Journal of The Royal Thai Army Nurses

The Situation and Care Models for Bedridden Older Adults in Semi-Urban Communities: A Case Study in Phitsanulok Province

Primprapha Konkaew — 2026-05-06

This mixed-methods study aimed to: (1) examine the current situation of care for bedridden older adults, and (2) describe problems and care models for bedridden older adults in a semi-urban community. The study was conducted from August to October 2025 and comprised three phases. Phase 1 The situation of care for bedridden older adults was investigated using a questionnaire that had been validated by experts and administered to 18 primary caregivers. Phase 2 explored caregiving problems through semi-structured interviews with 14 primary caregivers. Phase 3 examined community care models through focus group discussions with 10 stakeholders in Plaichumpol Subdistrict. The results showed that the 18 bedridden older adults were aged 63–99 years (mean = 78.89, SD = 8.92), and 55.6% were female. The main causes of bedridden conditions were stroke (55.6%) and Alzheimer’s disease (16.6%). Most participants (64.1%) had an Activities of Daily Living (ADL) score of zero. Primary caregivers were predominantly offspring (66.7%). Key problems identified included low family income, caregivers having only moderate knowledge, and a lack of formal training. The community’s care model included collaboration with network partners and provision of essential medical equipment. However, shortages of care assistants relative to the growing older adult population remained a major challenge. Therefore, primary healthcare services should provide training for caregivers of bedridden older adults, promote innovations in long-term care, and strengthen the role of care assistants in conducting regular home visits.

Development of an Automated Operation Span Task for Breast Cancer Patients Receiving Chemotherapy: A Pilot Study

Rangsan Chaikham — 2026-05-06

This research and development study was conducted to develop and evaluate the psycho-metric properties of an automated operation span task (AOSPAN) assessment, among 15 breast cancer patients undergoing chemotherapy. The development process comprised three phases: (1) designing arithmetic problem sets, (2) establishing the test structure and administration protocols, and (3) executing a pilot study. Content validity was ascertained by a panel of five experts. Reliability was assessed through a test–retest method with a two-week interval, and the intraclass correlation co-efficient (ICC) was calculated to determine internal consistency.
The results indicated that the test achieved a content validity index of 1.00. Temporal reliabil-ity between the first and second administrations showed a moderate positive correlation (r = .672), with mean scores of 62.13 and 62.60, respectively. The intraclass correlation coefficient (ICC) was .678. The average time required to complete the test was 14.15 and 13.31 minutes. Calculation accuracy was 82.84% and 83.46%, while letter recall accuracy was 81.68% and 79.91%, respectively. In conclusion, the developed assessment demonstrated acceptable preliminary validity and reliability, suggesting that it is a credible tool for assessing working memory in breast cancer patients undergoing chemotherapy. However, further studies with larger sample sizes are recommended to more comprehensively confirm its psychometric properties.

The Effects of the Learning Design by using STAMP Model for Comprehensive Geriatric Assessment Training in Nursing Students, Boromarajonani College of Nursing, Udon Thani

jaruporn Chaiwongsa — 2026-05-06

This quasi-experimental study aims to (1) compare mean differences in knowledge scores of the experimental group before and after intervention, (2) compare mean differences in knowledge scores between experimental and control groups, and (3) examine the learners’ satisfaction with STAMP model education. A total of 28 participants were included from a purposively selected group. The data were collected using the STAMP model for Comprehensive Geriatric Assessment training, gerontology nursing examinations, and a questionnaire on the effects of STAMP model education. Data were analyzed using descriptive statistics, including percentage, mean, and standard deviation, and inferential statistics using Paired-sample t-test and Independent sample t-test.
The results showed that mean differences in knowledge scores of the experimental group significantly increased (p < .05). Comparing the mean differences in knowledge scores between groups, they were significantly different (p < .05). The overall mean satisfaction score of nursing students toward the STAMP model education was 4.11, indicating a high level of satisfaction. Therefore, the STAMP model should be applied to academic courses that aim to enhance analytical thinking skills, as it provides a useful approach for advancing nursing education.

Factors association Medical Device Related Pressure Injury in Public University Hospital: A Retrospective Study

Chalisa Sangsarawad — 2026-05-06

This study aimed to incidence and identify factors associated with Medical Device Related Pressure Injury (MDRPI) among patients admitted to a public university hospital. The sample consisted of 230 patients who were hospitalized during October 1– September 30, 2022, 115 patients with MDRPI and 115 patients who used medical device, non MDRPI and met inclusion criteria. Data were collected retrospectively from medical records via electronic medical records. The data were analyzed using descriptive statistics and logistic regression analysis.
The results found that the incidence of pressure injury related medical devices was 0.597 per 1,000 patient-days. The majority of MDRPI occurred in the ear area (30.4 %). The most common stages of MDRPI were Stage 2 (41.7%), mostly caused by wearing a CPAP BIPAP mask (20.9%). The revealed that the most important factor associated with MDRPI is patients with fever, there was a 2.57times chance of developing pressure injury (OR =2.57, p< .05), followed by patients with malnutrition having a 1.63 times chance of developing MDPRI (OR = 1.63, p< .05). The results of this study can be used as information for planning and developing guidelines for the prevention and care of patients at risk of MDRPI to increase the quality of effective nursing care.

Effects of an Exercise Program using Social Support in Homebound Elderly in the Context of an Isan Community

Piyawadee Tongprong — 2026-05-06

The purpose of this research was to study the effects of exercise programs combined with social support on the balance of elderly people at home in the context of the Isan community. This research was a quasi-experimental, two-group, pre-post design. The sample size was calculated using the G* power program. The subjects were divided into two groups, 28 participants in each group. The experimental group received the exercise program with social support for 12 weeks. The results showed that after participating in the program, the experimental group spent less time on the 10-meter walk test (10MWT) than the control group, which was statistically significant (p<.05), However, there was no significant difference between the groups in the five-time sit to stand test (FTSST) and the time up and go test (TUGTT) (p<.05). In the TUGTT, FTSST, and 10MWT, the experimental group spent significantly less time after participating in the program (p<.05). This research shown that social support exercise programs in older adults can result in muscle strength in older adults. Improved balance ability, faster walking, and help prevent falls in the elderly.

Effect of the E-Cigarette Health Literacy Enhancement Program on Intention Not to Smoke E-Cigarette among Adolescents

Thanapol Bundasak — 2026-05-06

This quasi-experimental research, employing a two-group pretest-posttest and 1-month follow-up design, aimed to test the effect of The e e-cigarette hedlth literacy enhancement program on adolescents’ intention to not smoke e-cigarettes. The sample consisted of 60 qualified high school students who were randomly assigned by simple random sampling to an experimental group (n=30) and a control group (n=30). The experimental group participated in the health literacy enhancement program, while the control group received routine care. The research instruments included the e-cigarettes health literacy enhancement program (content validity index = 1.00) and the questionnaire on the intention to not smoke e-cigarettes (reliability coefficient = 0.94). Data were analyzed using descriptive statistics, the t-test, Repeated Measures Analysis of Variance (ANOVA), and Bonferroni’s multiple comparison test. The results revealed that the experimental group’s mean scores for the intention to not smoke e-cigarettes at post-test and at the 1-month follow-up were significantly higher than those of the control group (p<.001). Furthermore, within the experimental group, the intention not to smoke e-cigarettes differed significantly across the different measurement phases (p<.001). The research findings suggest that school administrators should use the results to establish a policy to enhance e-cigarette health literacy among students in the school, particularly those in upper secondary school, to help increase their intention not to smoke e-cigarettes.

Factors Influencing Osteoporosis Preventive Self-efficacy In Type 2 Diabetes Mellitus Patients Among Communities In Bangkok

Siriluk Nawapongsirin — 2026-05-06

This cross-sectional analytical study aimed to examine the influence of osteoporosis knowledge, blood sugar control, and support from family and society on the self-efficacy perception for osteoporosis prevention in patients with type 2 diabetes mellitus patients among communities in Bangkok. The study was conducted in accordance with the concept of Self-efficacy theory. A sample group of 102 participants from 10 communities, including both males and females aged 35 to 70 years, was selected using simple random sampling. Data were collected during February to May 2024. Four research instruments include 1) General Information and Health Assessment 2) Osteoporosis knowledge questionnaire 3) Family and social support questionnaire 4) Osteoporosis Self-Efficacy Scale. Descriptive analysis and Multiple Regression Analysis were performed to analyse the data. The findings found that the majority of the sample were female (76.5%), with an average age of 64 years. Most participants had completed primary education (52.9%). The average blood sugar level was 160.26 mg/dL (SD = 60.994), and nearly 60% were unable to control their blood sugar levels. The osteoporosis knowledge, blood sugar control, and support from family and society collectively predicted self-efficacy in osteoporosis prevention among patients with type 2 diabetes, accounting for 42.1% of the variance (Adjusted R² = 0.421, F = 25.527, p < .01).

The Effectiveness of Fall Prevention Program for the Older Adults in Urban Communities, Udon Thani Province

Nannaphas Moongsamak — 2026-05-06

Falls are a major cause of injury that causes the older adults to be hospitalized, which affects their quality of life. Therefore, fall prevention for the older adults is an important to reduce this problem. The purpose of this research was to study the effectiveness of a fall prevention program for the older adults in an urban community in Udon Thani Province. Quasi-experimental study two group pre-post Test design, they were divided into experimental and control groups, with 50 subjects in each group, participants were selected by purposive sampling, duration 16 weeks. The instruments were divided into 2 parts: 1) a questionnaire for collecting data consisting of (1) personal information, (2) knowledge on fall prevention, (3) behavior to prevent falls, (4) balance assessment form, (5) fear of falling, and 2) a fall prevention program for the elderly. Descriptive statistics, and t-test were used to analyze data.
The results revealed that the knowledge, behavior, and balance scores were significantly higher than before receiving the program and higher than the control group (p<.05). The fear scores were significantly lower than before receiving the program and lower than the control group (p<.05). Therefore, healthcare professionals can apply this program to encourage awareness of risks, strengthen fall prevention behavior, and increase balance ability to reduce the risk of falls in the older adults.

A Needs Assessment to Develop the Educational Management in the Bachelor of Nursing Science Program of St Teresa International University

Arpharanee Thaikla — 2026-05-06

This survey research aimed to assess and prioritize the need to develop the Educational Management in the St Teresa International University Bachelor of Nursing. The sample consisted of 251 undergraduate nursing students from first to fourth year in the Academic year 2025, determined using Yamane’s sampling table. Stratified random sampling and simple random sampling techniques were employed. Data were collected through a five-point rating scale questionnaire on the essential needs for managing the B.N.S. program, which demonstrated a Cronbach’s alpha coefficient of 0.97. The data were analyzed using descriptive statistics methods, including frequency, percentage, means, standard deviation, and their priority in terms of needs was also set using Modified Priority Needs Index (PNImodified). The research findings were as follows: the overall need to develop the Educational Management in the Bachelor of Nursing Science Program of St Teresa International University had a PNImodified of 0.20. In each aspect, the most critical need to develop the Educational Management was Facilities and Infrastructure (PNImodified=0.32), Student Support Service (PNImodified=0.25), and Extra-curricular activities (PNImodified=0.19), respectively. The study recommends further research involving other stakeholders to obtain comprehensive data and improve efficiency.

A Study of Nurses Competency Based On Career Ladder Of Nurses In Stroke Intensive Unit At Super Tertiary Hospitals

Arpaporn Thanakprnpornsawat — 2026-05-06

This descriptive research aimed to study the competencies according to the professional ladder of nurses working in stroke critical care units of a tertiary hospital. The research employed the Delphi technique and was conducted in three phases: 1) interviews regarding the competencies of nurses at various professional levels, including operational, expert, specialist, and advanced levels, 2) data analysis and the development of a questionnaire for experts to evaluate the importance of each competency; and 3) calculation of median values and interquartile ranges to summarize the findings.
The findings revealed seven core competencies for nurses in stroke intensive unit at super tertiary hospitals: 1) critical care nursing, 2) high-alert medication management, 3) complication prevention and management, 4) Post - critical phase rehabilitation 5) communication and coordination for patient care, 6) end-of-life care for critically ill patients, 7) utilization of medical devices and health informatics, and 8) quality management and control of care. Nurses working in inpatient wards include those at the operational, proficient, advanced proficient, and expert levels, all of whom possess competencies across eight domains. However, the specific sub-competencies differ by level as follows: 1) Operational level focuses on basic nursing tasks under supervision; 2) Proficient level involves caring for complex patients and effective teamwork; 3) Advanced proficient level includes problem-solving and applying evidence-based practice; and 4) Expert level entails making decisions on highly complex and critical issues. This study can serve as a guideline for competency assessment and task assignment based on the capabilities of nurses at each level.

