Journal of The Royal Thai Army Nurses https://he01.tci-thaijo.org/index.php/JRTAN <p>วารสารพยาบาลทหารบกเป็นวารสารวิชาการและงานวิจัยที่เกี่ยวข้องกับการพยาบาล การศึกษาพยาบาล การส่งเสริมสุขภาพ สาระในวารสารพยาบาลทหารบก บทความวิชาการ บทความวิจัย บทความพิเศษ และปกิณกะ ซึ่งแต่ละฉบับอาจมีเนื้อหาดังกล่าวหลากหลายที่แตกต่างกันไปจัดพิมพ์เผยแพร่ปีละ 3 ฉบับ มกราคม-เมษายน พฤษภาคม-สิงหาคม กันยายน-ธันวาคม</p> <p><span style="font-size: 110%;"><strong>ISSN 1513-5217 (Print) </strong></span></p> <p><span style="font-size: 110%;"><strong>ISSN 2651-2181 (Online) </strong></span></p> วิทยาลัยพยาบาลกองทัพบก en-US Journal of The Royal Thai Army Nurses 1513-5217 <p>บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย</p> <p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก</p> <p><span class="fontstyle0">The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those<br>of the editor or Royal Thai Army Nurses Association.</span></p> The Effect of Gender and Age range Differences in older people on The Emotional Valence of Thai Words, Picture and Digitized Sounds https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256108 <p>The purposes of this research were to design experimental activities of looking at Thai words, image and listening to digitized sounds which stimulated emotional valence of the older people and study the emotional, behavioral impression while looking at Thai words Pictures and listen to the digital sound that evokes the impression of being classified by gender and age range. The sample were older people living in Nong Suea district community, Pathumthani Province, 80 people. The instruments used in this research consisted of the activities of looking at Thai words, Picture and listening to digitized sounds which consisted emotional valence, Self-Assessment Manikin (SAM) The data were analyzed by Two-Way ANOVA.</p> <p>The research results were as follows: 1. The activities of looking at Thai words, Picture and listening to digitized sounds consisted of 3 blocks; each block of 10 stimulus which were Everyday life, Nature view and the characteristics of art and culture Thai words Pictures and listen to the digital sounds. 2. The gender differences of the older people had no influence on looking at Thai words, Picture and listening to digitized sounds. 3. The early old age showed Daily life and the characteristics of art and culture more than middle old age with satistically significant at .05 level. It may be concluded that there was emotional valence; satisfied difference while older people with different Age range were looking at Thai words, image and listening to digitized sounds on emotional valence; satisfied. Suggestion This study should be conducted in conjunction with Event Related Potential. This is a deep study of how the brain functions and changes the EEG.</p> Phatcharaphan Chaiyasung Rutshaporn Sridet Kiattisak Sangpradit Watchara Damjuti Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 80 99 Health Literacy Regarding Health Promoting Behavior Guidelines of Nursing Students at Boromarajonani College of Nursing, Phayao https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241387 <p>This descriptive research aimed at assessing health literacy regarding health promoting behavior guidelines and identifying factors influencing health promoting behaviors of nursing students at Boromarajonani college of Nursing Phayao. Participants were 442 nursing student who study level 1-4 at Boromrajonani college of nursing Phayao. Research questionnaire composed of health literacy, health promoting behaviors regarding health promoting behavior guidelines. Descriptive statistic was used to analyze demographic data. To compare mean difference of health literacy among the first- to fourth- year nursing students by using One-Way ANOVA statistic as well as Multiple regression analysis was used to identify factors influencing to health literacy.</p> <p>The research revealed that nursing students had overall health literacy at moderate level. Overall health literacy compared among the first- to four- year students was statistical difference (p&lt;.05). Three factors were significant influencing to health literacy; year level, health behaviors and Self-Directed Leaning Readiness.</p> Donnapa Chaisombut Buaban Yana Supattra Thawee Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 90 100 Factors Predicting for Learning Achievement in Community Health Nursing Practicum of Nursing Students at the Private University in Nakhon Ratchasima Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250737 <p>The objectives of this research were to study the student factors, family factors, teaching and learning factors for predicting learning achievement in Community Health Nursing Practicum of Nursing Students at the Private University in Nakhon Ratchasima Province. The samples were 100 fourth year nursing students in academic year 2018 who was met the inclusion criteria for purposive sampling. The research instruments were the factors affecting learning achievement in community health nursing practice of nursing student questionnaires. The index of item objective congruence (IOC) was 0.67-1.00. The reliability of the questionnaire was 0.86. Data were analyzed by mean, standard deviation, Pearson’s Product Moment Correlation, and multiple regression analysis.</p> <p>The research findings showed that the factors related to the learning achievement in Community Health Nursing of Nursing Students were the attention of the parents to the students during the practice, self-discipline, age, and motivation for learning achievement. The positive correlation with the students’ academic achievement was statistically significant at the .05 level (r = .253, .257, .263 and .432). The factors predicting for learning achievement in community health nursing practice of nursing students which statistically significant were age, achievement motivation in learning, and the attention of parents to students during the practice. These three factors were predicted the learning achievement of Community Health Nursing Students by up to 24.5 percent (p &lt; .05).</p> Chakkrit Phukjit Orapun Udomporn Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 101 110 Nurse’s Lived Experiences in Caring for COVID-19 Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252255 <p>Heidegger’s Qualitative Phenomenology Interpretation Research aimed to describe the experiences of nurses in caring for COVID-19 patients. The participantswereselected by purposive sampling as professionalnurses with directexperience in caring for 12 COVID-19 patients. The instruments were 1) the personal data record form 2) the semi-structured interview form, created by the researcher and reviewed by 3 experts and taken in a pilot study with 2 qualified informants to determine the appropriateness of the question line and improve the questions before applying to practice, 3) the field record form, 4) the reflection record form, and 5) voice recorder 1 set. Data were collected by in-depth interviews and analyzed byVan Manen’smethod.Trustworthiness was established by followingLincoln and Guba’s criteria.The results showed that Nurses’ life experiences in caring for COVID-19 patients can be divided into 5 main themes as follows: 1)Definitions of COVID-19 2) The management of care for patients withCOVID-19 3) The principles of nursing for COVID-19 4) The impact of caring for COVID-19 patients and 5) Supporting in caring for COVID-19 p<span class="fontstyle0">atients.</span></p> Waraporn Srijanpal Somsri Thatan Kanjana Sajai Chontima Pinsakul Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 111 120 Model Development of Nursing Manpower Management in Inpatient Department https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256136 <p>The objective of this research and development was to develop a model of nursing manpower management in Inpatient department. The research involved 7 research participants from the nurse administrators and 50 randomly nurses. It was implemented Mahdjoubi (2009) as a research methodology. Quantitative and qualitative data were collected using mixed methods. The instruments used consisted of two parts 1) the research instrument which were manual of nurse’s working hour management and scheduling program 2) the data collection instruments comprising survey form and discussion guidelines, the model results recording form, and the questionnaire as well as the evaluation form of the model which Cronbach’s alpha coefficient were 0.93 and 0.76. All instruments were checked for content validity. The data were analyzed by using descriptive statistics and content analysis.</p> <p>The results showed that the model consisted of policy, nurse’s working hours management manual and scheduling program. Managing consisted of 4 strategies: Standard Nurses’ Working Hours Management, Nursing task review, Nursing skills mix, and Clinical supervision. The results after model implementation showed that the nurses’ opinion to the model were at a high level. Most of the patient safety indicators and nurse working hours improved in all wards. Average of nurse’s working hours reduced from 66.8 to 52.5 hours per week.</p> Sirima Leelawongs Sophis Suwonkesawong Somporn Plucktaweesak Kanogporn Jamsomboon Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 121 130 A Study of The Age-Friendly Characteristic Services https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242448 <p>The purpose of this research was to study the age-friendly characteristic services. The Delphi technique was used in this study. Participants were 19 experts including 2 hospital directors involved in setting up management policies within the hospitals, 5 directors of nursing or deputy directors of nursing, 5 nursing managers, 5 registered nurses at practitioner level, and 2 architects in the field of environmental design for the elderly. The research methodology was divided into 3 steps. The first dealt with interviewing the experts about the age-friendly characteristic services, the second writing a questionnaire based on the interviews before asking the experts to complete it, and the third the analysis of the data obtained from the second step translated into mathematical terms: mean and interquartile range. The experts were asked to complete the revised questionnaire whose data were analyzed and translated into the same mathematical terms.</p> Paparvarin Ratthavitsophon Gunyadar Prachusilpa Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 131 139 The Effects of Virtual Reality Learning Program on Attitudes and Confidence in Managing Patient Aggression of The Royal Thai Army Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251364 <p>This study is a quasi-experimental design with a posttest-only design with nonequivalent groups that aims to study the effects of a virtual reality learning program on attitudes and confidence in managing patient aggression of the Royal Thai Army nursing students. The virtual reality program simulates a learning situation regarding aggressive patient management. The samples were nursing students of the Royal Thai Army Nursing College. The research instrument used for conducting data included attitude and confidence measurements towards managing patient aggression. The data was analyzed using percentages, means, standard deviation, and independent t-test. The results displayed that the attitude’s mean score in managing patient aggression amongst the group who received the virtual reality program was moderate level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 3.67, SD = 0.39) and the mean score of the general learning group was moderate level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 3.02, SD = 0.24).The comparison between groups pointed out that the students using the virtual reality learning program obtained a higher attitude score than the general learning group, with statistical significance at level .05. The mean score of confidence in the virtual reality program group was uncertain level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 3.63, SD = 0.62) and the mean score of the general learning group was uncertain level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 3.16, SD = 0.36). The comparison between groups pointed out that the students using the virtual reality learning program obtained a higher confidence score than the general learning group, with statistical significance at level .05. This study indicated that the virtual reality learning program for managing patient aggression can effectively enhance the students’ attitudes and confidence in aggressive patient management.