‘It would probably do more harm than good’: mental health nurses' experiences of nondisclosure within individual clinical supervision

Background/Aims Negative attitudes towards clinical supervision among nurses is a concern given the potential impact on safe and effective practice. This study aimed to explore mental health nurses' perspectives of clinical supervision and nondisclosure in this setting. Methods For the purposes of the research, nondisclosure was defined as the intentional withholding of information within supervision. Semi-structured interviews were conducted with 10 mental health nurses about their experiences of nondisclosure in supervision. Qualitative findings were analysed using thematic analysis. Results Five main themes were identified from the interviews: the expectation to be superhuman, being part of a team, a poorly defined space, feeling relationally unsafe and strategies to stay safe. These themes operated on individual, clinical supervision and cultural levels. The findings highlight a need for clinical supervision spaces that are regular, structured, clearly defined, predictable and safe. Conclusions The findings highlight a need for clinical supervision spaces that are regular, structured, clearly defined, predictable and safe. Effective clinical supervision is crucial for retaining well-supported practitioners and maintaining safe, accountable care.