NU Journal of Nursing and Health Sciences

Effects of the Knowledge Management Program on the Counseling Behavior related to Management of Antimicrobial Resistance of First-line Nurse Managers in a Tertiary Hospital

2023-06-14T09:21:06+07:00

This research was a quasi-experimental study with two-group pretest posttest-design. The objective of this study was to examine the effects of a knowledge management program on the counseling behaviors related to management of antimicrobial resistance of first line-nurse managers in a tertiary hospital. The samples were provided by the first line-nurse managers who worked in units where antimicrobial resistance was encountered. Sixty subjects were assigned to the experimental group and the control group, with 30 subjects in each group. The research instruments consisted of: 1) a knowledge management program related to the management of antimicrobial resistance that was applied from Marquardt’s knowledge management concept, consisting of a lesson plan and consulting guide on antimicrobial management, and 2) Counseling behavior measurement. The content validity was 0.82, and the Cronbach’s alpha coefficient was 0.96. Data were analyzed using descriptive statistic, paired t-test and independent t-test.

The results showed that the mean scores of antimicrobial resistance management counseling behavior after joining the program of the experimental group was significantly higher than the control group, and significantly higher than before joining the program, at a level of .05. The results revealed that the knowledge management program could encourage counseling behaviors on antimicrobial resistance management among first-line nurse managers. Therefore, administrators should use this program as a guideline to prepare first-line nurse managers apply it to promote counseling behavior in other situations.

A Cross-Cultural Translation, Reliability and Validity of the Physical Activity Scale for Elderly Thai Version

2023-12-27T15:56:14+07:00

This study aimed to translate and to assess reliability and validity of the Thai version of the Physical Activity Scale for the Elderly (PASE-TH). Data collection was divided into 2 phases (from December 2018 to May 2019). Phase I was a cross-cultural translation with two independent language experts translating the PASE-TH questionnaire forward and backward. Content validity was evaluated by four health professionals. In Phase II, a cross-sectional study was conducted to examine the psychometric properties of PASE-TH in 50 elderly individuals (≥65 years). Intra- and inter-rater reliability between two assessors was examined with measurements one week apart. The construct and concurrent validities were assessed by correlating PASE-TH with a physical fitness test and accelerometer data. Results indicated acceptable to excellent content validity (K=0.61-1.00, p<0.05). Intra- and inter-rater reliabilities were excellent (r_s = 0.997, p<0.05). Construct validity revealed statistically significant associations between PASE-TH scores and muscle strength (r_s=-0.341, p<0.05) and balance (r_s = 0.327, p<0.05). Concurrent validity demonstrated significant relationships between PASE-TH and step count per day, average moderate-to-vigorous physical activity, and average caloric energy expenditure measured by the accelerometer (r_s=0.289-0.370, p<0.05). Conclusion: the Physical Activity Scale for the Elderly Thai version (PASE-TH) exhibited acceptable reliability and validity. Researchers and healthcare professionals can confidently employ PASE-TH as a reliable and valid tool for physical activity evaluation and promotion in Thai elderly.

Effect of Abdominal Massage on Feeding Intolerance Condition in Preterm Infants

2023-07-14T09:03:20+07:00

This study was quasi-experimental research, two group pretest-posttest designs. The objective was to compare the effect of abdominal massage on feeding intolerance condition in preterm infants before and after the massage. According to the inclusion criteria: 1) postconceptional ages between 28 and 36 weeks 2) being admitted in the neonatal intensive care unit of Maharaj Nakorn Chiang Mai Hospital in Chiang Mai 3) maintaining the orogastric tube for feeding during the first day 4) maintaining normal vital signs 5) remaining on continuous positive airway pressure, oxygen cannula, or self-breathing. The 32 samples were collected using simple random sampling and divided into the experimental and the control group, 16 for each group. The study period was conducted for eight months. The research tools included an abdominal massage plan which used Vimala massage and Field method, a form for demographic data and a form to record milk feeding that evaluated the content validity index of research tool and data collection, which was 0.87 and 0.83 respectively. Descriptive statistics for frequencies and percentages, Chi-square tests, Fisher’s exact tests, and T-tests were utilized for the data analysis.

The results revealed that the feeding intolerance condition in the experimental group was statistically significantly less than the control group (p < .05). The feeding intolerance condition in the experimental group after abdominal massage was statistically significantly less than the experimental group before abdominal massage (p < .05).

This research suggests that healthcare providers should permit abdominal massage for approved feeding in preterm infants. Abdominal massage can prevent and reduce the feeding intolerance condition in preterm infants.

