The Development of a Competency Development Program for First-Line Nurse Managers at Nakhon Nayok Hospital
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Abstract
Background: Developing nursing management competency among first-line nurse managers is essential to improving service quality, patient safety, and organizational success.
Objectives: This study aimed to: (1) assess the needs for competency development, (2) develop a competency development program for first-line nurse managers, and (3) evaluate the effectiveness and efficiency of the program.
Methods: A research and development design was employed, consisting of three phases: (1) needs assessment, (2) program development based on the identified needs, and (3) program evaluation. The sample comprised 31 first-line nurse managers. Research instruments included a competency development program, a needs assessment questionnaire, a nursing management competency assessment, and a satisfaction questionnaire. Content validity indices were .94, .94, and .93, and reliability coefficients were .94, .86, and .95, respectively. Data were analyzed using descriptive statistics and a one-way repeated-measures ANOVA.
Results: The findings revealed that: (1) participants demonstrated gaps in leadership skills and managerial competencies; (2) the developed program included structured training hours and content, experiential learning, and active participation; and (3) nursing management competency scores after program participation and at the 3-month follow-up were significantly higher than before participation, with mean differences of .692 and 1.075, respectively. The 3-month follow-up scores were also significantly higher than post-intervention scores (p<.01; mean difference = .382). Competency levels were rated as good in all aspects, and satisfaction with the program was at the highest level (ðĨĖ =4.60, SD=0.50).
Conclusions: The program developed based on needs assessment was effective and well aligned with the real-world practice context of nursing organizations.
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āļāļāļāļ§āļēāļĄāļāļĩāđāđāļāđāļĢāļąāļāļāļēāļĢāļāļĩāļāļīāļĄāļāđāđāļāđāļāļĨāļīāļāļŠāļīāļāļāļīāđāļāļāļāļ§āļīāļāļĒāļēāļĨāļąāļĒāļāļĒāļēāļāļēāļĨāļāļĢāļĄāļĢāļēāļāļāļāļāļĩ āļāļąāļāļŦāļ§āļąāļāļāļāļāļāļļāļĢāļĩ
āļāđāļāļāļ§āļēāļĄāļāļĩāđāļāļĢāļēāļāļāđāļāļāļāļāļ§āļēāļĄāđāļāđāļĨāļ°āđāļĢāļ·āđāļāļāđāļāļ§āļēāļĢāļŠāļēāļĢāļ§āļīāļāļēāļāļēāļĢāđāļĨāđāļĄāļāļĩāđāđāļāđāļāļāļ§āļēāļĄāļāļīāļāđāļŦāđāļāļŠāđāļ§āļāļāļąāļ§āļāļāļāļāļđāđāđāļāļĩāļĒāļāđāļāđāļĨāļ°āļāđāļēāļāđāļĄāđāđāļāļĩāđāļĒāļ§āļāđāļāļāļāļąāļāļ§āļīāļāļĒāļēāļĨāļąāļĒāļāļĒāļēāļāļēāļĨāļāļĢāļĄāļĢāļēāļāļāļāļāļĩ āļāļąāļāļŦāļ§āļąāļāļāļāļāļāļļāļĢāļĩ āđāļĨāļ°āļāļāļēāļāļēāļĢāļĒāđāļāđāļēāļāļāļ·āđāļ āđāļāļ§āļīāļāļĒāļēāļĨāļąāļĒāļŊ āđāļāđāļāļĒāđāļēāļāđāļ āļāļ§āļēāļĄāļĢāļąāļāļāļīāļāļāļāļāļāļāļāđāļāļĢāļ°āļāļāļāļāļąāđāļāļŦāļĄāļāļāļāļāļāļāļāļ§āļēāļĄāđāļāđāļĨāļ°āđāļĢāļ·āđāļāļāđāļāđāļāļāļāļāļāļđāđāđāļāļĩāļĒāļāđāļāđāļĨāļ°āļāđāļēāļ āļŦāļēāļāļĄāļĩāļāļ§āļēāļĄāļāļīāļāļāļĨāļēāļāđāļ āđ āļāļđāđāđāļāļĩāļĒāļāđāļāđāļĨāļ°āļāđāļēāļāļāļ°āļĢāļąāļāļāļīāļāļāļāļāļāļāļāļ§āļēāļĄāļāļāļāļāļāđāļāļāđāļāđāļāļđāđāđāļāļĩāļĒāļ§
References
āļāļāļīāļāļēāļāļīāļāļĒāđ āļāļēāļĢāļēāļ āđāļĨāļ°āļāļąāļāļāļāļē āļāļĢāļ°āļāļļāļĻāļīāļĨāļāļ°. (2561). āļŠāļĄāļĢāļĢāļāļāļ°āļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāđāļāļĻāļđāļāļĒāđāļāļēāļĢāđāļāļāļĒāđāđāļĢāļāļāļĒāļēāļāļēāļĨāļāļĢāļļāļāđāļāļ. āļ§āļēāļĢāļŠāļēāļĢāļāļĒāļēāļāļēāļĨāļāļģāļĢāļ§āļ, 10(2), 244â52.
