Evaluation of Clinical Supervision and its Effect on Nursing Practice Quality at Ladoke Akintola University of Technology Teaching Hospital, Osogbo

Background: Clinical supervision is a structured professional mechanism that supports nursing performance improvement, yet its implementation in Nigerian teaching hospitals remains ad hoc and variable. Aim: This study evaluated the effect of clinical supervision on nursing practice quality at Ladoke Akintola University Teaching Hospital, Osogbo, South West Nigeria. Methods: A quasi-experimental design recruited 80 nurses divided into supervised and non-supervised comparison groups over a six-month period. Practice quality was measured at baseline and post-supervision using validated clinical performance indicators. Data were analysed using independent sample t-tests in SPSS version 27. Results: Nurses in the supervised group demonstrated statistically significant improvements in clinical documentation, patient assessment accuracy, and medication administration safety compared with controls. Supervisors reported positive professional development experiences. Barriers to sustained supervision included time constraints and insufficient supervisor training. Conclusion: Structured clinical supervision meaningfully improves nursing practice quality. Hospitals should formalise supervision models, train clinical supervisors, and incorporate supervision into nursing performance review systems. Keywords: clinical supervision, nursing quality, professional development, Osogbo, practice improvement.