The experience of nurses participating in peer group supervision: a qualitative systematic review.

Elsevier

Available online 17 March 2023, 103606

Nurse Education in PracticeAuthor links open overlay panel, , AbstractAim

This systematic review will identify, appraise, and synthesise the best available qualitative studies exploring nurses’ experiences of peer group supervision. The review purpose draws from the synthesised evidence recommendations to enhance policy and implementation of peer group supervision in practice.

Background

Clinical Supervision is increasing in acceptance as a means of professional and best practice support in nursing. Peer group supervision is a non-hierarchical, leaderless model of clinical supervision delivery and is an option for implementation by nursing management when prioritising staff support with limited resources. This systematic review will provide a synthesis of the qualitative literature regarding the nursing peer group supervision experience. Understanding the experience of peer group supervision from those participating may provide constructive insights regarding implementation of this practice to benefit both nurse and patient driven outcomes.

Design

Included are peer reviewed journals focused on nurses’ experiences of participating in peer group supervision. Participants are registered nurses of any designation. Qualitative articles, written in English and relating to any area of nursing practice and/or speciality are included.

The standards of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) Statement were used to guide the review. Two investigators independently screened titles, abstracts and selected full text studies describing the experience of peer group supervision. Pre-designed data extraction tools were utilised, and the review followed the Joanna Briggs Institute qualitative meta-aggregation approach with a hermeneutic interpretive analysis.

Results

Results identified seven studies that met the inclusion criteria. A total of 52 findings that described the experiences of nursing peer group supervision are synthesised into eight categories. Four overarching synthesised findings resulted: 1. facilitating professional growth 2. trusting the group 3. professional learning experience and 4. shared experiences. Benefits such as sharing of experiences whilst receiving feedback and support were identified. Challenges identified related to group processes.

Conclusions

The paucity of international research into nursing peer group supervision poses challenges for nurse decision makers. Significantly, this review provides insight into the value of peer group supervision for nurses regardless of clinical context and setting. The ability to share and reflect with nursing peers enhances both personal and professional aspects of practice. The worth of the peer group supervision model varied across studies however the outcomes provided important insights into facilitating professional growth, enabling a space to share experiences and reflect, and to build teams where trust and respect develops in groups.

Section snippetsBackground

The recent Covid-19 pandemic has seen nurses face challenges never before encountered in their careers (Catton, 2020, Turale et al., 2020). As professionals, nurses rise to meet challenges but require personal and professional support to optimally care for themselves and their patients (Catton, 2020, Dyson and Lamb, 2021, Fernández‐Castillo et al., 2021; Jackson et al., 2020). Times of crisis are when nurses require the most support to provide best practice and quality patient care (Dilworth et

Protocol registration

The systematic review was conducted according to the registered Joanna Briggs Institute protocol. The protocol was registered with reporting for systematic reviews. (Reporting number to be included post review)

Inclusion and exclusion criteria

Qualitative research from peer reviewed journals that met the following inclusion criteria were contained within the review: 1. English language studies, where the participants were adults with no restriction on age, gender, ethnicity, clinical practice setting, specialty, or designation.

Study selection

The initial search identified 259 studies. This was reduced to 135 after duplicates were removed. These studies were screened for title and abstract. From these, 75 studies were full text screened. One was a poster presentation; 65 were excluded initially, however it was noted during the critical appraisal phase that a further three did not meet the inclusion criteria and needed to be excluded (See Appendix 5 for excluded studies and rationales). Five studies and two narrative/opinion papers

Discussion

The systematic review examined the experiences of nurses’ participating in peer group supervision. The review identified four synthesised findings. The first finding identified the personal and professional benefits to nurses participating in peer group supervision. This is consistent with peer group supervision studies in the helping professions (Atik and Erkan Atik, 2019, Dungey et al., 2020, Nickson et al., 2016).

The benefits vary greatly from person to person and are not always guaranteed.

Conclusions

This systematic review demonstrated that whilst there is a plethora of research on nursing clinical supervision there is a paucity on nursing peer group supervision. It was noted that studies regarding the experiences of nurses primarily focused on group supervision with a supervisor (Johnson, 2016). There were limited studies that purely explored nurses’ experiences from a peer led approach.

It is interesting that only seven studies were located from the literature and only a few of these

Funding sources

This research did not receive any specific grant from funding agencies in the public, commercial or not for profit sectors.

Declaration of Competing Interest

The authors declare the following personal relationships which may be considered as potential competing interests: Conflict of interest. There is potential for conflict of interest in conducting the systematic review. There were only seven (7) articles included in the review and one (1) was authored by the review research team. The risk of bias was mitigated through the use of the robust PRISMA reporting guideline and the use of a qualitative meta-aggregation approach as outlined by the Joanna

Conflict of interest

Potential conflict of interest is noted in that an article by the first author is included in the study. However, the risk of bias is mitigated using the Joanna Briggs Institute checklist and by independent reviewers.

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