Journal of Nursing and Education

Development of a Health Promotion Model to Prevent Cardiovascular Diseases for Provincial Police Officers Working in a Province, Southern Thailand

2024-03-15T20:43:10+07:00

This participatory action research (PAR) study explored the health situations and behaviors of provincial police officers in southern Thailand to develop a health promotion model for cardiovascular disease (CVD) prevention. The study was conducted in two phases. In phase I, quantitative data were collected from 91 officers using surveys to assess their health literacy, CVD prevention behaviors, and CVD risk levels. Qualitative data were collected from 27 officers through focus group discussions and in-depth interviews. Phase II involved 51 officers and 28 stakeholders who participated in focus groups and interviews to refine the health promotion model. Content analysis was used to analyze both quantitative and qualitative data. The results showed that:

1. while most officers had multiple CVD risk factors, their short-term (10-year) risk of CVD death or illness was low. Self-reported health literacy was fair to poor, and overall health behaviors were fair. Qualitative data confirmed a mix of healthy and unhealthy habits.

2. The three-stage health promotion model developed through this PAR process addresses: 1) raising awareness about the need for change, 2) setting goals for modifying health behaviors, and 3) promoting self-care sustainability through organizational and family support. After six months of participation, over half of the officers reported improved health literacy (good to very good), and all participants demonstrated positive behavior changes to reduce CVD risk factors. Additionally, 47.06% and 31.37% of officers showed reductions in CVD risk scores and risk levels, respectively.

This study highlights the importance of awareness as a starting point for behavior change to reduce CVD risk factors among police officers. Furthermore, the model emphasizes the crucial role of family and organizational support in sustaining healthy behaviors.

A Care Management Model to Prevent Falls among Patients with Disabilities in a Ward at the Veterans General Hospital

2024-04-23T12:12:26+07:00

This research and development aimed: 1) to create a model of care management to prevent falls of patients with disabilities in a ward at the Veterans General Hospital, 2) to study the rate of falls after using the new model, and 3) to study the satisfaction of professional nurses towards new model of care management. Research was divided in two phases. Phase 1 was dedicated to creating a care management model to prevent falls of patients with disabilities in the ward, using the 3C-PDCA concept, including 5 steps: a) 3C analysis, b) planning, c) practice, d) inspection and e) improvement. A multidisciplinary team of doctors and professional nurses were selected as key informants for participating in a focus group. Phase 2 was dedicated to effectively using the care management model. The sample group comprised 12 professional nurses. The instruments for this research and development were: 1) several group discussion topics, 2) a fall-risk assessment form for patient with disabilities, and 3) a satisfaction assessment form for professional nurses. Content validity value of instruments was between 0.6 - 1.00. Data were analyzed by using statistic development, content analysis and Chi-square test. The results revealed as follows.

1. The format of model consisted of: 1) a physical examination and assessment of disable patients' condition, 2) identification of patients and risk-factors assessment for falls for each, 3) the implementation or care as planned, 4) the monitoring and evaluation and, finally, 5) promoting the model in terms of policy.

2. The results showed that: 1) rate of falls after using the model was significantly reduced, at the .001 level, 2) satisfaction of professional nurses after using the model was at the highest level (M = 4.88, SD = 0.18).

Therefore, this model can be used in hospital wards with similar context in order to prevent fall of patient with disabilities.

The Effects of a Self-Efficacy Promoting Program Using Digital Media on Caregiving Preparedness and Role Strain among Caregivers of Intermediate-Care Patients

2024-04-16T17:30:47+07:00

This quasi-experimental research aimed to study the effects of a self-efficacy promoting program by using digital media on caregiving preparedness and role strain among caregivers of intermediate- care patients. The samples consisted for 52 caregivers of intermediate-care patients, selected by inclusion criteria. They were equally assigned either into an experimental group or control group (26 per group). Whilst the subjects in the control group received standard care, those in the experimental group were undergoing a 3-week self-efficacy promoting program based on the conceptual framework of self-efficacy model. The data were collected between November 2023 and February 2024, inclusively. Data collection comprised demographic data as well as two questionnaires: one on readiness to provide care, and the other on caregiver’s role strain. Content validity index of those instruments was 1.0, and reliability yielded .94 and .97, respectively. Data were analyzed by using descriptive statistics, chi-square, independent t-test and paired t-test. The results showed that:

1. After receiving the self-efficacy promoting program, the readiness to provide care of the experimental group increased significantly (p-value <.001), while the caregiver’s role strain decreased significantly (p-value <.001).

2. In addition, the experimental group’s readiness to provide care was significantly higher than that of the control group (p-value < .001), and a caregiver’s role strain was significantly lower than that of the control group (p-value < .001).

Therefore, this self-efficacy promoting program can be used caregivers of Intermediate care patients for enhanced readiness to provide care and reduce the caregiver’s role strain.

