The development of a work assignment model for the delivery room at Sainoi Hospital, Nonthaburi Province

Abstract

This study employed a Research and Development (R&D) approach with three objectives: (1) to examine the current state of work delegation and factors influencing its efficiency in the labor and delivery unit of Sainoi Hospital, Nonthaburi Province; (2) to develop an appropriate delegation model tailored to the needs of service recipients and the unit’s context; and (3) to evaluate service recipients’ satisfaction after implementing the model. The sample consisted of 12 healthcare personnel and 39 service recipients. Research instruments included in-depth interview questions, a newly developed delegation model, and a satisfaction assessment form. Content validity was verified by three experts (IOC > 0.5). Data were analyzed using content analysis and descriptive statistics.

Findings revealed that the existing delegation system lacked clarity, explicit role assignments, and designated responsibilities. Verbal delegation led to confusion, task duplication, discontinuity of care, reduced team trust, and diminished quality. Nurses suggested adopting a systematic approach with clearly assigned roles per individual, per patient, or by team, appointing shift supervisors, and applying the “Primary Nursing” concept to improve continuity and effectiveness. The proposed model emphasizes clear task distribution, leadership oversight, and monitoring for safe, high-quality care. Satisfaction results indicated the overall level was “highest” (X = 4.88, S.D. = 0.096). Nursing services scored highest (X = 4.95), followed by convenience and facilities (X= 4.93), and continuity of care (X= 4.72). The study concludes that a structured, well-defined delegation model enhances both care quality and patient satisfaction in the labor and delivery unit.

Keywords: Model Development, Work Delegation, Labor and Delivery Unit, Sainoi Hospital