The Causal Relationship Model of Service Behavior according to Emergency Medical Standards among Health Personnel
Keywords:
Service behavior, emergency medical standards, emotional quotient, motivationAbstract
This study aimed to examine the causal relationship pattern and influence of factors affecting emergency medical service behavior of health personnel, consisting of professional nurses, paramedics, and emergency medical technicians working in the Bangkok emergency medical service system, totaling 205 persons. The sampling was stratified by proportion. Data were collected using a 6-level rating scale questionnaire, which had content validity between 0.60 and 1.00 and reliability between 0.92 and 0.96. Data were analyzed using structural equation modeling. The results of the study found that the causal relationship model was consistent with the empirical data (Chi-square = 147.78 df = 78 CFI = 0.98, GFI = 0.91, NFI = 0.96, RMSEA = 0.06, SRMR = 0.04). The size and path of influence of the factors affecting emergency medical service behavior found that the factors emotional intelligence had a direct positive influence (Beta = 0.42, p < 0.05), motivation had a direct positive influence (Beta = 0.44, p < 0.05), and supporting factors had an indirect influence through motivation (Beta = 0.13, p < 0.05). All factors could predict emergency medical service behavior by 64 percent. The results of the study helped expand the design of learning programs to develop these causal variables to increase emergency medical service behavior and propose policies to support supporting factors for personnel working in the emergency medical system to increase motivation and better service behavior.
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