NU Journal of Nursing and Health Sciences

Factors Predicting Critical Care Nursing Practice among Professional Nurses in Community Hospitals of Samut Prakan Province

นางสาว จิตรประภา รุ่งเรือง — 2024-09-24

This study is a predictive research. The objective is to study the level of nursing practice of registered nurses and study the predicting factors of nursing practice of registered nurses at community hospitals in Samut Prakan Province. The sample group was professional nurses at a community hospital in Samut Prakan Province. Stratified sampling was used with a sample size of 170 people. Data collection was conducted using a comprehensive three-part questionnaire: 1) personal information of the respondents, 2) their perception of professional competency, and 3) their nursing practice. The questionnaire, parts 2 and 3, were checked for content validity by three experts, and the content validity index was .90 and .92, respectively. Testing the reliability revealed Cronbach's alpha coefficients of .74 and .92, respectively. The data were analyzed using descriptive statistics, and stepwise multiple regression statistics.

The results showed that the average nursing practice level of professional nurses at community hospitals was at a high level ( = 4.15, S.D. = 0.50). Three significant predictive factors were identified: the perception of competency in academics and research (β = .35, p < .001), in nursing team management (β= .31, p < .001), and in nursing and midwifery practice (β = .25, p < .001). Together, these variables can predict 59 percent of the variance in nursing practice among patients in crisis situations.

The findings of the study suggest that nursing administrators can leverage this information to enhance the expertise of nurses, particularly in providing care for patients in emergency situations at community hospitals.

The Components of Management of Job Resources of Generation Y Head Nurses in Private Hospitals

Phonthip Mulalin — 2024-09-24

This research was study aimed to determine the components of management of job resources of Generation Y head nurses in private hospitals. The sample was selected by simple random sampling by means of drawing lots without returning the lots drawn. The research instrument was a questionnaire of the components of job resource management based on the concept of the Aon Hewitt Research and Consulting Institute. It was divided into two parts; general information part and the components of job resource management part. The content validity index of the questionnaire was 0.86 and the Cronbach's alpha coefficient was 0.98. Data were analyzed by using descriptive statistics and Exploratory Factor Analysis (EFA)

The results showed that components and indicators of management of job resources of Generation Y head nurses consisted of 9 components with 58 indicators. The value of factor loading of each component between .560 - .806 with statistical significance at P value <.05. The sequence of component according to value by factor loading from highest to lowest value were as follows. 1) Career opportunities (factor loading .910); 2) Learning & Development (factor loading .890); 3) Performance management (factor loading .870); 4) Enabling Infrastructure and safety (factor loading .830); 5) Teamwork & collaboration and Empowerment/Autonomy (factor loading .790); 6) Diversity & Inclusion ( factor loading . 710) 7); Communication (factor loading .580); 8) Talent & Staffing (Factor loading .560); 9) Rewards & Recognition (Factor loading .498) This research indicates that Generation Y head nurses in private hospitals should apply all 9 components of resources management to manage at the patient unit levels, especially career opportunities and learning and development for nurses and taking into account for performance management to achieve missions and goals of the patient unit levels.

Effect of Cognitive Behavior Therapy Program on Sleep Quality and Alcohol Consumption among Persons with Alcohol Dependence

chaowanee longchoopol — 2024-09-24

This experimental research aimed to examine the effect of cognitive behavior therapy (CBT) program on sleep quality and alcohol consumption among persons with alcohol dependence. Sample size calculation using power tables consisted of 56 persons with alcohol dependence were equally randomly assigned into two groups. The experimental group received the CBT program while the control group received usual care. The research instruments comprised the Clinical Institute Withdrawal Assessment for Alcohol Revised Version, Timeline Follow Back, the Pittsburgh Sleep Quality Index and CBT program. Data were analyzed by descriptive statistics, Chi-Square test, repeated one way analysis of variance, Wilcoxon sign rank test and Mann-Whitney U test.

The research results indicated that:

The mean scores of sleep quality of the experimental group before receiving the CBT program, immediately after receiving the CBT program, and after a one-month follow-up period were significantly lower than those in the control group, at the level of .01
The mean scores of the percent of heavy drinking day in the experimental group before receiving the CBT program and after a one-month follow-up period were significantly at the level of . When compare mean score of the percent of heavy drinking day in the experimental group after a one-month follow-up period was significantly lower than those in the control group, at the level of .01

The Health Literacy on Decreasing Blood Pressure of Hypertensive Patients in Health Region 4 Saraburi

