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จงจิตร รัยมธุรพงษ์
อารีย์วรรณ อ่วมตานี


           The objectives of this study were aimed: 1) exploring the key competencies of head nurses;
2) developing a head nurses’ competency assessment scale and 3) examining psychometric properties of the head nurses’ competency assessment scale, Samutprakarn hospital. This study was divided into three parts. Part 1 focused on studying head nurses’ key competencies by conducting focus group discussions with 26 head nurses. The data obtained was analyzed to determine the head nurses’ key competencies. Part 2 involved developing the competency assessment scale and specifying indicative behaviors in competency assessment using Rubric’s criteria. Part 3 consisted of qualified experts’ study of the head nurses’ competency scale’s quality and content validity. Reliability of assessment consistency was calculated among four assessor groups consisting of deputy head nurses, head nurses, colleagues and staff nurses (232 people).

The findings were as follows:

  1. The key competencies of head nurses are categorized by the following five dimensions:
    1) Leadership indicating skills employed by head nurses in working to achieve goals; 2) Management perspectives showing head nurses’ capacity for effectively managing resources and service systems;
    3) Information technology or head nurses’ behaviors in using information technology to benefit personnel and the organization, 4) Care quality improvement showing head nurses’ ability to promote and support the creations and implementation of innovations and nursing research to develop care service systems and 5) Morality and ethics expressed by head nurses working with responsibility, fairness and honesty while respecting and collaborating with others well.

  2. The head nurses’ competency scale was composed of five dimensions covering the following 24 competency items including 7 leadership competency items; 6 management competency items;
    2 information technology competency items; 4 care quality development items and 5 morality and ethics competency items.

  3. According to the psychometric properties, the scale’s CVI was .81 and reliability of assessment consistency among four groups of assessors in assessing competency among head nurses of 18 patient wards was more than .70 (100%) with a mean of .87.


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