</p> Yada Nuilers Sarintorn Chiewsothorn Raveewon Injui Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 140 149 The Effect of Moving with Awareness Meditation to Happiness of Register Nurses in Female Medical Ward Chaiyaphum Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246018 <p>This one group pre-posttest quasi-experimental research design had aimed to study the effects of Moving with Awareness Meditation to Happiness of Register nurses. Thirty register nurses in Female medical ward Chaiyaphum Hospital were selected to participate in this study. Research instruments composted of 1) the personal data questionnaire 2) Thai Happiness Indicators 15 3) Moving with Awareness Meditation program by Luangphu Thian which were verified the content validity by three experts and Thai Happiness Indicators 15 used Cronbach’s Alpha coefficient reliability formula for reliability value was .70 Data were analyzed by using descriptive statistics and paired t-test. The study revealed that after implementing the Moving with Awareness Meditation program by Luangphu Thian, the scores of happiness after practice higher than before practice with statistical different significance at p &lt; .05</p> Parichat Yatniyom Sudchai Chamchumrat Sangnapa Baramee Khemika Napattaradechanon Sarinthorn Mungkhamanee Sarunya Kitpanich Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 150 158 The Development of Clinical Nursing Practice Guideline for the Patients under Investigation and/or Infected with Coronavirus 2019 (COVID -19) in Emergency Department https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250984 <p>The purposes of this research and development study were: 1) to develop a clinical nursing practice guideline for the patients under investigation and/or Infected with Coronavirus 2019 (COVID -19) in emergency department and 2) to evaluate the developed clinical nursing practice guideline for the patients under investigation and/or Infected with Coronavirus 2019 (COVID -19) in emergency department at Faculty of Medicine Vajira Hospital, Navamindradhiraj University. The samples were 30 registered nurses who worked with the patients under investigation and/or Infected with Coronavirus 2019 (COVID -19). The research tools were composed of: 1) the developed clinical nursing practice guideline for the patients under investigation and/or Infected with Coronavirus 2019 (COVID -19) in emergency department. 2) focus group questionnaire. 3) in depth interview questionnaire. and 4) feasibility of CNPG questionnaire. The content validity indexes of these tools were 1.00 1.00 1.00 and 1.00.</p> <p>The results are as follows. 1) The developed clinical nursing practice guideline for the patients under investigation and/or Infected with Coronavirus 2019 (COVID -19) in emergency department at faculty of medicine Vajira hospital, Navamindradhiraj university consisted of 5 steps as follows: Step 1 Prevention of COVID-19 Step 2 Triage step 3 Nursing management (Primary Survey) Step 4 Assessment of COVID-19 and Step 5 Outcomes assessment (Re-evaluation) 2) The results of applying found that 2.1) Feasibility of The clinical nursing practice guideline was at a high level (mean 2.83 SD 0.36) 2.2) There was no incidence of registered nurses in emergency department infected with COVID-19. Therefore it can be further used as the CNPG in the emergency department for prevention of COVID-19 infection.</p> Pongphol Khongsaman Juntra Jinda Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 159 168 The Predictors of Organizational Effectiveness as Perceived by Nurses in Affiliated Hospitals of Kunming Medical University, the People’s Republic of China https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256140 <p>This predictive research aims to examine the predictors of organizational effectiveness as perceived by nurses in affiliated hospitals of Kunming Medical University, the People’s Republic of China. The participants included 410 nurses. The research instruments were composed of the Leadership Practices Inventory, the Organizational Culture Profile, and the Organizational Effectiveness Questionnaire. The Cronbach’s alpha coefficients of these instruments were .97, .96, and .94, respectively. Data were analyzed using descriptive statistics and binary logistic regression analysis.</p> <p>The results revealed that nurses perceived organizational effectiveness at a moderate level. Transformational leadership (OR = 1.82, 95% CI = 1.22-2.73), and three components of organizational culture including performance orientation (OR = 4.09, 95% CI = 1.81-9.22), innovation (OR = 2.10, 95% CI = 1.06-4.15), and stability (OR = 2.23, 95% CI = 1.23-4.04) could explain 39.00% of variability in organizational effectiveness (Nagelkerke R2 = .39). The results of this study provide basic information for improving organizational effectiveness by developing head nurse’s transformational leadership and organizational culture.</p> Peng Cen Kulwadee Abhicharttibutra Orn-Anong Wichaikhum Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 169 176 Effectiveness of a Program Promoting Behaviors Exercise of Leg and Knee Muscles to Recovery in Patients with Total Knee Arthroplasty https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241927 <p>The purpose of this research was to investigate the effectiveness of a program promoting behaviors exercise of leg and knee muscles to recovery in patients with total knee arthroplasty. The sample consisted of 20 patients undergoing total knee arthroplasty. The sample was assigned into two groups: the experimental group (n = 10) and the control group (n = 10). The research instruments for data collection were the questionnaire on general information, range of motion record which examination for quality by four experts. The Reliability of questionnaire on perceived self-efficacy of exercising leg and knee muscles, questionnaire on outcome expectation of exercising leg and knee muscles, questionnaire on social support, questionnaire on behaviors of exercising leg and knee muscles and the questionnaire on recovery after total knee arthroplasty were .88, .92, .86, .91 and .94</p> <p>The results found that the both groups had higher perceived self-efficacy and outcome expectation of exercising leg and knee muscles than before experiment. Furthermore, there were the statistically significant differences in behaviors of exercising leg and knee muscles, social support, recovery after total knee arthroplasty and average knee flexion for both groups in after experiment. (p&lt;.05).</p> Chatvilai Prateepajitti Nutthakritta Sirisopon Alisa Nititham Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 177 186 Prevalence and Severity of Low Back Pain in Nursing Personnel in a Hospital in Bangkok Metropolitan Administration https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242409 <p>This descriptive cross-sectional research aimed to study prevalence and severity of low back pain in nursing personnel in a Hospital in Bangkok Metropolitan Administration. The samples were 321 nursing personnel using stratified random sampling. The research instruments used for data collection consisted of questionnaires and low back pain severity assessment form. The descriptive statistics were implemented for data analysis to explain prevalence and severity in low back pain.</p> <p>The results indicated that 54.5% of the samples had prevalence in low back pain during previous 7 days. The prevalence in low back pain during previous 12 months was 60.4%. For the severity of low back pain, results during previous 7 days and 12 months, was found 7.8% and 7.5% of personnel had severe low back pain level during previous 7 days and 12 months accordingly. Considering the personal factors and job description, the higher low back pain prevalence and severity level were found in males, overweigh personnel, patient care personnel, and other personnel who worked in a surgical or medical ward. Furthermore, it also indicated that personnel who stand worked over 8 hours per day had higher prevalence and severity level in low back pain than other personnel.</p> Natthapong Srisukkho Pipat Luksamijarulkul Sitthipan Chaiyanan Nartnutda Morakotsriwan Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 187 197 Guidelines for the Development of Integration Intelligences Quality of Life of the Elderly in Bang Sai Subdistrict, Mueang District, Chon Buri Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241552 <p>This research is a mixed method study. The purpose to study the Integration Intelligences quality of life of the elderly and guidelines for the development of Integration Intelligences quality of life of the elderly in Bang Sai Subdistrict, Mueang District, Chonburi Province. The population studied is the elderly at Bang Sai Sub-district, Mueang District, Chon Buri Province. During October 2018 to March 2020, the researcher conducted the research into 2 phases, divided into Phase 1, survey research and Phase 2, qualitative research. The research tool consisted of questionnaires and focus group interview form. Data were analyzed by descriptive statistics, Priority Needs Index (PNI modified) and content analysis.</p> <p>The results showed that Integration Intelligences quality of life of the elderly it is at a high level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 84.93, SD. = 21.66). Guidelines for the development of Integration Intelligences quality of life of the elderly in Bang Sai Subdistrict, Mueang District, Chonburi Province are as follows: 1) Establishing a school for the elderly, Buddhist way, 2) Organize sports-related activities for the elderly 3) Organize activities for the elderly to volunteer for young children and 4) Organize activities to make merit and observe the Buddhist Era every day.</p> Suriya Fongkerd Sroungtip Pookitsana Supara Himananto Busara Suksawat Seubtrakul Tantalanukul Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 198 207 Health Literacy and Factors associated with Health Promoting Behaviors among Middle-Aged Population, Bangkok https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247106 <p>Prawet, Bangkok, is a semi-urban community that is home to a large number of businesses and middle-aged people. Health literacy is also an important factor for good health. This study was aimed at learning about the relationships and predictive factors of health promotion behaviors in middle-aged people. The study relied on the PRECEDE Model for its conceptual framework. Data were collected by the use of questionnaires on 349 middle-aged persons aging from 40-59 years.