Achieving effective supervision

Super vision probably does have benefits both for the maintenance and improvement of clinical skills and for job satisfaction, but the data are very thin and almost non-existent in the area of alcohol and other drugs services. Because of the potential complexity of objectives and roles in super vision, a structured agreement appears to be an important part of the effective supervision relationship. Because sessions can degenerate easily into unstructured socialization, agendas and session objectives may also be important. While a working alliance based on mutual respect and trust is an essential base for the supervision relationship, procedures for direct observation of clinical skills, demonstration of new procedures and skills practice with detailed feedback appear critical to super vision's impact on practice. To ensure effective super vision, there needs not only to be a minimum of personnel and resources, but also a compatibility with the values and procedures of management and staff, access to supervision training and consultation and sufficient incentives to ensure it continues.

Supervisão clínica

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Terapêutica da Fala

Tornar-se doutor: a relação de orientação e o desenvolvimento do/a doutorando/a

Apesar do estudo dos processos educativos no ensino superior ser um tópico bastante explorado pela Psicologia, o estudo do processo de doutoramento parece ter sido relegado para segundo plano ao longo dos anos. O presente estudo procurou analisar a perceção de desenvolvimento de estudantes de doutoramento (em termos de ganhos e perdas) e a relação de orientação (em termos de tipo de relação e qualidade percebida da relação), bem como o impacto dessa relação na perceção de desenvolvimento pessoal. Participaram neste estudo 308 estudantes de doutoramento de três universidades portuguesas. Os principais resultados obtidos parecem indicar que os doutorandos tendem a perceber a qualidade da relação de forma positiva, que estes percebem os orientadores como cooperantes, próximos e respeitadores da autonomia do estudante, e que estes tendem a perceber principalmente ganhos desenvolvimentais. De uma forma geral observou-se também que algumas dimensões do tipo de relação e da qualidade da relação parecem ter uma influência significativa na perceção de ganhos e perdas; On becoming a PhD: The relation of supervision and the development of the doctorate Abstract: Despite the study of educational processes in higher education is a topic extensively explored by Psychology, the study of the doctoral process seems to have been relegated to the background over the years. This study aimed to analyze the perception of development of PhD students (in terms of gains and losses) and the supervision relationship (in terms of type of relationship and perceived quality of the relationship), and the impact of this relationship on the perception of personal development. The sample consisted of 308 doctoral students from three portuguese universities. The main results seem to indicate that doctoral students tend to perceive the quality of the relationship as positive, that they perceive supervisors as cooperant, close and respectful for students’ autonomy, and that they tend to perceive mainly developmental gains. In general, it is also noted that some dimensions of the type of relationship and the relationship would appear to have a significant influence on the perception of gains and losses.

Institutional and matrix support and its relationship with primary healthcare

OBJECTIVE To analyze whether the level of institutional and matrix support is associated with better certification of primary healthcare teams.METHODS In this cross-sectional study, we evaluated two kinds of primary healthcare support – 14,489 teams received institutional support and 14,306 teams received matrix support. Logistic regression models were applied. In the institutional support model, the independent variable was “level of support” (as calculated by the sum of supporting activities for both modalities). In the matrix support model, in turn, the independent variables were the supporting activities. The multivariate analysis has considered variables with p < 0.20. The model was adjusted by the Hosmer-Lemeshow test.RESULTS The teams had institutional and matrix supporting activities (84.0% and 85.0%), respectively, with 55.0% of them performing between six and eight activities. For the institutional support, we have observed 1.96 and 3.77 chances for teams who had medium and high levels of support to have very good or good certification, respectively. For the matrix support, the chances of their having very good or good certification were 1.79 and 3.29, respectively. Regarding to the association between institutional support activities and the certification, the very good or good certification was positively associated with self-assessment (OR = 1.95), permanent education (OR = 1.43), shared evaluation (OR = 1.40), and supervision and evaluation of indicators (OR = 1.37). In regards to the matrix support, the very good or good certification was positively associated with permanent education (OR = 1.50), interventions in the territory (OR = 1.30), and discussion in the work processes (OR = 1.23).CONCLUSIONS In Brazil, supporting activities are being incorporated in primary healthcare, and there is an association between the level of support, both matrix and institutional, and the certification result.

