การให้บริการดูแลสุขภาพผู้ป่วยที่บ้าน : ประสบการณ์ของพยาบาลผู้ประกอบการคลินิกพยาบาลชุมชนอบอุ่น

Nakharin Chueanit; Areewan  Oumtanee; Chawapon   Sarnkhaowkhom

Authors

Nakharin Chueanit Faculty of Nursing, Chulalongkorn University
Areewan Oumtanee Faculty of Nursing, Chulalongkorn University
Chawapon Sarnkhaowkhom Faculty of Public Health, Mahidol University

Keywords:

home visit, home healthcare, Aob Aoon Community Nursing Clinic, nurse entrepreneur

Abstract

This qualitative descriptive research aimed to describe the experiences of home healthcare services provided by nurse entrepreneurs of an Aob Aoon Community Nursing Clinic. The informants consisted of 12 professional nurses from health areas 1, 9, 10, 11, and 13, each with at least two years of experience in providing home healthcare. Data were collected through in-depth interviews, voice recordings, field notes, and observations. The data collection tools included the researcher, open-ended interview questions, field note templates, and voice recorders. Data were analyzed using content analysis and verified for trustworthiness based on Lincoln and Guba's criteria.

The study revealed three main themes and nine sub-themes: 1) Home visit service arrangement, which includes 1.1) the characteristics of patients requiring home healthcare, 1.2) accessing the list of patients requiring home healthcare, and 1.3) the timeframe for home healthcare. 2) The service provision process, which involves 2.1) checking and confirming the patient’s identity, 2.2) providing nursing services based on disease symptoms, 2.3) evaluating the outcomes of home healthcare, and 2.4) entering data into the E-Claim system for service reimbursement. Finally, 3) Issues in service reimbursement, which include 3.1) reclaiming home healthcare service fees, and 3.2) problems with confirming the identity of patients.

The findings highlight the importance of home healthcare services provided by nurse entrepreneurs at the Aob Aoon Community Nursing Clinic and the challenges encountered in service delivery. Therefore, it is recommended to improve the efficiency of home healthcare service models and to establish standardized guidelines for the scope of home healthcare services by relevant authorities.

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