[Clinical supervision--experience of 10 nurses of a 2-year process-oriented supervision]. / Klinisk Handledning. Tio sjuksköterskors upplevelser av två års processorienterad handledning.

Many patients in swedish hospital care today are older, more physically and mentally ill and in need of much care. Despite this there is a strong urge for higher cost-effectiveness and shorter hospital stays. Both these trends are often reported to be important sources of stress and burn-out among nurses. One way of reducing such effects among nurses could be clinical supervision. The present study is a result of one two-year long process-oriented supervision programme for nurses, led by the authors. The method in this study consisted of semi-structured interviews of 10 nurses joining the programme. The main questions in the interviews concerned; a) what knowledge they had acquired through the programme; b) if the programme had contributed to their understanding of others' feelings and reactions and; c) whether the programme had influenced their cooperation with others. The main conclusion from the interviews was that the programme had given them more courage and a more pronounced experience of support from colleagues. It was also found that the programme had improved their sense of professionalism and their self-image. These results point to the value of offering nurses possibilities for supervision, giving opportunities for both personal and professional development and thus preventing burn-outs.

Nurses' experiences of change: a new professional collaboration model and all-R.N. staffing.

Changes in staffing toward a higher number of R.N.'s are common in a number of countries today. This article aims at describing the experiences of a management-induced change from mixed to all-R.N. staffing. All R.N.s in a surgical ward at a Swedish university hospital were interviewed two months after such replacements were completed. The nurses described a period of chaos and conflicts but also of support for the idea and enthusiasm for the future. A more careful planning of the change process is to be recommended.