Clinical Learning Environment and Supervision. Development and Validation of the CLES Evaluation Scale

The purpose of the study is: (1) to describe how nursing students' experienced their clinical learning environment and the supervision given by staff nurses working in hospital settings; and (2) to develop and test an evaluation scale of Clinical Learning Environment and Supervision (CLES). The study has been carried out in different phases. The pilot study (n=163) explored the association between the characteristics of a ward and its evaluation as a learning environment by students. The second version of research instrument (which was developed by the results of this pilot study) were tested by an expert panel (n=9 nurse teachers) and test-retest group formed by student nurses (n=38). After this evaluative phase, the CLES was formed as the basic research instrument for this study and it was tested with the Finnish main sample (n=416). In this phase, a concurrent validity instrument (Dunn & Burnett 1995) was used to confirm the validation process of CLES. The international comparative study was made by comparing the Finnish main sample with a British sample (n=142). The international comparative study was necessary for two reasons. In the instrument developing process, there is a need to test the new instrument in some other nursing culture. Other reason for comparative international study is the reflecting the impact of open employment markets in the European Union (EU) on the need to evaluate and to integrate EU health care educational systems. The results showed that the individualised supervision system is the most used supervision model and the supervisory relationship with personal mentor is the most meaningful single element of supervision evaluated by nursing students. The ward atmosphere and the management style of ward manager are the most important environmental factors of the clinical ward. The study integrates two theoretical elements - learning environment and supervision - in developing a preliminary theoretical model. The comparative international study showed that, Finnish students were more satisfied and evaluated their clinical placements and supervision with higher scores than students in the United Kingdom (UK). The difference between groups was statistical highly significant (p= 0.000). In the UK, clinical placements were longer but students met their nurse teachers less frequently than students in Finland. Arrangements for supervision were similar. This research process has produced the evaluation scale (CLES), which can be used in research and quality assessments of clinical learning environment and supervision in Finland and in the UK. CLES consists of 27 items and it is sub-divided into five sub-dimensions. Cronbach's alpha coefficient varied from high 0.94 to marginal 0.73. CLES is a compact evaluation scale and user-friendliness makes it suitable for continuing evaluation.

Infirmier en psychiatrie de liaison : développement de la supervision en milieu somatique [Liaison psychiatry nurse: The development of supervision in somatic medicine].

BACKGROUND: Over the years, somatic care has become increasingly specialized. Furthermore, a rising number of patients requiring somatic care also present with a psychiatric comorbidity. As a consequence, the time and resources needed to care for these patients can interfere with the course of somatic treatment and influence the patient-caregiver relationship. In the light of these observations, the Liaison Psychiatry Unit at the University Hospital in Lausanne (CHUV) has educated its nursing staff in order to strengthen its action within the general care hospital. What has been developed is a reflexive approach through supervision of somatic staff, in order to improve the efficiency of liaison psychiatry interventions with the caregivers in charge of patients. The kind of supervision we have developed is the result of a real partnership with somatic staff. Besides, in order to better understand the complexity of interactions between the two systems involved, the patient's and the caregivers', we use several theoretical references in an integrative manner. PSYCHOANALYTICAL REFERENCE: The psychoanalytical model allows us to better understand the dynamics between the supervisor and the supervised group in order to contain and give meaning to the affects arising in the supervision space. "Containing function" and "transitional phenomena" refer to the experience in which emotions can find a space where they can be taken in and processed in a secure and supportive manner. These concepts, along with that of the "psychic envelope", were initially developed to explain the psychological development of the baby in its early interactions with its mother or its surrogate. In the field of supervision, they allow us to be aware of these complex phenomena and the diverse qualities to which a supervisor needs to resort, such as attention, support and incentive, in order to offer a secure environment. SYSTEMIC REFERENCE: A new perspective of the patient's complexity is revealed by the group's dynamics. The supervisor's attention is mainly focused on the work of affects. However, these are often buried under a defensive shell, serving as a temporary protection, which prevents the caregiver from recognizing his or her own emotions, thereby enhancing the difficulties in the relationship with the patient. Whenever the work of putting emotions into words fail, we use "sculpting", a technique derived from the systemic model. Through the use of this type of analogical language, affects can emerge without constraint or feelings of danger. Through "playing" in that "transitional space", new exchanges appear between group members and allow new behaviors to be conceived. In practice, we ask the supervisee who is presenting a complex situation, to design a spatial representation of his or her understanding of the situation, through the display of characters significant to the situation: the patient, somatic staff members, relatives of the patient, etc. In silence, the supervisee shapes the characters into postures and arranges them in the room. Each sculpted character is identified, named, and positioned, with his or her gaze being set in a specific direction. Finally the sculptor shapes him or herself in his or her own role. When the sculpture is complete and after a few moments of fixation, we ask participants to express themselves about their experience. By means of this physical representation, participants to the sculpture discover perceptions and feelings that were unknown up to then. Hence from this analogical representation a reflection and hypotheses of understanding can arise and be developed within the group. CONCLUSION: Through the use of the concepts of "containing function" and "transitional space" we position ourselves in the scope of the encounter and the dialog. Through the use of the systemic technique of "sculpting" we promote the process of understanding, rather than that of explaining, which would place us in the position of experts. The experience of these encounters has shown us that what we need to focus on is indeed what happens in this transitional space in terms of dynamics and process. The encounter and the sharing of competencies both allow a new understanding of the situation at hand, which has, of course, to be verified in the reality of the patient-caregiver relationship. It is often a source of adjustment for interpersonal skills to recover its containing function in order to enable caregiver to better respond to the patient's needs.

Exploring the relationship between professional and organizational commitment : the attitudes of Ontario chartered accountancy students

This study was undertaken to investigate the attitudes of chartered accountancy (CA) students toward professional commitment and organizational commitment. The focus of the study was to discover if a relationship between these two constructs existed and determine which situational and individual characteristics facilitate or impede commitment. The sample included those CA students who wrote the 1995 UFE (n=423). Four instruments were used for data collection: Job Diagnostic Survey, Organizational Commitment Questionnaire, Career Commitment Questionnaire, Career Facilitation Survey, and individual demographic inquiry. The study found a significant relationship between professional commitment and organizational commitment. Situational characteristics tended to influence organizational commitment, while individual characteristics more often governed professional commitment. Specific satisfactions, general satisfaction, growth satisfaction, and satisfaction with compensation, co-workers, and supervision were found to facilitate organizational commitment. Organizational commitment was also influenced by supplemental job characteristics, internal work motivation, career facilitation, and autonomy. Implications for practice involved the cooperation and collaboration of the governing body for the CA profession and the CA firms in activities addressing pertinent issues that influence commitment. Implications for future research were also discussed.

The relationship between parental practices and suicidal behaviors in Québec adolescents

