Handledningsstrategier i omvårdnad

Abstract

The study aimed a) to describe existing models in clinical nursing supervision in Sweden and b) to obtain a deeper understanding of the paradigms governing different supervision models. All University Colleges of Nursing and Health Sciences in Sweden were mailed a questionnaire concerning different aspects of clinical nursing supervision. Of the one third (n=13) of the Colleges who had some kind of educational program in nursing supervision, five different models of supervision were identified. The Colleges educational programs in nursing supervision were used as a base to select at random four clinical nursing supervisors, who then were interviewed. The interviews were analysed using a paradigm interpreting method resulting in a chart of the paradigm components held by the clinical nursing supervisors. The results showed that although the supervision programmes of the 13 colleges were of different direction, length and content, there were some pervading components in all programmes. The Colleges showed poor knowledge about each others programs. Analysis of the interviews with the clinical nursing supervisors showed they had difficulties in articulating the theoretical frame of their supervision, whereas the practical aspects were easier to express. The rituals around the supervision sessions seemed more important than the theoretical frame. Another interpretation were that the supervisors personal paradigm also influenced the way the supervision was carried out.