The team at the Fulford Family Centre in Bristol, comprises a nurse supervisor, Sarah, and four nurses. This is a team that is growing, which will build up to the full complement of eight nurses over time. The nurses have a caseload of 22 clients, the lower caseload reflecting the different working conditions to the nurses in the US program.
I attended the team meeting, and the topic for discussion was Supervision – who’s it for, who benefits? I was very interested to hear the nurses views on this, as it is such an integral part of the program, with weekly sessions for each nurse with her nurse supervisor.
The nurses recognise that supervision is for the benefit of the individual nurse, but also for the benefit of clients, the team and supervisors. It enables frequent reflection on the work, and provides a structure for Analysis, Reflection and Action.
According to the NFP model – Nurse supervisors provide nurse home visitors clinical supervision with reflection, demonstrate integration of the theories, and facilitate professional development essential to the nurse home visitor role through specific supervisory activities including one-to-one clinical supervision, case conferences, team meetings, and field supervision.
The program requirements for supervision are built into the licensing conditions for the program. Each nurse receives weekly, on-on-one supervison, fortnightly team meetings, and four motnhlyaccompained home visits.
The relationship between supervisor and supervisee mirrors the relationship between nurse and client, and in turn mirrors the relationships the program fosters between the mother and child.