Variable | Wave 1 (September 2020) | Wave 2 (March 2021) | Change in mean score (Wave 2−Wave 1) | Wave 3 (July 2021) | Change in mean score (Wave 3−Wave 1) | ||||||||||
n | Mean | SD | n | Mean | SD | Value | 95% CI | P value | n | Mean | SD | Value | 95% CI | P value | |
Managing HIUs | |||||||||||||||
Staff confidence | 257 | 65 | 22 | 346 | 68 | 22 | 3* | −0.34 to 6.75 | 0.076 | 130 | 72 | 21 | 7*** | 2.67 to 11.96 | 0.002 |
Doctors | 87 | 65 | 18 | 99 | 70 | 17 | 5* | −0.39 to 9.60 | 0.071 | 47 | 69 | 18 | 3 | −3.08 to 9.83 | 0.303 |
Nurses | 130 | 66 | 22 | 181 | 70 | 20 | 4 | −1.11 to 8.41 | 0.133 | 68 | 76 | 21 | 9*** | 2.77 to 15.55 | 0.005 |
Others | 40 | 57 | 30 | 66 | 58 | 28 | 1 | −10.04 to 12.85 | 0.808 | 15 | 65 | 29 | 8 | −9.77 to 25.97 | 0.367 |
Well supported | 258 | 64 | 25 | 345 | 76 | 21 | 12*** | 8.34 to 15.65 | <0.001 | 128 | 73 | 22 | 9*** | 3.76 to 13.88 | 0.001 |
Doctors | 87 | 66 | 20 | 99 | 73 | 17 | 8*** | 2.28 to 13.03 | 0.006 | 46 | 73 | 17 | ↑8 | 0.94 to 14.82 | 0.026 |
Nurses | 130 | 64 | 25 | 181 | 77 | 21 | 13*** | 7.95 to 18.46 | <0.001 | 68 | 73 | 24 | ↑9 | 1.70 to 16.39 | 0.016 |
Others | 41 | 60 | 30 | 65 | 76 | 25 | 16*** | 5.60 to 27.01 | 0.003 | 14 | 69 | 28 | 9 | −9.73 to 27.16 | 0.348 |
HIU staff training | 253 | 40 | 25 | 347 | 62 | 26 | 22*** | 17.74 to 26.20 | <0.001 | 129 | 62 | 28 | 22*** | 16.18 to 27.36 | <0.001 |
Doctors | 86 | 44 | 22 | 99 | 60 | 24 | 16*** | 9.02 to 22.42 | <0.001 | 47 | 61 | 24 | 17*** | 8.31 to 24.78 | <0.001 |
Nurses | 128 | 38 | 25 | 181 | 62 | 27 | 24*** | 18.12 to 30.16 | <0.001 | 67 | 62 | 28 | 25*** | 16.67 to 32.40 | <0.001 |
Others | 39 | 37 | 31 | 67 | 64 | 29 | 27*** | 15.55 to 39.08 | <0.001 | 15 | 61 | 37 | 24** | 4.24 to 44.11 | 0.018 |
Negative impact | 258 | 49 | 32 | 331 | 48 | 30 | −1 | −6.04 to 4.04 | 0.697 | 124 | 54 | 30 | 5 | −1.56 to 11.84 | 0.132 |
Doctors | 87 | 52 | 29 | 94 | 53 | 29 | 1 | −7.16 to 9.66 | 0.770 | 45 | 60 | 29 | 8 | −2.49 to 18.47 | 0.134 |
Nurses | 130 | 49 | 33 | 175 | 46 | 31 | −2 | −9.52 to 4.97 | 0.537 | 65 | 54 | 30 | 5 | −4.24 to 14.99 | 0.272 |
Others | 41 | 45 | 34 | 62 | 46 | 31 | 1 | −12.15 to 13.37 | 0.925 | 14 | 38 | 28 | −7 | −27.30 to 13.04 | 0.481 |
HIUs care | |||||||||||||||
Dignity and respect | 258 | 61 | 28 | 346 | 70 | 25 | 9*** | 5.10 to 13.59 | <0.001 | 130 | 66 | 29 | 5 | −1.14 to 10.83 | 0.112 |
Doctors | 87 | 51 | 23 | 98 | 59 | 23 | 8** | 1.70 to 15.05 | 0.014 | 47 | 59 | 29 | 8* | −0.98 to 17.11 | 0.080 |
Nurses | 130 | 64 | 29 | 181 | 73 | 24 | 10*** | 3.65 to 15.41 | 0.002 | 68 | 70 | 28 | 6 | −2.55 to 14.36 | 0.170 |
Others | 41 | 72 | 29 | 67 | 77 | 26 | 5 | −5.50 to 15.97 | 0.336 | 15 | 68 | 29 | −4 | −22.03 to 13.42 | 0.629 |
Appropriate care | 254 | 65 | 27 | 344 | 74 | 23 | 10*** | 5.88 to 13.94 | <0.001 | 130 | 72 | 26 | 7*** | 1.86 to 13.13 | 0.009 |
Doctors | 87 | 57 | 23 | 98 | 65 | 24 | 8** | 1.22 to 14.96 | 0.021 | 47 | 67 | 25 | 10** | 1.68 to 18.92 | 0.020 |
Nurses | 127 | 67 | 28 | 179 | 77 | 21 | 10** | 4.40 to 15.46 | 0.001 | 68 | 75 | 26 | 8* | −0.35 to 15.79 | 0.061 |
Others | 40 | 74 | 27 | 67 | 82 | 23 | 8* | −1.49 to 17.87 | 0.096 | 15 | 76 | 29 | 2 | −14.71 to 18.41 | 0.824 |
Timely care | 255 | 65 | 27 | 348 | 72 | 25 | 7** | 3.21 to 11.53 | 0.001 | 128 | 70 | 27 | 5* | −0.65 to 10.91 | 0.082 |
Doctors | 87 | 59 | 25 | 99 | 65 | 25 | 6 | −1.22 to 13.19 | 0.103 | 47 | 63 | 25 | 4 | −5.00 to 13.00 | 0.381 |
Nurses | 127 | 67 | 27 | 182 | 76 | 23 | 9*** | 3.27 to 14.58 | 0.002 | 66 | 75 | 27 | 8** | 0.05 to 16.21 | 0.049 |
Others | 41 | 70 | 30 | 67 | 72 | 27 | 2 | −8.52 to 13.34 | 0.664 | 15 | 68 | 31 | −2 | −20.03 to 16.55 | 0.849 |
‘Others’ included health care assistants, paramedics, admin and undefined staff categories.
*p<0.10, **p<0.05, ***p<0.01.
HIU, high-impact user.