https://he01.tci-thaijo.org/index.php/JRTAN/issue/feed Journal of The Royal Thai Army Nurses 2020-09-04T03:36:07+07:00 พันเอกหญิง ผศ. ดร. สายสมร เฉลยกิตติ saisamorn2006@hotmail.com Open Journal Systems <p>วารสารพยาบาลทหารบกเป็นวารสารวิชาการและงานวิจัยที่เกี่ยวข้องกับการพยาบาล การศึกษาพยาบาล การส่งเสริมสุขภาพ สาระในวารสารพยาบาลทหารบก บทความวิชาการ บทความวิจัย บทความพิเศษ และปกิณกะ ซึ่งแต่ละฉบับอาจมีเนื้อหาดังกล่าวหลากหลายที่แตกต่างกันไปจัดพิมพ์เผยแพร่ปีละ 3 ฉบับ มกราคม-เมษายน พฤษภาคม-สิงหาคม กันยายน-ธันวาคม</p> <p><span style="font-size: 110%;"><strong>ISSN 1513-5217 (Print) </strong></span></p> <p><span style="font-size: 110%;"><strong>ISSN 2651-2181 (Online) </strong></span></p> https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244865 Editorial Note 2020-09-04T03:32:55+07:00 Saisamon Chaleoykitti saisamorn2006@hotmail.com 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/226756 Application of Transition Theory in Becoming Teenage Parents 2020-09-04T03:35:32+07:00 Atcharawadee Sriyasak atcharawadee@pckpb.ac.th Phatcharee Chookanhom atcharawadee@pckpb.ac.th Chaweewan Sridawrung atcharawadee@pckpb.ac.th <p>The birth of a child brings about major changes in a family. It can trigger a family crisis or even a life crisis for a first-time parent who is adapting to the new role. The transition to parenthood is more difficult for teenage parents, who face difficulties with adapting to child care as well as with balancing parenting and work. They have to balance between the parent role and teenage role as the same time. Teenage parenthood is a developmental and situational transition. Nursing are interested in transition to parenthood due to they work close to the family. Families play a strong role in the development of children’s health. Nurses can apply transition theory by analysis and nursing care plan. By doing this, will help the teenagers becoming a parent smoothly.</p> 2020-08-22T16:12:19+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/237780 New Clinical Nursing Supervision with 2P Safety: Concept and Application 2020-09-04T03:35:33+07:00 Aree Cheevakasemsook areecheeva@gmail.com <p>The globalization era lead borderless data linkages to easy accessibility to digital technology and information. This enhances the majority of people get wider and deeper knowledge, and have higher demands and expectations on healthcare services. Healthcare personnel should contemplate their own cognition and operational processes to sustain quality along with patient safety. Therefore, to develop nursing personnel competencies aligned with this change is extremely essential. Head nurses have to do supervise how to practice 2P safety basis (Patient and Personnel Safety) which is the new concept corresponding to policies of Ministry of Public Health to drive both patient and personnel safeties. This article intends to delineate nursing supervision on clinical safety with the 2P principle through short words as “SIMPLE” so that primary nursing managers could figure out and do further application.</p> 2020-08-22T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244634 Palliative care nursing for Buddhist Monk illness following dharma discipline (Tripitaka) 2020-09-04T03:07:19+07:00 Jintana Artsanthia jintana.a@slc.ac.th Chawalee Kruasukon jintana.a@slc.ac.th <p>Palliative care is a special care for each patient that it is not specific formula in each nursing care. The nurses who care patients need to use the skill both in art and science by using integrations of western medicine and alternative medicine. Moreover, the nurses should consider in faith, hope, believe, life history and context of patient and family for appropriate of each patient that depend on the right or living will to choose when the end of life is coming. Palliative care nursing for Buddhist Monk illness following dharma discipline (Tripitaka) is an importance. If the monks have illness in the incurable disease and the perception of monks depend on the period of time to be the monk life, when they get sick and they need palliative care with the condition of no relative support, so it is an important role of nurses in caring following the right in welfare of monk patient.</p> <p>Hence, palliative care with the monk context following the dharma discipline (Tripitaka) has the meaning and it has an important to increase quality of life of the illness of the monks especially in psychological aspect in dharma practice following the wish of monk. That leads to set the nursing activities of good palliative care for the monks.</p> 2020-08-25T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240943 Prevention of Metabolic Syndrome of Late School-age Children : Self-management 2020-09-04T03:35:33+07:00 Waraphan Wongchan waraphan.w@stin.ac.th <p>Late school-aged children are considers as a fundamental human resources that will lead prosperity and development to the nation. However, due to the present rapid advancement of technology which has significantly changed the lifestyles of the population, the risks of metabolic syndrome and non-communicable diseases has significantly increased in children, especially late school-aged which could lead to chronic illnesses. Late school-aged children are still learning to regulate and balance their lives therefore the matter has became a serious concern for the ministry of public health. Education should aim to develop and promote correct understanding, having right attitude toword having continuum health behavior, increase their potential to self-health in order to adjust healthy eating habits, exercise, rest, and stress management in order to prevent occurring of metabolic syndrome as well as ability to develop their healthy and having good quality of life.</p> 2020-08-22T16:37:05+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242150 The Clinical Telesupervision in Family Nursing Practicum 2020-09-04T03:35:35+07:00 Sutteeporn Moolsart sutteeporn@gmail.com <p>Clinical supervision is important to nursing quality that it is a collaborative process between supervisor and supervisee to develop professional practice, responsibility, and learning. Nowadays, clinical supervision in a nursing practicum could be done by clinical telesupervision through communication by using technologies, especially for graduate students. Clinical telesupervision is appropriate for remote areas or in the limited condition of traveling to confrontation or closed contact. This article proposes the concepts and guidelines of clinical telesupervision with a case study of the clinical telesupervision by using video call and face-to-face learning in a family nursing practicum at homes for graduate students. The supervision evaluation illustrated that the performance of family nursing at home was improved. The graduate students satisfied with the clinical telesupervision by using video call and face-to-face learning at the highest level. The clinical telesupervision could be applied for graduate nursing students or allied health sciences who practice in the family care at home.</p> 2020-08-23T08:18:14+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242167 Educational Management in the Coronary Epidemic Situation 2019: A Case Study of Navaminda Kasatriyadhiraj Royal Air Force Academy 2020-09-04T03:35:36+07:00 Pramote Suksirisak nueng_rtafa56@hotmail.com Nuntikan Klinchet nueng_rtafa56@hotmail.com <p>At the end of 2019, an epidemic occurred in China which is caused by a new strain of the corona virus 2019. This disease has flu-like symptoms but with more severe symptoms, and easier to spread. Some patients may have severe pneumonia to the death. And then the disease spread quickly. In every country in the world, many people are infected and dying. Thailand is also affected by this disease. The government announced that educational institutions at all levels should stop education to prevent the spread of the disease. Navaminda Kasatriyadhiraj Royal Air Force Academy as an educational institution under the Royal Thai Air Force is responsible for providing education to air cadets and sees the importance of safety in the health of students, therefore have guidelines for education that are not at risk of spreading this disease, And to be a guideline for education in the event of an epidemic in the future. By studying the theory of learner-centered education, and designed 3 types of education which are studying in the normal room by dividing area between the instructor and learners, studying in the spaced room of the learners, and learning online. The result is that each type of academic achievement has similar results and the satisfaction assessment of learners on online learning received the highest satisfaction of 84 percent.</p> 2020-08-23T08:50:43+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244642 The Development of Army Nurses’ Competencies by Using Scenario-Based Training 2020-09-04T03:08:49+07:00 Natedao Chutchawan natedao09@gmail.com Patcharaporn Untaja natedao09@gmail.com Arisara Yuroong natedao09@gmail.com Usanee Ankanawin natedao09@gmail.com Chayuttra Sutthilak natedao09@gmail.com Supharanya Thepnimit natedao09@gmail.com <p>The competency of the Royal Thai Army nurses including the ability to provide nursing care in usual situation, disasters and combat fields. Army nurses must provide nursing care that meets professional standards care in both in-hospital and out-of-hospital contexts. The scenario-based training ‘Yok-Phirarak Integrated training Operation’ was initiated in 2014. During phase 1 (2014 - 2016), students were trained how to provide nursing care in mass casualty situations. The training has been continuously developed to phase 2 (2017 - 2019) for graduates’ and institutional identities required from the stakeholders. The current program composes of 4-situation training; (1) conventional warfare, (2) unconventional warfare, (3) peacekeeping operation, and (4) humanitarian assistance and disaster relief mission. The trainees have to integrate both nursing and military knowledge to manage health problems of virtual patients in all 4-scenario-based training. The physical, mentality and knowledge preparation will be provided for 1-2 months before the training starts, so that the trainees can perform nursing care for various types of injuries amidst stressed situations and limited medical resources.