The Effects of a Learning Module on Neonatal Intramuscular Injection on Confidence, Injection Skills, and Satisfaction of Nursing Students
Main Article Content
Abstract
Background: Intramuscular injection in neonates is a critical nursing skill that requires adequate knowledge, confidence, and precise technique.
Objectives: This study aimed to examine the effects of a learning package on nursing students’ confidence, intramuscular injection skills in neonates, and learning satisfaction.
Methods: A quasi-experimental one-group pretest-posttest design was employed. The sample consisted of 205 third-year nursing students. The research instruments consisted of a personal data questionnaire, an intramuscular injection confidence rating scale, a learning package satisfaction questionnaire, a skill assessment checklist, and the neonatal intramuscular injection learning package. Data were analyzed using descriptive statistics, a dependent t-test to compare confidence levels before and after the intervention, and Spearman’s rank correlation coefficient to examine the relationship between confidence and skills.
Results: The results showed that the mean confidence score after using the learning package (M=20.13, SD=3.03) was significantly higher than that before (M=12.29, SD=2.94), with a statistical significance of p<.001. Post-intervention confidence was positively correlated with intramuscular injection skill scores (rs=.636, p<.001).
Conclusions: The learning package significantly enhanced students’ confidence and improved their neonatal intramuscular injection skills, supporting its integration into nursing education to develop essential clinical competencies.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Alrashidi, N., Pasayan, E., Alrashedi, M. S., Alqarni, A. S., Gonzales, F., Bassuni, E. M., & Ahmed, K. E. (2023). Effects of simulation in improving the self-confidence of student nurses in clinical practice: A systematic review. BMC Medical Education, 23(1), 815. https://doi.org/10.1186/s12909-023-04793-1
American Academy of Pediatrics. (2022). Vitamin K and the newborn infant. Pediatrics, 149(3), e2021056036. https://doi.org/10.1542/peds.2021-056036
Anurak, C., Prommul, J., Fuengthin, A., Jitjum, C., Nancha, S., & Maming, H. (2024). Research and innovation in nursing: An infant heel venipuncture-training manikin. The Southern College Network Journal of Nursing and Public Health, 11(3), e270579. (in Thai)
Australian Government Department of Health and Aged Care. (2024). Administration of vaccines. In The Australian Immunisation Handbook. https://immunisationhandbook.health.gov.au/contents/vaccination-procedures/administration-of-vaccines
Brock, R. (2020). Connectionism—Edward Thorndike. In B. Akpan & T. J. Kennedy (Eds.), Science education in theory and practice: An introductory guide to learning theory (pp. 101–111). Springer. https://books.google.co.th/books?id=wA_8DwAAQBAJ&pg=PA100
Centers for Disease Control and Prevention. (2024). Protect your baby from bleeds: Vitamin K deficiency bleeding. https://www.cdc.gov/vitamin-k-deficiency/fact-sheet/index.html
Chiannilkulchai, N., & Nunthawong, J. (2016). Development of the intramuscular injection model for nursing students and evaluation of the effectiveness of the model. Songklanagarind Journal of Nursing, 36(2), 65–77. (in Thai)
Chonlatankampanat, W., Suwannarat, K., & Pornngam, K. (2023). The development of a part-changed newborn model innovation to promote self-confidence and nursing practice skills among nursing students. Journal of Phrapokklao Nursing College, Chanthaburi, 34(1), 1–16. (in Thai)
Chotiban, P., Nawsuwan, K., Nontaput, T., & Rodniam, J. (2013). Innovation of assisted models for practicing basic nursing skills. Princess of Naradhiwas University Journal, 5(3), 1–12. (in Thai)
Department of Disease Control. (2024). Vaccination schedule 2024. Ministry of Public Health, Thailand. https://ddc.moph.go.th/uploads/publish/1510320231225092421.pdf (in Thai)
Lee, T., Damiran, D., Konlan, K. D., Ji, Y., Yoon, Y. S., & Ji, H. (2023). Factors related to readiness for practice among undergraduate nursing students: A systematic review. Nurse Education in Practice, 69, 103614. https://doi.org/10.1016/j.nepr.2023.103614
Nontaput, T., & Chotiban, P. (2021). Intravenous venipuncture: New development in training on arm manikin. The Southern College Network Journal of Nursing and Public Health, 8(3), 49–60. (in Thai)
Saengloetuthai, J. (2021). Learning theory for development of online learning lessons. Journal of Kanchanaburi Rajabhat University, 11(1), 3–13. (in Thai)
Safer Care Victoria. (2020). Intramuscular injections for neonates. https://www.safercare.vic.gov.au/best-practice-improvement/clinical-guidance/neonatal/intramuscular-injections-for-neonates
Thailand Nursing and Midwifery Council. (2019). Notification of the Nursing and Midwifery Council: Midwifery standards B.E. 2562 (2019). https://www.tnmc.or.th/images /userfiles/files/T_0037.pdf (in Thai)
Thailand Nursing and Midwifery Council. (2022). [Strategic plan for nursing and midwifery 2022–2026]. https://www.tnmc.or.th/images/userfiles/files/NM%20Strategic%20Plan.pdf (in Thai)
Workneh, M., Kassa, M., & Mihrete, S. (2024). Level of clinical competency and associated factors of nursing students in Ethiopia: Systematic review and meta-analysis. BMC Nursing, 23(1), Article 738. https://doi.org/10.1186/s12912-024-02377-y
Yu, J. H., Chang, H. J., Kim, S. S., Park, J. E., Chung, W. Y., Lee, S. K., Kim, M., Lee, J. H., & Jung, Y. J. (2021). Effects of high-fidelity simulation education on medical students’ anxiety and confidence. PLoS ONE, 16(5), e0251078. https://doi.org/10.1371/journal.pone.0251078