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This survey research aimed to examine the priority needs for nursing practice development by competencies of nurse practitioners. A multi-stage random sampling was used to recruit a sample of 304 nurse practitioners who have already registered and certified for Primary Medical Care by Thailand Nursing and Midwifery Council (TNC) and been working at a primary health care center in the eastern region of Thailand. Data collection was carried out from June to July 2016 by using self-report questionnaires, including the expected and the actual practical competencies in the current situation. Their reliability were .98 and .96, respectively. Data were analyzed by using descriptive statistics and the modified Priority Needs Index (PNI modified)
The results revealed that the priority needs for nursing practice by competencies of nurse practitioners were ranked in ordering as: 1) Management of health service system (PNI modified =0.20), 2) Management of health and illness, including (a) health promotion, and disease control and prevention (PNI modified =0.19) and (b) illness management (PNI modified =0.18), 3) Professional role (PNI modified =0.18), (4) Health education, training and consultation (PNI modified =0.17), and 5) Relationships and trustworthiness among nurse, client, family and community (PNI modified =0.15). These findings suggest that nurse educators and administrators should utilize to plan and implement an effective training course on nursing practice development by competencies for nurse practitioners
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