</p> <p>Implication The scenario-based training is useful for developing the competency of nursing students to manage situations which require knowledge integration, experience and appropriate decision making. Furthermore, the training will facilitate the trainees to improve leadership skill, critical thinking and gain more confidence to perform nursing care in future missions.</p> 2020-08-26T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/225577 The development of spiritual well-being in the adolescent with cancer: Holistic nursing care 2020-09-04T03:35:37+07:00 Nedruetai Punaglom nedruetai@ms.npu.ac.th Nadnapa Arayasinlapathon nedruetai@npu.ac.th Nutcharat Mangkarakeree nedruetai@npu.ac.th <p>Cancer has been widely accepted as a serious disease. The adolescent with cancer requires long-term treatments that are considered as an invasive treatment. These result in the suffering of the adolescent with cancer inevitably caused by both the disease and side-effect of the treatments they received. However, the treatments they received cannot be confirmed whether the disease will be cured. On the other hand, the adolescent with cancer must face uncertainty events in life due to exacerbations and progression of cancer. These result in the adolescent with cancer feel hopelessness, lacking encouragement and goals in life, low self-esteem, as well as hesitation and doubtfulness in the spirituality they respect. These reflect the impact on the spiritual well-being of the adolescent with cancer that potentially may produce the intensity of their illness. Since the spiritual dimension is the main axis connecting all dimensions to maintain live homeostasis which affects the existence of a person with meaning and well-being. This article aims to provide the guideline of holistic nursing care to develop spiritual well-being in the adolescent with cancer. The contents compose of the definition of spirituality, spiritual well-being, spiritual well-being in the adolescent with cancer, attributes, assessment, the role of nurses to develop spiritual well-being in the adolescent with cancer, and case study and utilization.</p> 2020-08-23T11:56:42+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/190993 Effectiveness of Health Education Program for a Promoting Preventive Behavior of Tobacco Product Consumption Among Primary School Female Students in Bangkok Metropolitan 2020-09-04T03:35:38+07:00 Parinya Darasuwon parinya.da@ku.th Nutthakritta Sirisopon parinya.da@ku.th <p>quasi-experimental study aimed to examine the effectiveness of a health education program for a promoting preventive behavior of tobacco product consumption among primary school female students in Bangkok Metropolitan Based on the theory of planned behavior. The sample was grade 5 students with risk behavior of tobacco product consumption. From two primary schools in Bangkok Metropolitan, Thailand. Participants were selected by simple random sampling to either the experimental group (n = 30) and the compared group (n = 30). The experimental group participated in a health education program for promoting preventive behavior of tobacco product consumption using child-centered with various activities for 5 weeks. The compare group participated in a regular health education class. The instrument in data collection was a questionnaire. Data was analyzed by using Descriptive statistics, dependent t-test, and independent t-test.</p> <p>The result revealed that at post study, perceived attitude toward not - tobacco product consumption, perceived subjective norm to not - tobacco product consumption, perceived behaviors control for not - tobacco product consumption and intention to not - tobacco product consumption in the experimental group showed a greater mean score than the pre-test mean score at <img title="\alpha" src="https://latex.codecogs.com/gif.latex?\alpha"> .05 significant level. At post-test, only perceived attitude toward not - tobacco product consumption and intention to not - tobacco product consumption mean score in the experimental group was found greater than the comparison group at <img title="\alpha" src="https://latex.codecogs.com/gif.latex?\alpha"> .05 significant level</p> 2020-08-23T12:07:55+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244643 The Self-Esteem of The Elderly Through Line Application 2020-09-04T03:09:52+07:00 Nawaphorn Sunonthanam ploynavaporn@gmail.com <p>This research purpose to study factors that influence the self-esteem of the elderly through the LINE application, to compare the self-esteem of the elderly between using LINE application and using real-life experience, and to recommend the positive attitudes about self-esteem of the elderly through line application. The sample consisted of 385 people select the sample according to the qualifications. Questionnaires were used as a data collection tool. Data were analyzed using descriptive statistics and inferential statistics consist of independent T-tests, One-way ANOVA, Paired Samples T-Test and Pearson’s Product Moment Correlation Coefficient</p> <p>The study found that self-esteem of the elderly living alone was statistically significant lower than the elderly who did not live alone (p = .000). Frequency of using each function was found to have statistically significant relationship with level of self-esteem (p = .000). By comparing the total scores from the assessment between LINE application and real-life experience group, LINE application group statistical significance perceived more significant than real-life experience with mean 3.83 and 3.73, respectively (t = 2.715, p = .007). Recommendations for further research should be studied in other areas where the context is different. The government sector should increase the opportunity to access and awareness in LINE application. Private sectors use LINE application as a tool to enhance self-esteem of the elderly. Finally, the elderly should have proper use of the application line.</p> 2020-08-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244644 Effective Communication between Nurses and Advanced Cancer Patients 2020-09-04T03:10:12+07:00 Surapha Saikaew surapha99@hotmail.com Yupin Tanatwanit surapha99@hotmail.com Wanlapa Kunsongeit surapha99@hotmail.com <p>The purpose of this descriptive qualitative research was to study effective communication between nurses and advanced cancer patients. The participants were selected by the purposive sampling and they were diagnosed with advanced cancer and admitted to Chonburi Cancer Hospital, and were assessed by the Palliative Performance Scale version 2 (PPS v2) and their scores showed ≤ 60%. Twenty participants were assigned. The semi-structure interview guide was used for collecting data. Then, the content analysis was applied to analyze these data.</p> <p>The results revealed that the effective communication between nurses and advanced cancer patients emerged 4 significant categories: 1) characteristics of communication (: effective communication and non-effective communication), 2) characteristics of nurses contributing to the effective communication (: service-mind, encouragement, and creditable personality), 3) the barriers to communicate effectively causing from patients, nurses, loading work of nurses), and 4) effective communication improvement (: communication skills for psychological care and for explaining communication content) These results of this study demonstrated that the advanced cancer patients needed effective communication from nurses in both verbal and non-verbal communication. Nursing care has to eliminate the barriers to effective communication. At the same time, the communication skill promoting psychological care and content explanting for illness information needs to be developed and improved.</p> 2020-08-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244646 Effects of A Self – Efficacy Promoting Program on Caring for Pre-Hypertension Group among Community Health Volunteers 2020-09-04T03:10:33+07:00 Kirananan Sonthitham kirananan@hotmail.com Somsaowanuch Chamusri kirananan@hotmail.com <p>This quasi-experimental research was to examine the effectiveness of perceived self-efficacy promoting program on caring for pre-hypertension group among community health volunteers, using one group pre-posttest design. The sample consisted of 41 community health volunteers. The instrument of this research consisted of a handbook of a perceived self-efficacy among community health volunteers on caring for pre-hypertension group, risk factor of hypertension assessment form and handbook for advising of caring themselves to pre-hypertension group, using the self-efficacy theory of Bandura (1997) included 1) Mastery experiences 2) Vicarious experiences 3) Verbal persuasion and 4) Emotional and physiological states. Data were analyzed by using percentage, mean, standard deviation, and dependent t-test.</p> <p>The results revealed that self-efficacy on caring for pre-hypertension group among community health volunteers was higher than before receiving the program at the statistical level of 0.01. Therefore, nurses should apply this program to use on caring for pre-hypertension group.</p> 2020-08-27T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244743 Creating Policy Participation of Health Behavior for Reduce Cancer, Hypertension and Cardiovascular Disease in Maelan Subdistrict, Li District, Lamphun Province 2020-09-04T03:10:53+07:00 Nathakrid Thammakawinwong nathakrit2014@gmail.com <p>Creating policy participation of health behavior in subdistrict for reduce cancer, hypertension and cardiovascular disease in Maelan Subdistrict, Li District Lamphun Province with the objectives were 1) to study participation in creating policy participation 2) to study health behavior 3) Creating policy participation of health behavior. Research design to participatory action research. Creating policy participation by planning, action, monitoring, evaluation process. The sample size were 60 by purposive sampling. Analyze data by percentage, Mean and standard deviation, analyze the inductive analysis by Thematic analysis and Typology and Taxonomy.