A Development of Job Delegation Male Inpatient’s Department, PhonPhisai Hospital

Abstract

Job Delegation is a process of nursing service provision which is an important for nurses to be able to plan and implement nursing plans successfully. The objective of this action research was to  develop the job delegation model of the male inpatient's department in PhonPhisai hospital,          conducted on October 2019-April 2020. The samples were purposive sampling including 1) 13 registered nurses working in the male inpatient department, 2) Forty in patients who had admitted in PhonPhisai  hospital in January 2020, the studies consisted of 3 phases: the situation analysis, the development of the job delegation model, and the evaluation of the job delegation. The research instruments were questionnaires of professional nurse satisfaction that use job delegation model, the patients satisfaction questionnaires, a summary records, and in-depth interviews question, The instruments which an IOC 0.67-1.00 and Cronbach’s Alpha Coefficient were 0.86 and 0.81. Data were analyzed by frequency,    percentage, mean, and content analysis.

The results showed that satisfaction level of professional nurses in job delegation by team nursing was high level (x̄=3.99, S.D. 0.66). The overall patients satisfaction at high level (x̄=4.16, S.D. 0.58), in the caring, technical care, readiness of care, physical environment continuous of care and result of care.  After using the assign teamwork delegation model, The incidence of medication administration errors has been decreased from 110 to 69 times. The completeness of nursing records in 1 month has       increased from 79.12% to 84.95%. The duration of nursing hand over decrease from 65 to 31 minutes. It was found that the assign teamwork was useful to patients and nurse and it could be used for         implementation in other departments forward.