The Relationship between Mental Health Literacy and Stress Among Village Health Volunteers

Kessara Tongprapai — 2026-05-06

This descriptive study investigated mental health literacy, stress, and the relationship between mental health literacy and stress among village health volunteers (VHVs). The sample consisted of 381 village health volunteers, selected using simple random sampling and proportional random sampling. The research instruments included a personal data questionnaire, the VHV Mental Health Literacy Scale, and the Suan Prung Stress Test (SPST-20). The reliability of the instruments was assessed using Cronbach’s alpha coefficients of 0.83 and 0.85, respectively. Descriptive statistics and Spearman’s correlation coefficient were used to analyze the data.
The results of the study found that 1) most village health volunteers had a very good level of mental health literacy (Mean=3.48, SD=1.57); 2) most village health volunteers had a moderate level of stress (Mean=31.90, SD=9.64); 3) mental health literacy had a moderate negative relationship with stress in village health volunteers with statistical significance at the .01 level (r = -.422, p<.01). The results of this research can be used to promote mental health literacy to reduce stress in village health volunteers.

Factors Affecting the Intention to Use Long-Acting Reversible Contraception among Pregnant Adolescents in Chiang Rai Province

Niramon Ruamsuk — 2026-05-06

This predictive research aimed to study the level of intention to use long-acting reversible contraception (LARC) and factors affecting the intention to use LARC among pregnant adolescents in Chiang Rai Province. The sample consisted of 116 pregnant adolescents receiving antenatal care. Participants were selected through convenience sampling. The research instruments included questionnaire 1) personal data, 2) intention to use LARC, 3) attitudes toward LARC, 4) subjective norms regarding LARC, 5) perceived behavioral control of LARC, and 6) fear of LARC side effects. The content validity index (CVI) was 1.00 and reliability coefficients of .93, .82, .94, .80, and .85, respectively. Data were analyzed by using descriptive statistics and multiple regression analysis.
The findings revealed that the sample had moderate levels of intention to use LARC (M = 53.02, SD = 25.85). The factors that significantly affected the intention to use LARC included: subjective norms regarding LARC (β = .428, p < .001) and perceived behavioral control of LARC (β = .218, P < .05). All factors together explained 14.4% of the variance in intention to use LARC (Adjusted R² = .144, F_{(5, 110)} = 4.858, p < .001). Recommended to develop programs that enhance perceived behavioral control of contraception, with the involvement of mothers and husbands, to promote the intention to use LARC.

Effect of Pre-Dialysis Counseling on Knowledge and the Decision to Pursue Renal Replacement Therapy in End-Stage Renal Disease Patients

Jeeranat Ratanaprapan — 2026-05-06

The study was a quasi-experimental research conducted to compare the effects of a pre-dialysis counseling program on knowledge and decision-making regarding renal replacement therapy among patients with end-stage chronic kidney disease at the dialysis unit of Songkhla Hospital. Forty patients meeting the inclusion criteria were selected and divided into two groups: an experimental group and a control group, each consisting of 20 participants. The experimental group received the counseling program, while the control group received routine nursing care. Knowledge and decision-making were assessed in both groups before and after the intervention. Data analysis was performed using descriptive statistics, paired t-tests, and independent t-tests.
Findings showed that the experimental group’s mean knowledge score after receiving the program ( =15.05, SD = 1.43) was significantly higher than before the program ( =10, SD = 2.38) and higher than the control group ( =13.80, SD = 1.51) (p < .05). Decision-making acceptance of renal replacement therapy in the experimental group increased to 50% after the program compared to 40% before and 35% in the control group.
The results indicated that the pre-dialysis counseling program effectively improved patients’ knowledge and decision-making regarding renal replacement therapy. The study suggests that nurses and healthcare providers in dialysis units should implement structured counseling for all patients prior to treatment.

Factors Related to Standard Precautions Practices Among Nurses in Private Hospitals

Krittiya Krueerod — 2026-05-06

This study aimed to determine the practices and factors associated with standard precautions practices among nurses working in private hospitals. The sample comprised 223 nurses from two private hospitals. Using simple random sampling without replacement. Data the practices and factors associated with standard precautions practices among nurses working in private hospitals was collected using a self-administered questionnaire. Data was analyzed using descriptive statistics and Spearman’s rank correlation. The findings revealed that the samples had a high level of adherence to standard precautions practices, with 100% compliance. Knowledge and attitudes toward standard precautions practices were also high at 54.30% and 99.55%, respectively. Hospital support was reported at a high level of 95.48%. Interpersonal and community factors scored high at 97.29% and 99.10%, respectively, while public policy was rated high at 96.83%. Correlational analysis showed that knowledge, attitudes, and work experience had a low positive correlation with standard precautions practices among nurses that were statistically significant (p < .05) (r = .146, p = .030; r = .203, p = .002; r = .171, p = .011). Hospital support, interpersonal factors, community factors, and public policy showed a moderate positive correlation with significant statistical relevance (p < .05) (r = .485, p = .000; r = .398, p = .000; r = .385, p = .000; r = .335, p = .000). Hospitals should educate and evaluate nurses’ practices periodically to promote sustainability of standard precautions practices.

Situation of Interfacility Patient Transfer in Southern Thailand

Siriporn Damnoi — 2026-05-06

The interfacility patients transfer has impacts on life saving, treating illnesses, and quality of life of the population which needs a systematic management approach and should be appropriate for the area and health setting context. This qualitative research examined the patient transfer situation in Southern Thailand from 26 informants including 5 physicians and 21 nurses working in a regional and 4 tertiary hospitals. Who were recruited using purposive sampling. Data were collected through in-depth interviews, conducted once per person for 40–60 minutes using seven guided-questions that were validated by 3 experts. The collected data were analyzed using content analysis.
The research findings were the experiences related to patient transfers between healthcare facilities in southern hospitals encompassed 3 main issues and 10 sub-issues: I. Pre-transfer Management – Coordination impacted readiness, nurse availability and competency, delayed acceptance increased patient risk, and information given influenced patients and families decisions. II. During Transfer – Nurses responded to emergencies using knowledge and experience, collaborated with receiving teams, managed unexpected events, and provided compassionate care. III. Post-transfer Management – Issues included redundant information transfer and handover delays due to poor coordination, changing patient conditions, and unprepared receiving teams.
The study results can be used as fundamental information for developing a referral system that is suitable for the context and enhancing the capabilities of service providers to improve the quality of patient care in the southern region.

Factors Predicting The Decision of Using Emergency Medical Service among Relatives of Patients with Acute Stroke in Yothi Medical Innovation District

Yuranan Kaewdee — 2026-05-06

This research is a predictive research design to study the ability to predict the perception of symptoms, experiences with emergency medical services and the availability of transportation on the decision to use emergency medical services among relatives of patients with acute stroke in the Yothi Innovation Community, Bangkok. The conceptual framework is based on PRECEDE-PROCEED model and a review of relevant literature. A total of 119 participants were selected as samples, comprising relatives of patients diagnosed with acute stroke symptoms in the Yothi Innovation Community. The research instrument was a questionnaire developed by the researcher, consisting of the following sections:1) General information; 2Perception of acute stroke symptoms; 3) Experience with emergency medical services; 4) Availability of transportation to the hospital; and 5) Decision to use emergency medical services. Data were collected between March – May 2024.The analysis was conducted using multiple regression.
The results revealed that the perception of stroke symptoms and experiences with emergency medical services significantly predict the decision to use emergency medical services among relatives of patients with acute stroke in the Yothi Innovation Community, Bangkok. at a statistical significance level of .05, with an Adjusted R Square value of 0.339 (33.9%).
The findings can inform efforts to educate the public on recognizing and raising awareness with acute stroke symptoms. Additionally, they can guide the planning and development of a high-quality emergency medical service system that meet standards.

The Effect of Comfort Promotion Program on Comfort among Patients Receiving Spinal Anesthesia

Laddawan Khulilang — 2026-05-06

This quasi-experimental study with two groups aimed to examine the effect of a comfort promotion program on comfort levels in patients receiving spinal anesthesia. The sample consisted of 40 patients scheduled for elective surgery under spinal anesthesia at the Anesthesia Unit, Suddhavej Hospital. Participants were randomly assigned into two groups: an experimental group (n = 20) and a control group (n = 20), using simple random sampling. The research instruments included: (1) the Comfort Promotion Program and (2) the Comfort Questionnaire. The questionnaire was validated by experts and had a reliability coefficient of 0.87. Data were analyzed using descriptive statistics—mean, percentage, and standard deviation—and inferential statistics, including Chi-square test and repeated measures analysis of variance.
The results showed that the experimental group had significantly higher mean comfort scores than the control group after participating in the program (p < .05). The findings suggest that the comfort promotion program effectively enhances comfort in patients undergoing spinal anesthesia.

Factors Predicting Cardiotoxicity of Chemotherapy in Breast Cancer Patients at 1 Year

Witsupha Soison — 2026-05-06

The objective of this study was to investigate the predictive power of age, comorbidities, educational level, health behaviors, residential area, and health literacy on the occurrence of cardiotoxicity within one year of chemotherapy in breast cancer patients.
A total of 136 breast cancer patients who had completed 1 year of chemotherapy were recruited. Data were collected using structured questionnaires covering personal and clinical information, health behaviors, residential area, and health literacy. The quality of the instruments was assessed using Cronbach’s alpha coefficients, which were .97, .85 and .85 respectively. Data analysis was conducted using binary logistic regression. The findings revealed that age was a statistically significant predictor of cardiotoxicity. Specifically, increasing age was associated with a 1.088-fold increase in the likelihood of developing cardiotoxicity (OR = 1.088, 95% CI: 1.021–1.160, p < .05). The findings of this study can be utilized as a basis for surveillance and reduction of the incidence of chemotherapy-induced cardiotoxicity. Furthermore, they serve as foundational nursing information for promoting patients’ knowledge and understanding of the disease, including the potential signs and symptoms of cardiotoxicity.

Effects of the Symptom Management Program on Nausea and Vomiting Among Endometrium Cancer Patients Receiving Chemotherapy

Chompoonut Singkaew — 2026-05-06

This quasi-experimental research aimed to compare nausea and vomiting among endometrial cancer patients undergoing chemotherapy between the experimental group receiving the symptom management program in combination with hospital standard care and the control group receiving hospital standard care.

Participants were endometrial cancer patients receiving treatment at a University Hospital. Purposive sampling was adopted to recruit 56 patients, with 28 assigned to the experimental group and 28 to the control group. The research instruments include: 1) nausea and vomiting symptom management program developed based on the symptom management framework; 2) a symptom management manual for patients; 3) a symptom management diary; 4) a telephone follow-up record form; and 5) Nausea, Vomiting, and Retching (INVR-2) scale. Data was analyzed using descriptive statistics, Mann-Whitney U tests, and Wilcoxon signed rank test. The findings demonstrated that the experimental group had statistically significantly lower scores for nausea, vomiting, and overall nausea and vomiting than the control group. This difference was particularly noticeable on days 5, 6, and 7 after receiving chemotherapy (p < .05). The experimental group had statistically significantly lower scores for nausea, vomiting, retching, and overall nausea and vomiting than before receiving the symptom management program (p < .05). The results of this study suggest that integrating this nursing intervention into standard care can alleviate nausea and vomiting for this group of patients.

Relationships between Knowledge, Attitudes, and Practices in Delirium Care Among Intensive Care Unit Nurses

Wattinan Raksrithong — 2026-05-06

This descriptive research aimed to examine the relationships among knowledge, attitudes, and nursing practices related to the care of patients with delirium among nurses in intensive care units. The conceptual framework was based on the interrelationship between knowledge, attitudes, and practices. A purposive sample of 120 registered nurses working in critical care units at a tertiary care hospital under the Ministry of Defense was selected. Data were collected using four questionnaires: demographic information, a knowledge assessment, an attitude assessment, and a nursing practice assessment. Descriptive statistics and Spearman’s rank correlation coefficient were used for analysis. The results revealed that intensive care nurses demonstrated a high level of knowledge, positive attitudes, and adherence to high standards of nursing practices in delirium care. A weak positive correlation was found between knowledge and attitudes (r = .226, p < .05). A moderate positive correlation was identified between knowledge and nursing practices (r = .381, p < .01), as well as between attitudes and nursing practices (r = .473, p < .01).
These findings highlight the interconnection of nursing knowledge, attitudes, and practices, suggesting that enhancing both knowledge and attitudes may lead to improved patient care for those with delirium. The findings could be used to prepare nursing management strategies to enhance nurses’ clinical competencies and outcomes of patients with delirium in intensive care settings.

