Development of Nursing Supervision Model at Chumphae Hospital, KhonKaen Province

Abstract

Abstract

This research and development study aimed to develop and evaluate the effectiveness of a nursing supervision model at Chumphae Hospital, Khon Kaen Province. The sample consisted of 45 deputy head nurses from 15 specialties and 256 professional nurses. Data were collected using in-depth interviews and focus group discussions, yielding IOC of .67 to 1.00, a personal data form, a knowledge assessment questionnaire of both supervisors and supervisees, and the effectiveness questionnaire of the model yielding Cronbach’s Alpha of .90, a nursing practice competency assessment form, yielding reliability coefficients exceeding .70, and the patient safety indicator data recording form of 15 specialties. Data were analyzed using descriptive statistics, paired t-tests, and content analysis for qualitative data.

The results revealed that the CHUMPHAE Nursing Supervision Model consisted of 8 components: Coaching, Hospital Role Model, Utilization of WI, Management, Participation, Hybrid IT Digital, Assistance, and Evaluation & Learning. The results of using the model showed a significant increase of knowledge scores before-after supervision in both supervisors and supervisees (t 10.34 และ t 12.92 p < .001, respectively). The overall evaluation the model’s effectiveness in both supervisors and supervisees were at a good level (Mean 4.36, SD .58 และ Mean 4.20, SD .65, respectively). Supervisees nurses passed the nursing practice competency assessment (Mean 98.24, SD 3.62). Of the 18 patient safety indicators, 12 indicators (66.66%) attained the target value; while 6 indicators (33.34%) did not attain the target value. Therefore, this supervision model can be used to improve the quality of nursing care in the hospital. It should be promoted as part of the hospital quality policy and included in the long-term strategic plan to ensure its sustainability and ongoing impact.