Journal of The Royal Thai Army Nurses
https://he01.tci-thaijo.org/index.php/JRTAN
<p>Journal of The Royal Thai Army Nurses is an academic and research journal related to nursing, healthcare, and health promotion. The journal publishes academic articles, research papers, special articles, and reviews. Each issue may have diverse content, and it is published three times a year: January-April, May-August, and September-December.</p> <p><span style="font-size: 110%;"><strong>ISSN 2985-1041 (Online)</strong></span></p>en-US<p>บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย</p> <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก</p> <p><span class="fontstyle0">The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those<br>of the editor or Royal Thai Army Nurses Association.</span></p>[email protected] (Associate Professor Lieutenant General Dr. Saisamorn Chaleoykitti | รองศาสตราจารย์ พลตรีหญิง ดร. สายสมร เฉลยกิตติ)[email protected] (Major Nuntikan Klinchet | พันตรีหญิง นันทิกานต์ กลิ่นเชตุ)Sun, 10 Dec 2023 21:11:42 +0700OJS 3.3.0.8http://blogs.law.harvard.edu/tech/rss60Editorial Note
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/267607
Saisamon Chaleoykitti
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/267607Sun, 10 Dec 2023 00:00:00 +0700Holistic Palliative Care for Covid-19: A Case Study
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252017
<p>Coronavirus disease 2019 (COVID-19) is a life-threatening disease that emerged, spread and eventually caused a worldwide pandemic. A severe complication of the disease was found in a critical state caused by the SAR-CoV-2 virus into the lungs, causing the lungs to lose their function and cause acute respiratory distress. Including complications from viral infection entering the body, This group of patients will suffer both physically and mentally. It has severe consequences and threatens the patient’s quality of life to the end of life, where patients need palliative care. Integration of care approaches starts from the onset of the disease and progresses until it cannot be cured entirely. And provide symptomatic care until the patient enters the final stage. By the way, care must be taken to provide holistic care. To address all dimensions of patient suffering, The role of nurses in caring for patients who are in the final stages of life in providing holistic palliative care is therefore essential, which must have knowledge and understanding about the disease management of suffering. This role will help promote the quality of life for patients in the last stages of life with dignity. And the family is proud of this decision. and satisfaction with the service model</p>Jutamart Pundee, Chaninthorn Kliangda , Kessiri Wongkongkam
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252017Sun, 10 Dec 2023 00:00:00 +0700The Importance Role of Nurse Anesthetist for Cochlear Implantation
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262076
<p>Cochlear implant surgery is a procedure involving insertion a device into inner ear, as a treatment of congenital deafness or acquired deafness. The cochlear implant is a long operation, approach with microscope through ear canal. According to the usage of an intraoperative nerve stimulator, a neuromuscular blocking agent is prohibited. A specialized and skilled nurse anesthetist is essential to maintain the depth of anesthesia and promptly detection and treatment of any complications. Beginning with the preoperative period, the nurse anesthetist is responsible for patient assessment, patient preparation, and room setup. Moreover, intraoperative coordination with anesthesiologist and surgeon, postoperative monitoring for adequate pain control and treatment of immediate complications are the key success to acheive excellent patient care.</p>Chanisa Mettapol, Saranya Hengphaisan, Sirijunya Junyatham
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262076Sun, 10 Dec 2023 00:00:00 +0700Artificial Intelligence – An Innovation in Nursing Care
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263603
<p style="font-weight: 400;">Artificial intelligence is a rapidly developing technological innovation that has the potential to improve patient care in various professional fields. Alongside physicians’ diagnosis and treatment, nurses also need to be trained in the techniques of using artificial intelligence thoroughly to ensure accountability, responsibility, and the safety of patient data for reduce a human error and manage an electronic medical database systems aiming to increase the quality of nursing care.</p> <p style="font-weight: 400;">Predictive analysis using artificial intelligence can aid in clinical decision making for early diagnosis, prevent risk factors and virtual nursing assistants can use internet-based communication to project video images with sound to provide advice to patients and their families or monitor patients who are far from the hospital. Especially during the outbreak of the COVID-19 virus. Medical robots can assist in surgeries with precision than traditional surgery. Which is under the code of professional standards to keep patients safety and maintain data privacy.</p> <p style="font-weight: 400;">However, the integration of artificial intelligence is still a challenge that nurses must be aware of, and efforts must be made to ensure collaboration from all personnel to maintain patient confidentiality and privacy. Transparency, non-disclosure, freedom from bias, and responsibility are essential to improve the quality of patients’ nursing care, allowing them to return to a happy life with their families.</p>Ratthaya Kimura, Papiroon Noitasaeng, Phongthara Vichitvejpaisal
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263603Sun, 10 Dec 2023 00:00:00 +0700Strengthening the Community: Role of Village Health Volunteers
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263631
<p>The Village Health Volunteer are group of strong and helpful health personnel, well-coordinated health teams, the group that is well-trained group in the area so that ,they can work well and have easy access to the community in Urban and Rural. They can encourage the community to change health behaviors in the right direction, even if they are trained or promoted health knowledge and receive a gift in practice. Excellent of Village health volunteer ; Fees, education quota allocation in the Ministry of Public Health, Medical treatment and train fare reduction for example, will be the driving force for such groups to have a gift of motivation and performance to work, which will impact sustainable health promotion policies or plans in communities and studies have demonstrated that village health volunteers can serve as health behavior models, participate in health networking, activities, and participation in public health services networks in family physicians, home visited, and local patient care, and play a role in transmited knowledge and specific skills in care for patients, developing patients and caregivers well, and contributed the development and strengthening of the community.</p>Pannathat Chanpanit, Weathaka Wongmanee, Narak Judabood
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263631Sun, 10 Dec 2023 00:00:00 +0700Competencies of Professional Nurses in the Hospital
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260635
<p>The Nursing Council has determined the main professional nurse competencies in order to increase the competency of professional nurses. The central competencies are defined for the purposes of promoting education, service, research, and professional advancement. Currently, the Nursing Council requires that all departments have the same 8 competencies. consisting of 1) ethical competence Ethics and law 2) nursing and midwifery practice competency 3) professional character competency 4) management leadership competency and quality development, 5) academic and research competencies 6) communication and relationship competencies, 7) technology and information competencies, and 8) social competencies.</p> <p>This is because the hospital has many departments, so they have different expertise according to the capacity according to the department they are responsible for. Each hospital has different departments depending on the size of that hospital. This academic article contains content about nursing competency grading based on Benner and Bloom’s concepts. Nursing competencies in the Accident and Emergency Department Nursing performance in the intensive care unit Competency of nurses in the department of aging patients’ performance of the surgical patient department Nursing competencies in the outpatient department Competency of nurses in maternity department, delivery room competency of the pediatric department and the competency of nurses in the anesthesiology operating room department.</p> <p> </p>Natthawirot Choodum, Sasinaporn Lohitthai, Natthinee Chua Chomket
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260635Sun, 10 Dec 2023 00:00:00 +0700New Approach in Nursing Student Club creates a Smoke – Free Thai Society to Sustainability of Tobacco Control
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263486
<p>Nursing Student Club creates a Smoke – Free Thai Society, have roles and responsibilities in operating to control tobacco consumption for people of all age groups. Nursing students are the main leaders in the operation. The purpose is to reduce the health risk factors from smoking and exposure to secondhand smoke in the from organizing various activities that emphasize participation, promotion, and support in reducing and quitting tobacco consumption. The objective of this article is to purpose guidelines for the operation of the Nursing Student Club creates a Smoke – Free Thai Society for nursing institution according to the roles and responsibilities for nursing student to control tobacco consumption in various forms, such as organizing educational activities or the development of media and innovation of assisting smoking cessation, etc. Therefore, it should be promoted and develop the potential for the Nursing Student Club creates a Smoke – Free Thai Society in every educational institution of nursing for health literacy and behavior. And have behavior of assisting smoking cessation including planning the management of Nursing Student Club creates a Smoke – Free Thai Society to build Thai society smoke free from good practice to be a standard and to create a sustainable smoke free Thai society.</p>Tanawat Ruamsook, Phatcharaphan Chaiyasung, Rudee Pungbangkadee
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263486Sun, 10 Dec 2023 00:00:00 +0700Return to Work Assessment and Management of Hospital Food Handlers with Positive Stool Culture for Salmonella
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264118
<p>Salmonella is a common pathogen found in stool culture samples in Thailand and Asia. Infections may lead to severe diseases, particularly typhoid and paratyphoid fever, which can be transmitted even in the absence of symptoms. These infections are identified as diseases requiring attention in the food sanitation manual for food service establishments according to the regulations of the Ministry of Public Health’s Food Service Establishment Act, B.E. 2561. Therefore, establishing guidelines for evaluating return to work and managing food handlers with positive stool culture for Salmonella is essential, especially for high-risk groups in a hospital setting</p> <p>This article aims to review the current literature on guidelines for evaluating return to work and managing food handlers with positive stool culture for Salmonella. As details vary in each country, the review results show that several factors need to be considered for assessment such as pathogens, infectivity, symptoms, treatments, and food handling duties. This article also covers food safety standards, personal hygiene, and self-reporting practices. These are recommended practices to reduce contamination and transmission of the pathogen from food handlers to consumers, as well as for infection control in hospitals.</p>Ravipas Akkachotikul, Palakorn Panarat, Parit Phongam
