Achieving effective supervision

Achieving effective supervision
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DOI:
10.1080/0959523021000002705
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发表时间:
2002-09-01
影响因子:
3.8
通讯作者:
Crow, N
Crow, N
中科院分区:
医学3区
文献类型:
--
作者:
Kavanagh, DJ;Spence, SH;Crow, N

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Supervision可能确实对维持和提高临床技能以及工作满意度都有好处,但在酒精和其他药物服务领域,数据非常稀薄,几乎不存在。由于监管目标和角色的潜在复杂性,结构化协议似乎是有效监管关系的重要组成部分。由于会议很容易退化为无组织的社会化,议程和会议目标也可能很重要。虽然建立在相互尊重和信任基础上的工作联盟是监督关系的重要基础,但临床技能的直接观察程序、新程序的演示和具有详细反馈的技能练习似乎对Supervision对实践的影响至关重要。为了确保有效的监督远景,不仅需要最低限度的人员和资源,而且还需要与管理层和工作人员的价值观和程序相适应,获得监督培训和咨询,并有足够的激励措施确保监督持续下去。
Super vision probably does have benefits both for the maintenance and improvement of clinical skills and for job satisfaction, but the data are very thin and almost non-existent in the area of alcohol and other drugs services. Because of the potential complexity of objectives and roles in super vision, a structured agreement appears to be an important part of the effective supervision relationship. Because sessions can degenerate easily into unstructured socialization, agendas and session objectives may also be important. While a working alliance based on mutual respect and trust is an essential base for the supervision relationship, procedures for direct observation of clinical skills, demonstration of new procedures and skills practice with detailed feedback appear critical to super vision's impact on practice. To ensure effective super vision, there needs not only to be a minimum of personnel and resources, but also a compatibility with the values and procedures of management and staff, access to supervision training and consultation and sufficient incentives to ensure it continues.