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Somchit Hanucharurnkul

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RN., Ph.D.

Somchit Hanucharurnkul


  • %

/

  • /

Somchit Hanucharurnkul


1.

2. .. .

Somchit Hanucharurnkul


  • .2020 (2563) 73% 60%

  • 79%

    (World Health Organization, 2010).

Somchit Hanucharurnkul


Four major burden chronic diseases

  • cardiovascular disease,

  • cancer,

  • chronic obstructive pulmonary disease, and

  • type 2 diabetes.

(World Health Organization, 2010).

Somchit Hanucharurnkul


3. unsafe sex

4.

Somchit Hanucharurnkul


5.

6. .. .. ..

7.

Somchit Hanucharurnkul

ICN 2007


8.

700

Somchit Hanucharurnkul


Holistic Model

Paradigm Shift

Biomedical Model

Somchit Hanucharurnkul


Spiritual Health

Social Health

Psychological Health

Physical Health

Concept of health

Somchit Hanucharurnkul

(Prawes Wasri, 2000)


Paradigm Shift

Acute care philosophy

Primary Care, Community Setting

Somchit Hanucharurnkul


Acute care setting

Acute care philosophy

Disease & Pathology

Cure

Somchit Hanucharurnkul


Traditional Practice Model

Physician

Registered Nurses

Auxiliary Personnel

Patients/Family

Somchit Hanucharurnkul


Primary care / community setting

Self-care philosophy

Patient participatory philosophy

Health & Quality of Life (Holism)

Maximize internal & external resources for health, healing and peaceful dead

Somchit Hanucharurnkul


Collaborative Practice Model

Physician

Registered Nurse

Auxiliary Personnel

Patients/ Family

Somchit Hanucharurnkul


  • Managed care continuity

  • Home care, ambulatory care and day surgery

  • People receive most of their care in their communities

  • Families, friends and caregivers are trust into caregiver roles.

Somchit Hanucharurnkul


:

Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • 1.

  • 2.

Somchit Hanucharurnkul


3.

4.

5.

Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • Task shift

  • /

Somchit Hanucharurnkul


  • Advanced Practice Nurse (APN)

Somchit Hanucharurnkul


Skill Mixed Team

-

-

-

CNS

Somchit Hanucharurnkul


Skill Mixed Team

  • ()

    (APN)

  • /

Somchit Hanucharurnkul


(Affar & Styles, 1992 p.80)

Somchit Hanucharurnkul


Somchit Hanucharurnkul


(Pan American Health Organization, 2007)

Somchit Hanucharurnkul


  • PCU

Somchit Hanucharurnkul


.. (... )

Somchit Hanucharurnkul


  • / .. (... )

  • NP21,494 10,797

Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • 2516- 29 1 655

  • 2521-2530 6 371

  • 2535-2538 1 39

Somchit Hanucharurnkul


  • 2521-2533 6

  • 2524 6

  • 2527 6

  • 2530 4

Somchit Hanucharurnkul


.. 2528 ( 2) .. 2540 4 (3)

Somchit Hanucharurnkul


1.

2.

3.

Somchit Hanucharurnkul


()

4.

Somchit Hanucharurnkul


()

5.

6.

(Capacity Building)

Somchit Hanucharurnkul


TNCS movement and strategies

  • Effectiveness of primary care services provided at a Nurses Private Clinic.

Somchit Hanucharurnkul


1.

28,000 vs 300,000

4 vs 6 + 6

2.

Somchit Hanucharurnkul


3.

4.

150,000vs 30,000

Somchit Hanucharurnkul


5.

6.

Somchit Hanucharurnkul


Capra

General practitioner

Somchit Hanucharurnkul


Somchit Hanucharurnkul


.

Somchit Hanucharurnkul

ICN 2007


PCU

Somchit Hanucharurnkul

ICN 2007


.

Better

Community

Health

Strong

community

.

. /

.

Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • .

  • 26.83

  • 3.50

Somchit Hanucharurnkul


  • 44.48

  • 2

  • 95.50

  • joint disease

Somchit Hanucharurnkul


  • 1.25

Somchit Hanucharurnkul


:

Somchit Hanucharurnkul


Somchit Hanucharurnkul


Evidence based

  • 80-90 NP

  • Under utilization of nurse practitioners in the US cost the country as much as

    $ 8.7 B annually ( Tornquist 1997)

  • NP Master graduate with experience

Somchit Hanucharurnkul


NP1966 2001 35

Somchit Hanucharurnkul


  • /

Somchit Hanucharurnkul


  • x-ray

  • (Lambing, Adams, Fox, & Divine, 2004)

Somchit Hanucharurnkul


  • 975 USD (Ettner et al., 2006)

Somchit Hanucharurnkul


Evidence based in Thailand

  • Many practice model : Ayuthaya, Lomsak, etc.

  • APN success stories

  • Pathway to success of NP (Hanuchaurnkul et. Al., 2007)

  • Cost-effectiveness of nurses private clinic(Hanuchaurnkul et. Al., 2002)

Somchit Hanucharurnkul


NP (4 )

2551

Somchit Hanucharurnkul


  • NP

  • NP

Somchit Hanucharurnkul


  • NP

  • NP

Somchit Hanucharurnkul


6.

Somchit Hanucharurnkul


  • ()

  • APN

Somchit Hanucharurnkul


/

  • (ICN, 2005)

Somchit Hanucharurnkul


(ICN, 2002)

Somchit Hanucharurnkul


  • / / (own case load / case management)

Somchit Hanucharurnkul


()

Somchit Hanucharurnkul


Advanced Practice Nurse (APN)

  • /

2551

Somchit Hanucharurnkul


Advanced Practice Nurse (APN)

  • /

2551

Somchit Hanucharurnkul


Advanced Practice Nurse (APN)

2551

Somchit Hanucharurnkul


  • Patient centered care/holistic care/humanized care

  • Partnering

  • Quality improvement

  • Information and communication technology

  • Public health perspective

Somchit Hanucharurnkul


Specific competencies for APN

  • Specialized in direct practice

  • Expert guidance and coaching

  • Consultation

  • Research skills

  • Clinical and professional leadership

  • Ethical and decision making

Somchit Hanucharurnkul


For NP specific competencies

  • Diagnosis and treatment

Somchit Hanucharurnkul


APN 944

1. 447

2. 102

3. 34

4. 79

5. 88

6 44

7 97

8. 35

  • 17

  • 1

Somchit Hanucharurnkul


Advanced Practice Nurse

  • (CNS)

  • (Nurse Practitioner)

  • (Nurse Anesthetist)

  • (Nurse Midwife)

Somchit Hanucharurnkul


Somchit Hanucharurnkul


Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • role model

Somchit Hanucharurnkul


APN ..

  • APN Med-Sug : Chronic illness

  • APN Mental health and psychiatric Nursing

  • APN

  • APN NP Community Health Nurse Practitioner

Somchit Hanucharurnkul


Somchit Hanucharurnkul


NP

Somchit Hanucharurnkul


NP

NP

Somchit Hanucharurnkul


(3-5 )

42-45 credits

Somchit Hanucharurnkul


Somchit Hanucharurnkul


  • .

Somchit Hanucharurnkul


.

(36 cr)

Somchit Hanucharurnkul


  • NP / /..

Somchit Hanucharurnkul


Somchit Hanucharurnkul


Somchit Hanucharurnkul


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