Guest guest Posted February 27, 2002 Report Share Posted February 27, 2002 Dear Ann For many years when I heard the word supervision it meant to me - someone else will really be in charge of my work and will ensure that what I do each day ,in each letter I wrote, in each consultaation (I am a GP) was right and corrected by the supervisior if he/she could see the fault. I had in fact a perfectionist model of what a supervisor might be and might do. Naturally I resisted the idea very strongly after so many years of education ,training and experiance. Later , with the help of a senior counsellor I came to see that the true role of the supervisor is to be doing " super - vision " i.e. to be able to SEE things in my thought processes and in my practice that I could not see for myself because of my previous experiance,faulty training, pre-conceptions,being too close to the action etc. I have now come to value very highly the role of the one who can do " super-vision " and at the same time be empathic, encouraging, supportive and human. I also think now that every GP ,Health Visitor, Nurse Practitioner i.e. all who share the personal and social problems of people attending primary care facilities in the NHS ought to have a " super - visor " person whom they see regularly.This ought to be part of the occupational health service for Primary Care which is just now being set up. The resource implications would be massive but for want of this support for Priomary Care workers many are now wanting to leave their roles in their early fifties and are doing so amongst GPs (not sure re HVs ) which is obviously a huge waste of talent and experiance. There is a wonderful book by Dr Linden West (just published last year) called " Doctors on the Edge " which illustrates in great detail what happens to doctors when they have no " super-vision " . I will post full details of the book on SENATE in a day or two. Best wishes, Malcolm Clinical Supervision. > > > > Hi,I am looking for your views on clinical supervision.From any point of > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > appreciate your thoughts on it as part of my thesis.Many thanks for your > help. Ann Ebeid. > > > > > _________________________________________________________________ > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 Hi Ann, I strongly think the term clinical supervision should be renamed clinical or professional 'coaching'. I also think supervision means being supervised and 'controlled' good CS is about coaching to help a person or group develop in their practice and generally. Its an excellent concept, as always, if done well. Xena >>> annebeid@... 02/28/02 07:01am >>> Hi,I am looking for your views on clinical supervision.From any point of view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, Sn's, Nn's,Rn's, -I am not interested in any particular status but would appreciate your thoughts on it as part of my thesis.Many thanks for your help. Ann Ebeid. _________________________________________________________________ Send and receive Hotmail on your mobile device: http://mobile.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 Thank you-I liked the insight -super vision.Regards, Ann Ebeid.I look forward to furtger insights! >From: " M.Rigler " <M.Rigler@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Thu, 28 Feb 2002 07:53:14 -0000 > >Dear Ann > For many years when I heard the word supervision it meant to me >- >someone else will really be in charge of my work and will ensure that what >I >do each day ,in each letter I wrote, in each consultaation (I am a GP) was >right and corrected by the supervisior if he/she could see the fault. I had >in fact a perfectionist model of what a supervisor might be and might do. >Naturally I resisted the idea very strongly after so many years of >education >,training and experiance. > > Later , with the help of a senior counsellor I came to see that the >true role of the supervisor is to be doing " super - vision " i.e. to be >able to SEE things in my thought processes and in my practice that I >could >not see for myself because of my previous experiance,faulty training, >pre-conceptions,being too close to the action etc. I have now come to >value >very highly the role of the one who can do " super-vision " and at the same >time be empathic, encouraging, supportive and human. > I also think now that every GP ,Health Visitor, Nurse Practitioner >i.e. all who share the personal and social problems of people attending >primary care facilities in the NHS ought to have a " super - visor " person >whom they see regularly.This ought to be part of the occupational health >service for Primary Care which is just now being set up. The resource >implications would be massive but for want of this support for Priomary >Care >workers many are now wanting to leave their roles in their early fifties >and are doing so amongst GPs (not sure re HVs ) which is obviously a huge >waste of talent and experiance. > There is a wonderful book by Dr Linden West (just published last year) >called " Doctors on the Edge " which illustrates in great detail what >happens >to doctors when they have no " super-vision " . I will post full details of >the >book on SENATE in a day or two. > Best wishes, Malcolm > Clinical Supervision. > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point of > > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > > appreciate your thoughts on it as part of my thesis.Many thanks for your > > help. Ann Ebeid. > > > > > > > > > > _________________________________________________________________ > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 Thanks,Xena-from experience so far it would appear that the term is synonymous with accountability and control. Many thanks, Ann. >From: " Xena Dion " <dionx@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Thu, 28 Feb 2002 09:28:21 +0000 > >Hi Ann, I strongly think the term clinical supervision should be renamed >clinical or professional 'coaching'. I also think supervision means being >supervised and 'controlled' good CS is about coaching to help a person or >group develop in their practice and generally. Its an excellent concept, >as always, if done well. >Xena > > >>> annebeid@... 02/28/02 07:01am >>> > > > >Hi,I am looking for your views on clinical supervision.From any point of >view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, >Sn's, Nn's,Rn's, -I am not interested in any particular status but would >appreciate your thoughts on it as part of my thesis.Many thanks for your >help. Ann Ebeid. > > > > >_________________________________________________________________ >Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 I liked that too Malcolm thanks for sharing that >From: " ann ebeid " <annebeid@...