Arunee Chaiyarit — 2024-09-24

The descriptive research purposed to study health literacy levels and examine the health literacy level on decreasing blood pressure of hypertensive patients in the health region 4 Saraburi. This study used the health literacy concept of Nutbeam. The study sample were 144 hypertensive patients in the health region 4 Saraburi by using multi-stage sampling procedure. The research instrument was the health literacy questionnaire that was tested for content validity by 5 expert panels. The reliability was .92. Data were analyzed by using frequency, mean, S.D., percentage, and simple linear regression procedure. Results showed that the majority of sample was female (68.10%), and male (31.90%). The majority range of age was 61-70 years (37.90%). Education was primary school (59.00%). Most of the marital status was marriage (53.50%). The majority of sample was not working (50.00%). The levels of health literacy were at the more level ( = 280.43, S.D.= 34.59). With respect to the aspect of health literacy, the most average score was decision skill domain ( = 60.40, S.D.= 9.34). The least average score of health literacy domain was media literacy (mean= 33.94, S.D.= 6.46). The health literacy levels were statistically significant on decreasing the systolic blood pressure levels of hypertensive patients at .01 (R= .18, R² = .03, Adjusted R² = .03, p≤ .01). and the diastolic blood pressure of hypertensive patients at .00 ((R= .23, R² = .05, Adjusted R² = .05, p≤ .001).

Lessons Learned of Integrated Sub-district Economic and Social Upgrading Project: University to Tambon (U2T), Khorum Sub-district, Phichai District, Uttaradit Province

Raweewan Pilaikiat — 2024-09-24

This study is descriptive qualitative research aimed to lesson learn from the work process, the successes factors, the project obstacles, and the effects of project on the community which resulting from the implementation of the Integrated Sub-district Economic and Social Upgrading Project: University to Tambon, Khorum Sub-district, Phichai District, Uttaradit Province. Data were collected from 2 groups of informants: 1) a group of working groups on the Integrated Sub-district Economic and Social Upgrading Project: University to Tambon, and 2) a group of project stakeholders. The data collections were employed with 15 informants through focus group discussion and analyzed the data by using content analysis.

The lesson learned of the project can be summarized into four main themes. First, the prominent of the working process which consists of clearly selection project manager and working groups, empowerment of working groups, teamwork, using social capital, and the success of the project can be extended to sustainability. Second, the key success factors include clarity and honesty of operations, the pride of the working group, and the involvement of the community. Third, the project obstacles such as distrusting of some people in the community and budget management did not follow the planning. Fourth, the effects of project on the community include feeling engagement of the community, the creating for conducting the products, community products more standardized, more integrated and collaborative of the community, and upgraded the working of local government organizations.

Suggestions: the information gained from the lesson learned can be used as a guideline for implementing projects that focus on improving the quality of life of the people in the community by allowing the community to participate in the design of the project and be the project operator in order to increase the potential of the community sustainably.

The Effects of an Empowerment Program on Stress Management and Hypertension among Elders with Hypertension

Wirawan Saisuwan — 2024-09-24

Thailand has become a completely aged society. In Health Region 2, Phitsanulok Province has the third-largest older population, many of whom suffer from hypertension. The lifestyles of the older people involve health and other issues that lead to stress, affecting hypertension. This quasi-experimental research, a two-group pre-posttest study, aimed to examine the effects of an empowerment program on stress management and blood pressure levels in older people with hypertension. The sample consisted of older individuals with hypertension living in the Muang district who met the inclusion criteria. The sample was divided into two groups, the control group and the experimental group each comprising 30 participants. The control group maintained their usual lifestyle, while the experimental group engaged in the program consisting of six sessions which included: 1) discovering the truth, 2) critical reflection, 3) deciding on a suitable practice, and 4) maintaining effective practices. The data were collected using a stress management assessment form with a content validity index of 0.85 and a Cronbach's alpha coefficient of 0.79, and blood pressure recording form. The data were analyzed using descriptive statistics and t-value statistics.

The results showed that: 1) The mean score of stress management after the intervention in the experimental group was significantly higher than pre-intervention and differed from the control group(p<.05).

2) The average blood pressure post-intervention was lower than pre-intervention. Therefore, nurses caring for patients with chronic diseases should apply the program to take care of hypertension patients along with drug treatment to reduce stress and blood pressure levels in patients with hypertension.