</p> <p>Result Participation of creating policy participation were average 3.72, Comparing before and after creating policy participation was a significant at the level .05 Health behavior were average 3.28. Comparing before and after creating policy participation was a significant at the level 0.05. Creating policy participation consists of 5 component : 1) Nutrition were focus on catering buffet in the traditional village. 2) Exercise were focus on sports of community and exercise 3 times per week for at least 30 minutes 3) Alcohol were not alcoholic in the traditional village 4) Smoking were focus on non-smoking in house and communicate and persuade people in community non-smoking with law enforcement 5) Stress were focus on relaxation activities stress and counseling</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/192241 Effect of Kangaroo Care in Preterm Infants on Breast Milk Volume 2020-09-04T03:35:39+07:00 Tipawan Daramas tipawan.dar@mahidol.ac.th Jariya Wittayasooporn tipawan.dar@mahidol.ac.th Chalinda Khamsripon aun.t.31@gmail.com <p>The purpose of this quasi-experimental design research was to compare breast milk volume of the mothers of preterm infants received kangaroo care with those who received usual nursing care. The samples consisted of 32 mothers and premature infants. The samples were purposively selected and divided into control group and experimental group. Research tools were 1) general information questionnaire, 2) pain assessment, 3) self-stress assessment and 4) breast milk recording form. Data were analyzed by descriptive statistics and independent t-test. The result of the study revealed that the average of breast milk volume of the mothers receiving kangaroo care was 4,544.20 (S.D. = 1519.77) while that of those receiving normal nursing care was 2,616. 25 ml (S.D. = 844.36). When milk volume was compared, the average amount of breast milk of the mothers receiving kangaroo care was higher than that of the mothers receiving usual nursing care with statistical significance (p &lt; .001).</p> 2020-08-30T00:03:34+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244745 Assessment of the Master of Nursing Science Program In Nursing Administration, Improvement Version, AD 2013 2020-09-04T03:11:31+07:00 Puangtip Chaiphibalsarisdi puangtip.c@chula.ac.th Maleewan Lertsakornsiri puangtip.c@chula.ac.th Laiad Jamjan puangtip.c@chula.ac.th Suwannee Laoopugsin puangtip.c@chula.ac.th Suwanna Anusanti puangtip.c@chula.ac.th Dares Chusri puangtip.c@chula.ac.th <p>This mixed method research with CIPP model approach, aimed to explore the opinions of 1) policy and program administrators, 2) nursing directors, 3) alumni, 4) teachers, 5) students’ supervisors and students’ colleagues, and 6) students. There were 33 sample. The measurement consisted of 4 parts; test for environment, test for input, test for process, and test for product. The content and statistical analysis were being performed. The results of the study were as follows; 1) The nursing administration program is still needed but must design the curriculum to allow learners have the required competency. 2) For results of the input, the students had highest satisfaction on measurement and evaluation that were congruent with the curriculum and study activities at private and international settings. The lowest satisfaction was the number of teachers who had provided consultation covering various fields. 3) In the process assessment, the teachers were able to provide teaching-learning experiences in accordance with the philosophy and objectives of the curriculum. However, the consultation in conducting the thesis/thematic paper, the teacher must be thorough in research process and must be able to respond to individual student’s needs. 4) For the product of the curriculum, the overall competency and the behavior of the students towards their professional responsibilities were at a very g</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244746 Perception of Royal Thai Army Nursing Students towards Elderly Care before Studying Gerontological Nursing 2020-09-04T03:11:51+07:00 Usanee Ankanawin usanee_a@rtanc.ac.th Patcharaporn Untaja usanee_a@rtanc.ac.th Arisara Yuroong usanee_a@rtanc.ac.th Suweena Bohplian usanee_a@rtanc.ac.th <p>This qualitative research aimed to study the perceptions of Royal Thai Army nursing students about elderly care without gerontological knowledge. The key informants were 10 nursing students, experiencing on living or taking care of older relatives. The data was collected by in-depth interviews with tape-recorded and transcribed verbatim.</p> <p>The content analysis method was used to analyze these descriptions, including three themes emerged; 1) physical and mental deterioration (physiological change and sickness, be lonely and easily offended), 2) elderly care (helping with daily activities, caring with understanding, caring with attention, adapting to elderly relatives and showing gratitude), 3) roles of elder in their family (looking after grandchildren, assistance in household chores, teaching children and grandchildren),</p> <p>The results of this study provided better understanding of nursing student’s perceptions and attitudes throughout the elderly care from their opinions. In addition, the research distributed useful knowledge to improve the pedagogy of teaching in gerontological nursing for The Royal Thai Army Nursing College. Providing and sharing experiences of elderly care is significantly valuable medical study, especially nursing students not living with their elders to improve caring techniques for elderly patients.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/227079 The Effects of Health Literacy Program on Health Literacy and Sexual Prevention Behaviors among Junior High School Students 2020-09-04T03:35:40+07:00 Vanisa Prayochmee vanisa.fern@gmail.com Orapin Sikaow sikaowora@gmail.com Chadapa Prasertsong dr.chadapa@yahoo.com <p>This quasi-experimental research aimed to examine the effect of health literacy program on health literacy and sexual prevention behaviors among junior high school students. The sample group was randomized by multi-stage random sampling. The experimental group was forty students of Matthayom 3/2 at Tongkung School, whereas the control group was forty students of Matthayom 3/1 at Bansuan school. The research instruments were composed of the health literacy program for preventing sexual prevention behaviors, the questionnaire of health literacy on sexual prevention behaviors and the questionnaire of sexual prevention behaviors. The reliability of questionnaires were 0.86 and 0.89 respectively. Data were analyzed by using descriptive statistic, independent t-test and One-way Repeated measured ANOWA test.</p> <p>The results found that the mean scores of health literacy and sexual prevention behaviors of the experimental group before ,after the program and follow-up period had statistically significant differences at the level of .001, To compare the mean scores of health literacy and sexual prevention behaviors between the experimental group and the control group after the program and follow-up period, it was found that the experimental group had the scores of health literacy and sexual prevention behaviors significantly higher than the control group with statistical significance at level of .001</p> 2020-08-30T01:14:07+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/239744 An An Evaluation of Competency in Rational Drug Use of Nursing Graduates 2020-09-04T03:35:41+07:00 Sukjai Charoensuk sukjai@bnc.ac.th Ladda Leungratanamart sukjai@bnc.ac.th Tutiyarat Reunreang sukjai@bnc.ac.th Kamolrat Turner sukjai@bnc.ac.th Suntharawadee Theinpichet sukjai@bnc.ac.th <p>This descriptive study aimed to examine perceived competency in rational drug use of nursing graduates in bachelor of nursing science program after an implementation of integrating the rational drug use curriculum into the bachelor of nursing science program in academic year B.E. 2561. The population included 9,249 newly nurse graduates from 86 nursing education institutes in academic year B.E. 2561, and 4,269 graduates (46.15%) responded. The instrument used was a 46-item questionnaire regarding competency in rational drug use developed by the researchers based on the Prescribing Competency Framework, composed of 2 main competencies which were consultation and prescribing competencies. Data collecting was done online. Data were analyzed using descriptive statistics. The results revealed that nursing graduates perceived their overall competency in rational drug use was at a high level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.31, SD = 0.48). All categories of the competency were also rated at a high level. The highest score fell in the category of working with others as inter-professional team to promote rational drug use ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.39, SD = 0.57). The lowest score was found in the category of considering the options ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.22, SD = 0.53). Considering items in each category, the highest score was found in “assess the patient’s history” ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.51, SD = 0.60). The study suggested that the Thailand Nursing and Midwifery Council should promote all nursing education institutes to integrate the rational drug use curriculum into their nursing curriculum in order to improve nursing competencies continuously.