</p> <p>The study found that the subjects overall had a moderate level of health promotion behaviors and moderate health literacy (Mean = 107.1, S.D. = 17.6) (Mean = 72.0, S.D. = 18.4). Predisposing factors (personal factors, attitude toward health promotion, and health literacy), enabling factors (exercise equipment in the community, exercise facilities in the community, sources of healthy foods in the community, perception of Prawet’s health promotion policy and perception of the community’s health policy), and reinforcing factors (support from family members, neighbors, public health volunteers and health personnel) were correlated with health promotion behaviors with statistical significance (p &lt; 0.001), while the factors capable of predicting health promotion behaviors consisted of health literacy, health understanding, decision-making skills and self-management skills (predisposing factors); perception of the community’s health policy (enabling factor); and support from public health volunteers (reinforcing factor); they were able to achieve co-prediction by 61.1% (R2 = .611, p&lt;.001) (β = .308, .187, .179, .133 and .106). The findings of this study offer this health promotion recommendations: Activities should be organized to develop health literacy in decision-making and self, while the capabilities of public health volunteers in promoting health literacy should also be promoted, and structured participation in review and specification of community health policies should be encouraged.</p> Chanidapa Piayia Tassanee Rawiworrakul Kwanjai Amnatsatsue Plernpit Boonyamalik Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 208 216 The Correlation Between Self-Management and Happiness Levels of Heart Disease in The Community-Dwelling Old Population of Phetchaburi Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240567 <p>The purpose of this study to analyze the relationship between self-management and happiness levels of heart disease in the community-dwelling old population of Phetchaburi Province. The subjects of this study were older people with heart disease who have been diagnosed by doctors, both male and female, who live the community-dwelling of Phetchaburi province by random sampling in 88 cases. The participants were asked about demographics, medical histories, self-care management of heart disease, level of happiness. Descriptive statistics, chi-square, Pearson correlation were used for analysis.</p> <p>Finding: Self-management of the older people with heart disease was a fair level (mean = 34.93, S.D. = 8.21) and the happiness was a moderate level (mean = 91.87, S.D. = 10.66). For each component of self-management, the result revealed that every component significantly correlated with happiness at .001 level. Self-management was a significantly positive relationship with the happiness in older with heart disease at p .01 level (r = .624). Therefore, effective self-management will help the older with heart disease improve the quality of life.</p> Nonglak Klinpudtan Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 217 225 The Relationship between The Physical Fitness and Injuries among the Participants of Basic Air Borne Course https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246951 <p>The Objective of this study was to investigate the association between baseline physical fitness level and military static-line parachute injuries in basic airborne trainees of the Special warfare school. A prospective cohort study was conducted among 1,375 military personnel who attended the airborne training program of the Royal Thai Army during 2020. Data about 5 physical fitness tests (2-mile running, 2-minute sit up and push up, pull up, and 100-meter swimming), personal demographics and health histories were collected at baseline, while the occurrence of static-line parachute injuries were observed during five rounds of parachute jump after the ground training. Associations between baseline physical fitness tests and subsequent parachute injury were determined by analyzing Multi-level Poisson Regression and using the Incidence Rate Ratio (IRR) and 95% confidence interval (95%CI) as the risk measure.</p> <p>Result showed that the incidence rate of parachute injury was 34.40 per 1,000 jumps (95%CI: 30.16-39.24). Lower level of 2-mile running capacity was significantly related to the injury [Adjusted IRR (95%CI): 1.75 (1.52-2.00)]. Conclusion, Baseline running fitness level associate with military static-line parachute injuries in basic airborne trainees.</p> Kasinpiti Naprasith Thanapoom Rattananupong Wiroj Jiamjarasrangsi Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 226 236 Transformative Learning for Humanized Nursing Care Behavior of Nursing Students for Severe Psoriasis Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241474 <p>This study was the Qualitative research. The purpose of this research was to study the composition and procedure for transformative Learning for humanized nursing care behavior of nursing students. The participants were the 30 of third-year nursing students. These students were practiced to care the severe psoriasis disease. The data were collected by field notes, observe as participant, nursing practical behaviors, reflection writing of the students, nursing care conferences and Non-Structured interview about transformative learning affected of humanized health care behaviors. The analysis of data was using content analysis and examine the correction of core consistency analysis with the participants. The results showed there were the factors that affected the transformative learning for humanized nursing care. They consisted of: 1) The good role models in nursing practice were the important components of learning. 2) The humanized nursing care behaviors were affected by deep listening, perceive patients suffering, Don’t judge and bias for the patient behaviors, put yourself in their shoes, realizing the values of work and perception how it value to the others. Moreover, the creative activities were designed based on the understanding of patients’ problems. These activities led to humanized nursing care.</p> Kamolnicha Anan Thanyaporn Bualuang Yuree Chaopipat Pimrat Tokun Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 237 246 The social support on grief of maternal after pregnancy loss https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245409 <p>The Quasi-experimental study aimed to describe the effect of the social support care model on grief among women who experienced termination of pregnancy. The one group pre-post test design was applied to conduct this research. Twenty women who experienced termination of pregnancy due to fetal conditions admitted in the gynaecological care ward, Maharat-Nakhon Ratchasima hospital were included in the study. All received the developed social support care model during stayed in the hospital. Collecting data by questionnaire related to personal information and grief scores, provided grief assessment at pre-intervention and two times post-intervention; before discharge and 2 weeks after terminating of pregnancy. Descriptive statistics and statistical tests of difference were performed in data analysis. The result revealed that women’s grief scores after providing social support care model were significantly statistical lower than pre-intervention (p-value &lt;0.05).</p> Nantida Pheawhronburee Buntom Jaisamran Nonglak Muachabok Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 247 254 Effects of A Self-Efficacy Program using Tai Chi to Prevent Elderly Fall in Flat Communities https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256190 <p>This quasi-experimental research aimed to explore the effects of a self- efficacy program using Tai Chi to prevent elderly fall, on leg muscle strength and balance; among the elderly in flat communities. The sample was 60 of males and females aged 60 - 69 years, randomly selected into the experimental group and the comparison group, 30 per each. The experimental group received the self-efficacy program using Tai Chi. Data collected by using interview questionnaires, testing leg muscle strength, and balance. Data analyzed by using descriptive statistics, Chi-square, and t-test. The result showed the experimental group had significantly higher mean posttest scores for perceived self-efficacy in exercising, exercise outcome expectation, and exercise practices than pretest. Leg muscle strength and balance were better than at pretest with statistical significance at p-value &lt; .01. The mean of different scores of perceived self-efficacy in exercise, exercise outcome expectation, exercise practices, leg muscle strength, and balance were higher than the comparison group with statistical significance at p-value &lt; .01.</p> Rutairat Moonong Sunee Lagampan Tassanee Rawiworrakul Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 255 264 Attitudes, Subjective Norms, Perceived Behavioral Control, and Intentions to Food Consumption Behaviors Among Older Persons with Uncontrolled Diabetes https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246000 <p>This research was aimed to study the relationship between attitudes, subjective norms, perceived behavioral control, and intentions to food consumption behaviors among older persons with uncontrolled diabetes. The sample consisted of 197 older adults diagnosed with uncontrolled diabetes attending the health promotion hospital in Muang District, Nakhon Ratchasima Province, from July to August 2020. The sample was purposively selected based on the inclusion criteria. The assessment tool measured 4 aspects: attitude, subjective norm, perceived behavioral control and intention to food consumption behaviors. The validity and reliability of these instruments were approved prior to data collection. Data were analyzed using descriptive statistics, and Spearman’s rank correlation coefficient.</p> <p>The findings were indicated a significant positive relationship between attitudes, subjective norms, and perceived behavioral control with intentions to food consumption behaviors among older persons with uncontrolled diabetes (p &lt; .05, r = .342, .417, and .216 respectively). Thus, the findings can be used as information for health personal to promote food consumption behaviors among older persons with uncontrolled diabetes.</p> Winut Duangsanjun Pathitta Suangpho Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 265 273 Enhancing Older Adults’ Health Promotion Activities by using Community-Based Participation https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250101 <p>Older adults’ health promotion behaviors are most important challenge concern for many societies. The studying purpose was to investigate health promotion activities of older adults by using community-based participation. The Ottawa Charter for health promotion was used as a studying framework. Sixty-six older adults from communities in central Thailand were randomly allocated to the study. The 13-item questionnaire was administered to assess demographic data. Open-ended questions were used to assess the opinion of participants about the situations and participating in health promotion. Data from participation observations and focus groups were analyzed using the content analysis.</p> <p>The findings were organized by three main themes in enhaceing health promotion activiies, namely pursuing comprehensive planning, promoting community engagement and prioritizing the older adults’ needs. Thease activities were performed through health constitution, promoting built environment modification, enhancing personal skills, and reorientation of health services by responding the needs of older adults are the main success of health promotion. The community empowerment by fostering the community ownership, social support and participation are essential requirements for sustainable health promotion behavior change. This studying had unexpected benefits, including more integrated community engagement, increased knowledge, greater awareness and understanding of the importance of health promotion participation among older adults. Findings provide data-based for community nurses to develop interventions to improve community participation in changing health-promoting behaviors.