The Relationship between Head Nurses’ Leading and Registered Nurses’ Involvement in Personnel Safety Management in Private Hospitals, Southern Thailand

Main Article Content

Jutima Benardam
Prapaporn Chukumnerd
Pramot Thongsuk


          This descriptive correlational research aimed to study: 1) the level of head nurses’ leading, 2) the level of registered nurses’ involvement in personnel safety management, and 3) the relationship between head nurses’ leading and registered nurses’ involvement in personnel safety management in private hospitals. The sample included 196 registered nurses who worked in the same ward as head nurses for more than 1 year. The data were collected from 3 questionnaires: 1) the personal data questionnaire, 2) the head nurses’ leading in personnel safety management questionnaire, and 3) the registered nurses’ involvement in personnel safety management questionnaire. The data were analyzed using descriptive statistics and Pearson’s product-moment correlation coefficient.
         The results showed that the level of the head nurses’ leading in personnel safety management was at a high level (M = 4.13, SD = 0.53), the level of registered nurses’ involvement in personnel safety management at a high level (M = 4.08, SD = 0.50), and the relationship between head nurses’ leading and the registered nurses’ involvement in personnel safety management using Pearson’s product-moment correlation coefficient was a significant positive relationship at a high level (r = .74, p < .01).
         Conclusion, the results of this research can be used as a guideline for personnel safety management in promoting head nurses’ leading and registered nurses’ involvement for the benefit of organizational development.


Download data is not yet available.

Article Details

How to Cite
Benardam, J., Chukumnerd, P. ., & Thongsuk, P. . (2020). The Relationship between Head Nurses’ Leading and Registered Nurses’ Involvement in Personnel Safety Management in Private Hospitals, Southern Thailand. Journal of Research in Nursing-Midwifery and Health Sciences, 40(2), 35–51. Retrieved from
Research Articles


The Healthcare Accreditation Institute (Public Organization). Personnel Safety Goals: SIMPLE Thailand 2018. Nonthaburi: Famous and Success full; 2018.

De Castro AB. Handle with care: The American nurses association’s campaign to address work-related musculoskeletal disorders. Orthopaedic Nursing. 2006; 25(6): 356-65.

Untimanon O. Bureau of Occupational and Environmental Diseases, Occupational health and safety of hospital personnel [Internet]. 2015 [cited 2018 Sep 30]. Available from: 4&doc=20151012_115122_3771951.pdf.

Suwannakarn T. Prevalence and factors associated with sharps injuries among hospital workers in a private hospital, Songkhla province [Thesis]. [Songkhla]: Faculty of Science in Occupational Medicine Prince of Songkla University; 2016. 104 p.

Saimai W, Thanjira S, Phasertsukjinda N. Workplace violence and its management by nursing personnel in emergency department. Ramathibodi Nursing Journal. 2010; 16(1): 121- 35. Thai

OSHA. Safety and Health Management Systems: A Road Map for Hospitals [Internet]. 2013 [cited 2018 Oct 13]. Available from: https:// DLib_2.4_SHMS_roadmap_508.pdf.

Roughton J. Crutchfield N. Safety culture: an innovative leadership approach. Amsterdam: Elsevier; 2014.

Wongwiseskul S, Taoklam B, Tangpharkphoom N. Sustainable management of health, safety, and occupational health in an industrial factory: a case study of a factory in Samutsakorn province. The Journal of Boromarajonani College of Nursin Nakhonratchasima. 2013; 19(1): 42-56. Thai.

Suriyawong W. Organizational safety culture and compliance with safety practices among registered nurses at a tertiary care hospital. Community health development quarterly Khonkaen university 2017; 5(1):103-18

Sornlertlumvanich P, Pinjareon S. Complaint management at Songklanagarind Hospital. Songkla Med J. 2012; 30(5): 277-85. Thai.

Choi SH, An MS. The Safety and health activities and nursing performance in Clinical Nurses. Journal of the Korean Society for Living Environment. 2018; 25: 457-66.

Madsalee S. Relationships between head nurse‘s work safety management and safety work behavior perceived by perioperative nurses in general hospital, Southern of Thailand. Songklanagarind J Nurs. 2011; 31(2): 1-16. Thai.

Chindawatana P, Sermsawatsri S. Sustainable development report 2017 Bangkok Dusit Medical Services Public Company Limited [Internet]. 2017 [cited 2018 Sep 15]. Available from: https:// BGH-csrReport2013-TH.pdf

Chindawattana P, Srisan S, Kongyimlamai P, et al. Sustainable development report 2017 Bangkok Dusit Medical Services Public Company Limited [Internet]. 2017 [cited 2018 Oct 20]. Available from: https://bdms.listedcompany. com/misc/CSR/20180312-bdms-csrreport 2017-th-02.pdf.

