Browsing by Author "Sang-arun Isaramalai"
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Item Conceptual Structure of Primary Care Competency for Thai Primary Care Unit (PCU) Nurses(The Thailand Nursing Council, 2010-03-30) Orratai Nontapet; Sang-arun Isaramalai; Wongchan Petpichatchain; Constance Wilhelmine BrooksSince the introduction of universal healthcare coverage in 2001, professional nurses have worked in primary care units throughout Thailand. Although they did not have practical primary care experience, Thai nurses, initially were expected to delivery primary care services like in hospitals where they worked. In order to meet the increased need for primary care competency, many of the nurses received additional training as nurse practitioners. However, the concept and framework for primary care competency, for Thai primary care unit (PCU) nurses, has not been clearly defined. Therefore, the purpose of this investigation was to explore the concept and structure of primary care competency for Thai PCU nurses. The investigation was carried out using a two-step approach, which consisted of: a) an integrated systematic review of national and international publications and b) interviews of nursing experts, primary care authorities, primary care nurses and public health staff. From the data, the concept of primary care competency was placed into four domains. The first, interpersonal relationship consisted of communication, coordination, team work, social involvement, collaboration, and facilitation. The second, care management included service system management, resource management, quality management, information management, and environmental health management. The third, integrated healthcare service consisted of health promotion, disease prevention, treatment/prescription, rehabilitation, continuous care, and holistic care. The last, professional accountability consisted of moral sensitivity, patient rights respectability, code of ethics, patient advocacy, professional development, and self-development. The conceptual structure created, as result of this research, can serve as a framework for guiding future research, facilitating the creation of specific and detailed job descriptions, and developing a competency assessment instrument.Item Perceived Role Perception and Role Performance of Family Member-Directly Observed Treatment (FM-DOT) Observers(The Thailand Nursing Council, 2010-03-30) Nanthiya Phromrak; Urai Hatthakit; Sang-arun IsaramalaiThis study aimed to describe the perceived role perception and role performance of Family Member-Directly Observed Treatment (FM-DOT) observers. Purposive sampling was used to recruit 65 subjects who had been assigned to be FM-DOT observers for a family member with pulmonary tuberculosis who attended the outpatient tuberculosis clinic at six hospitals in the lower southern part of Thailand. Three questionnaires were used in this study: Demographic Data Questionnaire, Role Perception of FM-DOT Observer Questionnaire (RPC-FMQ), and Role Performance of FM-DOT Observer Questionnaire (RPF-FMQ). The content validity of the questionnaires was tested by a panel of three experts in the field. Cronbach’s alpha of the RPC-FMQ, and PF-FMQ were found to be 0.71 and 0.74, respectively. The data were analyzed using descriptive statistics and Pearson’s correlation coefficient. The findings revealed that the FM-DOT observers total and subtotal role perception scores were at a moderate level. The total score of role performance and the subtotal score of treatment regimen support were at a fair level; the subtotal score of psychosocial support was at a moderate level, while the subtotal scores for financial support and case finding were at a poor level. Moreover, no significant relationships were found among role perception and the various aspects of role performance.