Factors Influencing Clinical Risk Management Among Professional Nurses In Community Hospitals in Khon Kaen Province

Abstract

            This descriptive correlational and predictive study aimed to examine the level of clinical risk management among professional nurses, the relationships between shared leadership, team resilience, and clinical decision support systems with clinical risk management, and the combined predictive ability of these factors in community hospitals in Khon Kaen Province. A purposive sample of 226 professional nurses with at least one year of experience (excluding supervisors) was selected through multi-stage sampling. Data were collected using four questionnaires: shared leadership questionnaire, team resilience questionnaire, clinical decision support systems questionnaire, and clinical risk management questionnaire. The instruments were validated for content validity by five experts and tested for reliability using Cronbach's alpha coefficient, yielding reliability values of 0.97, 0.96, 0.97, and 0.98, respectively. Data analysis employed descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression analysis.

        Results revealed that: 1) Clinical risk management was at a high level ( = 4.07, S.D. = 0.46). 2) Shared leadership (r = .55, p < .001), team resilience (r = .45, p < .001), and clinical decision support systems (r = .58, p < .001) demonstrated moderate positive correlations with clinical risk management. 3) Clinical decision support systems and shared leadership jointly predicted 41.7% of variance in clinical risk management (F = 79.782, p < .001, R² = .417).

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