Organisational Change Perception Induced by the Project for Propelling the Nursing Profession towards Health Promotion in Northern Thailand
Keywords:propelling the nursing profession, health promotion, unit, organisation change, hospital administrators, nursing
Objective: To describe effects of implementing the project for driving the nursing profession towards health promotion on changes to units/organisations in Northern Thailand.
Design: Descriptive research.
Methodology: This was a project assessment study that applied research methodology to the assessment process. The study was conducted on 178 subjects, consisting of hospital and nursing administrators of units/organisations that served as learning centres for nursing innovations for health promotion. The instrument was a questionnaire designed to obtain data on fve aspects of unit/organisation change, namely, 1) personnel’s potential; 2) information system and knowledge management; 3) operational methods and work direction; 4) collaboration with networks; and 5) organisational policies and planning. Data were analysed using descriptive statistics.
Results: After the implementation of the project for driving the nursing profession towards health promotion, the administrators’ perception of unit/organisation change was as follows.
1. Overall, the administrators’ perception of all aspects of unit/organisation change
was moderate (µ = 3.11-3.38; SD = .90-.98).
2. The administrators displayed a high level of perception of the personnel’s potential,operational methods and work direction, and organisational policies and planning aspects of unit/organisation change, with the highest percentage for every item asked (35.40-44.90%). They also showed a high level of perception of the information system and knowledge management aspect, scoring the highest on all items (38.20%) except the item on research for health promotion (36.00%). Finally, the administrators’ perception of the collaboration with networks aspect ranged from moderate to high (33.10-3.20%).
Recommendations: It is recommended that administrators and registered nurses of local nursing units, organisations and institutions conduct joint studies to address research- and network collaboration-related problems and obstacles, and work out possible solutions. Also, Thailand Nursing and Midwifery Council should perform follow-ups on units/organisations serving as learning centres, to enhance their effciency and sustainability.
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