The effectiveness of clinical supervision on maintaining job satisfaction in nursing personnel

A literature review

Authors

DOI:

https://doi.org/10.14528/snr.2025.59.4.3285

Keywords:

supervision, job satisfaction, nurse, professional development

Abstract

Introduction: Nursing personnel experience numerous mental, emotional, and physical stressors that influence their job satisfaction. Occupational stress often results from demanding work conditions and represents a global concern in nursing. The aim of this literature review was to examine the effectiveness of clinical supervision in maintaining job satisfaction among nursing personnel.
Methods: A descriptive literature review was conducted using analysis, comparison, and synthesis of relevant studies. Scientific literature was searched in PubMed, CINAHL Ultimate, Cochrane Library, and Web of Science in November 2024. The final analysis included quantitative and qualitative studies and systematic literature reviews published in English and relevant to the research topic. Studies were evaluated using a hierarchy of evidence, classified by level, and summarised in evaluation and synthesis tables.
Results: The literature search yielded 106 records, of which seven studies met the inclusion criteria, including four original scientific articles and three literature reviews. One study was classified at the third level of evidence, one at the fourth level, one at the fifth level, one at the sixth level, and three at the seventh level. The findings indicate that clinical supervision positively affects healthcare professionals and contributes to maintaining and improving job satisfaction.
Discussion and conclusion: Although clinical supervision is not widely implemented in nursing practice, it plays an important role in supporting job satisfaction. Identified limitations included small sample sizes, lack of control groups, and potential bias. This review improves understanding of the effects of supervision on nursing personnel, highlights gaps in existing research, and may inform educational programmes and policy development aimed at improving supervisory practices and working conditions in nursing.

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References

Alshmemri, M., Shahwan-Akl, L., & Maude, P. (2017). Herzberg's two-factor theory. Life Science Journal, 14(5), 12–16. https://doi.org/10.7537/marslsj140517.03

Atashi, V., Movahedi Najafabadi, M., Afshari, A., & Ghafari, S. (2024). Barriers to effective clinical supervision from the perspective of nurses: A descriptive qualitative study. Nursing Open, 11, Article e2028. https://doi.org/10.1002/nop2.2028

Ayalew, E., & Workineh, Y. (2020). Nurses' intention to leave their job and associated factors in Bahir Dar, Amhara Region, Ethiopia, 2017. BMC Nursing, 19, Article 46. https://doi.org/10.1186/s12912-020-00439-5 PMid:32523425;PMCid:PMC7278137

Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses' job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nursing, 21, Article 75. https://doi.org/10.1186/s12912-022-00852-y PMid:35361204;PMCid:PMC8968092

Bagheri Hossein Abadi, M., Shahsavari, H., Ghafouri, H. B., Alavi, M., & Kalyani, M. N. (2020). Relationships between job satisfaction and job demand, job control, social support, and depression in Iranian nurses. The Journal of Nursing Research, 29(2), Article e143. https://doi.org/10.1097/jnr.0000000000000410 PMid:33156140

Bifarin, O., & Stonehouse, D. (2017). Clinical supervision: An important part of every nurse's practice. British Journal of Nursing, 26(6), 331–335. https://doi.org/10.12968/bjon.2017.26.6.331 PMid:28345984

Brooks Carthon, J. M., Hatfield, L., Brom, H., Houton, M., Kelly-Hellyer, E., Schlak, A., & Aiken, L. H. (2021). System-level improvements in work environments lead to lower nurse burnout and higher patient satisfaction. Journal of Nursing Care Quality, 36(1), 7–13. https://doi.org/10.1097/NCQ.0000000000000475 PMid:32102025;PMCid:PMC7483185

Butterworth, T. (2022). What is clinical supervision and how can it be delivered in practice? Nursing Times, 118(2), 20–22. https://www.nursingtimes.net/leadership/what-isclinical-supervision-and-how-can-it-be-delivered-inpractice-17-01-2022/

Cajvert, L., Palm, K., & Tillfors, M. (2016). ECVision evropski pojmovnik supervizije in koučinga. Društvo za supervizijo, koučing in organizacijsko svetovanje. http://www.drustvozasupervizijo.si/o-superviziji

Cook, O., Hua, P., & Yeganeh, L. (2020). Australian specialist and advanced practice cancer nurses' engagement in clinical supervision: A mixed methods study. Australian Journal of Cancer Nursing, 21(2), 21–27. https://doi.org/10.33235/ajcn.21.2.21-27

Dobnik, M., Maletič, M., & Skela Savič, B. (2018). Work-related stress factors in nurses at Slovenian hospitals: A cross-sectional study. Zdravstveno Varstvo, 57(4), 192–200. https://doi.org/10.2478/sjph-2018-0024

Driscoll, J. (2019). Enhancing the quality of clinical supervision in nursing practice. Nursing Standard, 34(5), 43–50. https://doi.org/10.7748/ns.2019.e11228 PMid:31468814

Goode, S., Hodge, G., & Cross, D. (2025). A guide in undertaking core clinical supervision: Supervisors' experiences in implementing core clinical supervision in general practice. Practice Nursing, 36(1), 19–25. https://doi.org/10.12968/pnur.2025.36.1.19

