The quality of patient care depends to a large extent on the quality of performance of the Nursing Service Administrators (NSA) who link nursing theory to clinical practice.
There has been an on-going dilemma on how nursing service administration could be carried out effectively. This was brought out during the Convention of the Association of the Nursing Service Administrators of the Philippines, wherein the President of the Association, Dr. Maria Linda G. Buhat, challenged the officers and members to come up with a parameter to effectively, efficiently, and systematically evaluate the Nursing Service Administrators.
A committee was formed to undertake the study of developing a performance evaluation system, which will concentrate in assessing the core competencies of the NSA through the perceptions given by the respondents themselves. This was based along the dimensions of planning, organizing, directing, an controlling that is appropriate to their level of career path.
STATEMENT OF THE PROBLEM
The Study was initiated to determine the perceptions of the Nursing Service Administrators of the Philippines in relation to their core competencies along the dimensions of planning, organizing, directing, and controlling. Specifically it sought to answer the following:
1. What are the classification and category levels of the hospitals where the
2. What is the demographic profile of the Nursing Service Administrators in
terms of the following:
2.2 civil status,
2.3 educational qualification,
2.4 expérience as NSA,
2.5 position qualifications?
3. What is the extent of performance of the Nursing Service Administrators along the Core Competencies in planning, organizing, directing and controlling?
4. What is the overall performance of the Nursing Service Administrators?
5. What is the relationship between the profile variables and the core competencies of the Nursing Service Administrators in planning, organizing, directing, and controlling?
The study utilized a descriptive correlation method to determine the extent of performance of the Nursing Service Administrators along the core competencies in planning, organizing, directing, an controlling, and its relationship to the demographic variables. The actual data gathering was conducted during the 2006 ANSAP Annual Convention in Manila Hotel. A three part questionnaire was formulated by the researchers, which was focused in the identification of the category and level of hospitals, demographic profile, and the core competencies of the NSA.
From the raw data collected, results were tallied, interpreted, and analyzed by the researchers. The statistical treatment provided in identifying relationship was set by the researchers at 0.01-0.05 level of significance.
1. Classification and Category of Respondents Agencies
For the private institutions, majority of the respondents came from tertiary level with 90 or 38.3%, while the lowest came from primary level with 25 or 1O.6%. On the other, hand those who came from the government hospitals majority were from the tertiary level also with 42 or 17.9%, while the lowest number came from primary level with 3 or 1.3%.
2. Demographic Profile
Most of the respondents came from 25-49 years age group with 83 or 55.7%, followed by 50 years old and above with 50 or 33.6%. There were 110 or 73% respondents who are married, and only 28 or 18.8% are single.
As to their educational qualifications most of the respondents finished BSN without MA units having 61 or 4O.9%. However combining those with Master’s degree from MAN to Ed.D, Ph.D. holders 50 or 33.5% of them qualified.
With regards to the experiences of the respondents 39 or 26.2% belonged to the Expert level, followed by 28 or 18.8% for the advance Beginner Level, then 14 or 9.4% were qualified as Proficient Level. However, 29 or 19.5% did not respond to the said item.
For the position qualification, majority of the respondents assumes the Nurse Supervisors position, with 51 or 34.2%, followed by Chief Nurses with 47 or 31.5%, and 27.5% from the lower level managers. Seemingly 10 or 6.7% did not respond to the said item.
3. Overall extent of Performance of NSA
The overall extent of performance of the Nursing Service Administrators reveals to a Large Extent having an average mean of 4.17; followed by Controlling 4.18; Planning 4.13; and directing with 4.10 respectively.
4. Relationship between the Profile Variables and Core Competencies in Planning, Organizing. Directing and Controlling;
4.1 There is no significant difference between age and competencies in planning, directing and controlling. Apparently, between age and organizing the obtained r=0.246 was highly significant at 0.01 level of significance, meaning the older the NSA the more skilful and competent they are in organizing their department.
4.2 There is no significant difference between civil status and competencies in planning and controlling. On the other hand civil status and organizing the obtained r=O.250, interpreted as highly significance, meaning married NSA’s are better in utilizing competencies in organizing and directing.
4.3 As of he planning, controlling, and educational qualifications variables indicate no relationship. With regards to educational qualifications and competencies in organizing r value indicated 0.200 or considered significant at 0.05 level of significance, while for directing the obtained r=O.185, interpreted as significant at 0.05 level of significance. This implies that the higher the educational qualifications of the respondents the better is their performance along the competencies in organizing and directing.
4.4 For the years of experience as NSA, acquired Pearson r value for the competencies in planning, organizing, directing, an controlling unveils negligible relationship.
4.5 The position qualification and the competencies in planning, and controlling shows negligible relationship. Contrary, between position qualifications and competency in organizing the indicated r=0.346, interpreted as highly significant at 0.01 level of significance, while for directing the r=O.197, interpreted as significant at 0.05 level of significance. Therefore, the higher the position the better in performing their functions in organizing and directing.