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 |