Examining clinical supervision as a mechanism for changes in practice: a research protocol

Dilworth, Sophie, Higgins, Isabel, Parker, Vicki, Kelly, Brian and Turner, Jane (2013) Examining clinical supervision as a mechanism for changes in practice: a research protocol. Journal of Advanced Nursing, 70 2: 421-430. doi:10.1111/jan.12211

Author Dilworth, Sophie
Higgins, Isabel
Parker, Vicki
Kelly, Brian
Turner, Jane
Title Examining clinical supervision as a mechanism for changes in practice: a research protocol
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 0309-2402
Publication date 2013-07-19
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jan.12211
Volume 70
Issue 2
Start page 421
End page 430
Total pages 10
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2014
Language eng
Formatted abstract
Aim This paper describes the research protocol for a study exploring if and how clinical supervision facilitates change in practice relating to psychosocial aspects of care for Health Professionals, who have been trained to deliver a psychosocial intervention to adults with cancer.

Background There is a recognized need to implement care that is in line with clinical practice guidelines for the psychosocial care of adults with cancer. Clinical supervision is recommended as a means to support Health Professionals in providing the recommended psychosocial care.

Design A qualitative design embedded within an experimental, stepped wedge randomized control trial.

Methods The study will use discourse analysis to analyse audio-recorded data collected in clinical supervision sessions that are being delivered as one element of a large randomized control trial. The sessions will be attended primarily by nurses, but including physiotherapists, radiation therapists, occupational therapists. The Health Professionals are participants in a randomized control trial designed to reduce anxiety and depression of distressed adults with cancer. The sessions will be facilitated by psychiatrists experienced in psycho-oncology and the provision of clinical supervision.

Discussion The proposed research is designed specifically to facilitate exploration of the mechanisms by which clinical supervision enables Health Professionals to deliver a brief, tailored psychosocial intervention in the context of their everyday practice. This is the first study to use discourse analysis embedded within an experimental randomized control trial to explore the mechanisms of change generated within clinical supervision by analysing the discourse within the clinical supervision sessions.
Keyword Cancer
Clinical supervision
Discourse analysis
Psychosocial nursing
Research methods
Theory-practice gap
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 19 JUL 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
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Created: Sat, 14 Sep 2013, 14:57:38 EST by Dr Jane Turner on behalf of Psychiatry - Royal Brisbane and Women's Hospital