āļāļąāļāļāļ§āļąāļāļāđ āļāļĢāđāļĨāļīāļĻāļāļāļāļĢ. (2565). āļāļēāļĢāļāļĢāļīāļŦāļēāļĢāļāļąāļāļāļēāļĢāļāļēāļĄāđāļāļ§āļāļīāļ 7S āļāļāļāđāļĄāļāļāļīāļāļāļĩāļĒāđāļāļĩāđāļĄāļĩāļāļīāļāļāļīāļāļĨāļāđāļāļāļēāļĢāđāļāđāļāļāļāļāđāļāļēāļĢāđāļŦāđāļāļāļēāļĢāđāļĢāļĩāļĒāļāļĢāļđāđāļāļāļāļāļļāļĢāļāļīāļāđāļĢāļāđāļĢāļĄāđāļāļāļĢāļ°āđāļāļĻāđāļāļĒ [āļ§āļīāļāļĒāļēāļāļīāļāļāļāđāļāļĢāļąāļāļāļēāļāļļāļĐāļāļĩāļāļąāļāļāļīāļ, āļĄāļŦāļēāļ§āļīāļāļĒāļēāļĨāļąāļĒāļŠāļĒāļēāļĄ]. āļāļēāļāļāđāļāļĄāļđāļĨāļāļēāļāļ§āļīāļāļąāļĒ āļĄāļŦāļēāļ§āļīāļāļĒāļēāļĨāļąāļĒāļŠāļĒāļēāļĄ. https://e-research. siam.edu/kb/the-management-of-the-7s/
āļāļīāļĢāļ āļąāļĒ āļāļąāļāļāļīāļāļāļĢāđ, āļāļēāļāļāļāļē āļĻāļĢāļĩāļŠāļ§āļąāļŠāļāļīāđ āđāļĨāļ°āļŠāļēāļĒāļŠāļĄāļĢ āđāļāļĨāļĒāļāļīāļ (2567) āļŠāļĄāļĢāļĢāļāļāļ°āļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāđāļāđāļāļāļ§āļēāļĄāļāļāļāļīāđāļŦāļĄāđ āđāļĢāļāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāļāļīāļĒāļ āļđāļĄāļī āļāļąāļāļŦāļ§āļąāļāđāļāļĩāļĒāļāļĢāļēāļĒ. āļ§āļēāļĢāļŠāļēāļĢāđāļāļĢāļ·āļāļāđāļēāļĒāļ§āļīāļāļĒāļēāļĨāļąāļĒāļāļĒāļēāļāļēāļĨāđāļĨāļ°āļāļēāļĢāļŠāļēāļāļēāļĢāļāļŠāļļāļāļ āļēāļāđāļāđ, 11(2), e267171.
āđāļāļāļĢāļāļē āļ§āļīāđāļĢāļāļ§āļēāļāļīāļ āđāļĨāļ°āļāļāļ§āļīāđāļĨ āļāļąāļāļāļ°āļŠāļāļ. (2565). āļāļēāļĢāļāļąāļāļāļēāđāļāļāļāļĢāļ°āđāļĄāļīāļāļŠāļĄāļĢāļĢāļāļāļ°āļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāđāļāļāļāļāđāļĢāļāļāļĒāļēāļāļēāļĨāļĄāļŦāļēāļ§āļīāļāļĒāļēāļĨāļąāļĒāļāđāļĢāļĻāļ§āļĢ. āļ§āļēāļĢāļŠāļēāļĢāļ§āļīāļāļąāļĒāļāļēāļĢāļāļĒāļēāļāļēāļĨāđāļĨāļ°āļŠāļļāļāļ āļēāļ, 23(1), 67â79.
āļāļīāļāļē āļāļāļāļēāļāļāļāđ. (2564). āļāļđāđāļāļģāđāļĨāļ°āļāļēāļĢāļāļąāļāļāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĒāļļāļāđāļŦāļĄāđ. Singburi Hospital Journal, 30(1), 15â23.