Effects of the Cancer Patient Information Referral Program for Treatment with LINE Official Account on Rate of Patient Hospitalization and Quality of Usage of the Fifth Health Region Cancer Network Nurses

2023-06-14T10:43:35+07:00

The quasi-experimental research aimed to study the effects of the cancer patient information referral program for treatment with line application on rate of patient hospitalization and quality of line application usage of the fifth health region cancer network nurses between the experimental group and the control group. The sample group was professional nurses on duty to pass information on cancer patients and new case of cancer. The sample size was calculated for 60 people, divided into an experimental group of 30 people and a control group of 30 people, by using a purposive sampling. Research instruments used was the cancer patient information referral program for treatment with line application account were on the quality of line application account usage of the record form on rate of patient hospitalization from HOSxP program. The content validity index was 0.94 and the Cronbach's alpha coefficient was at 0.92. The data was analyzed by descriptive statistics and Paired t-test, independent t-test and Chi-square

The results showed that 1) The experimental group had the mean scores usage for line application after participating the cancer patient information referral program was higher than before the control group statistically significant (p<.05). The mean of the experimental group was at the high level ( = 4.38, S.D. =.36). The mean of the control group was at the moderate level ( = 3.23, S.D. =.24) 2) The experimental group was patient hospitalization rate of higher than the control group statistically significant (p<.05) and 3) The control group had patient hospitalization rate of after experimental group higher than before the experimental group statistically significant (p < .05). The research shows that the Cancer Patient Information Referral Program for Treatment can help the patient's entire treatment to fast. The research shows that the executives of the provincial public health officer should apply the patient information referral program as a guideline for the development of a data coordination system for patients between the hospital network of health districts to be more efficient. It can be a guideline for applying the network referral system in other chronic diseases.

Writing Research Proposal

2024-01-03T09:22:10+07:00

A good quality research proposal must be presented to the point, concisely, clearly, and completely on each topic. Therefore, writing a research proposal is very important step that must be performed before conducting the research. Researcher must present to persons who act as a reviewer or approval committee for financial support or permission to study. Sometimes researcher may need to provide verbal presentation the research proposal. In addition, researcher may clarify and correct as the comments and suggestions. Then, revised research proposal was summited again until it was accepted for performing research.

Desirable Competencies of Professional Nurses in the New Normal, Health Unit under the Ministry of Public Health, Area Health 2

2023-07-21T11:23:45+07:00

The purpose of this research was to study desirable competencies of professional nurses in the new normal, health unit under the Ministry of Public Health, Area Health 2, and to compare desirable competencies in the new normal of professional nurses working in primary, secondary, and tertiary health units. The research was conducted among a sample of 420 professional nurses who had been employed in the health units under the Ministry of Public Health, Area Health 2, for over a year. The participants were selected using a multi-stage random sampling method. The research instrument was the Desirable Competencies Questionnaire for Professional Nurses in the New Normal, which was examined for its content verified by three experts with a questionnaire reliability of 0.98. Data were analyzed using descriptive statistics including frequency, percentage, mean, standard deviation, one-way ANOVA and multiple comparison by LSD method.

The research results showed that the desirable competencies of professional nurses in the new normal, health unit under the Ministry of Public Health, Area Health 2 consisted of 11 competencies, most of them were at the highest level, including morality and ethics, law, nursing and midwifery practices, professional attributes, leadership, management and quality development, communication, relationship, technology and information, as well as society. The only competency that presented at a high level was academic and research. There were top three competencies with the highest average such as, morality and ethics (=4.75, S.D.=0.41), relationship (=4.55, S.D.=0.51), and professional attributes (=4.53, S.D.=0.50). The lowest average competency was academic and research (=4.14, S.D.=0.69). When comparing the desirable competencies in the new normal across primary, secondary, and tertiary health units, the overall findings revealed a statistically significant difference at the .05 level. The competency that was management and quality development, academic and research, communication, relationship, technology and information, as well as society. However, no significant difference was observed between secondary and tertiary health units.

Elevating Community Herbs to Increase Economic Value: Lessons Learned in Thap Yai Chiang Sub-district, Phrom Phiram District, Phitsanulok Province

2023-06-20T09:35:03+07:00

Research on lessons learned from the Integrated Sub-district Economic and Social Upgrading Project Thap Yai Chiang Subdistrict, Phrom Phiram District, Phitsanulok Province. The objectives were to 1) study the working process of the University to Tambon project; 2) find out the prototyping in new product development; and 3) explore the changes of community economy. Thirteen key informants were divides into 3 groups: 1) the project manager, 2) the employed group, and 3) the stakeholders such as representatives of local administrative organizations, village headman, representatives of sub-district health-promoting hospitals, government officials, and community enterprise group members. The research tools were in-depth interviews, the focus groups, and review of related documents. The data analysis was based on conceptual content analysis.

