Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok)

Mental health stigma: The role of community nurses

2025-06-25T10:12:00+07:00

Introduction: Mental health is a global problem. In Thailand, there are more than 13.4 million people with mental health problems, but only a fraction of them has access to treatment. One of the main causes is stigma. Reducing stigma is a key to pave the way for mental health treatment. Therefore, community nurses have a key role in applying their knowledge to reduce stigma and promote access to appropriate treatment.

Objectives: This research study aims to present knowledge about mental health stigma and the role of community nurses in preventing and reducing mental health stigma in the community.

Key issues: Mental health stigma is a negative belief and attitude towards mental illness that is an obstacle to psychiatric treatment. It can be classified according to the source of influence that causes such symptoms, including external and internal factors. Such factors have a negative impact on individuals and society in many dimensions. Solving the problem of mental health stigma requires the integration of cooperation from many sectors, emphasizing attitude changes, promoting understanding and true acceptance. Community nurses play an important role in proactive work to reduce mental health stigma because they can reach the target group comprehensively and understand the community context.

Conclusions: The role of community nurses in preventing and reducing mental health stigma focuses on fostering a correct understanding of mental health, delivering empathetic nursing care free from bias and discrimination, and promoting opportunities for individuals to seek mental health support and access appropriate treatment.

Implications: Personnel providing care for people with mental health problems in the community can apply their knowledge as a guideline for developing care for people with mental health problems and psychiatric patients in the community who face stigma effectively, comprehensively, and in line with real needs.

Evidence-Based Nursing Care to Prevent Acute Kidney Injury among Patients with Septic Shock

2025-06-10T11:37:33+07:00

Introduction: Acute Kidney Injury (AKI) is a common and serious complication in patients with septic shock, particularly in intensive care units, and is associated with high mortality and decreased quality of life. Effective nursing strategies to prevent AKI must be grounded in evidence-based practice (EBP)
to improve patient outcomes and minimize complications.

Objectives: This study aims to collect, analyze, and synthesize current evidence on nursing interventions that help prevent AKI in patients with septic shock. The focus is on reducing clinical risks, enabling early identification, and implementing practical, evidence-based nursing care.

Key Issues: Key nursing practices identified include early risk assessment using standardized tools such as the National Early Warning Score (NEWS) and the Quick Sequential Organ Failure Assessment (qSOFA); diagnosis of AKI based on the KDIGO 2012 criteria; appropriate management of fluid balance and blood pressure; avoidance or adjustment of nephrotoxic medications and continuous renal function monitoring. Additionally, patient and family education is essential, emphasizing adequate hydration and the avoidance of AKI risk factors.

Conclusions: Evidence-based nursing care is essential for preventing AKI in patients with septic shock. Early risk identification, appropriate fluid therapy, cautious use of nephrotoxic agents, and continuous renal monitoring are critical components. Integrating these interventions into clinical practice guidelines can improve outcomes and reduce complications in critically ill patients.

Implications: The findings highlight the need to develop and implement nursing protocols based on high-quality evidence, support continuous staff education, utilize automated monitoring systems for AKI, and foster interprofessional collaboration. These measures collectively contribute to enhanced patient safety and improved quality of care in septic shock management.

Editorial

2025-08-28T12:03:59+07:00

Development of a Hybrid Learning Model for Pediatric Nursing Knowledge and Skills Preparation during the COVID-19 Pandemic

2025-02-06T13:50:13+07:00

Introduction: A hybrid learning approach is beneficial in promoting students' learning. However, its impact on confidence in pediatric nursing knowledge and practical skills is limited.

Research objectives: To develop a hybrid learning approach for pediatric nursing knowledge and skills preparation

Research methodology: Research and development consisted of four steps: 1) analyzing the situation, 2) developing a hybrid learning model, 3) testing the model, and 4) evaluating the effectiveness using an assessment of confidence in performing pediatric nursing skills and a satisfaction assessment form regarding a hybrid learning approach, both of which were validated by five experts, with a Scale-Level Content Validity Index (CVI)/ Universal Agreement of .71 and 1, respectively. The reliability was tested using Cronbach's alpha coefficient, which resulted in a value of .87 and .86, respectively. The sample consisted of 55 nursing students. Data were analyzed using mean and standard deviation.

