Sudo Kyoko, Noda Shinichiro, Kobayashi Jun, Wongwatcharapaiboon Pongthep, Sakolwasan Utaiwan, Takahashi Kenzo
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Graduate School of Health Sciences, University of the Ryukyus, Okinawa, Japan.
Glob Health Med. 2023 Dec 31;5(6):345-353. doi: 10.35772/ghm.2023.01032.
In the implementation of the policy for the elderly, the nurses who have the competency to pull out their potential power to continue living with several stakeholders' support are required to provide care in the community. Community nurse in Thailand has the responsibility to deliver adequate medical care and also social care for the elderly. The study aimed to identify the role of community nurse in the implementation of Thai health policy for the elderly. Codes regarding the role of community nurse in the implementation of Thai health policy for the elderly were extracted from descriptive data interviewed with 15 policy implementors in Thailand. The codes were categorized by similarities using thematic analysis. The role of community nurse was 16 categories and 102 codes out of factors promoting implementation of Thai health policy for the elderly, with 27 categories and 416 codes. The main roles were Coordination, Service delivery, and Monitoring and evaluation, composing seven categories and 45 codes, eight categories and 51 codes, and one category and six codes, respectively. It was conspicuous in coordination mechanisms, especially between the organizations and disciplines in providing Primary Health Care. Both health promotion activities and medical treatment were crucial roles for community nurses. The role of community nurse was one of promoting factors of Thai health policy for the elderly. The community nurse acts as a lubricant between the hospital and the community, which means that the community nurse implements seamless service delivery for the elderly integrating medical care and welfare.
在老年政策的实施过程中，需要有能力发挥自身潜力并在多方利益相关者支持下继续生活的护士在社区提供护理服务。泰国的社区护士有责任为老年人提供充分的医疗护理和社会护理。本研究旨在确定社区护士在泰国老年健康政策实施中的作用。关于社区护士在泰国老年健康政策实施中作用的编码，是从对泰国15名政策实施者的访谈描述性数据中提取的。这些编码通过主题分析按相似性进行分类。在促进泰国老年健康政策实施的因素中，社区护士的作用有16个类别和102个编码，而促进因素共有27个类别和416个编码。主要作用分别是协调、服务提供以及监测与评估，分别包括7个类别和45个编码、8个类别和51个编码以及1个类别和6个编码。在协调机制方面很明显，尤其是在提供初级卫生保健时各组织和学科之间的协调。健康促进活动和医疗治疗对社区护士来说都是关键作用。社区护士的作用是泰国老年健康政策的促进因素之一。社区护士充当医院和社区之间的润滑剂，这意味着社区护士为老年人实施整合医疗护理和福利的无缝服务提供。
