The development of nursing supervision program model for the first-line manager based towards patient safety in the intensive care nursing department, Lamphun Hospital

Abstract

Background: Nursing supervision of first-level manager based towards patient safety is an important aspect of nursing administration to develop professional standards and quality of nursing.

Objective: To develop and evaluate the implementation of nursing supervision program model for the first-line manager based towards patient safety in the Intensive Care Nursing Department, Lamphun Hospital

Methodology: This study was a research and development. The research was conducted from November 2022 – September 2023. The sample size consisted of 25 first-line manager based and 54 registered nurse. The tools for implementing the research, including nursing supervision program model for the first-line manager based towards patient safety and (2) Tools for data collection, including Assessment forms for first-line manager based consist of personal records, knowledge assessments, and skill assessments and assessment forms for registered nurses, consisting of personal records and satisfaction assessments. Quantitative data were analyzed using descriptive and inferential statistics, including Paired Samples t-test and Fisher's exact probability test.

Results: Nursing supervision program model for the first-line manager based towards patient safety to develop in accordance with proctor nursing supervision conceptual framework and the concept of patient safety of the Institute of Healthcare Quality Assurance, it consists of 3 activities such as formative clinical supervision, restorative clinical supervision and normative clinical supervision. The results of the implementation of the model showed that after the use of the junior management model, there was an average score of knowledge (mean+SD=13.88±1.16, p<0.001) and nursing supervision skills for patient safety have increased statistically significantly. (mean+SD=4.07±0.28, p<0.001) Registered nurses who receive supervision have a high level of satisfaction with the nursing supervision of junior management to patient safety. (mean+SD=4.06+0.42) and after using the incidence pattern of unplan extubations, medication administration discrepancies, urinary tract infections from urinary catheterization and Ventilator Associated pneumonia statistically significant decrease (p<0.05).

Conclusion: The developed model helps to improve the knowledge and nursing supervision skills of the first-line manager based. Satisfy registered nurses who receive supervision and help reduce incidents related to patient safety. Therefore, nursing administrators at all levels should be encouraged to adopt this model of clinical supervision to help develop clinical supervision knowledge for junior nursing administrators appropriately.