Dissertations / Theses: 'Clinical supervision'

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Roberts, Brenda. "Clinical psychologists on clinical supervision : a Delphi survey." Thesis, Open University, 2000. http://oro.open.ac.uk/58077/.

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Background and aims In the context of historical tensions from different epistemologies and traditions, and contemporary needs for guidance and clarity, the DCP has noted `an emerging consensus' on the desirability for career long engagement in clinical supervision for clinical psychologists. The study attempts to measure this consensus and investigate current practices and beliefs. Design and participants A three-round Delphi survey was used, initially gathering semi-structured accounts of panelists' views and subsequently inviting more precise responses to a questionnaire derived from those accounts. The participants were 53 clinical psychologists, selected on the basis of their presumed interest or expertise in supervision. Measures Materials were developed for the study: - PPI collected personal and professional information, - DQI collected semi-structured accounts of opinions concerning various aspects of supervision, - DQ2 was a 62-item questionnaire derived from DQI material. Results Most panelists were both giving and receiving supervision. There was broad agreement on most issues, including the desirability of universal engagement in supervision for clinicians, the primacy of the supervisory relationship, the need for preparation for the roles of both supervisor and supervisee, and the necessity to identify supervision as an activity distinct from both management and therapy. In contrast there was little agreement on how supervision is most appropriately related to either management or therapy, nor on the relative importance of personal therapy and supervision in the training of competent therapists. Implications Most panelists were deeply engaged in both the provision and the receipt of supervision, which supports current DCP policies, but the culture is not yet strong enough to guarantee that all clinicians will he offered it routinely. More theoretical research is needed to develop models of supervision which will not assume that psychotherapy is its only legitimate focus, but will pay due heed to the wide range of tasks undertaken by both clinical psychologists and their supervisees.

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Roche, Ayesha. "Considering ethnic diversity in clinical supervision and clinical practice." Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18011/.

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Cheasley-Rau, Veronika. "Supervision experiences of qualified clinical psychologists." Thesis, Bangor University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311385.

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Retallick, John Anthony, and mikewood@deakin edu au. "Clinical supervision and symmetrical communication: Towards a critical practice of supervision." Deakin University. School of Education, 1988. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051208.090305.

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The central argument of the thesis is that the dominant modes of the supervision of teaching are in need of critique and reconstruction. From a critical perspective, supervision is viewed as a political and ideological process enacted through asymmetrical relations and structures of communication. It is underpinned by a discourse of technocratic rationality and control Clinical supervision, a currently popular model of teacher supervision, has (despite its emancipatory origins) been accommodated by the dominant ideology and is employed as a hegemonic mechanism of evaluation, control and even dismissal of teachers. However, historical analysis reveals that teachers have contested and resisted authoritarianism and centralized control in favour of developing more democratic and participatory forms of professional development. In these moves can be found a rationale for a reconstruction of the theory and practice of clinical supervision around the concepts of symmetrical communication and critical pedagogy. The researcher engaged in a self-reflective study with a group of supervisors and teachers in N.S.W. schools to explore the possibilities and limitations of a critical and counter-hegemonic practice of supervision. The outcomes, in the form of three case studies, are analysed in terms of a dialectic of reconstruction and maintenance of the status quo. The evidence reveals that some of the research participants sought to reconstruct their supervisory relationships in ways which challenged the bureaucratic structures of their workplace. Others, however, rejected the emancipatory possibilities and resolved to maintain their traditional hierarchical relationship.

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Ramasami, Jennifer. "How do the Students Become the Supervisors? Student Training Experiences in Supervision and Supervisor Self-efficacy in Clinical Psychology." OpenSIUC, 2021. https://opensiuc.lib.siu.edu/dissertations/1963.

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Supervision in clinical psychology is a vital component of graduate training, enhancing the professional and clinical skills of trainees. The current literature indicates that in order to be a competent supervisor, one must obtain training in supervision. One highly recommended method of supervision training is through graduate coursework. Available literature indicates that approximately 40% of licensed clinical psychologists have received formal training in supervision (e.g., formal course or practicum) in their graduate training program. However, these prevalence rates were obtained over a decade ago and may not be an accurate representation of current supervisory training practices in clinical graduate programs. Therefore, this study aimed to examine current supervision training experiences obtained by trainees in their graduate doctoral training programs for clinical psychology and how their training experiences relate to their own supervisory style or theoretical approach.Comprehensive training in providing supervision improves trainees’ beliefs in their ability to competently provide supervision, or rather, their self-efficacy in supervision. Self-efficacy is an integral part of supervision, as supervisors who have sufficient self-efficacy are likely to supervise more effectively compared to those who do not feel as efficacious. While supervisor self-efficacy has been researched in other areas of psychology, there is less research exploring supervisor self-efficacy within clinical psychology relative to other areas of ii professional psychology and counselor education. Thus, this study also endeavored to explore the relationship among supervision training, supervision knowledge and self-efficacy. For the current study 106 clinical psychology interns participated in completing questionnaires assessing supervisory training experiences, supervision knowledge, and supervisor self-efficacy. Results were that 81% of participants reported receiving formal training in supervision in graduate school, a significantly larger amount than prior reported rates. Additionally, amount of training and certain components of supervision training (i.e., organization and documentation of supervision training) significantly predicted supervision knowledge. Components of supervision knowledge (e.g., theories and models, ethical issues) and supervision self-efficacy (e.g., ethical and legal issues, theories and techniques) were highly correlated. Finally, supervision knowledge overall predicted supervision self-efficacy. This study provided an updated view into the type of training graduate students commonly receive in graduate programs in clinical psychology and supported the connection among supervision training, supervision knowledge, and supervisor self-efficacy. Clinical implications and future directions for training and related factors are discussed.

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Hughes, Siobhan Victoria. "Developing clinical practice : personal therapy and supervision." Thesis, University of Hull, 2010. http://hydra.hull.ac.uk/resources/hull:3477.

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This portfolio thesis comprises of four parts: a systematic literature review paper, an empirical paper, a reflective statement and appendices.Part one is a systematic literature review which examines whether personal therapy is an effective method of professional development for therapists. Quantitative and qualitative literature is critically reviewed. A model of the reported benefits of personal therapy for therapists is proposed. Implications for clinical practice are discussed.Part two is an empirical paper examining the relationship between stage of development and behaviour in clinical supervision for trainee clinical psychologists. Forty trainee clinical psychologists, from three years of a training course, completed a questionnaire (the SLQ-R[A]) measuring their stage of development as supervisees. A subsample submitted DVD-recordings of their supervision sessions which were coded using the Teacher's PET to analyse the supervision behaviours. Comparisons were made between the supervision behaviour of first (n = 8) and third (n = 3) year trainee clinical psychologists and their supervisors. Correlations between questionnaire responses and supervision behaviours were examined. Results are discussed in the context of the Integrated Developmental Model of Supervision. Implications for clinical practice are highlighted.Part three is a reflective statement which considers the process of conducting the research and developing this portfolio thesis.Part four is the appendices.