Factors Related to Advance Care Planning Intention Among Older Patients with Solid Tumor

Noppharat Pilalai — 2026-05-06

Advance care planning (ACP) is a critical component of care for older adults with solid tumors. However, the majority of individuals in this group have not engaged in ACP, resulting in the receipt of unnecessary and non-beneficial medical treatments. This study aimed to examine the level of intention to engage in advance care planning and the factors associated with it. A descriptive correlational study design was employed, and a purposive sampling method was used to recruit 84 participants who met specified inclusion criteria. Data were collected using five instruments: (1) a demographic questionnaire, (2) an ACP intention questionnaire, (3) a death attitude questionnaire, (4) a social support scale, and (5) an ACP knowledge questionnaire. Data analysis was conducted using descriptive statistics, point-biserial correlation, and Spearman’s rank correlation coefficient. The results indicated that the overall intention to engage in ACP was high. There was a statistically significant low positive correlation between education level and ACP intention (r_pb =.220, p < .05). Additionally, moderate positive correlations were found between ACP intention and both attitudes toward death and social support (r_s =.364 and .538, respectively, p <.01). In contrast, gender, age, religion, and ACP knowledge were not significantly correlated with the intention to engage in advance care planning.

Effects of Coaching Caregivers Program on Ability to Care for Young Children with Febrile Seizures in Tertiary Care Hospital Suphanburi Province

Ausaniyaphon Chantorn — 2026-05-06

This quasi-experimental research with a two-group pretest–posttest design aimed to examine the effects of a caregiver coaching program on the ability to care for children with febrile seizures in a tertiary hospital in Suphanburi Province. The sample consisted of 52 caregivers of children aged 6 months to 5 years with febrile seizures who were admitted to the pediatric ward of the tertiary hospital between March and August 2025. Participants were divided into an experimental group and a control group, 26 participants in each group. The control group received routine care, while the experimental group received the caregiver coaching program. Research instruments included the caregiver coaching program, a general information questionnaire, and the caregiver ability questionnaire for children with febrile seizures, which demonstrated a content validity index of 0.990 and a Cronbach’s alpha coefficient of 0.903. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
The results showed that the general characteristics of caregivers in the control and experimental groups were similar. Most were female, with a mean age of approximately 28–29 years, parents of the sick children, and had secondary education. No significant differences were found between the two groups. After the intervention, caregivers in the experimental group had significantly higher mean scores for the ability to care for children with febrile seizures compared to before the intervention (t(25) = 4.27, p < .001, d= 0.84) and significantly higher scores than the control group (t(50) = 5.68, p < .001, d= 1.77). These findings indicate that the caregiver coaching program can effectively enhance the ability of caregivers to care for children with febrile seizures at a high level.

Effect of Experiential Learning Program on Screening Practice for Skin Diseases Among Prison Health Volunteers: A Pilot study

Parncheewa Thamjaikoon — 2026-05-06

This pilot quasi-experimental one-group pretest–posttest study aimed to compare the mean scores of PHVs’ performance in skin disease screening in prisons before and after participating in an experiential learning program. The sample consisted of 20 male PHVs from Kamphaeng Phet Central Prison. The research instrument was an experiential learning program. Data collection tools included a personal information questionnaire and a skin disease screening observation checklist. These tools were validated by six experts, yielding a content validity index (CVI) of 0.91. The reliability of the observational tool was confirmed through inter-rater reliability, which showed a high reliability score of 0.96. Data were analyzed using descriptive statistics, the Shapiro–Wilk test and the paired t-test.
The results revealed that the mean score of PHVs’ skin disease screening performance after participating in the experiential learning program (M = 17.25, SD = 1.62) was significantly higher than before participating in the program (M = 8.50, SD = 1.36), with a statistically significant difference (t = -27.761, p = .000). These findings indicate that the experiential learning program effectively enhanced the PHVs’ skills in conducting skin disease screening in the prison setting.

Factor Predicting Organizational Commitment of Nurses in Community Hospitals, Phrae Province

Kanittha Puntuwet — 2026-05-06

Organizational commitment is a feeling of attachment to an organization that influences an individual’s decision to remain with it. This study aimed to investigate the organizational commitment of nurses in community hospitals and to identify the predicting factors of organizational commitment among nurses in community hospitals. The sample consisted of 202 nurses from community hospitals in Phrae Province, selected using stratified random sampling. The research instruments included questionnaires measuring organizational commitment and perceived achievement, the work itself, advancement, salary, and interpersonal relations. The Cronbach’s alpha coefficients for these instruments were .86, .93, .93, .83, .86, and .87, respectively. Data were analyzed using stepwise multiple regression analysis.
The findings revealed that the overall organizational commitment was at a moderate level and sub dimension of organizational commitment affective commitment, continuance commitment, and normative commitment were at a moderate level. Salary (β = 0.427, p < .05), interpersonal relations (β = 0.263, p < .05), and achievement (β = 0.130, p < .05) collectively predicted 42.50% of the variance in organizational commitment (R2 = .425, p < .05). Hospital administrators and nursing managers should consider appropriate salaries and compensation, promote positive relationships within the organization, and support nurses in achieving job success to enhance their organizational commitment in community hospitals.

Factors Related to Self-care Behaviors Among Elderly of Yala Province

Satiman Makchuchit — 2026-05-06

This descriptive research aimed to study self-care behaviors and factors related to self-care behaviors among the elderly in Yala Province. The sample consisted of 190 elderly individuals, selected by simple random sampling. The research instrument was a questionnaire, verified for content validity (IOC = 0.98–1.00). The reliability for Part 2 and Part 3 was .925 and .82, respectively. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.
The results revealed that overall self-care behaviors were at a high level (M = 2.39, SD = 0.55). The environmental hygiene management aspect had the highest mean score (M = 2.64, SD = 0.57), while the exercise aspect had the lowest (M = 2.04, SD = 0.74), which was at a moderate level. Factors significantly correlated with self-care behaviors (p < .05) were education level (r = .239), enabling factors (r = .216), reinforcing factors (r = .162), family characteristics (r = -.165), gender (r = .160), and predisposing factors (r = .145).
This indicates that the elderly in Yala Province have good overall health behaviors, but exercise behaviors still require promotion. Therefore, relevant stakeholders should support and design appropriate, safe, and accessible exercise activities, along with promoting social integration, such as elderly clubs, to foster sustainable health for the elderly.

Effects of Multimedia Learning Program on Knowledge and Practices for Respiratory Infection Prevention Among Prison Health Volunteers: A Pilot Study

Puttaya Plubplatong — 2026-05-06

Respiratory infectious diseases are a major public health concern due to their rapid transmission, particularly in overcrowded settings such as prisons, where hygiene is inadequate. Prison Health Volunteers (PHVs) play a vital role as health leaders in preventing such diseases. This quasi-experimental research using a one-group pretest–posttest design aimed to compare the knowledge and practices of PHVs regarding the prevention of respiratory infectious diseases, before and after participation in a multimedia learning program. The participants consisted of 20 PHVs. The research instruments included a multimedia learning activity plan, a printed knowledge manual, and instructional video clips on knowledge and preventive practices for respiratory infections in prisons. The program was implemented over four weeks, with an evaluation conducted in the sixth week.
The results showed that the median scores for knowledge and preventive practices after participation (Median= 11.48, IQR = 1.15) (Median = 40.15, IQR = 2.54) were significantly higher than those before the program (Median = 8.85, IQR = 1.69) (Median = 29.30, IQR = 2.47) (p < .001). These findings indicate that the multimedia learning program effectively enhanced both knowledge and practices in preventing respiratory infectious diseases among PHVs. and can be further applied to strengthen disease prevention and control efforts in correctional facilities.

Effectiveness of Continuity of Care Program on Hospital Discharge Readiness in Surgical and Medical Patients in Asia : A Systematic review

Honghem Prasiriputtipong — 2026-05-06

This study is a systematic review and meta-analysis aimed at evaluating the effectiveness of transitional care programs on readiness for hospital discharge (RHDS) and hospital readmission rates among surgical and medical patients in Asia. Relevant studies were selected from internationally recognized academic databases, including PubMed, Scopus, Web of Science, CINAHL, Cochrane Library, Embase, and ScienceDirect, using PICO Framework to define the study scope and PRISMA Guidelines to ensure a standardized selection process. The findings indicate that Multidisciplinary Transitional Care and Home-based Care were the most effective programs, significantly improving RHDS Score by 8.5 - 9.2 points (p < .001) and reducing hospital readmission rates by 25% - 35% (RR = 0.65 - 0.75, p < .001). Moreover, these programs enhanced patient quality of life (QoL) by 10% - 18% and achieved significantly higher patient and family satisfaction scores (p < .05) compared to standard care without transitional support.

Factors Associated with Bullying Victimization among Secondary School Students in Mueang District, Nakhon Ratchasima Province

Phonphimon Prakopchanya — 2026-05-06

This research is a descriptive correlational study to investigate the factors associated with bullying victimization among secondary school students in Mueang district, Nakhon Ratchasima province. The sample consisted of 387 secondary school students aged 12–18 years, studying in schools under the secondary educational service area office Nakhon Ratchasima in Mueang district. The participants were selected using multi-stage random sampling. The research instruments included a personal information questionnaire, a Thai version of the self-esteem scale, a short version of the grit scale, a family relationship questionnaire, and a bullying victimization questionnaire. Data were analyzed using descriptive statistics, Spearman’s rank correlation, and Chi-square test.
The results showed that self-esteem (r = - .292, p < .05), grit (r = - .229, p < .05), and family relationship (r = - .295, p < .05) were significantly associated with bullying victimization. However, gender (x² = 1.313, p = .519), age (r = - .080, p = .115), and body mass index (r = .068, p = .180) were not significantly associated with bullying victimization. The findings of this study can be used by nurses, teachers, and other professionals involved in child mental health to develop bullying victimization preventions by promoting children’s self-esteem, strengthening their perseverance in learning or achieving goals, and fostering positive family relationships.

Effect of an Information–Motivation–Behavioral-Skills Program on Scrub Typhus Prevention Practices Among Highland Working-Age

Jutawan Maikum — 2026-05-06

This quasi-experimental study employed a two-group pretest–posttest design to compare scrub typhus preventive practice scores among working-age adults who received an Information–Motivation–Behavioral Skills (IMB) model–based program before and after the intervention, and with those who received routine health education. The participants consisted of 58 working-age adults aged 35–59 years living in the highland areas of Mae Suai District, Chiang Rai Province. They were selected through purposive sampling and assigned to an experimental group (n = 28) and a control group (n = 30). The research instruments included an IMB-based intervention program and a scrub typhus preventive practice questionnaire with a content validity index of 1.00 and a Cronbach’s alpha coefficient of 0.84. Data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and the independent samples t-test.
The results demonstrated that the experimental group had significantly higher posttest preventive practice scores than both the pretest and the control group (p < .001). These findings indicated that the IMB model–based program was effective in promoting scrub typhus preventive behaviors among working-age adults and could be applied in community settings.

Factors Predicting Hip Function Among Elderlies Undergone Hip Hemiarthroplasty

Supisara Kumyod — 2026-05-06

This predictive study aimed to assess the predictive power of nutritional status, sleep quality, health literacy, severity of postoperative complications, and patient-health care provider communication toward hip function. This predictive study among 116 patients aged 60 years and older who underwent hip hemiarthroplasty. The subjects were patients undergoing follow-up treatments 3 to 6 months post-surgery. Data were collected using a personal data questionnaire and six additional assessment tools and analyzed using descriptive statistics and multiple regression analysis.
The study found that Nutritional status, quality of sleep, health literacy, severity of postoperative complications, and patient-health care provider communication were able to predict hip function among elderlies undergone hip hemiarthroplasty at 33.4 percent with statistical significance (R2 = .334, F = 10.629, p<.05). Nutritional status was the factor most capable of predicting hip function (β = .335, p<.05). The promotion of nutritional status and sleep quality both preoperatively and postoperatively, the enhancement of health literacy, and the improvement of communication between nurses and patients. These strategies may contribute to improved hip functional ability among older adults following partial hip replacement surgery.

Effects of the Family Needs Response Program on Stress and Satisfaction Among Family of Critically Ill Patients

Rattanawadee Chantam — 2026-05-06

This quasi-experimental study investigated the effects of a family needs–response program on stress and satisfaction among family members of critically ill patients. The sample comprised 52 family members of patients admitted to the medical intensive care units of two hospitals in Ratchaburi Province. Participants were purposively selected and equally allocated to two groups, with 26 assigned to the control group and 26 to the intervention group. The research instruments consisted of (1) the family needs–response program, (2) an information handbook for families of ICU patients, (3) the Critical Care Family Needs Inventory (CCFNI), (4) a family stress assessment form, and (5) the Family Satisfaction in the Intensive Care Unit questionnaire (FS-ICU 24). Data were collected through self-administered questionnaires and analyzed by using descriptive statistics, the Mann–Whitney U test, the Wilcoxon signed-rank test, and the independent-samples t-test. The results revealed that stress levels in the intervention group after the program were significantly lower than before the intervention (p < .001). Compared with the control group, the intervention group reported significantly lower stress scores (p < .05) and higher satisfaction with ICU care (p < .001). These findings demonstrate that the family needs–response program is effective in reducing stress and enhancing family satisfaction with ICU care. The program offers a practical framework for family-centered care by addressing family needs, thereby alleviating stress and enhancing satisfaction of care among family members of critically ill patients.