āļ āļąāļāļĢāļēāļĢāļąāļāļāđ āļāļąāļāļāļļāļāļīāļ āđāļĨāļ°āļŠāļļāļĄāļāļē āļāļĢāļĢāļāļ°āļŠāļĄāļāļđāļĢāļāđ. (2561). āļāļēāļĢāļāļąāļāļāļēāđāļāļĢāđāļāļĢāļĄāļāļēāļĢāļāļąāļāļāļēāļŠāļĄāļĢāļĢāļāļāļ°āļŠāļģāļŦāļĢāļąāļāļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāđāļ āđāļĢāļāļāļĒāļēāļāļēāļĨāļŠāļąāļāļāļąāļāļŠāļģāļāļąāļāļāļēāļĢāđāļāļāļĒāđāļāļĢāļļāļāđāļāļāļĄāļŦāļēāļāļāļĢ. āļ§āļēāļĢāļŠāļēāļĢāđāļĢāļāļāļĒāļēāļāļēāļĨāđāļāļĢāļīāļāļāļĢāļļāļāļāļĢāļ°āļāļēāļĢāļąāļāļĐāđ, 14(1), 57â73.
āļŠāļ āļēāļāļēāļĢāļāļĒāļēāļāļēāļĨ. (2568). āļŠāļĄāļĢāļĢāļāļāļ°āļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļĢāļāļĒāļēāļāļēāļĨ. āļŠāļīāļāļāļ§āļĩāļāļīāļāļāļĢāļīāđāļāļāļīāđāļ.
āļŠāļŦāļąāļŠāļāļĢ āļĒāļ·āļāļāļļāļ, āđāļāļāļĢāļāđāļāļĒ āļŠāļīāļāļŦāđāļāđāļēāļāļāļąāļĒ āđāļĨāļ°āļāļĢāļĢāļāļīāļāļēāļĢāđ āļāļąāļāļĢāļāļāļāđāļĄāđāđāļāļĢ. (2562). āļāļĨāļāļāļāđāļāļĢāđāļāļĢāļĄāļāļēāļĢāđāļāļĢāļĩāļĒāļĄāļāļ§āļēāļĄāļāļĢāđāļāļĄāđāļāđāļēāļŠāļđāđāļāļģāđāļŦāļāđāļāļāļđāđāļāļĢāļīāļŦāļēāļĢāļāļēāļāļāļēāļĢāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāđāļāļāļĩāđāđāļĢāļāļāļĒāļēāļāļēāļĨāļĢāļ°āļāļąāļāļāļļāļāļīāļĒāļ āļđāļĄāļīāđāļŦāđāļāļŦāļāļķāđāļ. āļāļĒāļēāļāļēāļĨāļŠāļēāļĢ, 46(2), 151â63.
āļŠāļģāļāļąāļāļāļēāļāļŠāļ āļēāļāļąāļāļāļēāļāļēāļĢāđāļĻāļĢāļĐāļāļāļīāļāđāļĨāļ°āļŠāļąāļāļāļĄāđāļŦāđāļāļāļēāļāļī āļŠāļģāļāļąāļāļāļēāļĒāļāļĢāļąāļāļĄāļāļāļĢāļĩ. (2566). āđāļāļāļāļąāļāļāļēāđāļĻāļĢāļĐāļāļāļīāļāđāļĨāļ°āļŠāļąāļāļāļĄāđāļŦāđāļāļāļēāļāļī āļāļāļąāļāļāļĩāđ 13 (āļ.āļĻ. 2566-2570). āļĢāļēāļāļāļīāļāļāļēāļāļļāđāļāļāļĐāļē.
āļŠāļļāļ§āļīāļĄāļĨ āļ§āđāļāļāļ§āļēāļāļīāļ. (2562). āļāļēāļĢāļ§āļīāļāļąāļĒāļāļĢāļ°āđāļĄāļīāļāļāļ§āļēāļĄāļāđāļāļāļāļēāļĢāļāļģāđāļāđāļ (āļāļīāļĄāļāđāļāļĢāļąāđāļāļāļĩāđ 4). āļŠāļģāļāļąāļāļāļīāļĄāļāđāļāļļāļŽāļēāļĨāļāļāļĢāļāđāļĄāļŦāļēāļ§āļīāļāļĒāļēāļĨāļąāļĒ.
