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> en-US <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> saisamorn2006@hotmail.com (พันเอกหญิง รศ. ดร. สายสมร เฉลยกิตติ) nuntikan.kli@outlook.co.th (ร.อ.หญิง นันทิกานต์ กลิ่นเชตุ) Tue, 31 Aug 2021 00:00:00 +0700 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Editorial Note https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251685 Saisamon Chaleoykitti Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251685 Tue, 31 Aug 2021 00:00:00 +0700 Disruptive Change in Nursing Education: From the Situation of the Spread of the Coronavirus Disease 2019 to Online Learning https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242138 <p>Learning management problems in an epidemic situation of COVID-19 causes a disruptive change of the nursing education system, changing classroom teaching through online self-learning from home to keep the social distancing. Those affect the online education system through a new learning platform and the information technology for education more active. Skills in using computers, information technology and communication is very important for learners and teachers. Therefore, the development of educational personnel must be appropriate with the new learning culture, adaptation of learners are challenges. In this regard, the design of the educational management system must be consistent with the bachelor’s degree of nursing and educational management standards in the 21st century and provide learning appropriate for changing situations, linking knowledge to the practical implementation of health care which more severe and complex.</p> Thinnakorn Buachu, Nutkawee Sirirat, Napattamon Noimorkunladech, Prapaporn Muangkaew Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242138 Sun, 29 Aug 2021 10:42:17 +0700 The Role of Nurse in Take Care to Fear of Childbirth among Expectant Fathers Having High Risk Pregnant Wives https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241193 <p>Fear of childbirth in expectant father is feeling from negative predictions about wives pregnancy and birth. High risk pregnancy is the situation which may cause harm to wife and fetus, and it is unpredictable. The factors that cause fear of childbirth in the father are age, lack of experience, anxiety, self-esteem, and social support. So Midwife’s nurse should be health educator and counselor about symptoms and caregiving of women’s high risk pregnancy, and also be co-ordinator with interdisciplinary team for giving care and treatment appropriately to pregnant women. And be consultant about environmental modifies in both of health behavior and external environments that can help them perform daily activities appropriately. Moreover, Midwife should be researcher to learn about causes and how to do nursing care for the father and wife to have good physical health and mental health.</p> Rujirada Saojawuttipong, Nujares Sopa, Vajjamai Sookkavanawat Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241193 Sun, 29 Aug 2021 00:00:00 +0700 Adversity Quotient: Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251479 <p>This article aims to present conceptual framework, principles and theories about Adversity Quotient: of nursing students. by presenting the following issues: 1) Concepts and theories of Adversity Quotient, 2) The concept of youth change theory, 3) Contextual concepts of nursing students, and 4) Adversity Quotient of nursing students. It will be based on the CORE conceptual framework to guide students and faculty involved in the application to promote coping and to effectively overcome the obstacles of nursing students.</p> Papasinee Saetew, Matthawan Leeyutthanont, Navarat Waichompu Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251479 Tue, 31 Aug 2021 00:00:00 +0700 Palliative Care Nursing for Buddhist Monk Illness with My Care, My Comfort Following the Concept of Clear Comprehension of Suitability https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245876 <p>The role of palliative care nurse in caring the Buddhist Monk illness brought the concept of My care, My Comfort in the theme of World Hospice and Palliative Care Day 2020 to apply in caring the Buddhist Monk illness with caring and comfort. Palliative care for the illness monks was served to service the monks who were suffering from uncurable disease and the trend of life was worse from the disease then lead to the death. Thus, the caring should cover with the caring of body mind social and spiritual of the monks for the rest of the life.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; So it should have palliative care nursing for Buddhist Monk illness with My care, My comfort following the concept of clear comprehension of suitability. The objective of the clear comprehension of suitability is to create the environment for the better life and develop the concentration of the monks. This process will let them relax in physical, mental spiritual with the concept of good environment. When without the stress, the concentration and critical thinking will be occurred after that happiness will come up then the peach of the monks and family will lead to peaceful death with Buddhism style.&nbsp;</p> Jintana Artsanthia, Chawalee Kruasukon Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245876 Mon, 30 Aug 2021 13:09:01 +0700 Health Promotion Innovation for Patients with Chronic Illness in Community https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246959 <p>Health promotion innovation in nursing has been currently in high demand, especially health promotion innovation that influences individuals’ health improvement at community and country levels. As a health professional member, nurses have significant roles in improving health promotion at every level of healthcare, including primary, secondary, and tertiary care. Thus, nurses should be knowledgeable about innovation development process and utilize research to examine its effectiveness and efficiency. This article aims to provide nurses with the knowledge, including the meaning innovation, types of health promotion innovation, suggestions to develop health promotion innovation, and community participation in health promotion innovation for patients with diabetes and hypertension. The components that facilitate successful health promotion innovation development are also included. The authors gathered information from the literature review and direct experience. This article should be a well-established resource for nurses to develop health promotion innovation to serve community and society demands.</p> Pimpaka Panyoyai, Pimpaka Panyoyai Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246959 Mon, 30 Aug 2021 14:47:13 +0700 Health Literacy and New Normal in Older Adults https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251508 <p>Health literacy is a crucial factor that can lead a person to appropriate health behaviors, decrease risk of health problems, and is necessary to be continuously developed. Especially in the new normal era, which includes the improving of online social networking and technological skills are important to enhance one’s health literacy. The development of health literacy in older adults is limited due to functional decline; hearing and vision loss; learning and memory problems, including chronic illness and health care cost. These factors are barriers to access and utilize technology for older adults. This academic article aimed to review the evidence of health literacy and new normal lifestyle among older adults in order to understand and guide further study. Moreover, this can be applied in nursing practice for improving health care and quality of life in older adults.</p> Wanrudee Chaoayachai, Ruttikarn Prompahakul, Areeya Prasertsang Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251508 Tue, 31 Aug 2021 00:00:00 +0700 Nursing Management of Orthostatic Hypotension in Older People with Parkinson’s Disease https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242027 <p>Orthostatic or postural hypotension is a common symptom among older people, particularly with Parkinson’s disease. The etiologies include autonomic failure from advancing age, receiving some medications and decrease blood circulation. Consequently, nurses should have knowledge, understanding about intervention and advice older people and/or their relatives about orthostatic hypotension to observe, take care older people when occurring orthostatic hypotension. In addition, this can prevent reoccurrence that will ensure elderly with Parkinson’s disease safety, reduce complications and improve their quality of life.</p> Waraphorn Yaemmisri, Nongyao Mongkhonittivech Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242027 Mon, 30 Aug 2021 15:20:35 +0700 Health Literacy and self-management in Non-communicable diseases (NCDs) https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251512 <p>Patients with non-communicable diseases (NCDs) are essential and crucial in modifying health behaviors to be consistent and appropriate with their illnesses by motivating them to take care of and manage their health problems. Health literacy, which is a cognitive and social skill, helps a person to reach understand and use information in different ways. This leads to the development ability and self-management skills to maintain and continued good health. Nurses and health care personnel team as a conssequence play an important role in promoting and supporting NCDs patients to manage themselves by using Health Literacy to control their diseases as well as decrease the severity and complications of the illness, promote quality of life resulting in reduced healthcare costs. This academic article accordingly presents the concept of health literacy and the sequence of steps for developing health literacy in the context of Thailand as well as presenting concepts and self-management processes of individuals and families including bringing such concepts into practice so that it can be applied in the development of supporting intervention, promote self-management in combination with the development of health literacy in patients with NCDs. This is the key to success and further improving health outcomes in patients with NCDs.</p> Jintana Tongpeth, Natkritta Chowararak, Chanapa Som-jai, Apinya Indhraratana, Thitaporn Siriwan Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251512 Tue, 31 Aug 2021 00:00:00 +0700 Accidental Fall in Elderly: Thai Elderly Confidence Dangers https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240232 <p>This paper aimed to present the elderly’s confidence in the issues that can cause fall accidents in the elderly. The issue of confidence in health-related behaviors that may lead to overconfidence can result in accidents falling in the elderly 8 issues include: 1) Confidence in Movement 2) Confidence in Visibility 3) Confidence in health. 4) Confidence in decision making. 5) Confidence in exercise. The visual assessment of overall health status, movement, vision and ability to make decisions. Choose the right exercise for yourself. 6) Confidence in the family. 