</p> 2020-08-30T01:29:22+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244749 The Effectiveness of Earthquake Preparation Program by Nurses in Elementary School in Chiangrai’s Risk Area: Pilot Study 2020-09-04T03:13:03+07:00 Panjapa Sookkoe panjapa_sukkho@yahoo.com Varunyupa Roykulcharoen panjapa_sukkho@yahoo.com Kruewan Sriyarat panjapa_sukkho@yahoo.com Pilailak Rojanaprasert panjapa_sukkho@yahoo.com Suwith Kosuwan panjapa_sukkho@yahoo.com Krichpet Petcharaburanin panjapa_sukkho@yahoo.com <p>This research was a one group pretest-posttest quasi-experimental design. The purposes of the study here to examine the effectiveness of the “Earthquake Preparation Program” for students, teacher and staff in elementary schools in high risk areas in Chiang Rai on knowledge about earthquakes and survival in earthquake situations, self-efficacy perception and behavior in coping with simulated earthquake situation. Randomly selected by 1 school consisting of 36 students, teacher and staff. The sample received the preparation program for the earthquake situation of 2 ½ days. Data more collected by using the earthquake knowledge and survival questionnaire, self-efficacy in perception for earthquake questionnaire and the behavior observation form to simulated earthquake simulations. Data was collected immediately after receiving the program and repeated measurements in the 3rd and 6th months after the program participation. Repeated measure ANOVA was used to analyze the data. The results showed that students, teachers and staff group; there were statistically significant higher mean scores of knowledge, self-efficacy perception, and behavior in coping earthquake simulated situation immediately right after receiving the program, while after 3 months and after 6 months than prior participating in the program at p value &lt; .01.</p> <p>The results of the research can be used as a guideline for nurses in disaster management to prepare for the earthquake preparedness training for schools. In addition for the results of the research can improve nursing competency to have skills in school disaster management effectively.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/232084 Scenarios of Nursing Organization in Private International Medical Hubs During 2022-2026 2020-09-04T03:35:43+07:00 Punyisa Thuekun dajawoo09@hotmail.com Wasinee Wisesrith dajawoo09@hotmail.com <p>The objective of this study was to examine the scenarios of nursing organization as a private international medical hubs during 2022–2026 through the Ethnographic Delphi Futures Research (EDFR) technique. The sample was composed of 18 experts. The research methodology was divided into the following three rounds. In Round 1, the researcher interviewed the experts for opinions concerning the scenarios of nursing organization as a private international medical hubs 2022–2026. In Round 2, the researcher used the data obtained from the interviews in content analysis and created a questionnaire for experts to estimate significant trends. And in Round 3, the researcher used the data obtained from Round 2 to calculate the median and interquartile range for preparation of the questionnaire for experts to confirm opinions and for the researcher to summarize the study. The summary of the results regarding the scenarios nursing organization as a private international medical hubs during 2022–2026 consisted of the following six items: 1) Nursing organizational structure; 2) Development and human resource management; 3) Innovation and technology; 4) Nursing service; 5) Strategic nursing management and 6) Excellent quality of service.</p> 2020-08-30T15:00:12+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/223798 Correlation of Food Consumption Behaviors and Nutritional Status with Risk of Dementia in Older People 2020-09-04T03:35:44+07:00 Sirirat Chamnongchit chamnongchit.s@hotmail.com Noppawan Piaseu noppawan.pia@mahidol.ac.th <p>This descriptive correlational research used secondary data from the community survey project for establishment of the learning and development center for older people health and palliative care of end-stage patients of the Faculty ofMedicine, Ramathibodi Hospital, Mahidol University aimed to 1) describe the risk of dementia and 2) investigate the relationship of food consumption behaviors and nutritional status with risk of dementia in older people. The sample included 396 older people, residing in communities, Prachuap Khiri Khan province. Data were analyzed using descriptive statistics, Spearman rank correlation and Point biserial correlation. Results revealed that 8.8 % of the older people were at risk of dementia. Food consumption behaviors associated withrisk of dementia included adding chili powder in almost foods (rpb = -.172, p =.001) and avoiding foods containing high sugar, fat, and sodium (rpb = -.101,p = .044). Nutritional status associated with risk of dementia included mini nutritional assessment scores (rs = .153, p = .002), body mass index (rs = .112, p = .026) and handgrip strength (rs= .267, p &lt;.001). Results suggest that should provide care for older people to reduce foods containing high sugar, fat, and sodium, control body weight, and enhance muscle strength in order to achieve appropriate nutrition status and decrease risks of dementia among them.</p> 2020-08-30T15:09:37+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240343 Older Adult Patients’ Convalescence and Recovery within One Week after Abdominal Surgery at Thammasat University Hospital 2020-09-04T03:35:45+07:00 Issarapong Penphumphuang issarapongpe@gmail.com Yaowarat Matchim yaowarat.m@gmail.com Prasit Mahawongkajit prasit_md@yahoo.com <p>This study aimed to examine older adult patients’ convalescence and recovery within one week after abdominal surgery. The study participants were 60 older adult patients undergoing major gastrointestinal surgery. The tools used for screening the participants included: 1) the Short Portable Mental Status Questionnaire (SPMSQ), and 2) the Activities of Daily Living index (ADL). The instruments used for collecting the data included: 1) a demographic data form, and 2) the Convalescence and Recovery Evaluation (CARE) measure. Descriptive statistics were used to analyze the data.</p> <p>The results showed that the participants had convalescence and recovery within one week after abdominal surgery for each dimension as follows: 1) pain domain—the highest score for pain in the abdominal and belly area (M = 4.83, SD = .38); 2) the gastrointestinal domain—the highest score for bloating and gassiness (M = 3.36, SD = .55); 3) the cognitive domain—trouble concentrating (M = 3.00, SD = .55) and forgetful (M = 2.53, SD = .59); and 4) the activity domain—the participants could perform light activities during the second and fourth day after abdominal surgery (M = 2.40, SD = .69). The activity domain considered the recovery is slow. The participants with colorectal diseases had the highest scores for pain and gastrointestinal domains, whereas the participants with hepatobiliary diseases had the highest scores for cognitive and activity domains. The results of this study can be used for developing programs to enhance recovery after abdominal surgery for older adult patients.</p> 2020-08-30T15:17:16+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/222682 Case Management Program on Levels of Fasting Plasma Glucose among Type 2 Diabetes Mellitus Patients 2020-09-04T03:35:47+07:00 Arunee Chaiyarit achaiyarit@yahoo.com <p>This two-group pre-post/test experimental research aimed to compare levels of fasting plasma glucose between an experimental group and a control group before and after received the case management program for 8 weeks. Sample was 68 type 2 diabetes (DM) patients at an out-patient department of Phraputthabat hospital, Saraburi province. These patients were divided to an experimental group (n=34) and a controlled group (n=34) by using random procedure. An experimental group received the case management program individually that included diet control, medication adherence, alcohol and smoking cessation, exercise, and emotional management from the nurse case managers two hours a week for 8 weeks and monitoring every week by the nurse case manager. A control group received usual care. DM patients were measured for FPG levels at baseline and 8 weeks after experiment. Study data was analyzed using independent t-test procedure. Results showed that the majority of DM patients in a control group was female 67.65% (n= 23). Average age was 65.06 years (SD= 5.92). Average year of diabetes was 9.71 years (SD= 5.95). For an experimental group, the majority was female 67.65% (n= 23). Average age was 64.94 years (SD= 5.11). Average year of diabetes was 10.47 years (SD= 5.28). After DM patients receiving CM program for 8 weeks, levels of FPG in an experimental group was statistically significantly lower than those in a control group at .03</p> 2020-08-30T15:24:23+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244750 A Development of Inhibitory Control Based on Thai Traditional Game Training Program in Elementary School Students 2020-09-04T03:14:46+07:00 Thida Somsri nobuta_tang@hotmail.com Juthamas Haenjohn nobuta_tang@hotmail.com Warakorn Supwirapakorn nobuta_tang@hotmail.com <p>The purposes of this study were to study the effects of a developethe Inhibitory control based on Thai traditional game training program in elementary school students and to test the effectiveness.The sample was 60 students of Watnuenpra School, Rayong in the 2018 academic year. The sample was randomized by using sample random sampling into 2 groups. Experimental groups and control groups. Each group consisted of 30 students. The research instruments were 1) The Inhibitory control base on Thai traditional game training program in elementary school students and 2) Go/No Go Task. The experimental group received the program 2 times per week and the control group received the regular instruction from the school in the same period. The assessments were done in 3 phases: pretest, posttest and follow-up phase. The data were statistically analyzed by utilizing a repeated measures analysis of variance and paired-different test by Bonferroni method.</p> <p>The results revealed that the interaction between the experimental methodology and the duration of the experiment were found statistically significant at .05 level. Students in the experimental group had the mean score of inhibitory control higher thanthose in the control group in the posttest and follow-up with statistically significant at .05 level. Students in the experimental group had the mean score of inhibitory control in the posttest and follow-up higher than the pretest with statistically significant at .05 level. It was concluded that the inhibitory control based on Thai traditional game training program in elementary school students had the effectiveness on enhancing inhibitory control in elementary school students.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244751 Factors Influencing Stress level of The New Troops, The Military Unit In Phitsanulok Province 2020-09-04T03:15:06+07:00 Khachornsak Inthanate khachornjames@gmail.com Pramote Wongsawat khachornjames@gmail.com <p>This descriptive research aimed to determine factors influencing stress levels of the new troops at 4 th Infantry Division, Fort Somdej Pra Naresuan Maharaj, Phitsanulok Province. The samples were 410 new troops calculated based on the estimating population proportion. Simple random sampling technique was used to recruit the samples. The research tool was a questionnaire created by the researcher and its quality was tested in terms of content validity and reliability which met the standard criteria. Data were analyzed using descriptive statistics and ordinal logistic regression, defining statistical significance at .05 as a criterion for accepting hypothesis.</p> <p>The results showed that the new troops had stress at mild stress level 66.8%, relationships with other people are at a good level, adaptation is at a moderate level, perception about military is at a high level, attitude towards military training is at a moderate level. Factors influencing the stress levels of the new troops are consisted of firstly, family responsibility, emotional quotient; decision and solving problems, emotional quotient; life satisfaction, relationship with the trainers, personal and emotional adaptation and lastly, military role recognition in the treatment of adults with statistical significance level of .05. These factors could predict the stress levels of new troops by 36%.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203180 Experiences of Being a Nurse Entrepreneur of a Nursing and Midwifery Clinic 2020-09-04T03:35:49+07:00 Rungnapa Sudjai numguggi@hotmail.com Areewan Oumtanee areeday@yahoo.com <p>This qualitative study aimed to describe experiences of being a nurse entrepreneur of nursing and midwifery clinic. Heidegger humanistic phenomenology was applied as research methodology. Purposive sampling was used to select 10 willing nurse entrepreneurs of nursing and midwifery clinic. Data were collected by using in-depth interview, voice record, observation and field note record. Contents were analyzed by van Manan content analysis method. The findings of this study are consisted of 4 majors themes: 1) Preparing for being nursing and midwifery clinic owner 2) Providing services based on nurse’s roles 3) Making a business survive and 4) Outcomes from running nursing and midwifery clinic. The results of this study can be guidelines for nurses who are interesting to open nursing and midwifery clinic beneficially.</p> 2020-08-31T00:32:41+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/228833 Development of Clinical Nursing Practice Guideline for Pregnant Women with Risk of Gestational Diabetes Mellitus 2020-09-04T03:35:50+07:00 Patcharakorn Pensirisomboon ppatchara024@gmail.com Kanokporn Nateetanasombat ppatchara024@gmail.com <p>This research aimed to develop clinical nursing practice guideline for pregnant women with risk of gestational diabetes mellitus (CNPG-RGDM) by evidence-based practice and also aimed to apply CNPG-RGDM for pregnant women with risk of gestational diabetes mellitus. The results could divide into 2 phases. First phase was the development of CNPG-RGDM, which one hundred and seven articles had been searched, and yet twenty articles had relevant to nursing care for pregnant women with risk of GDM and GDM, which articles were in between 2013 to 2018.This development of CNPG-RGDM was composed of two processes, which were screening process for risk of GDM group by using assessment form for screening risk, and the process of nursing care relevant to level of risk of GDM and continuing follow up. Second phase was to apply this CNPG-RGDM. The samples were twenty-eight pregnant women with risk of GDM, who came to receive service for the first time to twenty eight weeks of gestational age. The study found that most pregnant women were in the high risk of GDM with 96.43 percentage. The low risk was 3.57 percentage. These pregnant women with risk of GDM had received the consultation, adjusted life style behaviors, and received handbook in order to record food consumption per day and record calories and suitable exercise. Final results after 1 week of applying CNPG-RGDM and follow up found that they had body weight not over 0.5 gram per week with 89.29 percentage and not found sugar in the urine last ANC visit at all case.</p> 2020-08-31T21:47:40+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/224683 Effect of S SMILE Instructional Model based on Contemplative Education for Enhancing Nursing Student’s 5 Skills subject to Thai Qualifications Frame Work for Higher Education 2020-09-04T03:35:51+07:00 Cathareeya Rattanawumol cathball_r@yahoo.com Chommanard Wannapornsiri cathball_r@yahoo.com Manika Petcharat cathball_r@yahoo.com Thidarat Khamboon cathball_r@yahoo.com Chaowanee Longchoopol cathball_r@yahoo.com Kamonroj Wongchanhan cathball_r@yahoo.com Jirarat Ruetrakul cathball_r@yahoo.com <p>This research is a quasi-experimental study, one group pre-test post-test design, with an aim to investigate the effects of the application of S SMILE Model based on contemplative education for enhancing nursing student’s 5 skills subject to Thai Qualifications Framework for Higher Education. The sample group included 80 first-year nursing students in the Faculty of Nursing Naresuan University who had enrolled the course “Humanized Nursing Care”. The research instruments consisted of 1) Experimental tool which was the instructional model “S SMILE Model” based on contemplative education comprising 6 components as follows: 1) Space 2) Self-reflection 3) Meditation 4) Integral Life Practice 5) Listen Actively and 6) Evaluation 2) Data collecting tools were questionnaire for evaluating 5 skills subject to Thai Qualifications Framework for Higher Education and questionnaire for assessing satisfaction toward given instructional model. Statistics used for data analysis included percentage, mean, standard deviation, t-test.</p> <p>The research findings suggested that by applying the instructional model, post-test scores for nursing student’s 5 skills subject to Thai Qualifications Framework for Higher Education were significantly higher than that of pre-studying ones at statistical significance of 0.001 while satisfaction score was significantly above the required level with statistical significance of .001.</p> 2020-08-31T22:13:49+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/234916 A Study of Severity and Perception of Disease’s Severity to Hospital Arrival Time for relatives of Acute Stroke Patient 2020-09-04T03:35:52+07:00 Werayuth Srithumsuk jackrn12@gmail.com Saitip Jaipong jackrn12@gmail.com Pornnapa Charoensan jackrn12@gmail.com Sirirat Chamnongchit jackrn12@gmail.com <p>This research was descriptive study. The objectives of this study were; to study severity and perception of disease’s severity to hospital arrival time and to study association amomg age, educatinal level, income, severity and perception of disease’s severity to hospital arrival time of acute stroke’s relatives and patient. The sample was 88 relatives of stroke patient admitted at Phrachomklao hospital Phetchaburi province since August 2017 to January 2018. The questionnaire consists of 3 parts were 1) demographic data record form, 2) hospital arrival record form, and 3) perception of stroke’s severity assessment. The data analysis was used descriptive statistics, chi-square test and Pearson’s product moment correlation.</p> <p>The result showed that the sample was male with 52.30 %, averaged age was 66.97±14.42. Stroke’s symptom making a decision to take a patient to a hospital was one side weakness immediately with 47.5%, the most type of stroke in this study was ischemic stroke with 90.91%. The severity of stroke from NIHSS mean score was 6.43 (S.D. = 6.88). Most of patient had minor severity stroke with 65.91%. Time from stroke scene to hospital was 28.90 minute (S.D. = 15.84). The relationship among age educational level, income, and stroke severity with hospital arrival after stroke onset showed no significant different. Only perception of disease’s severity was negative correlation with with hospital arrival time after stroke onset with significant different (β = -.325, p-value = .040) Therefore, to promote rapid stroke treatment and caring, giving knowledge to patients, relatives, and general population regarding symptoms, emergency management of stroke, and studying factors related rt-PA treatment are important to stroke care’s outcomes.</p> 2020-09-01T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/203175 How to Communicated in Generation Z Nurses 2020-09-04T03:35:53+07:00 Sureepeorn Saenung seaskylilyblue@gmail.com Areewan Oumtanee areeday@yahoo.com <p>The objective of this qualitative research was to describe lived experiences of managing Generation Z nurses in nursing team of head nurses in an university hospital. The informants were head nurses who experienced managing Generation Z nurses in nursing team more than 3 years and Generation Z nurses have worked in their unit at least 3 people. Collecting data by indepth interview in purposive samplings 12 head nurses at an autonomous university hospital. Analyzing data by van Manen’s analysis (1990). The results of this research can describe how to communicated in Generation Z nurses in nursing team 5 points as follow : 1) Various channels to access communication 2) Tell topics clearly and no complexity 3) Easy to access all the time 4) Set priority communicated topics 5) Warn when use unappropriate social online technology.