Current Situations, Challenges, and Proposed Policy for Developing toward High-Performance Organization among Colleges of Nursing, Praboromarajchanok Institute

Abstract

This mixed-methods research aimed at studying current conditions, challenges (problems and barriers) in the administration and development of policy proposals for developing colleges of nursing under Praboromarajchanok Institute toward high-performance organizations in compliance with the Thailand 4.0 policy. The sample of the quantitative approach was 295 nursing instructors, and the sample of the qualitative approach was 17 administrators. The research instruments were the “current conditions, challenges in the administration and guide for developing colleges of nursing toward high-performance organizations” questionnaire with a reliability of 0.95, and an in-depth interviews questionnaire. Data were analyzed by using descriptive statistics consisting of frequency distribution, mean, percent, standard deviation, and content analysis.

According to the findings, the mean scores for current situations in administrating institutes toward becoming high-performance organizations were at a high level (M = 3.82, SD = .48). The area with the highest mean score was openness to ideas and priority given to practice (M = 3.97, SD = 55). The lowest mean score was in the area of personnel quality (M = 3.60, SD = 60). In the areas of problems and barriers in administrating institutes to become high-performance organizations, the highest mean scores were in the areas of inadequate buildings and facilities (52.88%). The lowest mean score was in the area of unsuitable organization structure (9.15%). The components of high performance among colleges of nursing were visionary leadership, highly capable personnel, productivity, innovation and creativity, competitive capacity, and good management.

The policy recommendations for developing colleges of nursing into high-performance organizations in compliance with the Thailand 4.0 policy are as follows: 1) promoting autonomy in operations, 2) creating exponential growth of quality outcomes, 3) openness and action orientations, 4) improving professional strategic management with innovation and technology, 5) developing high competencies of personnel to increase competitiveness, 6) build cooperation networks with the ASEAN community and the global community, and 7) focusing on quality long-term outcomes and leading to sustainable social development.

Therefore, colleges of nursing should improve and develop a strategic plan by defining a challenging future vision, promote high competencies of personnel at every level, improve the organizational structure appropriately, engaged result-based management and driving mechanisms for operations with innovation and technology, and allocate sufficient budget and resources.