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Learning Objective 1: Learn a successful program on using cultural competent model on humanitarian understanding integrated to improve nursing services in Thailand
Learning Objective 2: Understanding research and development process applied with community health nursing
Methods: The 4 steps of R&D including; 1) Identifying the problem, 2) developing the model, 3) testing the developed model with the Community Health nurses (CHNs) enrolled in the Advance Community Health Nursing Program (Primary Medical Care), and 4) adjusting the model based on results of data analysis. Samples composed of 90 CHNs enrolled in the Advance Community Health Nursing Program (Primary Medical Care) , and 110 clients who received services from those CHNs. Method: Data was collected 6 months after CHNs had graduated and applied both quantitative and qualitative methods. The Community Health Nurse Competency Questionnaires and Client Perception of Service Provision Questionnaires were used for quantitative data collection and descriptive statistics were performed for analysis. The semi-structural interview guide was applied for in-depth interview with 12 CHNs. Content analyses were conducted for analyzing data.
Results: Results revealed that CHNs perceived their competency were at a high level, with a mean of 4.10 (SD. = 0.43). Clients of community health nurses perceived service provision at a high level, with a mean of 4.14 (SD. = 0.54), while the highest mean of 4.33 (SD. = 0.59) was the “respect to client dignity” service provision. Five themes were emerged from analyzing of the content on work experience of CHNs including 1) better understand meaning of health based on individual differences 2) understand context and necessity of individual and family in making health related decision 3) emphasize communication to understand health rather than prescribing medication 4) adjust attitude toward and strategies to work in community and 5) more participation with community involvements.
Conclusion: This cultural competent model enhance nursing services focused on individual differences and understand clients' context.