The effect of two models of supervision on selected outcomes.
OBJECTIVE
To evaluate the effect of training in two different supervisory models on the supervision itself, the quality of care, and job satisfaction of nurses in different service settings in a district health service (DHS) in South Africa.


METHODS
As part of a larger health systems study, the results of supervision training were evaluated. The quantitative study was done in three health districts in South Africa.


METHODS
The modified matrix (MM) model of supervision was taught and implemented in District A, the Centre for Health and Social Studies (CHESS) model in District B, and the control was District C. Checklists based on direct observation and record reviews were used to measure quality of care (quality of hand-over between shifts, nursing records, management of chronic diseases, and implementation of universal precautions). Questionnaires were used to measure perception of supervision and patient satisfaction. Chi-square analysis was done.


CONCLUSIONS
Supervision ratings before and after the interventions differed significantly in the total sample, but not by district. In the district with the MM model, care for people with chronic diseases improved significantly, but other measures did not. The supervision training had some influence, but more measures of effectiveness of supervision training are needed.
Uys
Leana R
LR
School of Nursing, University of KwaZulu-Natal, Durban, South Africa. uys@ukzn.ac.za
Minnaar
Ansie
A
Simpson
Barbara
B
Reid
Steve
S
D001291:Attitude of Health Personnel; D016009:Chi-Square Distribution; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D007588:Job Satisfaction; D016294:Models, Nursing; D009718:Nurse Administrators / Q000193:education* / Q000458:organization & administration; D024802:Nurse's Role; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D009745:Nursing, Supervisory / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D015397:Program Evaluation; D019984:Quality Indicators, Health Care / Q000592:standards; D011787:Quality of Health Care / Q000592:standards; D012649:Self Concept; D013019:South Africa; D011795:Surveys and Questionnaires