Professional Autonomy, Team Climate, and Quality Nursing Care Among Registered Nurses in Hospitals Under the Foundation of the Church of Christ in Thailand
Keywords:
Professional Autonomy, Team Climate, Quality Nursing Care, NurseAbstract
Professional autonomy and team climate are organizational factors related to quality nursing care. The aim of this study were to describe the quality nursing care, professional autonomy and team climate and to explore the relationship between professional autonomy, team climate and quality nursing care as perceived by registered nurses in hospitals under the Foundation of the Church of Christ in Thailand. Subjects were 223 registered nurses randomly selected from McCormick Hospital, Overbrook Hospital and Bangkok Christian Hospital. Research instruments included: 1) Quality Nursing Care Scale for Nurses (QNCS-N), 2) Team Climate Inventory (TCI), and 3) Professional Nursing Activity Scale (PNAS), with validity confirmed by the developers. Cronbach’s alpha coefficient of the QNCS-N, the TCI and PNAS were 0.89, 0.98 and 0.87 respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient.
The results of the study were as follows:
1.Professional autonomy, as perceived by the nurses, was at a high level.
2.Team Climate in the dimension of team objective, task orientation and support for new ideas, were perceived at a moderate level, whereas the dimension of participation in the team was perceived at a high level.
3.Quality nursing care, as perceived by nurses in hospitals under the Foundation of the Church of Christ in Thailand was at a high level.
4.There was significant positive relationship between professional autonomy and quality nursing care as perceived by nurses at a moderate level.
5.There were significant positive relationship between the subscales of team objective, support for new ideas and quality of nursing care as perceived by nurses at a moderate level. The subscales of participation in the team and task orientation showed a significant positive related with quality of nursing care as perceived by nurses at a low level.
The results from this study could be used as baseline information for nursing administrators to maintain quality of nursing care by promoting professional autonomy and team climate in hospitals under the Foundation of the Church of Christ in Thailand.
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