> >Reply- > >Subject: Re: Clinical Supervision. >Date: Thu, 28 Feb 2002 19:04:56 +0000 > >Thank you-I liked the insight -super vision.Regards, Ann Ebeid.I look >forward to furtger insights! > > > >From: " M.Rigler " <M.Rigler@...> > >Reply- > >< > > >Subject: Re: Clinical Supervision. > >Date: Thu, 28 Feb 2002 07:53:14 -0000 > > > >Dear Ann > > For many years when I heard the word supervision it meant to >me > >- > >someone else will really be in charge of my work and will ensure that >what > >I > >do each day ,in each letter I wrote, in each consultaation (I am a GP) >was > >right and corrected by the supervisior if he/she could see the fault. I >had > >in fact a perfectionist model of what a supervisor might be and might >do. > >Naturally I resisted the idea very strongly after so many years of > >education > >,training and experiance. > > > > Later , with the help of a senior counsellor I came to see that >the > >true role of the supervisor is to be doing " super - vision " i.e. to be > >able to SEE things in my thought processes and in my practice that I > >could > >not see for myself because of my previous experiance,faulty training, > >pre-conceptions,being too close to the action etc. I have now come to > >value > >very highly the role of the one who can do " super-vision " and at the same > >time be empathic, encouraging, supportive and human. > > I also think now that every GP ,Health Visitor, Nurse >Practitioner > >i.e. all who share the personal and social problems of people attending > >primary care facilities in the NHS ought to have a " super - visor " >person > >whom they see regularly.This ought to be part of the occupational health > >service for Primary Care which is just now being set up. The resource > >implications would be massive but for want of this support for Priomary > >Care > >workers many are now wanting to leave their roles in their early fifties > >and are doing so amongst GPs (not sure re HVs ) which is obviously a >huge > >waste of talent and experiance. > > There is a wonderful book by Dr Linden West (just published last year) > >called " Doctors on the Edge " which illustrates in great detail what > >happens > >to doctors when they have no " super-vision " . I will post full details of > >the > >book on SENATE in a day or two. > > Best wishes, Malcolm > > Clinical Supervision. > > > > > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point >of > > > view.As supervisor, supervisee, one to one, groups.-any which >way.Hv's, > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but >would > > > appreciate your thoughts on it as part of my thesis.Many thanks for >your > > > help. Ann Ebeid. > > > > > > > > > > > > > > > _________________________________________________________________ > > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 Hello Ann, I was responsible for trying to introduce clinical supervision across a community and mental health trust for two years. My remit was at first to introduce clinical supervision to health visitors and community nurses. I worked with staff in small groups to see what they would want and how they would like to see it introduced trying to tease out what would be most useful. some staff wanted one to one clinical supervision and others group supervision. We tried to be flexible as staff find support and learn in different ways. We had a very good training from Meg Bond who wrote the book 'Clinical Supervision for Nurses' which I am sure you will have seen. I felt that one key to success was training supervisees. If they know what they want from the supervision process and are empowered to ensure that they get it then all will be well. No-one was a supervisor who wasn't in supervision themselves. Supervisors were also trained but the bulk of the training time was for supervisees as that was all the staff. Supervisors were allowed no more than two supervisees unless they had a group and then the groups should be no more than six so that everyone got their fair share of time. Staff were allowed clinical supervision once a month. The second key to successful implementation is management support. Management can feel incredibly threatened by this if they feel that they must be in control. In this trust managers were not supervisors. There was strong feeling amongst staff that the clinical supervision and the management function should be separate which I upheld. Interestingly in the Forensic and Mental Health units clinical supervision had been around for about five years before I came on the scene. Here it was absolutely woven into the management structure. I carried out an evaluation in both units and found that staff did not in fact attend as often as I was given to understand as they were allocated supervisors and were not allowed choice. Furthermore the supervisor was likely to be their line manager and some staff then avoided clinical supervision if they possibly could. Following the evaluation we set up a new system in the forensic unit so that all staff were re-trained in supervisee skills and were allowed a choice of newly trained supervisors. Like Malcolm the term clinical supervisor need re-interpreting to be one with 'super-vision' When this was done and a better understanding of what the terms truly meant was achieved mostly resistance was overcome. Clinical supervision needs to be well supported by management to ensure that staff attend and that it is valued. Too often Trusts only pay lip service to its implementation so that they can say that their staff have access to it. After all that's all that the UKCC statement on clinical supervision says. Until it becomes mandatory Trusts just will not really invest in it for their nursing and health visiting staff. If I can be of any further help do contact me direct. tel 01992 893989 Re: Clinical Supervision. > Hi Ann, I strongly think the term clinical supervision should be renamed clinical or professional 'coaching'. I also think supervision means being supervised and 'controlled' good CS is about coaching to help a person or group develop in their practice and generally. Its an excellent concept, as always, if done well. > Xena > > >>> annebeid@... 