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

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

	Baseline			End of Program			Progress
	Tested	Obtained a score ≥ 85%	Chi-square Pearson	Tested	Obtained a score ≥ 85%	Chi-square Pearson	Change		Chi-square Pearson
	N	n (%)	P	N	n (%)	P			P
Knowledge assessment: all	185	107 (57.8)	–	180	180 (86.1)	–	+	28.3	< 0.001
Education
18-month ANM course	119	63 (52.9)	NS	119	119 (83.2)	NS	+	30.3	< 0.001
3-year PCL	44	29 (65.9)		39	39 (87.2)		+	21.3	0.02
Bachelor in nursing	22	15 (68.2)		22	22 (100.0)		+	31.8	0.004
SBA status
Not trained	43	15 (34.9)	0.001	62	44 (71.0)	< 0.001	+	36.1	< 0.001
SBA-trained	142	92 (64.8)		118	111 (94.1)		+	29.3	< 0.001
Function
ANMs	149	83 (55.7)	NS	142	120 (84.5)	NS	+	28.8	< 0.001
Staff nurses	36	24 (66.7)		38	35 (92.1)		+	25.4	0.007
Location
Birthing centers	72	28 (38.9)	< 0.001	66	60 (90.9)	NS	+	52.0	< 0.001
BEONCs	62	42 (67.7)		58	58 (89.7)		+	22.0	0.004
CEONCs	51	37 (72.5)		56	43 (77.0)		+	4.5	NS
Clinical skills assessment: all	186	14.5	–	180	139 (77.2)	–	+	62.7	< 0.001
Education
18-month ANM course	120	11.7	NS	119	94 (79)	NS	+	67.3	< 0.001
3-year PCL	44	20.4		39	29 (74.4)		+	54.0	< 0.001
Bachelor in nursing	22	18.2		22	16 (72.7)		+	54.5	< 0.001
SBA status
Not trained	43	4.6	0.03	62	33 (53.2)	< 0.001	+	48.6	< 0.001
SBA-trained	143	17.5		118	106 (89.8)		+	72.3	< 0.001
Function
ANMs	150	11.3	0.01	142	112 (78.9)	NS	+	67.6	< 0.001
Staff nurses	36	27.8		38	27 (71.0)		+	43.2	< 0.001
Posting
Birthing centers	73	4.1	< 0.001	66	56 (84.8)	0.04	+	80.7	< 0.001
BEONCs	62	9.7		58	46 (79.3)		+	69.6	< 0.001
CEONCs	51	35.3		56	37 (66.1)		+	30.8	0.001

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
Baseline scores were measured during the first mentoring session (Sept to Nov 2016)
End scores were measured during the last mentoring session (Jan to Mar 2018)
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

ISSN: 1472-6955