Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

Article

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and Baldock, Katherine. 2019. "Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision." PLoS One. 14 (3). https://doi.org/10.1371/journal.pone.0213613

Article Title	Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision
ERA Journal ID	39745
Article Category	Article
Authors	Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and Baldock, Katherine
Journal Title	PLoS One
Journal Citation	14 (3)
Article Number	e0213613
Number of Pages	13
Year	2019
Publisher	Public Library of Science (PLoS)
Place of Publication	United States
ISSN	1932-6203
Digital Object Identifier (DOI)	https://doi.org/10.1371/journal.pone.0213613
Web Address (URL)	https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213613
Abstract	Background The benefits of clinical supervision are more pronounced for health professionals in rural and remote areas. Most clinical supervision studies to date have occurred in metropolitan centres and have used the survey methodology to capture participant experiences. There is a lack of qualitative research that captures participants’ lived experiences with clinical supervision at the frontline. Methods Participants were recruited from rural and remote sites of two Australian states using a purposive maximum variation sampling strategy. Data were collected through individual, semi-structured interviews with participants. Data were analysed using content analysis and themes were developed. Sixteen participants from six professions completed the interviews. Results Eight themes were developed including the content of supervision, context of supervision, value of supervision, increased need for professional support and unique characteristics of rural and remote clinical supervision. Conclusions This study has highlighted the value of clinical supervision for the rural and remote health professional workforce. Furthermore, it has shed light on the unique characteristics of clinical supervision in this population. This information can be used by organisations and health professionals to ensure clinical supervision partnerships are effective thereby enhancing rural and remote workforce recruitment and retention.
Keywords	remote area; health professional; clinical supervision
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	420321. Rural and remote health services
Byline Affiliations	School of Health and Medical Sciences
	Darling Downs Health, Australia
	University of South Australia
	University of Adelaide

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Martin, Priya, Moran, Monica, Graham, Nicky and Hill, Anne. 2019. "Facilitating organisational change to enhance rural interprofessional education: A process evaluation." 13th National Allied Health Conference. Brisbane, Australia 05 - 08 Aug 2019 Australia.

Supportive supervision: An evidence-based approach to restorative supervision.

Martin, P. and Milne, D.. 2019. "Supportive supervision: An evidence-based approach to restorative supervision." NES Conference 2019. Stirling, Australia 28 Feb 2019

Supportive clinical supervision: Supported at last

Milne, Derek and Martin, Priya. 2019. "Supportive clinical supervision: Supported at last." Journal of Advanced Nursing. 75 (2), pp. 264-265. https://doi.org/10.1111/jan.13816

Rural competencies in emerging medical practitioners: Beyond clinical skills

Martin, Priya, Sen Gupta, Tarun, Bond, Deanne, Douyere, John and Mills, Katie. 2019. "Rural competencies in emerging medical practitioners: Beyond clinical skills." Australian Journal of Rural Health. 27 (5), pp. 427-432. https://doi.org/10.1111/ajr.12531

The holy grail of clinical supervision

Martin, Priya and Kumar, Saravana. 2019. "The holy grail of clinical supervision." Medical Education. 53 (9), pp. 850-852. https://doi.org/10.1111/medu.13927

Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface

Martin, Priya, Baldock, Katherine, Kumar, Saravana and Lizarondo, Lucylynn. 2019. "Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface." Australian Health Review. 43 (6), pp. 682-688. https://doi.org/10.1071/AH17258

Clinical supervision in the bush: is it any different?

Martin, Priya. 2018. "Clinical supervision in the bush: is it any different? " 1st Asia Pacific Conference on Integrated Care. Brisbane, Australia 06 - 08 Nov 2017 United Kingdom. Ubiquity Press, Ltd.. https://doi.org/10.5334/ijic.s1127

Clinical supervision capacity building: policy implications

Martin, P., Kumar, S., Lizarondo, L. and Baldock, K.. 2018. "Clinical supervision capacity building: policy implications." 4th International Health Care Reform Conference. Sydney, Australia Mar 2018

Enacting interprofessional leadership: Navigating explicit and implicit leadership barriers and facilitators.