Comparison of Relationship Between Health Belief Model and Cervical Cancer Screening Among Women Aged 30-60 years in Mueang Chiang Mai District, Chiang Mai Province

2024-04-16T17:35:18+07:00

This is cross-sectional study to investigate association between health belief model and cervical cancer screening among women Aged 30-60 years in Mueang Chiang Mai District, Chiang Mai Province. A total of 396 women aged 30-60 years who registered in civil registration in Mueang Chiang Mai District, Chiang Mai Province were recruited using multi-stage sampling. A Self-created questionnaire was used for collecting data. The questionnaire was validated by 3 experts and tested for reliability with the Cronbach's alpha of 0.853. Descriptive statistical analyzed was used and reported as frequency, percentage, mean, and standard deviation. The Chi - square was used for Inferential statistic. This study found that

1. Health belief patterns in perceived susceptibility, perceived severity, perceived benefits and perceived barriers presented similarly at moderate level. (M=144.58 , SD=11.8)

2. The perception of severity and perception of the benefits of cervical cancer screening were statistically significant associated with receiving cervical cancer screening. (p-value=0.005 and 0.008 respectively).

Based on the study’s result, Promotion of cervical cancer screening should emphasize public relations that raise awareness of the benefits and seriousness of the disease which results in detecting the disease in its early stages and reducing the death rate from cervical cancer.

The Effects of a Nurse Support Program on Blood Loss Volume and Service Satisfaction among Mothers with a Risk of Postpartum Hemorrhage (PPH)

2024-05-26T17:40:49+07:00

This quasi-experimental research aimed to compare the effects of a nurse support program on blood loss volume with a risk of postpartum hemorrhage (PPH) and service satisfaction of mothers. The samples consisted of 60 postpartum mothers who had a vaginal birth, were at risk for postpartum hemorrhage, and were admitted to the postpartum ward in Hatyai hospital. The samples who met the research inclusion criteria were recruited for the study from August to November 2023. They were assigned into a control group (30 subjects) and an intervention group (30 subjects). To prevent data contamination, firstly, data were gathered in the control group who received usual nursing care. Then the nurse support program was provided in the intervention group. The research instruments consisted of 3 parts: 1) the intervention instruments consisted of 1.1) the nurse support program and 1.2) the learning model of uterine contraction. 2) the experimental-control instrument was a self-recording form for uterine massage, and 3) the data collection instruments comprised 5 forms: 3.1) the personal data 3.2) the risk assessment for PPH 3.3) the recording of blood loss volume at 2-8 hours postpartum 3.4) the recording of blood loss volume at 8-24 hours postpartum, and 3.5) the service satisfaction assessment form, examined for content validity by 3 experts, yielding a content validity of .89. The data were analyzed using frequency, percentage, mean, standard deviation, Chi-square, and Mann-Whitney U test.

The results showed that the mothers at risk for PPH who received the nurse support program had blood loss volume at 2–8 and after 8–24 hours postpartum significantly lower than the control group (Z = -4.681, p < .001) and (Z = -2.818, p < .001), respectively. The service satisfaction of the mothers at risk for PPH who received the nurse support program was at its highest level. The results show the nurse support program can prevent PPH in mothers at risk for PPH.

Therefore, the program should be provided for postpartum mothers.

Integrating Executive Functions into Surveillance and Promotion of Early Childhood Development through the Adult Learning Program

2024-03-15T21:01:57+07:00

Appropriate development in early childhood is an important foundation in evolving potential that can affect a child’s learning and developing. In the past decade, Thai early childhood had developmental problems, especially the delayed executive function. These problems can be promoted and prevented by nurses who can apply adult learning theory for teachers’ and guardians' learning process.

This article emphasizes on nurses’ role who can provide learning process for teachers and guardians by using the integrating of executive functions with surveillance and promotion of early childhood through adult learning program. This is a guideline for nurses to apply this program for developing learning process. Moreover, teachers and guardians can use this program for basic screening early childhood development, including provide effective activity to promote early childhood development.

The Impact of Covid-19 Epidemic on Problems of teenage pregnancy

2023-11-12T13:13:50+07:00

This descriptive academic article aimed to document the situation of the COVID-19 pandemic among teenagers and the impact of Covid-19 on teenage pregnancy, as well as to provide nurses with guidelines for preventing teenage pregnancy. The content was obtained from the analysis and synthesis of literature regarding the Covid-19 pandemic situation and the problem of teenage pregnancy. Teenagers were an important group responsible for the spread of Covid-19, as they are an age group with very mild or no symptoms and a lot of social interactions. They could pass the virus on to others without realizing it, therefore causing an impact on teenage pregnancy. The results from this academic article could be summarized as a guideline for developing a model for teenage pregnancy prevention so they have better knowledge and attitude and can avoid risk behaviors like having unsafe sex.