Finding #24
Nurses and recipients reported dissatisfaction with the huge number of documents and reports that needed to be completed in connection with doctor‐nurse substitution strategies.
Assessment for each CERQual component
Methodological limitations	Minor concerns because 1 study did not provide sufficient evidence for findings and 2 studies did not report reflexivity. However, these may not have influenced the finding.
Coherence	No or very minor concerns.
Relevance	Minor concerns because only 3 regions are represented, both HIC and LIMC.
Adequacy	Moderate concern because data were from few studies.
Overall CERQual assessment
Moderate confidence	Due to minor concerns about methodological limitations; and relevance and moderate concerns about adequacy.
Contributing studies/setting
Sub‐Saharan Africa (1); Oceania (1); Middle East and North Africa (1) Basaleem 2011: Yemen, primary care Flowers 2008: Australia, primary care Georgeu 2012: South Africa, primary care