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CHPTER ONE: SUPERVISION1. Introduction
The Palestinian health system is certainly one of particular complexities given the peculiar political and economic circumstances the country is experiencing. Within thehealth system, supervision is viewed as an inherent component of service quality for  promoting professional practice in the health field. This is despite the fact that thequestion of clinical supervision is a relatively new concept that have gained attentiononly recently in the Palestinian context.Regardless of; type of facilities, types of providers, types of services being offered, or ways to pay these services a supervisor of health services works with all elements of the system to create an environment in which high quality services can be provided tothe care seekers.This training program offers basic information, tools, and strategies for strengtheningthe skills of the healthcare supervisors. Material is organized to be delivered in a four-days training program in a step-by-step process. While the manual is particularlyuseful for new supervisors, a more experienced supervisor may want to use different parts of the manual at different times as need rises.
2. Program overview
This training program is one of Hanan project plans for enhancing the quality of service delivery in the West Bank and Gaza. It will be implemented in a selectednumber of Maternal Child Health Nutrition clinics where Hanan operates in partnership with the Ministry of Health (MOH) and other prime health care providers.The decision to instigate this program was guided by primary findings from the healthfacility assessment Hanan team had completed. It was also supported by MOH as wellas other key health organizations and professionals who all agreed that establishingsuch a program will contribute to improving the quality of care offered at therespective health facilities. Direct beneficiaries from this training program will beHanan satellite team, MOH supervisors & clinic directors. At a later stage, other  potential beneficiaries could be supervisors working in facilities lying beyond thescope of Hanan project partnerships.
3. Purpose of the training program
This program is designed to improve; knowledge, skills and values of supervisorswho will have a great input on other practitioners & help them to establish, maintain,and improve standards and quality & promote innovation in clinical practice
 .
4. Aims of this training:
 
Broadening & understanding the concept of clinical supervision in differentcommunity health sectors NGO'S & government.
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Improve & unify the services for the purpose of improving the quality of careoffered for women & children.
 
Establish a system of clinical supervision to be applied in all MCHN clinics.
 
Improve the performance of clinical supervisors by equipping them withappropriate theoretical and practical knowledge towards strengthening their supervisory skills.
 
Advance participants analytical skills as it applies to situations from localPalestinian context.
 
Facilitate and foster teamwork spirit and skills through investing in participantswon field experiences.
5. Training period:
three-four days.
 6. Training time:
8:30-1:30.
7. Place:
the first period will be in Hebron.
8. Target Group:
Doctors, nurses midwives who have the responsibilityof supervision in the primary health sectors both governmental & NGO'S, have thedesire to participate, have the time to prepare training assignments & and arecommitted to create the system in their respective work setting.
9. Program outcomes
 
Enhance client care
 
Encourage clinical effectiveness
 
Promote evidence-based practice
 
Enhance professional knowledge
 
Increase analytical thinking
 
Establish a consistent system to support continuing professional development
 
Increase self confidence
 
Enhance staff morale
 
Support staff retention
 
Comply with established protocols and guidelines
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Part OneIntroduction to supervision1.1 Aim and objectives of this part
After completing this session participants will be able to demonstrate a goodunderstanding of the concept of clinical supervision and the role of supervision in thecare delivery process.This will be achieved by enabling participants to;
 
Define clinical supervision (CS) in its broadest sense differentiating betweeninternal and external supervisor.
 
Identify the responsibilities, role, required skills and personal characteristics of a CS.
 
Describe the benefits of CS.
 
Discuss the core of CS & its application.
 
Develop an understanding of major CS models.
1.2
 
Learning methods
:
facilitator presentation, discussion, group work 
1.3 What is clinical supervision (CS)?
A thorough scrutiny in the relevant literature revealed many definitions of clinicalsupervision. The Vision for Future (1993)
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, for example, identified twelve keytargets, the tenth of which is related to clinical supervision whereby it is defined asfollows:
"A formal process of professional support & learning which enables individual practitioners to develop knowledge & competence, assume responsibility for own practice & enhance consumer protection & safety of care on complex clinicalsituations. It is central to the process of learning & to expansion of scope of practice& should be seen as a means of encouraging self assessment & analytical & reflectiveskills" (Vision for Future, 1993).
The UKCC frequently addressed clinical supervision as a key aspect of qualityhealthcare. In its position statement (1996) it stated that clinical supervision is:"
 A process that brings practitioners & skilled supervisors together to reflect on practice" … "A process that aims to identify solutions, improve practice & increaseunderstanding of professional issues. Or  A process of guiding, helping, training & encouraging staff to improve performancein order to provide high quality of health services.
Supervision is carried out by a responsible person for the performance of clinical  staff (medical officers, nurses, and midwives) in addition to non-clinical staff (receptionist, cleaners etc).
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This definition was also adopted by Hanan Project.
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