Uys Leana R, Minnaar Ansie, Simpson Barbara, Reid Steve
School of Nursing, University of KwaZulu-Natal, Durban, South Africa.
J Nurs Scholarsh. 2005;37(3):282-8. doi: 10.1111/j.1547-5069.2005.00048.x.
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.
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.
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.
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.
评估两种不同监督模式的培训对南非某地区卫生服务（DHS）中不同服务环境下护士的监督工作本身、护理质量和工作满意度的影响。
作为一项更大规模卫生系统研究的一部分，对监督培训的结果进行评估。该定量研究在南非的三个卫生区开展。
在A区传授并实施改良矩阵（MM）监督模式，在B区实施健康与社会研究中心（CHESS）模式，C区为对照区。基于直接观察和记录审查的检查表用于衡量护理质量（交接班质量、护理记录、慢性病管理以及通用预防措施的实施情况）。问卷用于衡量对监督的认知和患者满意度。进行卡方分析。
干预前后的监督评分在总样本中有显著差异，但各地区之间无显著差异。在采用MM模式的地区，对慢性病患者的护理有显著改善，但其他指标未改善。监督培训有一定影响，但需要更多监督培训有效性的衡量指标。
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