A Study of Good Governance of Head Nurses in General Hospitals

Authors

  • ขนิษฐา ศรีปิ่นแก้ว King Chulalongkorn Memorial Hospital
  • วาสินี วิเศษฤทธิ์ Faculty of Nursing. Chulalongkorn University

Keywords:

good governance, head nurses, general hospital

Abstract

            The objectives of this descriptive research were to study the good governance of head nurses in general hospitals and compare administration based on good governance principles classified by educational level, experience from patient ward management as a head nurse, department assignment, nursing administration training programs and level of general hospital service provision. The sample was composed of 365 head nurses in general hospitals who were selected by using the multi-stage sampling technique. The questionnaire was validated by a panel of five qualified experts who checked for content validity (CVI = 0.85). Reliability was tested by finding Cronbach’s alpha coefficient, which yielded a reliability value of .96. Data were statistically analyzed by frequency distribution, percentage, mean, standard deviation, t-test statistics and one-way ANOVA.

            The findings can be summarized as follows:

            1. Overall administration the good governance principles of head nurses in general hospitals was found to be good (gif.latex?\bar{X} = 4.30, SD = 0.37). When individual aspects were considered, the responsibility was found to earn the highest mean score (gif.latex?\bar{X} = 4.45, SD = 0.40), followed by legal principles (gif.latex?\bar{X} = 4.44, SD = 0.44), participation (gif.latex?\bar{X} = 4.37, SD = 0.43), morality and ethics (gif.latex?\bar{X} = 4.35, SD = 0.37) and transparency (gif.latex?\bar{X} = 4.25, SD = 0.44).  Effectiveness had the lowest mean score (gif.latex?\bar{X} = 4.00, SD = 0.46).

           2. Head nurses at general hospitals with doctorate and master’s degrees had higher scores for administrative behaviors in compliance with good governance principles than head nurses with bachelor’s degree education levels. Head nurses at general hospitals with administrative time of 5 – 15 years were found to have better administration in line with good governance than head nurses with administrative time at 1 – 5 years with statistical significance at .05. Head nurses who received administrative training programs and worked in different settings with service provision administrated based on good governance with no difference with statistical significance at .05.

References

1. Siriprachai S. Good governance in globalization: Thailand. Paper present at the seminar topic: economic in globalization; 2007 Sep 12; At Sribrupha building Thammasat University; 2007. (in Thai).

2. The Secretariat of the Cabinet. The national economic and social development plan, vol.12 [Internet]. 2012 [cited 2016 Jul 7]. Available from: https://www.cabinet.soc.go.th/soc/Program2-3.jsp?top_serl=99305768 (in Thai).

3. Kjare AM. Governance. Malden, MA: Polity; 2006.

4. Chaiphibalsarisdi P. Quality of nursing administration. Bangkok: V. Print 1991; 2008. (in Thai).

5. Weiss TG. Governance, good governance and global governance: conceptual and actual challenges. Third World Q 2000;21(5):795-814.

6. Office of the Public Sector Development Commission. Good governance rating. Bangkok: Premier Pro; 2009. (in Thai).

7. King Prajadhipok's Institute. Governance and public governance vol. 1. Bangkok: Kanjun; 2008. (in Thai)

8. Srisatitnarakul B. Leadership and strategic management in nursing organization for the 21st Century. Bangkok: Chulalongkorn University Printing House; 2008. (in Thai).

9. Jantarapoomee T. Indicators of good governance in nursing organization [Thesis]. Bangkok: Chulalongkorn University; 2007. (in Thai).

10. Stewart JG, McNulty R, Griffin MT, Fitzpatrick JJ. Psychological empowerment and structural empowerment among nurse practitioners. J Am Acad Nurse Pract 2010;22(1): 27-34.

11. Harris KJ, Wheeler AR, Kacmar KM. Leader-member exchange and empowerment: Direct and interactive effects on job satisfaction, turnover intensions, and performance. Leader Q 2009;20(3):371-82.

12. Wattanachai K. Inspection guideline for moral hospital vol.1. Nontaburi: Yuttarin printing; 2013. (in Thai).

13. Moktong P. Administration in accordance with good governance of Bangkok District Office, Bangkok metropolitan administration [Thesis]. Ayutthaya: Mahachulalongkornrajavidyalaya University; 2011. (in Thai).

14. Somton S. The factors effecting management behavior by good governance concepts of head nurses at community hospital, public health inspection [Thesis]. Nonthaburi: Sukhothai Thammathirat Open University; 2011. (in Thai).

15. Puangdee N, Wisesrith W. Experiences of Head Nurses in Using Humor for Tension Situation Management in Patient Unit. Kuakarun Journal of Nursing 2017;24(1):55-69. (in Thai).

16. Stichler JF. The emerging nurse executive. AWHONN Lifeline 2006;10(1);71-3.

17. Phra Borom Phonchan Institute Office of the Permanent Secretary. Ministry of Public Health. The guidelines for the development of health personnel for the development of agencies "Moral hospital" vol.1. Nonthaburi: Yutarin; 2015. (in Thai).

18. Jiraprapapong N. The characteristics of healthy government hospital the ministry of public health [Thesis]. Bangkok: Chulalongkorn University; 2010. (in Thai).

19. Nursing Division. Standard of nursing in hospital vol. 3. Nonthaburi: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King Printing; 2008. (in Thai).

20. Boontong T. Issue and trend of nursing vol.13. Nonthaburi: Sukhothai Thammathirat University Printing House; 2015. (in Thai).

21. Department of Nursing Siriraj Hospital. Role of head nurses: JD [Internet]. (n.d.) [cited 2017 Nov 20]. Available from: file:///C:/Users/Nurse/Downloads/JD_03headNS.pdf. (in Thai).

22. Moore SC, Hutchison SA. Developing leaders at every level: accountability and empowerment actualized through shared governance. J Nurs Adm 2007;37(12):564-8.

23. Marquis BL. Huston CJ. Leadership roles and management functions in nursing: theory and application. 8th ed. Philadelphia: Lippincott; 2015.

24. Pornprasert O. Creating corporate governance. Ubon Ratchathani: Ubon Ratchathani Rajabhat University; 2006. (in Thai).

25. Sungkawan J. Strategic leadership [Internet]. 2014 [cited 2017 Nov 20]. Available from: https://www.youtube.com/watch?v=nzwoAdEQU5A. (in Thai).

26. Sumkuntod U. The study of professional background and leaders’ characteristics of front-line nurse managers in medical centers. Ministry of public health [Thesis]. Bangkok: Chulalongkorn University; 2013. (in Thai).

27. Kouzes JM, Posner BZ. The leadership challenge: how to keep getting extraordinary things done in organizations. San Francisco: Jossey-Bass; 2008.

28. Thailand Nursing and Midwifery Council. National plan for nursing and midwifery development no. 3 (2012-2016). Nonthaburi: Thailand Nursing and Midwifery Council; 2012. (in Thai).

Downloads

Published

2019-07-15

Issue

Vol. 12 No. 1 (2019): January - June

Section

บทความวิจัย (Research Report)

License

เนื้อหาบทความหรือข้อคิดเห็นต่างๆ ในวารสารพยาบาลสภากาชาดไทยนี้ เป็นความคิดเห็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการ หรือสถาบันการพยาบาลศรีสวรินทิรา สภากาชาดไทย