Development of Nursing service system for Occupational and Environmental diseases Specialist clinic at Raj Pracha Samasai Institute.

Abstract

Abstract

                This action research aimed to develop a specialized nursing service system for occupational and environmental diseases. The study was conducted in four phases: Phase 1 explored the existing problems within the current nursing service system; Phase 2 involved designing a draft of the new system; Phase 3 implemented the proposed system in practice; and Phase 4 evaluated the outcomes of its implementation. A total of 105 participants were included, divided into two groups: (1) 28 service providers comprising 6 specialized physicians, 18 registered nurses, 1 pharmacist, 1 physical therapist, 1 medical technologist, and 1 radiologic technologist; and (2) 77 service recipients who were either suspected of or diagnosed with occupational or environmental diseases. Research instruments included in-depth interviews, focus group discussion guides, non-participant observation, workshop sessions, implementation verification checklists, nursing outcome data extraction forms, and questionnaires assessing the acceptance and satisfaction with the developed system. Quantitative data were analyzed using percentages, means, and standard deviations, while qualitative data were analyzed through content analysis.

                The findings indicated that the developed system, named RPSI EnOcc System, was practical and well-suited to the context of the Raj Pracha Samasai Institute. Service providers reported the highest level of acceptance (𝑥̄ = 4.82, SD = 0.47) and satisfaction (𝑥̄ = 4.78, SD = 0.49). Service recipients also expressed high acceptance (𝑥̄ = 4.03, SD = 0.47) and satisfaction (𝑥̄ = 4.02, SD = 0.32). All recipients were successfully screened based on relevant risk factors (100%), all exhibited only mild symptoms, and no unscheduled follow-up visits occurred. These results demonstrated that the RPSI EnOcc System effectively supported targeted nursing care outcomes. Therefore, it is recommended that the Raj Pracha Samasai Institute adopt this system for routine clinical services and consider expanding it to other specialized clinics.