All the enrolled participants will be undergoing Clinical Supervision sessions with their selected supervisors for pre-identified objectives for their skill and knowledge development.

After baseline data collection, participants will be invited to attend training on clinical supervision (CS). Education will be delivered in 3 phases. 1-Orientation to the CS model 2-Integration of theory into practice and 3-Skill advancement for supervisors. After training, participants will be encouraged to choose a supervisor, identify objectives for skill development. They will be advised to meet their supervisor once a month for 60 minutes (Due to COVID 19 pandemic the participants can have either one-to-one session in-person or virtually (Microsoft Team), however, if the supervisor and the supervisee working in the same campus can have their one-to-one session as per their preferences. Supervisor-supervisee will be working together to achieve the stated goals. Only the recorded attendance and nature of the session will be used for research purpose. Data will be collected at baseline, 6&12 month with pre-specified tools.

The literature suggests that work-related stress and injuries are more common among nurses. Clinical supervision aims to provide support to nurses and guide them to identify their learning needs, improve their knowledge and skills to deal with complex situations and subsequently may reduce work-related strain. To assess the effectiveness of clinical supervision on the work-related strain, investigators will use the Work-Related Strain Inventory (WRSI). It consists of 18 statements designed to measure the feelings of psychological strain in occupational settings. The possible scores for the WRSI range from 18-72, the higher the score, the stronger the feelings of experiencing work-related strain. Data on WRSI will be collected at baseline (before Clinical Supervision sessions), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.

A high sense of coherence is a pre-requisite for successful adaptation to a stressful situation- which leads to better health and wellbeing. Investigators will use a short form with 13 items of Sense of Coherence. These 13 items comprise three components: comprehensibility, manageability, and meaningfulness. The respondents indicate agreement or disagreement on a seven category semantic differential scale with two anchoring responses tailored to the content of each item. Five items (1,2,3,5, and 7) needs to be reversed before summing the total scores. The total score can range from 13 to 91, and a higher score indicates higher Sense Of Coherence. Data on SOC will be collected at baseline (before intervention), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.

The majority of the nursing workforce in Qatar is of expatriates. Studies show that migrant nurses often face language barriers, cultural diversity, and lack of trust and mutual respect. In this study, investigators are anticipating that supervisee and supervisor may be from different cultures. It is expected that this may promote mutual respect and cultural sensitivity. Intercultural Sensitivity Scale (ICS) will be used to assess cultural sensitivity. The ICS is subdivided into five subscales, and these are Interaction Engagement, Respect for Cultural Differences, Interaction Confidence, Interaction Enjoyment and Interaction attentiveness. A high score indicated higher Intercultural Sensitivity. Data on ICS will be collected at baseline, at 6th and 12th months after the first session of clinical supervision. The change in the mean scores will be assessed.

The investigators are aiming to find the correlation between baseline work-related strain, cultural sensitivity and sense of coherence. Total scores of scales and subscales will be explored for the correlation. If the data follows normal deviation, Pearson correlation coefficient will be used. If data follows the non-normal deviation, then the Spearman Correlation coefficient will be used. The test will be used to find the correlation between baseline work-related strain, cultural sensitivity and sense of coherence.