Background
Rationale/objectives
Methods
Protocol and registration
Eligibility criteria
Information sources
Search
Study selection
Data collection process
Methodological quality in individual studies
Synthesis of results
Results
Study selection
Study characteristics & methodological quality within studies
Results of individual studies
Patient health outcomes
Study | N | Measure | Method | Results: Supervision vs. Control (SMD > 0 favours supervision) (OR >1 favours supervision) |
---|---|---|---|---|
Bambling et al. 2006 [22] | 103 | Depression severity | Beck Depression Inventory | Skills Foci Supervision BDI
SMD 0.50 (95%CI 0.02 to 0.99)
Process Foci Supervision BDI
SMD 0.76 (95%CI 0.28 to 1.24)
|
Bradshaw et al. 2007 [23] | 93 | Psychiatric symptoms in individuals experiencing psychotic symptoms | Krawiecka, Goldberg and Vaughan symptom scale (KGV) | KGV Affective Symptoms SMD 0.32 (95%CI −0.10 to 0.73) KGV Positive Symptoms
SMD 0.48 (95%CI 0.06 to 0.90)
KGV Negative Symptoms SMD 0.06 (95%CI −0.36 to 0.47) KGV Total Symptom Score
SMD 0.47 (95%CI 0.06 to 0.89)
|
Couper et al. 2015 [26] | 746 | Neurologic Outcome | Cerebral Performance Category (CPC) Score; analysed dichotomously as good (CPC 1 or 2) OR poor (CPC 3, 4 or 5) | Good Neurologic Outcome OR 1.02 (95%CI 0.70 to 1.48) |
Martino et al. 2016 [24] | 385 | Days of primary substance abuse abstinence | Self-report of substance abuse utilising the substance use calendar | SMD −0.06 (95%CI −0.26 to 0.14) |
Pozen et al. 1976 [25] | 300 | Faculty member ratings of patient outcomes, including patient symptoms function and health status | Medical record review, patient questionnaire and 8-month follow-up assessment | N/Sa
|
Wolfe et al. 2014 [27] | 119 | Neurologic Outcome | Paediatric Cerebral Performance Category (PCPC) Score; analysed dichotomously as favourable (PCPC score 1–3 OR no change from admission score) or non-favourably (PCPC score 4–6) | Favourable Neurologic Outcome
OR 2.47 (95%CI 1.05 to 5.78)
|
Process of care
Study | N | Measure | Method | Results: Supervision vs. Control (SMD > 0 favours supervision) (OR >1 favours supervision) |
---|---|---|---|---|
Anatole et al. 2013 [29] | 2649 | Adherence to national paediatric nursing guidelines Adherence to national adult nursing guidelines Adherence to national antenatal nursing guidelines | Observation of nurse clinical practice by supervisors | Paediatric:
SMD 0.94 (95%CI 0.80 to 1.08)
Adult:
SMD 2.21 (95%CI 1.97 to 2.45)
Antenatal:
SMD 0.50 (95%CI 0.34 to 0.65)
|
Claridge et al. 2011 [34] | 376 | Adherence to protocol for selection of non-operative management in patients with a blunt spleen injury | Medical record and trauma registry review |
OR 3.99 (95%CI 1.94 to 8.19)
|
Couper et al. 2015 [26] | 746 | CPR performance quality metrics: compression rate (no/min); compression depth (mm); flow-fraction (%); incomplete release (%); pre-shock pause (secs), post-shock pause (secs). | Monitor and defibrillator with the capability to detect and record chest compressions and ventilations during resuscitation attempts | Compression Rate
SMD 0.25 (95%CI 0.10 to 0.39)
Compression Depth
SMD 0.60 (95%CI 0.45 to 0.74)
Flow Fraction
SMD 0.41 (95%CI 0.26 to 0.55)
Incomplete Release
SMD 0.16 (95%CI 0.02 to 0.30)
Pre-Shock Pause
SMD 0.81 (95%CI 0.66 to 0.96)
Post-Shock Pause
SMD 0.57 (95%CI 0.42 to 0.71)
|
Edelson et al. 2008 [28] | 224 | CPR performance quality metrics: 5-min compression depth (mm); 5-min compression rate (no/min); 5-min ventilation rate (no/min); 5-min no-flow fraction; pre-shock pause (secs); post-shock pause (secs); and appropriate number of shocks | Monitor and defibrillator with the capability to detect and record chest compressions and ventilations during resuscitation attempts | 5-Minute Compression Depth
SMD 0.60 (95%CI 0.33 to 0.87)
5-Minute Compression Rate