7) Economic confidence. 8) Confidence in the environment. It is an element that contributes to the decision-making of the elderly based on the basic living conditions of the elderly. Induced self-confidence increases or decreases according to the direction of each individual’s family. Family support helps older people to have more confidence in fall prevention.</p> Praseart Srenual, Thanach Kanokthet Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240232 Mon, 30 Aug 2021 16:29:58 +0700 Nurse’s Role and Sexually Transmitted Diseases in Pregnant Woman https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251517 <p>Sexually transmitted diseases can be at all genders and all ages, including in pregnant women. This article aims to present the role of nurses in nursing care for pregnant women with sexually transmitted infections. It is a guideline to help for preventing diseases, reduce complications in the fetus. The role of nurse for pregnant women in sexually transmitted infections is essential in order to provide quality nursing care for pregnant women with STIs according to the current situation. It also affects to more effective prevention and control of sexually transmitted diseases, and enabling the prenant women to Live an appropriate and social Life with out burdening others.</p> Chusri Manokarn Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251517 Tue, 31 Aug 2021 00:00:00 +0700 The Guideline Applying of Entrustable Professional Activities Development Concept on Psychomotor Skill for Nurses https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245778 <p>The significant goal of the competency development on psychomotor skill for professional nurses is the nurse must be able to nursing practice independently without supervision, which can be considered that there are adequate and complete competences, that’s mean entrustable professional activities (EPAs). Application of EPAs concept in the evaluation of professional nursing competency in order to the clients trust and confidence that they will receive a safe and accurate as nursing standard. As the literature review, there are five levels of EPAs: level 1, not able to perform, just observe nursing activities only, level 2, able to perform an EPA with close supervision, level 3, able to perform with supervision nearby and prompt assistant immediately, level 4, able to perform without supervision, and level 5, able to perform without supervision and available to supervise others. The EPAs below level 4 should receive additional training or practice. There are 7 steps to developing EPAs: 1) identify the necessary EPAs 2) define the EPAs components 3) write the necessary competencies components 4) define the EPAs 5) identify the assessment methods or accessible resources 6) assignment of responsibility, and 7) establishing an end-of-assessment period. Therefore, applying the concept of entrustable professional activities into development and evaluation the competency of nurses likely to be promoting nurses with professional competencies, and ready to provide quality care for the clients.</p> Soiy Anusornteerakul, Raweewan Paokanha, Chanidapa Korsuk, Natthakul Buengmoom, Nongnuch Boonmala Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245778 Fri, 03 Sep 2021 17:24:09 +0700 Development of Nursing Practice Guideline for Prevention of Hypothermia in Patients with Off Pump Coronary Artery Bypass Grafting, Udonthani Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247165 <p>The present study was a semi-experimental research for development of nursing practice guideline in order to prevent hypothermia in patients with off pump coronary artery bypass grafting in Udonthani hospital during August to October 2020. A simplified heating device in combination with a nursing practice guideline was applied for preventing the hypothermia during an operation. The collecting data tools were a patient’s temperature recording form, a satisfactory survey and an assessment form of nursing practice guideline. The data retrieved were statistical analyzed including percentage, mean value, standard deviation, paired t-test. The developed nursing care guideline in hypothermia preventing composes of 3 phases including pre-operative, intra-operative and post-operative phases. The results revealed that during the intra-operative period, the core temperatures in test group (n = 30) using wormed fluid obtained from the invented heating device were significantly higher than those for control group (n = 41) using the intermittent water warming at a statistic level of .05 (P = .003). A hundred percent of the nurses (n = 19) were excellently satisfied using the nursing practice guideline for preventing hypothermia in patients with off pump coronary artery bypass grafting. In addition, all of nurses (n = 19) followed the nursing practice guideline for preventing hypothermia in patients with off pump coronary artery bypass grafting during their duties. It can be concluded that the developed nursing practice guideline has potential to be used satisfactorily for preventing hypothermia in patients with off pump coronary artery bypass grafting.</p> Tipsukon Arayawong, Worawit Inthanu, Weekunya Leuluang Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247165 Fri, 03 Sep 2021 17:34:49 +0700 Good Death as Perceived by Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251640 <p>This qualitative research aimed to describe good death as perceived by nursing students. Heidegger humanistic phenomenology was applied as research methodology. The participants were 15 nursing students who had experienced the loss of a family member while studying in the Faculty of Nursing. Data were collected using in-depth interviews with audio-recorded, and field observations. Data was analyzed using content analysis method of The Van Manan. The findings of this study are consisted of 7 themes: 1) having knowledge to be the door for good death, 2) having relationship to enhance the supporting and caring, 3) Creative communication and prepare with mutual understanding, 4) Live every moment with value and meaning, 5) Caring the body and mind by nothing suffering, 6) Psychological needs are meet, 7) Spiritual beliefs are not ignored.</p> Pongphol Khongsaman, Yupa Wongrostri, Chutarat Akkarawongvisiht Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251640 Tue, 31 Aug 2021 00:00:00 +0700 The Perceived of The Grade 3 Students of Secondary School in Bangkok on Premarital Sex Behavior and Adolescent Pregnancy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246970 <p>This survey research aimed to determine the perception of the grade 3 students of secondary school in Bangkok on premarital sexual behaviors and adolescent pregnancy. The participants were 180 grade 3 students of secondary school in Bangkok, 90 were male and 90 were female. Data were collected using closed-ended question with 10 items and analysed using content analysis. Mostly participants’ perceived value and attitude on premarital sexual behavior and adolescent pregnancy, the results shown that they should not have sex during school age because of sexual transmitted diseases, unwanted pregnancy, and adverse effects on their studies and families. Male participants perceived that the cultivated values is honor, patience and suppression on their sexual emotions. Female participants perceived that learning to refuse, avoiding dating in private and sexual arousing such as touching, kissing and sexual media can prevent sexual intercourse. The most important of prevention teenage pregnancy that perceived by male and female participants is A B C concept (A: Abstinence means not having sex; B: Be appropriate behaviors; C : Condom using). Moreover, unwanted pregnancy should be informed to their parents, teachers with visiting healthcare center or calling 1663, hotline number for consultation. The study results suggest an application on development of teenage life skills to cope with sexual situations. The cultivated proper sexual value and attitudes should be introduced in the school age by their families, schools, healthcare providers, and policy makers.</p> Sangjan Sunanta, Chantana Proyngern Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246970 Sat, 04 Sep 2021 01:08:58 +0700 Factors Predicting Fear of Cancer Recurrence among Patients with Breast Cancer https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251659 <p>The fear of cancer recurrence is a psychological problem that makes patients with breast cancer have improper coping behaviors. This predictive correlational study aimed to evaluate the fear of cancer recurrence and its predictors in breast cancer patients receiving radiotherapy and/ or chemotherapy at the outpatient departments of Chonburi Cancer Hospital. Ninety-four patients with breast cancer were recruited by a simple random sampling method. The research instruments included the personal data record form, the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), the Brief Pain Inventory Short Form (BPI-T), the Thai version of 10-Item Perceived Stress Scale (T-PSS-10), the Life Orientation Test Revised (LOT-R) and, the Social Support Questionnaire (SSQ). The Cronbach alpha coefficients were .87, .92, .85, .84 and .98 respectively. Data were analyzed by descriptive statistics and multiple regression analysis.</p> <p>The results showed that 84 percent of the sample had a high level of fear of cancer recurrence (Mean = 22.80, SD = 5.76). Stress was only the factor that could predict fear of cancer recurrence among patients with breast cancer (β = .61, p &lt;.05). Therefore, nurses should regularly assess the stress, causes of stress, and the fear of cancer recurrence in patients with breast cancer in order to promote patients’ ability to cope and manage stress properly to prevent fear of cancer recurrence during treatment.</p> Naraporn Injai, Saifone Moungkum, Khemaradee Masingboon Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251659 Tue, 31 Aug 2021 00:00:00 +0700 The Effects of SKT2 Meditation with Diet Control Knowledge on Ischemic Heart Disease Preventive Behaviors of Hypertensive Patients https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246705 <p>The objective of this quasi-experimental research with a control group was to study the effects of SKT2 meditation practice with diet control knowledge on ischemic heart disease preventive behavior in hypertensive patients. The subjects were 24 hypertensive patients, divided into experimental and control groups. The experimental instruments were 1). SKT2 meditation practice manual and diet education accordance with the DASH Diet. 2) data collection tools were 4 parts questionnaire 2.1) personal information 2.2) perceived severity 2.3) perceived susceptibility, and 2.4) preventive behaviors of ischemic heart disease. Both of them had been validated by 3 experts. The CVI value were between 0.67-1.00, while the reliability of part 2-4 questionnaires which tryout in a similar group of 30 hypertensive patients were at 0.88, 0.88, and 0.82, respectively. The statistics used were percentage, mean, standard deviation and t-test. The results showed that 1) the mean score of perceived severity, perceived susceptibility, and the preventive behaviors after the intervention program of the experimental group were higher than before experiment with significantly different at the 0.001 level. 