Unit Cost and Perceptions of Nursing Competency Development in a Private Hospital
Keywords:Nursing Competency, Personnel Development, Unit Cost
The objectives of this descriptive research were to determine the unit cost of professional development for nurses and to examine perceptions of nursing competency development in a private hospital. Data were collected from two sources through 341 professional nurses: 1. primary data using a questionnaire consisting of general data, perceptions of nursing competency after development and cost of personal development, and 2. secondary data from cost of external training records and cost of internal training records during three fiscal years from 2017 to 2019. Content validity was tested by 5 experts and the CVI was 0.96 and the Cronbach’s alpha coefficient of the questionnaire was .98. The data were analyzed with descriptive statistics using the parameters of the mean (μ) and standard deviation (σ) of the population.
The study found that the unit cost of professional development for nurses was 22,628 Baht per capita with the highest expense in opportunity cost at 2,381,641Baht. Nurses spent 3,678 Baht per capita as the cost of personal development and the highest expense was 195,000 Baht for opportunity cost. Regarding professional nurses’ perceptions of nursing competency after development, the overall perception of five aspects was at a high level with the highest mean for ethics 4.38 (μ = 4.38, σ = .56) and the lowest mean for accumulated professional expertise 3.67 (μ = 3.67, σ = .61).
The results of the study indicate that nursing administrators should participate in human resources development to manage costs for highest efficiency, especially the opportunity cost shown by the empirical data that it is the highest cost and the hospital has never used the data in professional development for nurses. As regards nursing competency, development of accumulated professional expertise is needed, especially in continuous quality improvement (CQI) and routine to research (R2R). For innovation for nursing competency development, nursing administrators should utilize the study results in personnel development planning to make the organization grow and achieve competitive advantage over other private hospitals.
Akarathitipong, J. (2013). Human Resource Development.
(Master's Thesis). Phra Nakhon Si Ayutthaya:
Faculty of Management Science, Pura Nakhon
Si Ayutthaya Rajabhat University. (in Thai)
Besanko, D., Dranove, D., Shanley, M., & Schaefer, S.
(2013). Economics of Strategy (6th ed.). (n.p.)
Best, J. W. (1977). Research in Education (3rd ed.).
New Jersey: Prentice Hall.
Buachum, S. (2015). Handbook for the preparation of
the Human Resources Practice Examination.
Bangkok: The Base Center. (in Thai)
Chaibura, R. (2019). Human Capital Development in the
Era of Thailand 4.0. Journal of Nakhon Lampang
Monastic College, 8(1), 221-236. (in Thai)
Drummond, M. F., Stoddart, G. L., & Torrance, G. W.
(2002). Methods for the economic evaluation
of health care programs. New York: Biddles,
Guildford and King s Lynn.
Fowler, F. J. (2008). Survey Research Method (4th ed.).
Thousand Oak, CA: Sage Publications.
Kerdthong, W. & Suamak, W. (2017). Behavior and
Ethics Development of Nursing Students to Step
into Moral Nursing. Journal of Public Health
Nurses, 31(2), 257-272. (in Thai)
Koyun, S., Sukonthawat, V., Kitkwandeem, B., Somon,
J., & Toin, P. (2020). Nursing care of critically
ill patients. Chiang Rai Journal, 12(2), 88-101.
Leelachat, B. (2016). The need for personnel development in academic support. Faculty of Medicine
Thammasat University (Independent research,
Master's degree). Thammasat University, Bangkok.
McClelland, D. (1973). Testing for Competence Rather
Than Intelligence. American Psychologists, 28
Pojanpanichakul, P. (2013). Developing the efficiency of
work of the person. Retrieved from: https://sites.
google. com/site/potarticle/(in Thai)
Polin, P. (2014). Assessment of operational competency
of personnel in Central Hospital. Bangkok
Medical Office. Journal of Management Science,
Nakhon Pathom Rajabhat University, 1(1),
-110. (in Thai)
Phuwittayaphan, A . (2016). Human resource development
on the basis of 70:20:10 Learning Model.
Bangkok: HR Center. (in Thai)
Putti, W. (2019). A Study of Opinions on Core Competency of Ban Pong Hospital Personnel. Hua
Hin Suk Jai Klai Kangwon Journal, 4(3), 66-83.
Ruangvorabun, S. & Prabmeechai, P. (2016). International competence of the nursing profession:
essential contents. Journal of Nakhon Phanom
University, 25th, Anniversary Conference Edition
of Boromarajonani College of Nursing, Nakhon
Phanom. Nakhon Phanom University, 262-268.
Saidi, M. I. & Abu, M., Nur, N., & Anvari, R. & Hassan,
A. (2014). Defining HR Roles of Nursing
Line Manager in Workplace Learning. ProcediaSocial and Behavioral Sciences, 129, 148-155.
Retrieved from 10.1016/j.sbspro.2014.03.660
Saenprasarn, P. & Chalayakitti, S. (2017). Ethical
Decision Making in Nursing Practice Related
to Risks of Thai Nurses as Perceived by
Nursing Administrators. Army Nurse Journal,
(1), 194-205. (in Thai)
Seemanan, S. (2010). Development of Organizational
Competencies. Matichon, 2010-11-23, p.6.
Singchangchai, P. (2015). Health economics for health
service management (4th ed.). Songkhla:
Suburban Printing House. (in Thai)
Siriphakdeekan, C. & Boonrubpayap, B. (2014).
Development of professional ladders in nursing.
The Journal of Army Nursing, 15(3),75-80.
Suchichanarat, R. (2019). Personnel Development.
In Sukhadecha, S. (Ed.), Nursing Administration
(pp. 90-118). Nakhon Ratchasima: Faculty of
Nursing, Vongchavalitkul University. (in Thai)
Ulrich, D. (1998). Delivering Results. A New Mandate
for Human Resource Professionals. Boston:
Harvard Business School Press.
Wannadee, P., Phothong, P., & Sirithirakul, L. (2018).
A Study of Competency Behavior of Personnel
of the College Network, Central Region 2, Phra
Rajanok Institute Ministry of Public Health.
Journal of Boromarajonani College of Nursing,
Suphanburi, 1(2), 56-65. (in Thai)
Yongphasanpop, W. (2003). Rate of Return to investment on employee training of Thai Military Bank
Public Company Limited (Master's Thesis).
Retrieved from http://thesis.swu.ac.th/swuthesis/
Econ_Ed/Wanna_Y (in Thai)
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