Selected Factors Influencing Registered Nurse’s Compliance with Intermediate Care Guideline for Patients With Traumatic Brain Injury, Khon Kaen Provincial Health Service Network
Keywords:work engagement, Intermediate care of traumatic brain injury patients, Registered nurses, Ward management
This predictive correlational study aimed to examine the influence of selected factors on registered nurse’s compliance with intermediate care guidelines for patients with a traumatic brain injury (IMC-TBI) in the Khon Kaen Provincial Health Service Network. The selected factors included (1) individual factors, (2) work engagement, and (3) ward management. The study sample was 220 Registered Nurses (RNs) who had one-year or more nursing experience and were currently involved in, or assigned to be responsible for, the care of patients with IMC-TBI in one of the 13 hospitals in the network. The multiple-stage sampling method was chosen for this study. Data were conducted between April and May 2022. There were four study questionnaires used in this study, one each for: 1) individual factors, 2) work engagement 3) ward management, and 4) compliance with the guidelines for patients with IMC-TBI. Reliability of the second, third, and fourth questionnaires were 0.94, 0.94, and 0.97, respectively. Data were analyzed using frequencies, distributions, percentages, means, standard deviations, Pearson's correlation coefficients, and stepwise multiple regression analysis.
The findings revealed that ward management, as well as the vigor and absorption dimensions of work engagement, jointly predicted the RN's compliance with IMC-TBI patient care guidelines (p < .01). These three independent variables jointly explained 42.10% total variance in the compliance of the RN's with the IMC-TBI patient care guidelines (R2 = 0.421).
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