02/28/02 07:01am >>> > > > > Hi,I am looking for your views on clinical supervision.From any point of > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > appreciate your thoughts on it as part of my thesis.Many thanks for your > help. Ann Ebeid. > > > > > _________________________________________________________________ > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 Ann, When I returned back to work in my present trust (over 5 years ago) clinical supervision was just starting to happen. Staff had a choice to do a two day training programme to enable them to be clinical supervisors. All staff were actively encouraged to persue their own supervision via a supervisor of their choice from a list that was circulated. Whether that supervision was done on a one-to-one basis or group was entirely up to the individual. I did do the training and see 5 individuals on a one-to-one basis (2 HV's 2 comm RN's & 1 comm hospital RN). Bank time is used to cover my 'time out'. From a professional point of view I find the clinical supervision I receive invaluable and fundamental to my practice and of course part of clinical governance. I would suggest the reason clincial supervision works within my trust is because: we have a choice of supervisor supervisors did the training and have become supervisors because they had an interest (I think that's fundamental) a choice of group or one-to-one (most staff opt for one-to-one) a structured framework is used the trust have signed up to it and have allowed extra money to cover caseloads for supervisors (finding the bank staff is the problem!) staff have become committed to the concept (audit has shown that staff find clincial supervision beneficial) each supervisor/supervisee decide what notes to keep (if any) and confidentiality is paramount I dislike the term 'supervision' but now see it differently .... super vision ........ thank you! My supervisor certainly has just that - and on reflection that is why I chose her of course!! Good luck with the thesis. Clinical Supervision. Hi,I am looking for your views on clinical supervision.From any point of view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, Sn's, Nn's,Rn's, -I am not interested in any particular status but would appreciate your thoughts on it as part of my thesis.Many thanks for your help. Ann Ebeid._________________________________________________________________Send and receive Hotmail on your mobile device: http://mobile.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 , You are always a wealth of knowledge. Found your response informative and useful for those of us too who are sold on clinical supervsion .... but maybe need to revisit some of the initial principles that may have got lost in practice! Where is Meg Bond these days? She taught on my health visiting course. Regards Re: Clinical Supervision.> Hi Ann, I strongly think the term clinical supervision should be renamedclinical or professional 'coaching'. I also think supervision means beingsupervised and 'controlled' good CS is about coaching to help a person orgroup develop in their practice and generally. Its an excellent concept, asalways, if done well.> Xena>> >>> annebeid@... 02/28/02 07:01am >>>>>>> Hi,I am looking for your views on clinical supervision.From any point of> view.As supervisor, supervisee, one to one, groups.-any which way.Hv's,> Sn's, Nn's,Rn's, -I am not interested in any particular status but would> appreciate your thoughts on it as part of my thesis.Many thanks for your> help. Ann Ebeid.>>>>> _________________________________________________________________> Send and receive Hotmail on your mobile device: http://mobile.msn.com>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2002 Report Share Posted February 28, 2002 LIkewise but as Xena says within nursing it is often about command and control or felt to be. Midwives however have statutory supervison and have worked hard in recent years to change its emphasis and most now see it as very positive and helpful. Having been on the receiving end of supervision in a counselling sense, I have always found the nursing attitude strange and do feel it probably says as much or more about nursing and its culture and in turn the way supervision is interpreted and offered than the act itself. Margaret Clinical Supervision. > > > > > > > > > > > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point > >of > > > > view.As supervisor, supervisee, one to one, groups.-any which > >way.Hv's, > > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but > >would > > > > appreciate your thoughts on it as part of my thesis.Many thanks for > >your > > > > help. Ann Ebeid. > > > > > > > > > > > > > > > > > > > > _________________________________________________________________ > > > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Anne Might sound a bit religious I know but there is a saying in the Old Testament of the Christian Bible which reads " Get wisdom get insight , wisdom is more to be desired than gold , much fine gold " . By seeking funds from PCTs for " super - vision " we are, I think, asking them to give us some gold that , when devoted to professional development leading to wiser community practitioners , will be turned into something i.e. wisdom , that is of more value than the gold they give us . In the business world all the talk is of doing things to materials and products that " add value " . In community practice and health visiting we can quite rightly claim to be turning gold into something much more valuable. I wonder how many PCT board members would have the slightest idea about what I am talking about ? Regards, Malcolm PS I am feeling my way towards a notion of the Community Practitioner and Health Visitor as a " Social Alchemist " ( turning something/some persons not of value into persons of great value ) . Not ,I know , an entirely new term but one which has yet to be given any space in our journal " Community Practitioner " . Clinical Supervision. > > > > > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point of > > > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > > > appreciate your thoughts on it as part of my thesis.Many thanks for your > > > help. Ann Ebeid. > > > > > > > > > > > > > > > _________________________________________________________________ > > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Hi Ann I am co-ordinator of clinical supervison in Ipswich for Health visitors, staff nurses and soon to be nursery nurses. Clinical supervision was implemented in Ipswich last March. I had moved from Harrow and Hillingdon where clinical supervision was up and running