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Clinical Supervision Practices With Australian Child and Family Health Nurses: Exploring Facilitators and Barriers

Anne O'Neill, Leesa Hooker, Kristina Edvardsson

Journal of Advanced Nursing, 2025

Abstract

ABSTRACT Aim To explore Australian Maternal and Child Health nurses' clinical supervision practice and barriers and facilitators to effective supervision. Methods An online survey was distributed to all nurses and managers in Victoria, Australia. Results A total of 188 MCH nurses responded to the survey, and of these, 147 completed the 26‐item version of the validated Manchester Clinical Supervision Scale. Data were analysed using descriptive statistics. The majority of nurses (91%) received facilitated group supervision, and most nurses (86%) were moderately or very satisfied with their clinical supervision. In total, 81% of nurses perceived clinical supervision to be of benefit according to the Manchester Clinical Supervision Scale‐26 results. Open text responses were analysed according to barriers, facilitators and general comments. Key facilitators included supervisors with group facilitation skills and support for reflection. Barriers to effective supervision related to group dynamics, insufficient time and varied understanding of the purpose of sessions among participants. Conclusion Effective clinical supervision relies on the establishment of clear aims and shared understandings among participants, skilled facilitation and managerial support. Impact Clinical supervision can facilitate reflective practice and learning when implemented as intended. This study highlights the role of professional nursing bodies, service providers and educational institutes to raise…

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