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Table 4 Process elements of structured clinical observations on 30 primary eye care (PEC) nurses in their usual workplace

From: Process evaluation of a National Primary Eye Care Programme in Rwanda

Observation element

Percent

Structures/Equipment

 Eye record book and referral forms

76.7

 Eye examination protocol/checklist (proforma for examination)

43.3

 Rope (to measure correct distance for VA testing)

83.3

 Visual acuity chart

96.7

 String (to measure correct distance for reading vision test)

76.7

 Reading chart

93.3

 Pinhole

93.3

 Torch

70.0

 Reading glasses (for treatment)

100

 Adjustable glasses

93.3

 Eye dressings

6.7

 Eye pad and cotton buds

3.3

 Tape

80.0

 Gloves

10.0

 Antibiotic eyedrops

93.3

 Anti-allergy eye drops

73.3

 Flowchart (management algorithm)

66.7

Processes

 History taken in accordance to PEC curriculum

93.3

Eye examination

 Good communication and explanation prior to examination/test

93.3

 Observations of eyes made

96.7

 Distance visual acuity test procedure explained

86.7

 Effective communication with patient

93.3

 Correct distance applied for distance VA

100

 Appropriate lighting conditions for distance VA test

93.3

 One eye covered well for distance VA test

93.3

 Correct VA recorded for distance test

90.0

 Pinhole test offered for correct patient

90.0

 VA related diagnosis correct

96.7

 Explanation of near VA test offered

90.0

 Effective communication for near VA test

95.2

 Correct distance for near VA test

93.3

 Appropriate lighting conditions for near VA test

100

 Correct VA recorded for near test

96.7

 Correct diagnosis for near test

96.7

Management

 Correct management plan

96.7

 Correct glasses offered

100.0

 Correct eyedrops offered (n = 13)

84.6

 Instructions provided with correct eyedrops (n = 13)

69.2

 Consultations resulting in significant error (examination results, diagnosis or management of patient)

6.7

  1. VA visual acuity