Effectiveness of a Care Model for Achieving Diabetes Remission among Patients with diabetes at the Subdistrict Health Promoting Hospital

Kasama Chiangtong — 2026-05-06

This preliminary experimental study employed a one-group pretest-posttest design and was conducted at the Subdistrict Health Promoting Hospital. The objective was to establish whether a care model for diabetic patients could achieve diabetes remission.
Thirty-two purposively selected type 2 diabetic patients who were attending the non-contagious disease were the study sample. Instruments used in the research were (1) the experimental tool was the care model for diabetes remission based on lifestyle medication, (2) data collection methods, including health record, knowledge interview, self-care practice interview, and satisfaction interview that were validated by experts, and the knowledge tool’s reliability was tested by using the KR20 formula with a reliability coefficient of .668.
The results showed after applying the care model for diabetic patients, the patients had a statistically improvement in knowledge and self-care (p-value < .001). Body Mass Index (BMI) also reduced significantly (p-value < .001). There was no significant difference in Hemoglobin A1c compared to baseline (p-value = .138). 37.50% discontinued medication, 50.00% reduced dosage, and 12.50% had blood glucose control without reducing medication. Furthermore, patient satisfaction with the diabetes remission care model was high ( = 4.70).

A Model of Surgical Instruments Management for Patients under Cardiovascular and Thoracic Operation with Technology at a Tertiary Hospital

Jitwara Yala — 2026-05-06

This descriptive research aimed to analyze the problems and needs in surgical instrument management, develop a model for surgical instrument management, and evaluate the appropriateness of the developed model in patients undergoing cardiovascular and thoracic surgery in conjunction with the use of developed technology. The study was conducted in the cardiovascular and thoracic operating rooms of a tertiary hospital. The key informants were purposively selected and divided into two groups: (1) 13 healthcare personnel working in the operating room who were interviewed, and (2) six healthcare personnel who evaluated the appropriateness of the developed model. The research instruments consisted of a semi-structured interview guide and an evaluation form for assessing the appropriateness of the developed model, which demonstrated a content validity index of 0.91. Data were analyzed using descriptive statistics and content analysis.
The research findings revealed that: 1) The problems in the management of surgical instruments for cardiovascular and thoracic patients included inadequate storage space, damaged surgical instruments in certain categories, lack of real-time instrument data, insufficient competency among personnel, and unclear communication among staff. The identified need was to address these issues through the integration of technology in surgical instrument management. 2) The surgical instrument management model was developed based on quality assessment in healthcare of Donabedian’s framework, which included structure, process, and outcome components. Finally, 3) the overall appropriateness of the developed model was found to be 91.91%.

Factors Related to Family Management Among Caregivers of Pediatric Patients with Leukemia

Wiparat Pornwattanavate — 2026-05-06

Family plays a crucial role in caring for children with leukemia, as it is a chronic disease that causes changes in both physical and mental conditions. This descriptive correlational study aimed at identifying factors related to family management among caregivers of pediatric patients with leukemia and finding the relationship between the pediatric patient’s characteristics, the caregiver’s characteristics, and social support in family management among caregivers of pediatric patients with leukemia. The sample group was cared for pediatric patients diagnosed with leukemia and treated at tertiary hospitals in Northern Thailand. Eighty-five participants were recruited. The research instruments on: characteristics of caregivers and pediatric patients, social support and sources of social support, and family management. The data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and Eta correlation coefficient.
The research findings are revealed as follows. The caregivers of pediatric patients with leukemia had a moderate level of overall family management ( =148.71, S.D.=17.74). Condition management ability was at a high level, while other dimensions of family management were at a moderate level. Factors related to family management are family income, the caregiver’s education level, and social support. Therefore, this study can be used to develop a guideline to promote more effective family management among the caregivers of pediatric patients with leukemia, to reduce the potential impact on families coping with the illness.

The Effect of Mindfulness Program on Emotional Quotient among Nursing Students

Benjapak Sanghuaiprai — 2026-05-06

First-year nursing students are teenagers who adjust to new friends, stress, and pressure from studying, which can affect their mental health. Enhancing emotional quotients fosters appropriate decision-making and effective problem-solving skills, while increasing motivation for learning at higher academic levels, ultimately contributing to the development of professional nurses who embody goodness, competence, and well-being.
This research was quasi-experimental research design. The objective was to study mindfulness’s effect on nursing students’ emotional quotient. The sample group consisted of 46 first-year nursing students in the academic year 2024, with 23 in the experimental group and 23 in the control group. The experimental group received the mindfulness program. The control group received everyday teaching. The data collection tools were the emotional quotient assessment, emotional quotient and mindfulness program. Mindfulness program: data was analyzed using descriptive statistics, chi-square statistics, and t-test. The results of the research found that the experimental group had a mean emotional quotient score after the experiment that was significantly higher than before the experiment at a statistical level of .01 (t = 5.07), and the experimental group had a mean emotional quotient score after the experiment that was significantly higher than the control group at a statistical level of .01 (t = 3.26). This study can be applied to nursing students in their second, third, and fourth years to effectively enhance emotional quotients and promote mental well-being.

Effectiveness of the Continuing Motivational Interviewing Telephone-Based Enhancing Program Among Persons with Alcohol Use Disorders, Thanyarak Chiangmai Hospital

Nutthawee Boonart — 2026-05-06

This study was implementation research to study the Effectiveness of the Continuing Motivational Interviewing Telephone-Based Enhancing Program Among Persons with Alcohol Use Disorders, Thanyarak Chiangmai Hospital Operated under the framework of Roger’s innovation diffusion theory. 2 specific groups were selected as participants: 1) 15 persons with alcohol use disorders and 2) 5 health personnel. The research instruments included 1) the Continuing Motivational Interviewing Telephone-Based Enhancing Program Among Persons with Alcohol Use Disorders, 2) the Alcohol Consumption Assessment (ACA), 3) a satisfaction assessment form for people with alcohol use disorders and 4) a form for evaluating the opinions of the health personnel team. The analysis was performed using descriptive statistics, including frequency distribution, mean, and standard deviation.
The study results found that those with alcohol use disorders had a 100% reduction in their drinking behavior scores and were able to stop drinking alcohol, 53.33%. And 100% of the participants were satisfied with the program and found it beneficial to themselves, their relatives or caregivers and found it convenient to receive care according to the program. As for the health personnel team, 100% agreed that the program is useful for caring for people with alcohol use disorders. The program can be integrated with existing knowledge, is easy to implement, and the results are clearly visible. It can be seen that this program can effectively reduce drinking behavior.

The Effectiveness of a Competency Development Program for Novice Nurses at an Emergency Department

Kornkanok Supfuengfoo — 2026-05-06

This study was quasi-experimental research. This study aimed to evaluate the effectiveness of the Novice Emergency Nurse competency development program at an Emergency Department. The sample population consisted of 15 emergency novice nurses, who were selected based on inclusion criteria. The study tools were a Novice Emergency Nurse program, and Evaluation Test of a Novice Emergency Nurse program. The study was analyzed by using descriptive statistics and Wilcoxon signed rank test statistics. The result revealed that following training, the novices had higher levels of nursing knowledge competencies and Nursing Skill Competencies increased significantly at an Emergency Department at the .05 level.

Effects of a Promoting Knowledge, Caring Skill, And Self Efficacy Program On Diabetic Of Care Behaviours Among Public Health Volunteers In Bangkok During COVID-19 Outbreak

Nutteera Thithaworanant — 2026-05-06

This objective of examining the effects of a program. The program was based concept of self-efficacy. The sample were health volunteers from Bangkok, each group consisted of 51. The program in a 5-week aimed at behaviours during the COVID-19 pandemic. The research instruments consisted of two main instruments: the experimental instrument and the data collection instrument. The reliability of the instruments was 0.85. Data analyzed using independent t-tests and paired t-tests. The study found that, exhibited improved behaviours in caring for diabetic patients. Specifically, the average score before and after the intervention was 31.82, 37.57, showing a significant (p-value < .05).

Factors Affecting of Cognitive Impairment in Elderly Pathum Thani Province

Piyanee Nakbun — 2026-05-06

This study investigates factors influencing cognitive impairment among the elderly in Pathum Thani Province using a cross-sectional analytical study. A total of 774 elderly participants were selected through multi-stage random sampling. Data was collected using a validated questionnaire and analyzed using regression. The results indicate that cognitive impairment is significantly associated with individual factors such as age and gender, with older individuals having a higher risk (p < .05). Family-related factors, including income sufficiency and family structure, also showed significant effects (p<.05). Additionally, knowledge about risk factors and symptoms of cognitive impairment was the most influential variable (p <.001). Emotional and social behavior were also significantly correlated with cognitive impairment (p<.05). The findings suggest that prevention strategies should focus on enhancing knowledge about cognitive impairment, promoting emotional well-being, and providing economic and social support to reduce the risk among the elderly.

Factors Predicting Father Involvement Among Expectant Fathers Having Wives with High Risk Pregnancy

Jenjira Palawan — 2026-05-06

This predictive research aimed to study the participation of expectant fathers having wives with high risk pregnancy and the factors predicting the participation of expectant fathers having wives with high risk pregnancy. The sample consisted of 154 fathers with high-risk wives who brought them to receive antenatal care at a hospital in Chiang Mai. The sample group was selected according to the specified characteristics. The instruments used for data collection consisted of a general information questionnaire, the Involvement Questionnaire for Fathers with High-Risk Pregnancy, the Marital Relationship Questionnaire, the Coping Anxiety Questionnaire, and the Social Support Questionnaire, with Cronbach’s alpha coefficients of .95, .96, .87 and .93, respectively. Data were analyzed using descriptive statistics and multiple linear regression. The research findings demonstrated that expectant fathers whose wives experienced high-risk pregnancies participated in the pregnancy process at high levels (74.70%). Predictive factors of paternal involvement among expectant fathers whose wives had high-risk pregnancies included: education level (B = .442, p < .001), family income (B = .395, p < .001), marital relationship (B = .546, p < .001), and social support (B = .428, p < .001). Together, these four factors accounted for 68.9% of the variance in paternal involvement. (p < .001).

Factors Related to Well-Being Among Professional Nurses in an Emergency Department in Tertiary Hospitals, Bangkok Metropolitan

Pittinun Saidam — 2026-05-06

This descriptive correlational study examined the level of well-being and its associated factors autonomy, supervisor caring leadership behaviors, and safety climate among professional nurses working in Emergency Departments of tertiary hospitals in the Bangkok Metropolitan area. The sample included 163 nurses with at least one year of experience, selected through multistage random sampling. Data were collected via an online questionnaire administered through Google Forms. The instruments comprised a well-being questionnaire, an autonomy questionnaire, a supervisor caring leadership behavior questionnaire, and a safety climate questionnaire. Content validity was assessed by five experts, with CVI values of .97, .88, .96, and .99, respectively. Reliability was confirmed with Cronbach’s alpha coefficients of .93, .80, .97, and .93. Data analysis employed descriptive statistics and Pearson’s correlation coefficient.
The results showed that participants’ overall well-being was at a high level (M = 3.79, SD = .41). In addition, safety climate, autonomy, and supervisor caring leadership behaviors were positively correlated with nurses’ well-being at statistically significant levels (p < .05), with correlation coefficients of .504, .493, and .426, respectively.

Factors Related to Happiness of a Royal Thai Army Field Hospital Personnel in the Southern Border Provinces of Thailand

Teeradon Rititsunt — 2026-05-06

The objectives of this research were to study (1) the happiness levels of personnel working in a Royal Thai Army Field Hospital in the three southern border provinces’ high-risk areas; (2) factors related to the happiness levels of personnel working in the Army Field Hospital in the southern border provinces; and (3) a comparison of happiness levels between civilian and military personnel working in the Army Field Hospital in the southern border provinces.
The population consisted of all personnel working in an Army Field Hospital in the southern border provinces, both civilians and soldiers, totaling 150 individuals. Data were collected from the entire population. Questionnaires were used as the measurement tool in this study, with content validity assessed by the IOC (item values ranging from 0.67 to 1.00) and a reliability of 0.88. Frequency distribution, mean, percentage, standard deviation, and a chi-square test with odds ratio were used to analyze differences between two independent groups.
The results showed that (1) the happiness levels of both civilian and military personnel working in the Army Field Hospital were similar to those of the general population. (2) Personal factors were sex and welfare, which were related to levels of happiness for both civilians and soldiers. (3) There was no statistically significant difference in happiness levels between civilian and military personnel working in the Army Field Hospital at the 0.05 level.

