การพัฒนาโปรแกรมส่งเสริมความสามารถในการเป็นพยาบาลหัวหน้าเวรตามแนวคิดการเรียนรู้ โดยใช้สมรรถนะเป็นฐาน โรงพยาบาลสงขลานครินทร์

Abstract

In-charge nurses who are on- duty for the head nurse during the offworking hours need to have abilities in many aspects, therefore the development of the in-charge nurses’abilities is important. This action research aimed to develop a program to promote the In-charge nurses’ abilities using a Competency-Based Learning (CBL) Framework. The research process consisted of 3 steps: 1) situation analysis, 2) implementation, and 3) evaluation. The informants were 1) four supervisor nurses and head nurses, and 2) thirty registered nurses who had worked more than 4 years but had no experience as an in-charge nurse. The program for promoting competence of being an in-charge nurse, which was developed by the the researcher based on the CBL concept consisted of self-learning, coaching and learning through intranet system (SCI). The instument for data collectionconsisted of the focus group interview guide, in-charge nurses abilities assessment, administration decision making assessment and satisfaction assessment. The reserach tools were approved by 5 experts. The assessments obtained the CVIs of .96, 1, and .94 respectively. Data were collected by focus group descussion and questionnaires. The data were analyzed by mean and percentage. The results showed that the CBL concept of the In-charge Nurse Promoting Program had the highest percentage on the supervisor's ability to perform tasks in the field of job control (M = 2.70, SD = .50), followed by personnel management and development (M = 2.57, SD = .52), and leadership (M = 2.53, SD = .51). Assessing management decisions through situations showed that ability in handling complaints had the highest percentage 93.3%. The average score of overall satisfaction was at a very good level (M=4.33, SD=.48). Nursing administrators can use this model to develop the ability to be a in-charge nurse.