NU Journal of Nursing and Health Sciences

The relationships between the transformational leadership, Empowerment and happiness at work of charge nurses, a general hospital in Health Region 3

2025-03-17T09:40:25+07:00

This descriptive research aimed to investigate relationships among the transformation leadership, empowerment and happiness at work of charge nurses, a general hospital in health region 3 had the objective : 1) Examine the levels of transformational leadership, empowerment, and happiness at work among charge nurses at a general hospital in Health Region 3. , and (2) Investigate the relationships between transformational leadership, empowerment, and happiness at work among charge nurses with at least six months of work experience. The sample comprised 142 charge nurses selected using multistage sampling. Data were collected using a five-point rating scale questionnaire assessing transformational leadership, empowerment, and happiness.at work. The instrument's content validity was verified by experts, with item-objective congruence (IOC) values ranging from 0.67 to 1.00. Reliability coefficients (Cronbach’s alpha) were 0.98, 0.96, and 0.98, respectively. Descriptive statistics and Pearson’s correlation coefficient were used for data analysis.The results revealed that: 1) The level of transformational leadership among charge nurses was high (𝑥̅ = 3.94, SD = 0.45). 2) The level of empowerment among charge nurses was high (𝑥̅ = 3.84, SD = 0.42).3) The level of happiness at work among charge nurses was also high (𝑥̅ = 3.64, SD = 0.66). 4) Transformational leadership was positively correlated with happiness at work a statistically significant level (r = .262, p < .01). 5) Empowerment was positively correlated with happiness at work a statistically significant level (r = .282, p < .01).

Effects of Preparatory Information Program on Anxiety Pain and Hematuria in Patient undergoing Transurethral Resection of the Prostate.

2025-03-24T11:18:23+07:00

This study was a quasi-experimental research to study the effects of a preparatory information program on anxiety, pain, and hematuria in patients undergoing transurethral resection of the prostate (TURP). The preparatory information program was developed based on the Self-Regulation Theory by Leventhal and Johnson. The sample group were of 24 male patients divided into a control group and an experimental group, with 12 patients in each group for elective transurethral resection of the prostate at Naresuan University Hospital for the first time. The data collection recording form such as personal information record, an anxiety questionnaire, a pain assessment scale, and a hematuria assessment scale. Data were analyzed using descriptive statistics, including frequency distribution, percentage, mean, and standard deviation, Chi-square test, Fisher’s exact test, Paired t-test and Independent t-test The research findings revealed that after receiving the program, the experimental group had a significantly lower mean anxiety score compared to before receiving the program (p < .001). The experimental group also had a significantly lower mean anxiety score than the control group (p < .001). The experimental group also had a significantly lower mean pain score than the control group (p < .05). However, there was no significant difference in the incidence of hematuria between the experimental and control groups (p > .05) Therefore, it is recommended to implement the preoperative information and preparatory information program for patients undergoing transurethral resection of the prostate, as this program effectively reduces preoperative anxiety and postoperative pain.

The Influence of Entrepreneurial Leadership and Work Environment on Quality of Nursing Administration of Professional Nurses in a University Hospital

2025-06-24T09:58:23+07:00

The predictive research aimed to explore the level of entrepreneurial leadership, work environment, and quality of nursing administration among professional nurses in a university hospital. Additionally, it also investigated the influence of entrepreneurial leadership and work environment on the quality of nursing administration of professional nurses. This study employed quantitative research design, and data were collected using questionnaires. Stratified Sampling was applied in selecting the samples. This research recruited 162 professional nurses who had been working at a university hospital and have working experiences at least 6 months. The questionnaire was consisted of four sections .1) demographic data 2) the entrepreneurial leadership level of profession nurses 3) the work environment , and 4) the quality of nursing administration. The questionnaire was tested for validity and reliability.The content validity of ranged 0.50 – 1.00, and the Cronbach’s alpha reliability coefficients were 0.95, 0.97, and 0.97, respectively. Data were analyzed using descriptive statistics (percentage, mean, standard deviation), Pearson’s product moment correlation and multiple regression analysis. The results indicated that: (1) entrepreneurial leadership was at high level (x̄ =4.04, S.D. =.45); (2) the work environment was at high level ( x̄= 4.13, S.D. = .50) ; (3) the quality of nursing administration was at a high level ( x̄= 4.15, S.D. = .47), (4) Furthermore, entrepreneurial leadership and work environment significantly predicted the quality of nursing administration among professional nurses in the university hospital, accounted for 67.9 of variance (R²= .679, p < .01) This research suggest that nursing administration should promote entrepreneurial leadership among professional nurses and foster a supportive work environment conductive to effective practice , thereby enhancing the quality of nursing administration.