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Meyer, Marie Ellen. "Supervision and student placements for clinical psychology." Thesis, University of Canterbury. Psychology, 1992. http://hdl.handle.net/10092/6971.

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There is little research in New Zealand concerning clinical psychology training in general, and in particular the factors that influence effective supervision for students in training as clinical psychologists. This thesis is an exploratory study of supervision and student placements for clinical psychology and is intended to provide a base of data and information to enable further research to be carried out. Data was obtained from two questionnaires which were completed by supervisors and clinical psychology students on placement from the training programmes of six New Zealand Universities. Supervisor and student perceptions of different supervisor behaviours were investigated as well as contracts, conflicts of roles, ethics, transfer of learning from theory to practice, supervision of supervision, gender or cultural issues and parallel process. Information gained from the questionnaires highlights differences between supervisors and students in perceptions of supervisory behaviours. In addition, the responses to the second questionnaire indicate considerable discrepancies within the supervisors' group and within the students' group, as well as between the two groups. The implications for the training of clinical psychologists and for the training of supervisors are stated. The findings suggest that the national minimum and ideal standards, incorporating the defined and specific purposes and objectives of the training and practice component of the programmes for clinical psychology are in need of clarification and justification.

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Marrow, Carol Elizabeth. "Professional learning through clinical supervision in nursing." Thesis, University of Birmingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396514.

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Lovell, Colleen. "Supervisee experiences of poor and harmful clinical supervision." Swinburne Research Bank, 2007. http://hdl.handle.net/1959.3/22376.

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Thesis (DPsych (Counselling Psychology)) - Swinburne University of Technology, 2007.
Submitted to Swinburne University of Technology, in partial fulfilment of the requirements for the Professional Doctorate of Psychology (Counselling) - 2007. Typescript. Includes bibliographical references (p. 210-218).

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Dunn, Elizabeth. "Clinician experiences of treating eating disorders and the use of clinical supervision." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16422/.

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Objective: Clinicians working with individuals with eating disorders encounter unique emotional, cognitive and behavioural responses. Such responses may impact on clinician self-care and wellbeing, and are linked to clinician burnout and poor treatment outcomes. Supervision can protect against such deleterious consequences. At present there is limited theoretical literature and no empirical literature relating to the supervision of eating disorder clinicians. Method: A three round Delphi Methodology was employed to explore the experiences of clinicians from a range of professional backgrounds who work therapeutically with individuals with anorexia nervosa, along with the role of supervision and relevant key supervision requirements. Results: Positive experiences were more frequently reported than negative experiences. Key negative emotions comprised sadness, anxiety, frustration and inadequacy. The impact on clinicians thinking about food and their own body-image were divergent. A large number of statements reflecting the core elements of supervision including areas of discussion, reflection, outcomes, supervisor qualities, the supervisory relationship, barriers and facilitators reached consensus. No consensus was reached regarding discussing clinicians’ thoughts about food, body-image or personal eating disorder history. Discussion: Implications for clinical practice include using these findings to challenge persistent beliefs that individuals with anorexia nervosa are undesirable to treat, and to help identify appropriate support where challenging experiences arise. Results relating to supervision can form the basis of future supervision guidelines in this field. Study limitations and implications for future research are discussed.

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Mataiti, Helen. "Clinical Supervisor Characteristics Valued By Practising Speech Language Therapists." Thesis, University of Canterbury. Communication Disorders, 2008. http://hdl.handle.net/10092/1535.

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Clinical Supervision is an important practice in speech language therapy and related health disciplines. Research in student clinician populations has found that supervisees value interpersonal, personal and teaching characteristics in a clinical supervisor. Research has also shown that perceptions of supervisor characteristics change as student clinicians gain clinical skills. However, there is a significant lack of research examining practising clinicians' perceptions of clinical supervisor characteristics. The current study aimed to 1) survey practising Speech Language Therapists (SLTs) and examine the knowledge, skills and attitudes valued in a clinical supervisor, and 2) determine if the characteristics valued by more experienced SLTs (greater than 5 years) differed from those valued by less experienced SLTs (less than 5 years). A cross-sectional survey design methodology was employed. A five-part survey was developed, and distributed nationally by email. Participants were 72 SLTs practising in New Zealand. Results indicated that practising SLTs valued interpersonal knowledge and skills, and personal values and attitudes most highly in a clinical supervisor. In addition, it was found that characteristics relating to professional knowledge and identity were least valued. Overall, almost no difference was found between characteristics valued by less and more experienced clinicians. Findings suggest that practicing clinicians' basic human-relationship needs must be met for safe and effective CS to occur. Findings also suggest that regardless of experience level all clinicians are learners. This means clinicians across all different levels of work experience require support from clinical supervisors, to learn reflectively from experiences in the workplace.

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Okon, Samantha Nichole. "Graduate Student Preferences of Social Power Use in Clinical Supervision." OpenSIUC, 2010. https://opensiuc.lib.siu.edu/theses/184.

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AN ABSTRACT OF THE THESIS OF SAMANTHA OKON for the MASTERS OF SCIENCE degree in Communication Disorders and Sciences, presented on April 5, 2010, at Southern Illinois University Carbondale. TITLE: GRADUATE STUDENT PREFERENCES OF SOCIAL POWER USE IN CLINICAL SUPERVISION MAJOR PROFESSOR: Dr. Linda McCabe Smith, C.C.C. SLP The purpose of this pilot study was to investigate the preferences and perceptions of graduate student supervisees when rating the five bases of social power use of their supervisors in clinical speech-language pathology. When used in supervision, the supervisee may perceive some bases to be positive in outcome and some to be negative. Social power refers to the ability of one individual to influence the beliefs, attitudes and behaviors of another individual. French and Raven created the five bases of social power in 1959 in order to describe how individuals or groups interact with one another (Raven, 2008). The five bases of social power include coercive, reward, expert, legitimate and referent. Results indicated that graduate supervisees preferred more referent power, reward power and expert power than was used by their current supervisor. Results also demonstrated graduate supervisees would prefer less coercive power and legitimate power to be used by their supervisors in clinical supervision.

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Hoffman, Margaret Ursula Marinda. "Perceptions of clinical supervisors about their preparedness for clinical teaching at a university in the Western Cape." University of the Western Cape, 2019. http://hdl.handle.net/11394/7018.

