Evidence map›Paper›PMID 37403584›Full record

ArticleMedical education online2023

Clinical supervision under pressure: a qualitative study amongst health care professionals working on the ICU during COVID-19.

Marjel van Dam, Hanneke van Hamersvelt, Lisette Schoonhoven, Reinier G Hoff, Olle Ten Cate, Marije P Hennus

Open access · goldAbstract read
In one paragraph

Article in Medical education online, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Marjel van DamIntensive Care Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-9802-7516
Hanneke van HamersveltDepartment of Anesthesiology, IJsselland Hospital, Capelle Aan den IJssel, The Netherlands.
Lisette SchoonhovenNursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0002-7129-3766
Reinier G HoffDepartment of Anesthesiology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-7432-7087
Olle Ten CateCenter for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-6379-8780
Marije P HennusDepartment of Pediatric Intensive Care, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-1508-0456
University Medical Center Utrecht · NLUtrecht University · NLIJsselland Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe unprecedented influx of patients in 2020 with COVID-19 to intensive care units (ICU) required redeployment of healthcare professionals without adequate previous ICU-training. In these extraordinary circumstances, pivotal elements of effective clinical supervision emerged. This study sets out to explore the nature, aspects and key features of supervision under highly demanding circumstances among certified and redeployed health-care professionals on COVID-19 ICUs. MATERIALS AND

methodsA prospective qualitative, single center, semi-structured interview study among healthcare professionals at COVID-19 ICUs at University Medical Center Utrecht, the Netherlands between July and December 2020. Interview data were analyzed using an inductive coding style.

resultsA total of 13 certified and 13 redeployed health'hcare professionals, including physicians, nurses, and operation room technicians participated. Seven themes were identified as essential for both certified (supervisors) and redeployed (trainees) personnel: an open attitude, observing boundaries, gauging coworkers' capacities, being available, providing feedback, continuity in care and teams, and combining supervision with workload.

conclusionsThis study provides seven recommendations for both supervisors and trainees to help optimize clinical supervision. They align with the known five factors determining entrustment and supervision (trainee, supervisor, task, context, and relationship). To ensure good clinical supervision, be it either during normal circumstances or under pressure, efforts should primarily focus on factors that are within a supervisor or trainee's span of control. MESH: Clinical supervision, interprofessional, COVID-19, Intensive Care.

Indexed as

COVID-19Internship and ResidencyMentorsPersonnel ManagementPhysiciansClinical CompetenceHumansIntensive Care UnitsProspective StudiesQualitative ResearchClinical supervisionCOVID-19Intensive Careinterprofessional

Identifiers

PMID37403584
PMCPMC10324445
OpenAlexW4383186944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.