Table 3 Change in mean DHB ratings (i.e. mean of the DHB means) for each of the CGDI items across the two surveys, with higher scores indicating more positive mean responses

To your knowledge, has your DHB established governance structures that ensure a partnership between health professionals and management? (0-1)

0.64 (0.12)

0.71 (0.12)

+0.08

+0.03 - +0.12

0.0040*

To what extent are health professionals in your DHB involved in a partnership with management with shared decision making, responsibility and accountability? (0-2)

0.87 (0.15)

1.04 (0.16)

+0.17

+0.07 - +0.27

0.0023*

To what extent are health professionals in your DHB involved as full active participants in the design of organisational processes? (0-2)

0.88 (0.14)

0.93 (0.15)

+0.05

-0.04 - +0.14

0.2533

To what extent do you believe that quality and safety is a goal of every clinical initiative in your DHB? (0-2)

1.12 (0.09)

1.28 (0.14)

+0.16

+0.09 - +0.23

0.0001*

To what extent do you believe that quality and safety is a goal of every clinical resourcing or support initiative in your DHB? (0-2)

0.83 (0.09)

1.08 (0.14)

+0.25

+0.17 - +0.33

0.0000*

To what extent has your DHB sought to give responsibility to your team for clinical service decision making in your clinical areas? (0-2)

0.74 (0.10)

1.00 (0.19)

+0.26

+0.16 - +0.36

0.0000*