</p> 2020-09-01T06:08:30+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/239937 Development of Patients with Ventilator Care Model to Prevent Ventilator Associated Pneumonia In Ranong Hospital 2020-09-04T03:35:54+07:00 Sirirat Nakrod ang_icuranong@hotmail.com Niramol Oucharoen nira_u@hotmail.com Kanlayanee Nakarit sassy.kanme19@gmail.com <p>The purpose of this research and development were to develop a model for take care of patient with ventilator to prevent ventilator associated pneumonia in Ranong Hospital. The sample group were 88 nursing personnel and the 301 patients of age more than 15 year old and were not affected by pneumonia on admission. Data were analyzed using descriptive and pair-sample t-test statistics.</p> <p>The results of the study found that more than 90% of participants felt that development of patient with ventilator care model to prevent ventilator associated pneumonia among nursing personnel. The knowledge score of nurses increased from 18.8 to 25.62. Correct practice rates in post-intervention phase 93.14% compared with 71.79% in pre-intervention. The mortality rate was reduced significantly (p &lt;0.05). But VAP incidence rate, length of stay and duration of mechanical ventilation were not significantly different (p &gt; 0.05). It could be concluded that that concept of collaborative quality improvement could be applied to develop a model for take care of patient with ventilator to prevent ventilator associated pneumonia among nursing personal in Ranong Hospital.</p> 2020-09-01T06:15:19+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244805 Experiences in Managing Hospital Accreditation, in Accordance with The International Standard of Nurse Administrators 2020-09-04T03:17:38+07:00 Duangduan Bunyasartphan duangduan.bnh@bnh.co.th Puangtip Chaiphibalsarisdi duangduan.bnh@bnh.co.th Panta Apiruknapanond duangduan.bnh@bnh.co.th <p>The objective of this research was to describe the experiences in managing hospital accreditation in accordance with the international standard by nurse administrators. The Hermeneutic phenomenology of Heidegger was being applied as research methodology. Nine key informants of nurse administrators from those international standard accredited hospitals were being selected. Data collections were in-dept interviews by telephoning and tape recording. Verbatim transcription and analyzed with thematic extraction as proposed by Van Manen were performed.</p> <p>The study results had found nine themes as follows; 1) Policy on upgrading hospitals toward international standard. 2) Insure that the allotted budget is sufficient. 3) Sizable nursing team, all committee assigned. 4) Enhancing one’s knowledge, be closely with the experts. 5) All must be communicated, harmonized, united in action and spirit. 6) Be prepared, reviewed, rehearsed until the day of inspection. 7) Worthiness of outcomes leading to safety. 8). Continuous quality improvement emphasizing advancement and 9) Upgrade hospital but increasing burden on documents to nurses. Result of the research had revealed that experiences of nurse administrators in managing hospital accreditation in accordance with the international standard was as planned, the outcome was satisfied and must be proceeded on a continuing basis.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244806 The Effects of an End-of-life Care Program on The Palliative Care Outcomes and Perceived Peaceful End of Life Among End-stage Cancer Patients 2020-09-04T03:18:00+07:00 Patchareerat Anseekaew monthakarn@smnc.ac.th Yaowarat Matchim monthakarn@smnc.ac.th Hataiwan Ratanabunjerdkul monthakarn@smnc.ac.th <p>This study aimed to examine the effects of an end-of-life care program on the palliative care outcomes and perceived peaceful end of life among end-stage cancer patients. The participants were selected based on inclusion including 32 end-stage cancer patients and 32 family caregivers. The participants received the 1-week end-of-life care program that was developed by the researcher based on the theory of a peaceful end of life of Ruland and Moore. Data were analyzed using paired t–test.</p> <p>The results showed that, after the intervention completing, the mean score for the palliative care outcomes as perceived by the end-stage cancer patients and that as perceived by the family caregivers decreased with a statistically-significant difference when compared to those at baseline (t = -5.90, p &lt; .001; t = -7.72, p &lt; .001). The mean score for peaceful end of life as perceived by the end-stage cancer patients and that as perceived by the family caregivers increased with a statistically-significant difference when compared to those at baseline (t = 7.90, p &lt; .001; t = 8.79, p &lt; .001). The results of the study indicated that the 1-week end-of-life care program which was developed based on the theory of peaceful end of life by Ruland and Moore cooperating with family caregivers can enhance positive palliative care outcomes and promote the peaceful end of life of end-stage cancer patients. Healthcare providers can implement this program for end-stage cancer patients in other contexts.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244848 The Enhancement of Prisoner’s Family Adaptation through Assimilative Integration Family Counseling Based on Structural Family Counseling Theory 2020-09-04T03:19:09+07:00 Yongyuth Pramaulsuk pmyongyuth@gmail.com Pennapha Kulnapadol pmyongyuth@gmail.com Pracha Inang pmyongyuth@gmail.com <p>The purpose of this research was to study the component of family adaptation and develop format of family adaptation. It was divided into 2 steps. The first step studied confirmed element of family adaptation and the second step was family counseling to enhance family adaptation. The samples were wife and son or daughter of prisoner who was imprisoned less than 1 year with the lowest family adaptation scores. Twenty families were performed simple random sampling into the experimental and control group. The instruments were family adaptation measurement and 10 sessions of assimilative integration family counseling based on structural family counseling theory which developed by the researcher. The confirmatory factor analyses, the multivariate analysis of variance with repeated measures were used for analyzing the data.</p> <p>The results revealed that 1) The component of family adaptation were family function, family relationship, social relationship, and readiness to solve problem. 2) The mean score of family of the experimental group after intervention and after 4 months was higher than those in the control group statistically significant different at .05 level.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244851 The Study of Management Course with Integration in General Education : Health Promotion’s Project 2020-09-04T03:20:45+07:00 Sumalee Iamsamai s_iamsamai@hotmail.com Sommai Wongkrasan s_iamsamai@hotmail.com Pornpawee Chuenjairueng s_iamsamai@hotmail.com Jareerat Intawat s_iamsamai@hotmail.com <p>According to the course management in each general education subject, using a group process is one of the best methods for improving expected learning outcome. It is widely beneficial if cultural project will be embedded in daily life. Health promotion issues are the major key to develop learning outcome by using project-based activities. Whereas, there are some concerns about dividing students unequally per group and different backgrounds of students including instructors. As a result, students have many negative effects such as working hard, facing to problems in group work and not enough time to learn total processes. Instructors have work hard as well. The purpose of this research was to study the management course with integration learning concept in development systematic thinking subject, General Education for Human Development subject, and Arts and Sciences for Human Development subject by using Health Promotion project. This research was quasiexperimental Research. The sample comprised of first year nursing students who enrolled in academic year 2017. The results of the research revealed students’ competencies in content subject were in excellent level 43.27%. In leaning management, development systematic thinking, were in excellent level 67.01%. In desired nursing students’ qualifications, public consciousness, were in excellent level 22.68%. In Art and Culture Conservation and local wisdom were in excellent level 35.05%.In service minded identity were in excellent level 37.11%. From focus group revealed the integration learning concept made more time for doing project, developed public consciousness, decreased coincidence in grouping, and got more time for learning.</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/233744 A Randomized Crossover Study on the Effects of Inhaled Rice Paddy Herb Oil (Limnophila aromatica (Lam.) Merr.) on Autonomic Nervous System and Reaction Time on Healthy Volunteers 2020-09-04T03:35:55+07:00 Pakamon Thanatuskitti pakamon@msu.ac.th Vorasith Siripornpanich pakamon@msu.ac.th Winai Sayorwan pakamon@msu.ac.th Nijsiri Ruangrungsi pakamon@msu.ac.th <p>Rice paddy herb, a characteristic odor vegetable is commonly used in Thai dishes and Asian indigenous system of medicine. This study aimed to evaluate the effects of rice paddy herb aerial part essential oil inhalation on autonomic nervous system and reaction time tasks among healthy volunteers using a randomized crossover design. Twenty-four healthy participants aged between 18 and 25 years were received sweet almond oil and rice paddy herb oil (8% v/v in sweet almond oil) by inhalation. ANS activities were recorded using BIOM7000 Patient Monitor. The simple and choice reaction tasks were performed on computer screen by the Deary-Liewald reaction time program. Data were analyzed using paired t-test with a significance level of .05. Simple reaction times to responses as well as choice reaction correct items and times were recorded. The results showed that the rice paddy herb oil statistically significantly decreased the systolic blood pressure, diastolic blood pressure and heart rate. For reaction time tasks, the rice paddy herb oil statistically significantly decreased the responded times in simple reaction time test. In summary, the rice paddy herb oil affected systolic and diastolic blood pressure as well as heart rate and it showed potential on the reaction response improvement among healthy participants.