การพัฒนารูปแบบการนิเทศทางคลินิกแบบมีส่วนร่วมต่อสมรรถนะพยาบาล และ ผลลัพธ์ทางคลินิกในผู้ป่วยโรคหลอดเลือดสมอง โรงพยาบาลประสาทเชียงใหม่
Year: 2026
Type: article
Abstract: This research and development study aimed to develop a participatory clinical supervision model on nursing competency and clinical outcomes in stroke patients at Chiangmai Neurological Hospital. It consisted of four phases; 1) situation analysis, 2) model development, 3) model implementation, and 4) model evaluation. The participants included 15 nurse supervisors, 15 supervisees, 262 stroke patients before using the model and 248 stroke patients after using the model. The study carried from January 2025 to September 2025. The research instruments comprised demographic questionnaire, focus group discussion guideline, standard clinical supervision knowledge test, self-assessment form for supervisors, evidence-based stroke care knowledge test, five-minutes talk measurement tool, work stress questionnaire, self-efficacy assessment questionnaire, stroke nursing competency assessment, participatory clinical supervision competence assessment, and clinical outcomes record form. All instruments were validated for content validity and reliability by five experts prior to data collection. Data were analyzed using descriptive statistics, paired t-test, and Wilcoxon signed rank test. The results revealed that the developed participatory clinical supervision model, named the STROKE Model, comprised six key components: S – Systematic and Standardized Approach, T – Technology and Evidence-Based Practice Integration, R – Relationship Building and Supportive Environment, O – Ongoing Support and Continuous Development, K – Knowledge and Skills Enhancement, and E – Engagement and Participatory Approach. After the implementation, the competencies of nurse supervisors significantly improved (p <.001). In addition, the competencies and self-confidence of supervised nurses increased significantly (p <.001), while their stress levels significantly decreased (P=.03). Overall, participants reported a high level of satisfaction with the use of this model. Furthermore, clinical outcomes among patients with stroke demonstrated improvement, including shorter hospital stays, fewer unplanned ICU transfers, and a declining trend in complications. The STROKE Model was proved to be an effective and contextually appropriate guideline for tertiary hospitals providing care for stroke patients. It helps strengthening nursing competency and increases clinical outcomes in stroke patients.
Institution: Chiangmai Neurological Hospital
Language: Thai
Subfield: Research and Theory
Field: Nursing
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220514869