Table 5.
Summary of outcomes utilised to characterise success
Outcome | Studies examining outcome |
---|---|
Service outcomes |
|
Perceived improvement in quality, safety of care or higher standards of practice |
15, 39, 41, 47, 49, 54, 70, 71, 77 |
Change in organisational culture |
34, 36, 37, 44 |
Improvement in access to care and clinic efficiency (perceived) |
41 53, 56, 76 |
Improved ‘actioning’ of issues |
33, 34 |
Increased certification of practitioners |
74 |
Cost and time savings |
71 |
Reduction in travel |
71 |
Improved referral pathways, connections or collaboration |
66 |
Staff (including programme) outcomes |
|
Increases in self-reported knowledge, confidence and competence in practice, skills and/or clinical decision-making |
15, 33, 41, 44, 46, 48, 49, 52, 54, 59, 60, 61, 71, 72, 75, 76 |
Content or structure of material or programme perceived as appropriate and relevant by participants |
44-46, 49, 53, 54 |
Retention of staff |
39, 40, 49, 66, 75 |
Greater understanding of role of mentoring or supervision |
37, 36, 44 |
Capacity to attend or participate in programme |
49, 52 |
Improved collaboration with other health workers |
41 |
Knowledge gains |
14, 34 |
Improved attitude towards supervision or mentoring |
36, 37 |
Job satisfaction |
15, 71 |
Improved staff well-being |
43 |
Improved knowledge of roles and knowledge sharing |
54 |
Improved reflective practice |
66 |
Programme outcomes |
|
Attendance and completion rates |
14, 33, 34, 36, 37, 43, 45, 54, 57, 59, 72, 76 |
Sustainability of programme |
34, 36, 37, 43, 47, 48, 54, 56 |
Knowledge translation to other rural practitioners and organisations |
48, 54, 76 |
Engagement with the programme |
33, 54, 59 |
Satisfaction with the programme (including perceived positive use of staff time) |
33, 52, 66 |
Attainment of learning goals |
49, 52 |
Patient outcomes |
|
Staff perceived improvements in screening procedures |
41 |
Reduced admission rates from a rural to a regional centre and reduced transfer of clients for care to regional centres |
53, 76 |
Client satisfaction with services |
61 |
Improved quality and completeness of health information and services received by clients | 56 |