Situation Analysis of Nursing Supervision Among Unoff icial-Time Nurse Supervisors, Operating Room, Buddhachinaraj Phitsanulok Hospital


  • Chayanuch Trongtokit Professional Nurse, Buddhachinaraj Phitsanulok Hospital
  • Orn-anong Wichaikhum Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Kulwadee Abhicharttibutra Assistant Professor, Faculty of Nursing, Chiang Mai University


Situation Analysis, Nursing Supervision


Nursing supervision is a tool to improve the quality of services in hospitals and the main
activity of executives at all levels. This descriptive study aimed to analyze the situation of nursing
supervision among unofficial-time nurse supervisors and offer the solutions of unofficial-time
nursing supervision in the Operating Room, at Buddhachinaraj Phitsanulok Hospital. The Donabedian
quality assessment (2003) was used as the conceptual framework for this study. Consisting of 3
aspects which are structure, process, and outcomes. The total population is 35 people consisting
of 5 unofficial-time nurse supervisors and 30 unofficial-time nursing personnel. The research
instruments were the questions for individual interviews and questions for the group meeting. Datawere analyzed using descriptive statistics and content analysis.The results revealed that:
1. For structure, the operating room had a policy and model of nursing supervision among
unofficial-time nurse supervisors but not clear. There was a supervision plan in each shift but no
preparation. The job description of nursing supervision among unofficial-time nurse supervisors
was unspecific. A few instruments used in nursing supervision were not covered. Suggestions to
improve include preparing a policy for nursing supervision and establishing a model of nursing
supervision based on the guidelines of the operating room, creating a nursing supervision form,
preparing a clear job description, and conducting concrete practice guidelines for using supervision instruments-so that work can be done in the same way.
2. Regarding process, the nursing supervision plan was not clear and concrete. The supervision
structure was not clear. Facilitating motivation was inadequate, the controlling has unclear modeland there was a lack of concrete evaluation. Therefore, included stating the roles and responsibilities for daily work, establishing a supervision structure for roles and responsibilities for supervision, preparing evaluation forms used in the monitoring process, and creating a work performanceevaluation process.
3. Regarding the outcomes, it was found that supervision recipients were somewhat satisfied
with the performance of nurse supervisors. Suggestions to improve include encouraging nurse
supervisors to be trained about nursing supervision.

The results of this study could be proposed to nursing administrators in order to improve the nursing supervision model of unofficial-time nurse supervisors.


Download data is not yet available.


Boonruang, S. (2001). The development of the unofficial-time nursing supervision model atNong Bua Lum Phu Hospital (Master's thesis, Khon Khan University). (In Thai)

Department of Nursing, Siriraj Hospital. (2014). Job description (2nd ed.). Bangkok: Siriraj Hospital.

Donabedian, A. E. (2003). An introduction to quality assurance in health care. New York: TheAmerican University of Armenia.

Dowling, S. (1992). Implementing the supvisory process: Theory and practice. New Jersey:Pretice Hall.

Juntrareungrit, S. (2007). The development of the unofficial-time nursing supervisors model inNangrong hospital, Burirum province (Independent Study, Khon Khan University). (In Thai)

Hirunroj, T. (2001). Supervision of supervisory nurses over official time at fort Suranaree Hospital,Changwat Nakhon Ratchasima (Independent Study, Khon Khan University). (In Thai)

Kanchanabat, B. (2007). Nursing administration. Khon Kaen: Faculty of Nursing, Khon Kaen University.(In Thai)

Kittiratchada, S. (2009). Nursing supervision implementation to quality. Bongkok: Samjareanpanich.(In Thai)

Kongkasawat, T. (2005). 10 important causes for performance evaluations. Retrieved from (In Thai)

Kumloypha, K. (2009). Development of a Nursing Supervision Model in the Nursing Organizationof Kangsanamnang Hospital, Nakhonratchsima Province (Independent Study, Khon KaenUniversity). (In Thai)

Lester, B. R. (1974). What every supervisor should know. New York: McGraw-Hill Book.

Ostergren, J. (2011). The first year of professional service in speech-language pathology: Supervisory role, working relationships, and satisfaction with supervision. Contemporary Issues in Communication Science and Disorders, 38, 61-75.

Othaganont, P. (1996). Nursing supervision. In Professional experience in nursing unit 11-13, Bangkok:Sukhothai Thammathirat Open University. (In Thai)

Phattanapapron, S. (2002). The development of the unofficial-time nursing supervisors model in Surin Hospital (Master's thesis, Khon Khan University). (In Thai)

Roongsai, M. (2002). Development of a nursing supervision model in the nursing organization ofKhaosuankwang Hospital Khon Kaen Province (Independent Study, Khon Khan University).(In Thai)

Santong, N. (2005). Techniques for Job description based on Competency and KPI (2nd ed.).Bangkok: H R Center. (In Thai)

Suwannapap, D., Tammakun, T., Seubsaion, S., & Homsuwan, R. (2008). The after-hour nursing supervision model development at Buddhachinaraj Phitsanulok hospital. Journal of Health Science, 17(1), 227-236. (In Thai)

Suwannimitr, A. (2013). Nursing administration (2nd ed.). Maha Sarakham: Aphichatkanpim.

Swansburg, R. G. (1990). Management and leadership for nurse managers. Boston: Jones and Bartlett.

Taupradist, U. (1995). A development of the supervision model of evening nurse supervisors(Master’s thesis, Chulalongkorn University). (In Thai)

Tunnukit, P. (2015). The development of participated nursing supervision model in Surgical Ward,BMA General Hospital. Journal of Charoen Krung Pracharak Hospital, 10(2), 13-24. (In Thai)

Tuntiphalacheva, K. (1996). Nursing organization & administration. Bangkok: Kitjarean. (In Thai)

Vanichpunjapon, V., & Kittiratchada, S. (2008). Nursing supervision implementtation to quality.Nonthaburi: Pissawanvaree. (In Thai)

Wannasarn, S. (2012). Development of nursing supervision among after-hours nurse supervisors,Nakornping Hospital Chiang Mai Provice (Independent Study, Chiangmai University). (In Thai)

Wannasarn, S., Chontawan, R., & Sirakamon, S. (2013). Development of nursing supervision among after-hours nurse supervisors, Nakornping Hospital Chiang Mai Provice. Nursing Journal, 40(special), 57-67. (In Thai)

Xayaphet, K., Sirakamon, S., & Akkadechanunt, T. (2015). Development of job description for head nurses, Savannakhet Provincial Hospital, Lao People's Democratic Republic. NursingJournal, 42(2), 12-23. (In Thai)