The Development of Humanistic Care Competencies through Course Family and Community Nursing 1

Abstract

The development of the Thai public health service system in the human dimension provided the importance of service users. This takes into considerations individual client’s unique conditions and limitation.  This mixed methods research aimed to develop and investigate the causal model of humanistic care competencies through course instructional management, course family and community Nursing 1. The sample consisted of 155 students in the third year of the Bachelor of Nursing Science program by purposive sampling method. This research instruments were 5 rating scale questionnaires, teacher memorandum, reflection notes form for students and focus group. Quantitative data was analyzed by structural equation model (SEM) and qualitative data was analyzed by content analysis. The research results found that the development of humanistic care competencies through the management of family and community nursing courses 1 was fit with the empirical data (χ² = 72.650, p=.167, GFI = .940, AGFI = 0.988, RMSEA = .033). Analysis of the effect of the variables in the model has shown that 1) Helping had the greatest direct positive influence on providing equal service. In addition, helping factors were as mediator factor toward the relationship between differences factors and equality of service. Although the polite variable, accept variable and understanding variable was no positive influence on both Helping and equality variables. But it was a fundamental variable in the development model that supports learners to understand the differences between individuals. Lead to help the others and affect to provide services with equality. 2) The teaching and learning process with humanistic care from the analysis of the teacher memorandum, reflection notes form for students and focus group leading to the conclusion was "Open your heart, learn, pay attention, participate in activities, reflection and adaption". Therefore, the development of humanistic care competencies through teaching and learning management should be encouraged the students to understand the differences between individuals. Along with the fact that teachers and mentors in a practical training resource, maintain themselves as a good model in patient-centered care. This will result in the recipients receiving better care and better quality of life.