FACTORS RELATED TO ROLE PERFORMANCE AS CASE MANAGER OF REGISTERED NURSES IN PUBLIC HEALTH CENTERS, BANGKOK
Keywords:CASE MANAGER ROLE, REGISTERED NURSES, PERFORMANCE
The case manager role is an important role of the nursing profession since it supports access to actual health services in the community by leading multidisciplinary teams in case management. This crosssectional survey studied factors related to role performance of registered nurses as case managers of registered nurses in public health centers of the Bangkok Metropolitan Administration. Subjects were 216 registered nurses. Data were collected using self-administered questionnaires and represented using a statistical software package for percentage, average arithmetic mean, standard deviations. Relationship analysis used the Chi square test and stepwise multiple logistic regression analysis.
The findings indicated that most registered nurses had overall case-manager role performance at a high level at 66.2%. Health service, coordination, use of tools, and management performance had mean scores at a high level. Factors of job description, work effort, work environment, perception of the case manager’s role, and work ability were significantly correlated with performance as case manager (pvalue < .05). Regression analysis showed that factors of task characteristics, perceived role of the case manager, work ability, and working environment were factors that couldpredict 46 % of the variance of performance in the case-manager role of registered nurses and was significantly correlated with overall performance as case manager (p-value < .05).
Study results suggest that nurses should be encouraged as case-manager nurses to be motivated with high morale to perform work. For instance nurses should be given more opportunity and support so they can get case-manager experience through case management. In addition, policy support for case management in the mentoring system should be provided to allow nurses to perform the role of case manager; materials should be provided with an appropriate environment which reduces exposure to operational threats to registered nurses who performed home-visit services.
The National Bureau of Statistics Ministry of Information and Communication Technology. Summary of the Population Survey [Internet]. 2014 [cited 2014 July 28]. Available from http://service.nso.go.th/nso/nsopublish/themes/files/lfs57/reportSep.pdf
Department of Interior Ministry of Interior [Elderly - elderly population] [Internet]. 2017 [cited 2018 September 5]. Available from http://social.nesdb.go.th/SocialStat/StatReport_Final.aspx?reportid=3491&template=1R1C&yeartype=M&subcatid=27
The Thai Elderly Research and Development Institute: The Elderly Thai Situation. Bangkok: Amarin Printing & Publishing; 2015.
Srivaniyakorn S. Situation of illness and death with chronic non-communicable disease. (Type 2 diabetes and cardiovascular disease) in Thailand in 5 years. Journal of Disease Control 2017; 43(4): 379-90. (in Thai)
Visippiromkul S, Yotthorn D, Thammapipol K, Sriwanavanich S, Sutisunthon K. Health situation of the elderly with disabilities: case study. Tha Maka and Dan Makham Tia Karnchanaburi. Rajamangala Institute of Technology SUDA 2015; 11(14): 24-42. (in Thai)
Jumneansuk A, Detboon P , Mingmai K , Phophak S, Phoha S, Phanitcharoen S, et al .Quality of life among elderly who are living with chronic diseases, Srichomphu district, Khon Khan Province. Ratchaphruek Journal 2017; 15(2): 16-26. (in Thai)
Institute of medical technology research and Assessment department of medical services, Ministry of Public Health [Internet]. 2014 [cited 2018 July 8]. Available from http://www.dms.moph.go.th/imrta/
Phuaksawat P, Nakkhun N, Rotchanarak W. Situations, problems, and health care needs for home-bound and bed-bound chronically ill Patients in Suratthani Municipal Community. Nursing journal of the ministry of public health 2016; 26(2): 54-64. (in Thai)
Department of public health nursing, Bangkok Metropolitan Administration. Development guide nursing home care nurse (Care Manager). Bangkok: Lakshmi. 2014. (in thai)
Amnatsatsue K. Case Management: Nursing model for the elderly in the community. Journal of nursing 2003; 52(10): 210-15. (in Thai)
Phosritong W, Maneesilp T, Podhipak P, Chonbodeechalermrung N. The development of diabetes care system: a case management model at saraburi hospital. Nursing Journal 2012; 39(2): 79-9. (in Thai)
Kosonjit R, Noimuenwai P. Effectiveness of case management in patients with diabetic mellitus at pak phli hospital, Nakhon nayok province. Nursing Journal 2017; 44(1): 26-38. (in Thai)
Adam P, Brandenburg DL, Bremer KL, Nordstrom DL. Effects of team care of frequent attenders on patients and physicians. Fam Syst Health 2010; 28(3): 247–57.
Hudon C, Chouinard MC, Dubois MF, Roberge P, Loignon C, Tchouaket É, et al. Case management in primary care for frequent users of health care services: A mixed methods study. Annals of Family Medicine 2018; 16(3): 232- 9.
Division of Public Health Nursing, Health Division, Bangkok Metropolitan. Development of home nursing systems by nursing care managers (Care Manager). Bangkok: Tanaporn Panich; 2014.
Norrasan S, Wattananon W. Nurse case manager: roles of providing elderly dependent care in community. Journal of Nursing Science & Health 2017; 40(2): 138-45. (in Thai)
Organ DW, Bateman T. Organizational behavior an applied psychological approach. 3rd ed. New York: Business; 1986.
Daniel WW, Cross CL. Biostatistics: Basic concepts and methodology for the health sciences. (10thed.). Singapore: John Wiley & Sons; 2014.
Nackarajarn J. Factors related to work ability of nurses working in Public Health Center, Health Depart ment, Bankkok Metropolitan Adminis tration. Kuakarun Journal of Nursing 2013; 20(2): 39-54. (in Thai)
The Bureau of Human Resource Management of the Bangkok Metropolitan Administration Bangkok: Thammasat University; 2012. (in Thai)
You EC, Dunt D, Doyle C. How do case managers spend time on their functions and activities. BMC Health Services Research 2016; 16(1): 2-14. (in Thai)
Nonghanpitak Y, Bouphan P. Factors Affecting the Performance of Nurse Practitioners in Subdistrict Health Promoting Hospital Udonthani Province, KKU Research Journal (Graduate Studies) 2013; 13(1) : 99-110. (in Thai)
Lueluang W, Vorahan W. Factors Influencing Role Practices of Professional Nurses at operating roomin regional hospitals, Northeast region. Graduate research conference; 2012.
Songsri C. Role Performances of Registered Nurses in Primary Care Unit, Muang Udonthani. Journal of nurses’ association of thailand, northeastern divisiob 2013; 31(2): 176-82. (in Thai)
Thupchukul H. Factors related to roles in caring for patients with stroke in community of nurses in primary health care centers. Factory of Public Health Nursing, Mahidol University; 2009.
Wannad P, sinlapasuwan P, ViwatWongkasem C, Sathitvipavee P. features Risk in work And the ability of professional nurses. Influence of patient safety management on community hospitals. Journal of Nursing College Boromarajonani Bangkok 2012; 28(1): 23-35. (in Thai)
Cziraki K, McKey C, Peachey G, Baxter P, Flaherty B. Factors that facilitateregistered nurses in their firstline nurse manager role. J Nurs Manag 2014; 22(8): 1005-14.
Sukbua T, Klumpakorn S, Kaewpan W, powwattana A.Factors related to role performance of health promotion of occupational health nurses. Journal of Public Health Nursing 2009; 23(2): 28-44. (in Thai)
How to Cite
บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)