Factors Related to Well-Being Among Professional Nurses in an Emergency Department in Tertiary Hospitals, Bangkok Metropolitan

Authors

  • Pittinun Saidam Faculty of Nursing Chulalongkorn University
  • Wasinee Wisesrith Faculty of Nursing Chulalongkorn University

Keywords:

Well-being, Professional nurses in emergency departments, Tertiary Hospitals, Autonomy, Safety climate in work

Abstract

This descriptive correlational study examined the level of well-being and its associated factors autonomy, supervisor caring leadership behaviors, and safety climate among professional nurses working in Emergency Departments of tertiary hospitals in the Bangkok Metropolitan area. The sample included 163 nurses with at least one year of experience, selected through multistage random sampling. Data were collected via an online questionnaire administered through Google Forms. The instruments comprised a well-being questionnaire, an autonomy questionnaire, a supervisor caring leadership behavior questionnaire, and a safety climate questionnaire. Content validity was assessed by five experts, with CVI values of .97, .88, .96, and .99, respectively. Reliability was confirmed with Cronbach’s alpha coefficients of .93, .80, .97, and .93. Data analysis employed descriptive statistics and Pearson’s correlation coefficient.
The results showed that participants’ overall well-being was at a high level (M = 3.79, SD = .41). In addition, safety climate, autonomy, and supervisor caring leadership behaviors were positively correlated with nurses’ well-being at statistically significant levels (p < .05), with correlation coefficients of .504, .493, and .426, respectively.

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References

World Health Organization. Infection prevention and control during health care when coronavirus disease (COVID-19) is suspected or confirmed: Interim guidance. Geneva: WHO; 2021.

Centers for Disease Control and Prevention. Guidance for healthcare workers during COVID-19 pandemic. Atlanta: CDC; 2022.

Phan LT, Sweeney DM, Maita D, Moritz DC, Bleasdale SC & Jones RM. Respiratory viruses and personal protective equipment use among healthcare workers: A review. Infection Control and Hospital Epidemiology. 2021;42(3):254-60.

Heidari A, Jafari Navimipour N, Unal M & Toumaj S. Machine learning applications for COVID-19 outbreak management. Neural Computing and Applications. 2022;34(18):15313-48.

Ministry of Public Health. Coronavirus disease (COVID-19) situation report, Thailand. Bangkok: Bureau of Epidemiology, Department of Disease Control; 2022. (in Thai)

Klamthuek D. The experience of being a nurse working in the emergency department in the new era at a general hospital [master’s thesis]. Bangkok: Faculty of Nursing, Chulalongkorn University; 2022. (in Thai)

Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W & et al.; COronavirus Pandemic Epidemiology Consortium. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020;5(9):e475-83.

Panvilai K, Panvilai S, Akkarawongsapat R, Papattaradol C & Srasong C. Clinical characteristics of coronavirus disease 2019 (COVID-19) patients in Vajira Hospital in nursing perspective. Journal of The Royal Thai Army Nurses. 2024;25(2):83-91. (in Thai)

Duan X, Sun H, He Y, Yang J, Li X, Taparia K & et al. Personal protective equipment in COVID-19: impacts on health performance, work-related injuries, and measures for prevention. Journal of Occupational and Environmental Medicine. 2021;63(3):221-5.

Komon C. Nurses’ experiences in caring for patients with coronavirus disease 2019 (COVID-19) in intensive care units. [master’s thesis]. Bangkok: Faculty of Nursing, Chulalongkorn University; 2022. (in Thai)

Butler JT. Principles of health education and health promotion. 3rd ed. Englewood (CO): Morton; 2001.

Thato R. Nursing research: Concepts and applications. 5th ed. Bangkok: Textbook Project of Health Facilities, Faculty of Nursing, Chulalongkorn University; 2022. (in Thai)

Thongma P & Wivatvanit S. Predicting factors of well-being among professional nurses in a public university hospital. Journal Nursing Science Chulalongkorn University. 2017; 29(3):30-41. (inThai)

Dillman DA. Mail and internet surveys: the tailored design method. 2nd ed. New York: John Wiley and Sons; 2000.

Booncharoenphon T. The influence of perceived organizational climate on psychological well-being with autonomy, competence, and relatedness as mediators among professional nurses in a Ministry of Defence hospital [master’s thesis]. Bangkok: Graduate School, Srinakharinwirot University; 2022. (in Thai)

Deci EL & Ryan RM. Human autonomy: the basis for true self-esteem. In: Kernis MH, editor. Efficacy, agency, and self-esteem. New York: Plenum Press; 1995.

Krairoek M. Caring leadership behavior of head nurses in community hospitals under the Ministry of Public Health, Region 14. Journal of Nurses Association of North Eastern Thailand. 2012;30(4):156-65. (in Thai)

Sherman RO, Bishop M, Eggenberger T & Karden R. Development of a leadership competency model. Journal of Nursing Administrstion. 2007;37(2):85–94.

Gershon RR, Karkashian CD, Grosch JW, Murphy LR, Escamilla-Cejudo A, Flanagan PA & et al. Hospital safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control. 2000;28(3):211-21.

Sungbun S, Naknoi S, Somboon P & Thosingha O. Impact of the COVID-19 pandemic crisis on turnover intention among nurses in emergency departments in Thailand: a cross-sectional study. BioMed Central Nursing. 2023;22(1):337-45.

Kako J, Ito Y, Kajiwara K, Kimura Y, Kakeda T, Hamanishi S & et al. Impact of the COVID-19 pandemic on mental health of nursing students in Japan: protocol for a cross-sectional study. British Medical Journal Open. 2021;11(12):e055916.

Waewkrathok N. The association between psychosocial factors and psychological well-being at workplace among Emergency Medical Technicians [master’s thesis]. Chonburi: Burapha University; 2020. (in Thai)

Li X, Zhou Y & Xu X. Factors associated with the psychological well-being among front-line nurses exposed to COVID-2019 in China: a predictive study. Journal of Nursing Management. 2021;29(2):240-9.

Schneider A & Weigl M. Associations between psychosocial work factors and provider mental well-being in emergency departments: a systematic review. PLoS ONE. 2018;13(6): e0197375.

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Published

06-05-2026

How to Cite

1.
Saidam P, Wisesrith W. Factors Related to Well-Being Among Professional Nurses in an Emergency Department in Tertiary Hospitals, Bangkok Metropolitan. J Royal Thai Army Nurses [internet]. 2026 May 6 [cited 2026 May 9];27(2):395-402. available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/280773

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Research Articles