Role of nurses in implementing chronic care model in subdistrict health promoting hospital

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Pramote Thangkratok
Ajchara Vararuk
Tassanee Silawan
Noppawan Piaseu


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.


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