Finding #2 | |
Doctors in most studies also preferred that nurses performed only non‐medical tasks. | |
Assessment for each CERQual component | |
Methodological limitations | Minor concerns because 3 studies did not report reflexivity; 2 studies did not report ethical consideration; and 2 studies did not report sampling strategy. |
Coherence | Moderate concerns because all studies welcomed the transfer of certain tasks to nurses, but only in 1 study doctors were not willing to shift tasks such as examination, diagnosis or therapy to nurses. Moreover, in LMICs, attitude among doctors was reported to be more mixed. |
Relevance | Minor concerns because most data were from HICs and there were 2 studies from LMICs. |
Adequacy | No or very minor concerns. |
Overall CERQual assessment | |
Moderate confidence | Due to minor concerns about methodological limitations and relevance; and moderate concerns about coherence. |
Contributing studies/setting | |
Sub‐Saharan Africa (1); Asia (1); Oceania (3); Europe (7); North America (4) Abbott 2013: Australia, general practices Bailey 2006: Canada, primary care Branson 2008: UK, primary care Coulter 2000: USA, managed care organisation‐multispeciality group practices Georgeu 2012: South Africa, PHC clinic Ivers 2011: Haiti, rural communities Kraus 2017: USA, primary care Lindblad 2010: Sweden, primary health care Lorch 2015: Australia, chlamydia testing Marsden 2004: UK, practices Rosemann 2006: Germany, clinic Ross 2015: UK, mental health Stenner 2010: UK, primary care Stephen 2018: Australia, general practice Twinn 1999: Hong Kong, primary care‐teaching clinics Voogdt‐Pruis 2011: Netherlands, cardiovascular prevention |