The Effects of Childbirth Self-Efficacy Promoting Program on Fear of Childbirth and Perceived Self-Efficacy among Primiparous Women of Advanced Maternal Age

Auamduan Wingworn — 2026-05-06

This quasi-experimental study, two groups pretest-posttest design aimed to compare the effects of childbirth self-efficacy promoting program on fear of childbirth and perceived childbirth self-efficacy among primiparous women of advanced maternal age. Sample consisted of 55 primiparous women of advanced maternal age receiving antenatal care at Krathum Baen Hospital, Samut Sakhon Province. They were divided into an experimental group (n = 27) and a control group (n = 28). The experimental group received the childbirth self-efficacy promoting program and routine nursing care. The control group received routine nursing care only. Research instruments included the childbirth self-efficacy promoting program, a personal and obstetric data recording form, a fear of childbirth questionnaire, and a perceived childbirth self-efficacy inventory. Data was analyzed using descriptive statistics, and t-test. The results showed that the experimental group had significantly lower mean fear of childbirth scores compared to before the intervention and significantly lower scores than the control group (p<.05). The experimental group also had significantly higher mean childbirth self-efficacy scores compared to before the intervention and significantly higher scores than the control group (p < .001). These findings confirmed that this program could reduce fear of childbirth and increase childbirth self-efficacy. Therefore, hospitals should be used this program to care women of advanced maternal age.

The Effects of the Prevention, Promotion and Protection (Triple P) Board Game Program on Health Literacy to Prevent Pregnancy among Female Junior High School, Chaiyaphum Province

Anuchida Hemnonthong — 2026-05-06

This quasi-experimental study aimed to compare the mean of health literacy scores for pregnancy prevention among lower secondary school female students, both within and between the experimental and comparison groups. The sample consisted of 31 participants in each group. Data were collected using a questionnaire on health literacy for pregnancy prevention among lower secondary school female students, in conjunction with the “Triple P” board game program (Prevention, Promotion, and Protection) designed to enhance knowledge and health literacy for pregnancy prevention. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used for data analysis. Within-group mean scores were compared using the paired sample t-test, while between-group mean scores were compared using the independent t-test. The results revealed that, after the intervention, the mean health literacy score within the experimental group was significantly higher than before the intervention (p-value < .001). Furthermore, the mean health literacy score of the experimental group was significantly higher than that of the comparison group after the intervention (p-value < .001). In conclusion, the “Triple P” board game program (Prevention, Promotion, and Protection) was effective in improving health literacy for pregnancy prevention among lower secondary school female students. Additionally, the board game program can be applied to develop health literacy in other areas, such as substance abuse prevention and traffic accident prevention.

Factors Predicting Preconception Health Behaviors Among Primiparous Women Attending Antenatal Clinic in Nakhon Nayok Province

Bungon Inthree — 2026-05-06

This predictive research aimed to study preconception health behaviors and the factors that can predict preconception health behaviors among primiparous women attending antenatal care at Nakhon Nayok Hospital. The participants were selected using a systematic random sampling method. The sample size of 121 participants was calculated using the G*Power program. Data were collected using questionnaires consisting of: (1) personal and obstetric information, (2) preconception health behavior questionnaire, (3) knowledge about preconception health care questionnaire, (4) perceived risk of pregnancy questionnaire, (5) perceived benefits of preconception health care questionnaire, and (6) perceived barriers to preconception health care questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis with backword variable selection.
The results revealed that the overall mean score of preconception health behaviors was 50.98 (Mean= 1.83, SD = 7.68), indicating a moderate level of preconception health behaviors. The significant predictors of preconception health behaviors among primiparous women at the 0.05 level were educational level, perceived benefits, and age. These factors together could predict 22.2% of the variance in preconception health behaviors among primiparous women. These findings could be applied to improve preconception health promotion and service planning, particularly for primiparous women in similar contexts.

Effects of Social Support Program using LINE Application on the Perception of Safety Performance of Nurses in Cancer Units and Chemotherapy Units at a Tertiary Hospital

Palika Klinampai — 2026-05-06

This quasi-experimental study employed a two-group pretest–posttest design to compare the perception of safety performance among nurses administering chemotherapy. A total of 50 participants were selected using purposive sampling and divided into an experimental group and a control group ,25 people per group. The research instruments consisted of a social support program using the Line application, and a questionnaire assessing nurses’ perceptions of safety practices. Instrument quality was with a content validity index of 0.93 and a Cronbach’s alpha coefficient of 0.97. Data were analyzed using descriptive and inferential statistics (Paired t-test and Independent t-test). The research results revealed that the experimental group had the highest level of perceived safety performance after participating in the program ( =4.78, SD=0.195), whereas the control group had a high level ( =3.50, SD=0.234). The experimental group had a significantly higher score than the control group (p<.05) and showed significant improvement compared to their scores before participation (p<.05). The study found that the social support program using LINE application was effective in enhancing perceptions of compliance with safety regulations and participation in safety practices. It is recommended that administrators implement this program to strengthen competencies of nurses administering chemotherapy.

The Effect of a Coaching Program on The Competency of New Graduate Nurses Working in Surgical Ward

Jaruda Mamuangbon — 2026-05-06

This quasi-experimental study with a one-group time series designed to compare the competencies of newly graduated nurses working in the surgical ward before, immediately after, and four weeks after receiving a coaching program. The study was conducted over 12 weeks with 13 purposively selected newly graduated nurses. The research instrument was a competency assessment scale for newly graduated nurses, validated by five experts with a content validity index of 0.96 and a Cronbach’s alpha coefficient of 0.98. The coaching program was based on the GROW Model and implemented through one-on-one coaching sessions over four weeks. Data were analyzed by using descriptive statistics, frequency distribution, mean, percentage, standard deviation, and one-way repeated measures ANOVA, with a significance level set at .05.
The findings revealed that the competencies of newly graduated nurses significantly increased after receiving the coaching program, both immediately and at the four-week follow-up (p < .05). These results suggest that the coaching program can be applied to enhance the competencies of newly graduated nurses, particularly in surgical wards with similar contextual settings.

Effects of a Health Literacy Promotion Program on Alcohol Consumption Behaviors among Alcohol Drinkers in Ban Mai Sub-District, Sam Phran District Nakhon Pathom Province

Pimnipa Srinopakun — 2026-05-06

This quasi-experimental study with a two-group pretest-posttest design aimed to compare mean health literacy scores, mean alcohol consumption behavior scores, mean alanine aminotransferase levels, and the level of behavioral change between an experimental group and a control group. The sample consisted of alcohol drinkers who were assigned to an experimental group (n = 21) and a control group (n = 21). The experimental group received the health literacy promotion program four times over a four-month period.
The research instruments included a health literacy promotion program, the Alcohol Use Disorders Identification Test, a health literacy questionnaire, and a Stages of Change assessment form. The content validity of the questionnaires (CVI) was 0.81. Reliability analysis demonstrated a Cronbach’s alpha coefficient of 0.94. Data were analyzed using descriptive statistics and Inferential statistics, including a one-way repeated measures ANOVA and independent t-tests to compare mean health literacy scores, mean alcohol drinking behavior scores, and mean liver enzyme levels between the experimental and control groups.
The results revealed that the experimental group had significantly higher mean health literacy scores than those in the control group (p < .05), and also had a statistically significant lower mean alcohol drinking behavior scores than those in the control group (p < .05). Additionally, 61.90% of participants in the experimental group showed positive changes in health behavior. However, the mean ALT levels of the experimental group after participation in the program did not differ significantly from those of the control group.

Combat Experiences: A Phenomenological Study of Behavioral Indicators and Facilitative Approaches for Posttraumatic Growth among Veterans

Nuntikan Klinchet — 2026-05-06

This study aimed to (1) explore behavioral indicators of posttraumatic growth (PTG) among veterans and (2) examine facilitative approaches to promoting PTG following exposure to combat-related trauma. A qualitative phenomenological design was employed. Key informants included 12 Thai veterans who had experienced traumatic events in combat or conflict-related situations, and 5 experts with experience in veteran care. Participants were recruited using purposive sampling. Data were collected through in-depth interviews and analyzed using thematic analysis, involving the extraction of significant statements, formulation of meanings, and identification of core themes.
The findings revealed five major themes reflecting behavioral indicators of PTG among veterans: (1) Appreciation of life, (2) Relating to others, (3) Personal strength, (4) New Possibilities, and (5) Spiritual and existential change. In addition, three key facilitative approaches for fostering PTG were identified: (1) establishing psychological safety and present-moment awareness, (2) cognitive processing and restructuring, and (3) meaning-making through narrative reconstruction. These findings may contribute to the development of trauma-informed psychological interventions aimed at fostering PTG among veterans following traumatic experiences.

The Development of an Information Provision Model for Injured Patients’ Relatives in a Private Hospital

Waenoortasneem Paramal — 2026-05-06

This research and development study aimed to develop an information provision model for injured patients’ relatives. The study was conducted in three phases: (1) situational analysis and development of guidelines; (2) model development through focus group discussions with nine key informants, including healthcare personnel and patients’ relatives; and (3) evaluation of the model. The sample in the evaluation phase consisted of 30 relatives of injured patients selected by purposive sampling. The research instruments included a focus group discussion guide, the developed information-provision model, and questionnaires assessing relatives’ anxiety and satisfaction. The content validity index ranged from 0.80 to 1.00, and the reliability coefficients were 0.93 and 0.80. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and content analysis. The results were as follows: (1) The situation of information provision model was unclear guidelines, unspecified information and responsible personnel, discontinuous procedures, irregular frequency of information delivery, and a lack of outcome evaluation. Development guidelines included developing information guidelines, defining nurses’ responsibilities, providing information continuously at each stage, and setting outcome criteria of reduced relatives’ anxiety and satisfaction with information exceeding 80%. (2) The developed information provision model applied the AIDET framework in three continuous phases until patient discharge, specified the content and responsible personnel for informing relatives, and evaluation of information delivery. (3) Outcomes after implementation of the model, relatives’ anxiety significantly decreased (p < .001). The satisfaction with the information provision was mostly rated at the highest level, and was higher than the standard criterion (92%).

Research and Development of a Nutrition Health Promotion Program for Preschool Children Based on Pender’s Health Promotion Model

Saowanee Choojan — 2026-05-06

This study employed a research and development design to develop a nutrition health promotion program for preschool children, based on Pender’s Health Promotion Model. The participants consisted of 32 parents of preschool children and 11 childcare teachers from an early childhood education center in Mueang District, Nakhon Ratchasima Province. The research instruments included a nutrition health promotion program for preschool children, a questionnaire assessing parents’ and teachers’ perceptions of nutritional practices, and a satisfaction assessment form for parents and teachers. Quantitative data were analyzed using descriptive statistics and paired t-tests. The developed program comprised 7 activities, covering nutritional status assessment, goal setting, fostering positive thinking and confidence in behavioral change, smart food selection activities, and promoting healthy nutrition for age-appropriate growth. The results indicated that after implementing the preschool nutrition health promotion program, parents and teachers demonstrated significantly improved perceptions of nutritional practices for preschool children (p < 0.05).

Effect of the Exercise Program on Chemotherapy Induced Peripheral Neuropathy Among Colorectal Cancer Patients Receiving Oxaliplatin

Achariyapon Saehan — 2026-05-06

Chemotherapy-induced peripheral neuropathy (CIPN) is a common adverse effect among patients with colorectal cancer receiving oxaliplatin-based chemotherapy, leading to functional impairment and reduced quality of life. Combined exercise interventions have been suggested as a potential strategy to prevent or alleviate the severity of CIPN. This quasi-experimental study with a two-group pretest–posttest design aimed to examine the effects of a combined exercise program on CIPN symptoms in patients with colorectal cancer treated with oxaliplatin. A total of 50 patients aged 20 years and older who received the XELOX regimen at the outpatient chemotherapy unit of Sisaket Hospital were recruited. Participants were matched by age and chemotherapy cycle and assigned to either an experimental group, which received the combined exercise program, or a control group, which received usual nursing care. Research instruments included a demographic and clinical data questionnaire, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire–Chemotherapy-Induced Peripheral Neuropathy 20 (EORTC QLQ-CIPN20), and validated exercise program materials. Data were analyzed using descriptive statistics, the Mann–Whitney U test, and the Wilcoxon signed-rank test.
The results showed that the experimental group had significantly lower mean CIPN severity scores in sensory and motor domains compared with the control group (p < .001). Additionally, motor neuropathy symptoms significantly decreased after participation in the exercise program compared with baseline (p = .031), while no significant changes were observed in sensory or autonomic domains. These findings indicate that a combined exercise program is effective in reducing CIPN symptoms, particularly motor impairment, in colorectal cancer patients receiving oxaliplatin-based chemotherapy.

