Jul 2026· Journal of Advanced Nursing· 0 citations· 33 references
Medicine
TL;DR
Clinical supervision is frequently associated with burnout and burnout-related indicators among nurses, and clearer intervention reporting, stronger theoretical grounding, and research designs capable of exploring temporal and contextual dynamics are needed to advance the field.
Abstract
Aim
To map existing scientific evidence on the relationship between clinical supervision and burnout and burnout-related outcomes among nurses in clinical practice.
Design
Scoping review.
Methods
The review followed the Joanna Briggs Institute methodology for scoping reviews. A total of 1396 records were identified and imported into Rayyan for screening. Data were synthesised descriptively using absolute and relative frequencies and presented in narrative and tabular form.
DATA SOURCES
Searches were conducted in February 2025 in CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MedicLatina, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, PubMed, and Web of Science Core Collection. Grey literature was searched in OpenGrey and the Portuguese Open Access Scientific Repository (RCAAP). No time or language restrictions were applied.
Results
Twenty studies were included. The evidence base was heterogeneous and predominantly cross-sectional. Clinical supervision in Nursing (CSN) was mainly delivered face-to-face and most frequently in group formats, with considerable variability in frequency, duration and theoretical grounding. Burnout was primarily assessed using validated instruments, particularly the Maslach Burnout Inventory. Nine studies reported inverse statistical associations between CSN and burnout or burnout-related outcomes.
Conclusion
Clinical supervision is frequently associated with burnout and burnout-related indicators among nurses. Clearer intervention reporting, stronger theoretical grounding, and research designs capable of exploring temporal and contextual dynamics are needed to advance the field.
IMPLICATIONS FOR HEALTHCARE MANAGEMENT
Clinical supervision may represent a context-sensitive organisational support strategy within broader workforce well-being frameworks, particularly when structurally defined and supported by leadership.
IMPACT
This review clarifies how clinical supervision has been conceptualised and evaluated, identifying reporting gaps and priorities for future research.
REPORTING
Method
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review.
PATIENT OR PUBLIC CONTRIBUTION
No stakeholder consultation was undertaken. Future research should consider involving practising nurses and supervisors to define core CSN components.
TRIAL REGISTRATION
The protocol was registered in the Open Science Framework.
Background Burnout among nurses is a growing public health concern, particularly in resource-constrained healthcare systems across Africa. Nurses working in public hospitals are frequently exposed to high workloads, staffing shortages, and limited organisational support, all of which contribute to chronic occupational stress. Objectives This scoping review aimed to map and synthesise evidence on factors contributing to burnout among nurses working in public hospitals in Africa. Methods The review followed Arksey and O′Malley’s framework, enhanced by Levac et al., and was guided by PRISMA-ScR reporting standards. A comprehensive search of PubMed, CINAHL, Scopus, and Web of Science identified studies published between 2020 and 2026. Eligibility criteria were defined using the Population Concept Context (PCC) framework. A total of 990 English-language records were identified, and 11 studies were included after screening. Data were extracted and analysed thematically. Results Five key themes were identified: (1) excessive workload leading to emotional and physical exhaustion; (2) poor management support and communication gaps; (3) inadequate resources and infrastructure; (4) unfavourable work environments and staffing conditions; and (5) limited access to wellness and professional development programmes. These factors were consistently associated with reduced job satisfaction, increased turnover intention, and compromised patient care. Conclusion Burnout among nurses in African public hospitals is driven by interconnected organisational and systemic challenges. Addressing these factors requires a multifaceted approach, including improved staffing, stronger leadership, enhanced resource allocation, and implementation of wellness and support programmes. Contribution This review contributes to the literature by providing a comprehensive synthesis of evidence on nurse burnout in African public hospital settings, identifying key systemic drivers, and highlighting gaps to guide future research and policy development.
Ezile Ndamase, Eric Maimela, Nomfuneko Sithole et al.· F1000Research· 0 citations
Background Workplace ostracism is a negative workplace experience. It can affect nurses' psychological wellbeing and work-related behaviors. However, this issue has not been fully discussed in nursing, a profession characterized by intensive interpersonal interaction and complex social contexts. Objective This scoping review aimed to examine studies on workplace ostracism in nursing. It summarized the current research status, variable roles, potential mechanisms, and major outcomes. Methods This study followed the scoping review guidance of the Joanna Briggs Institute. PubMed, Embase, Web of Science, APA PsycInfo, The Cochrane Library, Scopus, CINAHL, and MEDLINE Ultimate were searched. The search covered the period from database inception to April 19, 2026. Two Reviewers independently screened the studies, reviewed the full texts, and extracted the data. Results A total of 21 studies from nine countries were included. Most studies were conducted in China, Egypt, and Pakistan, indicating a degree of geographical concentration in the current evidence base. The included studies were predominantly cross-sectional quantitative surveys, with only a small number using time-lagged designs, multilevel nested analyses, or qualitative interviews, suggesting limited methodological diversity. In the field of nursing, workplace exclusion is mainly studied as an independent variable, mediating variable, or outcome variable. The correlates of workplace ostracism among nurses involved individual and organizational factors. Potential mechanisms included psychological resource depletion, reduced organizational identification, and impaired communication. Associated outcomes covered multiple levels, including individual psychological health, professional behavior, and organizational functioning. Conclusion Current evidence suggests that workplace ostracism is a complex and context-dependent phenomenon in nursing organizations. Given the predominance of cross-sectional designs, future research should strengthen theoretical integration and methodological development, including longitudinal studies, intervention studies, mixed-methods research, and cross-cultural comparisons, to further clarify its pathways and effective intervention strategies. Nursing managers should address leadership behaviors, team culture, communication safety, and organizational support to reduce workplace ostracism and its potential adverse consequences.