Results: The hybrid learning approach for preparing pediatric nursing knowledge and skills consists of time-synchronized skills training, video-based learning, active participation in learning, ongoing and post-learning assessment, and providing documents to support learning. After the learning model was delivered, students' average scores for their confidence in performing pediatric nursing skills and satisfaction with the hybrid learning approach were rated as highly confident and highly satisfied.
(M = 4.20, SD = .47, and M = 4.26, SD = .39, respectively).

Conclusions: The hybrid learning approach preparing pediatric nursing knowledge and skills can boost confidence in these skills and positively impact on nursing students' satisfaction.

Implications: The hybrid learning can be applied to pediatric nursing practice courses.

Effectiveness of Dietary Lifestyle Modification Program on Glycemic Control and Risk Factors for Complications in Type 2 Diabetes Mellitus Patients, Ban Tha Khua Sub-district Health Promoting Hospital, Lampang Province

2025-02-24T14:21:50+07:00

Introduction: Dietary lifestyle modification in type 2 diabetes mellitus patients helps control blood glucose levels and risk factors for disease complications.

Research objectives: To compare blood glucose levels and complication risk factors before and after implementing a dietary lifestyle modification program, and to evaluate program outcomes in type 2 diabetes mellitus patients.

Research methodology: This mixed-methods study consisted of two phases: 1) a quasi experimental one-group pretest-posttest design with 27 diabetes mellitus patients, and 2) a qualitative study with 10 participants. Research instruments included a dietary lifestyle modification program, demographic questionnaire, clinical data recording form, and focus group discussion guide. Data were analyzed using descriptive statistics and Wilcoxon Signed Rank Test for pre-post comparisons, and thematic analysis for qualitative data.

Results: Although mean fasting blood glucose and HbA1c levels showed a decreasing trend post-program, the differences were not statistically significant (p > .05). Among complication risk factors, only triglycerides, LDL cholesterol, and insulin resistance index showed significant improvement (p < .05). Blood pressure, HDL cholesterol, BMI, and waist circumference remained unchanged (p > .05). Program outcomes revealed three themes: 1) implementation challenges, 2) success strategies, and 3) practice value.

Conclusions: The program effectively reduced certain risk factors for diabetic complications.

Implications: Despite the small sample size and non-significant differences in blood glucose control, this approach could guide interventions for reducing diabetes complication risk factors.

Adaptation Experiences of University Students with Major Depressive Disorder during the Covid-19 Pandemic

2025-04-08T16:30:52+07:00

Introduction: The COVID-19 pandemic significantly impacted university students with major depressive disorder. For these individuals, the inability to adapt could lead to worsening depression. Therefore, understanding their experiences of adaptation during the COVID-19 pandemic is important.

Research objectives: To study the adaptation experiences of university students with major depressive disorder during the COVID-19 pandemic.

Research methodology: A descriptive qualitative method was applied in this study. The participants were university students diagnosed with major depressive disorder who were receiving treatment at the Mental Health Clinic of Suddhavej Hospital in Mahasarakham Province, Thailand. Participants were selected using purposive sampling. Data were collected through in-depth interviews from January to June 2024. The data were analyzed using content analysis.

Results: Twenty participants were included in this analysis, and data saturation were achieved. The adaptation experiences of university students with major depressive disorder reveled 6 themes: 1) Emotional adaptation 2) Adaptation to online learning 3) Adaptation to attending follow-up appointments at the hospital 4) Social adaptation 5) Cognitive and behavioral adaptation 6) Social support that facilitated adaptation during the COVID-19 pandemic.

Conclusion: The university students with major depressive disorder demonstrated a variety of adaptive strategies to navigate the challenges posed by the COVID-19 pandemic.

Implications: The findings of this research may serve as a foundation for developing targeted care and enhancing mental health support services for university students with major depressive disorder.

Health Literacy and Health Behavior among People Aged 15 Years and Over to Prevent Liver Fluke Disease and Bile Duct Cancer in the Community of Mueang District, Buriram Province

2025-05-26T18:43:08+07:00

Introduction: Health literacy and health behavior of people aged 15 years and over in preventing liver fluke disease and bile duct cancer, which are important in adjusting current eating behavior.

Research objectives: To study the relationship between health literacy and health behavior among people aged 15 years and above to prevent liver fluke disease and bile duct cancer in the community of Mueang District Buriram Province.

Research methodology: Descriptive study. The sample group consisted of 440 people aged 15 years and over in the community in Mueang District, Buriram Province between September- December 2023, with data collected from questionnaires. Data were analyzed using Pearson's correlation coefficient statistics.

