The impact of clinical supervision on burnout among registered nurses: A scoping review protocol

Cátia Rosas Rodrigues; Sandra Rocha; Salomé Trigo; Luís Silva; Mafalda Silva; Ana Rosinhas

doi:10.62741/ahrj.v2i1.29

Authors

Cátia Rosas Rodrigues Unidade Local de Saúde de Matosinhos, Hospital Pedro Hispano, Porto, Portugal https://orcid.org/0000-0001-8761-1813
Sandra Rocha Unidade Local de Saúde do Alentejo Central, Hospital do Espírito Santo de Évora, Évora, Portugal https://orcid.org/0009-0000-9036-8594
Salomé Trigo Unidade Local de Saúde de Santo António, Hospital Magalhães Lemos, Porto, Portugal https://orcid.org/0009-0007-8042-3415
Luís Silva Unidade Local de Saúde de São João, Centro Hospitalar Universitário São João, Porto, Portugal https://orcid.org/0009-0008-2072-6702
Mafalda Silva Professora Adjunta na Escola Superior de Saúde Jean Piaget de Vila Nova de Gaia, Gaia, Portugal. Centro de Investigação Interdisciplinar em Saúde (CIIS). Insight Piaget Research Center https://orcid.org/0000-0002-2509-5566
Ana Rosinhas Professora Adjunta na Escola Superior de Saúde Jean Piaget de Vila Nova de Gaia, Gaia, Portugal https://orcid.org/0000-0001-6901-2868

DOI:

https://doi.org/10.62741/ahrj.v2i1.29

Keywords:

Burnout Professional, Nursing, Perceptorship

Abstract

Introduction: Nursing practice is based on interpersonal relationships, which entails greater emotional involvement. In recent times, there have been high levels of burnout among nurses. Clinical supervision in nursing plays a role in the development of professional identity, with benefits for professional satisfaction and a reduction in stress levels among nurses. Nurses should consider clinical supervision and understand how it relates to the phenomenon of professional burnout.

Objective: To map the available evidence reporting on the impact of clinical supervision on professional burnout among nurses.

Inclusion Criteria: The review will include studies on the impact of clinical supervision on nurses' burnout, using the PCC framework. Quantitative, qualitative or mixed studies will be considered, as well as systematic reviews and grey literature.

Methods: Scoping review protocol. Three-phase search strategy that will aim to locate studies published in the following databases: CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MedicLatina, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews (all via EBSCOhost), PubMed, Web of Science Core Collection, OpenGrey and RCAAP. The selection of studies will begin by analysing the title and abstract. The full text of the selected studies will be analysed by two independent reviewers who will extract the data using a specific tool.

Conclusion: This scoping review aims to analyse the impact of clinical supervision in nursing on the burnout of nurses in clinical practice, including the characteristics of clinical supervision, in terms of the type of supervision carried out, the mode of supervision, the frequency of supervision, the duration of supervision, the clinical supervision model and the use of instruments. This will support the integration of clinical supervision into clinical practice, bringing gains in the quality and safety of care provided to patients and at the same time in the professional satisfaction and personal well-being of nurses.

Author Biography

Cátia Rosas Rodrigues, Unidade Local de Saúde de Matosinhos, Hospital Pedro Hispano, Porto, Portugal

Ciência ID: 801E-222B-AB10

References

Maslach C, Schaufeli WB, Leiter MP. Job burn-out. Annu Rev Psychol. 2001;52:397-422. doi.org/10.1146/annurev.psych.52.1.397

Maslach C, Leiter MP. New insights into burn-out and health care: strategies for improving civility and alleviating burnout. Med Teach. 2017;39(2):160-163. doi.org/10.1080/0142159X.2016.1248918

World Health Organization. Burn-out an “oc-cupational phenomenon”: international classi-fication of diseases. Geneva: WHO; 2019. Available from: https://www.who.int/mental_health/evidence/burn-out/en/

Maslach C, Jackson SE. The Measurement of Experienced Burnout. J Organ Behav. 1981;2:99-113. doi:10.1002/job.4030020205

Yu X, Qu H, Ni Y, Tang X, Zhou H. Comparative study of job burnout in Shanghai-based nurses against Maslach norm and Hangzhou norm. Int Nurs Rev. 2025;72(1):e12952. doi.org/10.1111/inr.12952

