Comparison of Cultural Differences between UK and Australia Clinical Supervision… WHERE ARE WE COMPARED TO THE UNITED KINGDOM???
Presentation by BIANCA TLOU (RPN). Thursday 18 th October 2016. Melbourne. ACSA Local Member Meeting
My Experience of Clinical Supervision in UK Idea of CS was introduced while in University I already had awareness & expectation to receive it prior to qualification. During Preceptorship period, l was allocated a Mentor and Clinical Supervisor after recommendations were given. Recommendations for Supervisor considered both personalities & an option to change was given if l was not happy with the choice As a nurse, part of my role was to receive and later, also provide CS to other junior staff. My Clinical Supervisor wasn’t part of my line management My Clinical Supervisor had more clinical experience & was more senior It was mandatory to meet every 4wks, even if l thought l had no issues to discuss, since it was compulsory. Attendance was monitored & progress reviewed by line manager 6wkly
My Experience of CS in Australia In 1 st job in AMHS, there appeared to be limited awareness about CS CS appeared to be something additional/optional and not a necessity CS was available in a Forensic setting l moved too, for those who accepted and asked for it It was not mandatory to both give or receive CS I had to use my initiative to request and to keep regular appointments The organisation did try to prioritize it, although l had more consistency with group supervision I was privileged to get clinical Supervisor with special interest in CS, who made it much more valuable for me and l saw benefits Arising Issues e.g staff shortages, meetings had priority
General Cultural Differences Australia United Kingdom CS is at individuals` discretion of need/ CS is mandatory, expectation of all MH clinicians importance Associated/ Linked with Mentorship Clear separate roles of CS and that of Mentor ? Introduced @workplace part of postgrad, not Introduced while at university, started once mandatory for professional growth and registered, monitored as part of Professional development development/ appraisal Nurses appear to be more receptive to Group Both Individual & Group available, 1;1 CS is Supervision due to confidentiality issues promoted Seen as requiring high level of commitment from Less pressure as CS is mandatory and expectations Supervisee & Supervisor, therefore seems to have are already part of role as Clinician to get and additional pressure to nurses give others Clinical Supervision Nurse attitudes do not recognise CS as essential to Some recognition from nurse attitudes that CS is provide quality care and for self-awareness & care essential to reduce work stress & to address issues CS still seems to be under ongoing development Historically started long time ago, had longer practise
Additional points of Interest Australia has generally been slow in recognising the place of Clinical Supervision for nurses UK has had more various studies of efficacy of CS compared to Australia where it was later established In Study for Rural nurses, UK ones stated experiences were valuable, enabled them to critically reflect and have self awareness In some Australian areas, Mentorship and CS boundaries are not clear-cut (no distinctive characteristic conclusively defining relationship as one or the other.
Food for thought!! From Australian Government and Organisational Leadership level, how important is Clinical Supervision? How do current Clinicians see CS, in relation to their professional Progression? Where to current students stand in awareness of Clinical Supervision in Australia? ( in UK, student CS trials have been started in clinical placements). What plans are in place for the future establishment of CS ? How are we contributing to the future broadening of CS in Australia?
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