Moran, M., Sy, M., Martin, P. and Lee, B.. 2018. "Enacting interprofessional leadership: Navigating explicit and implicit leadership barriers and facilitators. " All Together Better Health IX conference (ATBH IX). Auckland, New Zealand 03 - 06 Sep 2018

Interprofessional supervision: one step too far?

Martin, P. and Moran, M.. 2018. "Interprofessional supervision: one step too far? " All Together Better Health IX conference (ATBH IX). Auckland, New Zealand 03 - 06 Sep 2018

Enacting leadership to enhance interprofessional education and practice in a regional health setting

Shadrach, S., Hombsch, C., Martin, P. and Forman, D.. 2018. "Enacting leadership to enhance interprofessional education and practice in a regional health setting." ACHSM Asia-Pacific Annual Congress 2018. Darwin, Australia 19 - 21 Sep 2018

Clinical supervision in rural Australia: challenges and opportunities

Martin, Priya, Sen Gupta, Tarun and Douyere, John M. 2018. "Clinical supervision in rural Australia: challenges and opportunities." Medical Journal of Australia. 209 (9), pp. 382-383. https://doi.org/10.5694/mja18.00525

Peer supervision: International problems and prospects

Martin, Priya, Milne, Derek L. and Reiser, Robert P.. 2018. "Peer supervision: International problems and prospects." Journal of Advanced Nursing. 74 (5), pp. 998-999. https://doi.org/10.1111/jan.13413

Reciprocal leadership in clinical supervision comes of age

Martin, Priya and Milne, Derek L.. 2018. "Reciprocal leadership in clinical supervision comes of age." Journal of Advanced Nursing. 74 (9), pp. 2019-2020. https://doi.org/10.1111/jan.13548

Choice of clinical supervisor: Cunning or collusion?

Martin, Priya and Milne, Derek. 2018. "Choice of clinical supervisor: Cunning or collusion?" Journal of Advanced Nursing. 74 (6), pp. 1229-1230. https://doi.org/10.1111/jan.13471

A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals

Martin, Priya, Lizarondo, Lucylynn and Kumar, Saravana. 2018. "A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals." Journal of Telemedicine and Telecare. 24 (4), pp. 271-281. https://doi.org/10.1177/1357633x17698868

Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state

Martin, Priya, Kumar, Saravana, Abernathy, LuJuana and Browne, Matthew. 2018. "Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state." BMJ Open. 8 (8). https://doi.org/10.1136/bmjopen-2017-021264

Factors that contribute to high quality clinical supervision

Martin, Priya. 2017. Factors that contribute to high quality clinical supervision. Health Services Research Association of Australia & New Zealand.

Making technology work for you in clinical supervision

Martin, Priya and Kumar, Saravana. 2017. "Making technology work for you in clinical supervision." 12th National Allied Health Conference. Sydney, Australia 26 - 29 Aug 2017

Achieving effective clinical allied health supervision

Martin, P., Kumar, S. and Lizarondo, L.. 2017. "Achieving effective clinical allied health supervision." 2nd Victorian Allied Health Research Conference . Melbourne, Australia 31 - 31 Mar 2017

Responding to changing workforce needs: a study on multiple modes of training delivery

Martin, P., Abernathy, L. and Kumar, S.. 2017. "Responding to changing workforce needs: a study on multiple modes of training delivery." 12th National Allied Health Conference. Sydney, Australia 26 - 29 Aug 2017

Factors that contribute to high quality clinical supervision in allied health: a mixed methods sequential explanatory study

Martin, Priya. 2017. "Factors that contribute to high quality clinical supervision in allied health: a mixed methods sequential explanatory study." 2017 Australian & New Zealand Association for Health Professional Educators Conference (ANZAHPE 2017). Adelaide, South Australia 11 - 14 Jul 2017 Australia.

