Background Clinical supervision has existed in healthcare since the 1990s but implementation has been inconsistent, with some believing it to be a management monitoring tool (Sloan, Watson. Nurs Standard. 2002;17(4):41–46; Nugent, Nanda, Hitchcock. BMJ Support Palliat Care. 2022;12:A3-A4). Recent data shows a high percentage (91%) of clinical hospice staff at our workplace have access to clinical supervision and it is valued highly, illustrated by its inclusion in local policies and induction procedures, as well as its inclusion in national policy. In 2021, we were invited to participate in a Hospice UK project to introduce Resilience Based Clinical Supervision (RBCS) to our hospice and this presentation describes our journey with implementing this model (Stacey, Cook, Aubeeluck, et al. Nurse Educ Today. 2020;94: 104564; Stacey, Aubeeluck, Cook, et al. Int Pract Develop J. 2017;7(2):5).
Aims Our aim was to improve the experience of clinical supervision by increasing the tools and resources that supervisors could draw upon in their sessions. The particular components of the RBCS model would empower supervisees to build mindfulness techniques and reframing strategies, supporting their resilience and resulting in greater retention of skilled staff and a better quality of patient care.
Methods Two clinical supervisors learned how to facilitate the RBCS model and cascaded this learning to two further supervisors. Following a pre-implementation baseline audit, the model is being trialled with selected small supervision groups who have consistent membership and regular attendance. After 6 sessions the group participants will be evaluated to assess the impact of the model.
Results Supervisees’ feedback is yet to be evaluated but supervisors report feeling empowered by having a structure to frame their sessions and are building confidence in the model.
Conclusion After some initial supervisor resistance to the RBCS model, supervisees have responded very positively and this in turn has built confidence in supervisors. We plan to build our pool of RBCS trained supervisors so that as an organisation we have a wider range of strategies and tools to offer to our colleagues in clinical supervision.
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