The economic situation has seriously affected
everyone in society, businesses have stopped and the
government made a loan from the International Mutual
Fund (IMF) because of higher debts. It had to follow
the agreement that it made with the IMF such as: reduce
the government budget, reduce the government
investment including reducing the hiring of government
officers. As an effect of the army system reform, the
army created the structure improvement plan for the
year 2000-2007. The Army had to freeze manpower
hiring and adjust the manpower rate. Nurses, who are
S110 J Med Assoc Thai Vol. 95 Suppl. 6 2012
considered as the most important resource in nursing,
were affected just like in other professions that reduced
their manpower. Nurses have more responsibilities than
before while the number of the patients remains the
same. They have to work in full capacity while their
economic benefits have decreased. This situation
affects the mental condition of the nurses; they worry
and are insecure in the society and in their career. These
are the causes of boredom, frustration and lack of energy
to work, which affects the quality of their nursing
service to the patients. Therefore, in the period of
constraint from every aspect of the problems and
economic pressure, the service provider has to reform
the service system so as to achieve an economical and
efficient quality of life. The nurses have to build their
physical or mental strength to have good physical and
mental health(1). Then they will be happy and satisfied
in their job.