Supporting those that support others: the success of a regional Clinical Support and
Supervision Program (CSSP)
A8 Western Highway, Grampians Region: 418km’s (260miles) long
BACKGROUND
Clinical Supervision, supported in literature, includes the provision of peer support and stress relief, promotion of professional accountability and the skill and knowledge development of the learner[1]. The clinical learning environment influences the development of nursing (and other) students’ ability to solve clinical problems; this is enhanced by the ability and effectiveness of the clinical supervisor[2].
• Since 2010 the Grampians Region experienced an increase in learner numbers due to expanded clinical placement settings and local sector engagement to increase capacity.
• This demand required us to build the capability and proficiency of the clinical supervisor to match the expectations of the student/learner on placement.
• It was identified that along with increasing regional workforce numbers, a proficient skill and knowledge base are imperative for health care services to attract and retain health professionals.
PROBLEM & SOLUTION
BARRIER: Inability to meet the demand of learners’ needs with highly skilled, capable clinical supervisors in the clinical placement setting. Minimal ‘clinical supervisors’ have undergone a structured training program.
ENABLER: An ability to increase accessibility and engagement in the Grampians Region by developing a versatile, adaptable insitu program. BHS Clinical Educators travelled within the Grampians region to deliver the clinical supervision program.
REFERENCES
1. Brunero, S & Stein-Parbury, J. The effectiveness of clinical supervision in nursing: An evidence-based literature review. March 2008. The Australian Journal of Advanced Nursing, 25(2):86-94.
2. Staun, M., Bergstrom, B & Wadensten, B (2010).Evaluation of a PBL strategy in clinical supervision of nursing students: Patient-centred training in student-dedicated treatment rooms. Nurse Education Today, 30, 631-637.
3. Department of Health and Human Services (2015). Clinical Supervision Skills Review Tool.
https://vicknowledgebank.net.au/wp-content/uploads/Clinical-Supervision-Skills-Review-Tool.pdf
4. Health Workforce Australia (2014). National Clinical Supervision Competency Resource.
https://vicknowledgebank.net.au/wp-content/uploads/HWA-National-Clinical-Supervision-Competency- Resource.pdf
CLINICAL SUPPORT &
SUPERVISION (CSSP) DEVELOPED
PROGRAM DEVELOPED: Inter & Multidisciplinary 6hr interactive workshop. Capped at 20 participants. Content at two levels of nationally recognised abilities of clinical supervisors; Foundation and Intermediate.
PROFESSIONAL SCOPE: Allied Health, Nursing, Medical, Midwifery, Dentistry and Other Health disciplines who provide clinical support and supervision in their clinical context.
PROGRAM RESOURCES: Clinical Supervision Skills Review Tool[3] and the National Clinical Supervision Competency Resource[4] provides the clinical supervisor with a standardised, national framework to self assess and perform to in the clinical setting.
Samantha Gent, Clinical Nurse Educator, Practice Development, Centre for Education and Training, Ballarat Health Services, RN, Dip App Sci (Nursing), BA App Sci (Nursing), Grad Cert Critical Care Nursing, Grad Cert Education (Tertiary), Dip Project Mx, Cert IV TAE, BA Health Care Professional Honours (Clinical Redesign) in progress, MACN.
Denielle Beardmore, Director Clinical Education and Practice Development, Centre for Education and Training, Ballarat Health Services, RN, Dip App Sci (Nursing), BA Nursing Ma Ed, Grad Dip Ed & T, Grad Dip Adv Clinical Nursing Onco/Pall Care, Cert IV WAT, Ba Health Care Professional Honours (Clinical Redesign) in progress, MACN.
417 250
0 50 100 150 200 250 300 350 400 450
FOUNDATION WORKSHOP INTERMEDIATE WORKSHOP
Number of Attendees
CSSP Workshop
Clinical Support & Supervision Program (CSSP) TOTAL Attendees in 2014 – 2017 = 667
WHY DID WE HAVE SUCCESS WITH THE CSSP
• Context – content local to the regional health service, delivered in their proximity
• Learner Focused – supportive and interactive learning environment, sharing of resources
• Team Work – training health care disciplines together, increasing regional networking
• Integrity – ensuring a high quality, relevant program delivered
• Commitment – BHS lead commitment to the learner; programs planned and advertised
• Engagement – regional Health Service sector on board; requesting more CSSP be delivered;
Motivation - authentic experiential learning facilitates behavioural change; value is placed on the clinical supervisor / learner relationship
CLINICAL SUPPORT &
SUPERVISION (CSSP) TRAINING
FOUNDATION WORKSHOP: entry level of clinical supervisor, majority of health care clinicians, building blocks of good clinical supervision[3]
INTERMEDIATE WORKSHOP: transitional level of clinical supervisor, may involve managing or leading others in clinical supervision[3]
3 ONLINE TRAINING MODULES: self-directed, flexible, adaptable, transferrable, engaging, accessible and timely for health clinicians upskilling or consolidating as clinical supervisors
EVALUATION PROCESS
• To improve CSSP workshops to meet clinicians expectations and health services needs
• Pre-Program: on the day, traditional paper based
• Post-Program: on the day, traditional paper based
• Correlation Chart: informal, visual representation of confidence and knowledge
• Delta Evaluation Chart: informal, visual representation of +ve and –ve reflections relating to the content
• 3 Month Post Program: online engagement survey
• Individual summative CSSP reports collated along with a formal financial year CSSP report for the Department of Health and Human Services (DHHS), State Government Victoria.
Grampians Region: 11 public health services within an area of 48,000kilometre’s (km’s) in the state of
Victoria, Australia.
BALLARAT
