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, nursingAbstract
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.
References
Ottawa, 21 November 1986. Geneva: WHO; 1986 [cited 2018 Aug. 5]. Available from: https:// www.
who.int/healthpromotion/ conferences/ previous/ottawa/en/index1.htm
2. WHO [Internet]. Health promotion. Geneva: WHO; 2018 [cited 2018 Apr. 5]. Available from: https://www. who.int/healthpromotion/conferences/previous/ottawa/en/
3. WHO [Internet]. Health promotion: The Ottawa Charter for Health Promotion. Geneva: WHO; 1986
[cited 2018 August 30]. Available from: https://www.who.int/ healthpromotion/ conferences/previous/
ottawa/en/
4. WHO. Milestones in health promotion: Statements from global conferences [Internet]. Switzerland:
WHO; 2009 [cited 2018 Aug. 8]. Available from:https://www. who.int/healthpromotion/milestones/en/
5. Kemppainen V, Tossavainen K, Turunen, H. Nurses’ roles in health promotion practice: an integrative
review. HPI 2012; 28(4): 490-501.
6. Thailand Nursing and Midwifery Council. The Nursing and Midwifery Profession Act, BE 2528 (1985) and
amended by the Nursing and Midwifery Professional Act (No. 2), 2540 (1997). Bangkok: Judthong; 2011.
7. Project on professional nursing movement towards health promotion [Internet]. 2014 [cited 2018 Nov.
26]. Available from: https://thainhp.org/frontend/web/uploads/news/ 1444565 728_1
8. Kumpalikit S, Ruecha Y, Baramee J, Klunklin A, Suwanapatikorn K, Suwanakeeree W. An evaluation
of health promotion competencies of graduate nursing students. Journal of Nursing Science 2007; 25(3):
44-55. (in Thai)
9. Faculty of Nursing, Chiang Mai University. Research report on the evaluation project of nursing profession
movement towards health promotion in Northern region. Chiang Mai: The institute; 2018. Sponsored by Thai Health Promotion Foundation.
10. Project on professional nursing movement towards health promotion. Declaration of professional nursing
networks on health promotion [Internet]. 2014 [cited 2018 Nov. 26]. Available from: https://thainhp.
org/frontend/web/uploads/news/ 1444187967_5__30__2557.pdf
11. Project on professional nursing movement towards health promotion. Summary of the forum for moving
nurses’ role toward health promotion [Internet]. 2014 [cited 2018 Nov. 26]. Available from: https:// thainhp.org/frontend/web/uploads/news/ 1444184561_4__29-30__57.pdf
12. Project on professional nursing movement towardshealth promotion. Learning center and nursing
innovation for health promotion. In national workshop on learning center and nursing innovation for health promotion; 2017 June 2-3; Bangkok, Thailand.140
13. Khumpalikit S, Petpichetchian W, editors. Seven learning packages on health promotion nursing.
Project on professional nursing movement towards health promotion. Nonthaburi: Mata Printing; 2016.
14. Sritanyarat W, Piyabanditkul L, editors. Health promotion guidelines for nurses working in primary
care, secondary care, and tertiary care settings. Nonthaburi: Mata Printing; 2017.
15. Kunaviktikul W, Wichaikhum O, Nantsupawat A, Sirakamon S, Bhosai J, Sathapornpat P, et al. Health
promotion competency and practice among nurses, the North region. Nursing Journal 2015; 42 Suppl
Nov.: S151-65. (in Thai)
16. Kaewthummanukul T, Sirakamon S. Health promotion competency and practice among nurses in primary
care service, the North region. Nursing Journal 2016; 43 Suppl Dec.: S184-195. (in Thai)
17. Nantsupawat A, Sathapornpat P. Competency and roles of health promotion among nurses in tertiary
hospitals. Journal of the Royal Thai Army Nurses 2017; 18(1): 222-28.(in Thai)
18. Klunklin A, Wichaikhum O, Kunaviktikul W, Jaiwilai W. Nurses’ role on developing health promotion
innovation in Northern Thailand. Nursing Journal 2015; 42 Suppl Dec.: S178-86. (in Thai)
19. Srisuphan W, Senaratana W, Nuntaboot K, Kunaviktikul W, Junprasert S, Tilokskulchai F, et al. Project on
nursing profession movement towards health promotion. Thai Journal of Nursing and Midwifery Practice
2017; 4(2):5-19.
20. Nongmak C. Quality assurance in education. Bangkok: Sun spring printing; 1999.
21. Offce of the Education Council. The national quality and standard evaluation system. Bangkok: Chounpim
press; 1997.
22. Donabedian A. An Introduction to Quality Assurance in Health Care. Oxford: Oxford University Press; 2003.
23. Junprasert S. Nursing innovation learning center: mechanisim for nursing education and nursing service
transformation. Workshop on development of nursing innovation learning center for health promotion; 2017 June 2-3; Bangkok: Thailand Nursing Council and Midwifery.
24. Junprasert S, Rattanagreethakul S, Jareankankai J, Krungkraipetch N, Sanunreungsak S, Tachasaksri T,
et al. The development of nursing learning center for health promotion: case study in the Eastern region. The Journal of Faculty of Nursing Burapha University 2017; 25 (1):12-24. (in Thai)
25. Krungkraipetch N, Junprasert S, Rattanagreethakul S, Techasuksri T, Sananreongsak S, Viriya C, et al.
Health promotion competencies among nurses, eastern region. The Journal of Faculty of Nursing Burapha University 2017; 25 (3): 30-40. (in Thai)
26. Wongkongkam K, Nakagasien P. Factors associated with health promotion competencies of professional
nurses in the central region of Thailand. Journal of Nursing Science 2016; 34(2): 102-116. (in Thai)
27. Jirapaet V. [Internet]. From routine nursing practice to design innovative services to quality healthcare.
Bangkok: Bangkok hospital; n.d. [cited 2018 Mar. 22]. Available from: https://www.bangkokhospital.
com/images/downloads/ innovation_nurse.pdf.
28. Mae Lao Hospital, Chiang Rai. Creating supportive environment for health in a natural way: an innovation
case study. Unpublished.
29. Nantsupawat R, Sirakamon S, Jiramahavittayakul S, Chainate M. Natural health care: holistic health
promotion. Nursing Journal 2015; 42 Suppl Nov.: S222-32. (in Thai)141
30. The Press Association. Nurses say barriers prevent them from getting involved in clinical research. Nursing Times
[Internet]. 2013 May [cited 2018 Mar 22]. Available from https://www.nursingtimes.net/
31. Sae-Sia W, Songwattana P, Kahawong W, Suwan S. Research conduct status and perceived barriers of
research utilization in Master’s prepared nurses who graduated from the Faculty of Nursing, Prince of
Songkla University. Songkla Med Journal 2008;26(5): 451-8. (in Thai)
32. Chamnanchang S., Rattanagreethakul S, Junprasert S.Health promoting competencies and performances
of nurses in primary care unit, the Eastern Region. The Journal of Faculty of Nursing Burapha University
2017; 25(2): 19-30. (in Thai)
33. Rungamornrat S, Musikthong J, Competency in health promotion of nursing professionals in central
area of Thailand. Journal of Nursing Science 2016;34(1):88-100. (in Thai)
34. Offce of the Public Sector Development Commission (opdc). Development of work manual [Internet].
Bangkok: opdc; 2009 [cited 2018 Apr 22] Available from: https://www.opdc. go.th/ index.php
35. Pingsanoi, W. Factors influencing on conducting research among academic staff of health science
Thammasat University [master’s thesis]. Pathum Thani (THA): University of Technology Thanyaburi; 2013.
