A MODEL OF NURSING SERVICE FOR TERMINALLY ILL PATIENTS WITH NETWORK PARTICIPATION BY APPLYING THE CONCEPT OF CHEEWABHIBALN PALLIATIVE CARE CENTER, MAHA SARAKHAM PROVINCE
Keywords:
Nursing services, participation, terminally ill patients, cheewabhibaln palliative care centerAbstract
ABSTRACT
This participatory action research aimed to develop and study the effect of a model of nursing service for terminally ill patients with network participation, by applying the concept of cheewabhibaln palliative care center in Maha Sarakham Province. The study was conducted in three cycles between December 2023 and March 2025. The sample group consisted of 15 professional nurses and 202 patients with terminal illnesses and their family caregivers. Data were collected using data recording forms, questionnaires, in-depth interviews, and focus group discussions. Data were analyzed using descriptive statistics, Pearson's product-moment correlation coefficient, and content analysis.
The study found that the model of nursing services for terminally ill patients has seven components: patient screening, diagnosis and providing comprehensive information, decision-making to enter the palliative care service system, assessment of the patient's level of activity ability, provision of palliative care according to the patient's level of fitness, discharge planning and information transfer, and follow-up visits and evaluation. After the intervention, nursing practice was achieved at a high level and the care competency was at an acceptable level, with a very high level of statistically significant positive relationship (r = 0.81, p < 0.001), resulting in improved functional performance in palliative care patients
Downloads
References
Insamran W., Sangrajrang S. National Cancer Control Program of Thailand. APJCP. 2020; 21(3): 577–582. doi: 10.31557/APJCP.2020.21.3.577
Nilmanat K. Palliative care in Thailand: Development and challenges. Canadian oncology nursing journal. 2016; 26(3): 262–264.
Nilmanat K., Promnoi C., Phungrassami T., Chailungka P., Tulathamkit K., Noo-urai P, et al. Moving Beyond Suffering: The Experiences of Thai Persons with Advanced Cancer. Cancer Nursing. 2015; 38(3): 224–231. doi:10.1097/NCC.0000000000000169
Suratako S., Matchim Y. Palliative care programmes for people with conditions other than cancer in Thailand: a literature review. IJPN. 2023; 29(8): 374–384. doi:10.12968/ijpn.2023.29.8.374
Health Administration Division. Guide to implementing the 2024 cheewabhibaln palliative care center policy. [online] 2024 [cited 8 Jun 2025]. Available from: https://moph.cc/VZojBl1w3
Black R., Hasson F., Slater P., Beck E., McIlfatrick S. Building public engagement and access to palliative care and advance care planning: a qualitative study. BMC palliative care. 2024; 23(1): 98. https://doi.org/10.1186/s12904-024-01420-8
Kim Y., Kim D. H. Interventions for family involvement enhance end-of-life care for hospitalized patients: an integrative review. BMC nursing. 2024; 23(1): 917. https://doi.org/10.1186/s12912-024-02538-z
Phadungsri P., Ladla A. Development of Care Model for Patients with End Stage of Cancer: from Hospital to Home Ubonrat Hospital, Khon-Kaen Province. Journal of Nursing and Health Care. [online] 2019; 37(2): 119-207. [in Thai]. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/200869
Dokmai P., Meemon N., Paek S. C., Tayjasanant S. Structure and process of palliative care provision: a nationwide study of public hospitals in Thailand. BMC Health Services Research. 2021; 21(1): 616. https://doi.org/10.1186/S12913-021-06623-W
Nuengwongsa M., Sansri N., Kakarndee A., Naruenatthanasat N. The Development Palliative Care System Mahasarakham Hospital. Mahasakham Hospital Journal. [online] 2024; 21(1): 216-230. [in Thai]. https://he02.tci-thaijo.org/index.php/MKHJ/article/view/267579
World Health Organization. Planning and implementing palliativecareservices. A guide for programme managers. Geneva: World Health Organization; 2016.
Nursing Division Ministry of Public Health. Palliative nursing care system. Suea Tawan Publishing Company Limited; 2016. [in Thai].
Subwongcharoen N., Chintapanyakun T. Role of Palliative Care Nurses in Tertiary Hospitals. Journal of The Royal Thai Army Nurses. [online] 2020; 21(1): 26-34. [in Thai]. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203234
Rodríguez, J. E., & Zink, T. M. Addressing the Use of Teams in Primary Care. Annals of Family Medicine. 2021; 19(5): 386–387. https://doi.org/10.1370/afm.2741
Bagcivan G., Seven M., Seven M., Pasalak S. I., Bilmiç E., Bilmiç E., et al. Palliative care needs of the cancer patients receiving active therapy. Supportive Care in Cancer. 2022; 30(1): 749–756. doi:10.1007/s00520-021-06485-2
Nordahl H., Wells A. Social anxiety and work status: the role of negative metacognitive beliefs, symptom severity and cognitive-behavioural factors. Journal of Mental Health. 2020; 29(6): 1–5. doi:10.1080/09638237.2017.1340622
Chimchalong R. Palliative nurse specialist competencies and the role of nurse in palliative care. Royal Thai Army Medical Journal. [online] 2021; 74(3): 233-239. https://he02.tci-thaijo.org/index.php/rtamedj/article/view/247134
Fadlilah N., Muhith A., Setiyowati, E. Nurses’ Spiritual Competence Towards Spiritual Care and Patient Satisfaction: A Systematic Review. JANH. 2024; 6(2): 270–281. https://doi.org/10.55018/janh.v6i2.256
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Community Health Development Quarterly Khon Kaen University
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the x may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."
