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Access to clinical supervision for registered nurses is an important way of maintaining and improving standards of patient care. Ten years ago clinical supervision only existed for the community nurse specialists within a group of hospices in the south east of England managed under one clinical governance framework. With the appointments of a lead nurse for patient safety and quality and an education and training co-ordinator the whole system of clinical supervision was reviewed to include all nursing staff (registered nurses, health-care assistants and community associate practitioners) from the inpatient, day hospice and community services. This article looks at the methods employed to initiate a reflective clinical supervision programme using a group model. Details in this article are provided on the processes for implementation addressing the practicalities of providing this valued service and how to overcome some of the difficulties encountered.
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Chilvers et al. (2009) studied this question.
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