The results of implementing the nursing service delivery approach in primary care cluster

Abstract

This study is a descriptive research aimed at examining the implementation of the nursing service delivery model in Primary Care Clusters and providing recommendations for the application of this model in the Primary Care Cluster settings. The sample group consisted of the heads of the community nursing department or the heads of the primary and holistic care department, representing hospitals under the Office of the Permanent Secretary, Ministry of Public Health, with a total of 539 participants. The research instrument used was a 5-point Likert scale questionnaire, which had an Index of Item-Objective Congruence (IOC) of 0.86 and a reliability coefficient (Cronbach's alpha) of 0.97.

          Research Findings are as follows:

1. The majority of the respondents were heads of the community nursing department or heads the heads of the primary and holistic care department, who were responsible for implementing the nursing service delivery model in the Primary Care Clusters at F2-level hospitals (50.28%). The second largest group was from M2-level hospitals (11.69%).

1. The nurses' opinions on implementing nursing service delivery in Primary Care Clusters were, on average, at a high level of agreement ( = 3.90, S.D. = 0.60). The highest level of agreement was in the topic "The nursing service process in the form of proactive community nursing service in family doctor clinics is feasible ( = 4.11, S.D. = 0.62)” The lowest level of agreement was in the topic "Financial input factors in the nursing service delivery of Primary Care Clusters are feasible ( = 3.43, S.D. = 0.73).”

1. The comments and suggestions regarding the implementation of nursing service delivery in Primary Care Clusters are as follows: 1) It is feasible to implement, but it may take time to learn. 2) Service delivery should primarily depend on the local context. 3) It is practical, but it must be integrated with the context of each area. 4) The structure and location for delivering PCC services should be fully prepared before opening for service. 5) Continuous meetings should be held to develop the quality and standards of nursing service delivery in Primary Care Clusters 6) Sufficient, appropriate staffing and equipment should be allocated. If allocation follows the manual guidelines, the work will proceed smoothly, and the community will benefit significantly.