Table 4.
Results from Participant Survey Pre and Post Learning Collaborativea, b
| 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 |
a “Pre” data obtained at the start of the first learning session. “Post” data obtained at the start of the “Harvest Session”
b Missing data for a specific question were excluded