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Magister Curationis - MCur
Background: Clinical supervision or clinical accompaniment is considered an integral part of nursing education and is crucial for the development of nursing students’ clinical competence. In order to achieve this, clinical supervision requires skilled human resources which vary from one educational institution to another and may include lecturers, clinical supervisors/facilitators and professional nurses. Clinical supervisors are required to be good educators as well as excellent clinicians. In addition, they often draw on their individual, personal and professional experiences to guide their teaching to meet the demands of both the clinical and academic contexts in which they work. However, the clinical teaching model or framework used by educational institutions is often not aligned to clinical practice activities and vice versa. This poses challenges for students due to the different expectations of educators and professional nurses in practice. Inadequately prepared clinical supervisors can have a detrimental effect on the delivery of the nursing programme that may include poor clinical teaching and inadequate integration of theory and clinical competencies, which ultimately leads to poorly trained nursing students. Aim of the study: The aim of this study was to explore the perceptions of clinical supervisors regarding their preparedness for clinical teaching. Methods: The study adopted a qualitative research approach, utilising an exploratory descriptive design. A non-probability purposive sampling method was used to select 12 clinical supervisors in the undergraduate programme. The researcher collected the data by means of semi-structured interviews with open-ended questions and analysed this data using content data analysis. Analysis of the data using ATLAS, ti 8 research software programme generated four themes and 18 categories. Findings: The findings indicated that clinical supervisors required time to adapt to their role and improve their knowledge and skills despite them having a positive experience during their orientation. Although appreciative of the support and guidance, clinical supervisors stated that not all colleagues were supportive, which in some instances had a negative impact on interpersonal relationships. The findings furthermore indicated that clinical supervisors apply all the steps of the five phases in the skills lab methodology employed by the School of Nursing at the university where the study was conducted. Clinical supervisors are required to be well informed and committed to continuing education in order to incorporate theory into practice with the latest developments and equipment in facilities. Furthermore, the findings indicated that inconsistency and failure to attend to students’ clinical learning needs can have a negative impact on student learning. Ethics: The researcher adhered to all principles of research ethics throughout the study.

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Goodwin, Catherine. "Trainee clinical psychologists' perceptions of their supervision needs." Thesis, Cardiff University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430198.

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Abu, Bakar Zainudin Bin. "Clinical supervision in the Malaysian teaching practicum context." Thesis, University of Bristol, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.425053.

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MUZIO, DIANE. "Clinical Supervision of Externs in Speech-Language Pathology." OpenSIUC, 2017. https://opensiuc.lib.siu.edu/dissertations/1467.

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The focus of this qualitative study was to investigate clinical supervisors’ perceptions about the externship experience in speech-language pathology. This study was designed to investigate the range of supervisors’ preparedness to mentor the extern student, self-perceptions of the role of the externship supervisor, and opinions regarding a possible professional credential. Data was collected from a focus group and individual interviews. All participants were SLPs who supervised a minimum of two graduate student externs from the same large Midwestern university. The results indicated that externship supervisors felt unprepared for their early supervision experiences, vary in their practices of developing and systematizing pre-professional externship experiences, and that a professional credential in supervision would likely contribute to the standardization of graduate students’ training in speech-language pathology.

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Kakavand, Heleya. "Development of a preliminary scale of counterproductive experiences in supervision| Attitudes of experts in clinical supervision." Thesis, Pepperdine University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3601007.

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Clinical supervision serves as the centerpiece in clinical training in which client welfare is assured and professional development is facilitated (Falender & Shafranske, 2004). While it is expected that clinical training be of high quality, some events or experiences may occur in clinical supervision that strain the supervisory alliance, hinder supervisees' growth, and contribute to a poor experience of supervision, adversely affecting its effectiveness. These events or experiences are considered to be counterproductive experiences (CEs). This study explored the beliefs of 8 experts in clinical supervision regarding CEs in supervision. The study employed Q-sort methodology and completed the first four steps necessary for the development of a preliminary scale of CEs. The results of this study suggest that each of the counterproductive experiences identified in the literature negatively impact supervision in the opinions of the experts. While specific items pertaining to ethical lapses and boundary crossings were found to have the greatest impact on supervision, events involving a mismatch between the supervisor's and supervisee's approach to learning were also believed to significantly impact the process of supervision.

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Spence, Nicola. "Improving the effectiveness of supervision : a clinical psychology perspective." Thesis, Lancaster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.586923.

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Abstract Clinical supervision serves essential clinical governance functions within the profession of UK clinical psychology, and so its effectiveness is of critical importance. Despite this, there is limited research that is specific to this particular context. Furthermore, the research that does exist has tended to focus on the supervision of trainee clinical psychologists. Thus, little is known about the supervision of qualified clinical psychologists. The first section of this thesis details a narrative literature review which argues that the effectiveness of clinical psychology supervision could be improved by supervisory dyads adopting a metacommunicative stance in relation to the supervisory relationship (i.e. having an open dialogue about the relational dynamics between supervisors and supervisees). The effectiveness of clinical supervision often relies on supervisees disclosing salient information to their supervisors. To date, no studies on supervisee self-disclosure have been , conducted within the field ofUK clinical psychology. With this in mind, the second section of this thesis presents a grounded theory study of qualified clinical psychologists' conceptualisation and use of supervisee self-disclosure across the career span. The findings of this study suggest that participants perceived the professional culture within UK clinical psychology to pose barriers to their effective self-disclosure in supervision. Their accounts suggest that self-disclosure decisions are mediated by the quality of their supervisory relationships with their supervisors. Furthermore, participants reported that they developed proficiency in their ability to monitor and manage issues independently across their career span. This skill was reported to often negate participants' need to self-disclose in supervision. Clinical and research implications for these findings are considered. Lastly, the final section of this thesis contains a critical review of the process involved in conducting the grounded theory study detailed above.

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Carmichael, Helen. "Clinical supervision in mental health : a Foucauldian discourse analysis." Thesis, University of Essex, 2010. http://ssudl.solent.ac.uk/2950/.

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The practice of clinical supervision amongst mental health practitioners is hampered by a lack of shared understanding of its nature and purpose and by a complex mixture of assumptions and external expectations. As a result, potential benefits of supervision are diminished and its practice risks losing credibility amongst those in a position to resource it. This study addresses these conflicts through an analysis of the discourse of supervision within mental health nursing, counselling and clinical psychology.

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Heller, Harold. "Interaction in clinical supervision : a comparative and longitudinal study." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507732.

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Wrycraft, Nick. "The effectiveness of clinical supervision groups in primary care." Thesis, University of Essex, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.571599.

