Table 3 Reporting of context scale (n = 59)
Sub-scale | Context assessment scale | Mean score | Standard deviation | Mode score |
|---|---|---|---|---|
Leadership Culture | a. Reward clinical innovation and creativity to improve patient | 4.36 | 0.69 | 4 |
b. Solicit opinions of clinical staff regarding decisions about patient care | 4.59 | 0.77 | 5 | |
c. Seek ways to improve patient education and increase patient participation in treatment | 4.75 | 0.44 | 5 | |
Subscale mean | 4.57 | 0.63 | Â | |
Staff Culture | a. Have a sense of personal responsibility for improving patient care and outcomes | 4.81 | 0.39 | 5 |
b. Cooperate to maintain and improve the effectiveness of patient care | 4.81 | 0.47 | 5 | |
c. Be willing to innovate and experiment to improve clinical procedures | 4.86 | 0.47 | 5 | |
d. Be receptive to change in clinical processes | 4.92 | 0.34 | 5 | |
Subscale mean | 4.85 | 0.42 | Â | |
Leadership | a. Provide effective management for continuous improvement of patient care | 4.75 | 0.54 | 5 |
b. Clearly define areas of responsibility and authority for clinical managers and care | 4.88 | 0.38 | 5 | |
c. Promote team building to solve clinical care problems | 4.92 | 0.34 | 5 | |
d. Promote communication among clinical services and unit | 4.90 | 0.36 | 5 | |
Subscale mean | 4.86 | 0.41 | Â | |
Measurement | a. Provide staff with information on your PHC’s performance measures and guidelines | 4.76 | 0.47 | 5 |
b. Establish clear goals for patient care processes and outcomes | 4.73 | 0.49 | 5 | |
c. Provide staff members with feedback/data on effects of clinical decisions | 4.78 | 0.42 | 5 | |
d. Hold staff members accountable for achieving results | 4.76 | 0.47 | 5 | |
Subscale mean | 4.76 | 0.46 | Â | |
Opinion Leaders | a. Express belief that the current practice patterns can be improved | 4.59 | 0.77 | 5 |
b. Encourage and support changes in practice patterns to improve patient care | 4.68 | 0.73 | 5 | |
c. Demonstrate the willingness to try new clinical interventions | 4.69 | 0.73 | 5 | |
d. Work cooperatively with senior leadership/clinical management (e.g. medical director) to make appropriate changes? | 4.71 | 0.67 | 5 | |
Subscale mean | 4.67 | 0.73 | Â | |
Resources | a. Had the necessary support in terms of budget or financial resources | 3.31 | 0.81 | 3 |
b. Had the necessary support in terms of training | 3.81 | 0.73 | 4 | |
c. Had the necessary support in terms of facilities | 3.61 | 0.89 | 4 | |
d. Had the necessary support in terms of staffing | 3.61 | 0.85 | 3 | |
Subscale mean | 3.59 | 0.82 | Â |