The results showed that the work process of the university project to the sub-district started after receiving the policy and approving the implementation. The project began with building a working team within the university and selecting a community enterprise operation area that meets the needs of researchers and the availability of raw materials. The work process of the project consists of students, graduates, and people employment, employee competency development, product configuration, product design and development. The changes in the community economy found that the products obtained from this project are Liquid soap and Wan Nang Kham lotion and led to marketing management by organizing a product display and selling products through Facebook, which has many positive effects on the income of the community enterprises also the employed and increasing the value of Wan Nang Kham herbs.

Additionally, this project used a community-based work process, a participatory collaboration of the community enterprises and the employees through the academic process of researchers as a driving tool. Therefore, creating a mutual understanding of the production process and licensing agreements will increase the clarity of work. Finally, to achieve sustainable community economic development and strong communities, it should be encouraged by the government to bring products into the business sector.

Effect of Health Promotion Program Based on Application of Ecological Model on Eating Behavior and Nutritional Status among Overweight Primary School Students

2023-09-24T18:51:22+07:00

School-aged children overnutrition is becoming a crucial public health problem. This quasi-experimental research, two groups pretest-posttest design was to study the effect of The Health Promotion Program Based on Application of Ecological Model on eating behaviors and nutritional status among overweight primary school students. A total of 60 overweight primary school students were obtained, divided into 30 experimental groups and 30 control groups. The experimental group was received The Health Promotion Program Based on Application of Ecological Model by 12 weeks while the control group received regular nursing care. Eating behaviors questionnaire, research collecting data has a validity by index of item-objective congruence (IOC) was 0.87 and the reliability by Cronbach’s coefficient was 0.74. Data was analyzed by descriptive statistics, frequency, percentage, mean, standard deviation, paired t-test, independent t-test and Chi-square test.

The results founded that the mean score of eating behaviors after received intervention of experimental group were significantly higher than the before received intervention and higher than the control group (p< .05). The mean score of nutritional status after received intervention of experimental group were significantly better than before received intervention and significantly better than the control group (p< .05).

The results that can be applied to groups of pre-school or school-age children who have overnutrition. Because of each person's eating habits and nutritional status are different. The practice should begin among students with overnutrition first. If the results were success, it will be applied to all students.

Factors Associated with Health Literacy in Medical Cannabis Use Among Nursing Students in Private Institution of Higher Education in Bangkok

2023-08-21T16:07:14+07:00

This descriptive correlational research aimed to study the level of health literacy in medical cannabis use, personal attributes factors, factors related to medical cannabis use, and the relationships between those factors and health literacy in medical cannabis use among 323 freshmen to senior nursing students from 3 private higher education institutions in Bangkok. A random sample was selected by a multi-stage sampling method. The research tools consisted of a personal attributes data questionnaire on information related to medical cannabis use, and a health literacy in medical cannabis use questionnaire covering 6 areas. These research instruments were developed by the researchers based on the literature review and were validated by 5 experts. The content validity index (CVI) was 1.00. Reliability of the cognitive questionnaire was tested using the Kuder-Richardson 20 value, measuring .81, while reliability of access, communication skill, decision skill, media literacy, and self-management were assessed via questionnaire with Cronbach's alpha coefficients yielding values of .83, .91, .85, .85, and .82 respectively. Data analysis included descriptive statistics and Chi-square testing.

The results: nursing students in all years had a moderate level of health literacy in medical cannabis use at 81.7 (S.D. = 14.00). Gender, cumulative GPA, searching for information about medical cannabis use, experience in health literacy in medical cannabis use, and the need for medical cannabis use when illnesses occur in the future were significantly related to the health literacy in medical cannabis use among nursing students (p < .05).

Suggestion: educational institutions should provide nursing students with health literacy programmers on the use of medical cannabis. Therefore, it is necessary that nursing science teaching and learning integrates content concerning medical cannabis to which learners should be exposed.

Managerial Resources Administration for Infection Prevention and Control during COVID-19 Outbreaks Era in a Center Hospital

2023-10-09T09:05:34+07:00

This qualitative research aimed to describe and explain managerial resources administration for infection prevention and control during the COVID-19 outbreak era in a center hospital. The informants included 12 head nurses who had experience managing wards with different tenures and had been assigned to work in the COVID-19 ward, or those who had managed COVID-19 wards when a patient was found. The research methodology involved conducting in-depth interviews. Data were analyzed by descriptive statistics and content analysis.

