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Table 3 Results of skills assessments measured at baseline and at the end of the program in Nepal, 2016–2018

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

 At baseline a At end b Comparison  baseline - end
TestedObtained a score ≥ 85% TestedObtained a score ≥ 85% ChangeChi-square Pearson
N%PN%P P
Managing an eclampsia case: all15113.9 17170.8 +  56.9< 0.001
 Auxiliary nurse-midwives only12110.70.0213473.1NS+  62.4< 0.001
 Nurses only3026.7 3762.2 +  35.50.004
Managing shock due to PPH14913.4 17070.6 +  57.2< 0.001
 Auxiliary nurse-midwives11811.9NS13371.4NS+  59.5< 0.001
 Nurses3119.3 3767.6 +  48.3< 0.001
Resuscitating a new-born16926.0 17982.7 +  56.7< 0.001
 Auxiliary nurse-midwives13523.0NS14185.1NS+  62.1< 0.001
 Nurses3438.2 3873.7 +  35.50.002
Completing a normal delivery17018.2 17973.2 +  55.0< 0.001
 Auxiliary nurse-midwives13415.7NS14175.2NS+  59.5< 0.001
 Nurses3627.8 3865.8 +  38.00.001
Safely referring a woman or a new-born13126.7 16976.9 +  50.2< 0.001
 Auxiliary nurse-midwives10525.7NS13479.1NS+  53.4< 0.001
 Nurses2630.8 3568.6 +  37.80.003
Interpreting a partograph18320.2 18068.9 +  48.7< 0.001
 Auxiliary nurse-midwives14721.1NS14266.9NS+  45.8< 0.001
 Nurses3616.7 3876.3 +  59.6< 0.001
Promoting kangaroo mother care10828.7 17578.9 +  50.2< 0.001
 Auxiliary nurse-midwives9127.5NS13879.7NS+  52.2< 0.001
 Nurses1735.3 3775.7 +  40.40.004
Performing condom tamponade c13361.6 15085.3 +  23.7< 0.001
 Auxiliary nurse-midwives10259.8NS11785.5NS+  25.7< 0.001
 Nurses3167.7 3384.8 +  17.1NS
Decontaminating medical equipment9778.3 17693.7 +  15.4< 0.001
 Auxiliary nurse-midwives8476.2NS13994.7NS+  18.5< 0.001
 Nurses1392.3 3789.2 - 3.1NS
Using sterile gloves: all mentees15391.5 17698.9 +  7.40.001
 Auxiliary nurse-midwives11989.9NS13998.6NS+  8.70.002
 Nurses3497.1 37100.0 +  2.9NS
Performing manual aspiration d2948.3 6376.2 +  27.90.008
 Auxiliary nurse-midwives1952.6NS4470.4NS+  17.8NS
 Nurses1040.0 1989.5 +  49.50.005
Performing a vacuum delivery d7248.6 6785.1 +  36.5< 0.001
 Auxiliary nurse-midwives5042.0NS4883.3NS+  41.3< 0.001
 Nurses2263.6 1989.5 +  25.9NS
  1. Notes: Only the mentees who worked as nurses or ANMs were included in this analysis
  2. aBaseline scores were measured during the first mentoring session (Sept to Nov 2016)
  3. bEnd scores were measured during the last mentoring session (Jan to Mar 2018)
  4. cPPH: Post-partum haemorrhage
  5. dAssessed at the study mid-point and end
  6. eAssessed in all CEONCs and in some BEONCs only (those with equipment available)