Nurses’ Roles and Outcomes for Chronic Diseases in Primary Care Unit of Health Region 11

Authors

  • Kaewkan Buamak สำนักวิชาพยาบาลศาสตร์ มหาวิทยาลัยวลัยลักษณ์
  • Rewwadee Petsirasan คณะพยาบาลศาสตร์ มหาวิทยาลัยสงขลานครินทร์
  • Naiyana Noonil สำนักวิชาพยาบาลศาสตร์ มหาวิทยาลัยวลัยลักษณ์

Keywords:

nurses’ roles, chronic care, primary care unit

Abstract

Introduction: Registered nurses are health personnel who play a major role in primary care services in chronic care management to achieve health outcomes of clients under the policy of non-communicable diseases (NCDs) prevention and control. This study was part of the Thailand Nursing and Midwifery Council Research Project entitled ‘Roles and Responsibilities of Nurses in Driving Primary Health Care Systems’. Research objectives: This study aimed to investigate nursing roles, and outcomes in their work in caring for those with chronic disease in the primary care setting of Health Region 11. Research methodology: This study used a cross-sectional descriptive design. Sample consisted of 42 nurses working to care for patients with chronic diseases at Health Region 11. Data were collected from April to June 2019 using a set of questionnaires including a nurse’s role in caring for patients with chronic diseases, and a questionnaire on the outcome of working indicators related to chronic NCDs. Data were analyzed using descriptive statistics (frequency, percentage, mean (M), and standard deviation (SD.)). Results: In Health Region 11, there is 88.10% of registered nurse practitioners working to care for patients with chronic diseases. Only 21.43% were specialized training in chronic disease care. In terms of nursing roles, the most common general role was providing individual knowledge for behavioral modification (M = 82.02, SD = 24.12), followed by family support for chronic care (M =79.64, SD = 25.09), and monitoring regular medication and ensuring medication adherence (M = 78.21, SD = 26.08). According to chronic NCDs indicators, the unsuccessful work performance and no frequency were as follows: rate of diabetic patients with LDL testing and LDL < 100 mg/dl; diabetic patients with metabolic syndrome; and percentage of new patients with high blood pressure out of suspected patients (Home Blood Pressure Monitoring, HBPM) Conclusions: In primary care unit, the important roles of nurses in caring for chronic patients include health education, promoting family and patients’ participation, and monitoring medication adherence. Implications for practice: Specialty and chronic disease management training for nurses should be promoted to enhance quality of healthcare service with a focus on lowering risk for metabolic syndrome and hyperlipidemia in diabetic patients.

Downloads

Download data is not yet available.

References

Primary Care Cluster Division. Guideline primary care cluster service. Nonthaburi: Ministry of Public Health; 2016. (in Thai).

World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Geneva: World Health Organization; 2013.

Bureau of Non-Communicable Disease. National 5-year non-communicable disease prevention and strategic Plan 2017-2021. Bangkok: Emotion Art; 2016. (in Thai).

Pérez Rivas FJ, Martín-Iglesias S, Pacheco del Cerro JL, Minguet Arenas C, García López M, Beamud Lagos M. Effectiveness of nursing process use in primary care. Int J Nurs Knowl 2016;27(1):43-8.

Nursing Division. Role and performance of nurses. Nonthaburi: Suetawan; 2018. (in Thai).

Nursing Division. Nursing standards in the community. Nonthaburi: Suetawan; 2016. (in Thai).

Lukewich J, Edge DS, Vandenkerkhof E, Tranmer J. Nursing contributions to chronic disease management in primary care. J Nurs Adm 2014;44(2):103–10.

Norful A, Martsolf G, de Jacq K, Poghosyan L. Utilization of registered nurses in primary care teams: A systematic review. Int J Nurs Stud 2017;74:15-23.