Blood Glucose and Blood Pressure Levels of Patients with kidney impairment after Self-Care Promotion through Brief Counseling Based on Orem’s Theory, Chiangrai prachanukroh hospital

Thanutorn Wongthida — 2026-05-06

This research aimed to study the effects of promoting self-care agencies based on Orem’s Self-care Theory through brief counseling on blood glucose and blood pressure control among patients with renal impairment. It was a retrospective observational study using medical record data from 120 patients with renal impairment who received outpatient services at a tertiary hospital in the upper northern region of Thailand between October 2021 and June 2022. Data was collected using Data record form consisting of a personal factors and a clinical data. Descriptive statistics and paired t-tests were used for data analysis, with the level of statistical significance set at p < .05. The results showed that six months after receiving individual counseling, the participants’ fasting blood sugar (FBS), systolic blood pressure (BPs), and diastolic blood pressure (BPd) significantly decreased (p < .001).
The findings indicate that promoting knowledge within the framework of Orem’s Self-Care Theory through brief health counseling can enhance self-care competence among patients with renal impairment, encouraging appropriate health behaviors and effectively reducing blood glucose and blood pressure levels. Therefore, this approach is suitable for developing nursing practice guidelines to promote self-care among patients with chronic kidney disease in chronic disease clinics.

The Effects of a Nutrition Literacy Enhancement Program to Food Consumption Behaviour and Muscle Mass for Older Persons with Malnutrition in Lampang Province

Tayarat Phuttimanee — 2026-05-06

This quasi-experimental study aimed to examine the effects of a nutrition literacy promotion program on nutrition literacy, dietary behavior, and muscle mass in malnutrition older adults in Lampang Province. A total of 54 participants were randomly assigned to either the experimental group (n = 27) or the control group (n = 27). The experimental group received a group-based nutrition literacy program, while the control group received routine care. Data were collected using include nutrition literacy programs, nutrition literacy questionnaire for older persons with malnutrition and a dietary behavior questionnaire for older persons with malnutrition, with reliability coefficients of .86 and .92. Descriptive statistics, independent t-tests, and paired t-tests were used for data analysis.
The results indicated that participants in the experimental group had significantly higher scores in nutrition literacy, food consumption behaviour, and muscle mass compared to the control group (p < .05) and showed significant improvements from pre-intervention scores (p < .01). These findings suggest that providing nutrition education program according to literacy levels can effectively enhance dietary behavior, including adequate protein and nutrient intake, which in turn increases muscle mass.
The program can be applied by healthcare personnel to promote nutrition literacy among malnutrition older adults, enabling them to manage their own nutrition and make appropriate dietary choices, thereby supporting better health outcomes.

The Effect of Board Game-Based Learning on Stroke Knowledge and Teamwork Among Nursing Students

Arunrat Utaisang — 2026-05-06

Active learning through a stroke board game represents an innovative educational approach designed to enhance nursing students’ knowledge and teamwork competence. A one-group pretest-posttest quasiexperimental design was employed to compare nursing students’ stroke knowledge before and after board game-based learning and to assess their teamwork competence following the intervention. Purposive sampling was utilized to select 84 third-year Bachelor of Nursing students from Boromarajonani College of Nursing, Nakhon Phanom, who were enrolled in Adult Nursing II during July-August 2025. The research instruments comprised three components: a stroke board game, a stroke knowledge assessment questionnaire (administered before and after the intervention), and a teamwork competence evaluation form. The instruments demonstrated content validity (IOC = 0.89) and reliability (KR-20 = 0.87), (Cronbach’s α = 0.91)
The findings revealed that students exhibited a statistically significant increase in stroke knowledge following board game-based learning (p < .01). Additionally, teamwork competence was rated at a very high level, particularly in communication and active listening domains.
In conclusion, board game-based learning enhances stroke knowledge and strengthens teamwork skills, particularly communication, active listening, and collaborative task analysis. These competencies align with the learning outcomes of the Bachelor of Nursing curriculum (revised in 2021) at Boromarajonani College of Nursing, Nakhon Phanom. Therefore, board games constitute a viable active learning strategy that develops essential competencies for contemporary nursing practice.

Prevalence and Associated Factors of Computer Vision Syndrome among Healthcare Personnel in Chonburi Hospital

Sukanya Pairinpanit — 2026-05-06

A cross-sectional study aimed to determine the prevalence and factors associated with Computer Vision Syndrome (CVS) among healthcare personnel in Chonburi Hospital. Data were collected using the Thai version of an online CVS-Questionnaire (IOC 0.67-1.00) and workplace illuminance measurements. 329 participants completed the survey. The data were analyzed using descriptive statistics, bivariate analysis, and logistic regression. The results revealed a CVS prevalence of 65.96%. Factors significantly associated with CVS included pre-existing eye conditions, refractive errors, non-occupational screen time, adequacy of workplace lighting, and screen glare. These findings suggest that appropriate lighting and regular eye rest practices may help reduce CVS.

Predictive factors of hyperglycemia preventive behaviors among elderly patients with uncontrolled diabetes: A Case Study of a Community

Supaporn Tantinantrakun — 2026-05-06

This study aimed to examine the predictive factors of hyperglycemia preventive behaviors among elderly patients with uncontrolled diabetes in Khlong Tamru Community, Chonburi Province, Thailand. A simple random sampling technique using a lottery method was employed to recruit 103 participants. The research instruments included a structured interview questionnaire assessing personal factors, perceived benefits, perceived susceptibility, perceived severity, perceived barriers, cues to action, self-efficacy, and a health behavior assessment scale. The reliability of the instruments was tested in a pilot study with 30 elderly patients with diabetes in a nearby area. Cronbach’s alpha coefficients for perceived benefits, perceived susceptibility, perceived severity, perceived barriers, cues to action, self-efficacy, and preventive behavior were 0.886, 0.914, 0.757, 0.708, 0.755, 0.703, and 0.900, respectively. Multiple linear regression analysis was conducted to examine the predictive relationship between selected factors and hyperglycemia preventive behaviors. The findings revealed that cues to action, perceived benefits, and perceived severity were significant predictors, jointly explaining 21.20% of the variance in hyperglycemia preventive behaviors (R² = 0.212). The predictive equation can be expressed as follows: Y = 1.975 + 0.131X 1 + 0.179X 2 + 0.302X 3 . The results of this study may be utilized by healthcare professionals as behavioral health information to develop health behavior modification programs for elderly patients with uncontrolled diabetes.

The Development of Innovative Pottery and Waybread Balm for Alleviate Muscle Pain by Professionals Engaged in Pottery Making

Acha Varee — 2026-05-06

This research this developmental and action research aimed to develop and evaluate the effectiveness of the “Mor Ong Long and Mong Ya En Yued” innovation (Earthenware Pot and TendonStretching Herb Bundle) in reducing muscle pain among pottery artisans. Methods The sample comprised pottery artisans from Muang Kung Village, divided into two groups: an Innovation Development Group (10 community leaders and artisans) for prototype creation and revision, and an Innovation Trial Group (30 individuals) randomly selected and divided into three subgroups. Key instruments included the Pain Scale record and satisfaction evaluation form. Data were analyzed using Kruskal-Wallis test statistics
The results showed that The average satisfaction level with the massage across the three trial groups was not significantly different the mean satisfaction with the massage using the Oonglong pot and waybread balm for muscle stretching among the three sample groups did not differ significantly (X² = 1.036, p = .596). However, the mean pain level after the massage using the Oonglong pot and Grass Balm for muscle stretching significantly differed between the groups (X² = 16.009, p = .000). The third group, which received the massage with the Oonglong pot and waybread balm, experienced lower pain levels than the other groups.
The Mor Ong Long and Mong Ya En Yued innovation is effective in reducing muscle pain and offers a viable alternative medicine approach that provides user satisfaction.

The Effect of an automated Chemotherapy drug compounding machine on dissolution time and quality of life among healthcare workers, Bhumibol Adulyadej Hospital

Kittiya Mahaviriyotai — 2026-05-06

This quasi-experimental research aimed to compare the dissolution time of chemotherapy drug between the use of an automated chemotherapy drug compounding machine and manual shaking, and to examine the quality of life among healthcare workers following its implementation. The sample consisted of 20 healthcare workers. The research instruments included: 1) a demographic data form, 2) a record form for the dissolution time of Cyclophosphamide, and 3) a quality-of-life questionnaire using the Thai version of the World Health Organization Quality of Life instrument (WHOQOL–BREF–THAI). Data were analyzed using descriptive statistics, Wilcoxon signed-rank test, Mann–Whitney U test and paired t-tests.
The results showed that the dissolution time of chemothcvapy drugs using the automated chemotherapy drug compounding machine was significantly shorter than that of manual shaking (z = 11.807, p < .001). Additionally, after the implementation of the automated machine, the quality of life of the healthcare workers significantly improved compared to the pre-intervention period (t = -6.34, p < .001). Improvements were observed across all domains of quality of life, with the greatest increase in the environmental domain, followed by physical health, psychological well-being, and social relationships. In conclusion, the automated chemotherapy drug compounding machine enhances the efficiency of chemotherapy preparation by reducing drug dissolution time and improving the quality of life of healthcare workers.

Effects of Using Simulation Game Based Learning to prepare Fourth-Year Air Force Student Nurses prior to Primary Medical Care Nursing Practice

Rawat Watcharasit — 2026-05-06

This quasi-experimental study aimed to compare knowledge and self-confidence in primary medical care nursing practice between a group using simulation game-based learning and a group receiving regular preparation before and after the intervention. The sample consisted of 62 fourth-year Air Force Student Nurses. Data were collected using a knowledge assessment form on primary medical care for common community health conditions and a self-confidence assessment form for primary medical care nursing practice. Content validity was confirmed with an Index of Item–Objective Congruence (IOC) of 1.00, and reliability were a KR-20 coefficient of 0.75 and a Cronbach’s alpha coefficient of 0.84. Data were analyzed using independent t-test and paired t-test. The results revealed that the mean scores of knowledge and self-confidence in the group using Simulation Game-Based Learning after the experiment were significantly higher than before the experiment and higher than those of the group receiving conventional preparation at the .05 level of statistical significance.

COVID Vaccination in Pregnant Women : An Umbrella Review

Kanjana Srisawad — 2026-05-06

An Umbrella review of systematic reviews and meta-analyses. This study aims to synthesize existing evidence on the effects of COVID vaccination in pregnant women. The research follows the Joanna Briggs Institute (JBI) framework and includes studies published between 2020 to 2024. The research tools comprised: 1) Inclusion criteria form 2) Critical appraisal form and 3) Data extraction form. Analyze the data by narrative summary
An Umbrella review of systematic reviews and meta-analyses included 26 studies. Results demonstrated that COVID vaccination in pregnant women effectively prevents COVID infection, reduces disease severity, and found that maternal vaccination during pregnancy was reduce to length of hospital stay, miscarriage, preterm birth, intrauterine growth restriction, low birth weight, abruptio placenta, amniotic sac infection, stillbirth, low Apgar score at 5 min (<7) and postpartum hemorrhage, and has no effect on increasing the risk of developing pregnancy induce hypertension, cesarean section, vacuum extraction, admission to the intensive care unit. Adverse effects of vaccination in pregnant women were not significantly different from those observed in unvaccinated pregnant women. However, there are some studies that cannot be conclusively conclusive about the effect on pregnant women, which are less common, such as miscarriage, premature birth, postpartum hemorrhage, and thrombocytopenia or coagulopathy. The findings from this An Umbrella review of systematic reviews and meta-analyses should guide clinical practices for prenatal care to mitigate potential adverse outcomes for both pregnant women and their infants. COVID vaccination is strongly supported as a safe and effective intervention during pregnancy.

Work Experiences of Generation Z Nurses Prior to Leaving the Nursing Profession for Other Careers: A Qualitative Study

Aumaporn Chantamart — 2026-05-06

This qualitative study aimed to describe the working experiences and reasons for resignation of Generation Z nurses who had resigned to pursue other careers. The study employed a qualitative research approach. Participants were 17 registered nurses of Generation Z, who had previously worked in public and private hospitals. Data were collected via in-depth interviews, observation, and field notes until data saturation was achieved. The data were then verbatim transcribed and analyzed using content analysis guided by the concepts of Creswell and Poth.
The findings revealed that the experiences of Generation Z nurses could be categorized into four main themes. 1) Work Performance and Adaptation in the Nursing Role, 2) Conflicts and Obstacles in the Work System and Colleagues, 3) Nature of Work and Its Impact on Personal Life, and 4) Push and Pull Factors Leading to Resignation from the Nursing Profession. This study provides a deep understanding of the complex factors contributing to nurse turnover among the new generation. The findings can inform nursing administrators and policymakers in developing effective human resource management strategies for the retention of Generation Z nurses.