2) The average blood pressure after the experiment of the experimental group was decreased more than the control group with statistical significance at the .001 level, whereas the control group were not different.</p> Natgrita ์Wongtrakool, Sulee Tongvichean, Sararak Supremsri Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246705 Sat, 04 Sep 2021 21:21:12 +0700 The Effect of Organizing Learning Activities Based on Gamification Concept toward Problem Solving Skills of Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251660 <p>This quasi-experimental research applied the gamification concept in education. The concept is the integration of gaming with learning technology. Leading to classroom engagement and practice of problem-solving skills from situations in the game. Therefore, we are interested in using the game “Solve the outbreak” to organize learning activities based on the concept of gamification. So that the learner was an epidemic investigator in various epidemic situations. The aims of this research were to 1) analyze and compare the problem-solving skills of nursing students before and after providing the learning activities with the gamification approach and 2) study the students’ opinions towards the learning activities with the gamification approach. One group, pretest-posttest design was carried out on a sample of 63 second-year nursing students. The samples planned themselves to play “Solve the outbreak” game effectively within 4 weeks. The research instruments were the problem-solving skills test and the opinion survey. Reliability test using the Kuder-Richardson 20 are 0.82. The data were analyzed by using descriptive statistics and paired t-test.</p> <p>The results found that problem-solving skills increased after participating in the learning activities based on the concept of gamification with statistically significant at .05 level. Student’s opinions show that they learned about diseases and outbreaks management in an enjoyable and engaging way. The scenarios stimulated their problem-solving thinking to save lives.</p> Ong-on Prajankett, Sirirat Chamnongchit, Aree Sanee, Pornnapa Charoensan Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251660 Tue, 31 Aug 2021 00:00:00 +0700 The Relationships among Self-Efficacy and Satisfaction of Nursing Students who Received Online Learning in COVID-19 Situations https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251661 <p>This study was a descriptive correlation research. The study aimed at investigating the relationships between self-efficacy and satisfaction of nursing students who received online learning in COVID-19 situations. The sample consisted of 300 nursing students who online learning and register summer semester in academic year 2019 in government and private university in the north-eastern region of Thailand. The instruments used to collect data included a demographic characteristic questionnaire, Online learning self-efficacy scale and online learning satisfied questionnaire. Data were analyzed using frequency, percentage, mean and Spearmen’s rank correlation.</p> <p>The research findings revealed that self-efficacy was positively related to satisfaction of nursing students who received online learning with statistical significance (r = .666, p &lt;.001). The study findings could be utilized to guidance for development self-efficacy promotion program in nursing students who received online learning.</p> Siriluck Panya, Soomisa Koomala, Siriorn Khoyun Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251661 Tue, 31 Aug 2021 00:00:00 +0700 A Study of Clinical Nurse Coordinator Roles https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251662 <p>The objective of this study was to examine the roles of clinical nurse coordinators based on Ethnographic Delphi Future Research (EDFR). Nineteen informants came from four groups of people comprising six multidisciplinary experts, two academics specializing in clinical nurse coordinators, four nursing administrators and seven nurses working as clinical nurse coordinators. The research methodology was conducted as follows: the first round involving the interviews about the roles of the clinical nurse coordinator, the second round creating a questionnaire based on the information obtained from the interviews and asking experts to evaluate the importance of the roles, and the third determining the mean and quartile range of the information from the second round to finalize the questionnaire. The questionnaire was reviewed by experts before a summary of the roles of a clinical nurse coordinator was carried out.</p> <p>The findings revealed that the roles of a clinical nurse coordinator can be classified into the following five major roles: 1) Care manager: consisting of 10 sub-roles concerning taking care of a patient from admission to discharge. 2) Data and information manager: consisting of 4 sub-roles concerning data management and analysis to determine the likely cause of the disease and treatment 3) Clinical counselor: consisting of 7 sub-roles concerning the provision of patients and their families with consultation and health care personnel with treatment for certain patients. 4) Clinical quality operator: consisting of 6 sub-roles concerning activities organized to improve patient care.5) Clinical advocator: consisting of 6 sub-roles concerning protecting the patient’s rights to treatment.</p> Acharee Komkrit, Areewan Oumtanee Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251662 Tue, 31 Aug 2021 00:00:00 +0700 The Relationship between Mindfulness and Academic Achievement among Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243123 <p>This descriptive research study examined the level of nursing students’ dispositional mindfulness and its relationship with academic achievement. The participants were 234 first to fourth year nursing students enrolling in the Bachelor of Nursing Science program at a university in Bangkok (n= 59, 57, 58, and 60 respectively). The research instrument was the Thai version of the Five Facet Mindfulness Questionnaire (FFMQ). The reliability of the questionnaire was high (α = .86). The participants’ demographic data and their level of dispositional mindfulness were analyzed using descriptive statistics. In addition, the relationship between the participants’ dispositional mindfulness and academic achievement was analyzed using the Pearson’s ProductMoment Correlation. This study found that both the participants’ overall dispositional mindfulness score and nonreacting to inner experience facet score were moderate; on the other hand, their scores on the observing facet (attending to internal and external experiences), describing facet (labeling experiences with words), and acting with awareness facet (paying full attention to current activity), were found to be moderate to slightly high; while their nonjudging facet score was found to be low to slightly moderate. Furthermore, the relationship between acting with awareness facet and academic achievement was found to be statistically significant positive but weak (r = .19, p &lt; .01). The findings suggested nursing instructors may consider integrating simple Vipassana mindfulness trainings in classrooms throughout the Bachelor of Nursing Science program.</p> Sudaros ยากิ, Kanokporn Ruangpermpoon, Naruemon Samarksavee, Jutathip Kingkaew Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243123 Sat, 04 Sep 2021 22:05:07 +0700 Care Need among to patients with Coronary Artery Disease https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251664 <p>Survey research for study included the care needs of patients with coronary heart disease, to compare the care needs of patients with coronary heart disease classified by gender and to study the relationship between the co-morbidity, duration of treatment, number of medication taken, cardiac function class and the care needs of patients with coronary artery disease. The sample consisted of 352 patients who were treated with medicine at the Police Hospital. The Instruments for data collection consisted of questionnaires, general data and clinical data of individuals, and needs assessment for patients with coronary heart disease. Analyze data with Descriptive statistics, T -test and Pearson’s correlation coefficient.</p> <p>The results of the study revealed that 1) Total care needs of the patients with coronary heart disease in a high level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 95.81) , when considering each aspect, it was found that the psycho needs (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 29.32), the health system and information care (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 23.79), Physical and daily activities (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 17.09) were moderate level, and the low level of sexual desire (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 6.57) 2) Total support care needs of coronary heart disease was not significantly different by gender (p&lt;.05) 3) The co-morbidity correlated with the positive care needs at a moderate level (r = 0.44). The duration of treatment (r = .09) and the number of medicine taken (r = .63) were related to the low and moderate level of negative needs (respectively). Cardiac functional class was not correlation with the care needs of patients with coronary heart disease.</p> Pachanat Nunthaitawekul, Pennapa Dangdomyuit, Pattama Preerapong, Jarunee Rabama, Penpayome Sakorn Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251664 Tue, 31 Aug 2021 00:00:00 +0700 A study of Hyperbaric Nurses’ Role https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251665 <p>The purpose of this research was to study the roles of hyperbaric nurses. The Ethnographic Delphi Future Research (EDFR) was applied. The subjects included 25 experts including 7 physicians involved in HBOT, 7 nursing administrators of HBOT, 4 nursing educators of HBOT and 7 staff nurses of HBOT. The EDFR consisted of three steps: In step one, describe to roles of hyperbaric nurses from the experts. In step two, the data were analyzed by using content analysis for developing the rating scale questionnaire. In step three, The data were analyzed again by using median and interquartile range to summarize the roles of hyperbaric registered nurses. The results showed the roles of hyperbaric nurses consist of 7 roles as follows:</p> <p>1) The nursing practice roles including patient care of HBOT comprehensive holistic by nursing process 11 items. 2) The educator roles in the teaching process to the individual patient, family, etc. including 9 items. 3) The development and innovative nursing roles including 3 items. 4) The role of the nurse manager to assess the risk management 7 items. 5) The counselor roles of HBOT services regarding advising patients and those interested 6 items. 