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264118Sun, 10 Dec 2023 00:00:00 +0700Clinical Competency Assessment for Nursing Students: Identifying Entrustable Professional Activities
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264698
<p>Competency-based assessment (CBA) aims assess the clinical competency of learners in nursing practices that demonstrates the ability to apply knowledge, skills, attitudes, and professional characteristics according to nursing standards. Clinical competency assessment based on the Miller’s Pyramid Framework using Entrustable Professional Activities (EPAs) as an innovation assessment framework used in the competency-based nursing education assessment at “the Does level” and “the Identity level”. Clinical competency assessment is workplace-based assessment (WPBA) by direct observation of procedural skills (DOPS). Determining the EPAs to translate the nursing competencies into proficiency levels of the milestones by which nursing students can apply their knowledge, skills, attitudes, and professional behavior in nursing practices by themselves, under direct and proactive supervision, or without supervision and provide supervision to junior trainees.Clinical Competency Assessment for Nursing Students using Entrustable Professional Activities to guide clinical competency assessment for nursing students maximizes patient benefit.</p>Kusuma Kanglee, Nuttaporn Lawthong
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264698Sun, 10 Dec 2023 00:00:00 +0700Developing a Proactive HIV Screening Service System Syphilis and Hepatitis C in Prisoners Under the Pun Suk Correctional Project
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265470
<p>Prisoners reserve the right to access healthcare services like those who are not imprisoned. Healthcare service is a fundamental right that is provided for the Thai population. Due to dense living conditions, prisoners are prone to have stronger severe symptoms from both communicable and non-communicable diseases. Most importantly, prisoners still have difficulty accessing healthcare services. Therefore, a disease screening process is crucial for new prisoners to determine their likelihood of having the disease. This process will diagnose if the prisoner has severe communicable disease as they might be an infection spreader in prison.</p> <p>This study presents the disease screening process, which includes the preparation of medical supplies and equipment, a system for tracking prisoners, roles of medical staff, procedures for hospitals within the service network, and benefits from the screening process. It was found that the best time for the screening process, which prevents disease spread the most, is before imprisonment. Screening should also be conducted before parole to prevent the disease from spreading to communities.</p>Darinda Rosa, Achara Pakdeepinit, Kruatip Jantarathaneewat
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265470Sun, 10 Dec 2023 00:00:00 +0700The Use of Morphine and Marijuana for Patients in Palliative Care
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263889
<p>Palliative care is a specialized medical care aimed at improving the quality of life of patients with life-limiting illnesses. Patients in palliative care often experience various symptoms such as pain, anxiety, depression, and loss of appetite. Morphine and marijuana are commonly used medications for managing these symptoms.</p> <p>Morphine is a powerful opioid medication that is effective in treating severe pain. It works by binding to opioid receptors in the brain and blocking the transmission of pain signals. Morphine is usually administered orally, intravenously, or subcutaneously. Despite its effectiveness in pain management, morphine has side effects such as sedation, respiratory depression, and constipation. Marijuana, on the other hand, is a medicinal plant that contains cannabinoids such as tetrahydrocannabinol and cannabidiol. It is commonly used for managing symptoms such as pain, anxiety, and nausea. Marijuana can be administered orally or through inhalation. It has fewer side effects than morphine and is generally well-tolerated.</p> <p>The use of morphine and marijuana in palliative care has been a subject of debate. Some healthcare professionals are concerned about the potential for addiction and abuse of these medications, while others argue that they are safe and effective for managing clinical symptoms. They can also improve the quality of life of patients in palliative care. However, healthcare professionals should carefully evaluate each patient’s needs and use a clinical approach in medication management.</p>Chanitda Pantabtim, Phongthara Vichitvejpaisal, Supaphan Noipitak
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263889Sun, 10 Dec 2023 00:00:00 +0700Conceptual Framework Quality Maternal and Newborn Care
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258233
<p class="paragraph">Maternal death and stillbirth occur worldwide and, although countries have made progress on maternal and newborn care leading to reduce maternal mortality and stillbirth rates, more effort is needed to reach Sustainable Development Goals (SDGs). The majority of causes of maternal death and stillbirth are prevented with quality care during childbirth; evidence shows that midwifery is pivotal for leveling up the quality of maternal and newborn care in all countries. The framework for Quality Maternal and Newborn Care (QMNC) was developed based on the definition of midwifery practice for being a standard care for childbearing women, newborn infants, and families across the continuum throughout pregnancy, birth, and postpartum. This framework consists of evidence-based practice; organizational care, that promotes accessibility and quality care and integrates midwives into the health system; values of care, where women and families receive respectful care; a philosophy which optimise physiological birth; and care providers who are knowledgeable, skilled, and competent to deliver the quality care. In conclusion, the QMNC Framework contributes to midwifery, including practices, organizations, values, philosophy, and care providers. This framework can apply to all women and newborns and in all settings, regardless of health status, income, or education, to enhance improvement in care quality and the best maternal and newborn outcomes.</p>Thitaporn Siriwan, Supunnika Pansri, Darin Srichum
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258233Sun, 10 Dec 2023 00:00:00 +0700A Study of Cultural Intelligence of Registered Nurses in General Hospitals under The Ministry of Public Health
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256624
<p>The purpose of this descriptive research was to study the cultural intelligence of registered nurses in general hospitals under the Ministry of Public Health and compare the cultural intelligence of registered nurses classified by age, education level, work experience, number of foreign patients, level of supervision and cross-cultural nursing training. The sample was 382 registered nurses selected by multi-stage sampling technique. The findings can be summarized as follows: 1) The overall cultural intelligence of registered nurses in general hospitals under the Ministry of Public Health were found to be high (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 5.27, SD = 0.77). In terms of individual dimensions, the behavioral dimension was found to have the highest level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 5.45, SD = 0.77), followed by the metacognitive (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 5.42, SD = 0.77), and motivational dimensions (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 5.18, SD = 0.85), while the cognitive dimension had the lowest mean score (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 5.02, SD = 0.95). 2) Registered nurses with different numbers of foreign patients, levels of supervision, and cross-cultural nursing training perceived their cultural intelligence levels differently with statistical significance at .05, while registered nurses with different ages, work experience and educational levels perceived their cultural intelligence levels no differently.</p>Piyarat Theerawetchawong, Wasinee Wisesrith
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256624Sun, 10 Dec 2023 00:00:00 +0700The Relationship between Type of Food Consumption and Nutrition Status in Primary School Student in Nakhon Si Thammarat Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256318
<p>Good nutritional status affects primary school students’ health and development. In contrast, malnutrition, including undernutrition and overnutrition, is leading to serious public health issues. Malnutrition problems, especially among primary school students, are more likely to increase rapidly and continuously. Its causes are many related factors, such as genetics, family, environment, and consumption behaviors. However, the crucial cause of malnutrition is unhealthy food consumption, which includes eating less fiber as well as consuming high-fat foods, carbohydrate and sugary foods, junk foods, and sweetened beverages. These foods are significantly related to the nutritional status of primary school students.</p>Chanakan Jinakun, Naiyana Noonil, Saifon Aekwarangkoon
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256318Sun, 10 Dec 2023 00:00:00 +0700Factor Analysis of Resilience in Nurses Caring for Older Persons
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260528
<p>The purposes of this study were to examine components and indicators of resilience in nurses caring for older persons. The sample comprised 2 groups. Group 1, there were 12 qualified nursing experts who were selected by the purposive sampling technique. Group 2 included 301 professional nurses in medical units who were selected by the multi-stage random sampling technique. The research instrument consisted of a semi-structured interview and an online questionnaire. The content validities were between 0.6 – 1.0. The reliability of the questionnaires was 0.98. The data were analyzed by using descriptive statistics and exploratory factor analysis.</p> <p>The findings were as follows. 1) The components of resilience in nurses caring for older persons included 6 components, and 62 indicators with cumulative of variance accounted for 68.63 %. The first dimension, caring attitude toward older persons comprised 9 indicators with standardized factor loading (SFL) ranking from 0.465 to 0.884. The second one, focus on spiritual and interpersonal relationships had 16 indicators with SFL ranking from 0.305 to 0.975. Thirdly, proper context to support caring for older persons consisted of 10 indicators with SFL ranking from 0.309 to 0.871. The fourth aspect, profession of whom nurses caring for older persons contained 11 indicators with SFL ranking from 0.583 to 0.744. The fifth one, good health had 6 indicators with SFL loading ranking from 0.432 to 0.873. The final one, creation of positive attitude and communication to older persons comprised 10 indicators with SFL ranking from 0.374 to 0.685.</p>Sayumporn Phoonman, Aree Cheevakasemsook, Supamas Angsuchot
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260528Sun, 10 Dec 2023 00:00:00 +0700The Effects of a Positive-Emotion-Enhancing Program on the Happiness of the Elderly
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259541
