The effect of the home visiting system for patients who need continuous care at home like Home Nursing Care (HNC) on the quality of nursing services in primary care units (PCU)

Abstract

This research was experimental research (one group experimental research) aim to evaluate the effect of the home visiting system for patients who need continuous care at Home Nursing Care (HNC) on the quality of nursing services in primary care units in Mueang District, Roi Et Province, before and after using the home visiting method Nursing Care (HNC). The population is the group of patients, the patients that need continuous care, and the professional nurses working in the PCU, Roi Et Hospital. A total of 19 locations were selected between June 1, 2019 to April 30, 2020. The sample was selected specifically: 1) professional nurses who care for patients who need ongoing care at home working in the network PCU. The total of 36 Roi-Et hospitals were 36, and 2) the patients who needed continuous care at home that received the care from the professional nurses in the ratio of 1: 1. The research instruments were the home visit quality evaluation criteria of the Bureau of Nursing consists of 2 parts: general information and visit criteria consisting of inputs, processes and results, quality, content tools, .80 and confidence equal to .85. Data analysis using statistics, distribution of frequency, percentage, mean, standard deviation and pair t-test statistics.

        Results: After implementing the Home Nursing Care (HNC) method in patients who need ongoing care at home, the nursing service quality results are higher in accordance with the home visit quality criteria of the Bureau of Nursing. All indicators The results of the home visit quality evaluation in primary care units in Mueang District, Roi Et Province, all passed the home visit quality criteria at level 3 (passed) and level 2 (qualified criteria) more than before using the HNC visit. With statistical significance at the level of .05