DEVELOPMENT OF A KNOWLEDGE MANAGEMENT MODEL FOR OBSTETRICS AND GYNECOLOGY NURSING AT PHATTHALUNG HOSPITAL

Abstract

          This action research aimed to develop a knowledge management model for obstetrics and gynecology nursing at Phatthalung Hospital. The study was conducted in three phases: 1) analyzing the situation, 2) developing the model, and 3) assessing the feasibility of implementing the model. The model development phase comprised four steps: planning, action, observation, and reflection. Participants in the first phase included 15 individuals purposively selected, consisting of 6 nursing administrators, 6 members of the nursing staff development team, and 3 practicing nurses. In the second and third phases, 29 participants were purposively selected, including 5 nursing administrators, 6 nursing staff development team members, and 18 practicing nurses. The knowledge management model was developed following the framework provided by the Office of the Civil Service Commission. Data were collected through semi-structured interviews, focus group discussions, and document reviews. The quality of the research instruments was validated by 3 experts. Qualitative data were analyzed using content analysis, and quantitative data were analyzed using descriptive statistics.

          The results identified three main processes in the knowledge management model for obstetrics and gynecology nursing at Phatthalung Hospital: 1) Structural management: appointing a knowledge management team, defining roles, enhancing competencies related to knowledge management, and scheduling knowledge management activities; 2) Management of knowledge management processes: reviewing quality indicators, risk incidents, and relevant knowledge, determining key knowledge areas that need to be managed, and assigning activity leaders, including gathering and validating knowledge, organizing it into various formats, recording it, and sharing it within and across units; and 3) Outcome management: controlling, directing, and monitoring the utilization of recorded knowledge in work practices and fostering the development of a community of practice (CoP). The feasibility study indicated that the knowledge management model of obstetrics and gynecology nursing at Phatthalung Hospital was practical. Key aspects included clear assignment of responsibilities, scheduling of knowledge management activities, and integrating technology with traditional knowledge storage methods. This resulted in effective, evidence-based practices and a reduction in risk incidents.
          The findings suggest that this model could be further developed for sustainable and continuous implementation, contributing to the achievement of organizational goals.