6) The role of the coordinator services regarding coordination with the staff and relevant departments 6 items. 7) The role of patient advocacy including 7 items.</p> Preeya Khaowngam, Areewan Oumtanee Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251665 Tue, 31 Aug 2021 00:00:00 +0700 The Factors Related to The Happiness among Sexual-and Gender-Diverse Persons https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251666 <p>This descriptive correlational researchwas examined the following: 1) the happiness among sexually- and gender-diverse individuals (SGD), and 2) the factors influencing the happiness of these individuals. One hundred and fifty-two sexually- and gender-diverse individuals were recruited. The instruments included the following: 1) a demographic characteristics questionnaire; 2) a family relationship questionnaire; 3) the Rosenberg Self-esteem Scale;4) the Center of Epidemiologic Studies Depression Scale (CSD-S), and 5) the Oxford Happiness Questionnaire. Cronbach’s alpha was used to determine the reliability of the instruments. Family relationship Questionnaire was at .75, Rosenberg Self-esteem scale was at.71, CES-D was at .80, and the Oxford Happiness Questionnaire was at .75. Data were analyzed using descriptive statistics and Spearman’s correlation coefficient.</p> <p>The results revealed that the happiness was at a high level (M = 4.67, SD. = .59), family relationships were at a good level (M = 48.63, SD. = 7.17), self-esteem was at a high level (M = 3.30, SD. = .44), and depression was at 10.80 (SD. = 8.59). Family relationships and self-esteem had a statistically-significant positive relationship with happiness (r = .38, p&lt;0.001, r = .66, p&lt;.001), and depression had a statistically significant negative relationship with happiness (r = -.60, p&lt;.001) Although happiness among SGD was at a high level, mental health nurses should develop nursing interventions by promoting family relationships and self-esteem. Moreover, depression is negatively correlated with happiness. Mental health nurses could early detect, prevent, and follow-up for depression among sexually-and gender-diverse persons.</p> Sattaya Prakobchai, Rangsiman Soonthornchaiya, Ek-uma Imkome Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251666 Tue, 31 Aug 2021 00:00:00 +0700 Factors Related to Health Seeking Behaviors among Persons at Risk of Colorectal Cancer https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243069 <p>The objective of this descriptive correlational research was to identify factors related to health seeking behaviors among persons at risk of colorectal cancer. A multi-state sampling of 122 patients at risk of colorectal cancer were recruited from Gastrointestinal outpatient department in Rajavithi Hospital, Police General Hospital and Chulalongkorn Memorial Hospital. Data were collected using 6 questionnaires for persons at risk of colorectal cancer: 1) Demographic data form, 2) Illness Perception, 3) Social support, 4) Anxiety, 5) Fear, and 6) Health seeking behaviors. All questionnaires were tested for their content validity by 5 experts. The Cronbach’s alpha coefficient were .86, .89, .86, .87, and .86, respectively. Data were analyzed using Pearson’s product correlation coefficient statistics.</p> <p>The finding showed that factors were significantly descriptive correlated to health seeking behaviors among persons at risk of colorectal cancer. The 3 factors were illness perception (r = .471), social support (r = .327), and anxiety (r = -.367) significant descriptive correlated to health seeking behaviors among persons at risk of colorectal cancer at the .05.</p> Nipaporn Nammuntha, Rapin Polsook Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243069 Sat, 04 Sep 2021 23:51:17 +0700 Effects of The Transtheoretical Model Application for Eating Behaviors in Non-Commissioned Officers with Metabolic Syndrome https://he01.tci-thaijo.org/index.php/JRTAN/article/view/223914 <p>This quasi-experimental study aims to investigate the effectiveness of the Transtheoretical model based dietary behavioural modification programme in non-commissioned officers with metabolic syndrome. Participants were divided into intervention and control group of 32 participants in each group. Transtheoretical model based dietary behavioural modification programme was delivered in the intervention group. and was evaluated by specific dietary behaviours questionnaires and evaluation forms. The evaluation was carried out at pre and post intervention period and the follow-up period. Statistical analysis consisted of descriptive and inferential statistics including percentage, mean, standard deviation, Independent t-test, and Repeated Measure one-way ANOVA.</p> <p>The intervention group revealed higher dietary behaviours score at the post-intervention period compared with the pre-intervention period with statistical significance (p &lt; .05). During the follow-up period, the intervention group also performed higher self-determination, perceived behavioural control, and dietary behaviours score than both pre-intervention and post-intervention periods with statistical significance (p &lt; .05). The intervention group also received higher self-determination and perceive behavioural control score than the control group during the follow-up period (p &lt; .05).</p> Suppaporn Jamsai, Patcharaporn Kerdmongkol, Kwanjai Amnatsatsue, Arpaporn Powwattana, Tassanee Rawiworrakul Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/223914 Sat, 04 Sep 2021 23:57:51 +0700 The Development of Teaching Model Based on Knowledge Creation Theory of Principles and Techniques in Nursing to Develop the Analytical Thinking Skills of Nursing Students Boromarajonani College of Nursing Suratthani https://he01.tci-thaijo.org/index.php/JRTAN/article/view/236301 <p>The research study aimed to 1) develop the teaching model of principles and techniques in nursing; 2) develop analytical skills of nursing students Boromarajonani College of Nursing Suratthani. The sample in this research was 95 academic year 2 nursing students. The instruments consisted of 1) instructor’s manual 2) Analytical thinking test of Principles and Techniques in Nursing 3) assessment form for Teaching and Learning Efficiency of Principles and Techniques in Nursing. The data were collected by analytical thinking skills test with descriptive statistics.</p> <p>The study revealed the following results: 1) the model of principles and techniques in nursing to develop analytical skills of nursing students Boromarajonani College of Nursing Suratthani consists of 5 steps which are 1) preparation for learning 2) learning and practice 3) reflection 4) knowledge creation and 5) assessment (Evaluation: E) The result from the teaching and learning according to the said format makes 47.40% of nursing students have analytical skills of courses, principles and techniques in nursing more than 60% of the scores according to weight determination.</p> Rungnapa Chantra, Supalak Thanaroj, Kittiya Rattanamanee, Patcharaporn Untaja Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/236301 Sun, 05 Sep 2021 00:11:22 +0700 Effects of Empowerment Programs on Knowledge in Glycemic Control, and Diabetes Prevention Behaviors of type II Pre-diabetes Person in Urban Area, Phayao Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246567 <p>The quasi-experimental research design aimed to examine the effect of the empowerment program on knowledge and glycemic control of persons with pre-diabetes and preventive behaviors of on persons who risk type II diabetes mellitus in urban area, Phayao Province, applying Gibson conceptual framework consisting of this studied. The subjects were 20–59-year-olds with qualifications as specified. Data were collected between October and December 2019. The subjects were simple random sampling, equally to thirty persons in each group. The experimental group received nursing care by the empowerment program but control group receiving regular nursing care from the public health care teams. The research instrument consists of three parts: General data recording, Knowledge assessment questionnaires or diabetes control and diabetes prevention behaviors questionnaire, the Alpha Cronbach Coefficient of 0.89, data analyzed in general with descriptive statistics. Comparative analysis of knowledge scores about glycemic control and diabetes prevention behaviors within the groups before and after joining the empowerment program using dependent t test and analyzing between of variance in experimental and control groups using independent t test statistics.</p> <p>The results showed that empowerment programs for type II diabetes mellitus prevention in the experimental group had higher scores than before the experiment, both within the group and between groups. Statistical had significant level .05. The finding reflects that teams, health care workers and those responsible for pre-diabetes person should continuing to apply empowerment concepts to improve the effectiveness of diabetes prevention in the community.</p> Waratya Kulnitichai, Kamoluk Ratsakulwong Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246567 Sun, 05 Sep 2021 07:09:32 +0700 Development Model of A Smoking Cessation Based on Motivational Interviewing for Students in Higher Education https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246544 <p>This research aimed at developing a smoking cessation model based on motivational interviewing for university students and at evaluating the model’s effectiveness. Three phases were used for this study: 1) situation analysis, 2) the operational phase, and 3) evaluation of the model. The participants were selected by purposive sampling, divided into two group according to the development phase. Situation analysis phase consisted of model developers; staff members who have responsibility for a smoke free university policy, student nurses, and students who smoke, a total for 20 people. The operational phase, model trial group consisted of 27 student nurses, and 27 students who smoke. Data were collected between 1 June 2018 to 30 June 2019. The instruments used in this study were group interview questions, knowledge and skill for smoking cessation base on motivational interviewing testing, and questionnaires about the intention to quit smoking. Data were analyzed by content analysis, and Pair t-test.</p> <p>The results of this study indicated that student nurses got significantly increased scores for knowledge and skill about smoking cessation based on motivational interviewing after applying the model (Mean diff. = 9.55, 25.59 Respectively, p-value&lt;.001). The students who smoke significantly increased their score about their intention to quit smoking after applying the model (Mean diff. = 2.00, p-value&lt;.001). It is suggested that this model should be applied at other universities to develop students’ potential for smoking cessation and to reduce the number of young smokers.