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‘Choosing Tuesday’: establishing and sustaining regular clinical supervision in advanced nursing practice

13 January 2025
Volume 34 · Issue 1

Abstract

Clinical supervision is a valued learning tool for student nurses; however, there is a paucity of description around real-time experience of clinical supervision among qualified advanced nurse practitioners. Many qualified nurses claim delays in engaging with clinical supervision may be caused by staff shortages, time constraints, workload in busy clinical environments, or a reticence to engage in discussions that might reveal shortcomings in knowledge or practical skills. This article reviews a process of monthly clinical supervision that has been conducted among a group of qualified emergency department advanced nurse practitioners for 25 years. Enablers and challenges are identified, as are changes to nursing practices that emerged from the sessions. Many benefits are identified, both for patient care and for nurse satisfaction. These positive aspects appear to sustain a regular clinical supervision process and offset any challenges and pitfalls. Resilience and commitment to the process are paramount to its success.

Advanced nursing practice roles are well recognised worldwide as specialist roles in clinical practice. In Ireland, the first advanced nursing practice roles emerged in the late 1990s in an emergency department in a Dublin south inner city hospital. Clinical supervision was embraced as an integral part of this role development in order to sustain professional practice and meet regulatory requirements for the advanced practice nursing role. In Ireland, the education/training role and title of the advanced nurse practitioner (ANP) is governed by legislation. There is a specific division on the register for ANPs. With the recruitment of new ANP candidates on this site, the process was continued and embedded with a more formalised regular group clinical supervision session being conducted on a monthly basis. At the outset, the first Tuesday of every month was chosen as the day for the clinical supervision sessions. Although occasionally the chosen day of the week alters, 25 years on adherence to these monthly sessions remains strong.

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