Total quality center, Bangkok Hospital Hat Yai. Safety & Security Management Plan document [Internet]. 2017 [cited 2018 Oct 2]. Available from:

Thinkham N. Patient safety culture among staff at a private hospital in Bangkok. Journal of Safety and Health. 2014; 25(7): 65-75. Thai.

Sangthong B. Relationships between safety management, team works, job autonomy and service quality of intensive care unit as perceived by professional nurses in intensive care units, private hospitals, Bangkok metropolis [Thesis]. [Bangkok]: Faculty of Nursing Chulalongkorn University; 2007. 158 p.

Kuharatanachai C. Elementary statistics. 1 st ed. Bangkok: King Mongkut’s Institute of Technology Ladkrabang; 2015

Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavior sciences. 5 th ed. Boston, Mass: Houghton Mifflin; 1998.

Strategy and planning division, Ministry of public health. Strategy plan 2017-2021 [Internet]. 2017 [cited 2018 Apr 16]. Available from:

The Healthcare Accreditation Institute (Public Organization). Hospital and healthcare standards 4 th Edition. Nonthaburi: Deewan; 2018.

Rachiwong R. Experiences of intensive care unit head nurse in managing staff’s safety. JOPN. 2016; 8(1): 182-92. Thai.

Hicks, Herbert G. The Management of Organizations. Tokyo: Mc Graw-Hill Kogakush; 1967.

Sngounsiritham U. Management for creating safety culture in nursing service. Nursing Journal 2011; 38(3): 168-77.

Zhoua, F., Jiangb, C. Leader-member exchange and employees’ safety behavior: the moderating

effect of safety climate. Procedia Manufacturing 2015; 3: 5014-5021. doi: 10.1016/j.promfg. 201507.672

Traisilanan S. Factors affecting employees’ perception of safety management in plastic manufacturing industry in Nakhon Ratchasima. [Thesis]. [Nakhon Ratchasima]: Faculty of Management Suranaree University of Technology; 2009.

Ratanawareewong S. Factors related to the participation in quality development and hospital accreditation of health personnel at community hospitals in Buengkan province. Journal of Safety and Health. 2014; 7(26): 48-58.

Fang D, Chen Y, Wong L. Safety climate in construction industry: A case study in Hong Kong. Journal of Construction Engineering and Management. 2006; 132(6): 573-84.

Vinodkumar MN, Bhasi M. Safety climate factors and its relationship with accidents and personal attributes in the chemical industry. Safety Science. 2009; 47(5): 659-67. doi:https://

Benner P. From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley; 1984.

Boonbumroe S. Work safety behaviors of nurse in Maharat Nakhonratchasima hospital, Nakhonratchasima. The Journal of Boromarajonani College of Nursing, Nakhonratchasima. 2014; 20: 82-92. Thai.

Lin J, Mills A. Measuring the occupational health and safety performance of construction companies in Australia. Facilities. 2001; 19(3/4): 131-39. doi: 10.1108/02632770110381676

Rongsawad S. Factors of safety in workplace and their influence at the operational level of employees’ working behavior at the provincial electricity authority, Chiangmai province. [Thesis]. [Bangkok]: Faculty of Business Bangkok University; 2012.

Kines P, Lappalainen J, Mikkelsen KL, et al. Nordic Safety Climate Questionnaire (NOSACQ -50): A new tool for diagnosing occupational safety climate. International Journal of Industrial Ergonomics. 2011; 41(6): 634-46. doi:

Hagan PE, Montgomery JF, O’Reilly JT. Accident Prevention Manual for Business and Industry, 12 th ed. NSC, Illinois, USA 2001.

Opastiragul W, Chanprasit C, Kaewthummanukul T. Health status related to risk at work among professional nurses, out patient and emergency nursing section, Maharaj Nakorn Chiang Mai Hospital. Nursing Journal. 2015; 42(2): 49-61. Thai .

Cooper MD, Phillips RA. Exploratory analysis of the safety climate and safety behavior relationship. J Safety Res. 2004; 35(5): 497- 512. doi: 10.1016/j.jsr.2004.08.004

Yincharoen S. Head nurses’ safety management in the workplace, safety culture in the workplace and quality of work life of registered nurses in general hospitals, Southern Thailand. 17 th National Graduate Research Presentation Conference; Buriram: Buriram Rajabhat University; 2010.

Aumnuaiworachai1 K, Wessapan T. The relationships between safety climate and at- risk behavior of employee working at Chiang Mai international airport. EAU Heritage Journal Science and Technology. 2017; 11(3): 99-111. Thai.

Akalp G, Aytac S, Yamankaradeniz N, et al. Perceived safety culture and occupational risk factors among women in metal industries: A study in Turkey. Procedia Manufacturing. 2015; 3: 4956-63. doi: promfg.2015.07.640