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Table 2 Project-specific survey results according to overall context categories

From: Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study

 

All (%), N = 212

Low context* (%), N = 51

High context (%), N = 134

p value

Management involvement

 Adequate executive support

56.7

43.1

61.5

0.03

 Good communication between management and staff

40.9

33.0

45.32

0.1

 Regular updates provided by management

45.2

43.1

48.5

0.5

Teamwork and staff

 Effective multidisciplinary communication

85.2

80.4

90.2

0.07

 Stable workforce

72.1

70.6

77.1

0.4

 Staff are familiar with stroke protocols

78.1

66.7

84.9

0.006

 Medical staff engagement that facilitates stroke care

70.7

68.0

76.5

0.2

 Allied health staff engagement that facilitates stroke care

92.2

88.0

95.4

0.08

 Nursing staff engagement that facilitates stroke care

79.3

62.7

86.4

< 0.001

Organizational change

 Sufficient opportunities to question management about change

61.2

52.9

62.9

0.2

 Staff are always consulted about change

37.2

34.0

38.2

0.6

 Changes are communicated clearly

35.9

31.4

37.4

0.5

 The introduction of stroke protocols has been effective

82.8

68.6

89.4

0.001

 Patients and families have access to adequate information

60.4

46.9

65.9

0.02

Other

 The QSSCN had a positive impact on stroke care at a hospital level

72.7

64.7

75.8

0.1

 The QSSCN had a positive impact on stroke care at a Health Network level

70.7

66.0

72.5

0.4

 Professional development has improved knowledge about stroke care

65.4

64.7

65.7

0.9

 Hospital performance data has been used in the last 12 months

65.8

59.4

67.5

0.8

 Participated in quality improvement activities to improve stroke care

61.0

58.0

61.6

0.7

  1. QSSCN Queensland Statewide Stroke Clinical Network
  2. *Overall context grouping was determined using exploratory cluster analysis to categorize units into two clusters based on responses to the Alberta Context Tool moderate context (N = 4 sites) and high context (N = 10 sites). Excludes responses from staff at sites with < 8 completed surveys (N = 5 sites, 27 responses)