<p>This Quasi-experimental research had a two-group pretest-posttest design. The objective of the study was to examine the effects of a positive-emotion-enhancing program on the happiness of the elderly. The subjects used in this research were older adults aged 60-79 years living in Mueang Nong Bua Lamphu District, Nong Bua Lamphu Province in Thailand. Thus, 62 people were divided into the experimental and control groups with 31 participants each. The experimental group received the positive-emotion-enhancing program developed by the researcher according to Broaden-and-build theory of positive emotions once a week for 90 minutes each over ten weeks. The control group received the routine nursing care of the district health promoting hospital, such as health screening and medical examination for illness, etc. were assessed using the Oxford Happiness Questionnaire. Data were analyzed using descriptive statistics and t-test statistics.</p> <p>The findings can be summarized as follows: 1) The mean happiness scores of the elderly in the experimental group that participated in the positive emotion enhancing program after the experiment was higher than their pretest scores with statistical significance at .001. 2) The mean difference between pretest and posttest in the mean happiness scores of the experimental group was higher than those of the control group with statistical significance at .001.</p> <p>In conclusion, the positive-emotion-enhancing program increased positive emotions, negative emotions elimination skills, and life satisfaction, which are components of happiness in older people.</p>Sunisa Chuaktong, Chomchuen Somprasert, Priyoth Kittiteerasack
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259541Sun, 10 Dec 2023 00:00:00 +0700Development of Learning Nursing Skill Program via Digital Media to Encourage Clinical Judgement among the Second Year Nursing Students of The Royal Thai Army Nursing College
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261365
<p>This study aims to develop learning nursing skills program through digital media which encourages clinical judgement skill among the second year nursing students. 5 Senior experts who verify data to develop learning nursing skill program and the sample consists of 40 second year nursing students. Research Instruments are 1) the quality evaluation form of clinical judgement skill test for intravenous injection 2) the evaluation form of interactive video-based video for practical nursing skill to enhance judgement skill for intravenous injection 3) the quality evaluation form of judgement skill through digital media for intravenous injection.</p> <p>Learning nursing skill program via digital media which encourages clinical judgement skill consists of 1) The clinical nursing judgement skill test for intravenous injection comprises 3 means : an injection via intravenous set, an injection via intravenous lock and an injection via intravenous infusion, containing 20 questions (ICO = 0.80-1.00) 2) an interactive video-based practical nursing skill to enhance judgement skill for intravenous injection which content validity shows high level (M = 4.40-5.00, SD = 0.00-0.55). Index of difficulty and discrimination of the clinical nursing judgement skill test skill for intravenous injection shows high level (p = 0.43-0.87, r = 0.22–0.85). The quality of judgement skill test shows good (KR-20 = 0.71) and 3) an interactive video-based handout.</p> <p>The results are the decision- making skill score of sample group shows excellent. The quality of program standard followed by Stufflebeam’s model represents at high level (M = 4.38, SD = 0.82) which shows the quality of learning nursing skill program via digital. The recommendation to the nursing institutes is application in order to encourage clinical judgement as well as advancements in knowledge, skill and attitude in practical nursing for intravenous injection.</p>Siriporn Sawangchit, Naiyana Wongsaita, Kusuma Kanglee, Nuntikan Klinchet, Darlin Srichum, Thanatchaporn Thacheephan
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261365Sun, 10 Dec 2023 00:00:00 +0700Factors Predicting Depressive Symptoms of Cyberbullying Victims in Middle-School Students
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260670
<p>This predictive correlational study aimed to examine depressive symptoms, factors influencing, and factors predicting depressive symptoms of cyberbullying victims in middle-school students. The sample consisted of 300 participants. The instruments used for collecting the data were 1) demographic characteristics questionnaires; 2) the Center for Epidemiologic Studies- Depression Scale (CES-D) 3) the self -esteem scale; 4) coping strategies scale; 5) learning style questionnaires; 6) parenting style questionnaires; 7) family relationships questionnaires; 8) friendship intimacy questionnaires; 9) social support questionnaires and 10) social media addiction questionnaires. The reliability test of questionnaires 2- 10 were 0.90, 0.83, 0.84, 0.95, 0.85, 0.83, 0.83, 0.93, and 0.92, respectively. Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficient, Pearson’s product correlation coefficient, and stepwise multiple regression analysis.</p> <p>Study found that the mean score of depressive symptoms was 20.61. (M = 20.61, SD = 9.89).The result revealed the depressive symptoms were at a mild to moderate level. By examining the stepwise multiple regression for predicting depressive symptoms, the six factors that could predict depressive symptoms included emotion-focused coping (ß=-0.332, p < .001), neglectful parenting style (ß = 0.290, p < .001), more than 1 type of cyberbullying (ß = 0.243, p < .001), female (ß = 0.174, p < .001), problem-focused coping (ß = 0.165, p < .05) and perceived characteristics (introverted personality and sentimental) (ß = 0.127, p < .05). All six variables were able to predict depressive symptoms at 34.7%</p> <p>The findings of this study showed that cyberbullying victims in middle-school students are a high risk group for depressive symptoms. Academic Administrator and Mental health professionals aimed at enhancing coping strategies to this population group.</p>Anchalee Jeerat, Nutchanart Bunthumporn, Sararud Vuthiarpa
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260670Sun, 10 Dec 2023 00:00:00 +0700The Effect of Midwifery Preparation Program for Nurse and Midwifery License Examination among Air Force Student Nurses
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266453
<p>This quasi-experimental research aimed to study the effect of a midwifery preparation program for nurses and midwifery license examination among Air Force Student Nurses. The sample group was fifty-six Air Force Nurses who completed the degree in 2022, selected by purposive sampling. The research instruments comprised a midwifery preparation program, with a validity index (CVI) equal to 1.00, and two sets of midwifery knowledge tests, with a CVI equal to 0.88 and 0.90, respectively. Reliability was analyzed using Kuder and Richardson (KR-20) 0.72 and 0.76, respectively. The test-retest method was used to analyze the equivalence of parallel examinations, yielding the Pearson correlation coefficient of 0.91. The research data were analyzed using Paired T-test statistics.</p> <p>The research results found that after participating in the program, the sample group had a higher mean score than before participating in the program, statistically significant (t=15.352, p<.001). 100% of samplings passed the nurses and midwifery licensure examination. The results of this study can be used as a guideline for nursing instructors to prepare for the midwifery course to take the examination and receive a license to be a registered nurse and midwifery.</p>La-Ongdao Wannarit
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266453Sun, 10 Dec 2023 00:00:00 +0700The Predictive Power of Symptom Experience and Symptoms Management Strategies on Quality of Life among Patients with Chronic Obstructive Pulmonary Disease in Central Chest Institute of Thailand
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/253087
<p>This study aims to examine the predictive power of the experience of dyspnea, fatigue, insomnia, anxiety, depression, and symptoms management strategies on quality of life among patients with chronic obstructive pulmonary disease (COPD) in Central Chest Institute of Thailand. The sample of 121 COPD patients was simple random sampling selected. Data collection was performed by using a questionnaire composed of 6 parts: 1) demographic data; 2) Dyspnea, Fatigue, and Insomnia; 3) Hospital Anxiety and Depression; 4) Symptom Management, and 5) the Quality of life. The Cronbach’s Alpha Coefficients were .96, .80, .73 and .92 respectively. Data were analyzed by descriptive statistics and stepwise regression analysis. The results were as follows. Predictive variables on quality of life among COPD patients at level 36.4% included dyspnea, anxiety and insomnia of symptom were perceived by β = -.280, β = -.265, and β = -.224 at p < .01. Therefore, nurses should regularly assess the symptoms of dyspnea, insomnia, anxiety, and develop guidelines for symptoms management to promote quality of life among patients with COPD.</p>Buachompoo Ekkamart, Rangsiya Phaicharoen, Paveekun Phetphiphat
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/253087Sun, 10 Dec 2023 00:00:00 +0700Facters Related to Stress of Caregiver in Dementia Patients
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257025
<p>This study aimed to examine the caregiver’s stress responsible for dementia patients and to study the correlation between genders, elderly mutuality, caring hours, sleep quality, sense of coherence, humor, and stress levels in caregivers. The sample group which was selected with the multi-stage sampling method included 120 primary caregivers who took care of dementia patients at two tertiary hospitals with dementia specialization. The research tools were the Personal Information Questionnaire; Burden of Caregivers in Caring Patients with Dementia Measurement; Sleep Quality Index; Multidimensional Humor Measurement; Supportive Mutuality Between Elderly and Relatives Caregivers Questionnaire; and Sense of Coherence Assessment. The data collection tools were tested by 5 experts, yielding the content validity of 1, 0.96, 1, 0.99, and 0.98, respectively whereas their reliability was 0.89, 0.97, 0.95, 0.91, and 0.83, respectively. Finally, data were analyzed by using descriptive statistics: numbers, percentage, mean, standard deviation, median, maximum and minimum values; and Spearman’s rank correlation.</p> <p>The results showed that 51.7 percent of the caregivers had no stress level. Moreover, the factors which were sense of coherence and humor were shown to be correlated with the caregiver’s stress and were statistically significant at p<0.001 (r = -0.598, r = -0.246, r = 0.326), respectively. The factors between supportive mutuality in patients with dementia and a sense of coherence showed negatively correlated with the stress of the caregivers. Humor was significantly positively associated with the caregiver’s stress. The result of this study suggested that support should be provided in terms of mutuality and sense of coherence for nursing planning in caregivers.</p>Paweena Taksinachanekij, Jiraporn Kespichayawattana
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257025Sun, 10 Dec 2023 00:00:00 +0700Effectiveness of a Capability-development Program for Caregivers of Children with Asthma at Sunpasitthiprasong Hospital,Ubon Ratchathani
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257668