Sommaire Cette thèse examine les liens entre la présence de risques suicidaires chez les adolescents et leur perception des pratiques de chacun de leurs parents. L’étude a examiné l’association entre le comportement suicidaire et différents aspects des pratiques parentales incluant l’affection, l’exercice du contrôle comportemental et psychologique ainsi que les conflits entre parent et adolescents. La thèse a également examiné l’effet du statut matrimonial des parents sur le comportement suicidaire chez les jeunes. Le dernier objectif de l’étude a été d’explorer le rôle du sexe de l’adolescent comme facteur de vulnérabilité face au suicide. L’échantillon de l’étude était composé 1096 adolescents Montréalais, âgés de 11 à 18 ans. L’échantillon était également réparti entre filles et garçons, fréquentant deux écoles secondaires de la région de Montréal, dans la province du Québec au Canada. Il y avait deux groupes à l’étude : le groupe suicidaire et le groupe non-suicidaire. Le premier groupe incluait les sujets présentant des idéations suicidaires et ceux ayant fait une ou plusieurs tentatives de suicide. Un questionnaire auto-rapporté fut administré à chaque sujet pour évaluer les dimensions suivantes auprès de la mère et du père : le niveau de proximité affective, le niveau de supervision parentale, le contrôle comportemental et le contrôle psychologique, la tolérance à l’égard des amis, ainsi que la fréquence et l’impact émotionnel des conflits. Une échelle a également évalué la présence éventuelle de comportements suicidaires chez les jeunes. Dans le but de tester l’hypothèse de base de l’étude, une série d’analyses descriptives et une MANCOVA ont été réalisées. L’hypothèse générale de la thèse postulant que les adolescents ayant des risques suicidaires présenteraient des relations plus problématiques avec leurs parents fut confirmée. En contrôlant l’effet de la détresse psychologique des adolescents, les analyses ont mené à la conclusion que, dans les familles biparentales, un faible niveau de proximité affective avec la mère, une fréquence plus élevée de conflits avec la mère, un excès du contrôle psychologique et un plus faible niveau de supervision maternelle, présentaient des liens significatifs avec le comportement suicidaire chez les adolescents. Indépendamment de la structure familiale, les caractéristiques suivantes du père étaient respectivement perçues par l’adolescent comme ayant des liens significatifs avec le comportement suicidaire des adolescents: faible proximité affective, impact émotionnel et fréquence élevée des conflits ainsi que le manque de supervision. Ces résultats ont été interprétés à la lumière des théories de la socialisation qui mettent l’accent sur le rôle central de la qualité des liens affectifs entre parents et adolescents, comme facteur de protection contre les risques suicidaires. Les résultats ont aussi révélé que les filles adolescentes sont plus exposées aux risques suicidaires tels que tentatives et idéations suicidaires. Les conclusions de cette étude soulignent le besoin urgent de recherches plus poussées sur le comportement suicidaire des adolescents et leurs liens avec les facteurs familiaux, en tenant compte du statut matrimonial des parents. La thèse met également l’accent sur la nécessité de mettre en place des programmes de prévention auprès des adolescents présentant des risques suicidaires élevés.

Culture organisationnelle et supervision abusive

L’objectif principal de ce mémoire est d’identifier les antécédents organisationnels de la supervision abusive. Alors, un modèle intégrant la culture organisationnelle a été élaboré. Les données primaires recueillies par l’Équipe de Recherche sur le Travail et la Santé Mentale (l’ERTSM) auprès de 2162 employés de 63 établissements au Québec de septembre 2009 à mai 2012 ont permis de tester nos hypothèses. Les analyses multiniveaux réalisées corroborent une relation significative entre la culture organisationnelle et la supervision abusive. Les résultats ont montré que la culture de performance est positivement reliée à la supervision abusive contrairement à la culture de relations sociales. Aussi, ces analyses révèlent que certains subordonnés seraient plus enclins à rapporter de la supervision abusive que d´autres. Enfin, d’autres caractéristiques organisationnelles comme la taille de l’établissement pourraient être associées à la supervision abusive.