</p> Ubolwanna Reunthongdee Yupa Jewpattanakul Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 274 282 Effects of Health Volunteer’s Capacity Building based on Knowledge and Skills in The Use of Basic Drugs https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250214 <p>This quasi-experimental research. The aim was to investigate the impact of the village health volunteers learning development program on knowledge and skills in the use of basic drugs. Select a Purposive Sampling. The village health volunteers total 60 subjects were a control group of 30 subjects and an experimental group of 30 subjects. Sam Khok sub-district Pathum Thani Province Tools was used as a program to develop the learning potential of village health volunteers in knowledge and skills in basic drug use Knowledge and Skills Assessment Form for Basic Drug Use General Data Analysis with Percentage Statistics Mean and Standard Deviation Statistics Paired t-test.</p> <p>The results of this study showed that the effect of village health volunteers learning potential development program on knowledge and skills in basic drug use The experimental group had higher knowledge and practical skills than before receiving the village health volunteers learning potential development program on basic drug use knowledge and skills and was statistically significantly higher than the control group. (p&lt;.05)</p> Rutshaporn Sridet Phatcharaphan Chaiyasung Piyawan Phianpailoon Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 283 291 Active Aging Preparation for Thai Nurses Educator in Ministry of Higher Education, Science, Research and Innovation https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245727 <p>This qualitative research explored the meaning and component of active aging preparation for education nurses. Data were collected using in-depth interview and focus group discussion and were analyzed by using thematic analysis. Result revealed that educator nurses viewed the preparation activities to be performed in all 7 areas included: 1) self care for healthy and delay physical health declines; 2) financial management; 3) home &amp; living arrangement; 4) preparing for family/caregivers; 5) preparing to face with death and the end of life and 6) preparing for activities/jobs after retirement 7) life long learning preparation.</p> Parichat Yatniyom Sarinthorn Mungkhamanee Nutthacha Ratthanoo Panny Trivichian Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 292 302 The Effects of A Life-Skills Training Program on The Coping Strategies of Bullied Middle School Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251437 <p>This quasi-experimental research, using a two-group, pretest-posttest design, examined the effects of a life-skill training program on coping strategies for bullied middle school students. The samples were comprised of 62 middle school students that had experienced bullying, randomly assigned to an experimental group of 30 students and a control group of 32. The experimental instruments were 1) Life-skill program 2) data collection tools were 2 parts questionnaire 2.1) The Revised Olweus Bully/Victim Questionnaire and 2.2) coping strategies scale. Descriptive statistics were used to represent participants’ personal information; a dependent t-test was used to compare the mean of coping strategy scores before and after intervention for each group; and an independent t-test was used to compare the mean coping strategy scores between the experimental and control groups.</p> <p>The results of the study were as follow. 1) After participating in the life-skills training program, the mean scores for the coping strategies of the experimental group (M = 102.83, SD = 19.59) was significantly higher than before program participation (M = 80.13, SD = 18.39) at a statistical significance of (t = 7.8 p&lt;.001); and 2) after participating in the life-skills training program, the mean difference in the mean score for the coping strategies between the pretest and posttest in the experimental group (<img style="font-size: 0.875rem;" title="\bar{D}_{1}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{1}" />= 22.70, SD = 15.89) was higher than that of the control group receiving routine care (<span style="font-size: 0.875rem;"><img title="\bar{D}_{2}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{2}" /></span> = -1.65, SD = 18.78), at a statistical significance (t = 5.494, p&lt;.001). These findings suggest that a life-skills training program may effectively increase the coping strategies of bullied middle school students.</p> Bantita Prasitsart Nuchanart Bunthumporn Sararud Vuthiarpa Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 303 312 A Study of the Feasibility of Clinical Nursing Practice Guidelines for Assessment and Prevention of Acute Kidney Injury in Critical Surgical Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241595 <p>This developmental research design aims to develop clinical nursing practice guidelines (CNPG) for the assessment and prevention of acute kidney injuries (AKI) among critical surgical patients and studying feasibility, satisfaction, and outcomes by implementing the aforementioned practice guidelines. The Soukup model was used as a conceptual framework for developing the practice guidelines which consists of 2 phase: 1) guideline establishment and 2) implementation and study the outcomes. The samples of phase 1 were empirical evidence based on PICO research criteria, amount 21 subjects. The purposive sampling method was used to select samples of phase 2 which were 35 professional nurses working in the Surgical Intensive Care Unit, and 220 surgical critical patients who were treated in the Surgical Intensive Care Unit. Data were collected using a set of questionnaires and analyzed using descriptive statistics.</p> <p>The results revealed that the CNPG for the assessment and prevention of AKI among critical surgical patients consisted of diagnostic criteria using KDIGO criteria, risk assessment for 3 steps and 10 items of CNPG in preventing AKI The overall feasibility after implementing the CNPG was found to be high (Mean = 3.68, S.D. = 0.57). Nurses had a high level of satisfaction (Mean = 3.83, S.D. = 0.59). The prevalence of acute kidney injury in patients was 23-26 percent, which has a tendency to decrease.</p> Sirirat Thaipakdee Noppawan Phinitkhajorndech Suchira Chaiviboontham Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 313 322 The Effectiveness of Using an Estimated Fetal Weight Measuring Tape Innovation with a Nutrition Promotion Program on Weight Gain during Pregnancy and Birth Weight of Pregnant Women with Low Pre-Pregnancy Body Mass Index https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250571 <p>The objective of this quasi-experimental research design was to investigate the effectiveness of using the estimated fetal weight measuring tape innovation with the nutrition promotion program on weight gain during pregnancy and birth weight of pregnant women with low pre-pregnancy body mass index. The samples were 60 pregnant women with low pre-pregnancy body mass index. They were divided equally into the experimental group and the control group: 30 people in each group. The instruments consisted of 1) the estimated fetal weight measuring tape innovation, 2) the nutrition promotion program for pregnant women with low pre-pregnancy body mass index, 3) the general information questionnaire and the pregnancy, childbirth and postpartum data record form; and 4) the food consumption behavior assessment. Data were analyzed by frequency, percentage, mean, standard deviation, paired sample t-test and independent t-test.</p> <p>The results showed that after the experiment, the mean food consumption behavior of the experimental group was higher than that of the control group with statistical significance at the .05 level (t = 12.68, p = 0.000). The mean weight gain during pregnancy and the mean birth weight of the experimental group were higher than those of the control group with statistical significance at the .05 level (t = 3.124 and t = 3.145). According to the findings, it is suggested that the antenatal care units and relevant agencies should be encouraged to use the estimated fetal weight measuring tape innovation with the nutrition promotion program in providing care for pregnant women with low BMI in order to weight gain during pregnancy and enable babies to have standardized birth weight.</p> Prapairat Kaewsiri Penpak Luk-in Nuttaya Onpiw Phayom Sinthusiri Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 323 332 The Effectiveness of Health Literacy Enhancing and Developing Program on A1C Blood Pressure Level Health Literacy and Diabetes and Hypertension Control Behaviors https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256198 <p>This research is a two-group quasi-experimental pretest-posttest design. The objective is to examine the effectiveness of Health literacy Enhancing and Developing Program on Health literacy, Diabetes and Hypertension control behaviors, A1C and Blood Pressure level. The samples consisted of 70 patients with type 2 Diabetes Mellitus and Hypertension and put into experimental and control groups. Each group included 35 persons. Experimental instrument is a Health literacy Enhancing and Developing Program that was examined of content validity by 5 experts. The data were analyzed by using descriptive statistics and t-test. The results revealed that the mean of Health Literacy scores and Diabetes and Hypertension control behaviors scores of the experimental group higher than before enrolling in the program and higher than the control group at p-valve &lt; .01. The mean of A1C, Systolic Blood Pressure (SBP) of the experimental group were lower than the control group at p-valve &lt; .01. and .001 The mean of Diastolic BP levels of the experimental group and control group were not different. Thus, to enhance the Diabetes and Hypertension Control Behaviors by implementing a Health Literacy Enhancing Program for every new DM and HT’s patients.</p> Atiya Sarakshetrin Jintana Tongpeth Araya Sriwongsa Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 333 343 Predictive Factors of Parental Behaviors on Promote Development of Executive Functions (EF) Skills among Early Childhood in Chaing Rai Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240689 <p>This research was cross-sectional study aimed to predict the parental behaviors and related factors promote to development of executive functions skills among early childhood in Chaingrai province. The multistage random sampling technique was used and 396 Thai early childhood and their parents were recruited in this study. The research instruments included the executive functions development assessment form and the behavioral questionnaire for promoting early childhood development, consisting of 1) personal information 2) perceived benefits of action 3) perceived barriers to action 4) perceived self-efficacy 5) activity-related affect and 6) family support. Data were analyzed by using descriptive statistics and stepwise multiple regression.</p> <p>The results showed that early childhood age between 2-5 years 11 moths 29 days had a moderate level of develop executive functions skills and the behavior of the parents for promoting executive functions development had a middle level (M 3.28, SD 0.68). Parental behaviors of perceiving the barriers to action was the significantly predictor of the development of executive functions skills among childhood (R = 0.686, R2 = 0.432, p &lt;0.001), which showed that parents’ perceived barriers had a high level, affected to promote executive functions development. Therefore, these findings suggested that providing knowledge of executive functions for parents is vital intervention for reducing the perceived barriers and improve executive functions outcome.