Effects of the Clinical Supervision Program on the Competency of Professional Nurses in Caring for Patients with ST-Elevation Myocardial Infarction (STEMI)

Abstract

              This quasi-experimental research using one-group pretest-posttest design aimed to examine the effects of a clinical supervision program on professional nurses' competencies in caring for patients with ST-Elevation Myocardial Infarction (STEMI). The purposive sample consisted of 12 professional nurses working in the emergency department at Wichian Buri Hospital, Phetchabun Province. The 5-week clinical supervision program was developed based on Proctor's model (2001), comprising three components: normative supervision through monitoring visits and knowledge provision, formative supervision through consultative meetings, video-based learning and simulation practice, and restorative supervision through counseling and collaborative problem-solving. The program tools included STEMI educational videos, simulation practice, knowledge assessment, and simulation observation. Data were collected using the STEMI Care Competency Assessment Tool, which was validated by five experts and demonstrated a Cronbach's alpha reliability coefficient of 0.80. Data were analyzed using frequency, percentage, mean, standard deviation, and Wilcoxon Signed Rank Test.

                 The results revealed that after participating in the clinical supervision program, the professional nurses' competency scores in caring for STEMI patients were significantly higher than before the program implementation at the 0.01 level (p = 0.002).