinical supervision in moderating organisational conflict and preserving effective working relationships. Int J Palliat Nurs 1997; 3 293–9.
[30] Kilminster SM, Jolly BC. Effective supervision in clinical practice settings: a literature review. Med Educ 2000; 34 827–40.
| Effective supervision in clinical practice settings: a literature review.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M%2Fit1WrtA%3D%3D&md5=e71da3314048dad5c96f938f7dd5d574CAS |
[31] Driscoll J. Practicing clinical supervision: a reflective approach. London UK: Harcourt Publishers, 2000.
[32] Kaiser TL, Baretta-Herman A. The supervision institute: a model for supervisory training. Clin Superv 1999; 18 33–44.
[33] Barriball L, While A, Munch U. An audit of clinical supervision in primary care. Br J Community Nurs 2004; 9 389–97.
[34] Greer JA. Where to turn for help: responses to inadequate clinical supervision. Clin Superv 2003; 21 135–43.
| Where to turn for help: responses to inadequate clinical supervision.Crossref | GoogleScholarGoogle Scholar |
[35] Proctor B. Supervision: a cooperative exercise in accountability. Enabling and ensuring supervision in practice. Leichester: National Youth Bureau, Council for education and training in youth and community work. 1986.
[36] Lynch L, Happell B, Sharrock J. Clinical supervision: an exploration of its origins and definitions. Int J Psychiatr Nurs Res 2008; 13 1–19.
[37] Australian Health Practitioner Regulation Agency. Registration Types Fact Sheet April 2010. Available at http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f55&dbid=AP&chksum=%2fCSbvbuQ2u8dpkMkPkC32Q%3d%3d [verified 12 November 2011]
[38] Speech Pathology Australia. The Role and Value of Professional Support (Position Statement), Melbourne: Speech Pathology Australia, 2007.
[39] Australian Association of Occupational Therapists Victoria Inc. Supervision Guidelines Position Paper. Melbourne: Occupational Therapy Australia, 2008; 1–3.
[40] Australian Association of Occupational Therapists. National Policy Paper on Mentoring/Supervision. Melbourne: Occupational Therapy Australia, 2000.
[41] Australian Physiotherapy Association. Supervision for Limited, Provisional and Conditional Registration Guideline. Australian Physiotherapy Association, 2010; 1–5.
[42] James IA, Milne D, Morse R. Microskills of clinical supervision: scaffolding skills. J Cogn Psychother: An International Quarterly 2008; 22 29–36.
| Microskills of clinical supervision: scaffolding skills.Crossref | GoogleScholarGoogle Scholar |
[43] Kaiser TL, Kuechler CF. Training supervisors of practitioners. Clin Superv 2008; 27 76–96.
| Training supervisors of practitioners.Crossref | GoogleScholarGoogle Scholar |
[44] Sweeney G, Webley P, Treacher A. Supervision in occupational therapy, Part 1: the supervisor’s anxieties. Br J Occup Ther 2001; 64 337–45.