4. Create an open an empowering learning environment
Two videos of a hypothetical supervision situation are shown. The scene shows a JMO experiencing difficulty inserting an intravenous cannula in a patient.
The videos demonstrate how JMOs can be empowered or disempowered as they learn as they learn 'on the job', navigating safety, service delivery and training. Other examples of the 7 principles are also shown.
Watch video 1a here (with permission SCSSC)
This version demonstrates disempowerment and other examples of ineffective supervision behaviours, based on the 7 principles.
4. Collaborate to create an open, safe and empowering learning environment: Without further information, we cannot judge the appropriateness of otherwise of the JMO attempting the task in the first instance, or what consultation with her supervisor was required as she encountered difficulty. However, the response of both the nurse and supervisor is disempowering. The nurse does not consult the JMO about her decision to involve the supervisor. On arrival, the supervisor admonishes the JMO without enquiring about the situation. He takes over the task, rather than supporting the JMO to reattempt it, or offering any teaching, as he attempts it.
1. Demonstrate respect: The SMO behaves in a disrespectful manner. In full view of the patient, he fails to remain composed, using words and body language that are personally and professionally demeaning to the JMO. This may negatively impact the JMO's relationship with the patient. The JMO's reputation will be negatively affected if the nurse and supervisor discuss the situation with third parties, in a negative manner. The nurse, who was instrumental in triggering this encounter, does not advocate for the JMO, when she witnesses the disrespectful behaviour. The patient is likely to feel upset by this scene and may lose trust in all of them.
2. Promote diversity and wellbeing: Through his exaggerated attempt to show regard for the patient's wellbeing, the supervisor disregards the wellbeing of the JMO. The patient's wellbeing would have been negatively affected as a result of witnessing his uncivil behaviour.
Watch Video 1b here (with permission SCSSC)
This version demonstrates empowerment and other examples of effective supervision behaviours.
4. Create an open, safe and empowering learning environment
Rather than taking over the task, the supervisor encourages the JMO to reattempt the cannulation and remains present to guide the procedure. At this stage, rather than prompting the JMO how to proceed, he asks her to "talk me through how you are going to do it".
Charter elements demonstrated
#14 show initiative in patient care and support other team members.
#15 shows respect when changing others' management or having your management altered
2. Promote diversity and wellbeing
The supervisor and JMO are friendly toward each other. The supervisor pre-empts the JMO's anxiety by using a calming tone of voice and body language and prompting her 'not to rush, take a breath ......"
Charter element demonstrated
#5 show concern for others
1. Demonstrate respect
The nurse and supervisor's body language and facial expressions are supportive and non-threatening. Their language is polite. Everyone remains composed and focussed on success with the next attempt.
Charter elements demonstrated
#2 interact politely and acknowledge others' effort and contribution
#3 respect reputations
#4 remain composed when frustrated or stressed
3. Ensure patients and staff are safe:
Everyone addresses the patient in a reassuring way. The nurse observes the situation and suggests that the specialist doctor might be available to assist. The JMO responds by accepting her suggestion to involve the supervisor
Charter elements demonstrated
#11 practice within role and consult appropriately
#12 communicate our concerns and listen to concerns raised by patients and colleagues.
6. Achieve effective feedback
The supervisor shows positive regard for the JMO and verbalises that he believes the JMO has the potential to complete the task "I've seen you do this before so I know you can do this". This reinforces to the patient and other staff present that the JMO is competent and the patient is receiving appropriate care.
Charter element demonstrated
#20 believe you are valued, show positive regard and acknowledge good performance in others