Clinical supervision for novice millennial nurses in the perinatal setting: The need for generational sensitivity


This paper reports on a qualitative research study that examined the experience of expert and novice nurses participating in a new, reflective program of “clinical supervision”, intending to facilitate the transition of new graduate nurses into the workforce. Three patterns emerged during the constructivist inquiry: readiness to reflect, valuing of clinical supervision, and sustainability of the clinical supervision model. The researchers suggest generational sensitivity as a key perspective to consider when developing engaging workplace strategies for millennial nurses. The article offers recommendations for the implementation of clinical supervision and would be of interest to nurse leaders in a clinical setting.

Share and Cite:

Watson, J. , Macdonald, G. and Brown, D. (2013) Clinical supervision for novice millennial nurses in the perinatal setting: The need for generational sensitivity. Open Journal of Nursing, 3, 373-378. doi: 10.4236/ojn.2013.35050.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] [1] Edwards, D., Burnard, P., Hannigan, B., Cooper, L., Adams, J., Juggessur, T., Fothergill, A. and Coyle, D. (2006) Clinical supervision and burnout: The influence of clinical supervision for community health nurses. Journal of Clinical Nursing, 15, 1007-1015. doi:10.1111/j.1365-2702.2006.01370.x
[2] Rhéaume, A., Clement, L., LeBel, N. and Robichaud, K. (2011) Workplace experiences of new graduate nurses. Canadian Journal of Nursing Leadership, 24, 80-98.
[3] Cho, S.-H., Lee, L.Y., Mark, B.A. and Yun, S.-C. (2012) Turnover of new graduate nurses in their first job using survival analysis. Journal of Nursing Scholarship, 44, 63-70. doi:10.1111/j.1547-5069.2011.01428.x
[4] Duchscher, J.E.B. and Cowin, L. (2004) The experience of marginalization in new nursing graduates. Nursing Outlook, 52, 289-296. doi:10.1016/j.outlook.2004.06.007
[5] Weston, M. (2006) Integrating generational perspectives in nursing. OJIN: The Online Journal of Issues in Nursing, 11, Manuscript 1.
[6] Sujansky, J. (2004) Leading a multi-generational workforce. Occupational Health & Safety, 73, 16-18.
[7] Duchscher, J.E.B. and Cowin, L. (2004) Multigenerational nurses in the workplace. Journal of Nursing Administration, 34, 493-501. doi:10.1097/00005110-200411000-00005
[8] Cole, G., Lucas, L. and Smith, R. (2002) The debut of Generation Y in the American workforce. Journal of Business Administration, 1, 1-10.
[9] Alch, M. (2000) Get ready for the net generation. Training & Development, 54, 32-34.
[10] Kramer, M. (1974) Reality shock: Why nurses leave nursing. American Journal of Nursing, 75, 891. doi:10.1097/00000446-197505000-00041
[11] Department of Health (1993) A vision for the future: The nursing, midwifery and health visiting contribution to health and health care. NHS Management Executive: Stationery Office, London.
[12] Butterworth, T. (1995) Clinical supervision in nursing, midwifery and health visiting: Development, contracts, and monitoring. The University of Manchester, Manchester, 1-2.
[13] Butterworth, T., Carson, J., White, E., Jeacock, J., Clements, A. and Bishop, V. (1997) It is Good to talk: An evaluation of clinical supervision and mentorship in England and Scotland. University of Manchester, Manchester.
[14] Butterworth, T., Bell, L., Jackson, C. and Pajnkihar, M. (2008) Wicked spell or magic bullet? A review of the clinical supervision literature 2001-2007. Nurse Education Today, 28, 264-272. doi:10.1016/j.nedt.2007.05.004
[15] Bedward, J. and Daniels, H.R.J. (2005) Collaborative solutions: Clinical supervision and teacher support teams reducing professional isolation through effective peer support. Learning in Health and Social Care, 4, 53-66. doi:10.1111/j.1473-6861.2005.00090.x