Factors Predicting Care Behaviors for Children with Acute Respiratory Infections among Karen Caregivers

2025-07-29T15:59:35+07:00

This predictive correlational research aimed to examine factors predicting caregiving behaviors for children with acute respiratory infections among Karen caregivers. Convenience sampling was used to recruit 107 Karen caregivers of children who received services in the outpatient and inpatient departments of a secondary hospital. Research instruments included 1) A demographic record form, 2) a knowledge questionnaire on acute respiratory infections, 3) a perceived susceptibility questionnaire, 4) a perceived severity questionnaire, 5) a perceived benefits of treatment and prevention questionnaire, 6) a perceived barriers questionnaire, and 7) a care behavior for children with acute respiratory infections questionnaire. The reliability of the instruments were .81, .73, .74, .72, .74, and .81 respectively. Data were collected from October to September 2024. Descriptive statistics and stepwise multiple regression analysis were employed for data analysis. The results revealed that Karen caregivers demonstrated an overall score of care behaviors at a good level (x̄= 76.72, S.D. = 8.55). Perceived benefits of treatment and prevention and perceived susceptibility were able to predict caregiving behaviors for children with acute respiratory infections among Karen caregivers, accounting for 89.9% of the variance (R ² = .898, p < .001). Perceived benefit was the best predictor (β =.524, p < .001) followed by perceived susceptibility (β = .221, p < .01). These findings suggested that health care providers should promote perceived benefits and perceived susceptibility for Karen caregivers in order to improve more appropriate caregiving behaviors for children with acute respiratory infections.

The Effect of a Pre-procedural Information Program on Anxiety and Complications in Patients Undergoing Cardiac Catheterization

2025-11-18T16:54:58+07:00

This quasi-experimental research, employing a two-group pretest–posttest design, aimed to examine the effects of an educational program on anxiety levels and the incidence of hematoma within 24 hours after cardiac catheter sheath removal. The sample consisted of patients with ischemic heart disease diagnosed by cardiologists at Banphaeo Hospital (Public Organization). Participants were selected through purposive sampling based on predetermined criteria and assigned to either the control group or the experimental group, with 15 participants in each group. Data collection was conducted from February to April 2025. The experimental group received a structured educational program developed according to the self-control theory, providing systematic health information through pamphlets and animated video materials. The control group received conventional education consistent with routine nursing care. Research instruments included a general information questionnaire, an anxiety assessment form, and a hematoma recording form. Data were analyzed using descriptive statistics and independent t-tests. The findings indicated that, after the intervention, the group receiving the educational program demonstrated significantly lower pre-catheterization anxiety levels compared to the group receiving routine care (t₍28₎ = 6.70, p < .001). No hematoma was observed among participants in this study, accounting for 100%. The results suggest that the educational program can be effectively applied by nursing personnel to reduce patient anxiety prior to cardiac catheterization and to minimize the risk of complications within 24 hours following sheath removal.

The Relationship between Emotional Intelligence (EI), Resilience Quotient (RQ), and Adaptability during Clinical Practice among Bachelor of Nursing Students in the Lower Northern Region.

2025-10-08T11:51:41+07:00

This cross-sectional survey research aimed to examine the levels of emotional intelligence, resilience quotient, and adaptability during clinical practice among undergraduate nursing students, as well as to determine the relationships among these variables. The sample comprised 349 third- and fourth-year Bachelor of Nursing Science students from the lower northern region, selected through multistage random sampling. Data were collected using a demographic questionnaire, the Emotional Intelligence Assessment by the Department of Mental Health, the Resilience Quotient Assessment by the Department of Mental Health, and an Adaptability during Clinical Practice questionnaire developed by the researchers. The content validity index of the adaptability questionnaire was 0.86, and Cronbach’s alpha coefficients for the three instruments were 0.92, 0.89, and 0.90, respectively. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used to analyze general information and levels of emotional intelligence, resilience quotient, and adaptability. Spearman’s rank correlation coefficient was employed to examine the relationships among the variables. The results indicated that emotional intelligence (x̅ = 169.23, SD = 18.61) and resilience quotient (x̅ = 66.40, SD = 8.21) were at normal levels, while adaptability during clinical practice was at a high level (x̅ = 3.03, SD = 0.39). Emotional intelligence and resilience quotient were positively correlated with adaptability during clinical practice (rs = .74, p < .01 and rs = .76, p < .01, respectively). These findings suggest that promoting emotional intelligence and resilience quotient among undergraduate nursing students may enhance their ability to adapt effectively during clinical practicum in hospital settings.

