Guidelines for Developing Service Management System of Patients with Stroke in Khiriratnikhom Hospital, Surat Thani Province
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Abstract
This descriptive research aimed to explore the management system of stroke patient services at Kiriratnikhom Hospital using the 7S McKinsey Model. This study conducted in two phases, the first phase utilized a qualitative approach with in-depth interviews among seven key informants: physician, general administrative manager, director of nursing department, head nurse of the emergency unit, pharmacist, medical technologist, and radiological technologist. Participants were selected purposively, and data were analyzed using content analysis. The second phase employed a quantitative approach, surveying 59 professional and support staff using a structured questionnaire with Cronbach's alpha reliability of .87, and descriptive statistics were used for data analysis.
The findings revealed major obstacles in stroke service management, including insufficient equipment, inadequate compensation for nurses, and workforce shortages. Key development strategies include increased budget support, enhanced staff compensation, and professional development to maximize personnel capabilities. Most respondents agreed with all aspects of the management system, with the highest agreement in organizational structure (95.60%) and the lowest in strategy (86.40%). Critical areas for improvement include personnel development, skill enhancement, and fostering shared values.
To optimize stroke service management, Kiriratnikhom Hospital should enhance workforce capabilities, support operational resources, and instill shared organizational values to ensure quality patient care.
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