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Rationale: Clinical supervision has often been identified as good practice, and a means of enhancing patient care, although there is a limited evidence base. This research investigates whether clinical supervision groups in primary care are effective. Aim and objectives: The aim of this study is to identify whether clinical supervision groups in primary care settings are effective in comparison with the literature and evidence. The objectives are to investigate whether group clinical supervision corresponds with Proctor's (1986) model. Secondly to identify characteristics of the supervisor which supervisees and supervisors prioritised. The third objective is whether clinical supervision groups place differing demands on the supervisor than individual clinical supervision, and to make any recommendations which the research identified. Methodology: A mixed-methods, three-phased approach was used. In Phase-I postal questionnaires were used to gather background information on staff who participated in clinical supervision groups. The second phase involved non-participant observations of two clinical supervision sessions each of three different groups. While in Phase-3 focus groups were carried out with two clinical supervision groups. Results: The participants in the research benefited most from clinical supervision which was predominantly restorative in accordance with Proctor's (1986) model. The supervisors lacked the skills necessary to manage clinical supervision groups. Both supervisees and supervisors regarded approachability and support as the most valued characteristics of the supervisor. While the supervisees valued the supervisors' knowledge more than the supervisors, who felt this was a characteristic which they lacked and did not prioritize. Conclusion: A model of clinical supervision is required focusing on the needs of more experienced practitioners. Clinical supervision of groups requires skills and training in clinical supervision and in managing groups.

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Heaven, Catherine Margaret. "The role of clinical supervision in communication skills training." Thesis, University of Manchester, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.497488.

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Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. A number of factors have been identified which may have an impact on this, including fears, beliefs and support. Bandura's Social Learning Theory has been used to gain an understanding of the association between these factors, and insights have been gained from the management training literature about the potential to buffer the transfer process. This study investigated the potential of clinical supervision as a method of facilitating transfer. The study compared a three day communication skills training workshop plus an intensive 4 week course of clinical supervision with training alone. 61 Clinical Nurse Specialists were randomised to receiving 12 hours of clinical supervision immediately after a 3-day communication skills training course. Assessments were carried out before the course, immediately after the supervision period and 4 months later. Three real patient encounters were recorded at each time point to assess the nurses' use of skills, their ability to identify concerns and their ability to respond to cues. These were then compared to simulated interviews conducted at the workshop and to measures of self-efficacy, outcome expectancy and burnout. Supervision was found to have a small but significant effect on nurses' ability to transfer skills to the workplace. The nurses in the experimental group showed improvements in 4 of the 18 skills areas associated with significant improvements in self-efficacy, and were found to be more willing to identify concerns of an emotional nature. Conversely the control group showed no improvement in use of skills and identified fewer psychological concerns. Furthermore, it was found that training had a negative effect on burnout. Nurses in the control group experienced increases in both emotional exhaustion and depersonalisation as measured by the Maslach Burnout Inventory. Supervision appeared to have a protective effect against this. The study highlighted the gap between competence and performance in the use of communication skills with real patients. It showed the potential of clinical supervision as a forum to facilitate the process of transfer, and raised challenges about negative consequences of training if support is not offered in the crucial transfer phase.

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Li, Dan. "Transitional dynamics of clinical supervision: using Markov chain analysis." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6181.

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Clinical supervision is integral to promoting the professional development of counselors-in-training and gatekeeping the counseling services provided by counselor trainees (Bernard & Goodyear, 2014). Despite the value of studying participants’ retrospective perceptions about or reflections upon supervision, the supervisory process in which supervision transpires is infrequently quantified and measured (Holloway, 1982; Holloway, 1987). As described by most developmental supervision models, clinical supervision is “a process with sequential and qualitatively distinct stages through which supervisors and trainees progress” (Littrell, Lee-Borden, & Lorenz, 1976, p. 134). In order to capture these stages and phenomena with observable and measurable units, the author used six states of interest to measure the supervision process, which exhibit the progressively complex nature of clinical supervision. The six states include: (a) social interfacing (non-skills phase), (b) reflecting on foundational competencies, (c) deepening case conceptualization, (d) processing the relational management, (e) overcoming personal and multicultural barriers, and (f) furthering professional development. These states underpin the codebook of this study and are used to conceptualize the supervision process. Although the interactions between the supervisor and supervisee are transient and difficult to grasp, supervisory interactions move from one state to another. Indeed, state-transitional dynamics of clinical supervision are subject to a constellation of factors that supervisors and supervisees initially bring in and constantly reinforce, such as supervisory styles, supervisee developmental levels, supervisory working alliance, and supervisee satisfaction with clinical supervision. By using Markov chain analysis, this study detects the overall transitional dynamics of supervisory dyads and investigates how transitional dynamics vary based on the aforementioned variables that manifest themselves as supervision dynamics unfold and closely interface with other supervision variables. Results of this study provide implications for clinical supervisors, counselor educators, and counselors-in-training.

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McMahon, Mary L. "Perceptions of clinical supervision in school guidance and counselling." Thesis, Queensland University of Technology, 1997. https://eprints.qut.edu.au/36556/1/36556_Digitised%20Thesis.pdf.

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This thesis examines the perceptions and experiences of school guidance personnel in relation to clinical supervision. Specifically the study sought to discover how clinical supervision is conceptualised by school guidance personnel, and how it is experienced by them. In addition, it examined how school guidance personnel perceive that the supervisory context affects the conduct of clinical supervision. The study also evaluated the use of teleconference calls as a medium for conducting focus group interviews with participants in remote locations. The study was conducted in three parts. First, data was gathered through a survey questionnaire. Two versions of the questionnaire were developed. One version was worded to reflect the role of guidance officers in the supervisory process, and the other version was worded to reflect the role of senior guidance officers in the supervisory process. The questionnaires were distributed to all guidance officers and senior guidance officers employed by the Queensland Department of Education (renamed Education Queensland since the time of the study). Second, focus group interviews were conducted using teleconference call facilities. The focus group interviews were conducted with a random sample of guidance officers and senior guidance officers who had completed the questionnaires. Guidance officers were interviewed separately from senior guidance officers. In addition, guidance officers who received clinical supervision were interviewed separately from those who did not receive clinical supervision. Third, the use of teleconference calls as a medium for conducting focus group interviews with people from remote locations was evaluated by means of a questionnaire sent to all participants. The data was analysed quantitatively and qualitatively as appropriate. The findings established that the provision of clinical supervision was perceived as inadequate by most senior guidance officers and guidance officers. In addition, most participants perceived that the amount of training they had received in clinical supervision was inadequate. The study also found that the training and induction of those new to the profession are inadequate. The inadequacy of clinical supervision, supervision training, and the training and induction of those new to the profession was attributed to the supervisory context and a lack of professional leadership on the part of Education Queensland. In addition, differences were found between supervised guidance officers and senior guidance officers, males and females, supervised and unsupervised guidance officers, primary and secondary guidance officers, and experienced and less experienced guidance officers. The study also found that the use of teleconference calls was a successful method of conducting focus group interviews. As a result of this study, the recommendations relate to the issue of professional leadership. In particular, recommendations are provided for Education Queensland, the Queensland Guidance and Counselling Association Inc., the professional organisation representing guidance personnel, and the universities who conduct counsellor training and guidance training courses. Specifically, the recommendations address the establishment of clinical supervision guidelines, supervision training, induction of those new to the profession, and closer communication between the Queensland Guidance and Counselling Association Inc. and Education Queensland.

