Effectiveness of Implementing Proctor Clinical Supervision Model on Knowledge of Head Nurse, Competency of Registered Nurse and Rates of Controlled-Group Antimicrobial Resistance Infection in Department of Medicine, Sunpasitthiprasong Hospital

Abstract

Isolation precaution is important for preventing the infection of antimicrobial resistance.  The registered nurses; as their main responsible workers, must be competent to work on this issue, and their competency should be under the head nurses’ supervision. The purposes of this quasi-experimental research were: 1) to evaluate the clinical supervision model on head nurses' knowledge; 2) to evaluate nursing competency; and 3) to compare the antimicrobial-resistance-infectious rates of the controlled group-from the pre to the post-implemental periods. For the main participants in this study, the samples included 19 head nurses and 52 registered nurses working at the Medicine Department from 1 October 2020 to 31 March 2021. The research instruments were 1) the clinical supervision knowledge test  (CVI = 0.88, KR-20 = 0.75); 2) the competency evaluation form (CVI = 1.00, α = 0.94); and 3) calculation infection rates of antimicrobial resistance among the controlled group. Additionally, the first and second tools were validated by five experts. Data were analyzed through descriptive statistics of Wilcoxon Signed Rank Test, and t-test. The results have revealed the three following issues; 1) After implementing the clinical supervision model, the level of head nurses' knowledge was significantly higher than the pre-implementational period-resulting ( = 15.16, 12.32; p < 0.001), and 2) for the registered nurses' competency, it was significantly higher than the post-implementational period of the model (Mdn = 77.50, 96; p < 0.001). Moreover, the infection rates of antimicrobial resistance among the controlled group decreased (average 0.41 to 0.28). Based on the findings mentioned earlier, there should be the application of the clinical supervision model to prevent the infection of the antimicrobial resistance and to be applied for future medical purposes.