Factors related to Clinic Risk Management of Professional Nurses at Ranong Hospital

Abstract

This descriptive research aimed to study clinical risk management and its related factors among registered nurses at Ranong Hospital. The sample consisted of 90 registered nurses, selected through simple random sampling with replacement. The research instrument was a four-part questionnaire covering: general information, knowledge, attitude, and clinical risk management practices. The instrument was validated for content validity by experts and tested for reliability using Cronbach’s alpha coefficient, yielding values of 0.64 and 0.65, respectively. Data were collected via interviews conducted from December 22, 2024, to February 22, 2025. Data analysis was performed using descriptive statistics and Pearson’s correlation coefficient.

The results revealed that all participants exhibited high levels of knowledge and attitudes, which were positively correlated with clinical risk management. Knowledge and attitudes were found to be significantly associated with risk management performance. Conversely, factors such as age, gender, work experience, underlying diseases, marital status, job position, domicile, history of serving on risk committees, and prior training showed no significant correlation with clinical risk management. Based on these findings, it is recommended that head nurses establish policies requiring all nursing staff to attend annual clinical risk management training to enhance knowledge and foster positive attitudes. Nurse administrators should promote active participation in proactive risk identification. Furthermore, the Risk Management Committee should implement quarterly patient care reviews in collaboration with relevant departments to analyze and resolve issues systematically. Such measures aim to reduce the recurrence of incidents and ensure sustainable safety standards for patients, staff, the hospital, and the community.