Razai M, Kooner P, Majeed A. Strategies and interventions to improve healthcare profes-sionals’ well-being and reduce burnout. J Prim Care Community Health. 2023;14. doi.org/10.1177/21501319231178641

Borges EMDN, Queirós CML, Abreu MDSN, Mosteiro-Diaz MP, Baldonedo-Mosteiro M, Baptista PCP, Felli VEA, Almeida MCDS, Silva SM. Burnout among nurses: a multicentric comparative study. Rev Lat Am Enfermagem. 2021;29:e3432. doi:10.1590/1518-8345.4320.3432

Almeida C, Poeira AF. Burnout in Nurses of an Intensive Care Unit during COVID-19: A Pilot Study in Portugal. Healthcare (Basel). 2023;11(9). doi:10.3390/healthcare11091233

Molina-Praena J, Ramirez-Baena L, Gómez-Urquiza JL, Cañadas GR, De la Fuente EI, Caña-das-De la Fuente GA. Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. Int J Environ Res Public Health. 2018;15(12):2800. doi:10.3390/ijerph15122800

Sellers E, Craven-Staines S, Vaughan C. Clinical supervision effectiveness in NHS nursing, medical and allied health professionals: ex-ploring interaction with workplace factors, supervision factors and burnout. J Eval Clin Pract. 2024;1-8. doi.org/10.1111/jep.14149

Abukhalifa AMS, Kamil NLM. Are Palestinian Nurses Burned Out or Engaged: The Impact of Job Demands on Job Performance? Journal of Health Management. 2024;26(5):717-732. doi:10.1177/09720634241235496

Abreu W. Formação e aprendizagem em con-texto clínico – fundamentos, teorias e consi-derações didácticas. Coimbra: Formasau; 2007. ISBN: 978-972-8485-87-0.

Hudays A, Gary F, Voss JG, Hazazi A, Arishi A, Al-sakran F. Job Satisfaction of Nurses in the Context of Clinical Supervision: A Systematic Review. Int J Environ Res Public Health. 2024;21(1):6. doi:10.3390/ijerph21010006

Ernawati E, Damris DM, Revis A, Elrifda S. How Effective is Clinical Supervision in Nursing? A Systematic Review. JCCNC. 2022;8(2):69-78. doi:10.32598/JCCNC.8.2.426.1

Jardim Zonneveld D, Conroy T, Linhas L. Expe-riência de supervisão clínica de enfermeiros em ou em transição para prática avançada: Uma revisão sistemática. J Adv Nurs. 2024;80:3547-3564. doi:10.1111/jan.16126

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. In: Aro-mataris E, Lockwood C, Porritt K, Pilla B, Jor-dan Z, eds. JBI Manual for Evidence Synthesis. JBI; 2020. doi:10.46658/JBIMES-24-09

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA exten-sion for scoping reviews (PRISMA-ScR): check-list and explanation. Ann Intern Med. 2018;169(7):467-473. doi.org/10.7326/M18-0850

Munn Z, Pollock D, Khalil H, Alexander L, McLnerney P, Godfrey CM, et al. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence syn-thesis. JBI Evid Synth. 2022;20(4):950-952. doi:10.11124/JBIES-21-00483

Bishop, V. Clinical supervision in practice: some questions, answers and guidelines for professionals in health and social care. Palgrave Macmillan. 2007. (2nd ed.). ISBN: 978-1-4039-4597-6

Kingsley M, Hussain F, Ma R. Level 2 CS for community practitioners working with pallia-tive and end-of-life care patients. Br J Nurs. 2023;32(2):66-72. doi:10.12968/bjon.2023.32.2.66

Sérgio MSSBB, Carvalho ALRF, Pinto CMCB. Supervisão clínica: um contributo na melhoria dos indicadores de qualidade dos cuidados de enfermagem. Cogitare Enferm. 2023;28:e89400. doi:10.1590/ce.v28i0.89400

Peters MDJ, Godfrey C, McInerney P, Khalil H, Larsen P, Marnie C, et al. Best practice guid-ance and reporting items for the develop-ment of scoping review protocols. JBI Evid Synth. 2022;20(4):953-968. doi:10.11124/JBIES-21-00242