Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review

Article

Martin, Priya, Lizarondo, Lucylynn, Kumar, Saravana and Snowdon, David. 2021. "Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review." PLoS One. 16 (11). https://doi.org/10.1371/journal.pone.0260156

Article Title	Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review
ERA Journal ID	39745
Article Category	Article
Authors	Martin, Priya, Lizarondo, Lucylynn, Kumar, Saravana and Snowdon, David
Journal Title	PLoS One
Journal Citation	16 (11)
Article Number	e0260156
Number of Pages	27
Year	2021
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.0260156
Web Address (URL)	https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260156
Abstract	Objective To review the impact of clinical supervision of post-registration/qualification healthcare professionals on healthcare organisational outcomes. Background Clinical supervision is a professional support mechanism that benefits patients, healthcare professionals and healthcare organisations. Whilst evidence is growing on the impact of clinical supervision on patient and healthcare professional outcomes, the evidence base for the impact of clinical supervision on organisational outcomes remains weak. Methods This review used a convergent segregated approach to synthesise and integrate quantitative and qualitative research findings, as per the Joanna Briggs Institute’s recommendations for mixed methods systematic reviews. Databases searched included CINAHL, Embase, PubMed, PschINFO, and Scopus. Whilst a narrative synthesis was performed to present the findings of the quantitative and qualitative studies, the evidence from both quantitative and qualitative studies was subsequently integrated for a combined presentation. The review followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Results Thirty-two studies including 27 quantitative, two qualitative and three mixed methods studies, were included in the review. The results of the quantitative analysis showed that effective clinical supervision was associated with lower burnout and greater staff retention, and effective supervisor was associated with lower burnout and greater job satisfaction. Qualitative findings showed that healthcare professionals believed that adequate clinical supervision could mitigate the risk of burnout, facilitate staff retention, and improve the work environment, while inadequate clinical supervision can lead to stress and burnout. The evidence from quantitative and qualitative studies were complementary of each other. Conclusion Clinical supervision can have a variable effect on healthcare organisational outcomes. The direction of this effect appears to be influenced by the effectiveness of both the clinical supervision provided and that of the clinical supervisor. This highlights the need for organisations to invest in high quality supervision practices if maximal gains from clinical supervision are to be attained.
Keywords	Health Personnel; numerical data; statistics
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	4203. Health services and systems
Byline Affiliations	University of Queensland
	Darling Downs Health, Australia
	University of Adelaide
	University of South Australia
	Monash University
	Peninsula Health, Victoria

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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

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

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

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