Empowering Families to Reduce the Risk of Chronic Kidney Disease: A Quasi-Experimental Study at Ban Phue Health Promoting Hospital, Khon Kaen Province

Juree sansuk — 2026-05-06

This quasi-experimental study evaluated the effectiveness of a family empowerment program in slowing the progression of chronic kidney disease (CKD) among patients with stage 3–4 CKD and their caregivers at Ban Phue Subdistrict Health Promoting Hospital, Khon Kaen Province, Thailand. The study assessed outcomes including knowledge, self-care behaviors, satisfaction, and estimated glomerular filtration rate (eGFR) before and after program implementation. A total of 60 participants were purposively selected and assigned into experimental and control groups (30 participants per group) using a matched-pair technique.
Research instruments consisted of a family volunteer handbook, a CKD knowledge questionnaire, a self-care behavior assessment form, and a satisfaction questionnaire. These instruments were validated by three experts, yielding Item-Objective Congruence (IOC) values between 0.67 and 1.00, with Cronbach’s alpha reliability coefficients of 0.82, 0.85, and 0.88, respectively. Data analysis was performed using descriptive statistics and t-tests.
The results revealed that after the intervention, the experimental group demonstrated significantly higher scores in CKD knowledge, self-care behaviors, and satisfaction compared with the control group (p < .05). Additionally, the decline in eGFR was slower in the experimental group. In conclusion, the family empowerment program effectively improved knowledge, promoted appropriate self-care behaviors, and slowed CKD progression among patients with stage 3–4 CKD. This program is considered feasible for implementation and expansion within primary healthcare settings

The Effect of Simulation Base Learning for Preparation Community Health Nursing Practicum on Skill and Confidence in Community Health Nursing Practicum among Air Force Student Nurses

Sirinan Choocherd — 2026-05-06

This objective of quasi-experimental research was compare nursing skill and confidence in community health nursing practicum on Simulation Base Learning. The sample include 63 fourth-year Air Force student nurses. The sample was purposively selected. The research instruments include Simulation Base Learning. The instruments used to collect data were nursing skill in community health nursing practicum test and nursing confidence in community health nursing practicum test. The content validity index (CVI) for both instruments was 1.0. The data were analyzed using descriptive statistics, T-test.
The study found that the score of nursing skill in community health nursing practicum after receiving preparation using Simulation Base Learning significant higher than before preparation(p<.05) and confidence in community health nursing practicum significant higher than before preparation(p<.05).

The Effect of Using Lime Juice and SKT Exercise on Blood Pressure among Patients with Hypertension

Patcharee Jaigarun — 2026-05-06

Hypertension is a major noncommunicable chronic disease and an important risk factor for cardiovascular diseases. Although pharmacological treatment is the primary approach, culturally appropriate nonpharmacological care plays a crucial role in blood pressure control. This study aimed to examine the effects of lime juice consumption combined with Somporn Kantharadussadee Triumchaisri (SKT) meditative exercise on blood pressure control among patients with hypertension. A quasi-experimental one-group repeated-measures design was employed. The participants consisted of 48 patients with hypertension who consumed diluted lime juice before breakfast and practiced SKT meditative exercise (postures 1 and 2) every morning for four consecutive weeks. Blood pressure was measured at baseline and weekly throughout the intervention period. Data were analyzed using descriptive statistics and repeated-measures analysis of variance. The results showed that systolic blood pressure significantly decreased from 145.8 ± 9.5 mmHg to 129.7 ± 18.2 mmHg, while diastolic blood pressure decreased from 91.0 ± 6.2 mmHg to 74.1 ± 13.5 mmHg (F = 262.25, p < .01; F = 26.78, p < .01). Significant differences across time points were confirmed using Bonferroni post hoc tests. In conclusion, lime juice consumption combined with SKT meditative exercise effectively improved blood pressure control and may be applied as a community-based health promotion intervention.

Effects of a Family Empowerment Program on Breastfeeding Rates and Duration among Primiparous Mothers after Cesarean Delivery

Rawiporn Udomkanthong — 2026-05-06

This quasi-experimental study compared breastfeeding rates and duration before and after the implementation of a Family Empowerment Program. The sample included 60 primiparous mothers following cesarean delivery who met the inclusion criteria. Participants were randomly assigned to either a comparison group (n = 30), which received routine postpartum nursing care, or an experimental group (n = 30), which received routine care combined with the Family Empowerment Program. The research instruments included: (1) the Family Empowerment Program designed to support breastfeeding, (2) educational materials promoting breastfeeding, and (3) a structured breastfeeding questionnaire. The instruments were validated by three experts, yielding a content validity index (CVI) of 0.98. The questionnaire demonstrated acceptable reliability with a Cronbach’s alpha coefficient of 0.86. Data were analyzed using descriptive statistics and chi-square tests to compare weekly breastfeeding rates and continuity between the two groups.
Findings demonstrated that mothers in the experimental group achieved significantly higher breastfeeding rates and longer breastfeeding duration than those in the comparison group at the .05 significance level. These results underscore the effectiveness of the Family Empowerment Program in improving breastfeeding outcomes among primiparous mothers after cesarean delivery and support its integration into routine postpartum nursing care to strengthen the quality of maternal and child health services.

The Effect of Educative Supportive Program Using Line Application on Diabetes Prevention in Prediabetes Among Hospital Personal

Minraya Nasin — 2026-05-06

This research is quasi-experimental one-group pretest-posttest design to examine The Effect of Educative Supportive Program Using Line Application on Diabetes Prevention in Prediabetes Group. The sample consisted of 22 persons with prediabetes who participated in the program, which was based on Orem’s self-care theory. Data were collected on self-care behaviors and fingertip fasting blood glucose levels, were collected before and after the program and analyzed by descriptive statistics, paired t-test Wilcoxon Signed Rank test and Mcnemar’s test. The research results showed that the average scores of the participants significantly improved after receiving the program compared to before (p < .001). Additionally, blood glucose levels were significantly reduced after participating in the program (p < .001).

Factors Influencing Self-Care Behavior For Preventing Recurrent Stroke In Community-Dwelling Elderly

Suphank Saweangruk — 2026-05-06

This research is a descriptive study aimed at examining the self-care behaviors to prevent recurrence among stroke patients and to investigate the factors influencing self-care behaviors to prevent recurrence in stroke patients within the community stroke patients in That Phanom District, Nakhon Phanom Province, with a sample size of 189 individuals. The instrument used is a questionnaire developed by the researcher based on the self-care theory framework by Orem, which includes four parts: 1) General information, 2) Knowledge about stroke 3) knowledge regarding self-care among stroke patients,) and 4) Self-care behaviors of stroke patients. Data analysis will be conducted using statistical methods including frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.
The results showed that the sample consisted of 51.32% males with an average age of 54.14 years. The majority (71.43%) were farmers. The average duration of stroke illness was 1.14 years. The overall level of stroke prevention behaviors was high at 75.15%. Knowledge about stroke was also high at 57.67%, and the ability to perform daily activities (ADL) was non-dependent at 77.78%. Age, duration of illness, and ability to perform daily activities were significantly associated with stroke prevention behaviors (p<0.001). Ability to perform daily activities, age, and knowledge about stroke. influenced self-care behaviors for preventing stroke recurrence in the community by 89.1% (R2adj=0.891). Therefore, in planning health promotion and stroke recurrence prevention in community-dwelling stroke patients, these factors should be considered as primary factors. Behavior For Preventing Recurrent Stroke in Community-Dwelling Elderly.

Effect of Applied Information-Motivation-Behavioral Skills Program for Weight Control on Gestational Weight Gain of Overweight and Obese Pregnant Women

Oraya khante — 2026-05-06

This randomized controlled trial aimed to the applied information- motivation-behavioral skills program for weight control of overweight and obese pregnant women. The sample consisted of 44 overweight and obese pregnant women, divided into an experimental group (22 cases) and control group (22 cases). Data were collected using a questionnaire on personal data and obstetric history, a weight control behavior questionnaire (with the reliability of the questionnaires being 0.91 respectively), and a pregnant women’s weight record form. Data were analyzed using descriptive statistics, Fisher’s exact test, two-group paired t-test, and two-group independent t-test.The results showed that the mean excessive weight gain in the experimental group after participation in the program increased significantly less than before the program (p < .05) and the mean excessive weight gain in the experimental group was significantly lower than that in the control group receiving standard care (p < .05).

Effects of the Multi-channel Problem Solving Therapy Program on Repeated Suicide Risk among Psychiatric Patients Hospitalized in a Psychiatric Hospital

Anotai Bubpawan — 2026-05-06

This quasi-experimental research aimed to examine the effect of a multi-channel problem solving therapy program on repeated suicide risk among psychiatric patients in a psychiatric hospital. The sample consisted of 32 male and female psychiatric patients. Specifically selected one is Khonkaen Rajanagarindra Psychiatric hospital. All individuals were inpatients at psychiatric hospitals under the Department of Mental Health, Ministry of Public Health, with 16 in the experimental group and 16 in the control group. Data were collected using a personal information questionnaire and the Mini International Neuropsychiatric Interview (M.I.N.I) for suicide risk assessment. Data analysis was performed using comparative statistics, one-way ANOVA with repeated measures, and independent t-tests.The results showed that: The mean scores for repeated suicide attempt risk of psychiatric patients after receiving the Multi-channel Problem Solving Therapy Program were significantly lower at the 1-month and 3-month follow-up than at baseline, at the .05 level. The result of this study suggest that this program can be applied to care of psychiatric patient to reduce the risk of repeated suicide. For the sustainability of the result, further study should be extended to a longer period, such as 6 months or 1 year.

Factors Associated with Well - Being Based on Lifestyle Medicine Among Personnel in the Department of Health: Ministry of Public Health

Somreuthai Pollayut — 2026-05-06

This descriptive research study investigated personal factors, attitudes towards healthcare, access to services, and levels of well - being behaviors. Additionally, it examined factors associated with well – being based on lifestyle medicine among 213 personnel from the Department of Health, Ministry of Public Health. Data were collected using a questionnaire with reliability scores of .764 for attitudes towards healthcare, .903 for access to services, .762 for well - being behaviors, and .809 for the overall tool reliability. Data analysis involved basic statistical methods, including percentage, mean, standard deviation, and Pearson’s correlation coefficient to determine relationships.
The study found that the sample group exhibited high levels of positive attitudes towards healthcare (M = 4.04, SD =.37) and high levels of access to healthcare services (M = 3.82, SD =.72) but only moderate levels of well-being behaviors (M = 3.49 SD =.50). Furthermore, Attitudes towards healthcare were highly correlated with well-being behaviors (r = .531**, p < .001), while access to healthcare services was moderately correlated with well-being behaviors (r = .383**, p < .001).
Therefore, it is necessary to encourage Department of Health personnel to make appropriate behavioral changes for well - being behaviors in the areas of nutrition, physical activity, and sleep, so that they can continue to take care of their own health, their families, and the community.

Effects of Preparation for the Nursing and Midwifery Licensure Examination on Stress and Perceived Exam Readiness among Fourth-Year Nursing Students at the Faculty of Nursing, Mahasarakham University

Umaporn Kuasit — 2026-05-06

This quasi-experimental study aims to evaluate the effectiveness of a preparatory program on readiness and stress levels among fourth-year nursing students prior to the national nursing licensure examination. A total of 112 participants completed self-administered questionnaires measuring readiness and stress both before and after receiving program. Data was analyzed using descriptive statistics and paired t-tests. The results revealed a statistically significant improvement in students’ readiness scores after participation in the program (pre-test mean = 2.92, SD = 0.69; post-test mean = 4.91, SD = 1.22; t = -12.339, df = 68, p < .001), indicating the effectiveness of the program in enhancing exam preparedness. However, there was no statistically significant difference in stress levels before and after the program (pre-test mean = 2.71, SD = 0.92; post-test mean = 2.61, SD = 0.85; t = 0.683, df = 68, p = .497). These findings highlight the potential benefits of preparatory programs in improving readiness for licensure exams while emphasizing the need for additional strategies focused on stress management in nursing students.

Development of a Nursing Model to Prevent Hospital-acquired Pneumonia in Bedridden Elderly Patients at Pathum Thani Hospital

Nichapa Yonchoho — 2026-05-06

This research and development aimed to study the situation, develop a nursing model, and evaluate the results of using the nursing model to prevent Hospital-acquired Pneumonia among bedridden elderly patients at Pathum Thani Hospital. The purposive sample included three key informants, 43 professional nurses, and 142 bedridden elderly patients. The research was conducted in three phases: (1) Situation analysis, (2) Nursing model development, and (3) Evaluate the outcomes of nursing care models. The research instrument included (1) focus group, (2) nursing care model, (3) nursing practice questionnaires, (4) knowledge tests, (5) Self-efficacy perception questionnaires, and (6) satisfaction questionnaires. The content validity the instrument was verified by five experts, Content validity was verified with an Item Objective Congruence Index: IOC ranging from .8 to 1, with reliability coefficients of .95,.89,.93 and.95, respectively. Data were analyzed using descriptive statistics and a paired t-test.
The results revealed that the nursing model consists of three components: Assessment and surveillance of hospital-acquired pneumonia, nursing practice and nursing outcome. After using the hospital-acquired pneumonia assessment and monitoring scoring system, it reached the highest level. Nursing practice and Satisfaction with the nursing model were high level. The evaluation of the nursing model demonstrated a significant increase in mean knowledge and self-efficacy perception scores (p<.05) after implementation. No incidence of hospital-acquired pneumonia was found. In conclusion, the developed nursing care model effectively improved nurses’ knowledge, increase skills and confidence in preventing hospital-acquired pneumonia among bedridden elderly patients.

