Clinical supervision experience of nurses in or transitioning to advanced practice: A systematic review

Abstract

Aims: To systematically explore the clinical supervision (CS) experience for nurses transitioning to advanced practice.

Design: A qualitative systematic review using Joanna Briggs Institute meta-aggregation following an a priori protocol published on PROSPERO (CRD42023426658).

Data sources: Qualitative studies obtained from Medline, CINAHL, PsycINFO, Scopus, Emcare and ERIC databases and ProQuest dissertations and theses for peer-reviewed, published and unpublished studies from inception to July 2023.

Review methods: Two authors conducted data screening and abstraction. Quality was appraised using the Critical Appraisal Skills Programme tool and reporting followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research checklist for systematic reviews.

Results: Sixteen studies contributed to five synthesized findings: CS that is beneficial requires structure and commitment, trusting relationships are foundational for learning, lifting burdens and preventing burnout, learning through reflection, critical thinking and feedback and barriers to CS.

Conclusions: This review provides a meaningful exploration of CS to support nurses transitioning to advanced practice. Well-structured supervision offers a safe space to share work-related concerns and develop an advanced practitioner identity. Sharing experiences helps alleviate work-related burdens and reduce professional isolation and burnout.

Implications for the profession: Peer-support networks are vital for successful transition to advanced practice.

Impact: This review highlighted the impact of effective supervisory relationships in forming professional identity and possible links with nursing retention.

Public contribution: No direct patient contributions are included as it forms part of a research degree.

Keywords: advanced practice nurses; nurses; peer group; systematic review.