Role of Nurse Practitioner in Caring for Patients with Non-Communicable Disease in Community


  • Thitarat Sarkongdang Boromarajonani College of nursing Bangkok, Faculty of nursing, Praboromarajchanok Institute, Thailand
  • Kleebkaew Janhong Boromarajonani College of Nursing Bangkok, Faculty of nursing, Praboromarajchanok Institute, Thailand


nurse practitioner, NCDs, The Chronic Care Model


Incidents of chronic non-communicable disease have increased continuously as medical advancement, innovation, and developmental healthcare system to increased patients’ life expectancy. These required long term services, treatment, follow up, and health restoration. Roles of nurse practitioners as primary care providers of patients with non-communicable disease emphasized on managing health using advanced knowledge and skills to treat and to use clinical information evaluate health outcomes, and to monitor quality of continuity care. The objectives of this article were to present competency and roles of Nurse Practitioner in working with the Chronic Care Model; specifically for each of the model’s elements. The roles of the nurse are presented in six elements: 1) Health care organization 2) Delivery system design 3) Decision support 4) Self-management support 5) Clinical information systems and 6) Community Nurse’s activities in chronic disease management can improve quality outcomes. And high quality care and experience in working at community hospital
And high quality care and experience in working at community hospital


Download data is not yet available.


1. The Millennium Development Goals. Sustainable Development Goals (SDGs) Full text. Available from (in Thai).

2. The Executive Committee for the preparation of the 12th National Health Development Plan. The 12th National Health Development Plan (2017-2021). Ministry of Public Health. October 2016. Available from data/20180914162453_1.pdf (in Thai).

3. Aekplakorn, W. Thai National Health Examination Survey, NHES V-2559. (internet). 2016 (cited 2020 April 13). Available from file:///C:/Users/User/Downloads/ NHES%20V%20(1).pdf (in Thai).

4. Ministry of Public Health. MPH. Worried 37 Thai people die per hour from chronic noncommunicable diseases, accelerate prevention. (cited 2020 Oct 13). Available from (in Thai).

5. Worathanarat, Thira. Be aware - Adjust behavior - Enhance well-being Prevention of noncommunicable diseases. NCDs. (2018). (cited 2020 Oct 13). Available from (in Thai).

6. Division of Strategy and Planning Office of the Permanent Secretary, Ministry of Public Health. Public Health Statistics A.D. 2019. (cited 2020 Oct 10). Available from (in Thai).

7. The 12th National Economic and Social Development Plan. (cited 2020 Sep 20). Available from _html/content/ (in Thai).

8. Hanucharurnkul S. Nurse practitioners: primary care. The Thai Journal of Primary Care and Family Medicine 2012;39:39-42. (in Thai).

9. Hanucharurnkul S, Leucha Y, Chanprasert S. Effectiveness of primary care provided at private nursing clinic in Thailand. Contemporary Nurse 2002;13: 259-70. (in Thai).

10. Hamric AB, Spross JA, Hanson CM. Outcome evaluation and performance improvement Advanced nursing practice: An integrative approach. Philadelphia: W.B. Saunders, 2005.

11. National Health Security Office (NHSO). Annual report 2008. (cited 2020 May 4), Available from (in Thai).

12. Hanucharurnkul S, Keratiyutawong P, Archananuparp S. Self-care promotion program for diabetes. Thai Journal of Nursing Research 1999;1(1):115-37. (in Thai).

13. Chanprasert S. Nurse practitioners: unity, identity, privilege. The Journal of Faculty of Nursing Burapha University 2007;15(4):1-5. (in Thai).

14. Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice. [Internet]. 1998 (cited 2020 June 11);1(1):2–4. Available from: 252F27927%252Fphwwtrq 3nv&auViewType1=PDF

15. Suktawee S. Boonkerd S. Java health center information system: JHCIS. Disease Control Journal 2017;43(1):96-110. (in Thai).

16. World Health Organization. Innovative care for chronic conditions: Building blocks for action. Global Report. [Internet]. 2002 [cited 12 June 2020]. Available from:

17. Thai Hypertension Society. Thai Hypertension Society: Guidelines in the Treatment of Hypertension 2019. Bangkok: Thai Hypertension Society; 2019. (in Thai).

18. Puntasee P, Rasamejam P. Update in Nurse Practitioners: Primary disease treatment & Urgent management; 2016 May 23-27, Ambassador Hotel, Bangkok. Faculty of Medicine RamathibodiHospital, Mahidol University. 2018. (in Thai).



How to Cite

Sarkongdang T, Janhong K. Role of Nurse Practitioner in Caring for Patients with Non-Communicable Disease in Community. JHNR [Internet]. 2020 Nov. 28 [cited 2022 Dec. 4];36(3):317-28. Available from: