Support Staff Participation in Hospital Quality Improvement at a General Hospitals in Samut Songkhram province

Authors

  • Wantana Chomphet M.Sc. (Public Health Administration), Faculty of Public Health, Mahidol University
  • Charuwan Tadadej Department of Public Health Administration, Faculty of Public Health, Mahidol University
  • Seo Ah Hong Department of Public Health Administration, Faculty of Public Health, Mahidol University
  • Sariyamon Tiraphat Department of Public Health Administration, Faculty of Public Health, Mahidol University

Keywords:

Staff Participation, Quality Improvement, Support Staff

Abstract

This cross-sectional descriptive study aimed to examine the factors influencing participation in hospital quality improvement among support staff in a general hospital in Samut Songkhram Province. The sample consisted of 303 support staff working in the hospital. Data were collected using an online questionnaire, with 260 completed responses returned. The research instrument was a questionnaire developed by the researcher and tested for validity and reliability. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and inferential statistics using the chi-square test.

The results indicated that overall participation in hospital quality improvement among support staff was at a moderate level (48.5%). Personal factors—monthly income, length of service, membership in quality improvement committees, and participation in quality improvement training—were significantly associated with participation (p < .05). In addition, organizational support, attitudes, and job burnout were significantly related to participation (p < .05).

The findings can be utilized as policy guidelines for hospital administrators to formulate plans and strategies to strengthen quality management systems and enhance sustainable participation among support staff.

References

Chaibanjongwat, T., Pensirinapa, N., & Jankhong, W. (2024). Factors influencing personnel participation in quality improvement in medium and small community hospitals in Sisaket Province. Journal of Law and Health Policy.

Chusuwan, R. (2024). Factors associated with hospital and healthcare accreditation (HA) development among personnel in community hospitals in Phuket Province. Journal of Science and Technology Northern, 5(3), 121–132.

Cohen, J. M., & Uphoff, N. T. (1980). Participation’s place in rural development: Seeking clarity through specificity. World Bank.

Deming, W. E. (1986). Out of the crisis. MIT Press.

Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743–1748. https://doi.org/10.1001/jama.260.12.1743

Healthcare Accreditation Institute (Public Organization). (2021). Hospital and healthcare standards (5th ed.).

Homloei, S. (2022). Factors affecting hospital quality development and accreditation under the Ministry of Public Health in Phetchaburi Province. Journal of Academic and Nursing, Boromarajonani College of Nursing Chakriraj, 2(2), 23–32.

Jearapong, S. (2011). Factors related to participation of professional nurses in hospital quality improvement in community hospitals in Prachinburi Province (Master’s thesis in Nursing Administration). Eastern Asia University.

Ketsaeng, T. (2018). Factors related to participation of professional nurses in hospital quality improvement at Chaiya Hospital, Surat Thani Province. Journal of Health Research and Innovation.

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610.

Longsawas, R. (2020). Factors related to personnel participation in quality improvement at Somdet Phra Phutthaloetla Hospital. Hua Hin Suk Jai Klai Kangwon Journal.

Maslach, C. (1982). Burnout: The cost of caring. Prentice-Hall.

Moongthong, S., Ritthirot, T., & Sritrakul, R. (2018). Development of service quality toward hospital accreditation and health service standards: A case study of a hospital in Khon Kaen Province. Sakon Nakhon Hospital Journal, 21(3), 129–137.

Napat, P. (2018). Factors related to personnel participation in quality improvement of subdistrict health promoting hospitals in Phetchaburi Province (Master’s thesis in Public Health). Sukhothai Thammathirat Open University.

Pholkot, P. (2020). Relationships between personal factors, participation, and quality improvement of hospital services among personnel in community hospitals in Nong Khai Province. Journal of Community Public Health.

Phupeng, H. (2008). Factors influencing participation in hospital quality improvement and accreditation among professional nurses in accredited community hospitals in Northern Thailand (Master’s thesis in Nursing Science). Sukhothai Thammathirat Open University.

Sammanan, J. (2017). Factors affecting hospital quality development and accreditation: A case study of a hospital in Nonthaburi Province (Independent study, Master of Business Administration). Thammasat University.

Somdet Phra Phutthaloetla Hospital. (2024). Annual operational plan for fiscal year 2024.

Srisawatpong, K., & Buaphan, P. (2011). Personnel participation in quality improvement of community hospitals in Kalasin Province. Khon Kaen University.

Threerapongphatthana, P., & Likhitkiatkhachorn, P. (2024). Factors affecting burnout among hospital staff. Department of Health Service Support Journal, 20(3), 62–72.

Tangcharoensathien, V., Witthayapipopsakul, W., Panichkriangkrai, W., Patcharanarumol, W., & Mills, A. (2018). Health systems development in Thailand: A solid platform for successful implementation of universal health coverage. The Lancet, 391(10126), 1205–1223. https://doi.org/10.1016/S0140-6736(18)30198-3

World Health Organization. (2021). Thailand health system review. World Health Organization.

World Health Organization, Organisation for Economic Co-operation and Development, & World Bank. (2018). Delivering quality health services: A global imperative for universal health coverage. World Health Organization.

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Published

2026-04-24

How to Cite

Chomphet, W., Tadadej, C. ., Hong, S. A. ., & Tiraphat, S. (2026). Support Staff Participation in Hospital Quality Improvement at a General Hospitals in Samut Songkhram province. Journal of Health Policy, Law and Administration, 12(2), 275–287. retrieved from https://so05.tci-thaijo.org/index.php/journal_law/article/view/288402

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Original Article