INTER-COLLABORATIVE NURSING SUPERVISION PROCESS BETWEEN HOSPITAL ORGANIZATIONAL MANAGEMENT MODELS AND ACADEMIA: A QUALITATIVE APPROACH

• Author(s): Macedo, Ana ; Taveira, Adriana
• Date: 2024
• Origin: New Trends in Qualitative Research
• Subject(s): Nursing;; Clinical supervision; Organizational management model; Academia; Inter collaboration
• Document Type: Journal article
• Language: English

Description

Introduction: Organizational management models influence supervisory activity in nursing. Collaborative practice between students and health professionals in the provision of person- and family-centred care allows them to evolve in the process of autonomy and knowledge transfer. However, this does not guarantee the acquisition of supervisory practices and inter-organisational interaction between the hospital and the academy, which are necessary for carrying out safe and qualified clinical procedures. However, this does not guarantee efficient acquisition of supervisory practices and inter-organizational interaction between hospital and academia, which are necessary to provide safe and effective clinical procedures. Objectives: The aim is to understand the possible dimensions of inter-organisational collaborative practice (academic and hospital), identifying its possible processes and results capable of guaranteeing the safety and quality of clinical procedures.  Methods: This study emerges from a first mixed research intervention with N=50 nurse supervisors, non-randomized, using the snowball technique. We will, nevertheless, focus on its qualitative, exploratory, and descriptive approach, using the Focus Group technique in which seven nurse supervisors took part. By using Bardin's assumptions, we conducted the content analysis of the participants' speech. Results: The content analysis allowed us to recognise the Processes of Inter-Collaborative Supervision in Nursing as the main dimension of analysis. The results identify, on the one hand, potential threats, highlighted by the time dedicated to supervision and access to information in the hospital context and, on the other hand, opportunities for articulation, highlighted by the importance of involving the various actors in each context, both in planning training programmes and in using supervisory strategies. Conclusion: This study explores the collaborative processes of nursing supervision between academia and hospitals, highlighting common elements of care and education. It reveals the influence of both bureaucratic and anarchic models in shaping these relationships. The findings underscore the importance of inter-organizational coordination, which plays a critical role in effective health promotion practices.

Introducción: Los modelos de gestión organizativa influyen en la actividad supervisora en enfermería. Sin embargo, esto no garantiza la adquisición eficiente de prácticas de supervisión y la interacción interorganizacional entre el hospital y la academia, que son necesarias para proporcionar procedimientos clínicos seguros y eficaces. Métodos: Este estudio surge de una primera intervención de investigación mixta con N=50 supervisores de enfermería, no aleatorizada, utilizando la técnica de bola de nieve. No obstante, nos centraremos en su enfoque cualitativo, exploratorio y descriptivo, utilizando la técnica de Focus Group en la que participaron siete enfermeras supervisoras. Utilizando las hipótesis de Bardin, realizamos el análisis de contenido del discurso de los participantes. Resultados: El análisis de contenido nos permitió reconocer los Procesos de Supervisión Intercolaborativa en Enfermería, como la principal dimensión de análisis. Se destacó que la falta de tiempo para las funciones del rol del supervisor, incluyendo la escasez de recursos informáticos para acceder a la información clínica, fue una amenaza crucial para el desarrollo adecuado de las habilidades de supervisión. Conclusiones: Las representaciones de las enfermeras supervisoras parecen resultar de una combinación de acciones y lógicas relacionadas con dimensiones del modelo organizativo racional-burocrático y del modelo político y anárquico. La presencia de dimensiones de este último modelo revela procesos de supervisión colaborativa libres de restricciones, capaces de promover la autonomía de supervisores y supervisados.