Interprofessional competencies: the poor cousin to clinical skills? [version 1]

Martin, Priya, Moran, Monica and Forman, Dawn. 2017. "Interprofessional competencies: the poor cousin to clinical skills? [version 1]." MedEdPublish. 6. https://doi.org/10.15694/mep.2017.000123

Effective use of technology in clinical supervision

Martin, Priya, Kumar, Saravana and Lizarondo, Lucylynn. 2017. "Effective use of technology in clinical supervision." Internet Interventions. 8, pp. 35-39. https://doi.org/10.1016/j.invent.2017.03.001

When I say … clinical supervision

Martin, Priya, Kumar, Saravana and Lizarondo, Lucylynn. 2017. "When I say … clinical supervision." Medical Education. 51 (9), pp. 890-891. https://doi.org/10.1111/medu.13258

Bridging the training-practice gap in interprofessional student supervision

Martin, Priya, Kumar, Saravana and Abernathy, LuJuana. 2017. "Bridging the training-practice gap in interprofessional student supervision." Perspectives on Medical Education. 6 (2), pp. 133-137. https://doi.org/10.1007/s40037-017-0330-8

Telesupervision: Overcoming barriers in technology to optimize supervision practice

Martin, P., Ducat, W. and Kumar, S.. 2016. "Telesupervision: Overcoming barriers in technology to optimize supervision practice." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

What factors influence the quality and effectiveness of telesupervision? Findings from a systematic review of the literature.

Martin, P., Kumar, S. and Lizarondo, L.. 2016. "What factors influence the quality and effectiveness of telesupervision? Findings from a systematic review of the literature." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

Only a click away: A workshop on best practice in telesupervision

Martin, P.. 2016. "Only a click away: A workshop on best practice in telesupervision." 2nd National Rural & Remote Telehealth Conference. Toowoomba, Australia 05 - 06 Oct 2016

Interprofessional Scenario-Based Learning for New Graduates in a Regional Setting: A Pilot Study

Martin, Priya, Newby, Matthew, Moran, Monica, Browne, Matthew and Kumar, Saravana. 2016. "Interprofessional Scenario-Based Learning for New Graduates in a Regional Setting: A Pilot Study." Internet Journal of Allied Health Sciences and Practice. 14 (3). https://doi.org/10.46743/1540-580X/2016.1572

Impact and feasibility of the Allied Health Professional Enhancement Program placements - experiences from rural and remote Queensland

Martin, Priya, Kumar, Saravana, Stone, Melinda, Abernathy, LuJuana, Burge, Vanessa and Lizarondo, Lucylynn. 2016. "Impact and feasibility of the Allied Health Professional Enhancement Program placements - experiences from rural and remote Queensland." Advances in Medical Education and Practice. 7, pp. 41-48. https://doi.org/10.2147/amep.S92879

Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and Tyack, Zephanie. 2016. "Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state." Australian Occupational Therapy Journal. 63 (5), pp. 338-346. https://doi.org/10.1111/1440-1630.12314

Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services

Ducat, Wendy, Martin, Priya, Kumar, Saravana, Burge, Vanessa and Abernathy, LuJuana. 2016. "Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services." Australian Journal of Rural Health. 24 (1), pp. 29-35. https://doi.org/10.1111/ajr.12192

Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study

Martin, Priya, Kumar, Saravana, Lizarondo, Lucylynn and VanErp, Ans. 2015. "Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study." BMC Health Services Research. 15 (1). https://doi.org/10.1186/s12913-015-1085-8

Viewing the interprofessional clinical education world through the occupational therapy lens: rewards and challenges

Martin, P.. 2014. "Viewing the interprofessional clinical education world through the occupational therapy lens: rewards and challenges." 16th International World Federation Occupational Therapy Congress. Yokohama, Japan 18 - 20 Jun 2014

The Y model of effective supervision in rural and remote allied health services

Ducat, W., Martin, P., Kumar, S., Burge, V. and Abernathy, L.. 2014. "The Y model of effective supervision in rural and remote allied health services." SIMposium, Queensland Regional Training Network. Brisbane, Australia Oct 2014

Quality and effectiveness of clinical supervision of occupational therapists in a large Australian state – a sequential, mixed methods study

Martin, P., Copley, J., Khan, A. and Tyack, Z.. 2014. "Quality and effectiveness of clinical supervision of occupational therapists in a large Australian state – a sequential, mixed methods study." 16th International World Federation Occupational Therapy Congress. Yokohama, Japan 18 - 20 Jun 2014

An innovative case-based interprofessional learning program: Was it worth the effort?