Hudays, A., Gary, F., Voss, J. G., Hazazi, A., Arishi, A., & Alsakran, F. (2024). Job satisfaction of nurses in the context of clinical supervision: A systematic review. International Journal of Environmental Research and Public Health, 21(1), Article 6. https://doi.org/10.3390/ijerph21010006 PMid:38276794;PMCid:PMC10815815

Janíková, E., & Bužgová, R. (2021). Satisfaction with supervision of healthcare workers in relation to job satisfaction and selected characteristics of supervision. Central European Journal of Nursing and Midwifery, 12(4), 487–494. https://doi.org/10.15452/CEJNM.2021.12.0004

Kavšak, A., & Prosen, M. (2021). Vpliv zadovoljstva z delom na pojav izgorelosti med medicinskimi sestrami. Obzornik Zdravstvene Nege, 55(1), 7–15. https://doi.org/10.14528/snr.2021.55.1.3018

Kooktapeh, G. Z., Dustmohammadloo, H., Mehrdoost, H., & Fatehi, F. (2023, December 22). In the line of fire: A systematic review and meta-analysis of job burnout among nurses. https://www.scienceopen.com/document/read?vid=231297d2-0773-427e-a38b-d6fe1bb060b7

Kühne, F., Maas, J., Wiesenthal, S., & Weck, F. (2019). Empirical research in clinical supervision: A systematic review and suggestions for future studies. BMC Psychology, 7(1), Article 54. https://doi.org/10.1186/s40359-019-0327-7 PMid:31439041;PMCid:PMC6706910

Lorber, M. (2018). A healthy work environment: Care for the well-being and health of employees in nursing. Obzornik Zdravstvene Nege, 52(3), 148–152. https://doi.org/10.14528/snr.2018.52.3.851

Lund, H., Juhl, C. B., Nørgaard, B., Draborg, E., Henriksen, M., Andreasen, J., Christensen, R., Nasser, M., Ciliska, D., Tugwell, P., Clarke, M., Blaine, C., Martin, J., Ban, J. W., Brunnhuber, K., Robinson, K. A., & Evidence-Based Research Network. (2021). Evidence-based research series-paper 3: Using an evidence-based research approach to place your results into context after the study is performed to ensure usefulness of the conclusion. Journal of Clinical Epidemiology, 129, 167–171. https://doi.org/10.1016/j.jclinepi.2020.07.021 PMid:32979490

Mabona, J. F., van Rooyen, D., & Ten Ham-Baloyi, W. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA, 27, Article 1788. https://doi.org/10.4102/hsag.v27i0.1788 PMid:35548062;PMCid:PMC9082217

Masamha, R., Alfred, L., Harris, R., Bassett, S., Burden, S., & Gilmore, A. (2022). Barriers to overcoming the barriers: A scoping review exploring 30 years of clinical supervision literature. Journal of Advanced Nursing, 78, 2678–2692. https://doi.org/10.1111/jan.15283 PMid:35578563;PMCid:PMC9546137

Martin, P., Lizarondo, L., Kumar, S., & Snowdon, D. (2021). Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review. PLoS One, 16(11), Article e0260156. https://doi.org/10.1371/journal.pone.0260156 PMid:34797897;PMCid:PMC8604366

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

McDonough, J. H., Rhodes, K., & Procter, N. (2024). Impact of clinical supervision on the mental health nursing workforce: A scoping review protocol. BMJ Open, 14(3), Article e078765. https://doi.org/10.1136/bmjopen-2023-078765 PMid:38531589;PMCid:PMC10966816

Modaresnezhad, M., Andrews, M. C., Mesmer-Magnus, J., Viswesvaran, C., & Deshpande, S. (2021). Anxiety, job satisfaction, supervisor support and turnover intentions of mid-career nurses: A structural equation model analysis. Journal of Nursing Management, 29(5), 931–942. https://doi.org/10.1111/jonm.13229 PMid:33617110

Mohamed, F. R., & Mohamed Ahmed, H. (2019). Clinical supervision factors as perceived by the nursing staff. Journal of Nursing Education and Practice, 9(6), 67–72. https://doi.org/10.5430/jnep.v9n6p67

Morton, D., Roodt, G., & Pekeur, N. W. (2020). Job satisfaction of registered nurses in a private critical care unit in the Eastern Cape: A pilot study. Health SA, 25, Article 1345. https://doi.org/10.4102/hsag.v25i0.1345 PMid:33354354;PMCid:PMC7736666

Mulisa, D., Yitbarek, K., & Tesfaye, T. (2022). Nurses are leaving the nursing profession: Willingness of nurses to stay in the nursing profession among nurses working in selected public hospitals of Wollega Zones, Oromia, Ethiopia. SAGE Open Medicine, 10, Article 20503121221081755. https://doi.org/10.1177/20503121221081755 PMid:35284075;PMCid:PMC8908397

Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O.-A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, and intention to leave. International Nursing Review, 64, 91–98. https://doi.org/10.1111/inr.12342 PMid:27882573

