Health Psychology Research / HPR / Volume 8 / Issue 1 / DOI: 10.4081/​hpr.2020.8651
GENERAL

Clinical supervision in oncology: A narrative review

Natalie Hession1* Andrea Habenicht1
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1 St Luke’s Radiation Oncology Network, Dublin, Ireland
Submitted: 1 November 2019 | Accepted: 7 April 2020 | Published: 27 May 2020
© 2020 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

The aim of this narrative literature review is to (a) review all  empirical studies of clinical supervision (CS) in oncology and to  (b) highlight some CS practice issues distinctive to cancer care.  This review identified empirical studies related to qualified  professionals and published in English since 1995 that connected  to CS and oncology. A total of 15 studies were identified with the  majority as small scale, exploratory and qualitative. Psychologists  were predominantly utilised as facilitators of the CS with varied  sample sizes ranging from 5-230 participants. The studies were  grouped into three main categories; the impact of supervision on  staff, impact of supervision on professional care/development and  impact of supervision in existential exploration. This review  highlighted the positive impact of CS while demonstrating the need  for more methodologically sound programmes of research into CS  in cancer settings so detailed models of effective supervision can  develop and thereby inform practice.

Keywords
Cancer
Supervision
Oncology
Reflect
Psychologist
References

1. Absolom, K., Holch, P., Pini, S., Hill, K., Liu, A., Sharpe, M., ... & NCRI COMPASS Supportive and Palliative Care Research Collaborative. (2011). The detection and management of emotional distress in cancer patients: The views of healthcare professionals. Psycho-Oncology, 20(6), 601-608. doi.org/10.1002/pon.1916
2. Brown, R. F., & Bylund, C. L. (2008). Communication skills training: describing a new conceptual model. Academic Medicine, 83(1), 37-44. doi:10.1097/ACM.0b013e31815c631e
3. Brunero, S., & Stein-Parbury, J. (2008). The effectiveness of clinical supervision in nursing: an evidenced based literature review. Australian journal of advanced nursing, 25(3), 86-94.
4. Cummins, A. (2009). Clinical supervision: The way forward? A review of the literature. Nurse Education in Practice, 9(3), 215-220. doi.org/10.1016/j.nepr.2008.10.009
5. Department of Health (2017). National Cancer Strategy 2017-2026. Retrieved from http://health.gov.ie/blog/publications/national-cancer-strategy-2017-2026/.
6. Dilworth, S., Higgins, I., Parker, V., Kelly, B., & Turner, J. (2014). Examining clinical supervision as a mechanism for changes in practice: a research protocol. Journal of advanced nursing, 70(2), 421-430.
7. Edmonds, K. P., Yeung, H. N., Onderdonk, C., Mitchell, W., & Thornberry, K. (2015). Clinical supervision in the palliative care team setting: a concrete approach to team wellness. Journal of palliative medicine, 18(3), 274-277. doi.org/10.1089/jpm.2014.0248
8. Ellis, M. V., & Ladany, N. (1997). Inferences concerning supervisees and clients in clinical supervision: An integrative review.
9. Frankl, V. E. (1959). Man’s search for meaning. Washington Square Press: New York.
10. Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. Journal of chiropractic medicine, 5(3), 101-117. doi.org/10.1016/S0899-3467(07)60142-6
11. Harter, S. P. (1986). Online information retrieval: concepts, principles, and techniques. Academic Press, Inc.
12. Hawkins, P., & Shohet, R. (2012). Supervision in the Helping Professions: An Individual, Group and Organisational Approach; Milton Keynes: Open University Press.
13. Herbert, J. T., & Caldwell, T. A. (2015). Clinical supervision. Counseling theories and techniques for rehabilitation and mental health professionals, 2, 443-462.
14. Inskipp, F., & Proctor, B. (1995). Art, Craft and Tasks of Counseling Supervision: Pt. 1 & 2. Twickenham: Cascade Publications.
15. Inskipp, F., & Proctor, B. (2001). The art, craft & tasks of counseling supervision, part 2: Becoming a supervisor: professional development for counselors, psychotherapists, supervisors and trainers. Twickenham: Cascade.
16. Jones, A. (2003). Clinical supervision in promoting a balanced delivery of palliative nursing care. Journal of Hospice & Palliative Nursing, 5(3), 168-175.
17. Jones, A. (2001). Some experiences of professional practice and beneficial changes derived from clinical supervision by community Macmillan nurses. European Journal of Cancer Care, 10(1), 21-30. doi: 10.1046/j.1365-2354.2001.00209.x
18. Jones, A. (1998). Some reflections on clinical supervision: an existential phenomenological paradigm. European Journal of Cancer Care, 7(1), 56-62. doi.org/10.1046/j.1365-2354.1998.00069.x|
19. Joubert, L., Hocking, A., & Hampson, R. (2013). Social work in oncology—Managing vicarious trauma—The positive impact of professional supervision. Social Work in Health Care, 52(2-3), 296-310. doi:10.1080/00981389.2012.737902
20. Kangas-Niemi, A., Manninen, K., & Mattsson, J. (2018). Facilitating affective elements in learning-In a palliative care context. Nurse education in practice, 33, 148-153. doi.org/10.1016/j.nepr.2018.09.007
