Effect of top-level nursing management team characteristics and strategic implementation on nursing organization performance at community hospitals under the ministry of public health
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Abstract
This predictive research was to analyze the effects of top-level nursing management team (TNMT) characteristics and strategic implementation on nursing organization performance. The conceptual framework of this study was synthesized from Upper Echelon Theory by Hambrick & Mason (2007), the strategic implementation concept by Pearce & Robinson (2003) and the concept of organizational performance by the Baldrige Excellence Framework for Healthcare (2013). The samples were composed of 326 team members of TNMT in community hospitals under the Ministry of Public Health, Thailand. The research instruments comprised of 4 questionnaires including: 1) demographic data, 2) TNMT characteristics, 3) strategic implementation, and 4) nursing organization performance. The content validity indices of the questionnaires were 0.93, 1.00, and 0.91, respectively. Analysis of the structural validity of each questionnaire showed that each model was congruent with the empirical data (CMIN/DF = 1.51, 1.37, 1.07, RMR = .03, .02, .02, GFI =.97, .96, .94). The reliability of each questionnaire was 0.86, 0.89, and 0.93, respectively. Descriptive and inferential statistical methods were used for data analysis, which included frequency, mean, standard deviation, independent t- test and multiple regression analysis. The results revealed that TNMT characteristics, strategic implementation and nursing organization performance were at a high level ( = 3.80, SD= 0.46, = 3.73, SD=0.48 and = 3.64, SD= 0.44 respectively). TNMT characteristics and strategic implementation could predict nursing organization performance at 52.9% (R2 = .529). TNMT characteristics affected nursing organization performance with β =0.503 (p-value< .01), while strategic implementation affected nursing organization performance with β = 0.313 (p-value < .01). Therefore, the TNMT of nursing organizations should develop suitable team characteristics concerning demographic, psychographic and behavioral characteristics as well as strategy implementation, including operationalization and institutionalization strategies for achievement of nursing organizational performance of community hospitals.
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References
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