Advancing culturally responsive clinical supervision: exploring supervisees' perspectives and the development of the Clinician Cultural Humility Scale

Abstract

Clinical supervision is essential for providing ongoing support and development to supervisees, with significant implications to clinical practice. There has been a recent emphasis on ensuring that culture is considered and integrated into the supervision space. However, more insight is needed into how supervisees experience culturally responsive supervision and how can we assist clinicians to develop their cultural humility.
Chapter one aims to set the context of the two completed studies by expanding further on the process and rationale. Specifically, reflections of conducting the research from the author’s personal cultural lens is considered. The chapter also addresses the shift of terminology from cultural competence to humility, and the use of incorporating the Delphi method within the empirical study.
The second chapter is a systematic review that aimed to further explore supervisees’ perspectives of the impact of receiving culturally responsive clinical supervision. A total of 15 papers were included in the thematic synthesis which identified three main themes of ‘strengthened the supervisory relationship’, ‘supported professional development and learning’, and ‘facilitated culturally responsive clinical work’. Further clinical and research implications are discussed.
The final chapter details a quantitative study that developed a cultural humility measure for clinical supervision and assessed its psychometric properties. The study used a three-part design with two samples; the first stage devised the initial scale (Clinician Cultural Humility Scale; CCHS), the second stage used the Delphi method to revise the scale, and the third stage used a cross-sectional survey to assess and further revise the scale. The factor analyses found a 10-item scale with three subfactors, namely: ‘Awareness and Self-reflection’, ‘Openness in Clinical Practice’, and ‘Supportive Interactions’. The CCHS showed good internal reliability and, overall, the correlation analyses showed convergent relationships with existing scales. The results, implications and recommendations for future research are identified and discussed.
Keywords: clinical supervision, cultural responsivity, cultural humility.

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