Development of a Health Literacy Promotion Model for Older Adults in an Elderly School

Intira Pakanta — 2024-09-24

This research and development project aimed to develop a model for promoting health literacy in the prevention and control of non-communicable chronic diseases within elderly schools. Research methodology was divided into two phases: 1) Model Development phase emphasized on model drafting based on health literacy framework proposed by Sorensen et al., supplemented by reports on needs and situation analyses of health literacy promotion among older adults. This process involved focus group meetings with 10 stakeholders, and 2) Model Implementation phase focused on implementing the developed model with elderly school members and compared the average health literacy of the elderly. The evaluation involved 23 members from an elderly school, chosen through simple random sampling. Additionally, the assessment of stakeholders' satisfaction with the model were conducted in 15 stakeholders shared characteristics akin to Phase I participants. The research instruments, including semi-structured interview questionnaires, health literacy questionnaires, and satisfaction questionnaires, were developed by the researchers. Content validity was tested by three experts, resulting in the indices of congruence (IOC) ranging from 0.67 to 1.00. The reliability of the health literacy questionnaires was tested with data collected from 27 older individuals, achieving a Cronbach's alpha coefficient of 0.95. Qualitative data were analyzed using content analysis, while quantitative data were subjected to statistical analyses, including frequency, percentage, mean, standard deviation, and paired sample t-test.

The revealed that: 1) the Health Literacy Promotion Model consisted of three key components: motivation building, knowledge dissemination on health behavior management, and training in health literacy and self-management skills; 2) Effect of the model: After participating in the model, the sample group exhibited a significant increase in their mean health literacy scores compared to their pre-experiment levels (t = 2.96, p = .007) ; and stakeholders expressed a high level of satisfaction with the developed model ( = 4.23, S.D. = 0.67). It is suggested that the developed model utilize in other elderly schools with similar context to promote health literacy of older adults.

Community Care System for Hypertension People during the COVID-19 Outbreak Situation

อัจฉริยาภรณ์ ทิมปา — 2024-09-24

The situation of the epidemic of COVID-19 affecting the patient care system especially hypertension people when infected with COVID-19 there will be a risk of severe symptoms. This descriptive qualitative research the objective is to analyze the care system for hypertension people in the community, Chum Phuang Subdistrict, Nakhon Ratchasima Province. In the situation of the COVID-19 outbreak. Information providers include public health officer, hypertension people, patient caregivers, village health volunteers and community leaders totaling 98 people. Data were collected between March and July 2022 using in-depth interviews, focus group interviews and field note taking. Qualitative data is the analysis of content analysis. The results of the study found that the care system has collaboration between the hospital and the community in normal situations and the epidemic situation. Use information to change activity patterns to reflect the situation. Support self-management of health behaviors by adding channels to access the care system such as delivering medicine to patients at home, use the LINE application to communicate, providing transportation services for hypertension people who are infected, establishment of community isolation, home isolation and providing welfare for patients. It shows that the workspace is so strongly connected that it can manage the hypertension care system during the COVID-19 epidemic very well. So the results of this study can be used as information for developing a care system for people with chronic non-communicable diseases in the community when there is an outbreak of an epidemic that may occur in the future.

Factors Influencing the Perception of Second-Hand Smoke Effects among Undergraduate Students Who are Smoker

Panarat Satsanasupint — 2024-09-24

The purpose of the predictive research was to study predicting factors of the perceived effects in the second-hand smoke among university students. The sample group was students who has smoked. Currently studying in the bachelor's degree amount 323 people. The research tool was a questionnaire to examine in the quality of the tool in term of Health Belief Models in the second-hand smoke and perceived effects in the second-hand smoke. Content validity was at .070 and 0.75, respectively, and reliability was the same at 0.89. Data were collected by word of mouth, starting with a student smoker who the researchers knew. Data were analyzed by using descriptive statistics and multiple regression statistics.

The result revealed that the majority were female, aged 19 - 23 years on an average age of 20.69, currently studying in the faculty of Humanities and Social Sciences, sharing dormitory with other. The smoking duration is between 0 and 14 years, started smoking at age 20 years, minimum age of 10, and several types of smoking which the researchers was unspecified. In the relationship, it was found that personal data factors were unrelated to the university students' perceived effects of second-hand smoke in overall and each aspect. Statistically significant (p<0.05) and the perceived factor of Health Belief Models regarding general second-hand smoke. It is related to the perceived effects of the second-hand smoke among university students. Statistically significant (p<0.05) was at a high level (r = 0.76, p = 0.00). In each aspect was found that perception of disease severity (b = 1.47, β = 0.46), perception of total Health Belief models (b = 0.38, β = 0.48) and perception of self-efficacy (b = 0.40, β = 0.15). There variables were able to predict the perceived effects in the second-hand smoke by 63.5 percent.

