Search

Aims/Questions\ud To explore the barriers and facilitators to nurses accessing clinical supervision; explore the barriers and facilitators to organizations implementing clinical supervision and capture what skills nurses require to facilitate clinical supervision.\ud \ud Design\ud Scoping review of peer-reviewed research and grey literature.\ud \ud Data sources\ud CINAHL, Medline, PsychINFO and Scopus were searched for relevant papers published between 1990 and 2020. Google, Google Scholar, OpenGrey & EThOS were used to search for grey literature.\ud \ud Review Methods\ud PRISMA-ScR guidelines were used during the literature review process. Eighty-seven papers were included, and data were extracted from each paper using a standardized form. Data synthesis was undertaken using Seidel's analytical framework.\ud \ud Results\ud Five themes were identified: Definitions and Models, (Mis) Trust and the Language of Supervision, Alternative Parallel Forums and Support Mechanisms, Time and Cost and Skills required.\ud \ud Conclusion\ud Since its inception in the 1990s, clinical supervision has long been regarded as a supportive platform for nurses to reflect on and develop their practice. However, this review highlights that despite an awareness of the skills required for nurses to undertake clinical supervision, and the facilitators for nurses to access and organizations to implement clinical supervision, there have been persistent barriers to implementation. This review identifies these persistent factors as ‘barriers to overcoming the barriers' in the clinical supervision landscape. These require critical consideration to contribute towards moving clinical supervision forward in the spirit of its original intentions.\ud \ud Impact\ud This review progresses the debate on clinical supervision through critically analysing the barriers to overcoming the barriers. To this end, the review is designed to stimulate critical discussions amongst nurses in different clinical spaces and key stakeholders such as policy makers and regulatory bodies for the nursing profession.

PurposeAlcohol workplace policies (AWPs) can help organizations to manage and support employees with alcohol-related problems. Over the last two decades, there has been a slow but steady rise of research on AWPs with some indication that these can contribute to reducing employee excessive consumption. However, there does not appear to be any empirical literature reviews to consolidate and evaluate what this body of evidence says regarding the impact of these policies. The following review seeks to address this gap.Design/methodology/approachFive electronic databases were searched for papers published between January 1996 and January 2020. To capture additional relevant papers (including those from non-peer reviewed sources), the search was extended to Google Scholar, professional and human resource management websites, trade publications and the website of one United Kingdom (UK)-based alcohol charity. Inclusion and exclusion criteria were used to systematically screen the paper titles, abstracts and full-text records. 14 papers were deemed eligible and therefore included in the integrative review. After extracting data, all 14 papers were appraised for quality and then analysed using the narrative synthesis guide by Popay et al. (2006).FindingsFive themes were identified, namely, Associations between Policy and Consumption Levels/Patterns, Deterrence, Policy and Programme Type, Knowledge and Understanding and Enforcement and Discipline. These themes encapsulated what the included papers concluded about the impact and associated benefits or challenges of AWPs.Research limitations/implicationsThis review identifies that despite the benefits of AWPs, up to 40% of workplaces do not have these policies in place. Future research needs to explicitly explore the reasons for this.Practical implicationsThis review highlights that AWPs can benefit employees and workplaces. Therefore, organizations are encouraged to develop and implement AWPs to support health improvement and prevention of alcohol problems in the workplace.Originality/valueThis review provides a current synthesis of literature published over the last two decades regarding the impact of AWPs on employees and workplaces.

Commentary on: Howarth EJ, O’Connor DB, Panagioti M, et al . Are stressful life events prospectively associated with increased suicidal ideation and behaviour? A systematic review and meta-analysis. J Affect Disord . 2020;266:731–42. doi: 10.1016/j.jad.2020.01.171. Suicide is a leading cause of death worldwide, and it has devastating effects on families, friends and the professionals who work with suicide victims.1 As such, it is a highly researched area. The review highlights that for every suicide, there are many more who attempt or think about suicide.2 Therefore, it is important to understand the risk factors and …

Commentary on: Schiweck C, Piette D, Berckmans D et al. Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review. Psychol Med 2018 23:1–12. doi: 10.1017/S0033291718001988. Depression is the leading cause of disability and morbidity worldwide.1 A complex mix of biopsychosocial risk factors is thought to contribute to the development and maintenance of depression.2 One of these factors is chronic mental stress.3 The review by Schiweck et al indicates that despite an increasing volume of research, there remains obscurity around the effects of depression on stress reactivity.4 An increased understanding of this may have important …

Commentary on: Bareham BK, Kaner E, Spencer LP et al . Drinking in later life: a systematic review and thematic synthesis of qualitative studies exploring older people’s perceptions and experiences. Age Ageing 2019; 48:134-146. Over the last 15 years, alcohol-specific mortality in older adults has risen by approximately 45%.1 Older adults may drink less alcohol than those under 50 years old, however they tend to consume it more frequently and have comparatively higher numbers of alcohol-related hospital admissions.2 National surveys …