Finding #23
Experienced leadership was a facilitator of smooth implementation of doctor‐nurse substitution strategies.
Assessment for each CERQual component
Methodological limitations	Minor concerns because 2 studies did not report reflexivity; 1 study did not report data analysis; and 3 studies did not described context.
Coherence	No or very minor concerns.
Relevance	No or very minor concerns. Participants in 6 studies were nurses, in 1 study were doctors and in 2 studies were managers.
Adequacy	No or very minor concerns.
Overall CERQual assessment
High confidence	—
Contributing studies/setting
Sub‐Saharan Africa (1); Oceania (2); Middle East and North Africa (1); Europe (2); North America (1) Burns 2009a: UK, primary care Leech 2007: South Africa, primary care Ljungbeck 2017: Sweden, municipal healthcare Mills 2008a: Australia, primary care Mills 2008b: Australia, primary care Petrova 2015: Malta, primary care Poghosyan 2017: USA, primary care