<p>This was quasi-experimental research to compare the abilities of caregivers of children with asthma between the experimental group and the control group in terms of 1) knowledge; 2) practice; and 3) management of children with asthma, before and after taking a capability development program at Sunpasitthiprasong Hospital.</p> <p>The sample consisted of 92 caregivers of children with asthma (parents or caregivers who had been caring for the child for at least one year or more) who had come in to receive care at the Pediatric Pulmonary Disease Clinic of Sunpasitthiprasong Hospital 2 or more times, out of which 46 were selected by purposive sampling, and they were divided into 2 groups: the comparative group (23) who took the program, and the experimental group (23). The research instruments included 1) a capability development program about management of children with asthma for caregivers and 2) an evaluation form to assess the caregiver’s abilities. The content validity was assessed by 5 experts and the instruments received CVI scores of 1 and 0.94 and a Cronbach’s alpha coefficient of 0.82. Data were analyzed using descriptive statistics and t-test.</p> <p>The results showed that 1) The caregivers before participating in the program, the comparative group had the average percentage scores of knowledge 3.62, practice 4.31 and management 3.93 and the experimental group had the average percentage scores of knowledge 3.94, practice 4.18 and management 4.28. The two groups were not significant different. 2) Before and after participating in the program, the experimental group had the average percentage scores of knowledge 4.48, practice 4.57 and management 4.44, differed to a statistically significant degree at p-value < .05.</p>Patcharee Promsuwong, Pattaya Kaewsarn, Nusara Prasertsri
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257668Sun, 10 Dec 2023 00:00:00 +0700Effectiveness of Smartphone-based Application with Wireless Earbuds as Result Indication of Audiometric Testing: Case Study Among Workers in a Hospital, Chonburi Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262672
<p>The purposes of this quasi-experimental research were to compare the hearing threshold of participants using a smartphone-based hearing test application with wireless earbuds with conventional audiogram and to determine the accuracy of a smartphone-based hearing test application with wireless earbuds with conventional audiometer. A total of 41 subjects were recruited and completed a questionnaire which had passed verify checked. Pure tone audiogram thresholds were measured from 500 Hz to 8000 Hz, while smartphone measurement was obtained with “Hearing Test” application. All data were analyzed using descriptive statistics, paired t-test and intraclass correlation coefficient (ICC). The statistical significance is determined at p < .01.</p> <p>The result showed that there was significant difference between the average hearing threshold obtained on smartphone-based application and conventional audiometer for all frequencies. The results from smartphone-based application were significantly lower than the one determined by conventional audiometer for all frequencies. The results also revealed high positive correlation for the frequencies 500-2,000 Hz (ICC 0.61-0.87) and very high positive correlation for the frequencies 3,000-8,000 Hz (ICC 0.90-0.95).</p> <p>In conclusion, the method of hearing test carried out on smartphone-based application with wireless earbuds demonstrates high compatibility with conventional audiometer, which may serve as an accurate and accessible approach to hearing evaluations, especially in settings where conventional audiometer is unavailable.</p>Suraphat Siwawut, Teerayut Sa-ngiamsak, Srirat Lormphongs
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262672Sun, 10 Dec 2023 00:00:00 +0700The Relationship between Perceptions and Preventive Behaviors of Coronavirus Disease 2019 among Service Recipients from Primary care Units, Lang Suan, Chumphon Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262075
<p>This research aimed to study the relationship between perceptions and preventive behaviors of Coronavirus disease 2019 among service recipients from primary care units, Lang Suan, Chumphon. It is a descriptive study. The samples consisted of 382 service recipients from primary care units, Lang Suan, Chumphon Province. The instrument was an online questionnaire in Google Forms. The data was analyzed by frequency, percentage, mean, SD, and Pearson’s product moment correlation coefficient for testing the relationship.</p> <p>The results revealed that the relationship between perceptions and preventive behaviors of Coronavirus disease 2019 was positive and at a low level, with the significance level of 0.01 (r = 0.354**).</p> <p>Thus, the results should be applied as a guideline to transfer knowledge and health education for general people, and to create the body of knowledge, health literacy, self-care behavior, and how to take care of their families as well as communities. Also, it is to set clear and concrete disease preventive policies.</p>Patumrat Akekapoj, Suradej Samranjit, Mingkwan Sirichote
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262075Sun, 10 Dec 2023 00:00:00 +0700Effects of Simulated Hands on Pain Responses to Heel Stick in Premature Infants
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263436
<p>This quasi-experimental research with a cross-over design investigated the effects of simulated hands on responses to pain, heart rates and oxygen saturation in premature infants. The study examines behavioral and physiological responses to pain of 30 premature infants admitted in the Neonatal Intensive Care Unit. The subjects were recruited based on specified inclusion criteria and randomly assigned in order of treatment to both experimental and controlled conditions. In the experimental condition, each infant received simulated hands embracing. The videos were recorded throughout the process. The Neonatal Infants Pain Scale (NIPS) was used to assess the pain score. The repeated measures ANOVA was used to analyze. The results showed that the infants who received the simulated hands had the mean pain scores during and after the heel stick of the 1st, 3rd, 5th, 7th, and 10th minutes at 2.50, 1.23, 0.43, 0.17, 0.10, and 0 respectively. Moreover, the mean heart rates after the heel stick were 150.83, 145.07, 141.70, 137.97, 135.87, and 134.37 at the 1<sup>st</sup>, 3<sup>rd</sup>, 5<sup>th</sup>, 7<sup>th</sup>, and 10<sup>th</sup> minutes which were less than the infants who received routine nursing care. The mean blood oxygen saturation during and after the heel stick at the 1<sup>st</sup>, 3<sup>rd</sup>, and 7<sup>th</sup> minute was greater than those who receive routine nursing care. Therefore, the simulated hand should be used in nursing practice to alleviate pain from heel stick in preterm infants.</p>Thanatchaporn Thacheephan, Tipawan Daramas, Autchareeya Patoomwan
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263436Sun, 10 Dec 2023 00:00:00 +0700Effectiveness of Diaphragmatic Breathing Exercise Program Resulting in Improved Quality of Sleep and Reduced Fatigue among Registered Nurses: Case study in a Hospital, Chonburi Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262669
<p>This quasi-experimental research aimed to assess the effectiveness of diaphragmatic breathing exercise in improving quality of sleep and reducing fatigue among registered nurses in a hospital, Chonburi province. Thirty-three samples were selected by stratified sampling technique with inclusion criteria of those who have been working at emergency and medicine unit. The intervention include training and coaching individually, video, leaflet about the program and LINE group for monitoring their practices. The online questionnaires; including personal information, The Pittsburgh Sleep Quality Index (PSQI)-Thai version, and 10 item Fatigue Assessment Scale (FAS)-Thai version, were employed among the samples between February and March 2023. All data were analyzed by using descriptive statistics, and paired t-test was used to compare a quality of sleep and fatigue after implementation. The level of significant is at p < .05.</p> <p>Majority of respondents were females (90.9%) with average of age 34.12 years. All of them had a poor quality of sleep (100%) with mean score 8.64. Seventy-three percent had a general level of fatigue with mean score 23.58. After 2 and 4 weeks of participation, they were significantly improved quality of sleep and reduced fatigue (p <.001). This study indicated the effectiveness of diaphragmatic breathing exercise in increasing quality of sleep and reducing fatigue.</p>Nattanand Chamroonsawasdi, Nanttaporn Pattarabuddh, Srirat Lormphongs
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262669Sun, 10 Dec 2023 00:00:00 +0700The Development of Massive Open Online Course (MOOC) Innovation on “Mental Health Enhancement of the Elder with Integrative Techniques for Elderly Caregivers”
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263570
<p>The objectives of this research were 1) to develop innovative Thai massive open online course for elderly caregivers on the program promoting mental health of older people with integrated techniques, and 2) to study effectiveness of the lessons. The sample was 400 learners who studied this online lesson during 2-12 September 2022. They were examined before, during, and after the course to measure learning outcomes and they also answered the opinion questionnaires. The instruments were 1) Thai massive open online course for elderly caregivers on the program promoting mental health of older people with integrated techniques 2) questionnaire measuring learning results, with difficulty 0.50 and discrimination power 0.31-0.36 and 3) online questionnaire about opinion of this course. Statistics used were percentage, mean, standard deviation, t-test, and factor analysis.</p> <p>The results of the research were as follows: 1) The online lessons were an innovation for lifelong learning of elderly caregivers. The highlight of the lesson made the learners understand psychology of the elderly and they could choose a variety of care techniques which was appropriate for each elderly person through clips of lectures and demonstrations of various techniques to enable practice and return-demonstration with confidence. 2) The score after learning was higher than before learning with statistical significance at .05 level, and having the total average score of 92%. The learners’ opinions showed that this course was good quality, update, and effectiveness for take care their elderly.</p>Sukaroon Wongtim
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263570Sun, 10 Dec 2023 00:00:00 +0700The Effectiveness of the Community-driven Model for Liver Fluke Control in Si sa ket Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259310
<p>This research aimed to study the effects of the community-driven model for liver fluke control on the community-driven perception of health leaders, as well as knowledge, attitude, and behavior toward liver fluke control, and the proportion of the positive finding of Opisthorchis viverrini (OV) eggs of infected people in Si sa ket Province.This quasi-experimental research was a two-group pretest-posttest design There were 2 groups of samples: 1) 28 health leaders, They were selected by purposive sampling. 2) 32 OV-infected. Research instruments were 1) the community-driven model for liver fluke control based on Brach’s social empowerment concept. 2) a questionnaire on the community-driven perception of health leaders; and 3) questionnaires on knowledge, attitude, and behavior of liver fluke control. Data were analyzed by descriptive statistics, a t-test, and a Z-test.The results showed that after model implementation, health leaders had a perception of community-driven liver fluke control that was significantly better than before model implementation, and better than the comparison group, at p-value<.05 The knowledge, attitudes, and behavior toward liver fluke control of infected people were better than before model implementation and better than the comparison group at p-value<.05 However, the proportion of the positive finding of Opisthorchis viverrini (OV) eggs of infected people in the experimental and comparison groups was not different</p>Pakpoom Saiyud, Sutteeporn Moolsart, Benchamas Youprasert
