Analysis of the Implementation of Head Nurse Clinical Supervision on Improving the Quality of Nursing Services: A Literature Review
DOI:
https://doi.org/10.58344/jii.v4i9.7000Keywords:
Head of the Treatment Room, Clinical Supervision, Quality of the Nursing ProfessionAbstract
Nurses constitute the largest human resource group in hospitals and are the health professionals with the most prolonged direct client interaction. Consequently, the quality of nursing services is a fundamental determinant of overall healthcare quality in hospitals. As the frontline leader in nursing service management, the head nurse plays a critical role in conducting clinical supervision to monitor nurse performance and enhance service quality. This study aimed to analyze the implementation of head nurse clinical supervision for improving nursing care quality through a literature review. Databases including PubMed, Science Direct, EBSCO, J-Stor, and ProQuest were searched, resulting in the extraction of 10 relevant articles. All studies confirmed a significant relationship between effective clinical supervision and improved nursing service quality, as measured through nurse performance. Effective supervision fosters responsibility and motivation among nurses, leading to better execution of nursing care, clinical actions, and discharge planning. The consistent finding across articles underscores that structured supervision models are substantially more effective than non?model approaches. Moreover, nursing service quality can be comprehensively evaluated by examining the entire care process—from patient admission to discharge planning. These results highlight the importance of adopting systematic supervisory frameworks to achieve high?quality nursing outcomes.
References
Agustin, R., Sumara, R., Ananditha, A. C., & Saputri, D. A. (2021). The Relationship between Nursing Supervision and the Quality of Performance of Discharge Planning Implementation in the Inpatient Room of Haji Surabaya Hospital. Journal of Muhammadiyah Nursing, 6(2).
Asnawati, R., & Simbala, I. (2021). Supervision of the head of the room with the performance of nurses in the implementation of nursing care. Olive (Journal of Health Sciences), 9(1), 925. https://doi.org/10.31314/zijk.v9i1.1116
Baghaei, R., Khalkhali, H. R., & Zarghi, N. (2021). Barriers to effective clinical supervision from the perspective of nurses: A descriptive qualitative study. BMC Nursing, 20(1), 83. https://doi.org/10.1186/s12912-021-00601-8
Hayulita, S., & Hidayati, Y. (2022). The Relationship between Supervision and Nurse Performance in Implementing Nursing Care in the Inpatient Room of DR. Drs. M. Hatta Bukittinggi Brain Hospital. Journal of Lantern Health 'Aidyiyah, 5(1), 592–600.
Karim, A. M., Sompa, M. S. A., & Alam, M. K. (2022). Effective clinical supervision in nursing: Systematic review. Open Access Macedonian Journal of Medical Sciences, 10(T8), 156-162. https://doi.org/10.3889/oamjms.2022.9672
Kountul, M., & Walewangko, T. (2023). Supervision of the Head of the Room with the Performance of Nurses in the Implementation of Nursing Care in the Inpatient Room of Gmim Kalooran Amurang General Hospital. Manado Health Scientific Journal, II(2).
Mandagi, F. M., Umboh, J. M. L., & Rattu, J. A. M. (2015). Analysis of factors related to nurses' performance in implementing nursing care at Bethesda General Hospital Gmim. Journal of E-Biomedicine. https://doi.org/10.35790/ebm.3.3.2015.10479
McDonough, S., Wynaden, D., McGowan, S., Chapman, R., & Hood, S. (2025). The impact of clinical supervision on the mental health nursing workforce: A scoping review. International Journal of Mental Health Nursing, 34(1), e13463. https://doi.org/10.1111/inm.13463
Nurdiana, N., Hariyati, R. T. S., & Anisah, S. (2018). Implementation of the Head of Room Management Function in Nursing Quality Control. Journal of the Indonesian National Nurses Association (JPPNI), 2(3), 160. https://doi.org/10.32419/jppni.v2i3.93
Puspitaningrum, I., Supriatun, E., Suryatna, S. Y., Putri, S. D., & Hasni, N. I. (2022). Reflective nursing supervision improves nurse job satisfaction. Serulingmas Health Journal (SHJ), 2(2), 2022. https://garuda.kemdikbud.go.id/documents/detail/3373139
Saputra, D. I., Sulisetyawati, S. D., & Safitri, W. (2022). The Relationship between the Implementation of Nursing Supervision and the Quality of Nursing Services at UNS Hospital. Kusuma Husada University Surakarta.
Shannon, M., & Cusack, E. (2019). Clinical Supervision Framework For Nurses Working in Mental Health Services. In Office of the Nursing and Midwifery Services Director, Health Service Executive, Dublin, Ireland. file:///C:/Users/EDDY/Documents/Mendeley Desktop/Shannon, Cusack/Unknown/Shannon, Cusack - 2015 - Clinical Supervision Framework For Nurses Working in Mental Health Services.pdf
Shorey, S., Lau, T. C., Lau, S. T., & Ang, E. (2019). Enablers and barriers to effective clinical supervision in the workplace: A rapid evidence review. BMJ Open, 9(9), e030858. https://doi.org/10.1136/bmjopen-2019-030858
Siahaan, M., Nababan, D., Harefa, K., Siagian, M. T., & Silitonga, E. (2021). The Effect of Head of Room Supervision on Nurse Performance in Documenting Nursing Care in the Inpatient Room of Rumkit Tk II Putri Hijau Kesdam I/Bb Kesdam I/Bb Medan in 2021. Journal of Healthcare Technology and Medicine, 7(2), 2615–109.
Sidauruk, O., Tri Kurniati, & Luknis Sabri. (2020). Comparison of Proctor Model Supervision and Reflective Model in Improving the Quality of Nursing Services in Covid-19 Treatment Rooms. Journal of Health Sciences, 1(3), 133–141. https://doi.org/10.46799/jhs.v1i3.26
Sulistiawati, I., Setiawan, A., Rudhiati, F., Inayah, I., & Murtiningsih, M. (2022). Academic Model Clinical Supervision on the Performance of Implementing Nurses. Silampari Journal of Nursing, 6(1), 733–745. https://doi.org/10.31539/jks.v6i1.4490
Sutinen, L., Kvist, T., & Elovainio, M. (2024). Quality management for nurses performance and commitment on patient safety: A cross-sectional study. Medicine, 103(1), e36598. https://doi.org/10.1097/MD.0000000000036598
Suryaningsih, D., & Dwiantoro, L. (2012). Clinical supervision model that can improve the quality of nursing services. National Seminar and Call for Paper, 203–211.
Wijaya, D., Girsang, E., Ramadhani, S. L., Nasution, S. W., & Karo, U. K. (2022). Influence Of Organizing Functions, Direction Functions And Planning Functions On Nurse Performance At Hospital Royal Prima Medan. International Journal of Health and Pharmaceutical (IJHP), 2(1), 1–8. https://doi.org/10.51601/ijhp.v2i1.21
Zonneveld, M., McKenna, L., & Cant, R. (2024). Clinical supervision experience of nurses in or transitioning to advanced practice: A systematic review. Journal of Advanced Nursing, 80(7), 2654-2668. https://doi.org/10.1111/jan.16126
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