Adaptation, Translation and Psychometric Evaluation of the Thai Version of the Beliefs about Medicines Questionnaire for Chemotherapy among Breast Cancer Patients

2025-11-15T10:14:16+07:00

This study aimed to adapt, translate, and evaluate the psychometric properties of the Beliefs about Chemotherapy Questionnaire for Thai breast cancer patients, consisting of 11 items. The translation process followed the forward–backward translation method based on Brislin’s guidelines (1970). The study was conducted in two phases. Phase 1 involved adaptation, translation, and content validity assessment. A professional bilingual translator conducted the translation, and the back-translated version was reviewed by the original instrument developer. The Thai version was evaluated by five experts and revised according to their recommendations to ensure semantic equivalence with the original instrument. Phase 2 examined the reliability of the instrument in a sample of 30 breast cancer patients aged 18 years and older who were deciding whether to undergo chemotherapy at a tertiary hospital. Data were analyzed using Cronbach’s alpha coefficient.The results indicated that the Thai version had excellent content validity, with an Item‑Content Validity Index (I‑CVI) and Scale‑Content Validity Index/Average (S‑CVI/Ave) of 1, demonstrating that the items were comprehensive, appropriate, and consistent with the purpose of measuring beliefs about chemotherapy. The reliability test showed a high internal consistency with a Cronbach’s alpha coefficient of 0.947. In conclusion, the Thai version of the questionnaire demonstrated both good content validity and reliability, making it suitable for assessing beliefs about chemotherapy among breast cancer patients.

Development of a Thirst Symptom Management Program for Patients with Acute Heart Failure

2026-01-11T10:04:01+07:00

This research aimed to develop and study the feasibility of a thirst management program for patients with acute heart failure. By using the Symptom Management Model of Dodd et al. (2001), the research was conducted in 4 phases: 1) problem survey and synthesis, 2) program development, 3) program pilot, and 4) program dissemination. The results of Phase 1 showed that all patients with acute heart failure experienced thirst, and 86.67% had moderate to severe levels. In Phase 2, the program was developed and validated for content validity by 5 experts (CVI = 1.00), and taste testing was conducted in 10 patients. It was found that 80% agreed that the appropriate sourness level was 2.5 grams of roselle powder per 110 ml of hot water. In Phase 3, the program was piloted with 5 patients, providing knowledge combined with symptom management through sucking on roselle ice cubes and oral care every 2 hours, 6 times per day, for 2 days. The results showed that the mean thirst severity score decreased from a severe level ( x̄= 7.60, S.D. = 2.07) to a mild level ( x̄= 2.80, S.D. = 1.92) at the end of Day 1, and continued to decrease until reaching a mild level ( x̄= 1.40, S.D. = 1.52) at the end of Day 2. Overall satisfaction was at the highest level (x̄= 4.80, S.D. = 0.40). In conclusion, the developed thirst management program for patients with acute heart failure is feasible for implementation and has a tendency to reduce thirst severity in patients with acute heart failure.

Effects of Ethical Instructional Management Model on the Ethical Sensitivity Score of Nursing Students

2026-01-11T10:41:42+07:00

This quasi-experimental research aimed to compare the ethical sensitivity score of nursing students. The sample consisted of 34 second year nursing students, divided into an experimental group (n = 17) and a control group (n = 17). The experimental group received the ethical instructional management model, while the control group received usual instruction. The research instruments included 1) the ethical instructional management model, which yielded a Content Validity Index (CVI) of 1.00, and 2) data collection tools consisting of a personal information questionnaire and an ethical sensitivity Score with a Cronbach’s alpha coefficient of 0.87. Data were analyzed using the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test. The findings revealed that after receiving the ethical instructional management model, the experimental group’s ethical sensitivity scores were significantly higher than those of the control group (p < .05). Within the experimental group, the mean ethical sensitivity score post-intervention was 212.41 (S.D. = 0.61), which was significantly higher than the pre-intervention score (p < .05). The ethical instructional management model effectively enhances ethical sensitivity among nursing students. Therefore, this model should be integrated into nursing curricula to foster ethical competence in future practitioners.

