International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 7, Issue 2 (February 2020), Pages: 113-120

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 Original research Paper

 Title: Student nurses’ leadership and management competencies and key performance indicators (KPIs) for patient safety outcomes in Nakhon Pathom, Thailand

 Author(s): Paulo Carl G. Mejia 1, 2, *, Benjamin Joel L. Breboneria 3, Hamdoni K. Pangandaman 4, Jonaid S. Sadang 4, Bunyaphak Hengnalen 1, Jacqueline M. Calaycay 5, Naima D. Mala 4, Alexander M. Estanislao 5, Ryan L. Diamla 4, Warlito S. Penullar Jr. 2, Punyanut Phumchaisai 1, Maria Elisa Dijamco 1, Louela V. Cordova-Acedera 1

 Affiliation(s):

 1College of Nursing, Christian University of Thailand, Nakhon Pathom, Thailand
 2Department of Nursing, Al Ghad International College for Applied Medical Sciences, Najran, Saudi Arabia
 3Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi Arabia
 4College of Health Sciences, Mindanao State University, Marawi, Philippines
 5College of Health Sciences, Pamantasan ng Lungsod ng Marikina, Marikina, Philippines

  Full Text - PDF          XML

 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0002-4466-1148

 Digital Object Identifier: 

 https://doi.org/10.21833/ijaas.2020.02.015

 Abstract:

Limited studies have reported about student nurses’ level of competencies in performing leadership and management functions during their practicum and nursing internship in clinical areas. Also, safe and quality nursing practice is a major concern in clinical nursing practice settings. The aim of this study is to determine the relationship between the competencies of student nurses in performing leadership and management functions and their level of compliance to key performance indicators (KPIs) for patient safety outcomes at a private university in Nakhon Pathom, Thailand. This descriptive-correlational study includes 450 final-year students pursuing Bachelor of Nursing Science degrees (both Thai and International Programs) and are currently enrolled in nursing leadership and management courses, as well as professional nursing externship programs in a private university in Nakhon Pathom, Thailand. The findings of this study indicated that most of the Thai student nurses are competent (x̅=3.23, SD±0.66) in performing nursing leadership and management functions. Moreover, the majority of student nurses demonstrated a moderate level of performance (x̅=2.62, SD±0.96) of patient safety outcomes. Pearson correlation coefficient revealed a relatively high positive correlation between nursing leadership and management competencies and key performance indicators (KPIs) of patient safety outcomes among the respondents (r=0.96; p=0.000) at a significant level of 01. Further, these findings support the results of other previous studies indicating the level of competence of student nurses in performing nursing leadership and management functions. However, they contradict previous findings in which student nurses demonstrated a moderate level of performance to patient safety outcomes. Therefore, nursing schools must provide education, teaching, and training related to nursing leadership and management to student nurses as a way of preparing them to be competent to perform future nursing leadership roles. 

 © 2020 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords: Nursing students, Clinical competency, Nursing care management, Patient safety, Risk management

 Article History: Received 2 September 2019, Received in revised form 20 December 2019, Accepted 21 December 2019

 Acknowledgment:

Special appreciation to all the nursing students from both the Thai and International Nursing Program of the Christian University of Thailand who participated in the study.

 Funding:

Research funding was provided by the Christian University of Thailand with a reference code number of 15/2560.

 Compliance with ethical standards

 Informed consent: An informed consent was secured from all student nurses who participated in the study.

 Conflict of interest: The authors declare that they have no conflict of interest.

