Table 5 Organisational readiness for change in relation to planned birth - % of respondents who agreed or strongly agreed with the statement
| Â | % of all respondents | Hospital A, level 6 | Hospital B, level 6 | Hospital C, level 5 | Hospital D, level 4 | Hospital E, level 4 | Hospital F, level 4 | Hospital G, level 3 | p-value | Midwives | Medical staff | p-value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
We are a real team, we understand and respect roles and expertise | 73% | 81% | 61% | 86% | 75% | 64% | 92% | 44% | .011* | 69% | 85% | .120 |
Our leaders are visible and vocal | 69% | 73% | 51% | 76% | 82% | 54% | 93% | 50% | < 0.001* | 65% | 80% | .200 |
Our guidelines are evidence-based and up-to-date | 73% | 81% | 55% | 87% | 94% | 58% | 93% | 76% | < 0.001* | 71% | 81% | .005* |
We all practice to the same guidelines – no opting out | 47% | 46% | 16% | 79% | 56% | 32% | 92% | 37% | < 0.001* | 43% | 57% | .098 |
We get accurate, timely, relevant information on our performance | 42% | 34% | 23% | 55% | 57% | 40% | 62% | 37% | .005* | 40% | 50% | .474 |
We get relevant information that benchmarks our performance against other maternity units | 37% | 29% | 26% | 31% | 51% | 40% | 54% | 44% | .728 | 33% | 50% | .152 |
There is a need to change our practices in relation to planned CS to improve outcomes for women and babies | 48% | 31% | 64% | 48% | 26% | 93% | 38% | 56% | < 0.001* | 54% | 26% | < 0.001* |
There is a need to change our practices in relation to IOL to improve outcomes for women and babies | 64% | 50% | 83% | 52% | 57% | 89% | 39% | 75% | < 0.001* | 70% | 43% | < 0.001* |
Senior leadership reward clinical innovation and creativity to improve care | 33% | 42% | 6% | 44% | 57% | 46% | 38% | 25% | .067 | 29% | 47% | .804 |
Senior leadership provide effective management for continuous improvement of care | 45% | 46% | 19% | 69% | 79% | 36% | 46% | 37% | .048* | 42% | 58% | .489 |
Senior leadership hold staff members accountable for achieving results | 39% | 48% | 16% | 44% | 51% | 43% | 38% | 32% | .733 | 35% | 52% | .742 |
In general, when there is agreement that change needs to happen we have the necessary support in terms of budget or financial resources | 19% | 17% | 6% | 37% | 19% | 21% | 23% | 19% | .031* | 16% | 34% | .030* |
In general, when there is agreement that change needs to happen we have the necessary support in terms of training | 48% | 52% | 26% | 69% | 57% | 57% | 46% | 44% | .023* | 44% | 64% | .231 |
In general, when there is agreement that change needs to happen we have the necessary support in terms of staffing | 23% | 27% | 6% | 44% | 25% | 18% | 15% | 25% | .001* | 18% | 42% | .003* |