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259310Sun, 10 Dec 2023 00:00:00 +0700Effects of Modification behavior in New Normal of Life Program from the Situation of the Corona Virus 2019 of Employees of the Private Company in Ratchaburi Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260917
<p>The purpose of this research was a quasi-experimental design, a one-group study, 2 times. The objective was to compare the results before and after using the new normal life behavior change program from the Coronavirus Disease 2019. The sample group were 184 employees of private companies in Ratchaburi province. The sample size was calculated by the formula G*Power. easy Apply the concepts of learning theory and perception theory. which in the behavior change program, new way of life, there are activities as follows: 1) Creating awareness and exchanging situations 2) Educating on dangers, impacts and prevention guidelines. 3) Data access 4) Promote self-management 5) Exchange knowledge on self-management 6) Promote communication skills The tools used consisted of 4 parts: knowledge about the disease, attitude, perception and behavior. The validity of the content was examined by 3 experts, the accuracy was 0.86, 0.84 and 0.80. The statistics used to analyze the data were frequency, percentage, mean, standard deviation and Paired t-test. The research results showed that self-protection knowledge from disease, attitude, perception, and disease prevention and control behavior. Before and after using the program are different, with statistical significance at the .05 level which can be used as a way to prevent the spread of infection Raise the quality of preventive measures for company employees. And can expand the results and promote disease prevention activities. To help reduce the spread of the corona virus 2019.</p>Ornpicha Ketphan, Supatsara Vipakul , Bunyapuk Hangnaren, Benjawan Samsalee
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260917Sun, 10 Dec 2023 00:00:00 +0700Factors Predicting Prevention Behaviors of Amphetamine Relapse in People with Amphetamine Dependence in Rehabilitation, Maha Sarakham Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262631
<p>This predictive correlational research examined prevention behaviors of amphetamine relapse and predicting factors between motivation to quit using drugs, self-esteem and intention to abstain from drug use with prevention behaviors of amphetamine relapse among 219 patients in rehabilitation. The research instruments were questionnaires on motivation to quit using drugs, self-esteem, intention to abstain from drug use, and prevention behaviors of amphetamine relapse. Cronbach’s alpha coefficients for the reliability of the questionnaires were 0.85, 0.77, 0.84, and 0.86 respectively. The data were analyzed using descriptive statistics and multiple regression.</p> <p><span class="fontstyle0">The results of this study revealed that:</span> </p> <p>1. Mean score of prevention behaviors of amphetamine relapse among patients in rehabilitation was 35.79 (SD = 6.14).</p> <p>2. Motivation to quit using drugs, intention to abstain from drug use, and self-esteem were significantly correlated with prevention behaviors of amphetamine relapse (r = .257, p < .01; r = .203, p < .01 and r = .148, p < .05, respectively).</p> <p>3. Motivation to quit using drugs, intention to abstain from drug use, and self-esteem were significant predictors for prevention behaviors of amphetamine relapse. Variables accounted for 9.4% of the total variance (R<sup>2</sup> = .094, Adjusted R<sup>2</sup> = .081, F = 7.446, p < .05).</p> <p>To succeed in preventing behaviors of amphetamine relapse among patients in rehabilitation, psychiatric nurses and healthcare providers need to focus on enhancing patient motivation to quit using drugs, promoting their intention to abstain from using drugs and raising their self-esteem.</p>Phasit Sermsai, Narisa Wongpanarak
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262631Sun, 10 Dec 2023 00:00:00 +0700The Development of a Caregivers’ Participation Model on Infection Prevention Behaviors, Satisfaction towards Nursing Services, and Readmission Rates of Pediatric Cancer Patients Receiving Chemotherapy
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257030
<p>The purposes of this research and development study were to 1) develop a caregivers’ participation model for caregivers of pediatric cancer patients receiving chemotherapy and 2) to study the results of the model. The sample consisted of 30 pediatric cancer patients and 30 caregivers recruited by purposive sampling method. The research tools consisted of 1) group discussion issues and 2) the caregivers’ participation model developed by the researcher. Data collection included an infection prevention behavior questionnaire and caregivers’ satisfaction towards nursing services questionnaire. The content validity indexes of the questionnaires were 0.91 and 0.93 respectively. Cronbach ‘s alpha coefficients of the questionnaires were 0.87, 0.93 respectively. Data were analyzed by using descriptive statistics, paired t-test, Wilcoxon matched pairs signed-ranks test, and Fisher’s Exact test.</p> <p>The research findings were as follows. Firstly, the caregivers’ participation model consisted of a guideline for caregivers’ participation in infection prevention from admission to discharge including teaching, demonstration, return demonstration, and essential skills training. Secondly, the caregivers reported that their overall and in each aspect of infection prevention behaviors after implementing the developed model was higher than before implementing the model significantly (p<.05). They also rated higher satisfaction towards the nursing services significantly after implementing the model (p<.05). Lastly, pediatric cancer patients’ readmission rates were statistically lower than before implementing the model (p<.05).</p>Ubonwan Unahasuwan, Premruetai Noimuenwai, Nusara Prasertsri
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257030Sun, 10 Dec 2023 00:00:00 +0700The Effect of a Self-Determination Program on the Psychological Well-Being of Caregivers of Palliative Cancer Patients
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257727
<p>The purpose of this quasi-experimental research was to determine the effect of a self-determination program on the psychological well-being of caregivers of cancer patients receiving palliative care. The samples were caregivers of cancer patients who received palliative treatment. The samples were selected according to the inclusion criteria, 60 people were simply randomly assigned to either an experimental group or a control group with 30 subjects each. The experimental group received the self-determination program developed by the researcher according to Self-Determination Theory consisting of ten activities. Each activity was carried out weekly for 90 minutes per session for a total of 10 weeks. The control group received usual care and the results were assessed using the Psychological Well-Being Scale (PWBS), Thai version. The reliability was determined with a Cronbach’s alpha coefficient of .88. The results were measured before the experiment and immediately after the experiment. The data were analyzed using descriptive statistics and t-test statistics.</p> <p>The findings can be summarized as follows: 1) the mean score for psychological well-being of the experimental group after the self-determination program was higher than at pretest with statistical significance at .001; 2) the mean difference scores for psychological well-being between before and after the self-determination program in the experimental group were different from the control group with statistical significance at .001.</p> <p>In conclusion, the self-determination program was able to increase psychological well-being among caregivers of palliative cancer patients effectively. This can be another option to promote the psychological well-being of cancer caregivers.</p>Thunchanok Leetheera, Chomchuen Somprasert, Angkana Jirarode
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/257727Sun, 10 Dec 2023 00:00:00 +0700A Study of Nursing Service Management of an Aob Aoon Nursing Community Clinic
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258007
<p>The research aims to study the nursing service management of AOB AOON Nursing Community Clinic using the Ethnographic Delphi Futures Research (EDFR) technique. The research respondents were 17 experts. The research method was divided into 3 rounds of data collection: Round 1, an interview on the nursing service management. Round 2, the data obtained from the interview were analyzed to develop a questionnaire for experts to estimate the trend and importance of the nursing service management. Round 3, the data from the 2nd round were calculated for the median and the interquartile range (IR) The findings of the research revealed that the study of the nursing service management model at AOB AOON Community Nursing Clinic consisted of 5 components as follows: 1) Service in the clinic includes providing health promotion and prevention service according to age group risk, primary care services and rehabilitation service 2) Service in the community includes providing home health care 3) Referral services for patients includes coordinating with other health care settings for transferring patients to receive appropriate treatment 4) Service provision through Information Technology includes giving health counselling and regular follow up via application, providing health education and keeping nurse notes with information technology systems 5) Prevention and infection control in community service includes planning, developing, implementing and evaluating infection prevention and control activities. These findings indicated that nursing activities of nursing service management of an Aob Aoon nursing community clinic as a basis for providing standardized nursing services and meeting the needs of service recipients.</p>Vanlapa Arannapoom, Areewan Oumtanee
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258007Sun, 10 Dec 2023 00:00:00 +0700The Development of a Management for The Prevention of Non - Communicable Diseases in Preschool Children Risk Group Among Care Giver Through Community Participation in Warinchumrab District, Ubonratchathani Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262345
<p>The objective of this action research was to develop guidelines for the prevention of non-communicable diseases in preschool children risk group among care giver through community. The target group consisted of 24 care giver children in the non-communicable diseases risk group, six village health volunteers and two officials from Health Promoting Hospital. The situation analysis. The tools used in this research interviews, in-depth interview and discussion group guidelines and the record of the observation of the participation in the activities. Content analysis was employed to analyze qualitative data and descriptive statistics were used to analyze quantitative data.</p> <p>The study results revealed: 1. The situation analysis of the risk of preschool care giver children group included low knowledge of non-communicable diseases in preschool children and self-efficacy and inappropriate health care behavior. 2. The brainstorming meeting was held for planning development of practice guideline for prevention of non-communicable diseases preschool children risk group among care giver through community participation. The guideline was as follows: 1) improve knowledge of non-communicable diseases, 2) improve self-efficacy, 3) organize activities to improve health care behaviors, 4) having home visits and follow-up through the social network 3. The result after the development: the risk of preschool care giver children group, s knowledge, self-efficacy and health care behaviors were increased significantly (p < .05). An effective model for the prevention of non-communicable diseases preschool children risk group among care giver in community was developed.</p>Natanong Feangphong, Thamakorn Thienphuridej