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Dixon, Elizabeth May. "Examining clinical supervison with palliative care nurses." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3029.

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This study focuses on the current issues regarding the provision of clinical supervision for palliative care nurses. NICE (2004) recommendations stated that the task of supervision should be undertaken by „Level 4‟ practitioners such as clinical psychologists or psychiatrists. Palliative care nurses are recognised to experience high levels of stress due to the emotionality of their role. However there appears to be little understanding of how they cope with this aspect of their role. Self care is promoted as a useful strategy; however this is thought to have limitations due to the questionable ability for an individual to objectively and accurately assess their own mental and emotional state. Clinical supervision has been attempted with palliative care nurses but this appears to focus on the internal world of the nurse rather than the interaction between nurse and patient. This study employed a staff survey, including a demographic questionnaire, the Copenhagen Burnout Inventory and the General Health Questionnaire, followed by individual interviews and focus groups analysed using thematic content analysis. Participants were recruited from two teams within one cancer network. Results showed that there was an incidence of both high stress and psychiatric morbidity within the sample. Provision of clinical supervision was shown to be inconsistent across the two teams. Although there was recognition that clinical supervision would be beneficial, there was a certain amount of confusion regarding the concept as well as suspicion about the „real‟ agenda. These factors appeared to work together to produce a situation in which clinical supervision was not being provided or accepted in a way that would maximise its efficacy as its application was inconsistent with the theoretical basis. In conclusion, in order to better support palliative care nurses with the difficult aspects of their role, it was suggested that a more structured and consistent picture of clinical supervision was provided. This would enhance their practice, support their emotional needs and protect the patients under their care.

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Teufel, Lee A. "Clinical supervision of child and adolescent counselors in residential foster care : a collective case study." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002192.

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Roe, Dawn T. "Audio-visual technology in clinical practice, supervision, and professional development." Thesis, University of Sheffield, 2016. http://etheses.whiterose.ac.uk/14394/.

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Literature review: The review considers whether video review and feedback (VRF) in clinical practice promotes competence development. Thirteen articles qualified for inclusion, focussing on three domains of clinical competence; (i) communication, (ii) assessment, and (iii) supervision. There was evidence of a link between VRF and competency development, and VRF was experienced positively by participants, who found it a useful way to learn and develop. Implications for the role of VRF in training, clinical practice, and research are discussed. Research report: The research study reports a qualitative exploration of the experience of routinely using audio-visual technology (AVT) in clinical practice. Eight Intensive Short-Term Dynamic Psychotherapy (ISTDP) practitioners participated in semi-structured interviews that were analysed using Interpretative Phenomenological Analysis. Three superordinate themes emerged from the data: Immersion, Revelation, and Transformation. Self-practice of therapeutic techniques, experiential learning, increased self-awareness and reflective practices appear to be integral processes in professional development. Feedback from peers and clinical supervisors is recognised to play a fundamental role in these processes. Implications for the role of AVT in training, clinical practice, and research are discussed.

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Houk, Tracy A. "The clinical supervision experiences of beginning teachers, a qualitative study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq39144.pdf.

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Melin, Ingela. "Motivating clinical treatment of obesity : methods, education, supervision and outcome /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-137-7/.

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Sloan, Graham C. M. "An illuminative evaluation of clinical supervision in mental health nursing." Thesis, Glasgow Caledonian University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405004.

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Munchel, Brittani Fiore. "Exploratory Study of Counseling Professionals' Attitudes Toward Distance Clinical Supervision." Thesis, University of South Florida, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739527.

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Many forms of distance clinical supervision (DCS) have been used in the last decade, but a sparse amount of research addressing (DCS) in counselor education exists to date. The author used random and snowball sampling to survey American Counseling Association members, with a analytic sample total of 96 participants. In the sample, 54.2% of participants were licensed counseling professionals and 39.6% were student or post-masters level interns. The average participant age was 43, ranging from 23 to 74 years. Participants had a mean of 8.1 years of experience. A total of 37.5% of participants had used DCS at some point for supervision sessions. Overall, participants have a positive attitude toward DCS, agreeing most that DCS is a valid form of supervision and that they are interested in learning about DCS. Overall, participants are being minimally exposed to DCS (x¯ = 1.61). A moderate, negative relationship (r = -.39, p < .001) exists between individuals whom have used DCS and attitudes toward DCS (Cohen, Cohen, West, & Aiken, 2003, p. 52). Also, a weak, negative relationship (r = -.23, p < .05) was found between individuals who have used DCS and their level of exposure to DCS. There is a limited amount of literature related to DCS and counseling professionals are being minimally exposed to distance clinical supervision. Despite limited exposure and literature, professionals are still using DCS to conduct supervision sessions. Therefore, it would seem important to increase research focused on DCS and develop relevant practices in order for DCS to be an effective form of supervision.

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Donough, Gabieba. "Perceptions and experiences of undergraduate nursing students of clinical supervision." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86575.

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Thesis (MCur)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Differences were observed in clinical demonstration and assessment techniques of clinical supervisors involved with the supervision of undergraduate nursing students at an institution of higher education. These differing techniques displayed by the clinical supervisors may have implications for the standard of nursing care provided by the students and the throughput of these students. A qualitative approach with a descriptive design was applied to explore the perceptions and experiences of the undergraduate nursing students’ on clinical supervision. Nine (n=9) students were deliberately selected by means of purposive sampling from each year to participate in focus group interviews. Nine 1st year students, nine 2nd year students, nine 3rd year students and nine 4th year students respectively constituted the groups that were interviewed. Thus the total sample consisted of n=36 nursing students. Consent to conduct the study was obtained from the Health Research Ethical Committee at Stellenbosch University, as well the institution under study. Informed consent was obtained from all the participants. Data collection was completed by two trained fieldworkers who were not affiliated with the institution under study. The interviews were analysed through content analysis. Six themes emerged from the data. These included support, professionalism, realities of supervision, student preferences regarding supervisors, experiences that relate to abusive behaviour and the clinical supervision process. The findings indicated negative and positive experiences on clinical supervision. Recommendations were proposed to enhance clinical supervision and the learning experiences of student nurses. Key words: Clinical supervision, undergraduate nursing, clinical supervisor, clinical practice, differing techniques.
AFRIKAANSE OPSOMMING: Verskille was waargeneem in kliniese demonstrasie- en assesseringstegnieke van kliniese toesighouers wat betrokke is met die supervisie van voorgraadse verpleegstudente by 'n institusie van hoër onderwys. Die verskille in tegnieke gedemonstreer deur die kliniese toesighouers mag implikasies hê vir die standaard van verpleegsorg gelewer deur die studente en die slaagsyfer van hierdie studente. 'n Kwalitatiewe benadering met 'n beskrywende ontwerp was toegepas om die persepsies en ervaringe van die voorgraadse verpleegstudente oor kliniese supervisie te verken. Nege (n = 9) studente vanuit elke jaargroep was bewustelik gekies by wyse van doelgerigte steekproefneming om deel te neem in fokusgroep onderhoude. Nege 1ste jaar studente, nege 2de jaar studente, nege 3de jaar studente en nege 4de jaar studente het onderskeidelik die groepe gevorm waarmee onderhoude gevoer was. Die totale steekproef het uit n=36 verpleegstudente bestaan. Toestemming om die studie te doen was vanaf die Etiese Komitee vir Gesondheidsnavorsing by Stellenbosch Universiteit, asook die instelling ter ondersoek verkry. Ingeligte toestemming is van al die deelnemers verkry. Data insameling was deur twee opgeleide veldwerkers gedoen wat nie geaffilieer is met die instelling ter ondersoek nie. Die onderhoude was deur inhoudsontleding geanaliseer. Ses temas het uit die data ontstaan. Dit sluit in ondersteuning, professionaliteit, realiteite van supervisie, student voorkeure ten opsigte van toesighouers, ervaringe wat verband hou met mishandelende gedrag en die kliniese supervisie-proses. Die bevindinge het negatiewe en positiewe ervaringe oor kliniese supervisie getoon. Aanbevelings is voorgestel om kliniese supervisie en die leerervaring van die studentverpleegsters te verbeter. Sleutelwoorde: Kliniese supervisie, voorgraadse verpleging, kliniese toesighouer, kliniese praktyk, teenstrydige tegnieke.

