Table 4 The Theory of Change model
Impact: Improved compassionate experience of patients (in progress) N (%) patients rating experience with nursing staff as excellent | |||
|---|---|---|---|
Intermediate outcome: Improved skills of compassion in nurses N (%) nurses rated as excellent, good, average and poor by the respective head nurses | |||
Pre-conditions | Interventions | Indicator/s | Status |
1. Hiring staff with the right skills for pediatric care | Include paediatric compassion specific modules in the nursing education service (NES) orientation program | N (%) nurses trained for pediatric specific compassionate skills per batch | Completed |
2. Provision of compassionate experience to the frontline staff defined as | |||
 2.1 Feeling of emotional connectedness with work | Create space to talk about compassionate skills with employees | Attendance rates in the workshops Attrition rates | Not yet |
 2.2 Formal and informal on-job training around compassionate behaviours | Provide trainings Provide on-job coaching through formal observation and feedback | N (%) nurses trained annually N (%) nurses observed N (%) nurses rated as excellent | Not yet Not yet |
 2.3 Fair growth opportunities | Revise career ladder of supervisor to be appraised on mentee outcomes | N (%) attended a professional growth activity every quarter N (%) scholarly outputs every quarter | Initiated |
3. Competent head nurses as supervisors | |||
 3.1 Training of supervisors as compassionate mentors | Conduct regular training workshops | N (%) supervisor trained annually | Completed |
 3.2 Availability of supervisory tools | Creation of checklists Developing dashboards | N (%) of eligible checklists completed N times dashboard accessed on a monthly basis per supervisor | Initiated Initiated |
4. A culture of valuing compassionate experience | Recognition in town hall meetings, WhatsApp groups and morning huddles | N (%) nursing of total appreciation per month | Initiated |
Recognition of nurses by the patients counted for performance appraisal. | N (%) patient rating nurses as excellent | Initiated | |
Promotion of compassionate values on department Facebook page | N (%) posts from nursing staff per month | Initiated | |