Finding #27
Nurses in LMIC settings appeared to lack effective supervision.
Assessment for each CERQual component
Methodological limitations	Minor concerns regarding methodological limitations due to 1 study did not report reflexivity.
Coherence	No or very minor concerns.
Relevance	No or very minor concerns. Participants in 2 studies were nurses, in 1 study were managers, and in 2 studies were other care providers.
Adequacy	Serious concerns due to data were from 2 studies with few data.
Overall CERQual assessment
Very low confidence	Due to serious concerns about adequacy and minor concerns about methodological concerns.
Contributing studies/setting
Sub‐Saharan Africa (1); Middle East and North Africa (1) Basaleem 2011: Yemen, primary care Leech 2007: South Africa, primary care