Development of a Registered Nurse Competency Framework, Labour Room, Buddhachinaraj Phitsanulok Hospital


  • Yaowarat Dusitkul Professional nurse, Buddhachinaraj Phitsanulok Hospital
  • Bunpitcha Chitpakdee Assistant Professor, Faculty of Nursing, Chiang Mai University
  • Thitinut Akkadechanunt Assistant Professor, Faculty of Nursing, Chiang Mai University


Competency Framework, Registered Nurse, Labour Room


The competency of registered nurses is important for human resource management and
service quality development for pregnant women and fetuses to have a safe deliveries. The purpose
of this development study was to develop a competency framework for registered nurses in labour
room of Buddhachinaraj Phitsanulok Hospital by applying the stategies for developing competency
framework of Marrelli, Tondora, & Hoge (2005). The population consisted of six nurses who are
working in the labour room at Buddhachinaraj Phitsanulok hospital, and samples consisted of five
experts. The instrument used for this study was an interview guideline validated by a panel of 3
experts. The data collection process included reviewing the literature, and interviewing nurses.
Content analysis and item content validity index calculation of competencies were used for data
The results of this study revealed that a competency framework for registered nurses in the
labour room at Buddhachinaraj Phitsanulok hospital consisted of eight categories and 67 behavioral
indicators which were 1) assessing health status of the pregnancy and fetus consisted of eight
behavioral indicators, 2) nursing care for pregnant with complication consisting of five behavioral
indicators, 3) promoting the progress of labour consisted of seven behavioral indicators, 4) nursing
care for parturient consisted of seventeen behavioral indicators, 5) competency of conducting
delivery consisted of nine behavioral indicators, 6) nursing care for neonatal consisted of fourteen
behavioral indicators, 7) promoting breastfeeding consisted of three behavioral indicators and 8)
caring for safety and risk management consisted of four behavioral indicators.
Nurse administrators can apply this competency framework to create a performance
evaluation criteria and to develop competency of registered nurses in the labour room at
Buddhachinaraj Phitsanulok Hospital.


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