A Confirmatory Factor Analysis of Competency in Rational Drug Use of Nursing Graduates from Bachelor of Nursing Science Program based on the Prescribing Competency Framework

Main Article Content

Sukjai Charoensuk
Kanoklekha Suwannapong
Ladda Leungratanamart
Kamolrat Turner
Tutiyarat Reunreang
Suntharawadee Theinpichet

Abstract

            This descriptive research study was conducted to analyze the confirmatory factors of competency in Rational Drug Use of the nursing graduates based on the competency framework of drug prescribing. The sample was the data on Rational Drug Use competencies of 4,263 nursing graduates who completed the Bachelor of Nursing Science program in the academic year 2018. The data was collected using the Rational Drug Use competency questionnaire for nursing graduates. The questionnaire had the content validity check with IOCs between 0.75 - 1 and greater than 0.5 for each item. The reliability was tested yielding a Cronbach alpha coefficient of 0.96. The results of the confirmatory factor analysis revealed that the Rational Drug Use competency model of nursing graduates based on competency framework of drug prescribing was consistent with the empirical data. The Goodness of Fit Index (GFI) of the model was .980, the Adjusted Goodness of Fit Index (AGFI) was .972, the residual of the Root Mean Square (RMS) was near 0 with a value of .005, and the Root Mean Square Error (RMSE) was .019.

Article Details

Section
Research Article

References

National Drug System Development Committee. National Drug Policy A.D. 2011 and National Drug System Development Strategy A.D. 2012-2016. 2nd edition. Bangkok: Aksorn Graphic and Design Publication; 2011. (in Thai).

National List of Essential Medicine Development Sub-committee. Thai national formulary 2010 special access medicines of national list of essential medicines. [Internet]. [cited 2021 August 31]. Available from: http://www.med.swu.ac.th/msmc/pharmacy/images/pha2/คู่มือการใช้%20จ%202%20,2010.pdf. (in Thai).

Thailand Nursing and Midwifery Council. The model of integrating the rational drug use curriculum into the bachelor of nursing science program. Nonthaburi: Thailand Nursing and Midwifery Council; 2018. (in Thai).

Royal Pharmaceutical Society. A competency framework for all prescribers. Great Britain: The society; 2016.

Working Committee of Project Evaluation for Integrating RDU into Nursing Science Program, Thailand Nursing and Midwifery Council. Manual book of rational drug use instruction for nursing science program. Bangkok: Danex Inter-corporation; 2019. (in Thai).

Rational Use of Drug Subcommittee. Teacher’s guide for promoting rational drug use. Nonthaburi: Food and Drug Administration, Ministry of Public Health, Thailand; 2017. (in Thai).

Thailand Nursing and Midwifery Council. Competencies of registered nurses. Bangkok: Siriyodkarnpim; 2010. (in Thai).

Charoensuk S, Leungratanamart L, Reunreang T, Turner K, Theinpichet S. An evaluation of competency in rational drug use of nursing graduates. Journal of the Royal Thai Army Nurses 2020;21(2):158-68. (in Thai).

Milfont TL, Duckitt J. The structure of environment attitudes: a first- and second- order confirmatory factor analysis. Journal of Environment Psychology 2004;24(3):289-303.

Hair JF, Black WC, Babin BJ, Anderson RE. Maltivariate data analysis. 7th ed. New Jersey: Pearson Education; 2010.

Royal Pharmaceutical Society. A competency framework for all prescribers. Great Britain: The society; 2020.

Thailand Nursing and Midwifery Council. Nursing and midwifery act B.E. 2540. [Internet]. [cited 2021 August 31]. Available from: https://www.tnmc.or.th/images/userfiles/files/11111.PDF. (in Thai).

Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of nursing-E-Book. 10th ed. Missouri: Elsevier; 2020.

Taylor C, Lynn P, Bartlett J. Fundamentals of nursing: The art and science person- centered care. 9th ed. Philadelphia: Wolters Kluwer; 2019.

Churyen A. The nurses’ role in rational drug use in hospital. Nursing Journal 2021;48(1):355-66. (in Thai).