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Review question What are the experiences of acute mental health /psychiatric nurses of clinical supervision in promoting their well-being in their place of work? Objectives The objective of this review is to synthesise the best available qualitative evidence on the positive aspects of clinical supervision experiences of acute mental health /psychiatric nurses, such as a sense of individual well-being Inclusion criteria Types of participants This review will consider studies that include nurses working in acute mental health in-patient care settings, who have first hand experience of clinical supervision regardless of age, gender, ethnicity, length of time since registration as a mental health nurse, work experience, or country of origin. For this systematic review we will use the following definitions: •The term mental health or (psychiatric) nurse is used interchangeably to reflect international preferences and refers to nurses who have completed a recognised approved training in mental health nursing by the relevant professional body, and awarded a licence to practice, and to use the legal title of ‘nurse’. •The term acute mental health (psychiatric) in-patient care settings or environments refers to wards or units providing hospitalisation and care for patients with acute mental disorders. •The term clinical supervision refers to a formal process of professional support and learning which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and the safety of care in complex clinical situations. It is central to the process of learning and to the expansion of the scope of practice and should be seen as a means of encouraging self-assessment and analytical and reflective skills, and nurses’ well-being in the work place. Phenomena of interest The experiences of acute mental health/psychiatric nurses of clinical supervision in promoting their well-being in the work place.The types of data that include experiential accounts of acute mental health /psychiatric nurses of the contribution of CS to their well-being, for example reduced stress, less feelings of burn out and exhaustion, job satisfaction, and enhanced coping skills.

Summary This study examined the education of mental health nurses by surveying all qualified mental health nurses working within one National Health Service region in Scotland. Using an adaptation of a previously used instrument, 488 questionnaires were distributed producing a response rate of 194 (39.75%). The study’s themes – initial preparation, professional development and future practice – reveal findings of interest, particularly the axis of RMN (pre-1992 education) and RMN (Project 2000 education). In terms of initial preparation, clear differences between groups were found. Pre-1992 RMNs’ report on educational experience majoring on practical skills contrasts sharply with Project 2000 respondents who, in spite of a course philosophy of reflective practice, emphasised an apparent lack of practical skills for practice. For professional development, both groups valued flexible approaches via journal reading, teaching, networking and participating in clinical supervision. In terms of educational provision, short course provision with an emphasis on short, flexible course provision (e.g., in-service study days), practice education and closer (and flexible) links between higher education and the practice area were highlighted as the most important ways to prepare for future practice.

Nosocomial infections are considered a major risk factor in hospital wards, and hand hygiene is the first step in their control. An observational study was conducted in 2015 with 200 nurses working in intensive care units in teaching hospitals of Tabriz, Iran. Data were collected by using the Hand Hygiene Observation Tool questionnaire. The researchers monitored nurses' opportunities for hand hygiene during the 8-week period from February 3-April 4, 2015. A total of 1,067 opportunities occurred for hand hygiene before and after wearing gloves. The results show that hand hygiene compliance before wearing gloves is poor among nurses who work in intensive care units (14.8%). Therefore it is necessary to conduct effective interventions through continuing education programs to improve hand hygiene compliance.