การประเมินส่งเสริมสุขภาพในสถานประกอบการในการขับเคลื่อนระบบสุขชุมชน  สู่ระบบสุขภาพอำเภอ เครือข่ายพยาบาล ภาคตะวันออก ประเทศไทย

พนารัตน์ เจนจบ; วรรณภา ประทุมโทน; สมตระกูล ราศิริ; พรเพ็ญ ภัทรากร

Authors

พนารัตน์ เจนจบ
วรรณภา ประทุมโทน
สมตระกูล ราศิริ
พรเพ็ญ ภัทรากร

Keywords:

Health-Promoting Workplace, Community - Based Participatory (CBPR), Community Nurses’ Competency, District Health System

Abstract

The purpose of this evaluation research was to examine the strengthening health – promoting workplaces using a community - based participatory (CBPR) approach to enhance Eastern District Health System (DHS) in Thailand under the CIP model. This study focused on the primary health care and community health network in DHS at the 1^st, 2^nd, 3^rd in public health region 6. The study was carried out during October 2016 - September 2018. The participants were recruited using purposive sampling. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using content analysis. The results revealed that 3 districts and 2 workplaces succeeded in developing community health and health promotion (promotion behaviors) among 40 community nurses, 100 participants in 16 interdisciplinary teams and 72 community health networks.

The result of this study suggests that the approaches towards primary care system development and health, and community include: 1) the development of the potential primary care nurses in health promotion; 2) the encouragement of health promotion based on the community context learning; 3) the development process with tools “four main and three sub - components” in order to analyze problem and foundation, and communicate with community; 4) the encouragement of the local government and public sector for integrating in the common goal; and 5) sharing and learning among healthcare providers in community health networks. The result attracts healthcare providers’ interest to enhance the competency in community nurses. Nurses, healthcare providers, and community health networks should be encouraged and supported based on the context of community to create a sustainable health system.

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