The results of the study revealed that they were three key issues according to the 4 M’s principles in the managerial resources administration for infection prevention and control during the COVID-19 outbreaks era in a Center Hospital. Human resource administration consisted of three issues: 1) urgent need to enhance knowledge and skills in caring for COVID-19 patients, 2) adequate management of manpower to meet the demands of the emerging epidemic both within and outside the hospital, and 3) appropriate assignment of tasks based on nurses’ competencies aligned with the mission of caring for emerging diseases. Materials and budget administration included ensuring sufficient and convenient provision of places and supplies for patients and personnel by utilizing un-plan budget funds. The management method consisted of organizing nursing practice in the ward that facilitates strict prevention and control of infection spread.

In addition, executive support consisted of 1) allocating emergency budget for the preparation of facilities and equipment required for the care of COVID-19 patients; 2) knowledge to strengthen the confidence of personnel in the operation of the mission to care for patients with emerging diseases; and 3) risk allowance. Obstacles in administrative resource management included increased dependency on manpower and the fear of personnel contracting COVID-19. The findings of this research can serve as a guideline for nursing administrators in planning and enhancing the quality of administrative resource management for infection prevention and control in hospitals among the outbreaks of dangerous communicable diseases.

Factors Influencing Dental Care Behavior among Denture Wearers in Bueng Samakkhi District, Kamphaengphet Province

2023-07-10T11:52:16+07:00

The purpose of this cross-sectional study was to investigate the oral health care behavior of denture wearers in Bueng Samakkhi District, Kamphaeng Phet Province, Thailand and to identify demographic factors, predisposing factors, enabling factors and reinforcing factors that affect this behavior. The sample consisted of 226 participants, who were recruited through stratified random sampling. Data were collected by a questionnaire based on the PRECEDE model. The questionnaire was confirmed its validity and reliability. The data were analyzed by descriptive and stepwise multiple regression analysis.

The result showed that the oral healthcare behavior among the participants was at a good level of 96.0 % ( = 37.34, S.D. = 3.59). Multiple regression analysis indicated that having dental care products and denture cleansing materials (β = 0.252), having support from family members and their close surroundings (β = 0.246), having access to dental care facilities (β = 0.191), having access to dental care products and denture cleansing materials (β = 0.179) and having an attitude towards denture care (β = 0.162) all affected the oral health care behavior of the participants by 41.0% (R²_Adj = 0.410, F = 30.038, p-value < .001). Additionally, the results of the study suggest that dental health personnel should be available to provide supporting information to establish a positive attitude and to provide access to dental care products and denture cleansing materials.

The Effects of the Neurocognitive Function Program (NCFP) on Dementia Literacy among Healthy Older Adults

2023-11-24T16:04:04+07:00

This quasi-experimental research, pretest-posttest, two-group design, aimed to determine the effectiveness of the Neurocognitive Function Program (NCFP) among healthy older adults living in Chanthaburi Province. The total number of participants was 64 persons. The subjects were randomly assigned to experimental and groups (n = 32) and the control group (n=32). The experimental group participated in the NCFP program. Promotion and prevention dimensions were applied based on neurocognitive domains, including complex attention, executive function, learning and memory, language, perceptual-motor, and social cognition. The content validity of the program was examined by three experts. General data analyzed by descriptive statistics. The dementia literacy score means was compared between pre- and post-implementation using a student’s t-test for dependent samples. The mean differences of the dementia literacy means scores were compared pre- and post-implementation for the experimental and control groups using the student’s t-test for independent samples.

Results: 1) the dementia literacy mean scores of the experimental group post-implementation ( = 125.37, S.D. = 10.45) was higher than pre-implementation ( = 114.25, S.D. = 14.80) which was statistically significant (t = 3.2, p < .001). The mean difference (D̅₁ = 11.12, S.D. = 19.62) surpassed the control group (D̅₂ = 6.44, S.D. = 25.57). to a significant degree (t = 3.08, p < .001).

In conclusion, the NCFP program was conducive to dementia literacy, help promote awareness, and prevent incidence of dementia among the older adults.

