The Development of nursing supervision models for the First-Level Nurse Executives at Detudom Crown Prince Hospital, Ubon Rathchathani

Abstract

Abstract

          This research and development study aimed to (1) develop a nursing supervision model and (2) evaluate its effectiveness. The 3phases of this study was conducted: (1) analysis of existing problems; (2) designing and developing the supervision model; (3) implementation and evaluation the model. The sample consisted of 32 first level nurse executives and 96 professional nurses. The research instrument was the developed nursing supervision model.  Data collecting tools consisted of (1) focus group discussion questions; (2) supervision knowledge and skills assessment; (3) supervisor satisfaction questionnaire; and (4) supervisee supervisor satisfaction questionnaire. The instrument was checked by the experts, yielding content validity index (CVI) of .90 to 1.00. Cronbach’s alpha coefficients of supervision skills assessment, supervisor and supervisee satisfaction questionnaires were .85, .88, and .86 respectively. Kuder-Richardson 20 (KR-20) coefficient of supervision knowledge assessment was .86. Data were analyzed using descriptive statistics and Dependent t-test.

The resulted revealed that the developed P-CLEAR nursing supervision model consisted of 6 key components: (1) preparing the supervisor; (2) establishing agreements; (3) listening to the problems, (4) ensuring of understanding and planning, (5) implementing, and (6) reviewing, evaluating, and feedbacking information. After implementing the model, first level nurse executives demonstrated significantly higher supervision knowledge and skills than before implementing the model (t 14.18 and t 13.94, p < .001 respectively). The overall satisfaction of the nursing supervisors and the professional nurses with the nursing supervision model were at a high level (Mean 4.45, SD .35 and Mean 4.34, SD .26 respectively).