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Table 4 Results from Participant Survey Pre and Post Learning Collaborativea, b

From: Successful implementation of a combined learning collaborative and mentoring intervention to improve neonatal quality of care in rural Rwanda

  Pre-ABC LC Post-ABC LC P-value
Number participants 71 67  
Percent rating QI Knowledge and Confidence 4 or 5 scale 1 (little/none) to 5 (very/extremely)
 QI Knowledge 24/65 (37%) 58/65 (89%) <  0.001
 Confidence in helping to improve quality at your clinic or department/district 30/64 (47%) 58/65 (89%) < 0.001
 Confidence in leading QI at your clinic 34/58 (59%) 61/67 (91%) < 0.001
Percent rating Leadership as very Interested in QI (scale 1 (not at all) to 3 (very interested)).
 Facility management interest in measuring and improving quality for neonatal patients 43/68 (63%) 63/66 (95%) < 0.001
 Facility management interest in hearing ideas from you and other staff for QI? 38/67 (57%) 43/64 (67%) 0.2
Participant motivation at work (percent always or often) (scale never, sometimes, often always)
 My work is rewarding 17/63 (29%) 18/63 (27%) 0.84
 My work is stressful 4/65 (6%) 3/63 (5%) 1.0
 I feel emotionally drained by my work 53/63 (84%) 43/60 (72%) 0.09
 I feel isolated in my work 4/66 (6%) 0/64 (0%) 1.0
 I can help my clients 62/65 (97%) 65/67 (98%) 0.62
 I have confidence in my skills 63/64 (98%) 61/63 (97%) 0.62
 I am motivated to perform well in my job 42/67 (63%) 35/63 (55%) 0.35
Working Environment (percent very good or Excellent) (scale poor, fair, good, very good, excellent)
 Maternity/neonatal services at my clinic/hospital are excellent 31/59 (53%) 23/64 (36%) 0.06
 I have enough basic clinical equipment and supplies to provide good care and services to patients 41/62 (66%) 51/61 (84%) 0.03
 I have adequate support and information to help make clinical decisions 53/67 (79%) 41/57 (72%) 0.35
 There is enough space for me to be able to provide care for the patients and ensure privacy 45/66 (68%) 44/61 (72%) 0.42
 The clinic has a very good environment (friendliness, teamwork, respect, lack of chaos) 44/63 (70%) 47/63 (75%) 0.79
Peer to Peer learning N (% yes) N (% yes)  
 Since the last LS, have you heard any ideas or asked for help from the other participating HC/hospitals? 17/47 (36%) 40/60 (66%) 0.024
Team work
 Have you been involved in activities that look at the quality of neonatal care and work to improve problems at your site? 36/64 (56%) 55/63 (87%) < 0.001
 Do staff members work together to improve quality of care for neonatal patients? 59/63 (93%) 61/64 (95%) 0.72
 Have you been asked for your input how to improve neonatal care? 43/67 (64%) 59/63 (93%) < 0.001
Data Utilization
 Have you seen or used any routine reports for measuring the quality of care? 32/63 (50%) 37/62 (59%) 0.32
Identified barriers to delivery of quality care at their site (Yes/No) n = 71 N = 67  
 High number of patients 29 (40%) 34 (50%) 0.24
 Number of staff 30 (42%) 27 (40%) 0.32
 Social or economic problems in patients’ lives (getting to clinic, food, etc) 30 (42%) 21 (31%) 0.18
 Training of staff 28 (39%) 14 (20%) 0.018
 Communication between providers and patients 15 (21%) 9 (13%) 0.23
 The staff does not work together as a team 14 (19%) 5 (7%) 0.03
 Complexity of care (severity of illness, complicated pregnancy, etc) 8 (11%) 5 (7%) 0.56
 Clinic flow 7 (9%) 6 (8%) 0.86
  1. a “Pre” data obtained at the start of the first learning session. “Post” data obtained at the start of the “Harvest Session”
  2. b Missing data for a specific question were excluded