Administrative Factors and Organization Climate Affecting the Performance of Health Personnel at the Emergency Department in Community Hospital

Abstract

This is a cross-sectional analytical study aimed to identify administrative factors and organizational climate
affecting the performance of health personnel at the emergency department in community hospital Roi-Et
province, Thailand. The study samples selected randomly from Emergency Department were 137 health
personnel. Stratified random sampling technique was applied to recruit the respondents from the total of 229
health personnel. Similarly, 12 key informants were selected for the qualitative study. In-Depth interview
guidelines was applied to conduct qualitative study. The content validity of the questionnaire was evaluated
by three experts yielding an IOC value more than 0.50 in all questions. The Cronbach’s alpha coefficient of
the questionnaire was 0.98. Data were collected between 23rd December 2020 to 12th January 2021. Data
analysis was performed by descriptive statistics and inferential statistics at a significant level at 0.05.
The study results showed that the administrative factors such as money, organizational climate such
as dimension of warmth, a dimension of responsibility and dimension of identity were affecting the
performance of health personnel (49.6 % (R2=0.496, p-value<0.001).In conclusion, four factors are affecting
the performance of health personnel. Hence those factors should be addressed, and administration should
create the climate which can address the budget, working objective and goal for the development of the
organization.