None listed
Conditions
Brief summary
This research aims to investigate the effectiveness of Group Clinical Supervision (GSC) within maternity units in twelve Sydney’s public hospitals. The project will explore whether regular access to GCS affects midwives’ perceptions of workplace culture, their intentions to stay in or leave the profession and actual staff retention rates. The level of midwifery burnout will be the primary outcome. The study will include a cluster randomised controlled trial (RCT) with measurement tools that include the Australian Midwifery Workplace Culture (AMWoC) survey tool, the Clinical Supervision Evaluation Questionnaire (CSEQ), the Copenhagen Burnout Inventory (CBI), and workforce data showing staff turnover rates and sick leave from maternity units within the Local Health Districts. The hypotheses are: that regular GCS will improve midwives’ perceptions of their workplace culture and lower their levels of work-related burnout; Midwives with positive perceptions of their workplace culture will be more likely to remain in their profession, and that Maternity units offering regular GCS will have lower levels of midwifery staff attrition than others.
Interventions
Group Clinical Supervision will be delivered monthly to the intervention sites (maternity units in the Sydney region). All midwives, excluding senior midwives in roles such as Clinical Educator, manager or Clinical Midwifery Consultant will be asked to participate in the study and attend the sessions. Each session will be face to face and run for 45-60 minutes, and attendance at one session per month is encouraged, with a minimum of 3 sessions within a six month period recommended. Each session will be an open group of up to 8 participants. During the sessions, midwives will be encouraged to discuss a clinical situation and be encouraged to reflect on their experience of the event(s) to further develop their professional competence whilst also feeling safe, supported and empowered. A trained Clinical Supervision facilitator will deliver the sessions. The time-period for the Clinical Supervision to be delivered will be two years. Participants will be asked to complete a survey every 6 months. Liaison with the site PI/managers of the intervention sites will occur to ensure participants are attending the sessions. Liaison will regularly occur with the PIs of the control arm sites to ensure participants complete the surveys.
Sponsors
Study design
Eligibility
Inclusion criteria
Registered midwives employed in Public Hospitals in the Greater Sydney geographical area, working for maternity units within hospitals that have consented to being part of the study.
Exclusion criteria
Senior midwifery staff such as Managers, Unit Managers, Educators and Clinical Midwifery Consultants. Any midwives employed by agencies.