The Development of a Competency Enhancement Model for Perioperative Nurses in Rajavithi Hospital

Main Article Content

Srisuda Peerawanichkul
Anong Sornchai
Wilawan Tantisittiporn
Kampong Kamnon
Wonpen Sugsang

Abstract

This research and development study aimed to 1) study the competency and the need for competency enhancement of perioperative nurses, Rajavithi hospital, 2) develop a competency enhancement model for perioperative nurses, and 3) determine the effectiveness of the developed model. The research was divided into four phases. Phase 1: The study of competency and the need for competency enhancement of perioperative nurses. One hundred and two nurses answered the questionnaire on needs and competency enhancement. Head nurses of each unit also completed the same questionnaire. Phase 2: The development of enhancing competency model involved a series of team workshops and brainstorming with experts. Phase 3: A quasi-experimental study (One group pre-posttest design) assessed the effectiveness of the model. Thirty-six nurses were selected by purposive sampling for the study over a four-week period. Descriptive statistics such as mean and percentage were reported. The differences of quantitative variables were compared using paired t-test. Phase 4: The competency enhancement model was approved by three experts. The results revealed that 1) the competency for perioperative nurses was at a high level, as both evaluated by themselves and the unit’s head nurses. Average competency scores were 273.43 and 247.84, respectively. 2) The four main components of the competency enhancement model consisted of principles, objectives, development, and evaluation. 3) The competency enhancement model was effective in enhancing perioperative nurses’ performance. Nurses reported a high satisfaction with the model. The incidence of an adverse event was likely reduced. The competency enhancement model was approved by experts, and can be used as a guideline to develop the competency of perioperative nurses in other hospitals.

Article Details

How to Cite
1.
Peerawanichkul S, Sornchai A, Tantisittiporn W, Kamnon K, Sugsang W. The Development of a Competency Enhancement Model for Perioperative Nurses in Rajavithi Hospital. NJPH (วารสาร พ.ส.) [Internet]. 2021 Aug. 5 [cited 2024 Nov. 18];31(2):26-41. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/252563
Section
บทความวิจัย

References

1. McClelland DC. Identifying competencies with behavioral-event interviews. Psychol Sci 1998;9(5):331-9.

2. Safe Surgery 2020. Safe Surgery 2020 impact report: improving access to safe surgery for millions of people around the world [Internet]. 2020 [cited 2021 Jan 1]. Available from:https://static1.squarespace.com/static/56b8ed53b6aa60903fe8e7f5/t/5fc10959bc819f1cf4fca839/1606486377446/SafeSurgery+Report_covid19_nov26.pdf

3. World Health Organization. WHO guidelines for safe surgery 2009: Safe Surgery Saves Lives [Internet]. 2009 [cited 2021 Jan 9]. Available from:http://apps.who.int/iris/bitstream/handle/10665/44185/97892 41598552_eng.pdf;jsessionid=301883152436CE5FCDF15CB7F34DF292?sequence=1

4. Alkire BC, Raykar NP, Shrime MG, Weiser TG, Bickler SW, Rose JA, et al. Global access to surgical care: a modelling study. Lancet Glob Health 2015;3(6):e316-23 [cited 2021 Jan 10]. DOI:10.1016/S2214-109X(15)70115-4. PubMed PMID:25926087.

5. Kansal J, Singhal S. Development of a competency model for enhancing the organisational effectiveness in a knowledge-based organisation. Int. j. Indian cult. bus. Manag 2018;16(3):287-300.

6. Marrelli FA, Tondora J, Hoge AM. Strategies for developing competency models. Adm Policy Ment Health 2005;32:533-61.

7. Puvitayaphan A. Performance management system. Bangkok: HR Center;2010.(in Thai).

8. The Thai Perioperative Nurses Association. Perioperative nurse competencies. 2nd ed. Bangkok: Bangkok Medical;2013.(in Thai).

9. Kak N, Burkhalter B, Cooper MA. Measuring the competence of healthcare providers. QA Brief 2001; 2(1):1-28.

10. Puttaraksa W. Factors associated with competency of perioperative nurses in eastern regional hospitals. [Dissertation]. Chonburi: Burapha University;2018.(in Thai).

11. Lueluang W, Vorahan W. Factors influencing role practices of professional nurses at operating room in regional hospitals, northeast region. [Dissertation]. Khon Kaen: Khon Kaen University;2011.(in Thai)

12. Rajavithi Hospital. Medical records and statistic department. Statistical report 2018-2020. Bangkok: Rajavithi Hospital;2020.(in Thai).

13. Rajavithi Hospital. Human resources department. Personnel information report. Bangkok: Rajavithi Hospital; 2020.(in Thai).


14. Rajavithi Hospital. Operating theatre nursing department. Report summary of surgical nursing in 2016-2020. Bangkok: Rajavithi Hospital;2020.(in Thai).

15. Association of Operating Room Nurse. Perioperative standards, recommended practices, and guideline. Denver: the Association;2006.

16. Benner PE. From novice to expert: excellence and power in clinical nursing practice. California: Addison-Wesley; 1984.

17. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Healt 2015;42(5):533-44.

18. Jaroensrimuang S. Selected factors and competencies of perioperative nurses in reginal hospitals. [Dissertation]. Chiang Mai: Chiang Mai University;2008.(in Thai).

19. Ongiem A, Vichitvejpaisal P. Validation of the test. Thai J Anesthesiol 2018;44:36-42.(in Thai).

20. Joint Committee on Standards for Educational Evaluations. The program evaluation standards: How to assess evaluation of educational programs 3rd ed. Newbury Park, CA:Sage;2010.

21. Kolb, DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs, N.J: Prentice-Hall;1984.

22. Phrom-In K, Sermsuk S, Suwanawat K. Development of empowerment supervision process to enhance effectiveness for internal quality assurance system in special educational center. Veridian EJ Silpakorn Univ 2017;10(2):1914-30.(in Thai).

23. Pujeeb N. The model of teaching competency development for visual art teachers of secondary schools. [Dissertation]. Bangkok: Chulalongkorn University;2016.(in Thai).