</p> Mullika Matrakul, Nattaya Phadaennok Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246544 Sun, 05 Sep 2021 07:16:24 +0700 Relationship Model among Environmental Supports, Knowledge Skills and Ability, Personality Characteristics, and Orientations on Personal Initiative of Head Nurses in Private Hospitals https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251667 <p>The analytical research design was to examine the relationship model among environmental supports, knowledge skills and ability, personality characteristics, and orientations on personal initiative of head nurses in private hospitals. The conceptual framework of this research study was synthesized from personal initiative model by Frese and Fay6. The research samples were 262 head nurses in different JCI private hospitals in Thailand. Data were collected with 7 questionnaires and using, the level of cronbach’s alpha coefficient in the range of .78 -.89. respectively. All data were analyzed with descriptive and path analysis statistics.</p> <p>The results showed; an environmental supports, personality characteristics, and orientations had direct effect on personal initiative (β = .23, .09 and .50 respectively), and environmental supports, knowledge skills and ability, had indirect effect on personal initiative with mediator orientations (β = .19, .44 and .27 respectively), which all variables had predicted personal initiative at 51% (R2 = .51, p &lt; .01). The correlational model was congruent with the empirical data (P-value = .307, χ2 = 1.044, DF = 1, CMIN/DF = 1.044, GFI = .998, AGFI = .976, RMR = .060, CFI = .1.000, RMR = .000, RMSEA = .013). The private hospital administrators and nursing executives should have a policy to continuously develop the environmental supports, knowledge skills and ability, personality characteristics, and orientations according to the changing situation in which enhancing the personal initiative behaviors level of the head nurses.</p> Chutchavarn Wongsaree, Netchanok Sritoomma Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251667 Tue, 31 Aug 2021 00:00:00 +0700 Selected Factors Related with The Health Literacy in Blood Glucose Level Controlling of Patients with Type 2 Diabetes https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251668 <p>This analytic cross-sectional research aimed to study the level of the health literacy and the selected factors related with the health literacy in type 2 diabetes patients. The samples were 405 Patients with uncontrolled blood sugar level. The research instrument consisted of the selected factors and health literacy assessment questionnaires. The reliability was KR 20 and Cronbach’s alpha coefficient at 0.642 and 0.952. Data was analyzed by descriptive statistics and chi-square.</p> <p>The study revealed that health literacy level was fair. Selected factors had no relationship with health literacy. For each dimension analysis, gender related with health access sand services and decision skill, age, education and related disease related with health knowledge and media literacy, occupation, income and disease duration related with knowledge, health communication, and decision skill were shown significantly at .05.</p> Nawaporn Wutthitham, Pimnipa Srinoppakun, Thitiwat Wareeratpakorn Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251668 Tue, 31 Aug 2021 00:00:00 +0700 Depression and Suicide Literacy and Mental Health Seeking Behavior among Family Caregivers of Older People in Community https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247059 <p>The purpose of this descriptive research was to examine the relationship between personal factors, depression and suicide literacy and mental health seeking behavior among family caregivers of older people in community. The sample consisted of 400 family caregivers of older people in Nakhon Pathom province. The measurements used for data collection were personal information questionnaires, the depression and suicide literacy questionnaire, actual mental help and mental health seeking behavior questionnaire. The measurements were tested for content validity and reliability. The reliability of measurements was .94 and .81. Data were analyzed using descriptive statistics, Pearson’s product moment correlation, Spearman’s rank correlation, Point Biserial and Biserial correlation. The findings revealed that depression and suicide literacy was significantly associated with mental health seeking behavior (r = .25, p = .01), age (r = -.142, p &lt;.01), and education (r<sub>b</sub> = .380, p &lt;.01). While the relationship between mental health seeking behavior was found to be associated with age (r<sub>s</sub> = -. 149, p &lt;.01) and education (r<sub>b</sub> = .251, p &lt;.05). Consequently, nurses and health personnel should organize interventions to enhance knowledge about depression and suicide for older people’s caregivers in order to foster depression and suicide literacy which may lead to further access to mental health services in older people.</p> Phachongchit Kraithaworn, Suwatjana Noinam Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/247059 Sun, 05 Sep 2021 07:47:35 +0700 The Need for Master’s in Nursing Education of Registered Nurses in Ministry of Public Health Zone 10 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246506 <p>This was the survey research with the objective to study the need for further study in the Master of Nursing Science Program of 370 registered nurses in 10th Public Health Region. They were selected by a cluster sampling technique. The research instruments was a questionnaire on the need for further study in the Master of Nursing Science Program. Cronbach’s alpha coefficient was used to verify the reliability of the questionnaire, and the reliability of the questionnaire was 0.98. Data were analyzed by percentage and Pearson’s correlation coefficient.</p> <p>The results of the study were as follows. 1) The need for studying in the Master of Nursing Science Program of the samples was 77.6%. The programs that the samples wanted to further their study the most were Master of Nursing Science Program in Adult Nursing (70.4%), followed by Nursing Science Program in Gerontological Nursing (63.4%), respectively. 2) The factor related to the need to study in the Master of Nursing Science Program was job position, which was positively related to the need to study in the Master of Nursing Science Program at a low level with statistical significance (p &lt; .05) (r = -0.12). The results of the study can be used as the guideline to support the opening of the Master of Nursing Science Program and to plan the provision of further study for registered nurses.</p> Sompong Pamulila, Somchit Luprasong, Wassamon Paprom, Amornrat Natason, Sanguan Thanee, Phusanisa Meenakate Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246506 Sun, 05 Sep 2021 08:05:22 +0700 A Development of Cognitive Flexibility Program Based on Acceptance and Commitment Therapy in Primary School Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242365 <p>The aims of this research were to develop the Cognitive Flexibility Training Program based on Acceptance and Commitment Therapy in primary school students (CFT-ACT), and to test the effectiveness of the developed CFT-ACT program. The sample consisted of 60 primary school students, with the age between 9-11 years old. The sample was randomized by using random assignment and matching in to groups: an experimental and a control group, each group composed 30 students (Boys = 15, girls = 15). The research instruments were; 1) the CFT-ACT program, which was developed by the researcher based on acceptance and commitment therapy and cognitive flexibility training. And child development concept. It composed of 6 sessions; and 90 minutes in each session; for a total of three weeks, and 2) the Wisconsin card sorting (WCST-64). The experimental group received the CFT-ACT program and the control group joined the regular school’s activities during the same period. The assessments were done in 2 phases: pretest and posttest. The data were analyzed by a t-test.</p> <p>The results revealed that the experimental group had the mean score of cognitive flexibility in the posttest higher than the pretest with statistically significant at .05 level. Additionally, they had the mean score of cognitive flexibility higher than those in the control group in the posttest with statistically significant at .05 level.</p> Chatchaya Nusonthara, Juthamas Haenjohn, Sasinan Sirithadakunlaphat Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242365 Sun, 05 Sep 2021 11:26:57 +0700 Development Maternal – Fetal Attachment Promotion Model of Unwanted Pregnant Adolescents Chiang Rai Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251671 <p>This research is study and development. with the purpose of: (1) to study the situation of adolescents unwanted pregnancy (2) to develop a model for promoting Maternal-fetal attachment Promotion (3) to evaluate results After the experiment 1 month results the Development of a Maternal-fetal attachment Promotion Model Developed. The study population were adolescents with unwanted pregnancies, In Chiang Rai province, age between 16 - 19 years. The study group was divided into 2 groups, namely (1) the experimental group of 30 people. (2) The control group of 30 people by lottery method. There were 3 sets of qualitative research instruments: 1) in-depth interview, 2) questionnaire, 3) evaluated through content validity check, obtained an CVI value of 0.83 is equal to 0.86 The data was analyzed using descriptive statistics and statistical tests Statistics used Paired t - test</p> <p>The results of the research demonstrated that Pattern development is appropriate in accordance with the behavioral adjustment needs of the pregnant adolescent. Maternal-Fetal Promotion Model applied the created activity plan. Results of comparison before and after the trial Average score. The maternal attachment higher, post-trial, have assessed results the 1-month by the Percentage amount statistically significant of .05</p> Wachiraporn Aryuyuen, Suree Chanthamolee , Prapapen Suwan, Pornsook Hoonnirun Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251671 Tue, 31 Aug 2021 00:00:00 +0700 Factors Related to Influenza Preventive Behavior and Control among Private https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240981 <p>This research was an analytical cross-sectional study. Influenza preventive behavioral study and control among private and identify factors related to influenza preventive behavior and control among private were the purposes of this research. There were three factors, predisposing factors, enabling factors and reinforcing factors. The sample group who filled in complete information was 278 officers. The research instrument was a questionnaire. The whole Cronbach’s alpha coefficient was .93 Data was analyzed by using descriptive statistics, relationships determining spearman correlation and multivariable ordinal logistic regression. The results revealed that the sample had mean scores of influenza preventive behavior and control at moderate level (Mean = 17.80, S.D. = 2.44). Factors related to influenza preventive behavior and control were moderate and high level of influenza prevention and control enabling factors (OR = 2.94 and 4.62, 95% CI: 1.42-6.07 and 2.35-9.06, p = .004 and &lt;.001 respectively) and reinforcing factors was the support from the supervisor at the medium and high level. (OR = 4.31 and 4.73, 95% CI: 1.08-17.15 and 1.26-17.72, p = .038 and .021 respectively) Therefore, the supervisor should determine measures to prevent and control influenza seriously. Supporting sufficient personal care products such as glasses, spoons in order to achieve desirable behavior.