Nurse supervisors' actions in relation to their decision-making style and ethical approach to clinical supervision
Article first published online: 6 MAR 2003
Journal of Advanced Nursing
Volume 41, Issue 6, pages 615–622, March 2003
How to Cite
Berggren, I. and Severinsson, E. (2003), Nurse supervisors' actions in relation to their decision-making style and ethical approach to clinical supervision. Journal of Advanced Nursing, 41: 615–622. doi: 10.1046/j.1365-2648.2003.02573.x
- Issue published online: 6 MAR 2003
- Article first published online: 6 MAR 2003
- Submitted for publication 22 May 2002 Accepted for publication 29 November 2002
- clinical nursing supervision;
- decision-making style;
- ethical approach;
Aim. The aim of the study was to explore the decision-making style and ethical approach of nurse supervisors by focusing on their priorities and interventions in the supervision process.
Background. Clinical supervision promotes ethical awareness and behaviour in the nursing profession.
Methods. A focus group comprised of four clinical nurse supervisors with considerable experience was studied using qualitative hermeneutic content analysis.
Findings. The essence of the nurse supervisors' decision-making style is deliberations and priorities. The nurse supervisors' willingness, preparedness, knowledge and awareness constitute and form their way of creating a relationship. The nurse supervisors' ethical approach focused on patient situations and ethical principles. The core components of nursing supervision interventions, as demonstrated in supervision sessions, are: guilt, reconciliation, integrity, responsibility, conscience and challenge. The nurse supervisors' interventions involved sharing knowledge and values with the supervisees and recognizing them as nurses and human beings.
Conclusion. Nurse supervisors frequently reflected upon the ethical principle of autonomy and the concept and substance of integrity. The nurse supervisors used an ethical approach that focused on caring situations in order to enhance the provision of patient care. They acted as role models, shared nursing knowledge and ethical codes, and focused on patient related situations. This type of decision-making can strengthen the supervisees' professional identity. The clinical nurse supervisors in the study were experienced and used evaluation decisions as their form of clinical decision-making activity. The findings underline the need for further research and greater knowledge in order to improve the understanding of the ethical approach to supervision.