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Table 4 Individual changes in assessment scores from baseline to the end of the mentoring 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

 Mentees assessedScore change at the end of the programOverall test significancea
  Mentees with a higher scoreMentees with a lower scoreMentees with no change 
Knowledge assessment17212975.0137.63017.4< 0.001
Skills assessments
 Completing a normal delivery16615392.231.8106.0< 0.001
 Managing shock due to post-partum haemorrhage14213091.542.885.6< 0.001
 Resuscitating a new-born16414990.842.4116.7< 0.001
 Managing an eclampsia case14513190.374.874.8< 0.001
 Interpreting a partograph17115087.774.1148.2< 0.001
 Safely referring a woman or a new-born13911985.685.8128.6< 0.001
 Promoting kangaroo mother care13811885.542.91611.6< 0.001
 Using sterile gloves1433625.210.710674.1< 0.001
 Performing condom tamponade996666.777.12626.3< 0.001
 Decontaminating used medical equipment1255644.832.46652.8< 0.001
 Performing manual aspirationb433581.449.349.3< 0.001
 Performing a vacuum deliveryb584679.323.41017.2< 0.001
  1. Score change was computed for each mentee as the difference between the first and last assessments. A higher score at the end indicated that the mentee improved her knowledge or clinical skill
  2. aSignificance was assessed using the Wilcoxon matched-pair signed-rank test; P was estimated for two-sided test, testing for both positive and negative increases at the end of the programme. The test showed that none of the loss in performance score was statistically significant
  3. bFor skilled birth attendants only