Article Text

Download PDFPDF
8 Resilience based supervision
  1. Melanie Nugent1,
  2. Sarita Nanda2 and
  3. Margaret Hitchcock2
  1. 1Marie Curie, UK
  2. 2Marie Curie, UK


Introduction Resilience based supervision (RBS) is underpinned by the principles of compassion-focused therapy (Gilbert, 2010), which maintains behaviours are motivated by three emotional systems: drive, affiliative and threat systems. RBS is a unique framework for supervision and as such the evidence base is limited. The intention being that the focus on the three emotional systems would add further depth and understanding of self, behaviours, attitudes, and values through reflection and enhance their experience of supervision. Supervision should be valued within the context of the culture of an organisation, which is crucial in setting the tones, values and behaviours expected of individuals.


  1. To introduce resilience and compassionate focussed supervision to increase self–reflection, self–care and wellbeing

  2. To determine if there is correlation between staff wellbeing and care experience by patients and those important to them

Method Literature review was undertaken exploring the use of resilience based supervision. Minimal literature was found in relation to use in end of life care setting. MCNS Clinical Audit (2019) supervision also was utilised to help provide background and baseline data with current engagement. No literature was found across the care continuum with hospice and community based care provider’s. A cycle of change (PDSA) was used for implementing resilience based supervision. Practice Development Team undertook further development of supervision using a resilience based model. The blended clinical supervision course that was being used within the charity was redesigned to integrate this new focus. Due to the pandemic the blended approach incorporated a virtual study day. A pilot of two cohorts was undertaken between October and December 2019.

Results 19 staff completed the course. The course has evaluated well by participants two key themes emerged -generalised wellbeing and resilience and development and training to become a resilience based supervisor.

Conclusion Whilst this forms one element of wellbeing and resilience across the organisation, it is hoped that a shift to compassionate, kind, mindful and multicultural perspectives engage supervisors/supervisees in reflective conversations that aligns with the intent of all supervision to become more critical, intentional, reflexive and socially just in their work.

Impact Whilst there is evidence of impact to individuals who have undertaken the course, there is no wider impact to the organisation available at this time.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.