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Title: The nurse's role in promoting health in Thai adults with hypertension : a case study
Author: Kaewsasri, Anchalee
ISNI:       0000 0004 2721 1932
Awarding Body: University of East Anglia
Current Institution: University of East Anglia
Date of Award: 2011
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Hypertension is a disease that continues to rise across the world and in the past 30 years it has become a major health issue in Thailand. Health promotion plays a major role in the management of this disease and nurses have a key role in this management. The Thai government has developed a range of policies to promote the health of hypertensive patients and nurses in primary care settings for ensuring the success of these. The aim of this study was to investigate how health promotion policies are implemented in nursing practice which is aimed at enabling people with hypertension to manage and control their illness. Using a multi-case study approach, data were collected from documents, observations and semi-structured interviews with the Heads of the Primary Care Units, nurses, hypertensive patients and village health volunteers in four primary care units in one province in Thailand in 2009. A thematic approach was used as a framework for the within-case and cross-case analyses. Although Thai nurses do not have a role in policy generation, they are influential in its implementation and they adapt or modify these policies in order to meet the context and the needs of individual patients and the community. Nurses in this study adopted a narrow definition of health promotion by concentrating more on health education, medication education and promoting behaviour change. In line with the national policies, the nurses promoted community action by involving several stakeholders in developing a collaborative approach to care. The role of the nurse was greatly influenced by the uniqueness of the Thai cultural and religious beliefs. The implication of this study is that nurses need decision-making skills when implementing policy and to adopt a wider definition of health promotion by giving more consideration to the socio-economic and political influence on health.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available