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 Practitioner
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
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