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262345Sun, 10 Dec 2023 00:00:00 +0700The Effectiveness of an Exercise Promoting Program for Prediabetic Older Adults in Mueang Loei District, Loei Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262915
<p>The study’s design was a two-group pretest-posttest quasi-experiment. The samples included elderly prediabetic people who had blood sugar levels between 100 and 125 mg/dl and did not exercise. The samples were chosen at random and divided into two groups of 35 each—one was used as the experimental group and the other as the control group. The research instruments consisted of 1) the program for prediabetic older individuals that encourages activity by utilizing Deci and Ryan’s theory. A workshop and a Phi Ta Khon traditional folkdance workout made up the activities. The course lasted for ten weeks; a manual for a fitness program for older people with prediabetes; a smart watch for monitoring heart rate while exercising; a health notebook; and 2) questionnaires on exercise behavior and exercise motivation. The respective Cronbach’s alpha coefficients were .96 and .91. Descriptive statistics, the t-test, the Mann-Whitney U test, and the Wilcoxon signed rank test were used to evaluate the data.</p> <p>The outcome demonstrated that the experimental group’s exercise motivation and behavior were statistically superior than both the control group and before entering the program, with a p-value of .05. The experimental group’s body weight and blood sugar levels were lower than they were prior to beginning the program and significantly lower than those of the control group, with a p-value of .05. This program is appropiate for older adult with prediabetes for encourage the exercise motivation and exercise behavior, lose weight, lower blood sugar levels, and reduce the incidence of new diabetes</p>Nittaya Molyoopanao, Sutteeporn Moolsart, Kitsanaporn Tipkanjanaraykha
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/262915Sun, 10 Dec 2023 00:00:00 +0700Factors Related to Elderly Care Among Clinical Pharmacists in Nakhonpathom Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263855
<p>This descriptive research purposed for study on elderly care attitude, behaviors and relationship between attitude and behavior toward elderly care. The stratified random samples were 131 clinical pharmacists in Nakhonpathom Province. The research questionnaire had 3 parts, 1) the background characteristics 2) elderly care attitudes and 3) elderly care behaviors among clinical pharmacists in Nakhonpathom Province. The validity of content was .67-1.00 by IOC. The overall reliability was .98 by Cronbach’s Alpha Coefficient. Data were statistically analyzed by frequency, percentage, mean, standard deviation and Pearson’s correlation coefficient for correlation test.</p> <p>The results reveal that samples had high 1) attitude toward elderly care (M = 3.98, SD = .433) and 2) elderly care behavior among clinical pharmacist (M = 3.69, SD = .683). Moreover, elderly care team workings were least in subscale. Furthermore, there was substantial association between attitude and behaviors toward elderly care, statistically significant at .001 (r = .510).</p> <p>The suggestion from these study result can be used for improve elderly care among clinical pharmacist to solve multidisciplinary team working for efficient and safe drug usage.</p>Pikrom Asokbunyarat, Suradej Samranjit, Chanjaree Getmaro, Mingkwan Sirichote
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263855Sun, 10 Dec 2023 00:00:00 +0700Quality of life of Early Childhood Rearing in Skipped-Generation Families was Divided by Love in Chaiyaphum Province: Mixed Method Research
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265144
<p>This mixed method research aimed to study the quality of life of early childhood, and to study the relationship between family love factors with quality of life of early childhood in the skipped-generation families in Chaiyaphum Province. The research was divided into 2 phases. First phase: to study the quality of life of early childhood in the skipped-generation families of caregivers as the qualitative method used semistructured and in-depth interviews. Phase 2: to study the relationship between family love factors, caregivers, and children with quality of life of early childhood in the skipped-generation families in Chaiyaphum Province. It is quantitative research.</p> <p>The results revealed that: 1) positive result showed in three issues as 1.1) Caregivers are loving for children, 1.2) Caregiver is close to the child, commitment occurs and 1.3) Encourage each other, 2) negative result shown in three issues as 2.1) Lack of quality time, 2.2) Inadequate family expenses and 2.3) Digital media addiction. Second phase: to study the relationship between family love factors with quality of life of early childhood as the quantitative method. The survey result of family love factors and quality of life of early childhood had a positive relationship at 0.01 level of significance.</p> <p>Suggestions for raising children with love, understanding and readiness of the family. It is considered the starting point for improving the quality of life of children.</p>Yuphadi Sa-nguanphong, Jarumars Janthakul
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265144Sun, 10 Dec 2023 00:00:00 +0700The Development of a Fall Risk Assessment Form for Elderly Patients with Visual Impairment at the Ophthalmic Ward
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261293
<p>The objective of this research was to develop a fall risk assessment form to use on elderly patients with visual impairment at ophthalmic ward of Surat Thani Hospital. The sample population, which was chosen through purposive sampling, consisted of 3 groups: for phase 1-analysis of the present situation of the use of fall assessment form with 6 optical health experts; for phase 2—development of a new fall risk assessment form—the developed form was evaluated and found to have a content validity index of 0.91. for phase 3— evaluation of the suitability—20 registered nurses at the ophthalmic ward used the form to assess 42 elderly patients who had come in. then followed up on the incidence of falls, and evaluated the suitability of the form. The evaluation form had a content validity index of 0.86 and a reliability score of 0.89. the sensitivity was 100% and the specificity was 90%. There were 3 major findings of the research: 1) Experts’ evaluation of the previously used fall risk assessment form showed that it was not specifically designed 2) The new fall risk assessment form that comprised 9 risk factors (1) age, (2) fall history, (3) medication use history, (4) illness history/chronic conditions, (5) walking/mobility, (6) vision disorders, (7) perception disorders, (8) bladder/bowel function, and (9) environment. Lastly, 3) registered nurses rated the newly form as “highly suitable” and there were no reports of falls.</p>Kasira Chantharamani, Pattaya Kaewsarn, Kitsanaporn Tipkanjanaraykha
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/261293Sun, 10 Dec 2023 00:00:00 +0700Predictors of Executive Function Development in Preschool-Age Children
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265214
<p>Executive function development is important that effect on the abilities successful life from infancy through adulthood. This predictive correlational research aimed to study the level of executive function development and predicting factors of executive function development in preschool children. A multi-stage random sampling was used to recruit a sample of 87 mothers and their preschool children who were receiving service at child care centers in the municipality of Chonburi province. Research instruments included a demographic questionnaire, the Home Observation for the Measurement of Environment (HOME), the child temperament questionnaire, executive function development in preschool child questionnaire. Data were analyzed by using descriptive statistics and stepwise multiple regression</p> <p>Results showed that the overall executive function of preschool children was at good level. ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" />= 57.38, SD = 6.74). The child temperament was significant predictor of the development of executive function skill among preschool children (R<sup>2</sup> = .210, p < .05) These findings suggest that nurses and health care providers should promote for child temperament. Consequently, preschool children would have more appropriate executive function development.</p>Nattaya Sangsai, Yunee Pongjaturawit, Wanita Kwansumran
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265214Sun, 10 Dec 2023 00:00:00 +0700The Development of a Nursing Practice Guideline for Preparation of Autologous Stem Cell Transplantation, Sunpasitthiprasong Hospital
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260431
<p>The purposes of this research and development study were to 1) develop of a nursing practice guideline in preparing patients receiving autologous stem cell transplantation and 2) to study the results of a nursing practice guideline. The sample consisted of 20 patients who were planned to undergo autologous stem cell transplantation, and 10 professional nurses by purposive sampling method. The research tools consisted of 1) group discussion issues and 2) a nursing practice guideline developed by the researcher. Data collection included a questionnaire on patient anxiety, readiness for action, health behavior and satisfaction, and a professional nurse satisfaction. Five experts verified content validity of all the research tools and used to experiment and find the reliability. Data were analyzed by descriptive statistics and Wilcoxon signed rank test.</p> <p>The research findings were as follows. 1) The nursing practice guideline consisted of preparation of the patient and care team members at pre-transplantation, during- transplantation and post-transplantation. 2) the patient anxiety after using the developed nursing practice guideline was significantly less than before using the nursing guideline (p<.05), the readiness to practice health behaviors, patient satisfaction and the satisfaction of professional nurses after using the developed nursing guideline were significantly higher than before using the nursing guideline (p<.05)</p>Varachaya Thima, Premruetai Noimuenwai, Suthida Masuthon
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/260431Sun, 10 Dec 2023 00:00:00 +0700Effects of Supportive Group Therapy in Association with the Network Creation through Line Application on Depression in Adolescent Single Mothers
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265565