Newby, M., Martin, P., Moran, M., Browne, M. and Kumar, S.. 2014. "An innovative case-based interprofessional learning program: Was it worth the effort?" 2014 Australian & New Zealand Association for Health Professional Educators Conference (ANZAHPE 2014). Gold Coast, Australia 07 - 10 Jul 2014 Australia.

Riding past the waves to discover new frontiers: An innovative interprofessional program in a regional health service

Newby, M. and Martin, P.. 2014. "Riding past the waves to discover new frontiers: An innovative interprofessional program in a regional health service." Services for Australian Rural and Remote Allied Health National Conference 2014. Kingscliffe, Australia 17 - 20 Sep 2014

Oceans apart yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services

Ducat, W., Martin, P., Kumar, S., Richardson, V. and Abernathy, L.. 2014. "Oceans apart yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services." Services for Australian Rural and Remote Allied Health National Conference 2014. Kingscliffe, Australia 17 - 20 Sep 2014 Australia.

Best Practice in Clinical Supervision including telesupervision.

Martin, P.. 2014. "Best Practice in Clinical Supervision including telesupervision." SIMposium, Queensland Regional Training Network. Brisbane, Australia Oct 2014

Twelve tips for effective clinical supervision based on a narrative literature review and expert opinion

Martin, Priya, Copley, Jodie and Tyack, Zephanie. 2014. "Twelve tips for effective clinical supervision based on a narrative literature review and expert opinion." Medical Teacher. 36 (3), pp. 201-207. https://doi.org/10.3109/0142159x.2013.852166

Clinical supervision for rural Queensland occupational therapists—is the future looking bright?

Martin, Priya and Tyack, Zephanie. 2013. "Clinical supervision for rural Queensland occupational therapists—is the future looking bright?" 12th National Rural Health Conference. Adelaide, Australia 07 - 10 Apr 2013

Promoting positive occupational therapy student placement experiences in rural Queensland

Martin, Priya and Furness, Linda. 2013. "Promoting positive occupational therapy student placement experiences in rural Queensland." Occupational Therapy Australia 25th National Conference and Exhibition. Adelaide, Australia 24 - 26 Jul 2013 Australia. John Wiley & Sons.

Effectiveness of clinical supervision of occupational therapists in Queensland

Martin, Priya, Tyack, Zephanie and Copley, Jodie. 2013. "Effectiveness of clinical supervision of occupational therapists in Queensland." National OT Conference. Australia. John Wiley & Sons.

Allied health new graduate interprofessional learning program: Fostering team collaboration and assessment of outcomes

Martin, P.. 2013. "Allied health new graduate interprofessional learning program: Fostering team collaboration and assessment of outcomes." Central Queensland University Interprofessional Symposium. Rockhampton, Australia Nov 2013

A step closer – the student buddy system implemented in Central Queensland

Martin, P. and Tyack, Z.. 2012. "A step closer – the student buddy system implemented in Central Queensland." Services for Australian Rural and Remote Allied Health National Conference 2012. Launceston, Australia 20 - 23 Sep 2012

Differences in Clinical Supervision practices between regional/rural and metropolitan occupational therapists in Queensland

Martin, P. and Tyack, Z.. 2012. "Differences in Clinical Supervision practices between regional/rural and metropolitan occupational therapists in Queensland." Services for Australian Rural and Remote Allied Health National Conference 2012. Launceston, Australia 20 - 23 Sep 2012 Australia.

Long-term follow-up of persons with spinal cord injury integrated in the community

Martin, Priya, Cherian, Binu, John, Judy, Tharion, George and Bhattacharjee, Suranjan. 2010. "Long-term follow-up of persons with spinal cord injury integrated in the community." International Journal of Therapy and Rehabilitation. 17 (2), pp. 76-83. https://doi.org/10.12968/ijtr.2010.17.2.46333