 Citation:

 Mejia PCG, Breboneria BJL, and Pangandaman HK et al. (2020). Student nurses’ leadership and management competencies and key performance indicators (KPIs) for patient safety outcomes in Nakhon Pathom, Thailand. International Journal of Advanced and Applied Sciences, 7(2): 113-120

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 Tables

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 References (42) 

  1. Abbott AA, Fuji KT, Galt KA, and Paschal KA (2012). How baccalaureate nursing students value an interprofessional patient safety course for professional development. ISRN Nursing, 2012: 401358. https://doi.org/10.5402/2012/401358   [Google Scholar] PMid:22523700 PMCid:PMC3316946
  2. ACSQHC (2017). Entity resources and planned performance. Australian Commission on Safety and Quality in Health Care, Darling Hurst, Australia. 
  3. Berman A and Snyder S (2012). Kozier and Erb’s fundamentals of nursing: Concepts, process and practice. 9th Edition, Pearson Education, London, UK.   [Google Scholar]
  4. Chenot TM and Daniel LG (2010). Frameworks for patient safety in the nursing curriculum. Journal of Nursing Education, 49(10): 559-568. https://doi.org/10.3928/01484834-20100730-02   [Google Scholar] PMid:20669876
  5. Cho SM and Choi J (2018). Patient safety culture associated with patient safety competencies among registered nurses. Journal of Nursing Scholarship, 50(5): 549-557. https://doi.org/10.1111/jnu.12413   [Google Scholar] PMid:30009449
  6. Choi JS and Kim KM (2018). Infection-control knowledge, attitude, practice, and risk perception of occupational exposure to Zika virus among nursing students in Korea: A cross-sectional survey. Journal of Infection and Public Health, 11(6): 840-844. https://doi.org/10.1016/j.jiph.2018.07.002   [Google Scholar] PMid:30049612
  7. Crowther A (2004). Nurse mangers: A guide to practice. 1st Edition, Ausmed Publications, New York, USA.   [Google Scholar]
  8. Curtis EA, Sheerin FK, and Vries JD (2011). Developing leadership in nursing: The impact of education and training. British Journal of Nursing, 20(6): 344-352. https://doi.org/10.12968/bjon.2011.20.6.344   [Google Scholar] PMid:21471889
  9. Drake DJ (2015). Nurse leader behavior and patient safety. Ph.D. Dissertation, East Carolina University, Greenville, USA.   [Google Scholar]
  10. Farokhzadian J, Nayeri ND, and Borhani F (2018). The long way ahead to achieve an effective patient safety culture: Challenges perceived by nurses. BMC Health Services Research, 18: 654. https://doi.org/10.1186/s12913-018-3467-1   [Google Scholar] PMid:30134980 PMCid:PMC6106875
  11. Feliciano AZ, Feliciano EE, Mejia PC, Boshra AY, Feliciano JR, Osman A, Malabanan, MC, Alsharyah H, Hussein Y, Sadang JM, and Maila NM (2019b). Exploring the practices employed by nurses in stethoscope care. International Journal of Allied Medical Sciences and Clinical Research, 7(2): 385-395.   [Google Scholar]
  12. Feliciano EE, Boshra AY, Mejia PCG, Feliciano AZ, Alsharyah HM, Malabanan MC, and Osman A (2019a). Understanding Philippine nurses’ competency in the delivery of healthcare services. Journal of Patient Care, 5: 146. https://doi.org/10.4172/2573-4598.1000146   [Google Scholar]
  13. Ford EW, Silvera GA, Kazley AS, Diana ML, and Huerta TR (2016). Assessing the relationship between patient safety culture and EHR strategy. International Journal of Health Care Quality Assurance, 29(6): 614-627. https://doi.org/10.1108/IJHCQA-10-2015-0125   [Google Scholar] PMid:27298060
  14. Griffiths P, Ball J, Drennan J, Dall’Ora C, Jones J, Maruotti A, Pope C, Saucedo AR, and Simon M (2016). Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice: A review and discussion paper based on evidence reviewed for the national institute for health and care excellence safe staffing guideline development. International Journal of Nursing Studies, 63: 213-225. https://doi.org/10.1016/j.ijnurstu.2016.03.012   [Google Scholar] PMid:27130150
