การพัฒนาแบบจำลองเชิงสาเหตุของสมรรถนะพยาบาลวิชาชีพ โรงพยาบาลศูนย์ และโรงพยาบาลทั่วไปในเขตสุขภาพที่ 5: CAUSAL RELATIONSHIP MODEL OF FACTORS INFLUENCING ON PROFESSIONAL NURSES COMPETENCIES

Krittaya  Tantiwarasakool; Boonreang  Kajornsin; Taneenart  Na-soontorn

Authors

Krittaya Tantiwarasakool Philosophy and Education College, Saint John’s University
Boonreang Kajornsin Philosophy and Education College, Saint John’s University
Taneenart Na-soontorn Philosophy and Education College, Saint John’s University

Keywords:

causal model, professional nurse, competency

Abstract

The purposes of this descriptive correlational research were 1) to develop a causal model of factors influencing professional nurse competency in the 5^th region, 2) to validate the conformance between empirical evidence and the model, and 3) to examine the effect of factors affecting on professional nurse competency in the 5^th region. The sample group was composed of 577 professional nurses in the center and general hospitals in the 5^th region by multi-stage random sampling. The research instruments were questionnaires on transformational leadership of the head nurse according to the perceptions of professional nurses, organizational atmosphere, organizational commitment, job satisfaction, and professional nurse competency, which had the alpha Cronbach reliability coefficients of .98, .94, .92, .93, and .95, respectively. Confirmatory factor analysis was employed to assess the construct validity of research instruments. Path analysis was implemented to check if research objectives had complied.

Research findings were as follows: First, the organizational climate, professional nurse commitment to organizational, Job satisfaction and transformational leadership of the head nurse according to the perceptions of professional nurses had influence on professional nurse competency. Second, the causal relationship model, conformed to the empirical evidence (chi-square = 101.80; df = 103; p = .515; GFI = .985; AGFI = .958; RMR = .007; RMSEA = .000). Third, the causal model explained 57 % of the variance in professional nurse competency in as much as the variables; The directly effect: Organizational climate and organizational commitment directly affected professional nurse competency in a positively correlated manner (DE = .28 and .81, respectively). Transformational leadership of the head nurse according to the perceptions of professional nurses directly affected professional nurse competency in a negatively correlated manner (DE = -.13). The indirect effect: Transformational leadership of the head nurse according to the perceptions of professional nurses indirectly affected professional nurse competency in a negatively correlated manner (IE = .04). Transformational leadership of the head nurse according to the perceptions of professional nurses, job satisfaction and organizational commitment indirectly affected professional nurse competency in a positively correlated manner (IE = .03). Organizational climate and organizational commitment indirectly affected professional nurse competency in a positively correlated manner (IE = .04). Organizational climate, job satisfaction and organizational commitment indirectly affected professional nurse competency in a positively correlated manner (IE = .62 and 3.3). The total effect: organizational climate and organizational commitment totally affected professional nurse competency in a positively correlated manner (TE = .84 and .81, respectively). Transformational leadership of the head nurse according to the perceptions of professional nurses totally affected professional nurse competency in a negatively correlated manner (TE = -.12).

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Author Biography

Krittaya Tantiwarasakool, Philosophy and Education College, Saint John’s University

Banpong hospital

Professional nurse , Advance Practice Nurse

Quality management

Hospital Ethics Committee

Risk management committee

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