</p> Usa Thohinung Pimrat Boonyapuk Salisa Kodyee Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 344 352 Effective of Clinical Practice Guidelines for Asthmatic Attack Patients in the Accident and Emergency Department Wihan Daeng Hospital, Saraburi Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245398 <p>The purposes of this research to compare the ratio about emergency visit, and revisit rates within 48 hours in the Accident and Emergency Department, and hospitalization rates of asthmatic patients which the control group receiving usual care, and the experimental group receiving Clinical Practice Guidelines (CPG) for Acute Exacerbation of Asthmatic Attack Patients in the Accident and Emergency Department. The samples are asthmatic attack patients emergency visit in the Accident and Emergency Department. The experimental group are 11 persons and control group are 14 persons. They were simple randomly and purposive selection by criteria. The research instruments were 1) General questionnaire 2) Clinical Practice Guideline (CPG) for Acute Exacerbation of Asthmatic Attack Patients in the Accident and Emergency Department, with content validity of 0.6-1 data analysis were mean, median, standard deviation, and the Mann-Whitney U Test.</p> <p>The results showed that after treatment, the experimental group were decrease higher than the control group which their emergency visit significantly at the .05 level. But the revisit rate within 48 hours in the Accident and Emergency Department and hospitalization rates of the asthmatic patient both groups were non-significant.</p> Onnalin Thaicharoen Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 353 360 The Effects of An Educative Supportive Program on The Nutrition Self-Care Behavior and Nutritional Status among Colorectal Cancer Patients Receiving Chemotherapy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247160 <p>The purpose of this quasi-experimental research was to study the effect of an educative supportive program based on the Orem theory on the nutrition self-care behavior and nutritional status among colorectal cancer patients receiving chemotherapy. The samples consisted of 60colorectal cancer patients receiving chemotherapy and were recruited based on an inclusion criteria including a control group and an experimental group. Data collection tools included 1) Personal demographic questionnaire 2) Self-care behavior assessment for cancer patients receiving chemotherapy (the result of test-retest = .97) and 3) Nutrition assessment (Cronbach’s alpha coefficient = .98). Data were analyzed using descriptive statistics, chi-squared test, Friedman test, the Mann-Whitney U test and the Wilcoxon signed rank test.</p> <p>The findings indicated that after participating in the educative and supportive program, the nutrition self-care behavior mean score of the experimental group had statistically higher mean score of nutrition self-care behavior than that of the control group (p&lt;.001), with their score peaking on the fourteenth and twenty-eight day. However, the nutritional status, hemoglobin, and hematocrit were of the two group not statistically significant different.</p> Lakkana Gongmuang Benyaporn Bannaasan Sirilak Kitsripisarn Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 361 370 The Effects of a Resource-Enhancing Program Based on Pearlin’s Conception on The Depression of The Caregivers of Elderly with Dementia https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245645 <p>This study used an experimental research design with a randomized controlled trial, divided into experimental and control groups, and measured results before and after the experimental. The purpose of the research aimed to examine the effects of a resource-enhancing program based on Pearlin’s conception on the depression of the caregivers of elderly with dementia. The participants of this research were 54 caregivers of elderly with dementia aged 20 years and over that met the inclusion criteria. The participants were randomly assigned to an experimental group (n = 27) and a control group (n = 27). The experimental group participated in the resource-enhancing program based on Pearlin’s conception,while the control group received regularnursing care.The research instrument consisted of the resource-enhancing program based on Pearlin’s conception and the center for epidemiologic studies depression scale.The data were analyzed by using descriptive statistics, dependent t-test, and independent t-test.</p> <p>The results found thatthe mean scores for the depression of the experimental group (M = 12.07, SD = 3.18) were lower than the pretest scores (M=26.89, SD=4.90) at a statistical significance (t = 15.25, p&lt;.05). The mean difference scores for the depression of the experimental group, between the pretest and posttest, participating in the resource-enhancing program based on Pearlin’s conception (<img title="\bar{D}_{1}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{1}" /> = -14.81, SD = 5.04) were different than those of the control group (<img title="\bar{D}_{2}" src="https://latex.codecogs.com/gif.latex?\bar{D}_{2}" /> = 2, SD = 4.40) at a statistical significance (t = 14.65, p&lt;.001). The findings suggest the benefit of the resource-enhancing program based on Pearlin’s conception in reducing the depression of the caregivers of elderly with dementia.</p> Arisya Wichaidit Rangsiman Soonthornchaiya Muthita Phanasathit Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 371 379 Factors Influencing Media Literacy Skills in the 21st Century among Nursing Students HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252870 <p>Media literacy is an essential skill in the 21st century. This skill enhances people to adapt and live happily in a disruptive world. This research aimed to study media literacy skill in the 21st century and its predictive factors among nursing students. The participants comprised 160 nursing students of faculty of nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy. Data were collected through online questionnaires with 70 items. Using Descriptive statistics, Pearson’s correlation coefficient and stepwise multiple regressions were employed for data analysis.</p> <p>The results revealed that media literacy skills in the 21st century on practice showed the highest scores (mean = 102.9, SD = 11.05) and the skill on situation were relatively good (mean = 20.09, SD = 3.11). There were 4 influencing factors on the media literacy skills in the 21st century including Performance Expectancy (β = .26) Facilitating Conditions (β = .22), Social Influence (β = .24), and Habituation (β = .19) (p&lt;.05). Stepwise multiple regression analysis revealed that those aforementioned factors could explain 34.2% of variance in media literacy skills in the 21st century on practice (F = 20.139; p-value &lt;.05). This research recommended that teaching and learning management model should encourage students to develop their skills in using information media and technology both in theory and practice by determination of learning outcomes in terms of knowledge, attitudes, and information media skills that increase the level of intensity in each school year.</p> Kanokwan Chailarp Sunee Lagampan Nuntawun Suwonnaroop Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 380 389 The Development of Promote Inhibitory Control in School Age Children https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256201 <p>The aims of this research were to development and to examine the effectiveness of the inhibitory control training program based on NLP (ICT-NLP). The sample consisted of 56 school age children, with the aged 7 - 11 years. They were randomly assigned by using the matched paired into two groups: an experimental and a control group. Each group consisted of 28 students. The research instruments were; 1) the ICT-NLP, which was developed by the researcher and 2) the Go/ No-go task. The experimental group received the ICT-NLP program 2 sessions and the control group joined the regular school activates during the same period. The assessments were done in 2 phases: pretest and posttest. The data were analyzed by a t-test. The results were that; the experimental group had the inhibitory control the posttest higher than the pretest with statistically significant at .05 level, and higher than those in the control group with statistically significant at .05 level.</p> Chaliya Phetmrum Juthamas Haenjohn Warakorn Supwirapakorn Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 390 398 The Effects of Social Skills Training Program to Promote Social Skills of Preschool Children with Autism Spectrum Disorder https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252851 <p>This research is a quasi-experimental research aimed to study the effect of social skills training program in developing social skills among preschool children with Autism Spectrum Disorder (ASD). The sample consisted of 13 preschool children with ASD age 2-6 years, who were admitted at Rajanukul Development Promotion Center (Khlong Kum). Purposive sampling method was used to recruit the sample according to inclusion criteria. The children participated in the program for 1.25 hours per day, 5 days a week, for 12 weeks. The program included social stories, snack time, and circle time. Data were collected using demographic questionnaire and Social Skills Assessment for young children with autism. Descriptive statistics and Wilcoxon signed-rank test were used for data analysis.</p> <p>The findings revealed that the preschool children with ASD who received the social skills training program had a total score of social skills deficit and subscores of social skills deficit decreased in 3 areas: self-regulation, social activities, and social communication. When comparing the rank of total score and subscores of social skills deficit before and after receiving the program, the total score of social skills deficit was statistically significant lower after receiving the program (Z = -3.185, p&lt;.05). The results indicated the effectiveness of the social skills training program on enhancing social skills development in preschool children with ASD. Implementing this social skills intervention program in developmental centers, hospitals, and inclusive education is recommended in order to develop social skills in preschool children with ASD.</p> Passorn Jitsangob Supapak Phetrasuwan Phuangphet Kaesornsamut Walailak Pumpuang Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 399 407 The Development of A Psychiatric Nursing Model In Schizophrenia Patients with Modified Electroconvulsive Therapy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251978 <p>The present study was to develop a psychiatric nursing model in schizophrenia patients with Modified Electroconvulsive Therapy in Srithanya Hospital during February to June 2020. The collecting data tools were personal data, Visual Analogue Scale for anxiety and Visual Analogue Scale for fear. The data retrieved were statistical analyzed including descriptive statistics, chi-square, and mean difference. A psychiatric nursing model in schizophrenia patients with Modified Electroconvulsive Therapy consists of 6 activities, performed 3 times per week, every other day for 2 consecutive weeks, and 20-30 minutes period of each activity. The result revealed that the experimental group (n = 22) had a lower difference in mean fear (<img title="\bar{D_{1}}" src="https://latex.codecogs.com/gif.latex?\bar{D_{1}}" /> = 5.56) and anxiety (<img title="\bar{D_{1}}" src="https://latex.codecogs.com/gif.latex?\bar{D_{1}}" /> = 5.38) than before. It was lower than the difference of mean fear (<img title="\bar{D_{2}}" src="https://latex.codecogs.com/gif.latex?\bar{D_{2}}" /> = 2.46) and anxiety (<img title="\bar{D_{2}}" src="https://latex.codecogs.com/gif.latex?