  15. Guntalib NL (2015). Effect of a simulation course on medication administration safety of Malaysian nursing students. Ph.D. Dissertation, Loma Linda University, Loma Linda, USA.   [Google Scholar]
  16. Harding L and Petrick T (2008). Nursing student medication errors: A retrospective review. Journal of Nursing Education, 47(1): 43-47. https://doi.org/10.3928/01484834-20080101-05   [Google Scholar] PMid:18232615
  17. Harris MA, Pittiglio L, Newton SE, and Moore G (2014). Using simulation to improve the medication administration skills of undergraduate nursing students. Nursing Education Perspectives, 35(1): 26-29. https://doi.org/10.5480/11-552.1   [Google Scholar] PMid:24716338
  18. James SV (2017). Exploring leadership pedagogy among Louisiana baccalaureate nursing programs. Ph.D. Dissertation, Walden University, Minneapolis, USA.   [Google Scholar]
  19. Jang H and Lee NJ (2017). Patient safety competency and educational needs of nursing educators in South Korea. PLoS ONE, 12(9): e0183536. https://doi.org/10.1371/journal.pone.0183536   [Google Scholar] PMid:28873099 PMCid:PMC5584796
  20. Klein CJ and Fowles ER (2009). An investigation of nursing competency and the competency outcomes performance assessment curricular approach: Senior student’s self-reported perceptions. Journal of Professional Nursing, 25(2): 109-121. https://doi.org/10.1016/j.profnurs.2008.08.006   [Google Scholar] PMid:19306834
  21. Kohn LT, Corrigan J, and Donaldson MS (2000). To err is human: Building a safer health system (Vol. 6). National Academy Press, Washington, DC, USA.   [Google Scholar]
  22. Lin LM, Wu JH, and White LP (2005). Managerial activities and skills of nurse managers: An exploratory study. Hospital Topics, 83(2): 2-9. https://doi.org/10.3200/HTPS.83.2.2-9   [Google Scholar] PMid:16190515
  23. Lin LM, Wu JH, Ing-Chung H, and Kuo-Hung T (2007). Management development: A study of nurse managerial activities and skills. Journal of Healthcare Management, 52(3): 156-168. https://doi.org/10.1097/00115514-200705000-00006   [Google Scholar]
  24. Lunberg PC and Boonprasabhai K (2002). Meanings of good nursing care among Thai female last-year undergraduate nursing students. Journal of Advanced Nursing, 34(1): 35-42. https://doi.org/10.1046/j.1365-2648.2001.3411738.x   [Google Scholar] PMid:11430604
  25. Macdonald MT, Lang A, Storch J, Stevenson L, Barber T, Iaboni K, and Donaldson S (2013). Examining markers of safety in homecare using the international classification for patient safety. BMC Health Services Research, 13: 191. https://doi.org/10.1186/1472-6963-13-191   [Google Scholar] PMid:23705841 PMCid:PMC3669614
  26. Mejia PC, Feliciano EE, Feliciano AZ, Sadang JM, Pangandaman HK, Garcia LL, Al-Noaemi MC, Abdelhafiz IM, Breboneria BL, ElRazkey JY, Albougami A, and Lorica JD (2019a). The effectiveness of health education and lifestyle program in improving the blood pressure of hypertensive patients. International Journal of Advanced and Applied Sciences, 6(11): 21-29. https://doi.org/10.21833/ijaas.2019.11.004   [Google Scholar]
  27. Mejia PC, Feliciano EE, Hussein MK, Boshra AY, Feliciano AZ, Malabanan MC, Alsharyah H, Osman A, Abdalla Y, Arambulo DD, Gonzales FM, and Yngente AKN (2019b). Synopsis of critically appraised literature on palliative nursing care. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2019.100152   [Google Scholar]
  28. Mejia PG, Osman A, Yngente AK, and Felicano E (2019c). The relationship between professional nursing competencies and key performance indicators (KPIs) for patient safety outcomes among Filipino staff nurses in selected private secondary hospitals in the Philippines. European Journal of Pharmaceutical and Medical Research, 6(1): 404-409.   [Google Scholar]