āļāļĢāļāļīāļāļāļē āļāļĻāļāļē, āļŠāļīāļĢāļīāļāļēāļ āļāļāļāļĨāļāļĨāļēāļ, āđāļĨāļ°āļāļēāļāļĒāļē āļāļīāļĨāļąāļāļāļāļēāļāļāļāđ. (2567). āļāļēāļĢāđāļĢāļĩāļĒāļāļĢāļđāđāļāđāļ§āļĒāļāļāđāļāļ. āļ§āļēāļĢāļŠāļēāļĢāļ§āļīāļāļĒāļēāļĨāļąāļĒāļāļāļĢāļĢāļēāļāļŠāļĩāļĄāļē (āļŠāļēāļāļēāļĄāļāļļāļĐāļĒāļĻāļēāļŠāļāļĢāđāđāļĨāļ°āļŠāļąāļāļāļĄāļĻāļēāļŠāļāļĢāđ), 18(3), 376â86.
American Organization for Nursing Leadership. (2026). AONL nurse leader core competencies. AONL. https://www.aonl.org/resources/nurse-leader-competencies
Brockett, R. G., & Hiemstra, R. (2023). Self-direction in adult learning: Perspectives on theory, research, and practice. Routledge. https://doi.org/10.4324/9780429457319
Choi, P.-P., Lee, W.-M., Wong, S.-S., & Tiu, M.-H. (2022). Competencies of nurse managers as predictors of staff nursesâ job satisfaction and turnover intention. International Journal of Environmental Research and Public Health, 19(18), 11461. https://doi.org/10.3390/ijerph191811461
Clair, R. S. (2024). Andragogy: Past and present potential. New Directions for Adult and Continuing Education, 2024(184), 7â13. https://doi.org/10.1002/ace.20546
Cui, K., Xie, Q., Liu, J., Xi, Z., & Xiang, C. (2024). Evaluation of the effectiveness of the competency model for nursing managers in the training of newly appointed head nurses. Journal of Clinical and Nursing Research, 8(10), 202â7. https://doi.org/10.26689/jcnr.v8i10.8700
Emam, S. M., Fakhry, S. F., & Abdrabou, H. M. (2024). Leaders development program by 360 degree feedback: Reflection on head nursesâ leadership practices. BMC Nursing, 23, 772. https://doi.org/10.1186/s12912-024-02395-w
EsquisÃĄbel-Soteras, B., Acilu-FernÃĄndez, A., Robert, G., Neddermann-Carrillo, S., VÃĄzquez-Calatayud, M., & Pardavila-Belio, M. I. (2026). Developing regulatory readiness: A co-designed transition program and logic model for first-line nurse managers. Journal of Nursing Regulation, 17(1), 68â82. https://doi.org/10.1016/j.jnr.2026.01.001
Goktepe, N., Turkmen, E., Badir, A., Hayta, O., Karabuga, H., Yakar, H. K., & Buyukgonenc, L. A. (2018). Development of managerial competencies for first-level nurse managers in Turkey. International Journal of Caring Sciences, 11(2), 1096â103. https://www.internationaljournalofcaringsciences.org/docs/52_goktepe_original_10_2.pdf
GonzÃĄlez-GarcÃa, A., Pinto-Carral, A., GonzÃĄlez, S. P., & MarquÃĐs-SÃĄnchez, P. (2022). A competency model for nurse executives. International Journal of Nursing Practice, 28(2), e13058. https://doi.org/10.1111/ijn.13058
Knowles, M. S., Holton, E. F., III, Robinson, P. A., & Caraccioli, C. (2025). The adult learner: The definitive classic in adult education and human resource development (10th ed.). Routledge. https://doi.org/10.4324/9781003387671
McClelland, D. C. (1973). Testing for competence rather than for intelligence. American Psychologist, 28(1), 1â14. https://doi.org/10.1037/h0034092
Moskowitz, M. (2008). A practical guide to training and development: Assess, design, deliver, and evaluate. Pfeiffer.
Omer, T. (2024). Leadership development training programâs impact on acquisition of leadership competencies for nurses: A pilot study. Journal of Pioneering Medical Sciences, 13(4), 93â101. https://doi.org/10.61091/jpms202413415
Yu, Q., Liu, L., Tian, Y., Li, X., Yang, J., Liu, Q., Chen, Z., Ning, M., Wang, F., Li, Y., & Huang, C. (2024). Head nurse ethical competence and transformational leadership: A cross-sectional study. BMC Nursing, 23, 821. https://doi.org/10.1186/s12912-024-02484-w