On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

Goyet, Sophie; Rajbhandari, Swaraj; Alvarez, Valerie Broch; Bayou, Aida; Khanal, Sirjana; Pokhrel, Tara Nath

doi:10.1186/s12912-019-0396-1

Table 3 Results of skills assessments measured at baseline and at the end of the program in Nepal, 2016–2018

From: On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal

	At baseline ^a			At end ^b			Comparison baseline - end
	Tested	Obtained a score ≥ 85%		Tested	Obtained a score ≥ 85%		Change	Chi-square Pearson
	N	%	P	N	%	P		P
Managing an eclampsia case: all	151	13.9		171	70.8		+ 56.9	< 0.001
Auxiliary nurse-midwives only	121	10.7	0.02	134	73.1	NS	+ 62.4	< 0.001
Nurses only	30	26.7		37	62.2		+ 35.5	0.004
Managing shock due to PPH	149	13.4		170	70.6		+ 57.2	< 0.001
Auxiliary nurse-midwives	118	11.9	NS	133	71.4	NS	+ 59.5	< 0.001
Nurses	31	19.3		37	67.6		+ 48.3	< 0.001
Resuscitating a new-born	169	26.0		179	82.7		+ 56.7	< 0.001
Auxiliary nurse-midwives	135	23.0	NS	141	85.1	NS	+ 62.1	< 0.001
Nurses	34	38.2		38	73.7		+ 35.5	0.002
Completing a normal delivery	170	18.2		179	73.2		+ 55.0	< 0.001
Auxiliary nurse-midwives	134	15.7	NS	141	75.2	NS	+ 59.5	< 0.001
Nurses	36	27.8		38	65.8		+ 38.0	0.001
Safely referring a woman or a new-born	131	26.7		169	76.9		+ 50.2	< 0.001
Auxiliary nurse-midwives	105	25.7	NS	134	79.1	NS	+ 53.4	< 0.001
Nurses	26	30.8		35	68.6		+ 37.8	0.003
Interpreting a partograph	183	20.2		180	68.9		+ 48.7	< 0.001
Auxiliary nurse-midwives	147	21.1	NS	142	66.9	NS	+ 45.8	< 0.001
Nurses	36	16.7		38	76.3		+ 59.6	< 0.001
Promoting kangaroo mother care	108	28.7		175	78.9		+ 50.2	< 0.001
Auxiliary nurse-midwives	91	27.5	NS	138	79.7	NS	+ 52.2	< 0.001
Nurses	17	35.3		37	75.7		+ 40.4	0.004
Performing condom tamponade ^c	133	61.6		150	85.3		+ 23.7	< 0.001
Auxiliary nurse-midwives	102	59.8	NS	117	85.5	NS	+ 25.7	< 0.001
Nurses	31	67.7		33	84.8		+ 17.1	NS
Decontaminating medical equipment	97	78.3		176	93.7		+ 15.4	< 0.001
Auxiliary nurse-midwives	84	76.2	NS	139	94.7	NS	+ 18.5	< 0.001
Nurses	13	92.3		37	89.2		- 3.1	NS
Using sterile gloves: all mentees	153	91.5		176	98.9		+ 7.4	0.001
Auxiliary nurse-midwives	119	89.9	NS	139	98.6	NS	+ 8.7	0.002
Nurses	34	97.1		37	100.0		+ 2.9	NS
Performing manual aspiration ^d	29	48.3		63	76.2		+ 27.9	0.008
Auxiliary nurse-midwives	19	52.6	NS	44	70.4	NS	+ 17.8	NS
Nurses	10	40.0		19	89.5		+ 49.5	0.005
Performing a vacuum delivery ^d	72	48.6		67	85.1		+ 36.5	< 0.001
Auxiliary nurse-midwives	50	42.0	NS	48	83.3	NS	+ 41.3	< 0.001
Nurses	22	63.6		19	89.5		+ 25.9	NS

Notes: Only the mentees who worked as nurses or ANMs were included in this analysis
^aBaseline scores were measured during the first mentoring session (Sept to Nov 2016)
^bEnd scores were measured during the last mentoring session (Jan to Mar 2018)
^cPPH: Post-partum haemorrhage
^dAssessed at the study mid-point and end
^eAssessed in all CEONCs and in some BEONCs only (those with equipment available)

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ISSN: 1472-6955

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