ArticleBMC nursing2020
On-site clinical mentoring as a maternal and new-born care quality improvement method: evidence from a nurse cohort study in Nepal.
Article in BMC nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- An evaluation of the effectiveness of an updated pre-service midwifery curriculum integrated with emergency obstetric and newborn care in Kenya: a cluster randomised controlled trial.BMC medical education · 2024Trial
- Nurses' and Midwives' Experiences of Participating as Mentees in a Clinical Mentorship Program in Rwanda: Benefits and Challenges.Rwanda journal of medicine and health sciences · 2026Article
- Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia.BMJ open quality · 2025Article
- Blended Tele-mentoring Support for Strengthening Antenatal Care by Private Health care Facilities: FOGSI VISTRIT INITIATIVE.Journal of obstetrics and gynaecology of India · 2024Article
- Facility managers' experiences of mentorship in a district of Gauteng province, South Africa.Health SA = SA Gesondheid · 2024Article
- Multidomain and multilevel strategies to improve equity in maternal and newborn health services in Nepal: perspectives of health managers and policymakers.International journal for equity in health · 2023Article
- Service availability and readiness for basic emergency obstetric and newborn care: Analysis from Nepal Health Facility Survey 2021.PloS one · 2023Article
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- Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal.Archives of public health = Archives belges de sante publique · 2022Article
- Assessment of health system readiness for routine maternal and newborn health services in Nepal: Analysis of a nationally representative health facility survey, 2015.PLOS global public health · 2022Article
- Healthcare Providers' Experiences With a Clinical Mentorship Intervention to Improve Reproductive, Maternal and Newborn Care in Mwanza, Tanzania.Frontiers in health services · 2022Article
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- Utilisation of quality antenatal, delivery and postnatal care services in Nepal: An analysis of Service Provision Assessment.Globalization and health · 2021Article
- Policies and actions to reduce maternal mortality in Nepal: perspectives of key informants.Sexual and reproductive health matters · 2021Article
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Authors and funding
6 authors.
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Abstract
backgroundWe describe an on-site clinical mentoring program aimed at improving emergency obstetrical and new-born care (EmONC) in Nepal and assess its effectiveness on nurses' knowledge and skills. In Nepal, both the maternal mortality ratio (MMR, 239/100,000 live births) and the neonatal mortality rate (NMR, 21/1000 live births) were among the highest in the world in 2016, despite impressive progress over recent decades considering the challenging environment.
methodsFrom September 2016 to April 2018, three experienced nurses conducted repeated mentoring visits in 61 comprehensive or basic EmONC centers and birthing centers located in 4 provinces of Nepal. Using updated national training manuals and teaching aids, these clinical mentors assessed and taught 12 core EmONC clinical skills to their nurse-mentees. Clinical mentors worked with management mentors whose goal was to improve the nurses' working environment. We assessed whether the cohort of nurse-mentees performed better as a group and individually performed better at the end of the program than at baseline using relevant tests (chi-square test, Wilcoxon matched-pairs signed-rank test, and Kruskal-Wallis equality-of-population rank test).
resultsIn total, 308 nurses were assessed, including 96 (31.2%), 77 (25.0%) and 135 (43.8%) who participated in all three, two or only one mentoring session, respectively. In total, 225 (73.0%) worked as auxiliary nurse-midwives (ANMs), while 69 (22.4%) worked as nurses. One hundred and ninety five (63.3%) were trained as skilled birth attendants, of which 45 (23.1%) were nurses, 141 (72.3%) were auxiliaries and 9 (4.6%) had other positions. The proportion of ANMs and nurse-mentees who obtained a knowledge assessment score ≥ 85% increased from 57.8 to 86.1% (
conclusionsOur study suggests that on-site clinical mentoring of nurses coupled with health facility management mentoring can improve nurses' clinical competences in and performance of maternity and new-born care. Assessing evidence of impact on patient safety would be the next stage in evaluating this promising intervention.
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