Clinical supervision in nursing: a qualitative study on the difficulties of nurse supervisors
DOI:
https://doi.org/10.37914/riis.v9.527Keywords:
nursing, education, nursing, professional competence, students, nursingAbstract
Background: clinical training of nursing students plays a crucial role in professional development, making it essential to understand the difficulties associated with the clinical supervision. Objectives: to characterize the model used to supervise nursing students during clinical training; to map constraints and challenges experienced in the supervision process; and to analyze the contribution of clinical supervision to the development of students’ competencies. Methodology: this study adopts a qualitative exploratory approach, involving a sample of 10 nurse supervisors working in healthcare institutions in the Lisbon and Tagus Valley region. Data were collected through a focus group and analyzed using thematic content analysis. Results: the findings revealed three main categories: models of student supervision in clinical settings, difficulties in the clinical supervision process, and contributions of clinical supervision to competency development, as well as suggestions for improving the supervisory process. Conclusion: clinical supervision is a complex process influenced by organizational, pedagogical, and relational factors, requiring investment in supervisors’ training, recognition of this role, and the promotion of care contexts that support learning, to improve the quality of both education.
References
Amaral, G. & Figueiredo, A. (2022). Recursos mobilizados na preceptoria de enfermagem: um estudo em Grounded Theory. Revista do Mundo da Saúde, 46, 161-172. https://doi.org/10.15343/0104-7809.202246161172
Augusto, C., Mendes, G., Macedo, E., Machado, M., Candeias, A., Encarnação, P., Freire, T., & Araújo, O. (2021). Tutoria por pares na educação em enfermagem: a voz dos tutores. Revista de Investigação & Inovação em Saúde, 4(2). https://doi.org/10.37914/riis.v4i2.166
Bardin, L. (2011). Análise de conteúdo. Edições 70.
Braun, V., & Clarke, V. (2021). Thematic analysis: a practical guide. SAGE Publications.
Fathi, K., & Ibrahim, R. (2023). Factors influencing integration of theory into practice in clinical skills acquisition among nursing students. Informatics in Medicine Unlocked, 37. https://doi.org/10.1016/j.imu.2023.101181
Franco, M., & Millão, L. (2020). Integração ensino-serviço na formação técnica de enfermagem. Revista Eletrônica de Enfermagem, 22, 1-7. https://doi.org/10.5216/ree.v22.5529
Johannessen, A. K., Barra, M., Vullum, S., & Werner, A. (2021). Nursing students’ evaluation of clinical learning environment and supervision in a Norwegian hospital placement – A questionnaire survey using CLES+T scale. Nurse Education in Practice, 54. https://doi.org/10.1016/j.nepr.2021.103119
Karaduman, G., Bakir, G., Sim-Sim, M., Basak, T., Goktas, S., Skarbalienė, A., Brasaitė-Abromė, I., & Lopes, M. (2022). Percepções de estudantes de enfermagem sobre o ambiente de aprendizagem clínica e saúde mental: um estudo multicêntrico. Revista Latino-Americana de Enfermagem, 30. https://doi.org/10.1590/1518-8345.5577.3581
Krueger, R. A., & Casey, M. A. (2015). Focus groups: a practical guide for applied research (5th ed.). SAGE Publications.
Lee, T., Lee, S., Yoon, Y., Ji, H., Yoon, S., Lee, S., & Ji, Y. (2023). Personal factors and clinical learning environment as predictors of nursing students’ readiness for practice: a structural equation modeling analysis. Asian Nursing Research, 17(1). https://doi.org/10.1016/j.anr.2023.01.003
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
Longo, J., & Moutinho, L. (2022). Professores de enfermagem: obstáculos que limitam o valor formativo da prática clínica. Revista Lusófona de Educação, 55(55), 27-42. https://doi.org/10.24140/issn.1645-7250.rle55.02
Madhavanprabhakaran, G., Arulappan, J., Achora, S., & Alsaraireh, A. (2023). Evidence-based practice competency and barriers among undergraduate nursing students in a Middle Eastern country. Teaching and Learning in Nursing, 18(4), e233-e240. https://doi.org/10.1016/j.teln.2023.07.009
Marques, F., Pinheiro, M., & Alves, P. (2021). Estudante de enfermagem em ensino clínico: estudo qualitativo da tipologia de decisão. New Trends in Qualitative Research, 8, 121–129 https://doi.org/10.36367/ntqr.8.2021.121-129
Moser, A., & Korstjens, I. (2018). Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. European Journal of General Practice, 24(1), 9–18. https://doi.org/10.1080/13814788.2017.1375091
Nyumba, T. O., Wilson, K., Derrick, C. J., & Mukherjee, N. (2018). The use of focus group discussion methodology: insights from two decades of application in conservation. Methods in Ecology and Evolution, 9(1), 20–32. https://doi.org/10.1111/2041-210X.12860
Ordem dos Enfermeiros. (2020). Regulamento n.º 722/2020 - Alteração ao Regulamento n.º 366/2018, de 14 de junho — competência acrescida diferenciada e avançada em supervisão clínica. https://www.ordemenfermeiros.pt/media/37859/regulamento-sc-722-2020.pdf
Peixoto, S., Ferreira, A., Dias, A., & Santos, M. (2022). Supervisão clínica de estudantes de enfermagem em estruturas residenciais para pessoas idosas: uma revisão integrativa da literatura. Millenium – Revista de educação, tecnológicas e saúde, 2(10), 211-221. https://doi.org/10.29352/mill0210e.26603
Prados, R., Ramirez, R., Pereira, C., & Lamas, J. (2021). Desafios contemporâneos em educação profissional: formação docente, linguagem e práticas pedagógicas. Devir Educação, 53-70. https://doi.org/10.30905/rde.v0i0.386
Rocha, E., Mantovani, M., Mattei, Â., Hereibi, M., Viante, W., & Kwiatkoski, D. (2019). Percepção de competências clínicas por académicos de enfermagem. Reme Revista Mineira de Enfermagem, 23. https://doi.org/10.5935/1415-2762.20190027
Rodríguez-Leal, L., González-Hervías, R., Silva, L. I. M., Rodríguez-Gallego, I., Saldaña, M. R., & Montesinos, J. V. B. (2023). Stressors inherent to clinical practices and their relationship with emotional intelligence in nursing students: a cross sectional study. Nurse Education Today, 124. https://doi.org/10.1016/j.nedt.2023.105753
Santos, W., & Jayasekara, R. (2020). A unidade de educação dedicada é um modelo de educação clínica custo-efetivo para programas de graduação em enfermagem. Einstein, 18, 1-5. http://dx.doi.org/10.31744/einstein_journal/2020GS5328
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Copyright (c) 2026 Paula Oliveira, Cristina Barroso , Luís Carvalho
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