Risk Factors Associated with Preterm Labor among Pregnant Women at Sichon Hospital in Nakhon Si Thamarat Province

2023-12-02T08:28:26+07:00

Rate of infants weighing less than 2,500 grams resulting from premature birth at Sichon Hospital. Nakhon Si Thammarat Province in 2020 - 2022 increases respectively. In this study, the researcher was interested in studying risk factors for premature birth among pregnant women who had preterm birth at Sichon Hospital. Nakhon Si Thammarat Province. This was a retrospective analytical study with a controlled group. This research was a retrospective case-control study from the medical record and birth registries from October 2019 to September 2022. This research was a retrospective case-control study from the medical record and birth registries from October 2019 to September 2022. The population were 3,063 people and the samples were 381 people who were selected by purposive sampling. One hundred twenty-seven pregnant women had preterm birth, and 254 pregnant women were at full term. The research tools included the risk factor record forms for preterm birth. Clinical data of pregnant women were analyzed by using descriptive statistics, including, percentage, mean, and standard deviation. Risk factors for preterm birth were analyzed using Univariable and Multivariable Logistic Regression methods. Statistical significance was determined at p-value < 0.05. The results revealed that risk factors significantly predicted preterm birth included insufficient prenatal care according to quality prenatal care criteria (OR=3.170, 95%CI=1.647-9.865) and having a history of preterm birth (OR=7.571, 95). %CI=4.654-33.657) and the history of miscarriage (OR=15.53, 95%CI=11.68-34.671). This study found that antenatal care that did not meet the criteria for quality antenatal care, having a history of premature birth and having a history of miscarriage were the risk factors associated with premature birth. Therefore, compatible with the efficiency of screening risk groups should be proactively performed. Surveillance and monitoring of prenatal care compatible with quality prenatal care criteria for pregnant women with these risk factors will effectively reduce the rate of preterm birth at Sichon Hospital in the future.

Factors Predictors Self-Management Behaviors of Patients with Chronic Obstructive Pulmonary Disease in Next Normal

2023-09-13T10:45:06+07:00

The purpose of this predictive correlational research was to study self-management behaviors of patients with chronic obstructive pulmonary disease: COPD in next normal and factors predicting self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, There were 130 patients with chronic obstructive pulmonary disease participating in the study. The research instruments used self-management behavior questionnaire, knowledge questionnaire, self-efficacy questionnaire, social support questionnaire, and anxiety questionnaire showing the content validity index (CVI) 0.84, 0.96, 1, 0.92 and 1, respectively. They had all been tested for content validity of knowledge questionnaire by using the Kuder-Richardson 20 with a score of 0.82. Self-management behavior questionnaire, self-efficacy questionnaire, social support questionnaire, and anxiety questionnaire tested for content validity by using the Cronbach ‘alpha coefficient with a score of 0.83, 0.89, 0.93, and 0.75, respectively. The data were analyzed by descriptive statistics and regression analysis.

1. The results revealed that self-management behaviors were at a moderate level (x̄ = 3.10, S.D. = 0.49)
2. Age, knowledge, social support, and self-efficacy were found as good combine predictions of self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, with 51.4% of variance (R² = .514, p < .001). Age was the most predictive of self-management behaviors of patients with chronic obstructive pulmonary disease in next normal, followed by knowledge (β=.301, p <.001), social support (β=.156, p <.05), and self-efficacy (β=.154, p <.05). These results suggest that health professionals should promote the knowledge of chronic obstructive pulmonary patients, especially medical management, including exercise, relaxation, and stress management. COPD patients should be encouraged to receive good social support from friends, family, the community, and health professionals. In addition, should promote self-efficacy, including diet for illness, exercise frequency and duration, and breathing exercise techniques. To provide patients with good self-management behaviors in the next normal

Effects of Music Embedded with Binaural and Superimposed Beats on the Pain Reduction of Patients in the Emergency Department

2023-08-24T16:37:24+07:00

This study is a quasi-experimental research. The purpose was to study effects of music embedded with binaural and superimposed beats on the pain reduction of 70 patients in the emergency department, aged 20-81 years old, divided into a control group and an experimental group, each group of 35 people. The control group received nursing care to reduce pain as usual. The experimental group received a combination of music embedded with binaural and superimposed beats 1 time, 30 minutes each time along with normal treatment. The instrument used for assessing included personal information questionnaires, the pain score, the satisfaction assessment form for the use of the music set and the music embedded with binaural and superimposed beats 1 set. Data were analyzed using percentage, mean, standard deviation, Chi-square test, Fisher's exact test statistics, Wilcoxon signed rank test and Mann-Whitney U test. The results showed that 1) The experimental group after using the music embedded with binaural and superimposed beats had significantly lower pain scores than before using music therapy. (p<.01) and 2) the intervention group receiving the music embedded with binaural and superimposed beats had significantly lower pain scores than the control group (p<.01). The satisfaction scores for using the music set were rated highly ( = 4.59, S.D.= 0.47). Therefore, the use of the music embedded with binaural and superimposed beats can be used in addition to the normal nursing care for reduce pain and increase comfort in patients in emergency department.