[16] Hyrkas, K. and Punonwn-Ilmonen, M. (2001) The effects of clinical supervision on the quality of care: Examining the results of team supervision. Journal of Advanced Nursing, 33, 492-502.
[17] Jones, A. (2001) Some experiences of professional practice and beneficial changes derived from clinical supervision by community MacMillan Nurses. European Journal of Cancer Care, 10, 21-30. doi:10.1046/j.1365-2354.2001.00209.x
[18] Marrow, C.E., Holyoake, K., Hamer, D. and Kenrick, C. (2002) Clinical supervision using video conferencing technology: A reflective account. Journal of Nursing Management, 10, 275-282. doi:10.1046/j.1365-2834.2002.00313.x
[19] Teasdale, K., Brocklehurst, N. and Thom, N. (2001) Clinical supervision and support for nurses: An evaluation study. Nursing and Health Care Management, 33, 216-224. doi:10.1046/j.1365-2648.2001.01656.x
[20] Haggman-Laitila, A., Eriksson, E., Ritta, M., Kirsi, S. and Leena, R. (2007) Nursing students in clinical practice— Developing a model for clinical supervision. Nursing Education in Practice, 7, 381-391. doi:10.1016/j.nepr.2006.11.011
[21] Buus, N.S., Angel, M., Traynor, M. and Gonge, H. (2011) Psychiatric nursing staff members’ reflections on participating in group-based clinical supervision: A semistructured interview study. International Journal of Mental Health Nursing, 20, 95-101. doi:10.1111/j.1447-0349.2010.00709.x
[22] Cottrell, S. (2002) Suspicion, resistance, tokenism and mutiny: Problematic dynamics relevant to the implementation of clinical supervision in nursing. Journal of Psychiatric and Mental Health Nursing, 9, 667-671. doi:10.1046/j.1365-2850.2002.00517.x
[23] Jones, A. (2006) Clinical supervision: What do we know and what do we need to know? A review and commentary. Journal of Nursing Management, 14, 577-585. doi:10.1111/j.1365-2934.2006.00716.x
[24] Lynch, L. and Happell, B. (2008) Implementation of clinical supervision in action: Part 2: Implementation and beyond. International Journal of Mental Health Nursing, 17, 65-72. doi:10.1111/j.1447-0349.2007.00512.x
[25] Lynch, L. and Happell, B. (2008) Implementation of clinical supervision in action: Part 3: The development of a model. International Journal of Mental Health Nursing, 17, 73-82. doi:10.1111/j.1447-0349.2007.00513.x
[26] Ivanoff, S.D. and Hultburg, J. (2006) Understanding the multiple realities of everyday life: Basic assumptions in focus-group methodology. Scandinavian Journal of Occupational Therapy, 13, 125-132. doi:10.1080/11038120600691082
[27] Lincoln, Y.S. (1990) The making of a constructivist: A remembrance of transformations past. In Guba, E.G., Ed., The Paradigm Dialog, SAGE Publications, Newbury Park, 67-87.
[28] Lakeman, R. and Glasgow, C. (2009) Introducing peergroup clinical supervision: An action research report. International Journal of Mental Health Nursing, 18, 204-210. doi:10.1111/j.1447-0349.2009.00602.x
[29] Edwards, D., Cooper, L., Burnard, P., Hanningan, B., Adams, B.J., Fothergill, A. and Coyle, D. (2005) Factors influencing the effectiveness of clinical supervision. Journal of Psychiatric and Mental Health Nursing, 12, 405-414. doi:10.1111/j.1365-2850.2005.00851.x
[30] Whitestanley, J. and White, E. (2003) Clinical supervision: Models, measures and best Practice. Nurse Researcher, 10, 7-37.
[31] Benner, P., Sutphen, M., Leonard, V. and Day, L. (2010) Educating nurses: A call for radical transformation. Jossey-Bass, San Francisco.
[32] Maddalena, V., Kearney, A.J. and Adams, L. (2012) Quality of life of novice nurses. Journal for Nurses in Staff Development, 28, 74-79. doi:10.1097/NND.0b013e31824b41a1

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.