Effects of Home-Based Chronic Wound Care Promotion Program on Wound Healing, Knowledge and Self-care Behavior Among Patients with Chronic Wounds

2026-03-04T15:21:56+07:00

This study employed a quasi-experimental design using a one-group pretest–posttest approach. The objective was to examine the effects of a home-based chronic wound care promotion program on wound healing, knowledge, and self-care behaviors among patients. The sample was selected using purposive sampling and consisted of 42 patients with chronic wounds residing in Mueang Phitsanulok District, who received care within the health service network of Buddhachinaraj Phitsanulok Hospital. The research instruments included: (1) a demographic questionnaire; (2) a knowledge questionnaire with a reliability coefficient (KR-20) of 0.86; (3) a self-care behavior questionnaire with a Cronbach’s alpha coefficient of 0.89; and (4) a wound healing assessment tool using the Pressure Ulcer Scale for Healing (PUSH Tool), Version 3.0, with a reliability coefficient of 0.91. The intervention program was developed based on Orem’s Self-Care Theory combined with the concept of participatory learning. Data were analyzed using descriptive statistics, paired t-test, and repeated measures ANOVA to assess wound healing outcomes across three follow-up measurements. The results revealed that, after receiving the program, participants demonstrated significantly higher knowledge and self-care behavior scores compared to before the intervention (p < 0.001). In addition, wound healing outcomes significantly improved (p < 0.001). In conclusion, the home-based chronic wound care promotion program effectively enhanced patients’ knowledge, improved self-care behaviors, and promoted wound healing. The program can be applied to further develop models of home-based care for patients with chronic wounds.

Effects of a Professional Nursing Coaching Program on Competency in Caring for Gynecological Cancer Patients Receiving Chemotherapy

2026-03-16T12:02:47+07:00

This study employed a quasi-experimental, one-group pretest-posttest design. The objective was to examine the effects of a professional nurse coaching program on the competency of nurses caring for gynecologic cancer patients receiving chemotherapy at Saraburi Hospital, by comparing nurses' competency scores before and after participation in the program. The sample consisted of 9 registered nurses working in the Gynecology-Complicated Obstetrics Ward at Saraburi Hospital. The intervention was implemented over a period of one month. The research instruments comprised: 1) a professional nurse coaching program for the care of gynecologic cancer patients receiving chemotherapy, developed by the researcher based on the GROW Model, and 2) data collection instruments consisting of a personal data record form and a competency questionnaire for nurses caring for gynecologic cancer patients receiving chemotherapy, covering three domains: knowledge, skills, and attitudes. Content validity of each domain was evaluated by three experts, yielding Content Validity Index (CVI) values of 0.80, 1.00, and 1.00, respectively. Reliability of each domain was assessed using Cronbach's alpha coefficient, yielding values of 0.82, 0.95, and 0.86, respectively. Descriptive statistics were used to analyze general characteristics, and the Wilcoxon Signed-Rank Test was used to compare pre- and post-intervention data.The results revealed that nurses' competency in caring for gynecologic cancer patients receiving chemotherapy was significantly higher after participation in the coaching program than before, across all three domains — knowledge, skills, and attitudes — at a statistically significant level of .05

Effects of a Self-Efficacy Promoting for Active Birth on Childbirth a Self-Efficacy, Fear of Childbirth, and Pain Coping Among Primiparous Women

2026-03-06T10:56:26+07:00

This quasi-experimental study aimed to examine the effects of a childbirth self-efficacy enhancement program on childbirth self-efficacy, fear of childbirth, and pain coping among primiparous women receiving antenatal care at Ban Bung Hospital between September 2024 and June 2025. A total of 54 participants who met the inclusion criteria were recruited and assigned to an experimental group (n = 27) and a comparison group (n = 27). The experimental group received a 4-week childbirth self-efficacy enhancement program consisting of verbal persuasion through education to foster knowledge and positive attitudes toward self-managed childbirth, physical training and pain relief techniques for natural childbirth, observational modeling videos, follow-up support and encouragement, and intrapartum support. The comparison group received routine nursing care. Data were collected using the Childbirth Self-Efficacy Questionnaire, the Fear of Childbirth Questionnaire (Versions A and B), and a Pain Coping Scale. Data were analyzed using descriptive statistics, chi-square tests, independent t-tests, and repeated measures analysis of variance. The results showed that, after the intervention, the experimental group had significantly higher childbirth self-efficacy, lower fear of childbirth, and greater pain coping during the active and late phases of cervical dilation than the comparison group (p < .01). Within-group analysis also revealed that childbirth self-efficacy significantly increased and fear of childbirth significantly decreased in the experimental group after the intervention (p < .01).These findings suggest that midwives should promote childbirth self-efficacy by providing childbirth preparation classes and supporting natural childbirth during labor to reduce fear of childbirth, enhance pain coping, and facilitate self-managed childbirth.