title: Outcomes related to effective nurse supervision in long-term care homes: an integrative review.
abstract: OBJECTIVE
  The aim of this integrative review was to describe the organisational, unregulated nurse, and resident outcomes associated with effective supervisory performance of regulated nurses (registered nurses or registered practical nurses) in long-term care homes.
  
  
  BACKGROUND
  While there are data on the influence of regulated nurse staffing levels on resident outcomes, the influence of effective supervisory performance of regulated nurses on resident and organisational outcomes, nursing assistant outcomes have yet to be comprehensively explored.
  
  
  RESULTS
  A search of six databases was made for articles dating from 2000 to 2015. Twenty-four articles were selected and an integrative review was performed.
  
  
  RESULTS
  Effective nurse supervision had statistically significant positive associations (P < 0.05, P < 0.000) with six different organisational, unregulated nurse and resident outcomes: nurse assistant job satisfaction, turnover/intention to leave, effectiveness, decision making, job stress and consumer satisfaction. Qualitative analyses corroborate these findings.
  
  
  CONCLUSIONS
  There appear to be some associations between effective supervisory performance of regulated nurses with positive organisational, unregulated nursing and resident outcomes.
  
  
  CONCLUSIONS
  Nursing managers and leaders in long-term care may promote improvements in effective nurse supervision performance as a way of reducing turnover and improving resident outcomes.
authors: Department of Research, Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada. Kathy.Mcgilton@uhn.ca.|Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Kathy.Mcgilton@uhn.ca.
authors: Katherine S
authors: KS
authors: McGilton
authors: Department of Research, Toronto Rehabilitation Institute-UHN, Toronto, Ontario, Canada.
authors: Charlene H
authors: http://orcid.org/0000-0002-0333-7210
authors: CH
authors: Chu
authors: Seneca College, Toronto, Ontario, Canada.
authors: Alexander C
authors: AC
authors: Shaw
authors: Toronto Western Research Institute, Toronto, Ontario, Canada.
authors: Rosalind
authors: R
authors: Wong
authors: McMaster University, Hamilton, Ontario, Canada.
authors: Jenny
authors: J
authors: Ploeg
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D008134:Long-Term Care / Q000379:methods / Q000592:standards*; D009718:Nurse Administrators / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011787:Quality of Health Care; D000066477:Work Performance / Q000592:standards*
keywords: long term care homes; nurse assistant outcomes; nurse supervision; regulated nurses; resident outcomes; supervisory performance