ตัวแบบบูรณาการงานป้องกันและแก้ไขการตั้งครรภ์ในวัยรุ่น: ความหมายและการดำเนินการ Integration Model for the Prevention of and Solution to Teenage Pregnancy: Concept and Operation

  • ศิริพร จิรวัฒน์กุล Faculty of Nursing, Khon Kaen University
  • วารุณี ฟองแก้ว Chaingmai University
  • สมพร รุ่งเรืองกลกิจ Khon Kaen University
Keywords: teenage pregnancy, meaning of integrated operation, operation model, mixed-method research

Abstract


Objective: This article presents the fndings of the frst phase of the study conducted as
part of the provincial-level research and evaluation project for the prevention of and solution
to teenage pregnancy. The main objectives of the study were to defne the meaning of ‘integration’
as perceived by the provincial working group and to identify an integrated operation model.
Design: Mixed-method research, concurrent qualitative and descriptive approaches.
Methodology: Qualitative data were collected by means of observation, group discussions,
in-depth interviews and documentary analysis. The respondents, who were selected using
the purposive sampling method combined with word-of-mouth suggestion, their number saturated
at 492, were working-group operators from Chiang Rai, Phayao, Chiang Mai, Lamphun, Lampang,
Tak, Nakhon Sawan, Nakhon Ratchasima, Chaiyaphum, Loei, Maha Sarakham, Khonkaen, Nakhon
Phanom, Chachoengsao, Suphan Buri, Phetcha Buri, Prajuab Khirikhan and Krabi provinces.
The qualitative data were analysed using the thematic analysis method. The descriptive research
part was based on data obtained through structured interviews with 18 project managers. The data
were analysed using the content and thematic analysis methods. Finally, the results of both types
of analysis were integratively discussed.
Results: The term ‘integration’ was defned as entailing open-mindedness, mutual learning
and cooperative efforts, all combined to form a network. The integration models were identifed as
involving 4 styles of operation: (1) a meeting for all, before each team was dispersed with a responsibility;
(2) plan announcement, before each team was dispersed with a task; (3) brainstorming, collating the tasks, assembling the people and pooling money; and (4) brainstorming and operation.
Recommendations: The integration models involving the ‘brainstorming, collating the
tasks, assembling the people and pooling money’ and the ‘brainstorming and operation’ styles
were implemented in a horizontal, rather than vertical, manner. These 2 styles, therefore, enabled
the staff from all sectors to learn from one another, to work together pleasantly and to likely
produce the intended results. It is suggested that nurses be trained to apply these integration
models as a means of enhancing their community- and clinical-level disease prevention and
health promotion performance.

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Author Biography

ศิริพร จิรวัฒน์กุล, Faculty of Nursing, Khon Kaen University

Professor Siriporn Chirawatkul, RN, PhD (Medical Anthropology)

Professor Chirawatkul is an independence scholar and health researcher. She has had 10 years experiences as editor and editorial board member for one international and 5 national publications, as well as 20 years of reviewing for several national and international journals related to nursing, health and qualitative research. She has worked for 30 years internationally as an academic, researcher and assisting educating graduate students, faculties and clinical staffs on various aspects of writing and publishing. She published 9 books and chapters, and 115 papers in both national and international journals.

Professor Chirawatkul spent 36 years at the Faculty of Nursing, Khon Kaen University (1977-2013) and served as Director of WHO Collaborating Centre for Research and Training on Gender and Women’s Health during 2000-2013. She was trained as a nurse educator in an area of mental health nursing from Chulalongkorn University, Thailand and medical anthropologist at The University of Queensland, Australia (1992). She has a distinguished career as a nurse educator, medical anthropologist and health researcher. She has played a lead role in training and research in gender and women’s health, health and social inequality, transcultural health care and mental health. She is an expert in qualitative health research.

Professor Chirawatkul has trained to graduation higher degree nursing and medical students in Thailand and served as an external examiner of the PhD students oversea. In recognition of her works, she was awarded an Excellent Book Award from Khon Kaen University (1994); Professor Fon Sangsingkaew Award for excellent mental health innovation (1995); Gnamjit Burachat Award for excellent research on promoting people’s quality of life (1996); Excellent Nurse Researcher from Thai Nurses Council (2000); Research Fellowship Award from the University of Melbourne, Australia (2001); PhD Royal Golden Jubilee Scholarship (2001-2005); Excellent Researcher Award of Khon Kaen University (2003); Excellent Book Award from Khon Kaen University (2004); Excellent Researcher Award from The Siriraj Nurses Alumni Association (2005); and Visiting Scholar Award from the Australian Academy of the Humanities (2006).

 

Editor Position: 2013 – current. Editor, Pacific Rim International Journal of Nursing Research, official journal of the Thailand Nursing and Midwifery Council, Bangkok, Thailand.

Editorial Board membership and Reviewing Experiences

  1. 1998-2005 Editor-2006-2013-Editorial Board Member. Journal of Nursing Science and Health, ISSN: 0125-7021 Faculty of Nursing, Khon Kaen University, Thailand. 2013-currently-Advisory Board
  2. 2005-2015-Editorial Board Member-Journal of Health Science, ISSN: 0858-4923 Ministry of Public Health. Currently-reviewer
  3. 2005-current-Editorial Board Member-Thai Journal of Nursing Council, ISSN:1513-1262 Thailand Nursing and Midwifery Council
  4. 2010-current-Editorial Board Member -The Journal of Psychiatric Nursing and Mental Health, ISSN: 0857-4553 Thailand Psychiatric Nursing Association
  5. 2012-current-Editorial Board Member-Songklanagarind Medical Journal, ISSN: 0125-8435 Faculty of Medicine, Prince of Songkla University, Thailand
  6. 2012-currently-Editorial Board Member-Journal of Nursing and Education, ISSN:1906-1773, Praboromarajchanok Institute of Heath Workforce Development, Ministry of Public Health, Thailand
  7. 1998-currently-Reviewer-Journal of the Psychiatric Association of Thailand, ISSN: 0125-6985, Journal of the Psychiatric Association of Thailand is an official journal of the Psychiatric Association of Thailand. The Royal Collage of Psychiatrists of Thailand
  8. 2002-currently-Reviewer-Asian Journal of Women's Studies, ISSN: 1225-9276Asian Center for Women's Studies (ACWS) of Ewha Womans University in Seoul, Korea
  9. 2009-currently-Reviewer-Qualitative Health Research, ISSN: 10497323, SAGE Publishing
  10. Occasional reviewer- Journal of Research in Nursing. ISSN: 17449871 SAGE Publishing

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Published
2017-11-19
How to Cite
1.
จิรวัฒน์กุลศ, ฟองแก้วว, รุ่งเรืองกลกิจส. ตัวแบบบูรณาการงานป้องกันและแก้ไขการตั้งครรภ์ในวัยรุ่น: ความหมายและการดำเนินการ Integration Model for the Prevention of and Solution to Teenage Pregnancy: Concept and Operation. TJNC [Internet]. 2017Nov.19 [cited 2020Apr.1];32(3):5-24. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/97230