Thực trạng năng lực quản lý của điều dưỡng trưởng khoa tại các bệnh viện và trung tâm y tế có giường bệnh trên địa bàn tỉnh Tuyên Quang năm 2024

The head nurse plays a pivotal role in healthcare, directly influencing patient care quality, staff development, and resource efficiency. In Vietnam, head nurses are the frontline managers in hospitals, responsible for diverse tasks from medical order implementation to human resource and administrative management. However, despite their critical importance, preliminary observations and previous data (e.g., 2022 statistics for Tuyen Quang province) suggest that the management capacity of head nurses in local hospitals and medical centers remains limited, particularly in complex areas like strategic planning and financial oversight. This study aims to precisely assess the current status of these competencies in Tuyen Quang province in 2024 and subsequently propose targeted solutions for improvement.

Healthcare administrators, hospital management boards, nursing leaders, and policymakers interested in enhancing nursing management competencies.

This study aimed to evaluate the current state of management capacity among head nurses in hospitals and medical centers with inpatient beds in Tuyen Quang province and to propose strategies for improvement. Employing a cross-sectional descriptive design, the research utilized quantitative methods, collecting data from 14 hospital head nurses, 89 head nurses, and 618 general nurses across 14 facilities from April to May 2024. The assessment covered five key capacity groups. The findings revealed that the overall management capacity of head nurses in Tuyen Quang province is significantly limited, with average scores across all five groups ranging from 3.0 to 3.85 out of a maximum of 5 points. Specifically, professional management capacity was identified as the strongest area, while financial management capacity was found to be the weakest. Many criteria within each management competency group were still very restricted, highlighting a critical need for further training and development. The conclusion reinforces that head nurses' skill levels are generally low, with professional skills being the strongest and financial management the weakest. Recommendations include enhancing professional skills (e.g., understanding healthcare delivery systems, practical skills, technology application), improving human resource management (e.g., communication, effective consulting), strengthening critical thinking, addressing leadership gaps, and crucially, boosting financial management competencies to meet the evolving demands of the healthcare sector, especially in the context of increasing autonomy and competition among hospitals.