“Full to the Brim” Taking an ethnographic stance in evaluating the supportive nature of safeguarding supervision in health visiting practice

Moseley, Michelle ORCID: https://orcid.org/0000-0002-0139-0413 2024. “Full to the Brim” Taking an ethnographic stance in evaluating the supportive nature of safeguarding supervision in health visiting practice. PhD Thesis, Cardiff University. Item availability restricted.

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Abstract

Safeguarding supervision involves providing specialist support and advice to practitioners who are involved in the safeguarding of the most vulnerable children. Health visitors work with children and their families aged 0-5 years and are regularly involved in safeguarding situations where children have been placed at risk of significant harm by their parent or carer. Health visitors need the opportunity to critically reflect and feel supported in decision-making processes. The aim of this study was to explore and interpret how health visitors are supported within their roles especially when they are involved in the safeguarding practice elements of their practice. This exploration investigated the role safeguarding supervision plays within health visiting practice including, how it was received and delivered. An ethnographic approach was determined a suitable approach in observing health visitors in practice and observing group supervision processes. Interviews and focus groups with health visitors, interviews with safeguarding supervisors, and safeguarding record keeping reviews were also undertaken. The overall sample size included fifty four participants across three health boards in Wales. Results indicated that HVs usually felt supported by peers and supervisors in group supervision situations. Most participants would like access to detailed one to one supervision at least once a year. Health Visitors need to prepare for supervision and Safeguarding supervisors (Safeguarding Nurse Advisors) require supervision training. Safeguarding supervision provides a structured discussion between supervisee and supervisor to support and advise on specific complexities and challenges within their caseloads. A recommendation for the supervisors was to take a person-centred, restorative approach to safeguarding supervision. Safeguarding supervision training is essential to allow the supervisor to engage authentically and share decision making. For safeguarding supervision to enhance safeguarding practice effectively placing the child at the centre of practice, accountability and responsibility is targeted to the organisation, the supervisor, and the supervisee

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Schools > Healthcare Sciences
Date of First Compliant Deposit:	24 February 2025
Last Modified:	25 Feb 2025 09:47
URI:	https://orca.cardiff.ac.uk/id/eprint/176420

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