Estratégias de supervisão clínica: análise crítico-reflexiva das práticas

Introduction: The clinical supervision in nursing is a formal process of monitoring clinical practice, which aims to promote professional development, client protection and safety of care, through processes of reflection and analysis of practices. Objective: Identify current clinical supervision strategies. Methods: Qualitative, exploratory study. A total of 42 nurses were recruited from three health centres in the north of Portugal. Data collection was carried out through semi-structured interviews and the analysis was performed according to the principles of the grounded theory method. Results: From the analysis, the category critical-reflexive analysis of practices emerged and the respective dimensions and subcategories. The dimensions identified were: “Intrapersonal dimension”, from which two subcategories emerged; and the “Interpersonal dimension”, from which ten subcategories emerged. Conclusion: Results identified a set of current supervisory strategies in use, promoting professional development, namely, the critical-reflexive analysis of practices. However, several constraints of individual and contextual nature were found to interfere with the operationalization of this strategy, meaning that further research is needed.