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Green, David Russell. "Investigating the core skills of clinical supervision : a qualitative analysis." Thesis, University of Leeds, 1998. http://etheses.whiterose.ac.uk/249/.

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This study used self-reports of the experience of Clinical Psychology trainees on the Doctor of Clinical Psychology course at the University of Leeds as the basis for developing a model of effective clinical supervision from the users' perspective. Three sources of data were used: 100 critical incident reports of episodes which trainees had experienced as particularly helpful during supervision; seven extended commentaries by trainees on video-tape recordings of supervision sessions in which they had been involved (following the principles of inter-personal process recall); and two focus group discussions in which final year trainees reflected on their worst experiences in clinical supervision during their time on the training course. This data was analysed using the grounded theory approach to qualitative research. The study contains procedures for assessing the reliability of the codings used in the study and attempting to validate the theoretical model developed. The study identified five factors that contributed to a successful outcome in supervision (from the trainees' viewpoint): promoting experiential learning; developing a strong supervisory alliance; accepting the sapiential authority of the supervisor; timing interventions in supervision appropriately; and working in a personal and professional context that facilitates good practice. The model of effective supervision developed is dynamic and recognises the mutual influence of supervisor and supervisee on each other and the fluid interaction of the five factors described. The findings of the study are compared with the extensive psychological literature on clinical supervision. Finally the practical implications of the study's findings for training clinical supervisors are considered.

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Bourgeois, Paul J. "Clinical Supervision of Rehabilitation Counselors and the Use of Technology." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/578618.

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Each of the following three articles offers a distinct thesis regarding the clinical supervision of rehabilitation counselor students and the use of technology. While the research questions and perspectives in each of the articles are different from one another, the articles are similar in that they all examine the same course, more specifically, clinical practicum in rehabilitation counseling. The focus of the first article (Chapter 2), "Content Analysis of Rehabilitation Education/Rehabilitation Research, Policy and Education: 1995-2015," was to conduct a content analysis of Rehabilitation Education (later renamed Rehabilitation Research, Policy, and Education [RE/RRPE]) to determine publication trends. Additionally, the authors wanted to ascertain how often articles were written in RE/RRPE focusing specifically on the use of technology in the training and supervision of rehabilitation counseling graduate students. The second article found in Chapter 3 is titled "A Selected Review of Clinical Supervision Practices as Documented in Rehabilitation Counseling Syllabi." It examines a select group of practicum courses and their corresponding syllabi offered in graduate rehabilitation counselor education programs. The review includes the definition and objectives of practicum, and a review of the current methods utilized in conducting supervision, especially the use of technology and distance modalities. The third article (Chapter 4) titled "Rehabilitation Counseling Practicum–Interviews with Selected Faculty Supervisors" looks at the perspectives of rehabilitation counseling faculty in relation to the current and future uses of technology and distance modalities in the training and supervision of counseling students during their practicum fieldwork experiences.

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Miyoshi, Makoto. "THE ELEMENTS OF THE CLINICAL SUPERVISION: EXPORTING CONCEPTS TO JAPAN." OpenSIUC, 2016. https://opensiuc.lib.siu.edu/dissertations/1167.

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The current Japanese counseling profession is in the process of reforming and uniting the system and training together for counseling and related professions. Supervision is one of significant training piece in this profession; however, its familiarity among Japanese counseling professionals is very unclear. This study explored how Japanese counseling professionals conceptualize the ideal figure of a clinical supervisor based on the identified fundamental elements of clinical supervision in the US. The preliminary analysis indicates that each aspect of the U.S. clinical supervision models might be adoptable to Japanese counseling professionals. Yet the small sample size does not confirm the conceptual framework of the ideal clinical supervisor for Japanese counseling professionals, the main analysis indicated an alternative culturally appropriate conceptual framework. Further research embracing Japanese cultural characteristics and sound ethical manner in the professional counseling and supervisory relationship would enrich the clinical supervision in Japan.

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Armstrong, Lauren. "Supervision, Clinical Training, Personal Growth and the Values of Novice Clinicians." Thesis, Pepperdine University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10283166.

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The purpose of this qualitative, autoethnographic study was to identify and explore the values that promoted personal growth and that emerged out of the clinical training and supervision experience of novice clinicians within one clinical psychology doctoral program. Participants included three first-year doctoral students in clinical psychology, one of whom was the primary researcher. Participants completed journal entries approximately twice monthly for seven months, resulting in a total of 54 entries that were examined using a content analysis approach. Content analysis, conducted by the primary researcher, involved coding data for themes and patterns that were representative of values, as well as indications that these values oriented the participant toward personal growth. Journal entries were first analyzed and coded based on whether they fit the definitional criteria of a value and then coded secondarily for the value itself. Specifically, cited in descending order, content analysis identified the following values: (a) awareness; (b) knowledge; (c) bravery; (d) competence; (e) learning; (f) humility; (g) community; (h) acceptance; (i) openness; and (j) curiosity. Awareness, as it related to self-regulation and to skill development was the most highly identified value. Future researchers may consider expanding on these results with a larger and more heterogeneous sample of novice clinicians.

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Ibarra, Alberto Luis. "Novice Clinicians and the Experience of Transcendence in Clinical Training and Supervision." Thesis, Pepperdine University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10264957.