</p> Pattreeya Namlaitung, Surangrat Pongpan Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240981 Sun, 05 Sep 2021 12:12:22 +0700 Development of Nursing Practice Guidelines for Dengue Hemorrhagic Fever in Dokkhamtai Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242566 <p>The study aimed to develop and evaluate the effects of nursing practice guideline for patients with dengue hemorrhagic fever by using the framework of the National Health and Medical Research Council of Australia (NHMRC). The purposive sampling method was used to select samples of 28 nurses involving care for dengue hemorrhagic fever patients. The research instrument consisted of nursing practice guidelines for dengue hemorrhagic fever, knowledge of dengue hemorrhagic fever questionnaire, nursing practices form and nurse satisfaction questionnaire. The data were analyzed using percentage, mean, standard deviation and paired t-test.</p> <p>The results revealed that the components of nursing practice guideline for patients with dengue hemorrhagic fever included nursing practice guideline for outpatient and inpatient department. The result after implementation showed that nurses had significantly increase in the mean score of knowledge about dengue hemorrhagic fever and nursing practice at statistical significance of .05. The overall satisfaction of using the nursing practice guideline was rated in high level (mean = 4.26, S.D. = .58) According to the results showed nurses can use the practice guideline for patients with dengue hemorrhagic fever at outpatient and inpatient department. The guideline should be continuously monitoring and evaluation. Furthermore, the guideline should be carried out to determine its effectiveness.</p> Cholada Chaikoolvatana, Wichanee Jaimalai, Kanjana Tachawong Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242566 Sun, 05 Sep 2021 12:19:21 +0700 The Influence of Health Literacy with Consumption and Exercise Behavior among School-age Children with Overnutrition https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242733 <p>The problem of overnutrition in children is still a significant problem. Therefore, the study of health literacy to prevent obesity is essential. The purpose of this research was to study health literacy consumption and exercise behavior ,Predictive factors of personal, family, and environmental factors With consumption and exercise behavior and factors predicting health literacy and consumption and exercise behaviors . Our sample included 100 students who are over nutritional status with age of 9-14 years old in Nakhon Ratchasima province. Data were collected by using questionnaires. Data were analyzed by using descriptive statistics. And the analysis of multiple regression.</p> <p>The result of the research shows that predicting factors of the individual, family, and environmental among school-age children with overnutrition include gender (male) (β = -.268), marital status of parents (living together) (β = - .340) able significant predicted of the consumption and exercise behaviors to 18.7% (R2 = .187, F = 7.353) predicting factors of health literacy among school-age children with overnutrition include self-management. (β = .588) Decision skill. (β = .213) Cognitive. (β = .207) able significant predicted of the consumption and exercise behaviors to 22.5% (R2 = .225, F = 4.503)</p> Kanlayawee Anonjarn, Orapun Odomporn Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242733 Sun, 05 Sep 2021 12:28:54 +0700 Development of Army’s Personnel Rights Filtering Tool https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251675 <p>This research designed a combination of both quantitative research and qualitative research. The objective were (1) to study Army personnel action handbook, survey the opinions on the use of the manual by collecting relevant data and analyzing it to obtain guidance, important information on the development of the Army personnel rights filtering tool, (2) to develop the Army’s personnel rights filtering tool and (3) to analyze the results of opinions on the effectiveness of the Army’s personnel rights filtering tool. In this research, data was collected from relevant personnel, both as part of the quantitative and qualitative research in which the data was collected by 3 steps: The first step was to collect quantitative data by distributing questionnaires to assess the quality of the personnel rights action manual for 95 people which are all personnel officers. The second step was to collect the qualitative data from in-depth interviews with a sample group of personnel rights experts who selected five specific samples. And the third step was to collect quantitative data by distributing the Army’s personnel rights filtering tool efficiency assessment form to a population of 95 people which are all personnel officers. The content validity indexes of these tools were 0.88, 1.00 and 1.00. The Cronbach’s alpha coefficient of 0.83, 0.94 and 0.97 respectively. Data analyzed by using frequency, percentage, average score and standard deviation.</p> <p>The overall performance of the Army’s personnel rights filter was very good (µ = 4.39). When considered individually, it was found that the effectiveness of the Army personnel rights filtering tool in 4 areas: Functional Requirement Test was at very good level (µ = 4.53) , Functional Test was at very good level (µ = 4.51) , Usability Test was at very good level (µ = 4.41). Lastly, the Security Test was at a good level (µ = 4.13). Amry’s Personnel Rights Filtering Tool reduces the workload of the operator, able to meet the needs of the user and can be used for practical purposes.</p> Tissanarin Chumdangpakdekul, Attapol Kanjanapongporn, Udomsit Jeerasitkul Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251675 Tue, 31 Aug 2021 00:00:00 +0700 The Effects of Neuro-Linguistic Programming on Inhibitory Controls to Lose Weight in Overweight Policemen https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242357 <p>The objective of this research was to develop and test the effectiveness of the inhibitory control for weight loss based on Neuro-linguistic programming training program (NLP-ICWL) in overweight policemen. The samples were policemen who had BMI more than 25 and they were divided by randomly matched pair of scores to be an experimental group and a control group, 10 policemen in each group. The research instruments were designed by the researcher: 1) the NLP-ICWL program with global unconscious reframing technique and 2) Go / No Go Task with Thai food and beverage images. The experimental group received the NLP-ICWL program for 2 sessions. The control group received only the knowledge from the balance calories, brain, mind and exercise personal book and self-training for 2 months. The assessments were done in pretest, posttest and 2 months follow-up phase. The data were analyzed by utilizing a repeated measures analysis of variance and paired-different test by Bonferroni method.</p> <p>The findings were revealed that the experimental group that received the NLP-ICWL program had the mean score of inhibitory control for weight loss in the follow-up and posttest higher than pretest with statistical significance at .05 level. Additionally, the experimental group had the mean score of inhibitory control for weight loss higher than those in the control group and in the follow-up and posttest with statistical significance at .05 level. Moreover, the experimental group had the mean score of body composition in the posttest and follow-up period lower than the pretest and the control group.</p> Pawarin Choti, Juthamas Haenjohn, Warakorn Subwirapakorn Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242357 Sun, 05 Sep 2021 12:56:10 +0700 The Effect of Constructivist Learning Approach on the Topic of Nursing Care for Children with Gastrointestinal Disorders of the Nursing Students in Phetchaburi Rajabhat University https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243209 <p>The purpose of this quasi–experimental research (One-group pretest-posttest design) was to examine the effect of Constructivist learning process on the topic of nursing management for children with gastrointestinal disorders of the nursing students in Phetchaburi Rajabhat University. The instruments consisted of lesson plan based on Constructivist learning process on the topic of nursing management for children with gastrointestinal disorders and learning achievement test. The reliability was 0.88, as well as satisfaction evaluation form, with its reliability was 0.94. Data were analyzed using frequency, percentage, mean, standard deviation, and Repeated Measure Analysis of Variance with Bonferroni’s test. The findings of the study revealed that the study sample’s mean post-test scores of learning achievement test immediately after the experiment and at two-week follow up were statistically significantly higher than the mean pre-test score (p &lt;.01). The overall scores of satisfaction in Constructivist learning process were at the highest level. The findings of this research provide nursing educators with a practical model that can be used to improve nursing curricula students’ knowledge building processes based on Constructivist Learning Approach to develop the 21st century learning skills for student students.</p> Supattra Nuttarugs, wannaprai yamma Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/243209 Sun, 05 Sep 2021 13:06:25 +0700 Effect of Stress Management Program on Stress Level and Stress Management Ability of Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245479 <p>Stress is a learning barrier for nursing students. Finding stress management methods that are consistent with the problem is essential. The study was a quasi-experimental research. The purpose was compared stress and stress management ability of nursing students between before and after of the experiment group, treatment group and control group. The sample were 102 nursing students which moderate stress or more, match paired of stress score and stress management ability and simple random sampling were 51 people per group. The instruments were stress test, stress management ability questionnaire and stress management program. The reliability of questionnaires at 0.90 and 0.87, respectively. The data was analyzed by using means, standard deviation, and t-test.