\bar{D_{2}}" /> = 2.59) of the control group (n = 22). It can be concluded the psychiatric nursing model in schizophrenia patients with Modified Electroconvulsive Therapy can reduce fear and anxiety effectively. It is the guideline for the appropriate treatment and prevention of fear and anxiety in schizophrenic patients who have been treated Modified Electroconvulsive Therapy.</p> Sawangjit Wasuwat Jaruwan Kansri Skaorat Puangladda Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 408 416 Factors Relating to Health-Promoting Behavior among Wing 4 of Royal Thai Air Force Personnel of Thakhli in Nakhon Sawan Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241468 <p>The purpose of this survey research were to study factors relating to health promotion behaviors among Wing 4 of Royal Thai Air Force personnel of Thakhli in Nakhon Sawan Province. The samples were 320 individuals selected by Random sampling. The questionnaire developed by researcher for data collection. The data were analyzed by using statistical computer program. Analytical statistics were frequency, percentage, mean, maximum-minimum, standard deviation, Chi-square test, and Pearson’s Product Moment Correlation Coefficient.</p> <p>The results showed that health promotion behaviors of Wing 4 of Royal Thai Air Force Personnel of Thakhli in Nakhon Sawan Province, health promotion behaviors were at the moderate level. The bio-social factors namely gender and income per month were found significantly related to health promotion behaviors at the level of .05. For the predisposing factors concerning knowledge, attitude, perceived health promotion behaviors were found significantly related to health promotion behaviors at the level of .05. For the reinforcing factors, health project policy and resource accessing were found significantly related to health promotion behaviors at the level also of .05. For than more the reinforcing factors about social support was significantly related to health promotion behaviors of the subjects at the level of .05. as well</p> Tanakon Pounsiri Alisa Nititham Nutthakritta Sirisopon Aimutcha Wattanaburanon Rawipha Boonchoochuay Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 417 427 Study of Episodic Memory by Using FNAME Test in Postmenopausal Women Working at Professional Daytime in Hospital: Pilot Study https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245453 <p>The aim of this study was to study episodic memory by using the Face-Name Associative Memory Exam test (FNAME test) in postmenopausal women working at professional daytime in hospital. Ten volunteering postmenopausal women participants were recruited in this study, they were tested by FNAME task. Data were analyzed by descriptive statistic, these were estimated raw score to Z-score composites, and Pearson product-moment correlation coefficient. The results showed some decline of episodic memory by Z-score median (-0.15), mode (-0.15), rang (2.43), maximum, minimum (-1.56, 1.87 respectively) and percent of individual test score lower mean (70%). Analysis was pairwise Z-score of subscales these were significantly to high correlation of Cues Recall Name immediately and Cues Recall Name delayed. In conclusions, this pilot study demonstrated data, episodic memory was tested by using FNAME that trend is declined in Thai postmenopausal women and its role in shaping memory function in early elderlies. After, the FNAME test will test in larger population, these are more reliable of data and using other occupation postmenopausal women for screening episodic memory decline early in postmenopausal women.</p> Kanit Sripankaew Authaiporn Kaikaew Sarawin Thepsatitporn Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 428 436 Knowledge, Attitudes, and Practices towards COVID-19 among Working-Age Population in Muak Lek Subdistrict, Muak Lek District, Saraburi Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/249983 <p>This study aims to compare knowledge, attitude, and practice of COVID-19 prevention in working-age population with different gender, education level, and occupation; and relationship among age, monthly income to knowledge, attitude, and practice of COVID-19 at Muak Lek sub-district, Muak Lek district, Saraburi Province. 305 samples were select by using simple random sampling with equal proportion. Research tools were demographic questionnaire and knowledge, attitude, and practice of COVID-19 prevention questionnaire. Content validity was performed using IOC. Reliability were tested using KR-20 and Cronbach’s Alpha Coefficient yield results of 0.88, 0.82 and 0.94, respectively. Descriptive data analysis was done utilizing Independent t-test,One-way ANOVA, and Pearson’ Product Moment Correlation.</p> <p>Results demonstrated different gender and education level do not affect knowledge, attitude, and practice of the samples. COVID-19 prevention behavior differs in different occupations. Age has positive relationship with knowledge and attitude of COVID-19 prevention. Monthly income has positive relationship with attitude and the practice. The results can be a guideline for healthcare providers to develop COVID-19 prevention program for working-age population in different occupations with young age and low income for enhancing COVID-19 pandemic prevention in the future.</p> Jarurat Sriratanaprapat Jirawan Klommek Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 437 445 Effects of Program Preoperative Instruction using Multimedia in Patients Receiving General Anesthesia https://he01.tci-thaijo.org/index.php/JRTAN/article/view/249979 <p>This study is an experimental research. Aims to 1) Comparison of the data using video to the knowledge and practice of patients for patient preparation before receiving anesthesia in both 2) Satisfaction Study of the video. The conceptual framework of the theory of learning bloom (bloom, 1956) among patients who had been planning an operation of 50 divided into a control group and the experimental group, 25 in each group. A simple random sample was selected according to the list of surgical schedules. The instrument used in this study were 1) collecting data, 2) evaluate the knowledge and practice of patients receiving anesthesia in both 3) satisfaction of patients on videotape. Which were reviewed by a panel of experts and by the reliability coefficient alpha Cronbach (Cronbach’s alpha coefficient) was 0.85 by analysis of frequency distributions percent. The mean and standard deviation.</p> <p>The results showed that 1) the level of knowledge and practice of patients receiving data normally at a good level ( = 13.60 SD = 1.4) the knowledge and behavior of patients participating in programs provided by the media VI. video of the trial at a good level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 13.76 SD = 1.2). 2) the level of knowledge and practice of patients who participate in the program by using the media to videotape the experimental group did not differ from the control group (t = 0.15, p = 0.685). 3) the satisfaction of patients, the media video to prepare patients prior to anesthesia medication either. The level of satisfaction is very high. This research shows. The information provided by the media, video on knowledge and practice of patient’s preparation before the patients received anesthesia in the body. No difference was statistically significant. However, the information provided by the media that patient satisfaction and still the roles of nurse anesthetists.</p> Prapaipit Nagsuwan Thippawan Bunsanong Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 446 454 Effects of Enhancing Perceived Self-Efficiency for Behavior in Prevention of Complications of Type 2 Diabetic Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250705 <p>This research was a quasi-experimental design with pretest-posttest control groups. The objectives were to study the effect of enhancing perceived self-efficiency for behavior in prevention of complications of type 2 diabetic patients. The sample group comprised of 60 diabetic patients in a health promoting hospital Bandoo sub-district and in a health promoting hospital nongbua sub-district. The sample were selected by simple random sampling and divided into experimental and control groups with 30 samples in each. The research instruments included the enhancing perceived self-efficiency program, the demographic data form, behavior in prevention of complications of diabetic patients data form with the reliability of .71. Statistics used for data analysis included frequency, percentage, paired t-test, and independent t-test.</p> <p>The research results revealed that after the experiment, the experimental group had increased posttest behavior in prevention of complications score over their pretest behavior in prevention of complications score, and who were receiving enhancing perceived self-efficiency had higher score on perceived self-efficiency than the group who receiving only routine care with statistical significance .05.</p> Thongmee Palapol Pakinee Srisarakhum Ruttanaporn Srisarakhum Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 455 462 Comparison of Hands Muscles Exercise Using Soft Ball, Play Dough, and Sponge on Grip Strength in Older Persons with Hands Muscle Weakness https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250132 <p>This was a quasi-experimental study. The objective was to compare the grip strength of older persons after doing hand muscle exercise using a soft ball, play dough and a sponge in Nakhon Phanom Province from September to November 2020. A total of 63 elder persons were selected by a purposive sampling method. The inclusion criteria were as follows. The male elderly must have the grip strength of &lt; 0.44 kg / weight, and the female elderly must have the grip strength of &lt; .32 kg / weight. The older persons were divided into three groups: the group using a soft ball, the group using play dough and the group using a spongeThe older persons had to do these interventions for 4 weeks. The grip strength before and after exercise was measured by a hand grip dynamometer. the differences of the grip strength before and after exercise within the group and between the group were compared by paired t-test and Anova, respectively.</p> <p>The results of the research showed that the mean grip strength of both hands of the elderly after exercising using a soft ball, paly dough and a sponge was increased with statistical significance, except for the mean right-handed grip strength that used play dough, which found no difference. Also, when comparing the grip strength of both hands among the groups using a soft ball, play dough and a sponge, it was found that there were no differences. It can be concluded that all three types of exercise can help increase the grip strength, but it is needed to be done regularly. It can be an alternative to recover the grip strength in other older persons.</p> Wuttipong Cheumnok Napatip Tungtrijuk Khunphitha Junsevg Chadamas Phoomphit Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 463 472 Family Participation in Child Nutrition Promotion in Nongyama of Child Development Center Municipality in Roi et Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256202 <p>This participation action research aimed to study the family participation in child nutrition promotion in Nongyama of child development center municipality in Roi et province. This model based on the mother’s food guideline that included “clean food”, “good nutrition”, and “made with love”. The study process comprised four steps planning, action, observation, and reflection. Data collection took place from October 2020 to september 2021. The research instrument was a questionnaire and a focus group intereview.