<p>This research is quasi-experimental research using two groups with pre-experiment and post-experiment data collection. The objective was to study the effects of using support groups and networking via the Line application concerning depression in single adolescent mothers. The sample group were 30 teenage mothers who came for prenatal care at Lam Lukka Hospital with ages ranging from 15 to 19 years old who experienced depression ranging from low to high levels. 15 people were randomly assigned to the experimental group, and the remaining 15 were assigned for supervision. Data collection instruments include Beck’s depression assessment form and the support group and networking via the Line application. Results reveal that the participants’ depression scores after attending support group therapy and network-building via the Line application were lower than pre-treatment results by a statistical significance of .05. The depression scores between the experimental group who joined support groups and networking via the Line application and the supervision group receiving normal care were significantly different at .05. Hence, the program’s effectiveness should be continuously monitored upon carrying out activities after a period of 1 month, 3 months, and 6 months to see further results so as to provide solutions and appropriate assistance.</p>Supawadee Lerdsamran, Sujitra Uratanamanee
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265565Sun, 10 Dec 2023 00:00:00 +0700Situations of Inequities in Access to Essential Health Care Services among Older People: A Qualitative Study
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264039
<p>This descriptive qualitative research aimed to explain perspectives on the situation of inequities in accessing essential health care services among older people in Phayao Province. The data was collected through in-depth interviews. The participants included older people, elderly caregivers, health personnel, community leaders, public health volunteers, and local government organization. A total of 18 people were selected by the purposive method. Semi-structured interviews were conducted in depth until the information was saturated. The data were transcribed word for word and analyzed using the thematic analysis method.</p> <p>The results revealed that the situation of inequalities in accessing essential health services for the elderly provided four main perspectives: 1) the definition and characteristics of access to essential health care services for the elderly; 2) characteristics of inequities; 3) related factors of inequities; and 4) the methods to reduce inequities.</p> <p>Recommendations: focusing on the situations of inequities in accessing essential health care services for the elderly leads to their problems and both internal and external related factors that are specific to each context, especially ethnic elderly people, and could be used to develop a model of health care services for reducing inequities appropriate to each area.</p>Arunya Namwong, Krittapat Fukfon, Chlermpon Kajai, Sureeporn lertwacharasakul
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264039Sun, 10 Dec 2023 00:00:00 +0700Graduate Quality According to Thai Qualifications Framework for Higher Education and Identity of Air Force Nurse Graduates in Academic Year 2020
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265591
<p>This research aimed to study graduate quality according to a Thai qualifications framework for higher education and the identity of Air Force nurse graduates in the academic year 2020. The sample group consisted of 172 stakeholders selected by random sampling. Research instruments comprised the Thai Qualifications Framework for Higher Education (TQF: HEd), the Military Characteristics, and the Public Mind Questionnaires. The content validity of the questionnaire (CVI) was 0.88, 0.92, and 0.90, respectively. The construct validity was analyzed by Confirmatory Factor Analysis (CFA), and the measurement model was consistent with the empirical data. The Cronbach’s alpha coefficient was 0.97, 0.96, and 0.93, respectively. The data were analyzed using means and standard deviations.</p> <p>The results showed that the mean score was at a high level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.42, SD = 0.49) ), with the highest scoring of ethics and morals aspect (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.66, SD = 0.46), followed by nursing skills (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.42, SD = 0.48) ), interpersonal skills and responsibility (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.40, SD = 0.49), numerical, communication, and information technology (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.38, SD = 0.50), knowledge (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.34, SD = 0.51), and cognitive skills (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.30, SD = 0.47) respectively. The identity of the Royal Thai Air Force Nursing College was at the highest level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.59, SD = 0.46), including military characteristics (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.63, SD = 0.46) and public mind behavior (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.54, SD = 0.46)</p> <p>Professors in charge of the curriculum can apply the study results as information for curriculum development and teaching strategies that contribute to nursing student’s learning outcomes.</p>La-Ongdao Wannarit, Bangorn Ritudom
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/265591Sun, 10 Dec 2023 00:00:00 +0700Effects of the Perceived Self-efficacy Promoting Program on Knowledge and Skills in Emergency Medical Services among Emergency Medical Responders at Sam Ngam District, Phichit Province
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252745
<p>This quasi-experimental research purposed to investigate the effects of the perceived self-efficacy promoting program on knowledge and skills in emergency medical services among emergency medical responders at Sam Ngam District, Phichit Province. Such a program was designed regarding Bandura’s self-efficacy theory. The sample was 60 emergency medical responders divided into two groups, 30 in experimental group and 30 in control group. The experimental group received the self-efficacy promoting program on emergency medical services among emergency medical responders. Questionnaires assessing knowledge and skills in emergency medical services were used to collect data. The reliability (KR20) of the questionnaires was examined, and the results were 0.82 and 0.71, respectively. Data were analyzed by using percentage, mean and standard deviation. The two-way repeated measure ANOVA was utilized to compare the mean score of knowledge and skills in emergency medical services between the experimental group and the control group, while the one-way repeated measure ANOVA was used to compare such mean scores within experimental group.</p> <p>The results revealed that: 1) at the post-test stage and 2-month follow-up period, the experimental group had a higher mean score of knowledge and skills in emergency medical services than before the experiment at a significant level.05 (F= 32.839, p-value<.05 และ F = 79.530, p-value<.05, respectively); 2) at the post-test stage and 2-month follow-up period, the experimental group had higher mean score of knowledge and skills in emergency medical services than the control group at a significant level.05 (F = 40.390, p-value<.05 and F = 36.295, p-value<.05, respectively)</p>Athittanan Samingnil, Wutthichai Jariya
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252745Sun, 10 Dec 2023 00:00:00 +0700Factors Predicting Breastfeeding Intention among Postpartum Mothers in the New Normal Era, Nopparat Rajathanee Hospital
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266227
<p>This predictive research aimed to identify factors predicting breastfeeding Intention among postpartum mothers in the new normal era. Three hundred and seventy postpartum mothers admitted to Nopparat Rajathanee Hospital were purposively selected according to preset criteria. Data were collected during March to June 2023, using self-administered questionnaire which consisted of personal information; knowledge about breastfeeding and prevention of Covid-19 infection; perceived benefits, perceived barriers, and perceived self-efficacy; and received social supports, of the postpartum mothers in the new normal era. Data were analyzed by using descriptive statistics and Logistic Regression.</p> <p>Results showed that 55.1% of the samples had the knowledge about breastfeeding and prevention of Covid-19 infection at moderate level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 14.75, SD = 2.22); 55.7% had perceived benefits of breastfeeding at high level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 38.41, SD = 4.86), 42.7% had perceived barriers of breastfeeding at moderate level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 45.94, SD = 9.83), and 46.5% had perceived self-efficacy at low level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 62.36, SD = 11.44). Almost half of the samples (48.1%) received social supports at low level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 44.08, SD = 11.01). Maternal age, occupation, and perceived benefits of breastfeeding combined accounted for 12.9% (R<sup>2</sup> = .129) of the variation of breastfeeding intention during postpartum period in the new normal era among the samples of this study. Recommendations: Guidelines for nurses in promoting perceived benefits of breastfeeding in preventing and avoiding disease outbreaks should be developed.</p>Wanida Chawajaroenpan, Siriporn Chayathab, Arthitaya Kaeonoi , Sarinthorn Mungkhamanee, Chalermkwan Srisuwan
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266227Sun, 10 Dec 2023 00:00:00 +0700Experience of Parents on Seeking Basic Immunization Program during The Situation of The Coronavirus Outbreak (COVID-19)
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263311
<p>This qualitative research aimed to study parents’ experience seeking basic immunization programs during the coronavirus outbreak (COVID-19). The survey collected data from 12 Parents of children aged 1 - 5 years to receive basic immunizations in the Health Promoting Hospital Health Center 12. The data were collected through in-depth interviews. The data were analyzed by transcribed verbatim and content analysis. The results showed that the parents’ experience in seeking basic immunization programs during the coronavirus outbreak (COVID-19) had divided into 2 main points (1) Factors promoting the adoption of children for vaccination are the perception of the child’s vaccination, obtaining information, and family involvement, and (2) the factors impeding children to receive vaccination are illness, disease outbreaks and relocation of parents. The results of this study can be used as a guideline for developing a model for promoting parents in bringing their children to receive basic immunizations on an ongoing basis. providing information about the importance of vaccination, caring for symptoms after vaccination, and having an alert system when vaccination is due encourages to receive comprehensive vaccinations according to their age and reduces the chances of disease in children.</p>userow lohmae, Khemmapat Kajornkittiya, Nutsara Dowrote, Raimee Wansa-aree, Rusnee Cheni
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263311Sun, 10 Dec 2023 00:00:00 +0700Bedridden Patients Care through Family Caregiving and Community-Based Model in New Normal
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264504
