ปัจจัยทำนายการดูแลแแบบครอบครัวเป็นศูนย์กลางของพยาบาลเวชปฏิบัติชุมชน

Abstract

Purpose: Family Centered Care practice will direct nurses, especially those working in the community, to become considerably more aware of their roles in dealing with family members appropriate in distinct contexts, valuing diversity, decision-making, and relationships. However, only a few studies provided evidences to confirm the level or factors relating to Family Centered Care practices. The major aim of this study is to determine the factors predicting the Family Centered Care practice of community nurses. Design: A predictive correlational design. Methods: The sample included 150 community nurses in Thailand. Data were collected using a questionnaire with Content Validity Index 0.96 and reliability 0.97. Stepwise multiple regressions was used as the method of analysis. Main findings: Subjects had an overall Family Centered Care practice score at a moderate level. The highest score was in the aspect of achievement goals, specialization, and holistic approach. These nurses had Family Centered Care practice at a moderate level, especially in the domain of care setting practices and policies, community systems of services and support, and family/provider partnerships. Family Centered Care practice could significantly explain 59% of the variability in FCC practice. Family Centered Care practice. The Family Centered Care components which most effectively predict Family Centered Care practice were a proactive approach, holistic approach, and collaboration. Conclusions and implications: Specific activities which enhance Family Centered Care practice, especially activities relating to family engagement, comprehensive care, and health care team collaboration were the areas that should be given enough concern. Other factors such as perceptions or satisfaction could be given more emphasis on the study in promoting efficient Family Centered Care practice.