  29. Merrill KC (2011). The relationship among nurse manager leadership style, span of control, staff nurse practice environment, safety climate, and nurse-sensitive patient outcomes. Ph.D. Dissertation, The University of Utah, Salt Lake City, USA.   [Google Scholar]
  30. Miles JM (2015). Toward increasing leadership capacity in nurses: An exploration of the state and future perspectives of leadership education in pre-licensure baccalaureate nursing programs. Ph.D. Dissertation, East Carolina University, Greenville, USA.   [Google Scholar]
  31. Rahiman F, Chikte U, and Hughes GD (2018). Nursing students’ knowledge, attitude and practices of infection prevention and control guidelines at a tertiary institution in the Western Cape: A cross sectional study. Nurse Education Today, 69: 20-25. https://doi.org/10.1016/j.nedt.2018.06.021   [Google Scholar] PMid:30007142
  32. Raymond J, Medves J, and Godfrey C (2016). Perspectives on patient safety among practical nursing students. Canadian Journal of Nursing Research, 48(2): 41–47. https://doi.org/10.1177/0844562116664260   [Google Scholar] PMid:28841041
  33. Sadang JM, Mala ND, Mejia PC, Mejia G, Osman A, Feliciano EE, ElRazky JY, Gonzales FM, and Tachavijitjaru C (2019). Nurses preparedness of rural health unit nurses in responding to patients of suspected sexually transmitted infections in Lanao del Sur Province, Philippines. International Journal of Advanced and Applied Sciences, 6(9): 31-37. https://doi.org/10.21833/ijaas.2019.09.005   [Google Scholar]
  34. Sawaengdee K, Kantamaturapoj K, Seneerattanaprayul P, Putthasri W, and Suphanchaimat R (2016). Self-assessment of nursing competency among final year nursing students in Thailand: A comparison between public and private nursing institutions. Advances in Medical Education and Practice, 7: 475-482. https://doi.org/10.2147/AMEP.S111026   [Google Scholar] PMid:27563265 PMCid:PMC4984689
  35. Simones J, Odland DN, Schug V, Blazovich LM, Pivec C, and Daniels J (2014). Student nurses’ thinking during medication administration. Journal of Nursing Education and Practice, 4(11): 136-146. https://doi.org/10.5430/jnep.v4n11p136   [Google Scholar]
  36. Sloane DM, Smith HL, McHugh MD, and Aiken LH (2018). Effect of changes in hospital nursing resources on improvement in patient safety and quality of care: A panel study. Medical Care, 56(12): 1001-1008. https://doi.org/10.1097/MLR.0000000000001002   [Google Scholar] PMid:30363019 PMCid:PMC6231998
  37. Stock GN, McFadden KL, and Gowen CR (2010). Organizational culture, knowledge management, and patient safety in United States hospitals. Quality Management Journal, 17(2): 7-26. https://doi.org/10.1080/10686967.2010.11918267   [Google Scholar]
  38. Sullivan EJ (2012). Effective leadership and management in nursing. 8th Edition, Pearson Education, London, UK.   [Google Scholar]
  39. Thomas KS (2011). Patient safety in nursing homes. Ph.D. Dissertation, University of South Florida, Tampa, USA.   [Google Scholar]
  40. Thornlow DK and Merwin E (2009). Managing to improve quality: The relationship between accreditation standards, safety practices, and patient outcomes. Health Care Management Review, 34(3): 262-272. https://doi.org/10.1097/HMR.0b013e3181a16bce   [Google Scholar] PMid:19625831
  41. Tomey AM (2009). Guide to nursing management and leadership. 8th Edition, Mosby, Maryland Heights, USA.   [Google Scholar]
  42. Towle A (2015). Learning to lead: Teaching the millennial nursing student leadership skills in a short-term immersion study abroad program. International Journal of Nursing and Clinical Practices, 2: 160. https://doi.org/10.15344/2394-4978/2015/160   [Google Scholar]