Factors Related to Catheter–Associated Urinary Tract Infection Prevention Practices of Nurses in a Secondary Hospital

wuttichai sriphon — 2024-09-24

Catheter-associated Urinary Tract Infection (CAUTI) is one of the most common infections. Nurses have significant roles in CAUTI prevention. This descriptive correlational study aimed to determine practices and factors related to CAUTI prevention practices of nurses. The sample consisted of 160 nurses working in inpatient departments in a secondary hospital. Data were collected in April 2023. The instruments used in this study consisted of two parts: 1) the Practices in CAUTI Prevention questionnaire, and 2) the factors related to CAUTI prevention practices questionnaire, consisting of demographic data, knowledge of CAUTI prevention, attitudes towards CAUTI prevention, job training received, feedback received, and equipment support received. All instruments were validated by six experts and tested for reliability among 10 non-sample nurses. Data were analyzed using descriptive statistics and Spearman’s correlation coefficient.

The results found that the samples had a high level of CAUTI prevention practices (95.62%). Factors significantly related to CAUTI prevention practices included; attitudes towards CAUTI prevention, experience in caring for patients with urinary catheter, feedback received and equipment support received were positively correlated with practices in CAUTI prevention at a low level (r = .227, .283, .164, and .215, respectively, p < .05), job training received was positively correlated with practices in CAUTI prevention at a moderate level (r = .398, p < .05). However, knowledge was not correlated with CAUTI prevention practices.

The findings can be used to promote practices regrading CAUTI prevention, particularly regarding low levels of practices, for example, consideration of alternatives to urethral catheterization and reminding when patients hold the urinary catheter longer than necessary. Furthermore, practices promotion should emphasize factors related to CAUTI prevention practices.

Effectiveness of Nursing Student Leader Developing Program for Smoking Prevention, Ubon Ratchathani Rajabhat University

Cholada Chaikoolvatana — 2024-09-24

This quasi-experimental research aimed to investigate the effectiveness of nursing student leaders developing program for smoking prevention based on knowledge about cigarettes and e-cigarettes, attitude towards smoking prevention, self-efficacy towards smoking prevention, and smoking prevention behavior by applying the Information Motivation and Behavioral Skills model (IMB model). The sample consisted of 30 second-year nursing students at Ubon Ratchathani Rajabhat University. The program consisted of four sessions over four weeks. The research instruments included nursing student leaders developing program with a content validity index (IOC) of 0.88. Self-administered questionnaires were employed to examine cigarette and e-cigarette knowledge, attitude towards smoking prevention, self-efficacy towards smoking prevention, and smoking prevention behaviors. Cronbach's alpha coefficient revealed that the reliability of questionnaires were 0.86, 0.89, 0.92, and 0.93, respectively. Descriptive statistics, repeated measure ANOVA, and Bonferroni were employed for data analyses.

The results revealed that nursing students had significantly higher mean scores of knowledge about cigarettes and e-cigarettes, attitude towards smoking prevention, and self-efficacy towards smoking prevention than they did before the experiment (p<.001). However, the difference in mean scores of knowledge about cigarettes and e-cigarettes, attitudes towards smoking prevention, and self-efficacy toward smoking prevention at follow-up and pre-test was not found (p >.05). Nursing students had significantly higher mean scores of smoking prevention behaviors at the post-test and at follow-up than those at the pre-test (p >.05).

The results of this study suggest that the program should have continuous stimulating activities to increase knowledge about cigarettes and e-cigarettes, attitudes towards smoking prevention, self-efficacy toward smoking prevention, and smoking prevention behaviors.

Influencing Factors of Health Behavior of Junior High School Students in Extended Opportunity Schools

chalalai piengjai — 2024-09-24

Health behaviors in early adolescence are very important for their health status, growth and quality of life. This research aimed to study influencing factors of health behavior of junior high school students in extended opportunity schools. The samples were 176 grade 7-9, junior high school students of extended opportunity schools in Mueang district, Chonburi Province. The research instruments included the personal information questionnaire, health behaviors questionnaire, health literacy questionnaire, optimism questionnaire, social support questionnaire with Cronbach's alpha coefficients of .08, .80, .81, and .83 respectively. The reliability score of perceived health status questionnaire was tested by the Kuder - Richardson method was .81. Statistics used for data analysis included descriptive statistics and stepwise multiple regression analysis.

The research results revealed that 51.7% of participants had moderate mostly health behavior ( = 48.23, S.D. = 2.24). Health literacy, perceived benefits of action and optimism were significantly predicted 18.1% (R² =.181) of health behavior (SEest = 3.088). These findings can be used to plan and design activities to promote health for junior high school students.

