Development of nursing personnel management model for patient safety at Namon Hospital, Kalasin Province.

Abstract

     This action research aimed to develop and implement a nursing personal management model for patient safety at Namon Hospital, Kalasin Province. Qualitative sample consisted staff of department heads and supervisors 22 person. Quantitative nurses who worked overtime and person. The research was conducted from May to October 2024. The research instruments included open-ended questions, focus group discussions on nursing staffing management for patient safety, general data collection form, patient care safety competency test, and satisfaction assessment form. Data were analyzed by descriptive statistics and inferential statistics in pre- and post-tests developed with a pared t-test. Content analysis was used for qualitative data.
     The research results found that the development process consisted of 7 processes: 1) Review and define the roles of the head nurse; 2) Review the staffing management policy; 3) Appoint a staffing management committee; 4) Develop a staffing management approach for safety; 5) Establish staffing criteria based on health context and personnel lifestyle (Life style medicine); 6) Integrate nursing staffing with the Care D+ concept; and 7) Lean management in the nursing group with other departments in the hospital. The results of using the model resulted in nurses having increased patient care competence from a moderate level, with an average of 3.12. After the model development, patient care competence increased to a high level, with an average of 4.68. Satisfaction level before the model development was at a moderate level of 3.28. After the model development, the satisfaction level increased to a high level, with an average score of 4.32. The incidence rate of patient safety decreased compared to the previous year by 21.85 percent. The model result test found that nurses had increased patient care competence with safety and satisfaction at a statistically significant level of .05.