ตัวแบบบูรณาการงานป้องกันและแก้ไขการตั้งครรภ์ในวัยรุ่น: ความหมายและการดำเนินงาน

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.