</p> <p>The results found that after the experiment, the treatment group had a significantly lower stress than before and significantly lower stress than the control group at the .01 level, the treatment group had a significantly more stress management ability than before and significantly more stress management ability than the control group at the .01 level. The suggest that nursing faculty administrators should consider implementing this stress management program to help nursing students with stress and should be maintained continuously to reduce the stress of students to severe mental health problems in the future.</p> Kanyawee Mokekhaow, Worapanit Sukrapat, Walainaree Promla Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245479 Sun, 05 Sep 2021 13:17:17 +0700 The Development of NICU-ISBAR Technique Form for Hand-off for Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246564 <p>The quasi-experimental research aimed to develop NICU-ISBAR technique form for hand-off for nursing students and to compare Knowledge, attitude and practice of nursing students before and after using the NICU- ISBAR. The subjects were 32 student nurses who practiced in the neonatal intensive care unit (NICU) in the Pediatric nursing practicum course. The research instruments consisted of the ISBAR training plan, 2-scenario for NICU-ISBAR practice, draft edition of NICU-ISBAR and NICU-ISBAR efficiency questionnaires. This research questionnaires has been verified for content validity by an experts have Index of Item-Objective Congruence (IOC) ranged from 0.67 to 1.00. Reliability of the questionnaires were conducted by Cronbach’s Alpha Coefficient at 0.96. Data were analyzed by frequency, percentage, mean, standard deviation and dependent t-test.</p> <p>The research revealed the following results: 1) The data sheet according to ISBAR technique at the Neonatal Intensive Care Center (NICU- ISBAR) was used two-sided horizontal A4 size paper. It was divided into sections according to ISBAR technique. It was identify, background, and recommendation divided one data per segment and divided the situation and assessment data into 4 subsections according to the number of days students practice each week. 2) The mean scores of knowledge, attitude and skills in hand-off were significantly higher after using NICU-ISBAR (p&lt;.05)</p> Haneefah Jeh-alee Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246564 Sun, 05 Sep 2021 13:25:44 +0700 The Development of The Moral Identity Indicator for Nursing Students https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251676 <p>The purposes of this mixed-method research were to study and develop the components of moral identity indicators (MII) for student nurses at Phrachomklao Phetchaburi College of Nursing (PCKCN). A qualitative study at the initial stage of the study was conducted by reviewing literatures regarding Thai’s core values, Thai Qualification Framework for Higher Education, Nursing Ethics, Identities of PCKCN’s Graduates, and moral identity of PCKCN. In-depth interviews 20 persons among administers, constructors, students, and graduate users also yielded key Informants for the construction of the MII questionnaire. The developed MII questionnaire was composed of three levels of MII: individual level, college level and professional level, validated by three ethics experts (IOC = .67-1.00) and obtained good internal reliability of the questionnaire (Cronbach’s Alpha Coefficient: α = .976). Language improvement was performed. The questionnaire was then applied to test among 364 student nurses of PCKCN. Moral identity indicators were analyzed by Factor Loading and Confirmatory Factor Analysis (CFA). Results revealed that MII for student nurses at PCKCN comprised of 52 indicators showed consistency of the developed model and evidenced data (Kaiser-Meyer-Olkin Measure = .954 Chi square = 5709.06, df = 231 p = .000)</p> Pussadee Srathong, Suwannee Sroisong, Pitsini Mongkhonsiri, Wandee Choochuen, Sarunrattana Polin, Panisara Songwatthanayuth Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251676 Tue, 31 Aug 2021 00:00:00 +0700 The Effectiveness of Services to The Elderly in Public Health Center at Nakhon Sawan Municipality, Muang Nakhon Sawan District, Nakhon Sawan Province https://he01.tci-thaijo.org/index.php/JRTAN/article/view/229951 <p>This study is a quantitative research to studying the efficiency of services for the elderly provided by public health centers in Nakhon Sawan Municipality, Muang Nakhon Sawan District, Nakhon Sawan. The subjects were 353 public health personnel or long-term public health care managers (CM), caregivers of dependent elders (CG) and village health volunteers (VHV). Data were collected using questionnaires and interview forms. Data were analyzed using statistics, mean, percentage, standard deviation and logistic regression analysis.</p> <p>According to the findings, the overall efficiency of the services for the elderly, provided by public health centers in Nakhon Sawan Municipality was high. Public health personnel or long-term public health care managers had a low mean score in training to review knowledge on healthcare for the elderly both physical and mental health (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 2.20). Caregivers of dependent elders had a low mean score in nutrition appropriate for diseases (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">= 2.50). village health volunteers had the lowest in taking the elderly who did not have caregivers, or relatives, to see a doctor (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.25). According to logistic regression analysis, knowledge management had an effect on efficiency of services for the elderly increase by 1.151 times.</p> Janjira Inthajit, Nithat Sirichotiratana, Chadsumon Prutipinyo Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/229951 Sun, 05 Sep 2021 13:49:41 +0700 Pain and Pain Management in Cesarean Section under General Anesthesia https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242900 <p>This descriptive research aimed to explore post-operation pain, pain management methods, and satisfaction in pain management among patients who have cesarean sections performed under general anesthesia. Symptom management was used as the conceptual framework by using the Symptom Management Model by Dodd and colleague. The sample consisted of patients admitted to a ward at Thasala Hospital, Nakhon Si Thammarat Province. Research participants were recruited by the purposive sampling method. A total of 100 patients were surveyed. Data were collected via a demographics questionnaire, the pain management questionnaire developed by the researcher based on a literature review, the pain assessment (NRS) questionnaire was used to assess the pain management of patients in 24, 48, and 72 hours, as well as the patient satisfaction questionnaire. Data were analyzed by descriptive statistics and the Friedman with Dunn-Bonferroni post hoc test.</p> <p>Results indicated that the mean pain level of post-operative patients was high at 24 and 48 hours and lower at 72 hours after surgery (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 8.3 SD 1.66, <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">&nbsp;= 5.52 SD = 1.51, <img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}"> = 3.71 SD = 1.97), respectively. The difference was statistically significant (χ2 = 268.89 p &lt;.01). The pain management in the first 24 hours of a post-operative patient was resting at 75%. The effect of postoperative pain in the first 24 hours was sitting down at 7%. So in the first 24 hours, 75% of patients were prescribed bed rest to manage their pain and for 7%. Patients had a high level of satisfaction in pain management both in the recovery room and in the hospital ward at 77%, and 81% respectively.</p> Thippawan Bunsanong, Sudsiri Hirunchunha, Prapaipit Nagsuwan, Kusuma Rattanapan, Wacharee Jumpeepan Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/242900 Sun, 05 Sep 2021 14:08:52 +0700 Effect of Cardiac Rehabilitation Program on Blood Coagulation in Patients with Post cardiac Valvular Replacement at Naresuan University Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245411 <p>The objective of this study was to investigate the effects of cardiac rehabilitation program on blood coagulation parameters and the relationship between blood coagulation parameters and exercise capacity in patients after cardiac valve surgery. In quasi experimental study, one hundred and nineteen patients who underwent heart valve surgery at Naresuan University hospital since January 2015 until December 2018 were participated in this study.The patients were divided into 2 groups by convenience sampling (Training group (n = 99) and Control group (n = 20)).The training group had completed the cardiac rehabilitation program before discharge and 12 weeks after discharge at home.The control group had performed the cardiac rehabilitation program before discharge from hospital.The six-minute walk test and blood coagulation parameters were assessed before discharge and at 12 weeks after discharge.The results showed that there were no different in targets blood coagulation parameters between groups before discharge from the hospital (P&gt; .05). The training group had significantly higher in targets blood coagulation parameters and six-minute walk distance than the control group at 12 weeks after discharge (P&lt;.05).This study reveals that home based cardiac rehabilitation program can improve the targets of blood coagulation parameters in patients with post heart valve surgery.</p> Phawinee Paorod, Jarun Sayasathid, Weerapong Chidnok Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/245411 Sun, 05 Sep 2021 14:16:05 +0700 The Development of a Nursing Documentation Model in the Accident and Emergency Unit, Maesai Hospital https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246042 <p>This research and development aimed to develop a nursing document model at the Accident and Emergency Unit of Maesai Hospital. The samples comprised eighty seven previous nursing charts and new nursing charts, and seventeen professional nurses. Data were analyzed by descriptive statistics and t-test. The research findings were as follows. The problems of the nursing documentation revealed that the charting procedures were not based on nursing process, incomplete, incorrect, and discontinuous. The mean scores of the quality of nursing documentation after development was significantly higher than the prior at the level 0.01. The professional nurses’ satisfaction of the nursing documentation model after developing the model was also significantly higher than the previous one at the level 0.05.