Determinants of Patient-Directed Citizenship Behaviors of Nurses in Thailand: A Motivation Model

Ratana Somrongthong,Kanon Trichandhara

doi:10.5539/ass.v15n8p94

Abstract

This cross-sectional study explored how transformational leaders and public service motives impacted patient-directed citizenship behaviors of the nurses in three southern border provinces of Thailand. The participants of 813 nurses were selected via multi-stage sampling. A questionnaire was employed as its instrument. The structural model analysis revealed a congruence between the hypothesized model and the empirical data where

Highlights

Health care systems worldwide are undergoing significant changes as a consequence of the increased demand in healthcare needs and the financial constraints that limit the possibility to strengthen health sector infrastructures and workforces
The results suggest that every standardized factor loading exceeds 0.60, every t-value is statistically significant (p < 0.001), and the overall measurement model fits the data (χ2/df = 4.65, comparative fit index (CFI) = 0.98, GFI = 0.95, Tucker-Lewis Index (TLI) = 0.97, and root mean square error of approximation (RMSEA) = 0.067)
The findings suggest that transformational leadership positively and directly influenced public service motivation (β = 0.34, p < .001) and patient-directed citizenship behaviors (β = 0.18, p < .001)

Summary

Introduction

Health care systems worldwide are undergoing significant changes as a consequence of the increased demand in healthcare needs and the financial constraints that limit the possibility to strengthen health sector infrastructures and workforces. A provision of cost-effective healthcare services and high-quality care is the key approach to achieving the goals of health care organizations (Hamilton et al, 2007). Within this challenging healthcare environment, nurses constitute the largest single group that provides the majority of health services. Several countries around the world have witnessed the shortage of nurses and it has been estimated that, by 2020, the number of shortage could rise to 400,000 This situation is no different in Thailand where high levels of skill shortage and relocation/turnover rates among local nurses have been observed. In addition to the shortage of nurses, many organizations are dealing with the issues of how they can maintain its quality of care, which is a vital component of patient outcomes and safety (Burhans & Alligood, 2010)

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Conclusion