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