AimsThe aim of this review is to identify and map the evidence available on the factors that influence the implementation of clinical supervision for nurses.DesignThe scoping review was conducted and reported following the JBI methodology for scoping reviews.Data SourcesSearches were conducted on MEDLINE, PsycINFO, and CINAHL databases on 28 March 2023.Review MethodsA total of 1398 studies were imported into Covidence for screening. Researchers screened the papers according to the inclusion criteria. Empirical studies in English focusing on the implementation of clinical supervision for nurses were included, without year restrictions. Data from 16 studies were extracted and organized according to the constructs within the Consolidated Framework for Implementation Research (CFIR) domains: intervention characteristics, outer setting, inner setting, characteristics of individuals, and process.ResultsWhen compared with the CFIR constructs, it was found that the influence of the outer setting on implementation was less explored in the literature. Most of the reviewed data highlighted recurring factors, particularly logistical challenges of nursing work such as shift work and lack of control over work time. Organizational culture and managerial support were also identified as significant factors in the implementation. Another significant challenge in implementation was the variety in clinical supervision's design, purpose, and application, despite sharing the same label, leading to questions about whether studies are implementing the same practice.ConclusionPolicy documents should clearly define both the design and purpose of clinical supervision, beyond just its conceptual definition. Greater emphasis on equitable implementation of clinical supervision is necessary to prevent perpetuating existing inequalities. We conclude that implementation of such complex interventions is not linear, and the implementation strategies need to align with expected implementation challenges.ImpactThe advantage of using the implementation framework lies not only in observing what exists as a form of evidence but also in identifying what is underdeveloped. Healthcare services and policy developers can utilize our review to recognize and address potential challenges in introducing, modifying, scaling up, or sustaining their clinical supervision implementation.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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影响护士临床监督实施的因素：范围界定审查


目的本次审查的目的是识别和绘制影响护士临床监督实施的因素的现有证据。设计范围审查是按照 JBI 范围审查方法进行和报告的。数据来源搜索是在 MEDLINE、PsycINFO、和 CINAHL 数据库，2023 年 3 月 28 日。 审查方法 共有 1398 项研究导入 Covidence 进行筛选。研究人员根据纳入标准对论文进行筛选。纳入了针对护士临床监督实施情况的英语实证研究，没有年份限制。根据实施研究综合框架 (CFIR) 领域内的构建，提取并组织了 16 项研究的数据：干预特征、外部环境、内部环境、个体特征和过程。结果与 CFIR 构建进行比较时，发现文献中很少探讨外部环境对实施的影响。大多数审查的数据都强调了反复出现的因素，特别是护理工作的后勤挑战，例如轮班工作和缺乏对工作时间的控制。组织文化和管理支持也被认为是实施中的重要因素。实施中的另一个重大挑战是临床监督的设计、目的和应用的多样性，尽管共享相同的标签，导致人们质疑研究是否正在实施相同的实践。结论政策文件应明确定义临床监督的设计和目的，超越其概念定义。 为了防止现有不平等现象长期存在，有必要更加重视临床监督的公平实施。我们的结论是，此类复杂干预措施的实施不是线性的，实施策略需要与预期的实施挑战保持一致。影响使用实施框架的优势不仅在于观察以证据形式存在的内容，还在于识别哪些内容尚未开发。 。医疗保健服务和政策制定者可以利用我们的审查来认识和解决在引入、修改、扩大或维持其临床监督实施方面的潜在挑战。患者或公众贡献没有患者或公众贡献。