Employment Pattern of Retirement Nurses of Long-Term Care for Working as Health Care Managers in the Community from the Management Perspective

Abstract

          The aim of this study was to explore the employment patterns of retirement nurses of long-term care for working as health care manager in the communit from the management perspective. The qualitative study was used to conducted in this study. Collected data from central and regional administrators who were involved in policy formulation and plans for employing retired nurses as managers of the long-term care system for the dependent elderly in the community by specific selection  from 9 executives who set policy in central agencies and regional total 43 people,                   38 members of the fund's executive committee. Data were collected by in-depth interviews. Data were analyzed by content analysis.

            The results of the study revealed that most executives in the central and regional areas agreed to employ retired nurse acting as care manager The employment was suggested into 2 patterns, team employment and individual employment by do the contract on term of reference for the care manager in community. For the budget, it should be based on the local area. The wage rate should be approximately 15,000-30,000 baht per month. The employment pattern is flexible and full time.  The qualifications of health system managers were 2 opinions. 1) Some of them would like to have  only register  nurse  and 2 )  some of them would not like to specific only register  nurse  by two reasons. First, executives believed that the people who lived in community for long time could also be care manager due to ability of care manager. Second, there could be find another people with the required abilities.

            Policy recommendations for hiring retired nurses can be hired, but the regulations should be revised to be consistent with the actual situation. Appropriate approaches to hiring retired nurses should be considered. In additions，it should be promote competence in caring for the elderly by organizing training for retired nurses.