Abstract
BACKGROUND
Midwives worldwide are affected by workplace stressors including work demands, lack of support from management, exposure to trauma, and emotional labour. Resilience is a vital attribute for midwives in their everyday work. Resilience training focuses on improving self-care, work/life balance and self-efficacy to reduce burnout. In Scotland, a new model of group clinical supervision, based on building resilience was implemented in 2018.
OBJECTIVES
An implementation science framework was used to explore the acceptability and feasibility of the new clinical supervision model; to describe how it has been adopted; to establish how appropriate it is; and to identify if it has been implemented as intended.
METHODS
A two-phase qualitative case study comprised 10 semi-structured interviews with midwifery managers, 18 in-depth interviews with midwives and five non-participant observations of clinical supervision sessions to understand the experiences and views of participating midwives. Data were analysed using the framework method.
RESULTS
Results focus on the extent to which midwives perceived the new model meets their support and development needs and con- tributes to high quality care. Three major issues were highlighted: 1) there was insufficient time and resource allocated to delivering the new supervision model; 2) consequently it was difficult for midwives to build trust in clinical supervision sessions as they often participated in one group session per year; and 3) therefore midwives perceived clinical supervision as a ‘tick-box’ exercise rather than a resilience-building process for support and development.
CONCLUSIONS
Group clinical supervision is a promising intervention but requires sufficient investment to build trust and resilience to meet the support and development needs of midwives.
KEY MESSAGE
Group clinical supervision is a promising intervention but requires sufficient investment to meet the support and development needs of midwives to provide high quality care.
Midwives worldwide are affected by workplace stressors including work demands, lack of support from management, exposure to trauma, and emotional labour. Resilience is a vital attribute for midwives in their everyday work. Resilience training focuses on improving self-care, work/life balance and self-efficacy to reduce burnout. In Scotland, a new model of group clinical supervision, based on building resilience was implemented in 2018.
OBJECTIVES
An implementation science framework was used to explore the acceptability and feasibility of the new clinical supervision model; to describe how it has been adopted; to establish how appropriate it is; and to identify if it has been implemented as intended.
METHODS
A two-phase qualitative case study comprised 10 semi-structured interviews with midwifery managers, 18 in-depth interviews with midwives and five non-participant observations of clinical supervision sessions to understand the experiences and views of participating midwives. Data were analysed using the framework method.
RESULTS
Results focus on the extent to which midwives perceived the new model meets their support and development needs and con- tributes to high quality care. Three major issues were highlighted: 1) there was insufficient time and resource allocated to delivering the new supervision model; 2) consequently it was difficult for midwives to build trust in clinical supervision sessions as they often participated in one group session per year; and 3) therefore midwives perceived clinical supervision as a ‘tick-box’ exercise rather than a resilience-building process for support and development.
CONCLUSIONS
Group clinical supervision is a promising intervention but requires sufficient investment to build trust and resilience to meet the support and development needs of midwives.
KEY MESSAGE
Group clinical supervision is a promising intervention but requires sufficient investment to meet the support and development needs of midwives to provide high quality care.
| Original language | English |
|---|---|
| Pages | 599-599 |
| Number of pages | 1 |
| Publication status | Published - 1 Jun 2021 |
| Event | 32nd ICM virtual triennial congress - Online, Online Duration: 1 Jun 2021 → 30 Jun 2021 https://www.icmvirtualcongress.org/ |
Other
| Other | 32nd ICM virtual triennial congress |
|---|---|
| City | Online |
| Period | 1/06/21 → 30/06/21 |
| Internet address |
Keywords
- Implementation
- Midwifery
- clinical supervision
- Evaluation
- Scotland
ASJC Scopus subject areas
- General Health Professions
