- The Development of Nursing Care Management in Health Counseling Model Yala Hospital

Abstract

This research and development study aimed to investigate problems, to develop, and to evaluate the outcomes of a new nursing management model for health consultation at Yala regional hospital. The study was conducted in three phases. Phase 1 was dedicated to problem identification, examining issues in the existing consultation model. Data were collected through in-depth interviews with 11 healthcare providers, including doctors and nurses. Qualitative content analysis was used for data interpretation. Second phase was the model development. Findings from Phase 1 were used to draft and establish a new nursing management model. The draft model was reviewed and validated by three experts. Phase 3 was the outcome evaluation. The sample included 30 nurses providing health consultation services, and 30 patients receiving treatment at Yala Regional Hospital. Research instruments included a knowledge test on health consultation (KR-20 reliability = .78),  a satisfaction questionnaire for professional nurses on the model, and a patient satisfaction questionnaire on nursing service quality (Cronbach’s alpha = .82). Data were analyzed using descriptive statistics. Research findings were as follows.

1. Identified problems in the existing model: 1) health consultations were primarily provided to outpatients, 2) no standardized nursing guidelines for health consultations existed, 3) nurses lacked consultation skills, and 4) the consultation environment lacked privacy and was not well structured.

2. The new nursing management model at Yala Regional Hospital included implementation of a hospital policy for managing health consultation services, and the establishment of standardized nursing practices for health consultation.

3. Nurses demonstrated a statistically significant increase in knowledge after implementing the model (p-value < .001). Nurses' overall satisfaction with the model was high (M = 4.47, SD = 0.24). 4. Process Improvement: A total of 14 departments and 32 nursing units in Yala regional hospital adopted the new consultation service model. Service recipients: Patients reported the highest level of satisfaction with the quality of nursing consultation services (M = 4.77, SD = 0.41).

The findings suggest that this nursing management model can enhance health consultation services for both outpatients and inpatients, including general patients and vulnerable groups. It provides an effective framework for addressing health concerns and improving patient care.