and I was disappointed that to find that when I moved to Ipswich it was not in place. I have always found clinical supervision invaluable and a vital part of my professional development and stress management. There have been many incidents where I have sought support and guidance through the reflective nature of clinical supervision, this has ranged from being attacked at work to trouble with colleagues to my general practice as a health visitor. Our training involved some colleagues who have studied a module of clinical supervison to give insight into the principles of clinical supervision, issues of clinical goverance and I gave examples of my positive experience of receiving clinical suprvision. Each health visitor and staff nurse received the same training - we did not differentiate between those who were supervisors and supervisees. Each person had a choice of 3 people who they would like to have supervision with and from that list each person was allocated a supervisor. This I felt was one of the keys to success. It had been decided through a questionnaire previously that each person wanted one to one supervison. I have recently conducted a audit and the results were very positive and many of the local PCT's have shown interest in our methods of implementation, which my fellow co-ordinator Beverley has been allocated 2 days a week to take it further. The vast majority of people had found it beneficial to them where they had time to reflect, to discuss sensitive issues, to unload their concerns and that it was not a waste of valuable clinical time. Many discussed the benefits of getting away from the office and the telephone and having time to discuss issues which were concerning them. I must also mention that we received lots of positive encouragement from management to set up clinical supervision but it was clearly kept separate from the managers who only have access to logs to clarify who is having clinical supervison but nothing about the content of those confidential sessions. We have also set up supervision for the supervisors which we call 'Peer Group Supervision' as the supervisors felt that it that group was more for support among our colleagues. I feel very positive about clincial supervision and on a personal front it has helped me to discuss issues which were concerning me and whom I could not always discuss with my colleagues or my manager.I have also benefited from the educative role of clinical supervision and I regularly discuss issues about my personal development in my sessions. If there are any other issues you would like to discuss I can be contacted on 01473 710126/688158 Rita Jenner Clinical Supervision. > > > > Hi,I am looking for your views on clinical supervision.From any point of > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > appreciate your thoughts on it as part of my thesis.Many thanks for your > help. Ann Ebeid. > > > > > _________________________________________________________________ > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Thanks -can you tell me a little bit about supervisee training and evaluation please. Ann. >From: " Bidmead " <christine@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Thu, 28 Feb 2002 20:41:39 -0000 > >Hello Ann, > >I was responsible for trying to introduce clinical supervision across a >community and mental health trust for two years. > >My remit was at first to introduce clinical supervision to health visitors >and community nurses. I worked with staff in small groups to see what they >would want and how they would like to see it introduced trying to tease out >what would be most useful. some staff wanted one to one clinical >supervision and others group supervision. We tried to be flexible as staff >find support and learn in different ways. We had a very good training from >Meg Bond who wrote the book 'Clinical Supervision for Nurses' which I am >sure you will have seen. > >I felt that one key to success was training supervisees. If they know what >they want from the supervision process and are empowered to ensure that >they >get it then all will be well. No-one was a supervisor who wasn't in >supervision themselves. Supervisors were also trained but the bulk of the >training time was for supervisees as that was all the staff. Supervisors >were allowed no more than two supervisees unless they had a group and then >the groups should be no more than six so that everyone got their fair share >of time. Staff were allowed clinical supervision once a month. > >The second key to successful implementation is management support. >Management can feel incredibly threatened by this if they feel that they >must be in control. In this trust managers were not supervisors. There >was >strong feeling amongst staff that the clinical supervision and the >management function should be separate which I upheld. > >Interestingly in the Forensic and Mental Health units clinical supervision >had been around for about five years before I came on the scene. Here it >was absolutely woven into the management structure. I carried out an >evaluation in both units and found that staff did not in fact attend as >often as I was given to understand as they were allocated supervisors and >were not allowed choice. Furthermore the supervisor was likely to be their >line manager and some staff then avoided clinical supervision if they >possibly could. > >Following the evaluation we set up a new system in the forensic unit so >that >all staff were re-trained in supervisee skills and were allowed a choice of >newly trained supervisors. > >Like Malcolm the term clinical supervisor need re-interpreting to be one >with 'super-vision' When this was done and a better understanding of what >the terms truly meant was achieved mostly resistance was overcome. > >Clinical supervision needs to be well supported by management to ensure >that >staff attend and that it is valued. Too often Trusts only pay lip service >to its implementation so that they can say that their staff have access to >it. After all that's all that the UKCC statement on clinical supervision >says. Until it becomes mandatory Trusts just will not really invest in it >for their nursing and health visiting staff. > >If I can be of any further help do contact me direct. tel 01992 893989 > > > Re: Clinical Supervision. > > > > Hi Ann, I strongly think the term clinical supervision should be renamed >clinical or professional 'coaching'. I also think supervision means being >supervised and 'controlled' good CS is about coaching to help a person or >group develop in their practice and generally. Its an excellent concept, >as >always, if done well. > > Xena > > > > >>> annebeid@... 