BACKGROUND Clinical supervision is recommended for allied health professionals for the purpose of supporting them in their professional role, continued professional development and ensuring patient safety and high quality care. The aim of this mixed methods study was to explore allied health professionals' perceptions about the aspects of clinical supervision that can facilitate effective clinical supervision. METHODS Individual semi-structured interviews were conducted on a purposive sample of 38 allied health professionals working in a metropolitan public hospital. Qualitative analysis was completed using an interpretive description approach. To enable triangulation of qualitative data, a quantitative descriptive survey of clinical supervision effectiveness was also conducted using the Manchester Clinical Supervision Scale (MCSS-26). RESULTS Three main themes emerged from qualitative analysis: Allied health professionals reported that clinical supervision was most effective when their professional development was the focus of clinical supervision; the supervisor possessed the skills and attributes required to facilitate a constructive supervisory relationship; and the organisation provided an environment that facilitated this relationship together with their own professional development. Three subthemes also emerged within each of the main themes: the importance of the supervisory relationship; prioritisation of clinical supervision relative to other professional duties; and flexibility of supervision models, processes and approaches to clinical supervision. The mean MCSS-26 score was 79.2 (95%CI 73.7 to 84.3) with scores ranging from 44 to 100. MCSS-26 results converged with the qualitative findings with participants reporting an overall positive experience with clinical supervision. CONCLUSIONS The factors identified by allied health professionals that influenced the effectiveness of their clinical supervision were mostly consistent among the professions. However, allied health professionals reported using models of clinical supervision that best suited their profession's role and learning style. This highlighted the need for flexible approaches to allied health clinical supervision that should be reflected in clinical supervision policies and guidelines. Many of the identified factors that influence the effectiveness of clinical supervision of allied health professionals can be influenced by health organisations.

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对联合医疗专业人员的有效临床监督：混合方法研究。

背景 建议对专职医疗专业人员进行临床监督，以支持他们发挥专业作用、持续专业发展并确保患者安全和高质量护理。这项混合方法研究的目的是探讨专职医疗专业人员对临床监督方面的看法，以促进有效的临床监督。方法 对在大都市公立医院工作的 38 名专职医疗专业人员进行了单独的半结构化访谈。使用解释性描述方法完成定性分析。为了实现定性数据的三角测量，还使用曼彻斯特临床监督量表（MCSS-26）对临床监督有效性进行了定量描述性调查。结果 定性分析得出三个主题： 联合医疗专业人员报告说，当他们的专业发展成为临床监督的重点时，临床监督是最有效的；主管具备促进建设性主管关系所需的技能和品质；该组织提供了一个促进这种关系以及他们自身职业发展的环境。每个主题中还出现了三个副主题：监督关系的重要性；临床监督相对于其他专业职责的优先顺序；临床监督的监督模式、流程和方法的灵活性。MCSS-26 平均得分为 79.2（95%CI 73.7 至 84.3），得分范围为 44 至 100。MCSS-26 结果与定性发现一致，参与者报告了临床监督的总体积极体验。结论 专职医疗专业人员确定的影响其临床监督有效性的因素在各专业之间基本一致。然而，专职医疗专业人员报告说，他们使用了最适合其职业角色和学习风格的临床监督模式。这突出表明需要采取灵活的联合健康临床监督方法，并应反映在临床监督政策和指南中。许多已确定的影响专职医疗专业人员临床监督有效性的因素都可能受到卫生组织的影响。