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Table 4 Association between Alberta Context Tool concept scores and the proportion of eligible patients receiving recommended stroke care

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

 

Received stroke unit care

Received thrombolysis*

 

All

Nursing

AH/Med

All

Nursing

AH/Med

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

1. Leadership

3.20 (− 0.42, 6.82)

0.71 (− 2.12, 3.55)

0.67 (− 4.40, 5.73)

0.00 (− 0.72, 0.72)

0.00 (− 1.18, 1.18)

− 0.46 (− 2.35, 1.43)

2. Culture

7.33 (2.05, 12.62)

1.0 (− 3.64, 5.64)

11.00 (5.35, 16.65)

1.50 (− 0.44, 3.44)

1.50 (− 0.06, 3.06)

0.00 (− 3.02, 3.02)

3. Evaluation

4.36 (0.99, 7.74)

0.55 (− 2.12, 3.21)

9.33 (4.06, 14.6)

− 0.35 (− 1.13, 0.42)

0.00 (− 0.84, 0.84)

− 0.75 (− 2.64, 1.14)

4. Social capital

9.00 (4.86, 13.14)

1.20 (− 3.46, 5.89)

10.77 (5.95, 1.59)

1.00 (− 0.54, 2.54)

0.67 (− 0.36, 1.69)

0.56 (− 2.11, 3.22)

5. Informal interactions

1.80 (0.21, 3.39)

0.14 (− 0.84, 1.13)

2.67 (0.56, 4.77)

0.13 (− 0.24, 0.51)

0.25 (− 0.14, 0.64)

− 0.44 (−1.58, 0.69)

6. Formal interactions

0.00 (− 1.75, 1.75)

− 0.5 (− 2.79, 1.79)

4.50 (0.09, 8.91)

0.00 (− 0.53, 0.53)

0.00 (− 0.62, 0.62)

− 1.33 (− 2.83, 0.17)

7. Resources

1.11 (− 0.12, 2.34)

0.33 (− 1.10, 1.77)

2.25 (− 0.02, 4.52)

0.00 (− 0.31, 0.31)

0.00 (− 0.40, 0.40)

− 0.67 (− 1.74, 0.40)

Organizational slack

8. Staff

3.67 (1.09, 6.24)

0.50 (− 1.63, 2.63)

2.57 (− 1.40, 6.54)

0.57 (− 0.01, 1.15)

0.40 (− 0.26, 1.06)

0.67 (− 0.97, 2.31)

9. Space

3.00 (0.44, 5.56)

0.00 (− 2.12, 2.12)

4.13 (0.24, 8.01)

0.50 (− 0.08, 1.08)

0.38 (− 0.24, 0.99)

0.55 (− 0.91, 2.00)

10.Time

4.57 (1.17, 7.97)

3.33 (− 0.69, 7.35)

5.14 (− 2.21, 12.49)

0.80 (− 0.06, 1.70)

0.50 (− 0.29, 1.29)

1.00 (− 1.63, 3.63)

 

Discharged on antihypertensives

Discharge care plan provided#

 

All

Nursing

AH/Med

All

Nursing

AH/Med

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

Co-efficient (95% CI)

1. Leadership

2.25 (− 0.97, 5.47)

0.00 (− 7.64, 7.64)

2.40 (− 2.02, 6.82)

0.00 (− 6,92, 6.92)

7.13 (− 5.92, 20.17)

− 0.75 (−10.78, 9.28)

2. Culture

0.00 (− 5.10, 5.10)

− 1.8 (− 10.97, 7.37)

2.00 (− 4.88, 8.88)

− 12.67 (− 25.56, 0.23)

0.00 (− 20.91, 20.91)

− 14.73 (− 31.32, 1.87)

3. Evaluation

0.86 (− 2.48, 4.20)

0.00 (− 6.73, 6.73)

3.50 (− 0.97, 7.97)

− 4.5 (− 10.99, 1.99)

6.67 (− 5.89, 19.22)

− 7.80 (− 18.65, 3.05)

4. Social capital

0.00 (− 4.52, 4.52)

0.00 (− 12.86, 12.86)

2.53 (− 2.47, 7.53)

− 9.43 (− 22.24, 3.38)

0.00 (−19.49, 19.49)

− 10.38 (− 23.29, 2.52)

5. Informal interactions

0.00 (− 1.20, 1.20)

0.00 (− 2.13, 2.13)

0.00 (− 1.74, 1.74)

− 2.38 (− 5.79, 1.04)

0.00 (− 4.43, 4.43)

0.00 (− 6.84, 6.84)

6. Formal interactions

0.00 (− 2.19, 2.19)

− 2.67 (− 5.44, 0.11)

0.50 (− 3.06, 4.06)

− 6.25 (− 14.37, 1.87)

0.00 (− 8.93, 8.93)

− 9.00 (− 15.91, − 2.09)

7. Resources

0.33 (− 0.97, 1.63)

0.40 (− 1.66, 2.46)

0.50 (− 1.30, 2.30)

− 2.11 (− 5.06, 0.84)

0.00 (− 5.05, 5.05)

0.00 (− 6.21, 6.21)

Organizational slack

8. Staff

0.00 (− 2.49, 2.49)

− 1.00 (− 4.52, 2.52)

0.00 (− 3.94, 3.94)

− 7.50 (− 15.06, 0.06)

0.00 (− 11.23, 11.23)

− 5.0 (− 17.47, 7.47)

9. Space

0.00 (− 2.91, 2.91)

− 1.29 (− 4.55, 1.98)

2.50 (− 1.32, 6.32)

− 16.00 (− 19.99, − 12.01)

− 17.40 (− 23.01, − 11.79)

− 11.0 (− 21.39, − 0.61)

10.Time

0.00 (− 3.71, 3.71)

0.00 (− 6.82, 6.82)

0.00 (− 6.19, 6.19)

− 9.50 (− 18.47, − 0.53)

0.00 (− 16.46, 16.46)

− 7.71 (− 20.34, 4.91)

  1. Italicized values are statistically significant at p < 0.05
  2. ICC interclass correlation, AH allied health, Med medical profession, CI confidence interval
  3. *Includes only those with ischemic stroke
  4. #Includes only those discharged directly to the community from acute care