Readiness for Changes of Health Promotion Hospital Staff in Nan Province for Transferring the Mission to Nan Provicial Administrative Organization

Abstract

          This research was a cross-sectional analytical study with the objectives to assess the level of readiness
for change of health promoting hospital personnel, to analyze the relationship of factors related to the
readiness for change of officials, and to find a model to predict readiness for change among officials and
to identify a prediction model for readiness. The sample group was Subdistrict Health Promoting Hospital
personnel who wish to transfer their affiliation to the Nan Provincial Administrative Organization, 95
locations in 14 districts, by calculating the sample size and random sampling of 268 people and using a
self-answer questionnaire. Data were analyzed using t-test, one-way ANOVA, Pearson correlation, and
multiple regression statistics. The results showed that readiness for change of health promoting hospital
staff in Nan province was at a high level. Two factors were found to be significantly associated with the
readiness for change of health promoting hospital personnel in Nan province: (1) perception for change
(r=0.66, p<0.001) and (2) organizational communication environment (r=0.71, p<0.001). Three joint
prediction factors of quality of readiness for change of health promoting hospital peersonnel were the (1)
patient care personnel (B=0.93), perception for change (B=0.32), and organizational communication
environment (B=0.97). The three factors could jointly predict about at 55.8% of the variance of readiness
for change of health promoting hospital personnel in the province. (R2=0.558). The study provides
recommendations for promoting, pushing, and supporting activities to create awareness on criteria and
methods for transferring missions to the Provincial Administrative Organization. Particular attention
should be paid on the planning and participation of prsonnel at all positions in the hospital through
internal communication to engage in decision-making. especially those in service units who do not wish
to leave the Ministry of Public Health.