Upervision: how can the gap be bridged?

Abstract

The purpose of this study was to explore midwives' perceptions of the role of statutory supervision in Northern Ireland (NI). This study, conducted in 2002, was the first study of midwifery supervision in NI. A convenience sample of midwives volunteered. Data collection was through semi-structured interviews while data analysis was performed using the Glaser and Strauss (1967) form of constant comparison of the data, field notes and memoranda made during the interviews. A grounded theory methodology was adopted. Midwives in NI openly acknowledge their lack of understanding regarding the role of the supervisor. They want more informal mechanisms of supervision to improve professional relationships with supervisors. They require it to be more transparent and less covert in its conduct, while supervisors need to be able to demonstrate clinical credibility. Strategies offered by midwives to 'bridge the gap' included the provision of study days and lunch-time seminars on supervisory issues to complement the one-to-one review sessions. Protected time to conduct supervisory meetings was seen as essential and financial remuneration for conducting supervisory duties was recommended. Independently choosing one's own supervisor and increasing their number to decrease the supervisor:midwife ratio would facilitate 'closing the gap'.