The Effectiveness of Charge Nurse Role Development at Bangkok Hospital Headquarters

Abstract

OBJECTIVES: To evaluate the efficacy of charge nurse (CN) role development at Bangkok Hospital Headquarters (BHQ) and to assess the satisfaction of other professional nurses who are working alongside registered nurses (RNs) enrolled in the advanced charge nurse development program (ACNDP) after one month training.

MATERIALS AND METHODS: This cross-sectional survey study selected participants through purposive sampling and specific criteria. Professional nurses from level 2 to level 4 of nursing staff attended the ACNDP at BHQ between 1st September 2023 to 30th April 2024. Data were collected using confidence questionnaires completed by participants’ self-assessment to compare their confidence pre and post 20-hour of training and again one month after course completion. Additionally, one month after the training, other nurses assessed their satisfaction with the CN roles’ performance of participants. Data were analyzed using descriptive statistics, One-Way ANOVA, and repeated measures ANOVA.

RESULTS: Of 109 participants who met the inclusion criteria, most were female (95.41%). Three-quarters of them were ≤ 35 years old (69.73%), and single (69.72%). The majority held a bachelor’s degree (97.2%). Competency levels included RNs level 4 (48.62%), level 2 (26.61%), and level 3 (24.77%), respectively. Forty percent had ≤ 5 years of work experience at BHQ and 93.58% had ≤ 5 years of the CN role experience. Half of participants were affiliated with the Bangkok Hospital (54.13%), Bangkok International Hospital (27.52%), and Bangkok Heart Hospital (12.58%), respectively. Their work locations were the intensive care unit (ICU) and emergency department-ER (35.78%), in-patient department-IPD (34.86%), and out-patient department-OPD (29.36%). Post-training, participants’ self-confidence in CN role significantly increased (F = 19.59, p < .01). Confidence scores varied by competency level, with significant differences observed (F = 11.88, p < 0.01). RNs level 4 had higher confidence than levels 3 and 2 (p < 0.01). Nevertheless, there was no significant difference between levels 3 and 2. Other nurses expressed high satisfaction with CNperformance of participants after one month of training (mean ± SD =2.75 ± 0.30).

CONCLUSION: The ACNDP training could increase nurses’ self-confidence after they completed this training.