2. Patient outcome: satisfaction and preference.
| Study | Satisfaction, preference |
| Campbell 2014 |
Overall satisfaction: nurse triage vs GP triage MD 2.60 (95% CI 0.58 to 4.63)a |
| Dierick‐van Daele 2009 |
Overall satisfaction: nurse vs doctor (0 to 10), MD ‐0.015, P = 0.83 Communication/attitude (1 to 6) ‐ Understanding: nurse vs doctor, MD ‐0.015, P = 0.41 ‐ Telling the plan: nurse vs doctor, MD ‐0.02, P = 0.74 ‐ Explaination goals and treatment: nurse vs doctor, MD ‐0.01, P = 0.76 ‐ Importance advice: nurse vs doctor, MD ‐0.07, P = 0.17 ‐ Appropriate attention: nurse vs doctor, MD 0.01, P = 0.78 Provision of information (1 to 6) ‐ Cause of problems: nurse vs doctor, MD ‐0.08, P = 0.21 ‐ Relief of symptoms: nurse vs doctor, MD ‐0.04, P = 0.47 ‐ Duration of illness: nurse vs doctor, MD ‐0.09, P = 0.25 ‐ Change of recurrence: nurse vs doctor, MD ‐0.15, P = 0.08 ‐ What to do: nurse vs doctor, MD ‐0.06, P = 0.45 Subgroup at least 1 chronic condition Satisfaction: NP 8.35 (1.07) vs GP 8.11 (1.32), P = 0.02 Judgement seeing the right professional: P = 0.35b Attending same provider in future: P = 0.67 Recommendation to others: P = 0.41 |
| Iglesias 2013 |
Satisfaction: ‐ Satisfaction with duration of the visit (0 to 10): doctor 8.1, nurse 8.4; MD (95% CI%) 0.256 (0.016 to 0.496)a ‐ Satisfaction with personal attention (0 to 10): doctor 8.1, nurse 8.4, MD (95% CI%) 0.240 (0.003 to 0.476)a ‐ Satisfaction with explanations and information received in the visit (0 to 10): doctor 8.3, nurse 8.5, MD (95% CI%) 0.240 (0.015 to 0.495)a Provider preference: More than 40% of patients in each group expressed indifference. In the control group, 13.9% of patients would prefer to be seen by a nurse, as opposed to 20.9% in the intervention group.a |
| Larsson 2014 |
Confidence: ‐ NRS confidence: nurse vs doctor: 0.20 (95% CI ‐0.29 to 0.69), P = 0.42 |
| Lewis 1967 | Provider preference: doctor 5.72 vs nurse 9.80, P < 0.001. Possible range 0 to 20; higher scores indicate a more positive view of the provider. |
| Mundinger 2000 |
Satisfaction (9 items): no difference in overall satisfaction, or on any of the 9 subscalesa Would recommend provider to others: no differencea |
| Ndosi 2013 |
Leeds Satisfaction Questionnaire ‐ LSQ Week 26 ‐ LSQ‐General: nurse vs doctor effect size: 0.17, P = 0.036 ‐ LSQ‐Information: nurse vs doctor effect size: 0.08, P = 0.327 ‐ LSQ‐Empathy: nurse vs doctor effect size: 0.05, P = 0.557 ‐ LSQ‐Technical: nurse vs doctor effect size: 0.08, P = 0.293 ‐ LSQ‐Attitude: nurse vs doctor effect size: 0.14, P = 0.082 ‐ LSQ‐Access: nurse vs doctor effect size: 0.01, P = 0.936 Week 52 ‐ LSQ‐General: nurse vs doctor effect size: 0.12, P = 0.183 ‐ LSQ‐Information: nurse vs doctor effect size: 0.09, P = 0.301 ‐ LSQ‐Empathy: nurse vs doctor effect size: 0.05, P = 0.578 ‐ LSQ‐Technical: nurse vs doctor effect size: 0.08, P = 0.369 ‐ LSQ‐Attitude: nurse vs doctor effect size: 0.08, P = 0.375 ‐ LSQ‐Access: nurse vs doctor effect size: 0.10, P = 0.248 |
| Shum 2000 |
Satisfaction: ‐ Professional care: nurse 79.2 (13.4) vs GP 76.7 (15.1), possible range 0 to 100, P = 0.002 ‐ Relationship to provider: nurse 64.3 (15.7) vs GP 64.2 (16.9), possible range 0 to 100, P = 0.945 ‐ Adequacy of time: nurse 73.3 (16.9) vs GP 67.7 (19.3), possible range 0 to 100, P < 0.001 ‐ Explanation helpful: nurse 88.8% vs GP 87.3%, P = 0.359 ‐ Advice helpful: nurse 86.9% vs GP 83.9%, P = 0.060 Provider preference: GP group: 47.5% prefer GP, 2.0% nurse, 50.5% no preference. Nurse group: 31.5% prefer GP, 7.5% nurse, 61% no preference; P < 0.001 |
| Spitzer 1973 | Satisfaction: nurses 96%, doctors 97%a |
| Venning 2000 |
Satisfaction: Adults ‐ Communication: NP 4.35 (0.54) vs GP 4.21 (0.60), P = 0.001 ‐ Distress relief: NP 4.43 (0.47) vs GP 4.26 (0.57), P = 0.001 ‐ Professional care: NP 4.44 (0.49) vs GP 4.22 (0.57), P < 0.001 Children ‐ General: NP 4.39 (0.46) vs GP 4.17 (0.57), P < 0.001 ‐ Communication with parent: no difference ‐ Communication with child: NP 4.16 (0.63) vs GP 3.67 (0.77), P < 0.001 ‐ Distress relief: NP 4.41 (0.53) vs GP 4.21 (0.64), P = 0.002 ‐ Adherence intent: no difference |
ano p‐value reported
b authors reported no effect size or reported effect sizes in graphs (no exact effect sizes extracted)
CI: confidence interval.
GP: general practitioner.
LSQ: Leeds Satisfaction Questionnaire.
MD: mean difference.
NP: nurse practitioner.
NRS: Numeric Rating Scale
*there may be additional data in the Campbell 2014 articles that have not been extracted