21. Mackereth, P. A., Parkin, S., Donald, G., & Antcliffe, N. (2010). Clinical supervision and complementary therapists: An exploration of the rewards and challenges of cancer care. Complementary therapies in clinical practice, 16(3), 143-148. doi: 10.1016/j.ctcp.2010.01.001
22. McVey, J., & Jones, T. (2012). Assessing the value of facilitated reflective practice groups. CanCer nursing praCtiCe, 11(8). doi:10.7748/cnp2012.10.11.8.32.c9357
23. McMillan, K., Butow, P., Turner, J., Yates, P., White, K., Lambert, S., ... & Lawsin, C. (2016). Burnout and the provision of psychosocial care amongst Australian cancer nurses. European Journal of Oncology Nursing, 22, 37-45. doi.org/10.1016/j.ejon.2016.02.007
24. Murphy, A., & Cowman, S. (2006). Research priorities of oncology nurses in the Republic of Ireland. Cancer nursing, 29(4), 283-290.
25. National Cancer Action Team, (2010). Manual for Cancer Services 2008: Psychological Support Measures. NCAT: London.
26. NICE (2012). Methodology Checklist: Qualitative Studies. Retrieved from http://publications.nice.org.uk/the-guidelines-manual-appendices-bi-pmg6b/appendix-h-methodology-checklist-qualitative-studies on 15th November 2015.
27. Ödling, G., Danielson, E., & Jansson, L. (2001). Caregivers’ descriptions of patients with advanced breast cancer in connection with supervision sessions in a surgical ward. Cancer Nursing, 24(1), 28-34.
28. Pålsson, M. B., Hallbert, I. R., Norberg, A., & Isovaara, S. (1994). Systematic clinical supervision and its effects for nurses handling demanding care situations. Interviews with Swedish district nurses and hospital nurses in cancer care. Cancer Nursing, 17(5), 385-394.
29. Proctor, B. (1987). Supervision: a co-operative exercise in accountability. In M. Marken and M. Payne (eds), Enabling and Ensuring: Supervision in Practice. Leicester: National Youth Bureau, Council for Education and Training in Youth and Community Work. Pp. 21-34.
30. Puffett, N., & Perkins, P. (2017). What influences palliative care nurses in their choice to engage in or decline clinical supervision?. International journal of palliative nursing, 23(11), 524-533. doi.org/10.12968/ijpn.2017.23.11.524
31. Sackin, P., & Salinsky, J. (2012). The Balint group as a form of supervision. In D. Owen & R. Shohet (Eds.). Clinical Supervision in the Medical Profession: Structured Reflective Practice. McGraw-Hill Education: Maidenhead, UK.
32. Salander, P., & Sandström, M. (2014). A Balint-inspired reflective forum in oncology for medical residents: Main themes during seven years. Patient education and counseling, 97(1), 47-51. doi:10.1016/j.pec.2014.06.008
33. Scaife, J. (2019). Supervision in clinical practice: A practitioner’s guide. Routledge.
34. Shea, B. J., Grimshaw, J. M., Wells, G. A., Boers, M., Andersson, N., Hamel, C., Porter, A. C., Tugwell, P., Moher, D., Bouter, L. M. (2007). AMSTAR Checklist. Retrieved from http://amstar.ca/Amstar_Checklist.php on 7th November 2015.
35. Strang, S., Strang, P., & Ternestedt, B. M. (2001). Existential support in brain tumour patients and their spouses. Supportive Care in Cancer, 9(8), 625-633. doi: 10.1007/s005200100258
36. Turner, J., Mackenzie, L., Kelly, B., Clarke, D., Yates, P., & Aranda, S. (2018). Building psychosocial capacity through training of front-line health professionals to provide brief therapy: lessons learned from the PROMPT study. Supportive Care in Cancer, 26(4), 1105-1112. doi:10.1007/s00520-017-3929-8
37. Udo, C., Danielson, E., Henoch, I., & Melin-Johansson, C. (2013). Surgical nurses’ work-related stress when caring for severely ill and dying patients in cancer after participating in an educational intervention on existential issues. European Journal of Oncology Nursing, 17(5), 546-553. doi:10.1016/j.ejon.2013. 02.002
38. Udo, C., Melin-Johansson, C., & Danielson, E. (2011). Existential issues among health care staff in surgical cancer care– discussions in supervision sessions. European Journal of Oncology Nursing, 15(5), 447-453. doi:10.1016/j.ejon. 2010.11.010
39. Wallbank, S., & Hatton, S. (2011). Reducing burnout and stress: the effectiveness of clinical supervision. Community Practitioner, 84(7), 31-36.
40. Weaks, D. (2002). Unlocking the secrets of ‘good supervision’: A phenomenological exploration of experienced counsellors’ perceptions of good supervision. Counselling and Psychotherapy Research, 2(1), 33-39. doi:10.1080/14733140212331384968
41. Williams, P. L., & Webb, C. (1994). Clinical supervision skills: a Delphi and critical incident technique study. Medical Teacher, 16(2-3), 139-157. doi.org/10.3109/01421599409006725
42. Xavier, K., Shepherd, L., & Goldstein, D. (2007). Clinical supervision and education via videoconference: a feasibility project. Journal of Telemedicine and Telecare, 13(4), 206-209. doi: 10.1258/1357633077809079

Conflict of interest
The authors declare they have no competing interests.
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Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research