Factors Influencing the Job Performance of Head Nurses in General Hospitals, in the Second Health Region
Keywords:
teamwork, transformational leadership, organizational, employee engagement, job performanceAbstract
This predictive correlational descriptive research aimed to achieve three objectives: 1) to investigate the levels of teamwork, transformational leadership, perceived organizational support, organizational commitment, and job performance, 2) to examine the influence of factors affecting organizational commitment among professional head nurses, and 3) to validate the affect the model of factors has on the job performance of professional head nurses in general hospitals within the Second Health Region of the health care system in Thailand, as mediated by organizational commitment. A sample of 118 participants was calculated and selected using multi-stage sampling. The research instruments consisted of a questionnaire encompassing item on: 1) personal information, 2) teamwork, 3) transformational leadership, 4) perceived organizational support, 5) organizational commitment, and 6) job performance. Data analysis was conducted using stepwise multiple regression analysis and confirmatory factor analysis.
The research findings revealed the following: 1) the sample reported high levels of perceived teamwork, transformational leadership, organizational support, organizational commitment, and job performance, with mean scores of 4.32, 4.41, 4.07, 4.44, and 4.25, respectively; 2) perceived teamwork, transformational leadership, and organizational support demonstrated a statistically significant positive influence on the organizational commitment of professional head nurses (p < .01); 3) organizational commitment positively influenced the job performance of professional head nurses (p < .01); and 4) the influence of the model of factors affected the job performance of professional head nurses was demonstrated consistency within the empirical data. Therefore, hospital administrators and relevant stakeholders should prioritize developing comprehensive strategies that encompass teamwork skill development, leadership development, and increased organizational support to foster organizational commitment, which will ultimately lead to enhanced job performance.
Downloads
References
Krates J, Pattanavanichanan N, Pratanvorapanya W, Trinathawan W, Thangkathok P, Sritumsuk W. Factors influencing work retention of professional nurses under the Ministry of Public Health. Journal Health Science. 2021;30(3):566-76. (in Thai)
Wongcharoen W, Meehanpong P, Wongkhomthong C. Relationships between personal factors, transformational and transactional leadership of head nurses, and work engagement of professional nurses in community hospitals. The Journal of Faculty of Nursing Burapha University. 2018;26(3):23-31 (in Thai)
Gallup C. State of the American workplace: Employee engagement insights for U.S. business leaders. Washington, DC: Gallup; 2010.
Kongrod P, Singchungchai P, Puthiaungkul B. The effect of the teamwork program on nursing service quality of the ward as perceived by first-line nurse managers at a secondary private hospital. Nursing Journal. 2019;46(2):131-41. (in Thai)
Jongvisarn R. Transformational leadership. Journal of Social Sciences and Humanities. 2021;28(1):31-48. (in Thai)
Tengmanee C, Chuthaisong E, Chobsil R, Taweepaiboonwong J. The effects of transformational leadership, perceived organizational support, and job commitment on innovative work behavior among supervisory employees. Journal of Management Sciences Kasetsart University. 2023;2(1):46-63. (in Thai)
Eisenberger R, Malone GP, Presson WC. Optimizing perceived organizational support to enhance employee engagement. [Internet]. 2016 [cited 2024 May 10]. Available from: https://www.siop.org/wp-content/uploads/2024/07/SHRM-SIOP-POS.pdf
Darunsak T, Suklerttrakul T. Development of leadership in public health organizations. Journal of Public Health Administration. 2022;12(3):45-58. (in Thai)
Health Service Support Center 2. Annual report of Health Service Support Center 2 for fiscal year 2022 [Internet]. 2023 [cited 2023 Dec 20]. Available from: http://do2.new.hss.moph.go.th:8080/fileupload_doc/2022-11-21-10-22-4411072.pdf (in Thai)
Woodcock M. Team Development Manual. 2nd ed. London: Routledge; 1989.
Bass BM, Avolio BJ, editors. Improving organizational effectiveness through transformational leadership. Thousand Oaks, CA: Sage Publications; 1994.
Rhoades L, Eisenberger R. Perceived organizational support: a review of the literature. Journal of Applied Psychology. 2002;87(4):698-714. doi: org/10.1037/0021-9010.87.4.698
Steers RM, Porter LW. Motivation and work behavior. 5th ed. New York: McGraw-Hill; 1991.
Petersen E, Plowman EG. Business organization and management. 3rd ed. Chicago: Richard D. Irvin; 1949.
