Melchior 1996.
Study characteristics | ||
Methods | RCT, the Netherlands | |
Participants | 161 psychiatric nurses in long‐stay settings | |
Interventions | 1) Experimental: support and advice given by nurse managers or quality care co‐ordinators: Participants were assigned to patients as primary nurses and given advice by nurse managers or quality care co‐ordinators and they followed a training programme about communication skills over a year. 2) Control: no intervention | |
Outcomes | MBI | |
Identification | ||
Notes | MBI‐EE included in analysis 3.3. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "Random sampling was used to select 492 nurses to complete the questionnaires." (p. 696) |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Participants not blinded. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Participants were not blinded whereas outcomes are self‐reported. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Quote: "Two main problems were encountered in this study, namely a high drop‐out rate largely due to job turnover among nurses, and the imitation of the intervention by the control group." (p. 697) A total of 51.6% of the participants dropped out during the study |
Selective reporting (reporting bias) | Low risk | All outcomes reported. |
Other bias | Low risk | We did not find any indications of other sources of bias. |