The Influence of Emotional Intelligence, Relationships, Communication, and Social Support on Intimate Partner Violence among Pregnant Women

Hongsavadee Yothathip — 2026-05-06

This predictive correlational research aimed to determine the predictive power of emotional intelligence, relationships, communication, and social support on intimate partner violence among pregnant women. The sample consisted of 216 pregnant women, aged 18-44 years, who received antenatal care at a hospital in Surat Thani Province, selected through accidental sampling. The research instruments comprised six questionnaires: 1) demographic characteristics, 2) marital life emotional intelligence, 3) marital relationship quality, 4) marital communication, 5) medical outcomes study: social support survey (MOS-SSS), and 6) abuse assessment scale (AAS). The content validity index (CVI) for these tools was .96, .95, .98, .84, .97, and .89, respectively, with a Cronbach’s alpha coefficient of .78. Data were analyzed by using descriptive statistics and logistic regression.
The results revealed that 21.8% of the participants experienced IVP. Emotional intelligence (ß = -.047, p < .05) and marital relationship (ß = -.047, p < .05) had a low-level negative influence, collectively predicting intimate partner violence by 14% (Nagelkerke R² = .14, p < .05). Marital communication and social support were not significant predictors of IPV (p > .05).
Recommendations: Emotional intelligence and marital relationship factors should be integrated into violence screening protocols. Furthermore, programs aimed at enhancing emotional intelligence and strengthening marital relationships should be developed to reduce intimate partner violence.

The Effects of Health Literacy Promoting Program on Weight Control Behavior and Body Weight Among Overweight Village Health Volunteers in Coastal Area.

Kornrawit Haosheng — 2026-05-06

The purpose of this quasi-experimental research was to compare the average difference between scores on weight control and body weight among public health volunteers in coastal areas. The sample group was from public health volunteers, aged 35-59 years with a body mass index greater than or equal to 23 kg/ m2 (BMI ≥ 23 kg/m2). The participants of this study were randomly selected, and the total volunteer was 60 people: the experimental group (30 people), and the comparison group (30 people). The experimental group received a 12-week health literacy program on weight control behavior to change eating habits and exercise then recorded the behavior in the action manual for weight control. The comparison group received knowledge about how to behave normally without any intervention. The researchers then collected data with a questionnaire on food consumption behavior and exercise behavior from the health education department, the correlation coefficient was ⍺=.88 and ⍺=.82. weight on the scale was measured before and after receiving the program. The data was analyzed by t-test. The results of the study found that after the experiment, the experimental group had statistically significant difference in weight control and body weight at (t= 13.75, p<.05), (t= 9.19, p=<.05), (t =2.37, p<.05). Therefore, community nurses can use this program to control overweight among health volunteers in coastal areas by using a 12-week implementation period. Moreover, health literacy should study and understand this program before using it and should be used to develop health literacy to complete all 6 skills.

The Development of a Family-Based Care Model for Homebound and Bedridden Elderly in the COVID-19 Epidemic Situation, Bang Krathum District, Phitsanulok Province

Primprapha Konkaew — 2026-05-06

This action research aimed to develop a family-based care model for homebound and bedridden older adults during the COVID-19 pandemic. The study comprised four phases: (1) situation analysis using questionnaires among 192 caregivers, in-depth interviews with 20 key stakeholders, and three focus group discussions; (2) model development through stakeholder brainstorming; (3) pilot implementation with 50 families; and (4) observation, evaluation, and reflection. Results indicated that caregivers possessed good knowledge of COVID-19, with high perceived susceptibility, severity, and benefits, but low perceived barriers, leading to good preventive behaviors (86.5, 94.3, 79.2, 88.5, 51.0, and 88.5 percent respectively). Nonetheless, some family members did not wear masks at home or shower immediately upon returning. The developed model emphasized enhancing caregivers’ knowledge and skills, utilizing communication technology, supporting protective equipment, and engaging community resources. After implementation, caregivers demonstrated improved knowledge and caregiving competencies, and no COVID-19 infections were detected among older adults. The findings highlight that family and community participation are essential in supporting care for homebound and bedridden older adults, particularly during health crises. Health service organizations should therefore promote the continued application of family- and community-based care models to strengthen preparedness and resilience in future public health emergencies.

Factors for Predicting Fall Among the Older Adults in Chanthaburi Province

Panun Kanokwongnuwat — 2026-05-06

This study investigated the factors predicting falls among older adults in Chanthaburi Province. The sample consisted of 550 older adults selected through multi-stage random sampling from elderly clubs across 10 districts. The majority were female (84.5%), aged 70–79 years (48.7%), and had a nutritional status above the normal range (57.8%). Overall, the participants demonstrated a low level of fall risk (mean score = 3.30 out of 11), the prevalence of falls within the preceding six months was 14.5%. The findings revealed that fall risk was significantly and positively correlated with the presence of chronic diseases (r = .193, p < .01), history of falling within six months (r = .529, p < .01), gait and balance function (r = .235, p < .01), and sex (r = .096, p < .05). Multiple regression analysis indicated that fall history within six months (β = .636, p < .001), gait and balance (β = .209, p < .001), chronic diseases (β = .108, p < .001), and sex (β = .061, p < .05) were significant predictors of falls among older adults. These variables collectively explained 51% of the variance in fall risk (R^² = .510, Adjusted R^² = .506, F = 141.699, p < .001). The findings highlight the importance of developing effective screening systems and promoting balance-enhancing exercise programs to prevent falls among older adults in Chanthaburi Province. The study found that fear of falling and depression were not significant predictors of fall risk among the elderly. Consequently, these findings should be integrated into the clinical screening processes for older adults.

The Effects of Oral Care Nurse’s Competency Promoting Program of Intubated Patients in Medical Step-Down Unit

Sutinee Manasatjatham — 2026-05-12

This quasi-experimental research, using a pretest-posttest control group design, aimed to study the effects of oral care nurse’s competency promoting program for patients with endotracheal tubes in a medical intermediate care unit. The study compared the oral health scores of the experimental and control groups and also compared the nurses’ oral care practice scores before and after participating in the program. The sample group consisted of 14 professional nurses and 60 patients with endotracheal tubes, divided into an experimental group and a control group, with 30 patients in each group. The control group received standard oral care, while the experimental group received a competency promotion program developed by the researchers. The research instruments included 1) the Bedside Oral Exam (BOE) tool, 2) a nursing practice evaluation form and 3) a patient demographic data recording form. Data were analyzed using chi-square, Fisher’s exact test, and t-test. The research findings revealed that (1) after receiving the program, the experimental group had significantly better oral health scores compared to the control group (p <.05). (2) The nursing practice scores after participating in the program were significantly higher than before participating (p < .05).

Real-Life Lung Cancer isn’t as Scary as You Think: Conquers It with Self-Care

Bampen Phongphetdit — 2026-05-06

Self-care for lung cancer patients involves taking care of one’s own health. In real life, individuals know themselves and can take care the best care for themselves. Self-care is the practice of taking care of one’s health to be safe from disease that is done in order to dealing with the problem or solve it. Health problems; own body that was born so that they can take care of themselves reduce risky activities of the body, be able to practice or act to bring the maximum benefit to oneself in life. Learning and remembering activities in which individuals make their own decisions and actions, to meet their own needs in health promotion disease, prevention, nursing care and rehabilitation to be able to live in a normal life: there are 3 levels of self-care in cancer patients according to their ability to take care of themselves: 1) Basic abilities and qualifications; in order to know (Knowing) and to act (Doing) according to 2) 10 Powers of self-care abilities, namely self-interest and care, the ability to control one’s own physical energy, completing ongoing self-care practices, ability to use reasoning, motivation, decision-making skills, have the ability to seek knowledge, skilled in cognitive and intellectual processes, building relationships with others to adjust self-care practices, have the ability to organize self-care and 3) The ability to perform self-care, anticipating, adapting and implementing physical, mental, spiritual, and social affects the body to be able to control the deviated return to normal, have a long life and happy life.

Integrating Artificial Intelligence into Nursing Processes: Approaches to Enhancing Patient Care Efficiency

Bhurinut Punpeng — 2026-05-06

Abstract
In the 21st century, Artificial Intelligence (AI) has played a pivotal role in healthcare and nursing services, as it enables rapid processing and analysis of large volumes of data. AI has become a valuable tool for enhancing the quality of patient care and improving the efficiency of nursing personnel. However, the integration of AI into nursing processes requires clear guidelines that are consistent with ethical principles, with particular emphasis on patient safety, data privacy, and equitable access to services. These considerations are essential to building trust among both patients and healthcare providers. The purpose of this article is to propose approaches for integrating AI into the five steps of the nursing process, as well as to analyze the supporting factors and barriers to the implementation of AI in nursing practice.

Keywords: Artificial Intelligence, Nursing process, Patient Care Efficiency

Modern Nursing Approaches in Dobutamine and Exercise Stress Echocardiography : Safety, Monitoring, and Patient Care

Hatairat Meuandee — 2026-05-06

Stress echocardiography, using dobutamine or exercise modalities, is a widely used noninvasive method for evaluating myocardial ischemia, viability, and cardiac function. Nurses play a central role in ensuring patient safety, effective monitoring, and optimal outcomes throughout the procedure.
This review highlights modern nursing approaches with an emphasis on patient-centered care. Pre-procedural responsibilities include thorough patient assessment, education, preparation, and equipment readiness. During the examination, nurses continuously monitor vital signs, identify adverse reactions early, and collaborate closely with physicians and sonographers to ensure prompt intervention. Post-procedural care focuses on recovery observation, symptom management, and patient education to prevent delayed complications. Technological advances—such as automated ECG monitoring, ultrasound enhancement agents, and digital data systems—have expanded nursing roles in precision care and quality assurance. Ongoing education, competency development, interdisciplinary teamwork, and adherence to evidence-based protocols are essential for maintaining high standards of nursing practice as stress echocardiography continues to advance.

Strategies for Enhancing Ethical Behavioral Competencies among Baccalaureate Nursing Students in VUCA world

Karuna Wongtienlai — 2026-05-06

The contemporary world is undergoing a period of profound “disruption,” characterized by rapid advancements in information technology, seamless global communication, and exponential leaps in medical science. These transformative shifts have not only reshaped societal lifestyles but have also directly escalated the complexity of healthcare delivery systems. Consequently, frontline nursing professionals are no longer expected to possess merely technical proficiency or “hard skills.” In this volatile era, “professional ethics” has emerged as a paramount pillar a fundamental cornerstone for ethical decision-making and the provision of humanized care. The challenges of the 21st century including the influx of unfiltered digital information, heightened public expectations for healthcare services, and the integration of Artificial Intelligence (AI) within health systems have significantly influenced the ethical socialization of nursing students. Empirical evidence suggests that the new generation of nursing students (Gen Z) possesses distinct learning paradigms and value systems compared to their predecessors. As a result, traditional passive, lecture-based pedagogical models may be insufficient for fostering a robust “moral conscience” capable of withstanding contemporary environmental pressures.
Therefore, nursing educational institutions must recalibrate their “strategies for enhancing ethical behavior” to ensure contemporary relevance and efficacy. This necessitates an integrated approach that harmonizes theoretical frameworks with active learning methodologies, such as high-fidelity clinical simulations, structured reflective practice, and the reinforcement of ethical role modeling by nursing faculty. Such initiatives aim to instill a profound sense of social responsibility, professional integrity, and the capacity to navigate multifaceted ethical dilemmas with professional grace and resilience. This article, therefore, seeks to present critical strategies and frameworks for the development of ethical behavior in nursing students. The ultimate goal is to equip future nursing professionals with the requisite quality and moral fortitude to navigate the uncertainties of the global landscape sustainably

The Role of Nursing Assessment and Management for Patients with Hyperactive Delirium in Medical Critically Ill Patients

Yenjit Pipatpong — 2026-05-06

Delirium is common among critically ill medical patients, particularly older adults and those receiving mechanical ventilation. It causes acute, fluctuating disturbances in consciousness, cognition, and attention and is associated with adverse outcomes. Hyperactive delirium is especially challenging because patients may become agitated, aggressive, experience hallucinations, or attempt to remove medical devices, increasing the risk of injury, unplanned device removal, and the need for physical restraints or sedatives. This academic article highlights nurses’ roles in assessing and managing hyperactive delirium through systematic, regular assessment and holistic care based on the ABCDEF bundle. Key components include effective pain management and appropriate analgesia/sedation, non-pharmacological strategies to reduce triggers, early mobility, and family engagement. Implementing a structured nursing approach may reduce practice variation and enhance patient safety, dignity, and quality of care in the medical intensive care unit.