National Health Service England. (2016, April 12). A-EQUIP: A model of clinical midwifery supervision. https://www.england.nhs.uk/mat-transformation/implementing-better-births/aequip/a-equip-midwifery-supervision-model/

National Health Service England. (2025). PNA implementation. https://www.england.nhs.uk/nursingmidwifery/deliveringthe-nhs-ltp/professional-nurse-advocate/case-studies/pnaimplementation/

Okuhara, M., Sato, K., & Kodama, Y. (2021). The nurses' occupational stress components and outcomes: Findings from an integrative review. Nursing Open, 8(5), 2153–2174. https://doi.org/10.1002/nop2.780 PMid:33635606;PMCid:PMC8363363

O'Neil, A., Hooker, L., & Edvardsson, K. (2023). “What is it we are trying to achieve here?” Community maternal and child health nurses and clinical supervision: A qualitative descriptive study. Journal of Advanced Nursing, 79(10), 3837–3847. https://doi.org/10.1111/jan.15725 PMid:37283322

Oshodi, T. O., Bruneau, B., Crockett, R., Kinchington, F., Nayar, S., & West, E. (2019). The nursing work environment and quality of care: Content analysis of comments made by registered nurses responding to the Essentials of Magnetism II scale. Nursing Open, 6(3), 878–888. https://doi.org/10.1002/nop2.268 PMid:31367411;PMCid:PMC6650677

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, Article n71. https://doi.org/10.1136/bmj.n71 PMid:33782057;PMCid:PMC8005924

Platis, C., Reklitis, P., & Zimeras, S. (2015). Relation between job satisfaction and job performance in healthcare services. Procedia - Social and Behavioral Sciences, 175, 480–487. https://doi.org/10.1016/j.sbspro.2015.01.1226

Proctor, B. (1986). Supervision: A cooperative exercise in accountability. In M. Marken & M. Payne (Eds.), Enabling and ensuring: Supervision in practice (pp. 21–34). National Youth Bureau and Council for Education and Training in Youth and Community Work.

Rocha, I. A. D. R. E. S., Pinto, C. M. C. B., & Carvalho, A. L. R. F. (2021). Impact of clinical supervision on job satisfaction and emotional competence of nurses. Revista Brasileira de Enfermagem, 74(6), Article e20210125. https://doi.org/10.1590/0034-7167-2021-0125 PMid:34320147

Rodríguez-García, M. C., Fernández-Feito, A., Ramos-Pichardo, J. D., Rivas-Ruiz, F., & Gómez-Salgado, J. (2021). The connection of the clinical learning environment and supervision of nursing students with student satisfaction and future intention to work in clinical placement hospitals. Journal of Clinical Nursing, 30(7–8), 986–994. https://doi.org/10.1111/jocn.15642 PMid:33432645

Rothwell, C., Kehoe, A., Farook, S. F., & Illing, J. (2021). Enablers and barriers to effective clinical supervision in the workplace: A rapid evidence review. BMJ Open, 11(9), Article e052929. https://doi.org/10.1136/bmjopen-2021-052929 PMid:34588261;PMCid:PMC8479981

Ryu, H., Buus, N., Naccarella, L., Zarb, L., & Hamilton, B. (2024). Factors that influence the clinical supervision implementation for nurses: A scoping review. Journal of Advanced Nursing, 81(11), 7297–7310. https://doi.org/10.1111/jan.16390 PMid:39140801

Senek, M., Robertson, S., Ryan, T., King, R., Wood, E., Taylor, B., & Tod, A. (2020). Determinants of nurse job dissatisfaction: Findings from a cross-sectional survey analysis in the UK. BMC Nursing, 19, Article 88. https://doi.org/10.1186/s12912-020-00481-3 PMid:32963498;PMCid:PMC7499408

Sewell, K. (2018). Social work supervision of staff: A primer and scoping review (2013–2017). Clinical Social Work Journal, 46(4), 252–265. https://doi.org/10.1007/s10615-018-0679-0

Sharififard, F., Asayesh, H., Rahmani, A. N., Qorbani, M., & Akbari, V. (2019). Intention to leave the nursing profession and its relation with work climate and demographic characteristics. Iranian Journal of Nursing and Midwifery Research, 24(6), 457–461. https://doi.org/10.4103/ijnmr.IJNMR_209_18 PMid:31772921;PMCid:PMC6875889

Wallace, S. S., Barak, G., Truong, G., & Parker, M. W. (2022). Hierarchy of evidence within the medical literature. Hospital Pediatrics, 12(8), 745–750. https://doi.org/10.1542/hpeds.2022-006690 PMid:35909178

Watkins, C. E. (2020). What do clinical supervision research reviews tell us? Surveying the last 25 years. Counselling and Psychotherapy Research, 20(2), 190–208. https://doi.org/10.1002/capr.12287 PMid:38268257;PMCid:PMC10721941

Published

2025-12-19

How to Cite

Trajbarič, T., Gosak, L., & Čuček Trifkovič, K. (2025). The effectiveness of clinical supervision on maintaining job satisfaction in nursing personnel: A literature review. Slovenian Nursing Review, 59(4), 264–275. https://doi.org/10.14528/snr.2025.59.4.3285

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Review article

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