Main Article Content
Registered nurses in a subdistrict health promoting hospital (SHPH) have a significant role in developing and improving care for patients with chronic diseases. This cross-sectional descriptive study aimed to assess the role of nurses in an implementation of chronic care model (CCM) at SHPH in Nakhon Ratchasima province, Thailand, and to analyze its related factors. The samples included 200 registered nurses who responded to self-administered questionnaires and were selected by simple random sampling. Descriptive statistics and chi-square test analysis were used for data analyses. The study found that the role of nurses in implementation of CCM was at a reasonable level. When each aspect was considered, it was found that health care organization and delivery system design were at high levels; clinical information systems, self-management support and decision support systems were also at high levels. The aspect with the lowest level was community resources and policy. Motivation to work effort and organizational support were statistical significantly (p<0.05) related to the role of nurses in the implementation of CCM. The encouragement and motivation to work effort, and organizational support for chronic diseases care should be provided.
Best, R., & Kahn, J. V. (1996). Education, Spirituality and the Whole Child, London: Cassell.
Bloom, B. S. (Ed.) (1971). Taxonomy of educational objectives: the classification of educational goals (Handbook 1), New York: David McKay Company, Inc.
Bloom, D., Cafiero, E., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Bloom, L.R., Fathima, S., Feigl, A. B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A. Z., & Weinstein, C. (2011). The Global Economic Burden of Noncommunica-ble Diseases, Geneva: World Economic Forum.
Bodenheimer, T., MacGregor, K., & Stothart, N. (2005). Nurses as leaders in chronic care: their role is pivotal in improving care for chronic diseases. British Medical Journal, 330(7492), 612-613.
Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002). Improving primary care for patients with chronic illness: the chronic care model, part 2. Journal of the American Medical Association, 288(15), 1909-1914.
Canadian Nurses Association. (2012). Effectiveness of registered nurses and nurse practitioners in supporting chronic disease self-management. Ottawa: Canadian Nurses Association.
Darker, C., Martin, C., O'Dowd, T., O'Kelly, F., & O'Shea, B. (2012). Chronic disease management in general practice: results from a national study. Irish Medical Journal, 105(4), 102-5.
Elison, N. K., Verani, A. R., & McCarthy, C. (2015). National nursing and midwifery legislation in countries of South-East Asia with high HIV burdens. WHO South-East Asia Journal of Public Health, 4(102), 12-19.
Furtado, L. G., & Nóbrega, M. M. L. d. (2013). Model of care in chronic disease: inclusion of a theory of nursing. Texto & Contexto-Enfermagem, 22(4), 1197-1204.
Herzberg, F., Mausner, B., & Snyderman, B. (2010). The Motivation to Work, Brunswick: Transaction Publishers.
Hunter, D. J., & Reddy, K. S. (2013). Noncommunicable diseases. New England Journal of Medicine, 369(14), 1336-1343.
Khomeiran, R. T., Yekta, Z. P., Kiger, A., & Ahmadi, F. (2006). Professional competence: factors described by nurses as influencing their development. International Nursing Review, 53(1), 66-72.
McKenna, M., & Collins, J. (2010). Current issues and challenges in chronic disease control. In Chronic Disease Epidemiology and Control (Remington, P. L., Brownson, R. C., & Wegner, M. V. eds), 3rd, pp. 1-26. Washington: American Public Health Association.
Nakhon Ratchasima Provincial Health Office. (2015). Number of registered nurses in subdistrict health promoting hospital. Online URL: https://22.214.171.124/piskorat/report/rpt03
Nakhon Ratchasima Provincial Health Office. (2016). Public Health Policy and Strategic, Nakhon Ratchasima: Nakhon Ratchasima Provincial Health Office.
O’Reilly, D., Bowen, J., Sebaldt, R., Petrie, A., Hopkins, R., Assasi, N., MacDougald, C., Nunes, E., Goeree, R. (2014). Evaluation of a chronic disease management system for the treatment and management of diabetes in primary health care practices in Ontario: an observational study. Ontario Health Technology Assessment Series, 14(3), 1.
Schermerhorn, J. (2000). Organisational Behavior. New York: Wiley.
Thangkratok, P. (2017). The role of the nurse in the chronic disease management. Songklanagarind Journal of Nursing, 37(2), 154-159.
Thangkratok, P., Langputeh, A., Boonpradit, P., Taiwong, A., & Chaimo, E. (2018). Psychometric testing of the smoking cessation counseling scale among Thai registered nurses. Journal of The Royal Thai Army Nurses, 19(Supplement), 50-58.