Kotchadech S. Problems and development approaches for team building in schools, Kaeng Hang Maeo District, under the Chanthaburi Primary Educational Service Area Office 1 [Master’s thesis]. Chonburi: Burapha University; 2016. (in Thai)
Thongbo C. The influence of transformational leadership on public service effectiveness of local administrative organizations in Na Kae District, Nakhon Phanom Province [Master’s thesis]. Sakon Nakhon: Sakon Nakhon Rajabhat University; 2019. (in Thai)
Sunthornphakdee A. Perceived organizational support, self-efficacy in profession, and job performance of employees in a food and beverage business, with goal commitment as a mediating variable [Master’s thesis]. Bangkok: Thammasat University; 2016. (in Thai)
Smithikrai C, Pusapanich P. Factors influencing work engagement and organizational commitment of Chiang Mai University staff. Kasetsart Journal of Social Sciences. 2017;38(2):655-67. (in Thai)
Srichai P, Pinjai P. Factors affecting the work efficiency of head nurses in general hospitals, Phayao Province. Journal of Nursing and Health Care. 2017;35(3):155-64. (in Thai)
Best JW. Research in education. 3rd ed. Englewood Cliffs (NJ): Prentice-Hall; 1977.
Schumacker RE, Lomax RG. A beginner's guide to structural equation modeling. 4th ed. New York: Routledge; 2016.
Cummings GG, Tate K, Lee S, Wong CA, Paananen T, Micaroni SPM, Chatterjee GE. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International Journal of Nursing Studies. 2018;85:19–60. doi: org/10.1016/j.ijnurstu.2018.04.016
Matvijit T, Tadadej C, Kittipichai W. Relationship between perceived organizational support, empowerment and organizational commitment of health workers at sub-district health promoting hospitals in Suphanburi Province, Thailand. Thai Journal of Public Health. 2024;54(2):890-902. (in Thai)
Mughal MU. The Impact of leadership, teamwork and employee engagement on employee performances. Saudi Journal of Business and Management Studies. 2020;5(3):233–44. doi: org/10.36348/sjbms.2020.v05i03.008.
Taning AHK, Tanuwijaya J, Gunawan P AW. The Influence of motivation, employee development and teamwork on employee performance through employee engagement in service industry employees. Journal La Bisecoman. 2024;5(3):365-73.
Bass BM, Riggio RE. Transformational leadership. 2nd ed. New York: Psychology Press; 2006.
Ystaas LMK, Nikitara M, Ghobrial S, Latzourakis E, Polychronis G, Constantinou CS. The impact of transformational leadership in the nursing work environment and patients' outcomes: a systematic review. Nursing Reports (Pavia, Italy). 2023;13(3):1271-90. doi: 10.3390/nursrep13030108.
Devanesan CW, Deshmukh A. Embracing transformational leadership: an integrated review of transformational leadership practices among nurse managers. International Journal of Science and Healthcare Research. 2025;10(2):31-45. doi: 10.52403/ijshr.20250205.
Wan J. Transformational nurse leadership and job satisfaction: a systematic literature review [master's thesis]. Helsinki: Metropolia University of Applied Sciences; 2023.
Labrague LJ, De Los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organizational support, personal resilience, and social support. Journal of Nursing Management. 2020;28(7):1653–61. doi: 10.1111/jonm.13121.
Rajchaburi N, Pipatprapa A. Perceived organizational support affecting work happiness of professional nurses in private hospitals. Journal of MCU Social Science Review. 2021;10(1):232–44 (in Thai)
Mansor FA, Mat Jusoh YH, Hashim MZ, Muhammad N, Omar SNZ. Employee engagement and organizational performance. International Journal of Accounting, Finance and Business. 2022;7(3):127-40. doi: 10.55573/IJAFB.085006.
Shdaifat E, Shudayfat T, Al-Shdayfat N, Alshowkan A. Understanding the mediating effects of commitment and performance on the relationship between job satisfaction and engagement among nurses. The Open Nursing Journal. 2023;17:1–7. doi: 10.2174/18744346-v17-e231005-2023-83.
Keyko K, Cummings GG, Yonge O, Wong CA. Work engagement in professional nursing practice: a systematic review. International Journal of Nursing Studies. 2016;61:142-64. doi: 10.1016/j.ijnurstu.2016.06.003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Nursing and Therapeutic Care
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