</p> <p>Result showed that the family participation in child nutrition promotion in Nongyama of child development center municipality in Roi et province included 3 especially 1) polyci of clean and safety food. 2) organized classes for family to educate and practice their children’s nutrition skills. And 3) Providing samples for preschool children’s food as a way to promote. child nutrition. Result a guidelines for children’s nutrition promotion in child development centers.</p> Tippharat Chaichanasang Malee launkaw ธัญลักษณ์ ตั้งธรรมพิทักษ์ Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 473 482 Assessment of Severity of Symptoms among Patients with Pneumonia in Medical Ward https://he01.tci-thaijo.org/index.php/JRTAN/article/view/255318 <p>This study aimed to explore the severity of symptoms among patients with pneumonia in the medical ward. The participants were 100 patients who have been diagnosed with pneumonia by the doctor and recruited by using purposive selection technique regarding inclusion criteria. The instrument used for data collection was the pneumonia symptom severity (Marrie et al. 2004). Its content validity was tested by five experts and reported as 1.00. Four registered nurses were assigned to implement this instrument with four patients who had similar characteristics with the study’s participants. Using the intra-class correlation methods, the inter-rater reliability between the evaluators was found as .93. Data were analyzed using descriptive statistics and Pearson product-moment correlation coefficient.</p> <p>The results of the research revealed that patients with pneumonia had low average score of severity of symptoms (M = 9.66, SD = 4.81). The most severe symptom among patients with pneumonia was fatigue (M = 3.19, SD = 1.32), following by dyspnea (M = 2.73, SD = 1.70), sputum (M = 1.59, SD = 1.44) and cough (M = 1.36, SD = 1.17). The lowest average score of severity of symptoms was pleuritic chest pain (M = .49, SD = .75). Five symptoms that had positively significant correlated to severity of symptoms among patients with pneumonia including dyspnea, fatigue, sputum, cough, and pleuritic chest pain (r = .509 - .865, p &lt; .00), respectively.</p> Aphisit Tamsat Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 483 493 A Study of Nurse Anesthetist Roles https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242478 <p>The purpose of this descriptive research was to study about component and sub-item of nurse anesthetist roles by using Delphi technique. Participants were 20 experts including; 4 anesthesiologists, 4 executives of the nurse anesthetist society of Thailand, 3 nurse anesthetist instructor of the college of advanced practice nurse and midwife of Thailand, 4 head nurses of anesthesia unit and 5 anesthetist nurses. The Delphi technique consisted of 3 steps. Step 1, all experts were asked to described about the professional nurse’s roles. Step 2, the data were analyzed by using content analysis to develop a rating scale questionnaire. All items in the questionnaire were ranked the level of nurse anesthetist roles by a prior panel of experts. In step 3, the items were analyzed by using median and interquartile range to develop a new version of questionnaire. The new questionnaire was sent to previous experts for confirming. Ranking items were analyzed by using median and interquartile again to summarize the study.</p> <p>The results of the study were presented that the nurse anesthetist roles consisted of 4 components as follow 1) Nurse anesthetists are specialized nurse practitioners 19 items 2) Nurse anesthetists are responsible for safety and risk management in anesthesia 6 items 3) Nurse anesthetists are educators and consultants in this field 5 items 4) Nurse anesthetists are developer and quality control service in anesthesia person 7 items. The nursing administrators were able to use the results of this research as a guideline for the performance of the nursing anesthetists.</p> Tatpicha Upasri Gunyadar Prachusilpa Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 494 501 The Effectiveness of an Older Adult Potential Development Program with Montessori-Based on Promoting Cognition Prevention of Dementia, Ubon Ratchathani Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252758 <p>This study was quasi-experimental research with the one-group pretest-posttest design. The proposes were to compare older adults’ cognitive scores before and after receiving the potential development based on the Montessori program. The 45 participants were home-bound older people and without dementia. Simple random sampling with frame and inclusion criteria were used for the recruitment of participants. Instruments were employed to collect data comprised a demographic questionnaire and the Mini-Mental State Examination-Thai 2002 (MMSE-Thai 2002). An experimental instrument was an older adult potential development program based on the Montessori and this program was verified for content validity by three professional experts. The MMSE-Thai 2002 was tested reliability with test-retest in 30 older adults who were the same characteristics with the participants and reported a Pearson’s correlation of .81. Data were analyzed using frequency, percentage, mean, standard deviation, and one-way repeated measures ANOVA.</p> <p>This research findings revealed that the mean of participants’ cognitive scores after receiving the program was significantly higher than before receiving the program (p&lt;.05). The mean cognitive scores of participants before implementing the program were 27 (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 27, S.D = 2.89). Besides, the mean of participants’ cognitive scores after finishing the program on that day and two months later were 29 (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 29, S.D = 1.18) and 27 (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}" /> = 27.30, S.D = 2.37), respectively. The program can be utilized in daily living activities for older adults to enhance their cognitive function and prevent dementia.</p> Jiranan Jindachart Saowanee Soboon Rungrat Palakai Duangrat Kaveenuntachai Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 502 510 The Development of Stroke Fast Track Screening and Referral Model for Patients at Central Chest Institute of Thailand https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252444 <p>This research and development study is aimed to 1) develop a Stroke Fast Track Screen¬ing and Referral Model and 2) study the effectiveness of the model for patients who have cerebrovascular disease at Central Chest Institute of Thailand. The purposive sample group in this study included 26 professional nurses with at least 1 year of experience working at the Cardiac Care unit. The 2 research tools were: 1) the Stroke Fast Track Screening and Referral Model, 2) the efficiency assessment form for evaluating the developed model.</p> <p>There were two interested findings. Firstly, the Stroke Fast Track Screening and Referral Model consists of 3 parts: 1.1 signs and symptoms assessment, 1.2 stroke nursing guidelines, and 1.3 fast-track services for acute ischemic stroke patients. Next, 3 points were learned about the effectiveness of the model in implementation. First, after implementation of the model, the knowledge and capability among nurses for screening and referring to the fast track were statistically and significantly higher at the 0.05 level. Secondly, it was found that cerebrovascular patients were referred accurately and rapidly for all treatment procedures, and lastly, nurses showed their abilities to comply with this model appropriately on a very good level.</p> Suphaluk Chuvongs Pattaya Kaewsarn Seenual Sadhitwithayanan Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 511 519 A Study of Spirituality at Work of Professional Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242507 <p>This descriptive research aimed to study spirituality at work of professional nurses. The Delphi technique was used in this study. Participants were 20 experts comprising 1) administrators from the Human Resources Department 2) nursing administrators 3) administrators from the Thailand Nursing and Midwifery Council 4) academics/nursing instructors 5) nurses at practitioner level. The Delphi technique consisted of three steps. Step one: all of experts were asked to spirituality at work of professional nurses. Step two: the data were analyzed by using content analysis to develop a rating scale questionnaire. All items in the questionnaire were ranked by level of the spirituality at work of professional nurses. Step three: items were analyzed by using median and interquartile range to develop a new version of the questionnaire. The new questionnaire was sent to previous experts for confirmation. Ranked items were analyzed by using median and interquartile range again to summarize the research.</p> <p>The results of this research showed that the spirituality at work of professional nurses consisted of 3 components as follows: 1) Self understanding consisted of 12 items. 2) Inner motivations consisted of 12 items 3) Positive attitude towards the work consisted of 16 items.</p> Ubonrat Sakthong Gunyadar Prachusilpa Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 520 527 Editorial Note https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256085 Saisamon Chaleoykitti Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 Iron Deficiency Anemia in Children https://he01.tci-thaijo.org/index.php/JRTAN/article/view/252905 <p>Iron deficiency anemia is a major public health problem in children. This problem may affect children on development, behavior and cell. Prevention is important for iron deficiency anemia. This article aims to present Iron deficiency anemia in children and the Department of Health policy on prevention Iron deficiency anemia by presenting the following issues: 1) Policy of the Department of Health to promote iron 2) effects of iron deficiency 3) Guideline for iron supplementation in early childhood to enable public health personnel to encourage children to receive age-appropriate iron, which will result in a healthy development of children.</p> Rawiwan Khamngoen Paparsinee Saetew Anchalee Nakpeth Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 1 5 Smoking in Adolescents: The Guidelines to Build Preventions https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250027 <p>Smoking is major health problems, there are many operations to reduce the number of smokers. However, the new smokers are still increasing, especially adolescents. The adolescents are age range that if they are addicted to smoking, it will create long-term health problems. The preventions for smoking in adolescents are approaches that change behaviors to become smokers of adolescents. There are important conditions that affect the prevention smoking in adolescents such as; knowledge, behavior in smoking prevention, smoking of close people, and smoking refusal self-efficacy. Therefore, the guidelines to build smoking preventions in adolescents should be integrated these important conditions and social media should be used as an important channel for building adolescents’ smoking prevention activities.