<p>This qualitative research aimed to explain the experiences and present the bedridden patient care through family caregiving and a community-based model in the new normal. The hermeneutic phenomenology of Martin Heidegger was employed. The research tool was an in-depth interview form used with 56 key informants: 20 bedridden patients, 20 caregivers and 16 community members. The research was conducted in Nakhon Phanom Province from October 2021 to February 2023. Data were analyzed according to the van Manen’s approach.</p> <p>The results revealed that the experiences in caring for bedridden patients of families and communities in the new normal can be classified based on the following 4 lifeworld existentials. 1) Corporeality consisted of fatigue, struggling life and roles that cannot be escaped. 2) Temporality comprised the golden opportunity of paying gratitude, paying off their past deeds, and living with hope and waiting for a miracle. 3) Spatiality included the world of modern society and being lonely in the wide world. 4) Relationality consisted of family not leaving any family members behind, true friends in difficult times, and public mind. The bedridden patient care through family caregiving and community-based model consisted of 3 main components: Acceptance, Adaptation, and Development, called “AAD Model”.</p> <p>In conclusion, the bedridden patient care through family caregiving and community-based model should be used with the community model and its efficacy and effectiveness should be evaluated.</p>Arunrat Utaisang, Wuttipong Cheumnok, Nuttiya Pomsakha Na Sakongnakhon, Khunphitha Junsevg, Phensiri Dumrongpakapakorn
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264504Sun, 10 Dec 2023 00:00:00 +0700Effects of The Potential Development of Knowledge and Smoking Refusal Skills Among Elementary School Students
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266664
<p>The purpose of quasi-experimental research is to study the effects of the potential development of knowledge and smoking refusal skills among elementary school students of Innovation Demonstration School as a sample of 71 students by purposive sampling. The research instruments include: 1) the potential development among elementary school students, 2) test of knowledge about harm of cigarette, and 3) assessment of refusal skills when persuaded to try smoking. The data are analyzed by using descriptive statistics and Paired t-test.</p> <p>The research results show after the experiment that elementary school students have knowledge about harm of cigarette and refusal skills when persuaded to try smoking, which are significantly higher than before the experiment (p < .05).</p>Phatcharaphan Chaiyasung, Anuson Nanudon, Yodrawin Jornburom , Rutshaporn Chaitoopthong; Chararin Kwannate
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266664Sun, 10 Dec 2023 00:00:00 +0700Nursing Model in After Open Heart Surgery Patients with Extracorporeal Membrane Oxygenation (ECMO)
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264746
<p>This research and development study aimed to develop Nursing Model and to study the effects of Nursing Model in After Open Heart Surgery Patients with Extracorporeal Membrane Oxygenation (ECMO). The 4 phrases of research including 1) Analysis, 2) Design and Development , 3) Implementation and 4) Evaluation. The sample consisted of 13 registered nurses and 20 patients by purposive sampling.The qualitative data was analyzed by content analysis and the quantitative data analyzed by average, percentage, standard deviation, Fisher’s Exact test, chi-square, wilcoxon signed rank test, t-test. The results of this study were as follows, The nursing model “ECMO Model” consists of 4 components: 1) ECMO manpower management 2) Competency development 3) Modify Nursing Practice 4) Organize nurse teams.The results of the nursing model showed that knowledge scores, nursing practice score was significantly higher than before. (p<.001,p<.000). Nurses’ competency was higher than before. The nurses’ satisfaction on using this model at the high level. Acute limb ischemia was assessed within 1 hour after the use of the model significantly more than before (p<.033). Excessive bleeding rated, Acute limb ischemia rated, and successful removal with Extracorporeal Membrane Oxygenation rated were no difference, yet not statistically significant.The Nursing Model can drive the administration and development of the nursing service system towards nursing excellence.</p>Nongluk ฺBoonyia, Sutipa Jaisamak, Pimkasama Srichattanawat, Supatta Pullnuch, Chanidapa Jupiree
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/264746Sun, 10 Dec 2023 00:00:00 +0700The Relationship between Family Factors and Health Literacy of Adolescence Pregnancy Prevention among Teenagers in Pa O Don Chai Sub-district, Mueang Chiang Rai District, Chiang Rai Province.
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266335
<p>The descriptive research design aimed to examine the relationships between family structure, family function and health literacy of adolescence pregnancy prevention. The sample were 70 adolescents, randomly selected by proportion of each village. The research instruments were questionnaires of personal factors, family function, and health literacy of adolescence pregnancy prevention. Reliability was established and the Cronbach’s alpha coefficients were .89 and .81-.89 respectively. The data were analyzed by using descriptive statistics, Chi-square, and Pearson’s correlation. The results revealed that:</p> <p>1. The most of family structure were two generation family (43.70%). The overall of family function was at a fair level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 3.22, S.D. = 1.12) and the overall of health literacy of adolescence pregnancy prevention was at a good level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 116.54 S.D. = 12.20).</p> <p>2. The relationship between family structure and health literacy of adolescence pregnancy prevention was statistically significant (x<sup>2</sup> = 29.815, p<.05).</p> <p>3. The relationship between family functions in problem solving, communication, roles, affective responsiveness, general function, and family functions in overall and health literacy of adolescence pregnancy prevention were positively statistically significant (r = .315, .462, .331, .347, .400 and .404 respectively, p<.01). From the results of this study, the relevant agencies should promote family functioning and support family to participate in health literacy of adolescence pregnancy prevention development.</p>Daranee Serametakun, Anong Soontranont, Chamaiporn Nuanamnuoysiri
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266335Sun, 10 Dec 2023 00:00:00 +0700Nurses’ Experiences of Caring for Terminally Ill Cancer Patients in Bangkok during the COVID-19 Pandemic
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266320
<p>This qualitative descriptive study aimed to explore nurses’ experiences of caring for terminally ill cancer patients in Bangkok during the COVID-19 pandemic. The informants consisted of four administrative nurses and 22 nurses. Data were collected using focus group interviews and individual in-depth interviews. Data were analyzed using content analysis. Lincoln and Guba’s criteria were used to ensure trustworthiness of the findings.</p> <p>The study findings were identified as five main aspects. The first aspect was that the rapid and severe COVID-19 pandemic led to COVID-19 restrictions and acute worsening of symptoms. The second one was that limitations of terminal care resulted from decreased touching and communication, living and dying alone, and having difficulties and conflicts in terminal care. The third one was adhering to the principle of palliative care such as fully assessing and responding to patients’ needs, maintaining spiritual care, and counselling system of specialist. The fourth one was establishing new services during the crisis of COVID-19 pandemic. The last aspect was that voice and feedback of related people suggested healing psychological health and improving capacity of nurses who taking care for terminally ill cancer patients, lesson learned, and using telehealth services.</p> <p>Recommendations: Nurses should be improved their capacity for terminal care and supported their emotional and psychological health. Telehealth service system should also be used for optimum benefits of terminal care.</p>Araya Jeranukul, Bualun Hinkaew, Saengduean Phromkaewngam, Anchalee Sookkhung, Kalayanee Pobkrut
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https://he01.tci-thaijo.org/index.php/JRTAN/article/view/266320Sun, 10 Dec 2023 00:00:00 +0700Effects of Simulation-Based Learning on Clinical Decision Making Abilities, Secure Communicate Using ISBAR, and Nursing Practice for Patient Safety of Nursing Students
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263549
<p>This study was quasi-experimental with one group pretest-posttest design. The purpose of this research aimed to investigate the effects of simulation-based learning on clinical decision making abilities, secure communicate using ISBAR, and nursing practice for patient safety of nursing students. The study sample consisted of 114 students. They taught by the simulation-based learning including 2 situations and each situation consumed 60 minutes. The instruments used in this study were composed of clinical decision making abilities, secure communicate using ISBAR, and nursing practice for patient safety questionnaires. The content validity was 0.90, 0.80, 0.83 and reliability was 0.96, 0.92 and 0.92, respectively. Those were analyzed using descriptive statistics and t-test. The results revealed that nursing students who were taught using the simulation based learning had the mean clinical decision-making ability, secure communicate using ISBAR, and nursing practice for patient safety after the experiment was higher than before the experiment with a statistical significance (p < .05). It is suitable for the current situation in developing nursing practice skills for students so that they can practice nursing with quality and safety for clients.</p>Pornnipa Wongmak, Patchaneeya Chiengta, Chidchanok Phanpom , Natnari Khamaurai
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
https://creativecommons.org/licenses/by-nc-nd/4.0
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263549Sun, 10 Dec 2023 00:00:00 +0700Relationship of Stress to Adaptation of Village Health Volunteers during the COVID-19 Outbreak
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263703
<p>This descriptive research aimed to determine the stress level and adaptation and the relationship between stress and adaptation of village health volunteers (VHV) during the outbreak of COVID-19. Objectives of the research to study the level of stress and the level of adaptation and the relationship between stress and adaptation among village health volunteers. The subjects were 110 village health volunteers recruited using multi-stage sampling. The research instrument was a questionnaire consisting of three parts: general information, stress assessment form, and adaptation questionnaire. The data were analyzed with descriptive statistics: frequency, percentage, standard deviation, and Pearson correlation coefficient. The research results revealed the overall stress level was low (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 2.67, S.D. = 0.65). When classified into aspects, it was found that the highest stress level was the role of the duty which was at a moderate level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 2.89, S.D. = 0.79) and the overall stress adaptation level was high (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 4.13, S.D. = 0.64). The relationship between stress and adaptation was at a high level (r = 0.83) with statistical significance (p<.05). The research results indicate that village health volunteers are an important healthcare team. Therefore, when there is a new epidemic occurs, related healthcare organizations should realize that adaptation and stress management are required for quality of work life.</p>Dussanee Bunpitaksakun, Usa Tantapong, Phechnoy Singchungchai, Onpicha Ketphan
Copyright (c) 2023 Journal of The Royal Thai Army Nurses
https://creativecommons.org/licenses/by-nc-nd/4.0
https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263703Sun, 10 Dec 2023 00:00:00 +0700