A comparison of Patient Care Skills and Clinical Decision Making among Registered Nurses in Bangkok Hospital Rayong

OBJECTIVES: This research compared patient care skills and clinical decision-making among registered nurses (RNs) who received the Nursing Supervision System. MATERIALS AND METHODS: A cross-sectional study was conducted in a sample group consisting of 96 professional nurses working at Bangkok Hospital Rayong (BHR) with a 1-year work experience or more in inpatient work groups in 12 departments, and 16 heads/deputy heads of departments who are responsible for being supervisors in the nursing supervision system. The tools used to collect data were a patient care skills assessment and a satisfaction assessment using the nursing supervision system. Data were analyzed using descriptive statistics and ANOVA. RESULTS: The results of the research found that the mean scores for patient care skills and clinical decision-making after using the nursing supervision system were significantly higher according to competency level, both overall and in each area, which were significantly different (p < 0.05). The level of satisfaction with the use of the nursing supervision system for those receiving supervision is at a high level (4.48). Satisfaction with the use of the nursing supervision system in terms of supervisors was at the highest level (4.77). CONCLUSION: The nursing supervision system has an impact on the development of patient care skills and clinical decision making among RNs.