Shiyao Hu, B. Lin, Fenglan Lin· Frontiers in Public Health· 0 citations
To systematically summarize the causes of interrupted clinical placements among nursing students and the strategies to prevent them, providing evidence for future research and intervention development.
Following the Joanna Briggs Institute (JBI) scoping review framework, a systematic search was conducted in eight databases (CNKI, Wanfang, VIP, CBM, PubMed, Embase, Web of Science, and Cochrane Library) up to February 28, 2026. Studies examining the causes of and interventions for nursing students’ interrupted clinical placements were included.
A total of 23 studies were included. Causes of interruption were categorized into five themes: personal factors, clinical environment factors, socio-economic factors, demographic characteristics, and digital technology factors. The most frequently reported cause was insufficient preceptor and clinical support. Preventive strategies were grouped into five themes: psychological and emotional support, teaching and competency development, environmental and institutional optimization, preceptor and peer support, and policy and collaborative support. Preceptor and peer support was the most frequently cited strategy.
Interruptions in clinical placements result from multifactorial interactions. Preventive strategies should be implemented collaboratively at the individual, interpersonal, environmental, and institutional levels. Preceptor and peer support may serve as a key entry point for intervention. Future research should explore longitudinal designs, digital technology interventions, and inter-institutional collaboration to establish systematic support frameworks.
Not applicable.
Yang Li, Xiaodong Shao, Guowei Wu et al.· BMC Nursing· 0 citations
Evidence suggests that APN-led models of care may be associated with favorable patient, family, and health system outcomes in Thailand, but these findings should be interpreted cautiously because the evidence was derived predominantly from non-randomized and observational studies, and the independent effects of APN practice could not always be isolated.
ABSTRACT Objectives: to analyze the instruments used by nursing professionals in hospital care to measure emotional states. Methods: this scoping review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, with a protocol registered in Open Science Framework. The search was performed in MEDLINE (via PubMed), Scopus, Web of Science, Cochrane, and Virtual Health Library. Data were organized in EndNote and analyzed using ATLAS.ti web, following Bardin’s content analysis technique. Results: of the 1,335 studies identified, 28 met the inclusion criteria. Twenty-five instruments for assessing emotional states applied to hospital nurses were mapped, most of which were not specific to nursing. Five thematic axes were identified: well-being; stress/burnout; job satisfaction; coping strategies; and interpersonal relationships. Conclusions: a wide variety of instruments were observed, with a predominance of scales developed in other contexts and a scarcity of tools validated specifically for nursing.
Frederico Marques Andrade, Lanuza Borges Oliveira, Patrícia Pereira Alves et al.· Revista Brasileira de Enferm...· 0 citations
AIM
To understand nurses' perceptions of non-technical skills in recognising and responding to clinical deterioration in hospital settings.
DESIGN
A mixed methods systematic review was undertaken, guided by the Joanna Briggs Institute Manual for Evidence Synthesis.
METHODS
A systematic search of the primary research literature published between 2012 and October 2025 was undertaken. A convergent integrated approach to synthesis, without meta-analysis, was undertaken.
DATA SOURCES
The MEDLINE, CINAHL, Scopus, PsychInfo and Embase electronic databases were searched. Reference lists of full-text articles retrieved were reviewed for additional data sources.
RESULTS
Twenty-four primary studies were included. Narrative synthesis resulted in six main themes: (1) situational awareness, (2) effective teamwork and communication, (3) leadership and culture, (4) intuition, (5) level of experience and (6) fear of retribution. Across studies, supportive team culture and strong communication facilitated recognition and escalation, whereas inexperience and fear of criticism delayed action.
CONCLUSIONS
Early recognition and response to a clinical deterioration is beyond simply detecting physiological parameters. The process of recognition and response to a deterioration is enabled due to non-technical skills. In situations where the team has effective and positive team culture, where there is psychological safety, where all levels of expertise are given a voice without fear of retribution, everyone is safe to raise the alarm. Strengthening these skills and supporting junior nurses may improve escalation practice.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE
The implementation of early warning scores or rapid response systems is a well-developed mechanism to improve outcomes for deteriorating patients. Unfortunately, there has been less emphasis and value placed on development of non-technical skills in the recognition and response to clinical deterioration. Organisations and professions need to mitigate barriers to the implementation of nurses' non-technical skills to improve patient outcomes.
IMPACT
What problem did the study address? ○ A lack of current synthesised evidence of nurses' non-technical skills in the recognition of, and response to, clinical deterioration. What were the main findings? ○ Organisational cultures that devalue less experienced nurses and non-technical skills, risk delays in recognition and response to clinical deterioration. Where and on whom will the research have an impact? ○ Patients, health care professionals and health care delivery may benefit from integration of non-technical skills into deterioration response frameworks, implemented within psychologically safe organisational cultures. Reporting Method Preferred Reporting Items for Systematic Reviews and Meta-Analyses (2020). Patient or Public Contribution No patient or public contribution. This review received no financial support. Trial Registration The protocol for this review was registered with PROSPERO (CRD42022327788) (crd.york.ac.uk/PROSPERO/display_record.php?RecordID=327788).
D. Archer, Amineh Rashidi, Rajbeer Kaur et al.· Journal of Clinical Nursing· 0 citations
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