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This autoethnographic study, from the perspective of novice clinicians, used a directed, or deductive, qualitative content analysis to explore the presence of transcendent experiences, as one aspect of personal growth for three first year clinical psychology doctoral students. A total of fifty-three journal entries describing critical moments during their first-year clinical training and supervision experience were used for this study. Coding categories for transcendence that reflected the quality of “being more” were drawn from existing literature. In descending order of frequency, results from this exploratory study found that transcendence was experienced by these trainees, centered first and predominantly on capacity (or competence), followed by themes involving: the pursuit of truth, the emergence of altruism, the development of self-identity, reflections beyond the self, awe and spirituality and finally, growth through peak experiences. The findings are discussed as they relate to current literature, along with limitations, implications and recommendations, and this author’s personal reflections.

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Ögren, Marie-Louise. "Group supervision : learning psychotherapy in a small group format /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4758-9/.

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Rawlinson, Mark Roland. "Improving access to clinical supervision through action research with community nurses : what are the build and design criteria for an online virtual environment for clinical supervision?" Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/341113/.

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Access to clinical supervision is an enduring enigma to many nurses and other healthcare professionals. The aim of this action research study was to bring about the potential for a change in the practice of clinical supervision (CS) by developing a solution to the problem of access. This was achieved in collaboration with community nurses and a range of other staff from one NHS Primary Care Trust. The solution proposed was the development of a new mode of delivery: online clinical supervision. Holter and Schwartz-Barcott’s (1993) Technical Collaborative Approach was used to identify potential user (Supervisee, Supervisors and Management) requirements for an online environment for CS. The research was conducted in three stages. The first stage ‘Conceptualisation’ involved the identification and exploration of the problem as well as the initial steps in discovering how the problem could be addressed. Central to this was the engagement with the stakeholders. The second stage ‘Designing the Solution’ was a synthesis of activities undertaken by focus groups in order to determine what a potential online environment might look and feel like, as well as how it might function. Analysis was through a continuous, iterative, cyclical process of member checking. Schach’s (1999) Life Cycle Model (adapted) and Lengel’s (2001) Website Design Principles were used as a theoretical frame to guide the solicitation of the required design and build criteria. The final stage was ‘Evaluation’, participants evaluated the design and build criteria they had developed using a SWOT analysis, and finally the experience of undertaking action research was captured through a self completion questionnaire. In conclusion, this research has identified what an online environment for CS could look like, as well as how it might function, thus opening up the possibility of improving access to CS. The research also highlighted a potential tension between the users’ desire for privacy and the employers’ desire for access to information. Future negotiations are required to determine how this tension could be managed. The likely impact of this development, if implemented, will be more community nurses and others undertaking CS at a time and place that is convenient to them, potentially making CS available (via a user-centred design) 24 hours-a-day, seven days-a-week a reality.

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Platt, Jason James Sandberg Jonathan. "Supervision and clinical competency evaluations the influence of the supervisor's gender /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2004. http://wwwlib.umi.com/cr/syr/main.

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Duncan-Grant, Alec. "Clinical supervision activity among mental health nurses : a critical organizational ethnography." Thesis, University of Brighton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299192.

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This qualitative study IS underpinned by interpretive-constructionist methodological governing principles, and took shape around a developing research focus and aim rather than in relation to pre-existing research questions. The focus of the research is on clinical supervision activity. This refers to formal and informal research encounters with participants and significant others in the organization in which the study was carried out, about: the experience of the practice of clinical supervision; attempts to translate textual prescription and description of clinical supervision into organizational reality; finally, the meaning endowment placed on both of the above by myself, my participants, and significant others associated with my research. In order to address an important gap in the literature, the aim of the research developed as the need to unpack and clarify the meaning, and the affective and organizational theoretical implications of clinical supervision activity. Part one of the ethnographic report is constructed around three overlapping categories: owning, resisting and feeling. These categories are developed around the proposition that the bureaucratic rationality inscribed within both the literature on clinical supervision, and in organizational attempts to implement it, fails to take account of both the emotional underlife of the organization and otherorganizational factors. Specifically, I argue that clinical supervision activity, and my inscription within it as 'insider' researcher', was influenced, shaped and constrained by the pre-existing interpersonal rules and norms of the organization in which my research was conducted. Those governed what could and could not be done or said in or about clinical supervision activity, arguably undermining organizational goals to implement it. Part two of the ethnography explores the maIn theoretical and conceptual implications an sIng from the preceding ethnographic construction, around structural organizational power and politics. This addresses a significant gap in the contemporary literature in clinical supervision in nursing and mental health nursing. I conclude with a critical auto-critique of the study itself, around a discussion of its strengths and limitations and possible future research directions

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Brocklehurst, Neil John. "An evaluation study of clinical supervision programmes in six NHS trusts." Thesis, University of Birmingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322382.

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Williams, A. Lynn. "Updates on the Role and Importance of Clinical Education and Supervision." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2033.

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The core values, need, and benefits of clinical education/supervision will be presented, along with recommendations of the 2016 ASHA Ad Hoc Committee on Supervision Training. Information on ASHA resources and training opportunities within clinical education/supervision will be shared with regard to the Run-Grow-Transform model of the ASHA Strategic Pathway.

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Bowman, Denine Rachelle. "Do Art Tasks Enhance the Clinical Supervision of Counselors-in-Training?" Diss., Virginia Tech, 2003. http://hdl.handle.net/10919/28138.

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Creative supervision interventions are suggested to be supportive of mental health supervisees' professional development. Yet, empirical evidence of the utility of such interventions is limited. The purpose of this study was to explore whether a creative intervention, specifically visual art, enhances clinical supervision. Enhancement was operationalized using likert scaled questions to measure: (1) participants' level of enjoyment of the art task intervention, (2) participants' perceived level of benefit derived from the art task intervention, and (3) how often participants used art tasks in counseling their own clients. Additionally, "creativity" was correlated to the dependent variables. Creativity was operationalized using the Barron-Welsh Art Scale and the Remote Associates Test. The art task interventions were administered in the clinical supervision of master's-level counseling internship students at two Universities located in the Washington D.C. metropolitan area. Supervisees engaged in visual art exercises, and subsequent discussions, during the spring 2003 semester of their internship class. Demographic information and likert-scaled responses measuring the dependent variables were reported using percentages. Dependent variables were correlated with creativity levels. Qualitative responses on the Exit Questionnaire were summarized and reported. Results suggested that participants enjoyed and benefited from supervision involving art tasks, and that a statistically significant relationship exists between creativity (as measured by the Barron-Welsh Art Scale) and enjoyment of the art tasks. While more participants overall used art in counseling their clients after participating in the study, the number of times participants used art tasks did not increase.
Ph. D.

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Diaz, Emma. "Redefining resistance: Exploring how multiracial women promote justice during clinical supervision." OpenSIUC, 2020. https://opensiuc.lib.siu.edu/dissertations/1843.