</p> 2020-09-03T08:54:31+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/238990 A study of attitude towards nursing profession in the 21st century: The perspective of nursing students at Ramathibodi Nursing School 2020-09-04T03:35:56+07:00 Piyanee Na Nakorn piyanee.nan@mahidol.edu Angun Noyudom piyanee.nan@mahidol.ac.th <p>This study is a mixed method. The objective is to study the attitude towards nursing profession of nursing students at Ramathibodi School of Nursing. The sample consisted of 350 from 1st - 4th year nursing students. The tools used for quantitative data were Attitude test towards nursing profession. The tool reliability was checked by using Cronbach’s alpha coefficient of 0.812 and tools used to collect qualitative data are nursing professional attitudes. Analyze the data by calculating the average value. Standard deviation, F-test and comparison of the mean scores by Scheffé’s method.</p> <p>The results of the research showed that Nursing student perspectives at Ramathibodi School of Medicine, Faculty of Medicine Ramathibodi School of Nursing towards the attitude towards professional nurses in the 21st century is at a good level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.95, SD = .30). The 3rd year nursing students had the highest mean score of attitude towards nursing profession ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 4.05, SD = .32). Analysis for comparing the average score of the attitude towards the nursing profession between the 1st - 4th year nursing students found that nursing students had different attitudes towards the nursing profession. Statistical significance at the level of .05 and found that the first year nursing students had different attitudes towards the nursing profession and the second and third year nursing students with statistical significance at the .05 level.</p> 2020-09-03T09:13:51+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241776 Formatively Assessing Expected Learning Outcomes of Undergraduate Nursing Students Enrolling Ramathibodi Nursing Curriculum Developed using Asian University Network-Quality Assurance (AUN-QA) Criteria 2020-09-04T03:35:58+07:00 Streerut Thadakant streerut.bor@mahidol.edu <p>This study aims at formatively assessing students’ achievement of the Program Learning Outcomes (PLOs) which was developed using the Asian University Network-Quality Assurance (AUN-QA) Criteria. Although the PLOs were developed for students to achieve before completing the program, the expected learning outcomes for the completed second year students as the half-way of the program length were assessed. Ten expected learning outcomes which were developed based on the levels of learning from Bloom’s taxonomy were directly used as a tool comprising 5 levels of achievement ranging scales from “not achieve at all, “least achieve”, “less achieve”, “achieve”, and “most achieve”. The students were also advised to address factors for successful and unsuccessful achievement. Two hundred and twenty-three nursing students of Ramathibodi School of Nursing were recruited. It was found that 195 students (87.44%) responded to the assessment. The students identified various levels of achievement from “not achieve at all” to “most achieve” in each item. Factors as barriers and facilitators of achievement were identified. The findings can be used as inputs to develop cognitive, skills, and affective domains for students to be ready for further study and be able to achieve the program learning outcomes. The identified factors can also be brought into considerations for program revision and design.</p> 2020-09-03T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241148 The Study of Knowledge, Attitude and Behavior of Nurses to Caring for the Elderly with Delirium after Cardiac Surgery 2020-09-04T03:35:59+07:00 Pornnapa Naknonehun pornnapanak@gmail.com Chulaluk Jaipang pornnapanak@gmail.com Nattaya Sanonoi pornnapanak@gmail.com Sirimart Piyawattanapong pornnapanak@gmail.com <p>This descriptive research aimed to study 1) Knowledge about postoperative delirium, attitude towards postoperative delirium and behavior of nurses to caring for the elderly with postoperative delirium after cardiac surgery 2) The relationship between the knowledge and attitude on the behavior of nurses to caring for the elderly with delirium after cardiac surgery. The sample is 61 registered nurses in the cardiac and thoracic surgery ward. The research instrument consisted of a personal data record form, the Knowledge questionnaire about postoperative delirium, the Attitude questionnaire towards postoperative delirium, and the Behavior questionnaire of nurses to caring for the elderly with delirium after cardiac surgery. The reliability of the instruments was .80, .87, and .94 respectively.</p> <p>The results showed that the mean score of knowledge about postoperative delirium was 16.37 from 20 points (S.D. = 2.77). The mean score of attitude towards postoperative delirium was 3.62 from 5 points (S.D. = 0.49). The mean score of the behavior of nurses to caring for the elderly with delirium after cardiac surgery 3.99 from 5 points (S.D. = 0.57). The knowledge and attitude did not correlate with the behavior of nurses to caring for the elderly with postoperative delirium after cardiac surgery (p&gt; .05).</p> 2020-09-04T00:50:47+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/244864 The Effects of Using Gamification Learning Activities on Learning Motivation and Satisfaction among The Royal Thai Army Nursing Students 2020-09-04T03:22:18+07:00 Raveewon Injui raveewon_nhon@hotmail.com Sarintorn Chiewsothorn raveewon_nhon@hotmail.com Ayuporn Prasittivatechakool raveewon_nhon@hotmail.com <p>The purposes of this research were (1) to study learning motivation of nursing students before and after being provided the gamification learning activities (2) to compare the learning motivation of nursing students before and after being provided the gamification learning activities (3) to study the nursing students’ satisfaction of the gamification learning activities in mental health and psychiatric nursing practicum. The one group pretest-posttest design was employed in this research. The sample consisted of 97 of 3rd year nursing students who enrolled in mental health and psychiatric nursing practicum of the Royal Thai Army Nursing College of 2017 academic year, obtained by purposive sampling. The results of this research were found that 1) the nursing students who studied in mental health and psychiatric nursing practicum based on gamification learning activities had higher learning motivation than before 2) there were statistically significant differences at .05 level on learning between pre-test scores and post-test scores of learning motivation among the nursing students who studied in mental health and psychiatric nursing practicum based on gamification learning activities. (3) the study satisfaction of the nursing students towards mental health and psychiatric nursing practicum with gamification learning activities was at a medium level ( <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.80, SD = 0.83).</p> 2020-08-31T00:00:00+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241196 The Development of Fall Prevention Model of The Elderly through Community Participation 2020-09-04T03:36:01+07:00 Wichuda Klinhom wichudaklinhom@gmail.com Nongpimol Nimit-arnun dr_nongpim99@hotmail.com Jeuajan Wattakiecharoen dr_nongpim99@hotmail.com Chonlathip Thipkaew dr_nongpim99@hotmail.com <p>This study aimed to develop participatory fall preventive model for community-dwelling elderly people in Ratchaburi province. The integration of community empowerment and health risk communication was applied as a study framework. The mixed-method design was applied by using among 150 participants of key persons during May-December 2019. The data were collected through quality approved instruments; including a set of open-ended questions, balancing screening test, environment risk assessment, and fall preventive behavior questionnaire. A paired t-test was used to examine the difference mean scores of quantitative data, while content analysis technique was used for qualitative data.</p> <p>The findings revealed that the effectiveness of collaborative fall preventive model. The key success factors were the significant communication channel through public forum and health volunteers, towards friendly climate and active working team. This model consisted of 1) situational analysis and vision 2) multi-factorial intervention campaign 3) process evaluation and monitoring and 4) Summarization. Moreover, after joining the intervention program, the samples’ fall preventive behavior improved, as did their physical balance significantly. Thus, the suggestion is to be reinforce the community continuingly for growing up their strength of those related to fall prevention strategies development.