SMD 0.44 (95%CI 0.17 to 0.70)
5-Minute Ventilation Rate
SMD 0.67 (95%CI 0.40 to 0.94)
5-Minute No-Flow Fraction
SMD 0.61 (95%CI 0.34 to 0.88)
Post-Shock Pause
Median (IQR) 7.5 (2.8 to 13.1) vs. 16.0 (8.5 to 24.1), P < 0.001
a
Pre-Shock Pause
Median (IQR) 2.4 (1.9 to 3.6) vs. 7.1 (2.7 to 14.8), P < 0.001
a
Appropriate Shocks
OR 2.98 (95%CI 1.51 to 5.88)
|
Fatti et al. 2013 [30] | 27,458 | Adherence to prevention of mother to child HIV transmission guidelines | Analysis of routine clinical data | Adherence to Guidelines
OR 1.41 (95%CI 1.36 to 1.45)
|
Green et al. 2014 [31] | 160 | Adherence to nurse-administered antiretroviral therapy guidelines | Medical record review | Adherence to Guidelines
OR 1.52 (95%CI 1.27 to 1.83)
|
Gupta et al. 2016 [36] | 384 | Adherence to acceptability and repeatability criteria of the American Thoracic Society/European Respiratory Society standards for spirometry | Review of spirometry results/output | Adherence to Guidelines
OR 1.7 (95%CI 1.0 to 3.0)
|
Jayanna et al. 2016 [37] | 1078 | Adherence to intra-partum and post-partum nursing care guidelines | Medical record review | Adherence to Initial Assessment Guidelines
OR 3.6 (95%CI 1.7 to 7.6)
Adherence to Labour Monitoring Guidelines
OR 25.8 (95%CI 9.6 to 69.4)
Adherence to Delivery & Post-partum Guidelines (mothers)
OR 22.1 (95%CI 8.0 to 61.4)
Adherence to Delivery & Post-partum Guidelines (newborns)
OR 24.1 (95%CI 8.1 to 72.0)
Adherence to Newborn Vaccination Guidelines
OR 4.7 (95%CI 1.2 to 18.3)
|
Magge et al. 2015 [32] | 705 | Adherence to integrated management of childhood illness (IMCI) assessment; classification; treatment; counselling and communication; and coverage | Observation of nurse clinical practice by nurses with expertise in the integrated management of childhood illness | Adherence to Guidelines
OR 7.82 (95%CI 7.02 to 8.71)
|
Martino et al. 2017 [24] | 543 | Motivational interviewing strategy adherence | Audio-tape review of counselling sessions and rating of adherence using the Independent Tape Rater Scale | Fundamental MI adherence N/Sa
Advanced MI adherence N/Sa
|
Pozen et al. 1976 [25] | 300 | Faculty member ratings of process of care | Medical record review | N/Sa
|
Sox et al. 1998 [35] | 3367 | Adherence to emergency medicine guidelines for patients presenting to emergency | Medical record review |
64% vs. 55% mean compliance;
P < 0.0001
|
Wolfe et al. 2014 [27] | 119 | Achievement of CPR performance quality indicators: rate ≥ 100/min; depth ≥ 38 mm; cardiac compression fraction >90%; and ≤10% compressions with leaning (leaning greater than 2.5 kg). | Monitor and defibrillator with the capability to detect and record chest compressions and ventilations during resuscitation attempts | Rate ≥ 100/min
SMD .50 (95%CI 0.34 to 0.67)
Depth ≥ 38 mm
SMD 0.27 (95%CI 0.10 to 0.43)
Cardiac compression fraction >90%
SMD 0.43 (95%CI 0.26 to 0.59)
≤ 10% compressions with leaning N/Sa
|
Workneh et al. 2013 [33] | 748 | Adherence to clinical aspects of a comprehensive paediatric HIV visit as per national antiretroviral guidelines | Medical record review | Adherence to Guidelines
OR 2.70 (95%CI 2.39 to 3.04)
|
Patient experience
Study | N | Measure | Method | Results: Supervision vs. Control (OR >1 favours supervision) |
---|---|---|---|---|
Pozen et al. 1976 [25] | 300 | Patient satisfaction with outpatient medical service | Questionnaire | N/Sa
|
Sox et al. 1998 [35] | 1386 | Patient satisfaction with the respect they received from staff; the completeness of care they had received; the explanations of their care; their waiting times; and the discharge instructions they received. | Follow-up telephone interview | OR 1.0 (95%CI 0.7 to 1.5) |
White et al. 2010 [38] | 170 | Patient satisfaction with psychiatric care | Psychiatric Care Satisfaction Questionnaire (PCSQ) | N/Sa
|