Chunthai K. Primary care nurses with the role in primary care cluster team towards the sustainability of the public health system [Internet]. 2018 [cited 2020 Jan 19]; Available from: http://www.nursing.go.th/?page_id=62&page=2 (in Thai).

Sindhu S, Wongrot P. Case management of patients with diabetes and high blood pressure. 2nd ed. Bangkok: Wattana; 2014. (in Thai).

Narasri P, Chaladthanyagid K, Piaseu N. Nurses’roles in primary care management of noncommunicable diseases toward sustainable development goals. Rama Nurs J 2017;23(1):27-43. (in Thai).

Bureau of Policy and Strategy, Ministry of Public Health. Information in response to the Service Plan for Non-communicable Diseases [internet]. 2018 [cited 2018 Nov 6]; Available from: https://hdcservice.moph.go.th/hdc/reports/page.php? cat_id=b2b59e64c4e6c92d4b1ec16a599d882b

Tumsawad B, Rattannajarana S, Sakulkoo S. Professional nurses' competencies in caring for patients with chronic Illness, general and regional hospitals. The Journal of Faculty of Nursing Burapha University 2013;21(3):36-47. (in Thai).

Donabedian A. The quality of care: How can it be assessed? JAMA 1988;260(12):1743-48.

Luecha W, Benjawattananon S, Pesee K, Rakmani P. The development of health care system for diabetes mellitus patients in chaiyaphum hospital. Journal of Nursing Division 2011;1:31-41. (in Thai).

Junprasert S, Khunlarnthanadee S, Piaseu N, Noonil N, Jaraeprapal U, Akwarangkoon S, et al. Research project on the roles and responsibilities of nurses in driving the primary health care system. Bangkok: Council of Nursing; 2019. (in Thai).

Posri R. Statistics for research. Bangkok: Chulalongkorn University Press; 2006. (in Thai).

Sarakshetrin A, Sumpawana A, Suvannarat K. Role performance of professional nurses in primary care unit. Journal of Nursing Division 2010;37(3):52-63. (in Thai).

Bureau of Policy and Strategy, Ministry of Public Health. Information in response to the Service Plan for Non-communicable Diseases [internet]. 2018 [cited 2018 Nov 6]; Available from: https://hdcservice.moph.go.th/hdc/reports/page.php? cat_id=b2b59e64c4e6c92d4b1ec16a599d882b

Sawaengdee K, Sarakshetrin A, Rajataram B, Chantra R, Kunlaka S, Rajataramya B, et al. A study of workload, sufficiency of manpower and human resource management in district health promotion hospital. Journal of Health and Nursing Research 2019;35(2):174-83. (in Thai).

Sarakshetrin A, Sumpawana A, Suvannarat K. Role performance of professional nurses in primary care unit. Journal of Nursing Division 2010;37(3):52-63. (in Thai).

Likhitluecha N, Atthachaiwat A, Wongsuvansiri S, Sathira-angkura T, Leelawong S. Development of care management model for patients with uncontrolled diabetes. Journal of Nursing Division 2010;44(2):144-58. (in Thai).

Junhom B, Wivatvanit S. Nurse’s roles in community hospital according to thailand 4.0. Journal of Nursing Science Chulalongkorn University 2018;30(3):116-29. (in Thai).

Tipkanjanaraykha K. Self management in older adults with metabolic syndrome. Journal of Boromarajonani College of Nursing, Bangkok 2016;32(3):122-30. (in Thai).

Suwanasaeng N, Yingyoud P. Primary care cluster: concept and management of registered. Journal of Thailand Nursing and Midwifery Council 2020;35(1):5-17. (in Thai).

Published

2021-11-25

How to Cite

1.
Buamak K, Petsirasan R, Noonil N. Nurses’ Roles and Outcomes for Chronic Diseases in Primary Care Unit of Health Region 11. JHNR [Internet]. 2021 Nov. 25 [cited 2022 Dec. 4];37(3):241-53. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/244218

Issue

Section

Research articles