An Evaluation Study to Identify the Effectiveness of Clinical Supervision With Regards to Work-related Strain, Sense of Coherence, Increased Cultural Sensitivity and the Impact on Patient's Care: A Prospective Longitudinal Study in Mental Health Services in Qatar

Summary

Clinical supervision (CS) is a pragmatic approach, which enables nurses to work together; it can create a positive nursing environment, reduce stress, and increase clinical skills through peer support. Previous research has demonstrated its positive effects on nurses wellbeing, sense of coherence, and professional accountability. However, there is lack of evidence for its influence on cultural sensitivity.

The Qatar National Health Strategy (Ministry of Public Health, 2018) and the Qatar National Mental Health Strategy (Supreme Council of Health, Qatar, 2013) have both given significant importance on building the health workforce capacity to meet the growing needs of the population. Aligning with these strategies, Hamad Medical Corporation (HMC) Mental Health Service's Executive Committee has taken a decision to implement clinical supervision to develop a supporting framework to strengthen the professional skills of the nursing workforce. In order to implement it efficiently, guidelines and education curriculum have been developed. The aim of the study is to evaluate the implementation of CS. In addition, investigators will also explore the impact of clinical supervision on the work-related strain, sense of coherence, cultural sensitivity and the impact on patient care. A longitudinal approach will be adopted using pre and post-testing. The required power sample size is calculated to be 136 nurses. Enrolled participants will receive an educational programme regarding clinical supervision and will be requested to choose a supervisor based on their learning requirements. Through the clinical supervision process, supervisee self-reflection, facilitated by the supervisor. The supervisor will, in addition, enable opportunities for professional growth by the sharing of skills and knowledge in relation to particular clinical challenges. In addition, they will also provide opportunities for emotional restoration through the exploration of stressful issues that have occurred in the workplace.

Participants will be scheduled to engage in one to one sessions with their supervisor once a month for an hour. The study will be conducted for 18 months (2 months for baseline data collection, 2 months for educational preparation, 12 months of intervention and lastly 2 months for post-intervention data collection) from the date of the participant's enrollment. The outcome measures include the sense of coherence, work-related strain, cultural sensitivity, the total number of nurse instigated Occurrence, Variance and Accident (OVA) initiated during the course of this study and the efficacy of clinical supervision sessions. Data will be collected before education sessions are delivered (baseline), at 6th month and at the 12th month. The investigators will use the Statistical Package for the Social Sciences (SPSS) and STATA for analysis. The study may identify an effective way of reducing work-related strain and enhancing the sense of coherence, cultural sensitivity, and quality of patient care.

Conditions

• Work Related Stress
• Sense of Coherence
• Cultural Sensitivity
• Clinical Supervision

Interventions

OTHER

Clinical Supervision

After baseline data collection, participants will be invited to attend training on clinical supervision (CS). Education will be delivered in 3 phases. 1-Orientation to the CS model 2-Integration of theory into practice and 3-Skill advancement for supervisors. After training, participants will be encouraged to choose a supervisor, identify objectives for skill development. They will be advised to meet their supervisor once a month for 60 minutes (Due to COVID 19 pandemic the participants can have either one-to-one session in-person or virtually (Microsoft Team), however, if the supervisor and the supervisee working in the same campus can have their one-to-one session as per their preferences. Supervisor-supervisee will be working together to achieve the stated goals. Only the recorded attendance and nature of the session will be used for research purpose. Data will be collected at baseline, 6\&12 month with pre-specified tools.

Sponsors & Collaborators

• Hamad Medical Corporation

  lead INDUSTRY

Study Design

Allocation

NA

Purpose

OTHER

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2019-08-26

Primary Completion

2021-12-01

Completion

2022-01-30

Countries

• Qatar

Study Locations