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Table 10 Active leadership hub members’ self-assessed changes in capacity

From: The impact of leadership hubs on the uptake of evidence-informed nursing practices and workplace policies for HIV care: a quasi-experimental study in Jamaica, Kenya, Uganda and South Africa

Capacity dimension

Jamaica (n = 11, three hubs)

Kenya (n = 10, two hubsa)

Uganda (n = 4, one huba)

South Africa (n = 9, two hubs)

All countries (n = 34, eight hubs)

Pre

μ(SD)

Post

μ(SD)

Pre

μ(SD)

Post

μ(SD)

Pre

μ(SD)

Post

μ(SD)

Pre

μ(SD)

Post

μ(SD)

Pre

μ(SD)

Post

μ(SD)

t

Df

p valueb

1 Appraising existing evidence and identifying gaps

3.45

(1.72)

8.00

(0.60)

4.10

(0.94)

7.20

(0.98)

2.50

(1.12)

7.50

(2.18)

3.56

(1.34)

7.22

(1.40)

3.56

(1.44)

7.50

(1.27)

20.40

33

<0.00001

2 Initiating and undertaking an evaluation project

3.36

(2.14)

7.82

(0.72)

3.30

(1.27)

8.10

(0.83)

2.00

(0.71)

7.00

(1.87)

2.89

(1.29)

7.22

(1.69)

3.06

(1.63)

7.65

(1.30)

23.07

33

<0.00001

3 Ability to disseminate findings

4.55

(2.57)

8.18

(0.94)

4.80

(1.25)

7.90

(1.04)

3.25

(1.48)

7.25

(1.48)

4.44

(1.64)

8.33

(1.56)

4.44

(1.94)

8.03

(1.27)

12.66

33

<0.00001

4 Valuing policy relevance and access

3.91

(2.35)

8.36

(1.43)

4.00

(1.41)

7.70

(1.19)

2.25

(1.09)

5.25

(1.79)

3.22

(1.13)

8.11

(1.66)

3.56

(1.79)

7.74

(1.75)

14.31

33

<0.00001

5 Confidence to communicate to decision-makers

4.36

(2.46)

8.55

(0.89)

4.90

(1.30)

8.50

(1.28)

3.25

(1.64)

7.00

(1.41)

3.33

(1.70)

8.33

(1.76)

4.12

(2.00)

8.29

(1.43)

14.78

33

<0.00001

6 Valuing contributions from people in different roles and levels

5.00

(2.41)

8.91

(0.79)

6.10

(1.92)

9.00

(1.26)

3.25

(1.48)

8.00

(1.22)

3.67

(1.56)

8.00

(1.33)

4.76

(2.24)

8.59

(1.24)

12.03

33

<0.00001

7 Leadership and team skills to improve the health system

4.64

(2.19)

8.64

(1.07)

6.20

(1.33)

9.10

(0.70)

4.00

(1.73)

8.75

(0.83)

4.56

(0.96)

8.89

(1.20)

5.00

(1.81)

8.85

(1.00)

17.10

33

<0.00001

  1. aData from two hubs (one in Kenya, one in Uganda) were excluded from significance testing, as only aggregated data, rather than individual data were provided by the RA. Competency scores from these two hubs showed the same pattern as that for the other hubs
  2. bA paired t test was used to determine the significance of pre versus post differences