02/28/02 07:01am >>> > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point of > > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > > appreciate your thoughts on it as part of my thesis.Many thanks for your > > help. Ann Ebeid. > > > > > > > > > > _________________________________________________________________ > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Thanks Margaret-can you expand a bit on comparisonsin different contexts,please.Ann. >From: " Margaret Buttigieg " <margaret@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Fri, 1 Mar 2002 05:56:23 -0000 > >LIkewise but as Xena says within nursing it is often about command and >control or felt to be. Midwives however have statutory supervison and have >worked hard in recent years to change its emphasis and most now see it as >very positive and helpful. > >Having been on the receiving end of supervision in a counselling sense, I >have always found the nursing attitude strange and do feel it probably says >as much or more about nursing and its culture and in turn the way >supervision is interpreted and offered than the act itself. > >Margaret > Clinical Supervision. > > > > > > > > > > > > > > > > > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any >point > > >of > > > > > view.As supervisor, supervisee, one to one, groups.-any which > > >way.Hv's, > > > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but > > >would > > > > > appreciate your thoughts on it as part of my thesis.Many thanks >for > > >your > > > > > help. Ann Ebeid. > > > > > > > > > > > > > > > > > > > > > > > > > _________________________________________________________________ > > > > > Send and receive Hotmail on your mobile device: >http://mobile.msn.com > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Hi Malcom,whilst agreeing with your notion of ?practical wisdom and believing that is what cs could facilitate I am puzzled by your notion of 'social alchemist' -can you discuss it further please.Ann. >From: " M.Rigler " <M.Rigler@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Fri, 1 Mar 2002 10:59:20 -0000 > >Anne > Might sound a bit religious I know but there is a saying in the Old >Testament of the Christian Bible which reads " Get wisdom get insight , >wisdom is more to be desired than gold , much fine gold " . By seeking funds >from PCTs for " super - vision " we are, I think, asking them to give us >some gold that , when devoted to professional development leading to >wiser >community practitioners , will be turned into something i.e. wisdom , that >is of more value than the gold they give us . In the business world all the >talk is of doing things to materials and products that " add value " . In >community practice and health visiting we can quite rightly claim to be >turning gold into something much more valuable. > I wonder how many PCT board members would have the slightest idea >about >what I am talking about ? > Regards, Malcolm >PS I am feeling my way towards a notion of the Community Practitioner and >Health Visitor as a " Social > Alchemist " ( turning something/some persons not of value into persons of >great value ) . Not ,I know , an entirely new term but one which has yet to >be given any space in our journal " Community Practitioner " . > Clinical Supervision. > > > > > > > > > > > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any >point >of > > > > view.As supervisor, supervisee, one to one, groups.-any which >way.Hv's, > > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but >would > > > > appreciate your thoughts on it as part of my thesis.Many thanks for >your > > > > help. Ann Ebeid. > > > > > > > > > > > > > > > > > > > > _________________________________________________________________ > > > > Send and receive Hotmail on your mobile device: >http://mobile.msn.com > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 Thanks -very helpful to hear your experience of cs. >From: " sean jenner " <jenner@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Fri, 1 Mar 2002 16:54:54 -0000 > >Hi Ann > >I am co-ordinator of clinical supervison in Ipswich for Health visitors, >staff nurses and soon to be nursery nurses. Clinical supervision was >implemented in Ipswich last March. I had moved from Harrow and Hillingdon >where clinical supervision was up and running and I was disappointed that >to >find that when I moved to Ipswich it was not in place. I have always found >clinical supervision invaluable and a vital part of my professional >development and stress management. There have been many incidents where I >have sought support and guidance through the reflective nature of clinical >supervision, this has ranged from being attacked at work to trouble with >colleagues to my general practice as a health visitor. > >Our training involved some colleagues who have studied a module of clinical >supervison to give insight into the principles of clinical supervision, >issues of clinical goverance and I gave examples of my positive experience >of receiving clinical suprvision. Each health visitor and staff nurse >received the same training - we did not differentiate between those who >were >supervisors and supervisees. Each person had a choice of 3 people who they >would like to have supervision with and from that list each person was >allocated a supervisor. This I felt was one of the keys to success. It had >been decided through a questionnaire previously that each person wanted one >to one supervison. I have recently conducted a audit and the results were >very positive and many of the local PCT's have shown interest in our >methods >of implementation, which my fellow co-ordinator Beverley has been >allocated 2 days a week to take it further. The vast majority of people had >found it beneficial to them where they had time to reflect, to discuss >sensitive issues, to unload their concerns and that it was not a waste of >valuable clinical time. Many discussed the benefits of getting away from >the >office and the telephone and having time to discuss issues which were >concerning them. I must also mention that we received lots of positive >encouragement from management to set up clinical supervision but it was >clearly kept separate from the managers who only have access to logs to >clarify who is having clinical supervison but nothing about the content of >those confidential sessions. We have also set