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Table 2 Knowledge and overall skill assessment results at baseline and the end of the program in Nepal from 2016 to 2018

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

 BaselineEnd of ProgramProgress
TestedObtained a score ≥ 85%Chi-square PearsonTestedObtained a score ≥ 85%Chi-square PearsonChangeChi-square Pearson
Nn (%)PNn (%)P  P
Knowledge assessment: all185107 (57.8)180180 (86.1)+28.3< 0.001
Education
 18-month ANM course11963 (52.9)NS119119 (83.2)NS+30.3< 0.001
 3-year PCL4429 (65.9) 3939 (87.2) +21.30.02
 Bachelor in nursing2215 (68.2) 2222 (100.0) +31.80.004
SBA status
 Not trained4315 (34.9)0.0016244 (71.0)< 0.001+36.1< 0.001
 SBA-trained14292 (64.8) 118111 (94.1) +29.3< 0.001
Function
 ANMs14983 (55.7)NS142120 (84.5)NS+28.8< 0.001
 Staff nurses3624 (66.7) 3835 (92.1) +25.40.007
Location
 Birthing centers7228 (38.9)< 0.0016660 (90.9)NS+52.0< 0.001
 BEONCs6242 (67.7) 5858 (89.7) +22.00.004
 CEONCs5137 (72.5) 5643 (77.0) +4.5NS
Clinical skills assessment: all18614.5180139 (77.2)+62.7< 0.001
Education
 18-month ANM course12011.7NS11994 (79)NS+67.3< 0.001
 3-year PCL4420.4 3929 (74.4) +54.0< 0.001
 Bachelor in nursing2218.2 2216 (72.7) +54.5< 0.001
SBA status
 Not trained434.60.036233 (53.2)< 0.001+48.6< 0.001
 SBA-trained14317.5 118106 (89.8) +72.3< 0.001
Function
 ANMs15011.30.01142112 (78.9)NS+67.6< 0.001
 Staff nurses3627.8 3827 (71.0) +43.2< 0.001
Posting
 Birthing centers734.1< 0.0016656 (84.8)0.04+80.7< 0.001
 BEONCs629.7 5846 (79.3) +69.6< 0.001
 CEONCs5135.3 5637 (66.1) +30.80.001
  1. Only mentees working as auxiliary nurse-midwives or nurses who had baseline and end of program assessments for the skills assessed were included in the assessment
  2. Baseline scores were measured during the first mentoring session (Sept to Nov 2016)
  3. End scores were measured during the last mentoring session (Jan to Mar 2018)
  4. ANM auxiliary nurse-midwife, PCL Proficiency Certificate Level, CEONC comprehensive emergency obstetric and new-born care center, BEONC basic emergency obstetric and new-born care center