</p> Uthaiwan Pongboriboon Ratchaya Rattanatavorn Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 6 13 A Review of Psychosocial Factors and Organizational Behavior and Performance Excellence Behavior of Head Nurses at an International Private Hospitals https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251183 <p>Most of the services in hospitals are nursing services with head nurses directing the work in the unit level and contributing to services delivery of quality to patients. Head nurses plays an important role in implementing the policy for efficiency, effectiveness and supporting for innovation building at nursing units which creating a competitive advantage for the hospital. Therefore, the head nurse seems the one of success factor of the nursing department. Currency, nursing management tends to focus on international quality standards and work situations are becoming more complexity. Head nurses must be self-awareness of developing one’s own potential to be ready for challenging tasks. This article aimed to review the factors related to the performance excellence behavior in 4 dimensions are following; task performance, contextual performance, Adaptive performance and Counterproductive work behavior performance. second, to propose the psychosocial and organizational behavioral factors that support the head nurses to have excellent performance behavior such as personal initiative, work engagement, leadership, innovative behavior, job satisfaction, psychological climate, job description and self-efficacy. The author hopes that this article will encourage head nurses to be aware of developing their own performance excellence behaviors that will be advantages for nursing unit performance in the future.</p> Chutchavarn Wongsaree Chutima Panyapinijnugoon Walianaree Promla Phakaporn Taewrob Rungnapa Kulpakdee Hatairat Kaoaien Netchanok Sritoomma Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 14 22 Team Based Learning: Learning Strategy in Nursing Education toward the Development of the Twenty-First Century Learning Skill https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240612 <p>Many teaching and learning methods in nursing education focus on improving the 21st century life skills of learners. The team-based learning method is one of cooperative learning methods that encourages learners to be responsible and develop their abilities to solve problems and make decisions. It consists of 3 main steps: 1) preparing before class; 2) preparation test before class, which is divided into 3 sub-steps: individual testing, group testing, and providing clarification by teachers; and 3) applying knowledge. This article presents the team-based learning process, based on learners’ roles and instructor’ roles, benefits of team-based learning method on developing the 21st century life skills of the learners, application of the team-based learning in the “Adult Nursing 1” course, factors and conditions of team-based learning method.</p> Duangjai Phormpayak Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 23 32 Anesthesia for Patients with Tracheobronchial Stenosis: Role of Nurse Anesthetist https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251381 <p>Tracheobronchial stenosis is a common cause of upper airway obstruction. Airway stenosis can be due to a large variety of benign and malignant causes. Airway stent can provide structural airway support without painful surgery and immediate symptomatic relief of life threatening dyspnea. Anesthetic management of the stenting procedures can be challenging because the obstructed airway must be shared between the anesthesiologist and an endoscopist. The nursing care requires a specific expertise, nurse anesthetist, to provide the proper quality patient care and reduce the risk of developing various complications. The role of the nurse anesthetist starting with visiting and optimizing the patient before anesthesia, preparing the room and equipment that will be used intraoperatively and participating with anesthesiologist during the procedure, including observe and aware of postoperative complications in the recovery room.</p> Matula Tareerath Saowapark Chumpathong Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 33 40 Design Thinking Process of Leader Model for Nursing Educational Administrators Among the Coronavirus Disease 2019 Situation https://he01.tci-thaijo.org/index.php/JRTAN/article/view/250367 <p>Nursing education leaders must be aware and creatively cope with the situation of the coronavirus disease 2019 epidemic, enabling leaders to learn and create a new paradigm in nursing education management in line with the new normal social era. When nursing education organizations face rapid changes, the role of a leader is challenging, complex, and extremely important. The design thinking process for leadership development will give nursing education administrators a new perspective on effective and effective management in order to maintain the quality of nursing education. Therefore, nursing education leaders must adopt a new educational management paradigm to cope with other emergencies that may arise in the future by developing leadership in emergency management, profession, and academy for the management of nursing education to be continued and appropriate in accordance with the situation through the design thinking process and main strategies to promote leadership development</p> Thinnakorn Buachu Pimradar Tummeepukdee Prapaporn Muangkaew Ravinun Nuchasilp Sirirak Jaroensrimuang Sirinna Tassaneeyarat Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 41 48 Perceptual and Mental Readiness of Patients with Nursing Practice in Weaning From Mechanical Ventilation https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256104 <p>Currently, increasing numbers of patients require treatment by mechanical ventilation with upward trends. Therefore, starting the assessment of the patient’s readiness for weaning from the mechanical ventilation as soon as possible is the most important goal in caring for patients who use ventilators. Prolonged use of a ventilator results in physical, psychological and economic losses. Evaluation of the patient to prepare the breathing muscles and physiological factors including the perception and psychological factors of the patient including anxiety, self-efficacy and perceived severity of illness. This is another factor that is considered important for weaning off a ventilator. Because these factors affect the availability of physiological factors with weaning the ventilator was successful. Nurses’role to prepare readiness and manage factors that led to an unsuccessful weaning from the ventilator.</p> Nuntikan Klinchet Kusuma Kanglee Usanee Angkanawin Pramote Suksirisuk Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-04-29 2022-04-29 23 1 49 56 Direction of Health Care in Pandemic of Corona Virus 2019 in New Normal of Community Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/253233 <p>This academic article aim to propose the new direction health care in pandemic of Corona virus 2019 in New Normal of Community Nurses. Which is particularly different from the past. There are tremendous changes in these new normal circumstances that have directly affected to healthcare providers including nurse, family caregiver and patients. The need of proper adjustment to cope with the global COVID19 pandemic situation causes of the new direction of health care that community nurses need to require in manipulate with the change from traditional health system to online-based medical service, appropriately performs good self-management and develops more intellectual knowledge in order to promote physical and mental wellbeing, has accessible capability to select various reliable information and its valid sources, and be able to determine and evaluate suitably practical nursing trial and health literacy. The role of community nurse also gradually shifts from providing care for patients individually to apply telenursing for health consultation and finding medical solution that is consistent with appropriate behaviors of people including thinking, communicating, and practicing in this “New Normal” in both nurses and patients.</p> Jintana Artsanthia Nanita Pitplearn Numpueng Prachyakoon Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 57 64 Health-related Consequences of Traumatic Brain Injury: A Scoping Review https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256105 <p>Traumatic brain injury (TBI) is a global public health issue, causing tremendous healthcare and economic burden. The purpose of this review is to examine the consequences of TBI on individuals’ health across all levels of severity to guide nursing practice and future research. This review looks at the entire continuum of TBI. A total of 24 studies that met the inclusion criteria were included in this review. The results show that TBI had adverse effects on individuals’ physical, cognitive, psychosocial, and behavioral health. This review also found that repetitive TBI, which complicates the consequences and delays the brain healing process, is not adequately addressed. Supportive interventions for persons with TBI to deal with these challenges after TBI is essential. Symptom management, social support, problem-solving skills, healthy lifestyle interventions, and repetitive injury prevention for TBI patients should be top priorities for nursing research, education, and clinical practice.</p> Ann Thaiudom Susan Dean-Baar Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 65 72 Achieving Excellence in Nursing Management in VUCA Situations of Nursing Organizations at Private Hospitals: Challenges in Building Nurse Managers Capacity towards New Normal at Work https://he01.tci-thaijo.org/index.php/JRTAN/article/view/256107 <p>The management of private hospital nursing in terms of marketing focus on rapid changes. Ambiguity with up-to-date policies. The complexity of business planning and nursing marketing, this results in fluctuations in the expansion and collapse of health care units or certain jobs, or must use administrative processes that produce better services in many ways that are thought to be better. This feature of the predictable situation is called “VUCA Situations” The head nurse is the first-level executive responsible for implementing the policy or sometimes having to deal with unfamiliar events before presenting problems and solutions to supervisors. Faced with the complexity of managing people and tasks for excellence-oriented results. Complaints and risk management must be actively dealt with in order to achieve the quality and standard of nursing services and to deliver satisfaction to clients with high expectations. These events are all new normal that occur in work that has never been taught in any course before. You have to face and learn by yourself. The real work context is therefore difficult to predict the outcome. This article therefore aims to propose guidelines for developing head nurses in private hospitals with excellent service and management; orientations at work with new normal and personal initiative behaviors.</p> Chutima Panyapinijnugoon Chutchavarn Wongsaree Netchanok Sritoomma Prachaporn Tantrapiutak Chuleeporn Chobsook Natedao Chutchawan Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc/4.0/ 2022-05-04 2022-05-04 23 1 73 79 Health System Management in Border Provinces of Thailand : SuanPhueng Model https://he01.tci-thaijo.org/index.php/JRTAN/article/view/253411 <p>SuanPhueng Distract in Ratchaburi Province has Health System Management in the Border Province of Thailand aligned with the policy of Ministry of Public Health. It is the operation of Health System Management through District Health System: DHS, which is utilized by the pattern of health management, so-called Health Service Management (CUP Management), which is the center of the distribution of health resources. Moreover, the patterns and methods of District Health System have been integrated appropriately, depending on the context and problems of the border between Myanmar and Thailand, which comprises Thai citizens and migrants. Therefore, Health System Management In Border Provinces of Thailand : SuanPhueng Model is the method that truly focuses on the participation of all sections.</p> Chet Ratchadapunnathikul Sarinya Phengsuk Copyright (c) 2022 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 2022-05-04 2022-05-04 23 1 528 534