up supervision for the >supervisors which we call 'Peer Group Supervision' as the supervisors felt >that it that group was more for support among our colleagues. > >I feel very positive about clincial supervision and on a personal front it >has helped me to discuss issues which were concerning me and whom I could >not always discuss with my colleagues or my manager.I have also benefited >from the educative role of clinical supervision and I regularly discuss >issues about my personal development in my sessions. If there are any other >issues you would like to discuss I can be contacted on 01473 710126/688158 > >Rita Jenner > > Clinical Supervision. > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any point of > > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > > Sn's, Nn's,Rn's, -I am not interested in any particular status but would > > appreciate your thoughts on it as part of my thesis.Many thanks for your > > help. Ann Ebeid. > > > > > > > > > > _________________________________________________________________ > > Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2002 Report Share Posted March 1, 2002 As far as I know Meg is working independently doing consultancy in arange of areas but often linked to the supervision agenda. Margaret Re: Clinical Supervision.> Hi Ann, I strongly think the term clinical supervision should be renamedclinical or professional 'coaching'. I also think supervision means beingsupervised and 'controlled' good CS is about coaching to help a person orgroup develop in their practice and generally. Its an excellent concept, asalways, if done well.> Xena>> >>> annebeid@... 02/28/02 07:01am >>>>>>> Hi,I am looking for your views on clinical supervision.From any point of> view.As supervisor, supervisee, one to one, groups.-any which way.Hv's,> Sn's, Nn's,Rn's, -I am not interested in any particular status but would> appreciate your thoughts on it as part of my thesis.Many thanks for your> help. Ann Ebeid.>>>>> _________________________________________________________________> Send and receive Hotmail on your mobile device: http://mobile.msn.com>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2002 Report Share Posted March 2, 2002 From Lund-Lack As one who has been on the receiving and giving end of supervision here in Ipswich I can support everything that Rita Jenner wrote. She and her colleague Beverley did a really good job in getting it going. As a CPT I feel that CPTs should be an important staff group to be involved in setting up supervision as their role with students gives them a headstart in understanding the process. In Robotham and Sheldrake's HV book the role of the CPT and student is described as continuous reflective practice - is this not the foundation of Clinical Supervision? One more thing, don't just talk about getting it going in your area - do it. It's not rocket science. Once we'd decided we were going to do it we worked out a model and some protocols/ground rules held a couple of mandatory study days and got started. Simple as that. We had a senior lecturer from Suffolk College who was doing a PhD in CS who gave some guidance and encouragement and reinforced the 'get on with it' principle. I think that CS is often viewed with mystique and suspicion. No need for that, embrace it! rom: ann ebeid Sent: Friday, March 01, 2002 7:07 PM Subject: Re: Clinical Supervision. Thanks -can you tell me a little bit about supervisee training and evaluation please. Ann.>From: " Bidmead" <christine@...>>Reply- >< >>Subject: Re: Clinical Supervision.>Date: Thu, 28 Feb 2002 20:41:39 -0000>>Hello Ann,>>I was responsible for trying to introduce clinical supervision across a>community and mental health trust for two years.>>My remit was at first to introduce clinical supervision to health visitors>and community nurses. I worked with staff in small groups to see what they>would want and how they would like to see it introduced trying to tease out>what would be most useful. some staff wanted one to one clinical>supervision and others group supervision. We tried to be flexible as staff>find support and learn in different ways. We had a very good training from>Meg Bond who wrote the book 'Clinical Supervision for Nurses' which I am>sure you will have seen.>>I felt that one key to success was training supervisees. If they know what>they want from the supervision process and are empowered to ensure that >they>get it then all will be well. No-one was a supervisor who wasn't in>supervision themselves. Supervisors were also trained but the bulk of the>training time was for supervisees as that was all the staff. Supervisors>were allowed no more than two supervisees unless they had a group and then>the groups should be no more than six so that everyone got their fair share>of time. Staff were allowed clinical supervision once a month.>>The second key to successful implementation is management support.>Management can feel incredibly threatened by this if they feel that they>must be in control. In this trust managers were not supervisors. There >was>strong feeling amongst staff that the clinical supervision and the>management function should be separate which I upheld.>>Interestingly in the Forensic and Mental Health units clinical supervision>had been around for about five years before I came on the scene. Here it>was absolutely woven into the management structure. I carried out an>evaluation in both units and found that staff did not in fact attend as>often as I was given to understand as they were allocated supervisors and>were not allowed choice. Furthermore the supervisor was likely to be their>line manager and some staff then avoided clinical supervision if they>possibly could.>>Following the evaluation we set up a new system in the forensic unit so >that>all staff were re-trained in supervisee skills and were allowed a choice of>newly trained supervisors.>>Like Malcolm the term clinical supervisor need re-interpreting to be one>with 'super-vision' When this was done and a better understanding of what>the terms truly meant was achieved mostly resistance was overcome.>>Clinical supervision needs to be well supported by management to ensure >that>staff attend and that it is valued. Too often Trusts only pay lip service>to its implementation so that they can say that their staff have access to>it. After all that's all that the UKCC statement on clinical supervision>says. Until it becomes mandatory Trusts just will not really invest in it>for their nursing and health visiting staff.