Competencies of Nurse Practitioners Working in Diabetes Mellitus Clinic at Primary Care Unit in Chiang Mai Province
Keywords:
Diabetes Mellitus, Primary Care Unit, Competencies, Nurse PractitionerAbstract
Background/ Significance: According to health system reform, nurse practitioners are the key providers for providing Diabetes Mellitus (DM) care at the Primary Care Unit (PCU) that can increase access, reduce inequities and provide continuous quality service in remote areas. The purpose of this descriptive study is to determine the competencies of nurse practitioners working in DM clinic at PCU in Chiang Mai province.
Methods: A descriptive study in 135 nurse practitioners who worked at the DM clinic in PCU. The competencies in diabetes care management of nurse practitioners were studies using questionnaires which composed of 5 domains: (1) management of patient health/illness status, (2) the nurse practitioner-patients relationship, (3) the teaching-coaching function, (4) professional role, and (5) managing and negotiating the health care delivery system. Descriptive statistics were used to analyze the data.
Results: The findings revealed that nurse practitioners’ competencies in diabetes care management was at medium competent; when separated in to five aspects, 2 domains were high competent: (1) the nurse practitioner-patients relationship (x̄ = 2.50 SD = 0.75), (2) managing and negotiating health care delivery system ( x̄= 2.54 SD = 0.70), and 3 domains were medium competent: (1) management of patient health/illness status (x̄ = 2.35 SD = 0.79), (2) the teaching-coaching function (x̄ = 2.39 SD = 0.83), and (3) professional role ( x̄ = 2.16 SD = 0.80).
Conclusion: The overall competencies of nurse practitioners in diabetes care management were determined to be at medium levels. This study suggests that the strengthening competency should be provided for nurse practitioners who have the responsibility of taking care of diabetic patients at DM clinics in PCUs. Moreover, the strengthening of nurse practitioners should be done continually to increase confidence levels in job performing these tasks
References
Internation Diabetes Federation. Diabetes Atlas. 3rd ed. Brussels: Internation Diabetes Federation, 2006.
Dinneen SF. What’s new in Diabetes ?. Medicine. 2007; 36: 58- 61.
Willson KD, Williams P, Andrews GJ. Enhancing chronic disease management: A review of key Issues and strategies. Complementary Therapies in Clinical practice, 2007; 13: 232 - 239.
World Health Organization. Diabetes [Internet]. 2011 [cited 2011 June 6]. Avaiable from: from: http://www. who.int/mediacentre/factsheets/fs312/en/.html.
Disease Management Bureau. Executive Summary: Disease Management Program in Diabetes Mellitus under Universal Coverage System. Nontaburi: National Security Health Office; 2007.
Vibulpolprasert S. Thailand Public Health 2005-2007. Nonthaburi : Send Receiving Goods and Stores Organization Press; 2008.
Hanucharurnkul S. Nursing in primary care and the nurse practitioner role in Thailand. Contemporary Nurse, 2007; 26(1): 83-93.
The Office of the Civil Service Commission. Position Classification Standard of Thai Nurses. Bangkok: The Office of the Civil Service Commission; 1991.
Chiang Mai Provincial Public Health Office. Annual The Non-Communicable Disease Report 2011. Chiang Mai: Chiang Mai Provincial Public Health Office; 2011.
Thailand Nursing and Midwifery Council. Characteristics and working stuation of nurse practitioners in Thailand. (n.p.): Thailand Nursing and Midwifery Council; 2007. Sponsored by Office of Community Based Health Care Research and Development.
Thongnit M. Relationship of personal factors, empowerment, and competencies of nurse practitioners working in primary care. [Thesis of the degree of master of nursing science]. Bangkok: Mahidol University; 2009.
Thailand Nursing and Midwifery Council. Curriculum of program of nursing specialty in nurse practitioner [Internet]. 2014 [cited 2014 May 24]. Available from https://www.ccne.or.th.
Chan, MF. & Zang, Y-L. Nurses’ perceived and actual level of diabetes mellitus knowledge : result of cluster analysis. Journal of Nursing and Health care of Chronic illness in association with Journal of Clinical Nursing, 2007; 16(7b): 234 - 242.
Siriphuwanun V. Practice on primary medical care of nurses at primary care unit in Chiang Mai province. [ Thesis of the degree of master of nursing science ] Chiang Mai : Chiang Mai University; 2006.
Kaufman, G. Investigating the nursing contribution to commissioning in primary health care. Journal of Nursing Management, 2002; 10 : 83 - 84.
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