Ökonomie und Arbeit. Der Kontext von Supervision

Supervision ist Beratung beruflichen Handelns. Zentrales Anliegen der Dissertation ist die Entwicklung der Arbeitswelt in der Moderne sowie die aktuellen Veränderungen näher zu beleuchten, um ihre Bedeutung für die Supervision zu eruieren. Vorab werden die Geschichte und Weiterentwicklung der Supervision mit ihren Spannungsfeldern skizziert. Der Hauptteil handelt von der Herausbildung und Durchsetzung der kapitalistischen Produktionsweise. Es wird dargelegt, was für ein vielschichtiger Prozess für den einzelnen und die Gesellschaft in Gang gesetzt wurde, um die moderne Wirtschaftsweise zu installieren und welche Unterstützung aus anderen Bereichen -Religion, Politik etc. - dazu von Nöten war. Darüber hinaus wird aufgezeigt, welche Konflikte von Anfang an vorhanden waren. Das Hauptaugenmerk richtet sich auf die Prämissen der modernen Arbeitswelt und die mögliche Inkompatibilität ihrer Anliegen: Gewinn und Gerechtigkeit, Konkurrenz und Kooperation, freier Markt und staatliche Regulation, Gleichheit und Spezialisierung, Individualität und Kollektivität. Konflikte und Verstrickungen, die sich daraus für den arbeitenden Menschen ergeben und somit Thema für die Supervision wurden, werden herausgearbeitet. In bezug auf Supervision wird dargestellt, welche Problematik der Wirtschaftsweise immanent ist und schwerlich durch Beratung aufgelöst werden kann. Eine bedeutsame Stellung nimmt die Arbeit als eine zentrale Kategorie der Ökonomie ein. Die Verflechtung von Arbeit und Ökonomie sowie der Entwicklungsverlauf von Arbeit werden skizziert: vom Fordismus zur Globalisierung. Beschrieben und erörtert werden die Konsequenzen für die aktuellen Arbeitsformen und -bedingungen durch die Produktivkraftentwicklung und die neuen Produktionskonzepte. Arbeit wird kritisch in ihrer Funktion für die kapitalistische Produktionsweise reflektiert, mit ihren Beeinträchtigungen für den tätigen Menschen. Das ambivalente Verhältnis von Mensch und Ökonomie wird als das signifikanteste Spannungsfeld für die Supervision betrachtet, verbunden mit der Herausforderung, Supervision nicht zu einer Beratungstechnologie zur Anpassung und Funktionalisierung des Menschen an die sich immer rascher verändernde Arbeitswelt zu zuschneiden.

Integration of knowledge-based, qualitative and numeric tools for real time dynamic systems supervision

The proposal presented in this thesis is to provide designers of knowledge based supervisory systems of dynamic systems with a framework to facilitate their tasks avoiding interface problems among tools, data flow and management. The approach is thought to be useful to both control and process engineers in assisting their tasks. The use of AI technologies to diagnose and perform control loops and, of course, assist process supervisory tasks such as fault detection and diagnose, are in the scope of this work. Special effort has been put in integration of tools for assisting expert supervisory systems design. With this aim the experience of Computer Aided Control Systems Design (CACSD) frameworks have been analysed and used to design a Computer Aided Supervisory Systems (CASSD) framework. In this sense, some basic facilities are required to be available in this proposed framework: ·

Doctoral supervision of colleagues: peeling off the veneer of satisfaction and competence

The nexus of teaching, administration and research activities engaged in by academic staff in higher education means that each individual plays a multitude of roles in relation to colleagues, producing inevitable tensions. One role relationship that epitomizes this extraordinary juggling task is that of doctoral supervisor/supervisee, when both are academic staff in the same institution. The last 10 years has seen an upsurge of research interest in doctoral research students, and government and funding bodies have imposed ever more stringent requirements on supervisors. However, staff pairings have been ignored in this literature and research. This article reports on an exploration that seeks to redress this omission by giving voice to the participants (colleague supervisor or research student), allowing them to articulate constructs about what may be unique in the interaction, thus highlighting factors that support or impede success in the enterprise.

Doctoral supervision of colleagues: peeling off the veneer of satisfaction and competence

The nexus of teaching, administration and research activities engaged in by academic staff in higher education means that each individual plays a multitude of roles in relation to colleagues, producing inevitable tensions. One role relationship that epitomizes this extraordinary juggling task is that of doctoral supervisor/supervisee, when both are academic staff in the same institution. The last 10 years has seen an upsurge of research interest in doctoral research students, and government and funding bodies have imposed ever more stringent requirements on supervisors. However, staff pairings have been ignored in this literature and research. This article reports on an exploration that seeks to redress this omission by giving voice to the participants (colleague supervisor or research student), allowing them to articulate constructs about what may be unique in the interaction, thus highlighting factors that support or impede success in the enterprise.

The banking supervision agenda in Latin America

Includes bibliography