>>If I can be of any further help do contact me direct. tel 01992 893989>>> Re: Clinical Supervision.>>> > Hi Ann, I strongly think the term clinical supervision should be renamed>clinical or professional 'coaching'. I also think supervision means being>supervised and 'controlled' good CS is about coaching to help a person or>group develop in their practice and generally. Its an excellent concept, >as>always, if done well.> > Xena> >> > >>> annebeid@... 02/28/02 07:01am >>>> >> >> >> > Hi,I am looking for your views on clinical supervision.From any point of> > view.As supervisor, supervisee, one to one, groups.-any which way.Hv's,> > Sn's, Nn's,Rn's, -I am not interested in any particular status but would> > appreciate your thoughts on it as part of my thesis.Many thanks for your> > help. Ann Ebeid.> >> >> >> >> > _________________________________________________________________> > Send and receive Hotmail on your mobile device: http://mobile.msn.com> >> >> >> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2002 Report Share Posted March 2, 2002 Thanks -can you remember the name of the researcher please-I'd like to contact her. Thanks.Ann. >From: " Tom Lund-Lack " <tcll@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Sat, 2 Mar 2002 10:21:28 -0000 > >From Lund-Lack >As one who has been on the receiving and giving end of supervision here in >Ipswich I can support everything that Rita Jenner wrote. She and her >colleague Beverley did a really good job in getting it going. As a >CPT I feel that CPTs should be an important staff group to be involved in >setting up supervision as their role with students gives them a headstart >in understanding the process. In Robotham and Sheldrake's HV book the role >of the CPT and student is described as continuous reflective practice - is >this not the foundation of Clinical Supervision? >One more thing, don't just talk about getting it going in your area - do >it. It's not rocket science. Once we'd decided we were going to do it we >worked out a model and some protocols/ground rules held a couple of >mandatory study days and got started. Simple as that. We had a senior >lecturer from Suffolk College who was doing a PhD in CS who gave some >guidance and encouragement and reinforced the 'get on with it' principle. I >think that CS is often viewed with mystique and suspicion. No need for >that, embrace it! >rom: ann ebeid > > Sent: Friday, March 01, 2002 7:07 PM > Subject: Re: Clinical Supervision. > > > Thanks -can you tell me a little bit about supervisee training >and > evaluation please. Ann. > > > >From: " Bidmead " <christine@...> > >Reply- > >< > > >Subject: Re: Clinical Supervision. > >Date: Thu, 28 Feb 2002 20:41:39 -0000 > > > >Hello Ann, > > > >I was responsible for trying to introduce clinical supervision across a > >community and mental health trust for two years. > > > >My remit was at first to introduce clinical supervision to health >visitors > >and community nurses. I worked with staff in small groups to see what >they > >would want and how they would like to see it introduced trying to tease >out > >what would be most useful. some staff wanted one to one clinical > >supervision and others group supervision. We tried to be flexible as >staff > >find support and learn in different ways. We had a very good training >from > >Meg Bond who wrote the book 'Clinical Supervision for Nurses' which I >am > >sure you will have seen. > > > >I felt that one key to success was training supervisees. If they know >what > >they want from the supervision process and are empowered to ensure that > >they > >get it then all will be well. No-one was a supervisor who wasn't in > >supervision themselves. Supervisors were also trained but the bulk of >the > >training time was for supervisees as that was all the staff. >Supervisors > >were allowed no more than two supervisees unless they had a group and >then > >the groups should be no more than six so that everyone got their fair >share > >of time. Staff were allowed clinical supervision once a month. > > > >The second key to successful implementation is management support. > >Management can feel incredibly threatened by this if they feel that >they > >must be in control. In this trust managers were not supervisors. >There > >was > >strong feeling amongst staff that the clinical supervision and the > >management function should be separate which I upheld. > > > >Interestingly in the Forensic and Mental Health units clinical >supervision > >had been around for about five years before I came on the scene. Here >it > >was absolutely woven into the management structure. I carried out an > >evaluation in both units and found that staff did not in fact attend as > >often as I was given to understand as they were allocated supervisors >and > >were not allowed choice. Furthermore the supervisor was likely to be >their > >line manager and some staff then avoided clinical supervision if they > >possibly could. > > > >Following the evaluation we set up a new system in the forensic unit so > >that > >all staff were re-trained in supervisee skills and were allowed a >choice of > >newly trained supervisors. > > > >Like Malcolm the term clinical supervisor need re-interpreting to be >one > >with 'super-vision' When this was done and a better understanding of >what > >the terms truly meant was achieved mostly resistance was overcome. > > > >Clinical supervision needs to be well supported by management to ensure > >that > >staff attend and that it is valued. Too often Trusts only pay lip >service > >to its implementation so that they can say that their staff have access >to > >it. After all that's all that the UKCC statement on clinical >supervision > >says. Until it becomes mandatory Trusts just will not really invest in >it > >for their nursing and health visiting staff. > > > >If I can be of any further help do contact me direct. tel 01992 893989 > > > > > > Re: Clinical Supervision. > > > > > > > Hi Ann, I strongly think the term clinical supervision should be >renamed > >clinical or professional 'coaching'. I also think supervision means >being > >supervised and 'controlled' good CS is about coaching to help a person >or > >group develop in their practice and generally. Its an excellent >concept, > >as > >always, if done well. > > > Xena > > > > > > >>> annebeid@... 02/28/02 07:01am >>> > > > > > > > > > > > > Hi,I am looking for your views on clinical supervision.From any >point of > > > view.As supervisor, supervisee, one to one, groups.