</p> Siriporn Jakaom, Aree Cheevakasemsook, Wilai Kusolvisitkul Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/246042 Sun, 05 Sep 2021 14:27:15 +0700 An Evaluation of Nursing Specialty Program in Nursing Administration, revised 2015, The Royal Thai Army Nursing College https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251680 <p>This study aimed to evaluate the Nursing Specialty Program in Nursing Administration, revised 2015, the Royal Thai Army Nursing College, in Context, Input, Process, and Product. The samples were 103 graduates from the Nursing Specialty Program in Nursing Administration Batch 12-15. The questionnaires were developed by the researchers which reliability determined by Cronbach’s alpha was at .82. Quantitative data were analyzed using mean, standard deviation and One-way Analysis of Variance: One-way Anova. Qualitative data were analyzed using content analysis. The results of the research were as follows: The overall program evaluation was in high level for all dimensions ( = 4.24, SD = 0.63). The opinions of graduates from the Nursing Specialty Program in Nursing Administration Batch 12-15 towards the program in relation to context, input, process and product were not statistically significantly different (p&lt;.05). The strengths of the program highlight three issues, including the contents of the program, instructors, and the application of the knowledge gained from the program. Suggestions include program management, skills/qualifications to be further develop, and learning facilities/ study visits. Therefore, it would be advantageous for program coordinators to apply this study as a guideline to further develop/revise the program to be updated and relevant to learners’ needs, resulting in great benefits for learners and their institutions.</p> Sirinya Akathin, Sasiporn Ounjaichon, Chayaluck Siripukdeekan Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251680 Tue, 31 Aug 2021 00:00:00 +0700 Spiritual well-being among patients with chronic illness https://he01.tci-thaijo.org/index.php/JRTAN/article/view/210219 <p>Living with chronic illness affects patients’ spiritual health. Spiritual well-being helps patients maintain their psychological balance, understand self and nature of life, have sense of connectedness, and have hope of living by the way of Buddhism. This descriptive study aimed to investigate spiritual well-being among patients with chronic illness. 394 persons with chronic illness residing in Muang District, Phayao Province were recruited using simple random sampling. Data were analyzed using by descriptive statistics. The results of the study revealed that the majority of participants had high levels of total spiritual well-being (89.6%); peacefulness (91.1%), having hope and sense of connectedness (82.0%), and understanding of self and life nature (81.7%), respectively</p> <p>The results of this study can be fundamental information for health care providers to enhance spiritual well-being in chronically ill patients through the way of Buddhism. This might help patients live with their illness happily and have a good quality of life ultimately</p> Thammawit Ranron, Pornsawan Khitka, Wichanee Jaimalai, Traichadchaya Tangsutthitham Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/210219 Sun, 05 Sep 2021 15:06:17 +0700 Associations of Health Literacy and Social Support with Self – Care Behaviors in Breast Cancer Patients Receiving Chemotherapy https://he01.tci-thaijo.org/index.php/JRTAN/article/view/228306 <p>This descriptive study aimed to examine the association of health literacy and social support with self-care behaviors in breast cancer patients receiving chemotherapy in Chulabhorn hospital. The sample consisted of 135 breast cancer patients receiving chemotherapy recruited utilizing a systematic sampling. The data collection was conducted using questionnaires. Data were analyzed using means, standard deviation, Chi-Square test, and multiple logistic regression The results showed that breast cancer patients receiving chemotherapy were of patients aged 60 years old and over (60%), 54.12 years old on average and had a high level of self-care behavior, a high level of health literacy and a high level of social support. Factors related to self-care behaviors of breast cancer patients receiving chemotherapy were the length of illness, health literacy, and social support (p &lt; .05). The results can be applied to promote self-care behaviors in patients with breast cancer patients receiving chemotherapy.</p> Siratchaya Maraksa, Nitchaphat Khansakorn, Ajchara Vararuk , Nareemarn Nelapaichit Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/228306 Sun, 05 Sep 2021 15:15:07 +0700 Comparative Studies of Types of Nutritional Education Media, Consumption Behavior and Nutritional Status in Undergraduate Students and Employees of Chaiyaphum Rajabhat University https://he01.tci-thaijo.org/index.php/JRTAN/article/view/221940 <p>From a study of 215 students and employee of Chaiyaphum Rajabhat University, the highest channel to receive nutrition education media was the Internet, accounting for 31.2 percent, followed by television, public relations boards, newspapers, magazines, brochures, radio, personal media and other media. The students had a normal weight of 66.2 percent, followed by being overweight, thin and very thin, 16.2%, 13.2%, and 4.4% respectively, while the staff members had a normal weight of 81.5 percent, followed by those who were overweight, very thin and thin, 7.4,% 7.4% and 3.7% respectively. The media that is most popular among males is television, accounting for 35.4 percent, while the most popular media for female is public relations boards with mean of media channels received between males was significantly different from that of females (p &lt; .01). Among students the ages range of 18-19 years was significantly different from the age range of 22-23 years. However, the median channels received between the personnel of each age group were not significantly different from each other. In addition, the channels of nutrition education media with the level of health literacy and the nutritional status score no relationship by Pearson’s coefficient was at the .000 (p &lt; .01), however only a slightly positive correlation was found in the health literacy level with the nutritional status score by Pearson’s coefficient was at .326 (p &lt; .01), with the highest health literacy score among the samples who consumed the signboard media. 32.35 percent followed by television, internet, brochures, magazines, individual media, newspapers and community radio, which were 26.47, 24.51, 6.37, 3.43, .49 and .49, respectively.</p> Pattira Kanthong, Chainarong Laklab, Thimaporn Wongsiri , Peangpak Mokpa, Tipwarin Pimol Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/221940 Sun, 05 Sep 2021 15:30:36 +0700 Community Potential in Early Childhood Development: Participatory Action Research https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251684 <p>This Participatory Action Research (PAR) aimed to 1) study the situation of early childhood development in the community emphasis on the problems and the obstacles which involved in promotion of their early childhood development, 2) study the community potential model in promotion of early childhood development, and 3) study the effects of utilization of community potential model in promotion of early childhood development. The data were given by children and their family members, professional nurses, village health volunteers and nanny teachers from the child development center. Data collection was done by focus group interview, in-depth interview and participatory observation by using the process of participation in 3 phases of community potential development. The first phase is to study and assess the situation of early childhood development in the community to find out the problems and obstacles in promotion of their childhood development. The second phase is to develop the community potential model in promotion of early childhood development and the third phase is to evaluate the effectiveness of community potential model in promotion of early childhood development</p> <p>The result of situation analysis was found that 41.18 % of the children are in tendency of delay development and the language development both receptive language and expressive language development were most found 28.43%. The researchers participated with the group of the data givers in setting the model for developing the community potential model in promotion for early childhood development as follows: - 1) Training the parent in basic assessment DSPM. 2) Training nanny teachers in child development center for using toolkit in the DSPM and training the inventory skills for individual child development. 3) Increasing the potential of the health care officers in active services by home visit in every abnormality cases, assess the childhood development in all age level. and 4) Setting the data network system for developmental information for the children younger than 2-year-old before entering in the early childhood development center. After the community potential model in promotion of early childhood development was practiced, the result showed that the children who had tendency in delay development received the promotion in development and could have normal development in 30 days 19.05% and 80.95% could have normal development in 90 days. Conclusion was that the community potential model in promotion of early childhood development by using community participation can promote early childhood development to have their ordinary development as their proper age. The suggestion is that this model - the community potential model in promotion of early childhood development should be developed and used in other communities which had the same situation.</p> Tippharat Chaichanasang, Wipaporn Jantanam, Umasamorn Hungspruek, Pitaksin Srisong Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251684 Tue, 31 Aug 2021 00:00:00 +0700 The Effect of Information Giving Through Two-Dimension Cartoon Animation on Preventive Behavior for Acute Respiratory Tract Infection among Preschoolers in Childcare Centers https://he01.tci-thaijo.org/index.php/JRTAN/article/view/230799 <p>The research purpose was to investigate the effect of information giving through two-dimension cartoon animation on preventive behavior for acute respiratory tract infection (ARIs) among preschoolers in childcare centers. Subjects consisted of 47 preschoolers in a child development center under the Supervision of Local Administration, aged between 3-5 years. Twenty two preschoolers were in the experimental group and 25 were in the control group. Research instruments included the information given by two-dimension cartoon animation which was guided by Edutainment Animated Series for Children of Isa, the knowledge test and the behavioral observation form of preventive behavior for ARIs. Data were analyzed using descriptive statistics and t-test. The major results are as follows: 1. The mean score of preventive behavior for ARI among preschoolers after receiving information given by two-dimension cartoon animation was better than that before receiving information given through two-dimension cartoon animation at a significant level of .05. 2. The mean difference score of preventive behavior for acute respiratory tract infection among preschoolers in the group receiving information given by two-dimension cartoon animation was better than that in the group receiving routine care at a significant level of .05.</p> Suppakanya Choojun, Veena Jirapaet Copyright (c) 2021 Journal of The Royal Thai Army Nurses https://creativecommons.org/licenses/by-nc-nd/4.0 https://he01.tci-thaijo.org/index.php/JRTAN/article/view/230799 Sun, 05 Sep 2021 15:52:14 +0700