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The current study examined the way that personal identities influenced psychology trainees’ experiences during clinical supervision and how these trainees engaged in multicultural conversations during this process. Researchers have identified the ways that systemic andinterpersonal marginalization are pervasive across contexts and affect one’s well-being. This is present both in general graduate school experiences as well as the clinical supervision process. Few researchers have explored the experiences of multiracial women in graduate school and supervision. Further, there is a dearth of literature exploring how supervisees promote justice through resistance during the supervision process. This study filled that gap by exploring the way that multiracial trainees engaged in intersectional resistance during the supervision process. A consensual qualitative paradigm was used to highlight participant voices and providean exploratory examination of these experiences. Core domains identified included: community, participant identity, graduate programexperiences, positive experiences in clinical supervision, challenges in clinical supervision, experiences of multiracial identity, multicultural considerations, resistance, and recommendations. Participants defined resistance as speaking out about injustice, advocating for clients, and helping others to see new perspectives. Identity and resistance were best conceptualized from an ecological framework that examined the impact of graduate school context (e.g., peers, supervision). The supervisory relationship was a particularly important factor that impacted participants’ ability to engage in resistance. Implications for supervisorsand trainees are explored.

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Dobney, William Lloyd. "Institutionalization of clinical supervision in the public schools of North Carolina." Diss., Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/50007.

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During the 1982-83 school year, public school districts in North Carolina were given the option of using clinical supervision as part of a state-wide performance appraisal process. This option resulted in considerable variation in the implementation and institutionalization of clinical supervision in schools and provided the opportunity to study variables associated with the institutionalization of change in school systems. Berman’s (1981) implementation paradigm was used to identify and categorize predictors of institutionalization. A set of five variables was selected as having the best potential for accounting for the variation in institutionalization of clinical supervision in the public schools of North Carolina. 1. Principal’s perception of the amount of time required to perform one clinical supervision cycle. 2. Amount of internal support for clinical supervision. 3. Amount of training in clinical supervision. 4. Principal’s belief in the effectiveness of clinical supervision. 5. Type of school administered. A Principal’s Survey was developed and mailed to a random sample of 450 public school principals in North Carolina. Information was received from 288 principals (64%). A follow-up survey of nonrespondents verified the representativeness of the original respondents. Principals responding to the follow-up survey were added to the original respondents for a total sample of 300 principals (67%). Multiple regression analysis was applied to the data with institutionalization as the dependent variable. The multiple R was .30 and R² was .09 (F = 4.03, p < .00). Internal support was the only significant predictor of institutionalization (b = .20, t = 3.62, p < .05). Two demographic variables, age and sex, were added to the multiple regression as a side analysis. With these 4 variables added, an R² of .10 was obtained (F = 3.37, p < .001). Age was determined to be a statistically significant predictor of institutionalization (b = -.06, t = -2.48, p < .05).
Ed. D.
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Miller, Mark Ian. "The supervisory alliance and psychology interns disclosures of clinically relevant events in supervision." Thesis, Pepperdine University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10145411.

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The purpose of this study was to examine the relationship between the bond component of the supervisory alliance and trainee disclosure of clinically relevant events in supervision. This is a procedural replication of Okek’s 2013 study using a novel analog-based survey assessing for willingness and likelihood of disclosure provided scenarios in psychotherapy practice, as well as bond, degree of collaboration in the supervisory relationship, and degree of hierarchy within the respondents’ respective internship training sites. One hundred, eighty-nine predoctoral psychology interns ( N = 189) completed the web-based self-report questionnaires assessing willingness and likelihood of disclosure provided scenarios in psychotherapy practice, as well as alliance bond, degree of collaboration in the supervisory relationship, and degree of hierarchy within the respondents’ respective internship training sites, and demographic items. Analyses revealed statistically significant positive correlations between (a) the supervisory alliance and comfort with and likelihood of disclosure, (b) supervisory alliance and participants’ perception of collaboration within their supervisory relationships. No relationship was found between supervisory alliance and perceived degree of hierarchy at respondents’ training sites. This study supports and expands on previous research on disclosure and supervisory alliance. Implications for supervision and clinical practice are explored.

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Eisert, Shelly. "Addressing Limited Clinical Experiences for Nursing Students." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1005.

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This descriptive case study addressed the problem that nursing students at a small community college lacked clinical experiences that promoted identification of their strengths and weaknesses in knowledge and skills expected of nurses. The interest in this individual case and purpose of this study was to understand the clinical learning activities nursing students at this site believed were effective strategies for evaluating their strengths and assessing areas needing improvement in their nursing practice. The theoretical foundation of adult learning formed the basis of this descriptive case study using a survey design to assess the students' perceptions of clinical learning activities that were effective for evaluating their strengths and weaknesses in their nursing practice. Descriptive statistics including frequencies and percentages of responses to a survey were used to summarize data related to the students' preferences for learning based on clinical activities. Key findings indicated that a large percentage of nursing students at the site strongly agreed that high-fidelity simulation was an effective strategy for evaluating strengths and assessing areas needing improvement in their nursing practice. Based on the findings, a curriculum plan with tools to prepare nursing educators to facilitate debriefing to enhance clinical learning activities was developed for the local school of nursing. The results of this study can be used by nursing educators as they integrate active learning and assessment activities, particularly high-fidelity simulation, into nursing education at this site. The findings could contribute to positive social change when nursing educators at the site are empowered to implement and assess components of the curriculum plan to positively impact nursing students' ability to reflect and evaluate their nursing practice resulting in improving their learning and nursing care.

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Lundblad, Frans. "Handledning : Handledarnas upplevelse av handledning under VFU för specialistsjuksköterskor i psykiatri." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-18292.

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Det saknas studier hur handledarna upplever handledning på avancerad nivå inom psykiatrisk omvårdnad. Rollen handledarna har är komplex, de ska både fungera som en mentor och som den som bedömer studenternas prestationer samt ge god vård åt patienten. Syftet med denna studie är att belysa hur handledning upplevs av den handledande sjuksköterskan under Verksamhetsförlagd utbildning (VFU) för specialistsjuksköterskor i psykiatri. Att få kunskapen studien genererar skapar förutsättningar för organisationen och universitetet att anpassa utbildning och återkoppling som gynnar handledarna och studenternas utveckling samt höjer vårdkvaliteten för patienterna. En explorativ kvalitativ ansats enligt fokusgruppsintervjuer har ansetts lämplig för studien då målet är att fånga vidden och komplexiteten i handledning. När deltagarna dras med i diskussionen skapas ett reflekterade klimat som på ett omfattande sätt belyser individens upplevelser, tankar och känslor. Studien kommer att utföras inom psykiatriska kliniken på Länssjukhuset Ryhov efter tillstånd från etisk kommitté.

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Caldwell, Sarah B. S. "The Relationship between the Supervisory Working Alliance and Student Self-efficacy in Genetic Counseling Training." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491317155857356.

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Dissertations / Theses on the topic 'Clinical supervision'

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