-any which >way.Hv's, > > > Sn's, Nn's,Rn's, -I am not interested in any particular status but >would > > > appreciate your thoughts on it as part of my thesis.Many thanks for >your > > > help. Ann Ebeid. > > > > > > > > > > > > > > > _________________________________________________________________ > > > Send and receive Hotmail on your mobile device: >http://mobile.msn.com > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2002 Report Share Posted March 2, 2002 from Lund-lack The researcher's name is Goodchild. She is now working in London, can't remember where but Jan Mitcheson would know. Jan is a member of Senate so will probably respond to this. 's work is entitled 'The Idiom of Clinical Supervision' referring to the fact that everybody uses the term 'clinical supervision' as a sort of catch-all without really defining it. Re: Clinical Supervision.> >> >> > > Hi Ann, I strongly think the term clinical supervision should be >renamed> >clinical or professional 'coaching'. I also think supervision means >being> >supervised and 'controlled' good CS is about coaching to help a person >or> >group develop in their practice and generally. Its an excellent >concept,> >as> >always, if done well.> > > Xena> > >> > > >>> annebeid@... 02/28/02 07:01am >>>> > >> > >> > >> > > Hi,I am looking for your views on clinical supervision.From any >point of> > > view.As supervisor, supervisee, one to one, groups.-any which >way.Hv's,> > > Sn's, Nn's,Rn's, -I am not interested in any particular status but >would> > > appreciate your thoughts on it as part of my thesis.Many thanks for >your> > > help. Ann Ebeid.> > >> > >> > >> > >> > > _________________________________________________________________> > > Send and receive Hotmail on your mobile device: >http://mobile.msn.com> > >> > >> > >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2002 Report Share Posted March 2, 2002 Ann yes I think trish goodchilds number might be 01473 785146 (from tel. directory) she completed her research in 2000 and there is probably a copy in University of East Anglia library if that is any help I will also try to get an e-mail address for you but as said she has left suffolk college so I'm not certain if we have best wishes jan Re: Clinical Supervision.> >> >> > > Hi Ann, I strongly think the term clinical supervision should be >renamed> >clinical or professional 'coaching'. I also think supervision means >being> >supervised and 'controlled' good CS is about coaching to help a person >or> >group develop in their practice and generally. Its an excellent >concept,> >as> >always, if done well.> > > Xena> > >> > > >>> annebeid@... 02/28/02 07:01am >>>> > >> > >> > >> > > Hi,I am looking for your views on clinical supervision.From any >point of> > > view.As supervisor, supervisee, one to one, groups.-any which >way.Hv's,> > > Sn's, Nn's,Rn's, -I am not interested in any particular status but >would> > > appreciate your thoughts on it as part of my thesis.Many thanks for >your> > > help. Ann Ebeid.> > >> > >> > >> > >> > > _________________________________________________________________> > > Send and receive Hotmail on your mobile device: >http://mobile.msn.com> > >> > >> > >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2002 Report Share Posted March 4, 2002 I'm a bit surprised that C S is seen in this way, and a bit worried about the comments in relation to nursing. I think its quite important that we avoid stereotyping nursing. BCC to: From: " ann ebeid " <annebeid@...> Date sent: Thu, 28 Feb 2002 19:09:13 +0000 Subject: Re: Clinical Supervision. Send reply to: [ Double-click this line for list subscription options ] Thanks,Xena-from experience so far it would appear that the term is synonymous with accountability and control. Many thanks, Ann. >From: " Xena Dion " <dionx@...> >Reply- >< > >Subject: Re: Clinical Supervision. >Date: Thu, 28 Feb 2002 09:28:21 +0000 > >Hi Ann, I strongly think the term clinical supervision should be renamed >clinical or professional 'coaching'. I also think supervision means being >supervised and 'controlled' good CS is about coaching to help a person or >group develop in their practice and generally. Its an excellent concept, >as always, if done well. >Xena > > >>> annebeid@... 02/28/02 07:01am >>> > > > >Hi,I am looking for your views on clinical supervision.From any point of >view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, >Sn's, Nn's,Rn's, -I am not interested in any particular status but would >appreciate your thoughts on it as part of my thesis.Many thanks for your >help. Ann Ebeid. > > > > >_________________________________________________________________ >Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2002 Report Share Posted March 5, 2002 Thanks Meerabeau -can you explain your worries a little more?Ann. >From: " MEERABEAU ELIZABETH " <E.Meerabeau@...> >Reply- > >Subject: Re: Clinical Supervision. >Date: Mon, 4 Mar 2002 19:01:34 GMT > >I'm a bit surprised that C S is seen in this way, and a bit worried >about the comments in relation to nursing. I think its quite >important that we avoid stereotyping nursing. > > > >BCC to: >From: " ann ebeid " <annebeid@...> >Date sent: Thu, 28 Feb 2002 19:09:13 +0000 >Subject: Re: Clinical Supervision. >Send reply to: > >[ Double-click this line for list subscription options ] > >Thanks,Xena-from experience so far it would appear that the term is >synonymous with accountability and control. Many thanks, Ann. > > > >From: " Xena Dion " <dionx@...> > >Reply- > >< > > >Subject: Re: Clinical Supervision. > >Date: Thu, 28 Feb 2002 09:28:21 +0000 > > > >Hi Ann, I strongly think the term clinical supervision should be renamed > >clinical or professional 'coaching'. I also think supervision means >being > >supervised and 'controlled' good CS is about coaching to help a person or > >group develop in their practice and generally. Its an excellent concept, > >as always, if done well. > >Xena > > > > >>> annebeid@... 02/28/02 07:01am >>> > > > > > > > >Hi,I am looking for your views on clinical supervision.From any point of > >view.As supervisor, supervisee, one to one, groups.-any which way.Hv's, > >Sn's, Nn's,Rn's, -I am not interested in any particular status but would > >appreciate your thoughts on it as part of my thesis.Many thanks for your > >help. Ann Ebeid. > > > > > > > > > >_________________________________________________________________ > >Send and receive Hotmail on your mobile device: http://mobile.msn.com > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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