Does clinical supervision improve job satisfaction for qualified nurses in primary health care in Jeddah, Saudi Arabia?

Almadani, SN

Abstract

Background: Clinical supervision has been widely used as a tool to improve nurses’ job satisfaction and competence through shared experiences and reflection. This study, which examined job satisfaction before and after a clinical supervision intervention in Primary Health Care (PHC) organisations in Saudi Arabia (SA), is the first of its kind in this particular context.

Research Question: Does clinical supervision improve job satisfaction for qualified nurses in Primary Health Care in Jeddah, Saudi Arabia?


Methodology: A mixed-methods approach was used to explore participants’ perceptions of job satisfaction before and after a clinical supervision intervention. The design and execution occurred within the ‘Plan, Do, Study, and Act’ (PDSA) quality improvement framework cycle.

Methods: Quantitative data were collected using a quasi-experimental design, where a non-equivalent pre-test and post-test control group was used to determine whether clinical supervision could improve nurses’ job satisfaction in six selected PHC centres in Jeddah, SA. Subsequently, 91 nurses in the pre-test group and 78 nurses in the posttest group completed the Minnesota Satisfaction Questionnaire (MSQ). The external moderators provided supervision-training sessions, followed by six months of implementation after the pre-test, which was only provided for the intervention group, who become the supervisors and supervisees. Following the post-test process for both groups, semi-structured interviews were conducted with six participants from the intervention group only.


Analysis and Results: Quantitative data was analysed via SPSS (version 22). The analysis of variance (ANOVA) and analysis of covariance (ANCOVA) statistical tests were utilised to equate and compare the two groups. Qualitative data were analysed using both NVivo software (version 11) and a manual process. Both methods’ findings were integrated to inform the study findings. Quantitative findings reported that the intervention group developed more positive job satisfaction than the non-intervention group. Qualitatively, a number of participants showed improved job satisfaction after six months of the clinical supervision intervention.

Supported by both quantitative and qualitative data, the findings of this study indicate that, in this context, clinical supervision may boost job satisfaction among qualified PHC nurses as job satisfaction improved after a six-month intervention.

Citation

Almadani, S. (in press). Does clinical supervision improve job satisfaction for qualified nurses in primary health care in Jeddah, Saudi Arabia?. (Thesis). University of Salford

• Thesis Type: Thesis
• Acceptance Date: Mar 29, 2019
• Deposit Date: Apr 5, 2019
• Publicly Available Date: Apr 5, 2019
• Additional Information: Funders : Saudi Government (Ministry of Health)