Satisfaction of Service Recipients on Quality of Service of Research Clinic, Suranaree University of Technology Hospital

Waraporn Sinthusopa — 2024-09-24

This descriptive research aimed to study the level of satisfaction of service recipients on quality of service of research clinic, Suranaree University of Technology Hospital and compare satisfaction of service recipients on quality of service of research clinic classified by personal characteristics. The sample were 44 service recipients who registered to use services at the research clinic. The research instruments were a self-administered questionnaire which consist of 1) Personal information questionnaire and 2) Satisfaction questionnaire. The second set of questionnaires was checked for content validity by 3 experts, with index of item objective congruence more than 0.6 for every item, Cronbach’s alpha reliability was 0.90. Frequency, percentage, mean, standard deviation and Mann-Whitney U Test were used for data analysis.

The results revealed that the level of satisfaction of service recipients on quality of service of research clinic overall it was at a high level (x̄ = 4.15, S.D. = 0.532). The service personnel aspect had the highest average and was at the highest level (x̄ = 4.61, S.D. = 0.543), followed by the location and facilities aspect, the average was at a high level (x̄ = 4.25, S.D. = 0.705) in terms of service processes and procedures aspect, the average was at a high level (x̄ = 4.18, S.D. = 0.679). In information resources aspect, the average was at a high level (x̄ = 3.92, S.D. = 0.718) and the public relations aspect, the average was at a high level (x̄ = 3.78, S.D. = 1.011), respectively. And found that service recipients had different personal characteristics including gender, status, educational level, research role, research experience, and the number of times the service was received. There was no difference in satisfaction with the service quality of the research clinic at the 0.05 level. Therefore, it can be concluded that service recipients are treated as individuals using the same standards of service equally provided by personnel providing services at the research clinic.

Effects of Educative–Supportive Using Line Application Program on Ability and Anxiety Among Care Givers of Advanced Cancer Patients

Anong Sanganate — 2024-09-24

The purpose of this quasi-experimental one group pre-posttest design aimed to study the effects of the Educative Supportive using Line Application program on ability and anxiety among care givers of advanced cancer patients. Thirty-five caregivers of patients with advanced cancer who was purposively selected, The program was developed based on Orem’s educative-supportive nursing system as a conceptual framework.(2001) The Educative Supportive using Line Application program on ability and anxiety among caregivers of advanced cancer patients in 4 weeks. The research instrument comprised: 1) experiment instrument which was the Educative Supportive using Line Application program on ability and anxiety among caregivers of advanced cancer patients. 2) data collection instrument including a demographic data and caregivers’ ability and anxiety questionnaire of advanced cancer patients. Caregivers’ ability and anxiety questionnaire of advanced cancer patients were collected before and after the program and analyzed by descriptive statistics, wlicoxon signed rank test. After 4 weeks.

It was found that caregivers’ ability in caring for patients with advanced cancer increased significantly. (Z= -5.171, p=.000) and caregivers’ anxiety of patients with advanced cancer decrease significantly. (Z= -5.17, p=.000). The results of this study can be used as a guideline for improving the ability of caregivers and reducing their anxiety.

The Effect of “Be Smart to Know-Use-Create Child Development Media Program (BeSKUC)” on Parents’ Digital Literacy Skill to Promote Preschool Child Development

นิตยา ศรีบัวรมย์ — 2024-09-24

This research is a quasi-experimental study aimed at evaluating the effectiveness of the ‘Be Smart to Know-Use-Create Child Development Media Program (BeSKUC)’ on parents’ digital literacy skills to promote preschool child development. The program is designed according to transformative learning theory. The sample group consisted of parents of preschool children aged 3-6 years attending Tha Thong Child Development Center from January to August 2022. The 38 subjects were randomly assigned to the experimental group, and 38 to the control group. The experimental group received a 3-week program. Data were collected using a digital literacy skills questionnaire that had been validated for content validity (CVI= .97) and reliability (Cronbach’s Alpha = .97). Data were analyzed using descriptive statistics, Chi-Square, Paired t-test, and Independent t-test.

The results of the research found that the experimental group had a higher mean score difference in parents’ digital literacy skills than the control group with no statistical significance (p > .05). However, when analyzing and comparing scores of parents’ digital literacy skills in the experimental group and control group before and after participating in the program, it was found that the control group’s scores did not differ significantly (p > .05), while the experimental group’s scores after participating in the program were significantly higher than before participating in the program (p < .05). Parents attending all phases tended to develop skills in accessing, understanding, using, and creating digital media for preschool children. The findings then revealed the process of learning to advance digital literacy among the parents. Critical conversations about experiences in using digital media and critical reflection could help parents analyze and realize the advantages and disadvantages of the media. Parents were able to decide on appropriate digital media and create digital media to enhance child development.