</p> 2020-09-04T01:25:12+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/228479 Study the Integrated Nursing Supervision Process in Clinics Based on the Recognition of Professional Nurses in Private Hospitals 2020-09-04T03:36:02+07:00 Penchun Sanprasan cvtnurses@hotmail.com Rungnapa Kulpakdee rung_1109@hotmail.com Pattariga Wonganantnont cvtnurses@hotmail.com <p>This research was an integrated research which aimed to study the clinical integrating of nursing supervision process according to the perceived by professional nurses in private hospitals. Data collecting was done by using the questionnaires to inquire the opinion of the private professional nurses and in-depth interview. The purpose of this paper was to study the behavioral in clinical integrating of nursing supervision process according to the perception of the professional nurses and the nurse population those who work among the private hospitals around Bangkok and Metropolitan area. Primarily, the focus was on the supervision of nursing quality assurance. The Secondary focus was on the process of contribution and learning respectively. In accordance with the quality research, it found that learning on the supervision had many related factors either the preparation of supervisors, supervision issues or the supervision technique which needed to be developed. Such a personal factor as work experiences had a negative correlation with the clinical integrating of nursing supervision process according to the perception of the professional nurses amongst the private hospitals. The integrated nursing supervision significance was on the nurses who had much work experience, and vice versa.</p> 2020-09-04T01:40:42+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242370 Perception of Caring Among Patients with End-Stage Renal Failure Disease Undergoing Continuous Ambulatory Peritoneal Dialysis 2020-09-04T03:36:03+07:00 Angkana Jongjarern angkana@buu.ac.th <p>The purpose of this qualitative research was to explore the experience of perception of caring among patients with end-stage renal failure disease undergoing continuous ambulatory peritoneal dialysis. Data were collected through in-depth interviews with 30 selected participants by the semi-structured interview guide. Data were collected and analyzed up to a certain time that researchers had sufficient information and saturation. The results of the study showed that 4 issues: (1) The meaning of caring (consisted of caring in period of treatment decision and help care/treatment following) (2) Nursing intervention which shown caring (consisted of having knowledge and be expertise, showing understand and compassionate, always have time) (3) Factors affected to caring (consisted of personal character of nurse and behavior of patients and family) (4) The expectation of being caring (consisted of providing knowledge/advise without asking and comfortable getting/continuous following). The result of the study can be used as the guidelines for caring to the needs of patients.</p> 2020-09-04T01:52:30+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241471 A Development of Personalized Care Model to Prevent Falling for Patients with Impaired Mobility Receiving Rehabilitation in the Hospital 2020-09-04T03:36:04+07:00 Siriluck Kullawaniteewat sirilucksao@gmail.com Patcharin Sorachaimetha patcharin_ah@hotmail.com Srisuda Chiarat srisuda_down@hotmail.com Radiwan Kittichaised radiwan_454@hotmail.com Matanee Radabutr matanee@bcnnon.ac.th Saranit Boonprasop sirilucksao@gmail.com <p>This research and development study aimed to 1) to study the situation on falling, 2) to develop the personalized care model to prevent falling for patients with impaired mobility and 3) to evaluate the effectiveness of the developed model to prevent falling. The sample was 80 patients receiving rehabilitation in Sirindhorn National Medical Rehabilitation Institute and 19 nurses. The instruments consisted of 1) the guideline of personalized care model, including the guideline of personalized care to prevent falling for taking care of nurses, the guideline of preventing falls in the hospital and moving patients and the set of VDOs on falling prevention in the hospital, 2) the patient record form 3) the evaluating form the knowledge of nurse, and 4) the evaluating form on the satisfaction of nurse, the reliability of these instruments at .91, .86, .80, and .98, respectively. Data were analyzed by percentage, mean, standard deviation, Chi-square, and content analysis.</p> <p>The finding showed that patients had had falls 17 times when received the previous fall prevention care model. Patients who received the personalized care model to prevent falling had not had falls in 4 months. Nurses had increased knowledge, 100%, and were satisfied in this model at 4.25. Using this model should evaluate factors inappropriate each patient and the context of the organizations.</p> 2020-09-04T02:16:54+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240811 The Effects of Health Promotion Program for Teenage Pregnancy on Total Gestational Weight Gain and Infant Birth Weight 2020-09-04T03:36:05+07:00 ่jitrapee buranasak nong2108@hotmail.com <p>This quasi-experimental study was aimed to examine the effect of a health promotion program for teenage pregnant women on total gestational weight gain and infant birthweight using the concept of Pender’s Health Promotion Model. Teenage pregnant women were purposively selected and randomly assigned into the control and experimental groups (n = 26 for each group). The control group received standard nursing care, and the experimental group received the health promotion intervention program. The program comprised group and individual education using multimedia and discussion, 24-hr diet diary, and a questionnaire asking for an individual’s eating problems and barriers. Total gestational weight gain and infant birth weight were collected. Data were analyzed using Fisher’s exact test and independent t-test.</p> <p>The results show that the proportion of total gestation weight gain based on body mass index in the experimental group was significantly higher than the control group (p &lt;.05), and the mean birthweight in the experimental group was also significantly higher than the control group (p &lt;.05). The results of this research suggest that teenage pregnant women with low body mass index, nurses should provide health promotion programs for pregnant women with standard nursing care.</p> 2020-09-04T02:24:09+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/221969 Effects of Using the Adaptation Enhancing Program on Depressive Symptoms among Nursing Students 2020-09-04T03:36:06+07:00 Thanapol Bundasak thanapol@bcnpb.ac.th Kanok-On Chaowiang teacherdream27@gmail.com Narumol Jangasem teacherdream27@gmail.com Jareerat Intawat teacherdream27@gmail.com <p>Nursing Students need to cope with several aspects affecting their mental health issues, especially depressive symptoms. Therefore, providing them the adaptation enhancing program could reduce depressive symptoms among nursing students. The purpose of this quasi-experimental study was to examine effects of using the adaptation enhancing program on depressive symptoms among nursing students at Boromarajonani College of Nursing, Phra-phutthabat (BCNPB). Samples were 36 first year nursing students. Eighteen nursing students were randomly selected in the experimental group participating in the adaptation enhancing program. There were 6 weeks of 60-90 minutes session per week. Whereas, other 18 nursing students in the control group participating in the standard-college program. The CES-D inventory was used to collect data at pre-post test and one month follow-up. Reliability was 0.82. Descriptive statistics, independent t-test, two-way repeated measures ANOVA, and multiple comparisons by bonferroni were employed to analyze the data.</p> <p>The results of this study were as follows:</p> <ol> <li class="show">After completion of the adaptation enhancing program, participants in the experimental group had significantly lower mean scores of depressive symptoms than the control group at the post-test <em>(p &lt; .01)</em> and 1 month follow-up period <em>(p &lt; .001)</em>.</li> <li class="show">In the experimental group, mean scores of depressive symptoms at pre-test, post-test and 1 month follow-up were significantly different <em>(p &lt; .001)</em>.</li> </ol> <p>From the study results, it showed that this adaptation enhancing program could decrease depression among first year students. Therefore, nursing instructors could apply this program in order to reduce depressive symptoms among nursing students in other institutes.</p> 2020-09-04T02:40:52+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/219880 Leadership and Work Engagement of staff nurses: A Systematic Review 2020-09-04T03:36:07+07:00 Chutikarn Buchakun mariachutikarn_moo@yahoo.com Phechnoy Singchungchai mariachutikarn.moo@gmail.com Kannikar Chatdokmaiprai mariachutikarn.moo@gmail.com <p>The purposes of this research study were to analyze the theories of leadership and work engagement of nursing personnel, and to synthesize empirical evidence about leadership and work engagement. The samples were 24 research reports, which were selected according to the specified criteria. The Research instruments was the Quality Assessment Criteria for Research Papers. The instrument quality was evaluated by using Kappa statistics to test the consistency between assessors in the research team.</p> <p>The findings of the research study showed that the transformational leadership theory is the most using leadership theory in research studies (n = 12), which is an independent variable (n = 24). For work engagement of registered nurse used three dimension measurement was primarily used (n = 23), namely vigor, dedication, and absorption. The greatest number of reports in correspondence to the leadership theories were found from 2015 to 2019 (n = 17), The data were collected by using a questionnaire (n = 24). The quality value of the research instrument was more a reliable than 0.80 (n = 21).The main parts of the research study involved in the relation between leadership and work engagement (n = 20).The secondary parts was followed by a prediction of leadership with work engagement (n = 8). Therefore, it is implied that the number of research type about leadership of Thai nurses and work engagement is minimal.</p> 2020-09-04T02:58:26+07:00 Copyright (c) 2020 Journal of The Royal Thai Army Nurses