Results: Health literacy and health behavior had a statistically significant relationship at the .01 level, 1) namely skills in accessing health information and health services, 2) understanding health information, 3) evaluating health information and services, and 4) applying health information and services (r = .79, r = .78, r = .77, r = .75, p < .01). Health behavior of people aged 15 years and over was at a fair level (M = 1.23, SD = .59). The results of this study can provide information to the general public as a guideline for preventing liver fluke and bile duct cancer.

Conclusions: Health literacy is related to health behavior of people aged 15 years and above to prevent liver fluke disease and bile duct cancer in the community of Mueang District, Buriram Province.

Implications: The results of this study can be used to provide knowledge to the general public as
a guideline for people to have behaviors to protect themselves from liver fluke disease and bile duct cancer.

The Development of a Participatory Health Risk Communication Model for Preventing Harm from Pesticide Use among Farmers Through Community Network Collaboration in Uttaradit Province

2025-05-16T14:13:41+07:00

Introduction: The use of unprotected pesticides poses significant health risks to farmers. Promoting community participation is essential for raising awareness and encouraging preventive behaviors in pesticide use.

Research objectives: To develop and evaluate a health risk communication model aimed at preventing pesticide-related harm among farmers through collaboration with community network.

Research methodology: This action research involved two phases: 1) the development of a health risk communication model using the A-I-C technique, and 2) the evaluation of its implementation. The purposive sample included 38 participants-30 at-risk farmers and 8 community partner representatives. Data were collected through focus groups, participant observation, and a validated questionnaire to assess participant satisfaction, with Cronbach’s alpha of .95. The data were subsequently analyzed using descriptive statistics and content analysis.

Results: The health risk communication model was developed based on communication components: sender, message, channel, and receiver. It also included a tailored intervention program consisting of health impact reflection media, use of personal protective equipment (PPE), local innovator development, and participatory learning. Implementation of this model led to improved awareness, increased adoption of protective behaviors, safer cholinesterase enzyme levels, and report of high satisfaction.

Conclusions: The communication model effectively promoted self-protective behaviors in pesticide use among farmers.

Implications: The communication model for preventing pesticide harm should be applied in other communities.

Factors Affecting Safety Driving Behaviors of Ambulance, s Drivers by Private Companies in Bangkok

2025-02-06T11:46:30+07:00

Introduction: Road accidents result in injury, disability and death, leading to significant impacts on the economy, society and quality of life.

Research objectives: To examine factors influencing safe driving behavior among private-sector ambulance drivers in Bangkok.

Research methodology: This analytical cross-sectional research included 211 ambulance drivers. Data were collected using the questionnaires and analyzed using descriptive statistics and stepwise multiple regression analysis.

Results: The level of safe driving behavior was 92.40%. Factors significantly influenced the safe driving behavior of ambulance drivers were personal factors, ambulance speed (β = .174, p = .009), level of education (β = -.221, p < .001), smoking status (β = - .184, p = .006), and ambulance driving experience (β = .153, p = .020). These factors accounted for the prediction of the safe driving behavior among ambulance drivers by 13.20%. The predisposing factors were self-efficacy in accident prevention (β = .363, p < .001), perceived susceptibility to accidents (β = .172, p = .016), and perceived benefits of preventing driving accidents (β = .165, p = .033). The reinforcing factors involved support from family, colleagues, and emergency medical service professionals (β =.158, p = .017). Collectively, these variables contributed to the prediction of safe driving behavior among ambulance drivers by 56.90%.

Conclusions: Factors influencing safe driving behavior among ambulance drivers included ambulance speed, level of education, smoking, driving experience, self-efficacy in accident prevention, awareness of accident risk, recognition of the benefits of accident prevention, and social support.

Implications: Organizations responsible for ambulance services should promote awareness of safe driving practices and enhance social support.

A Comparative Study of the Performance as Based on the 2023 Primary-Care Quality Standard Criteria of Subdistrict Health Promoting Hospitals that Transferred from the Ministry of Public Health

2025-02-06T15:20:17+07:00

Introduction: The transfer of sub-district health promoting hospitals to the provincial administrative organizations is one of the government’s policies to facilitate access to healthcare for local people. However, the quality of services after implementing this policy has not been examined.

Research objectives: To study and compare the performance of subdistrict health promoting hospitals that transferred its missions according to the 2023 primary-care service quality standards of the Ministry of Public Health among the three provinces of Khon Kaen, Prachinburi and Suphanburi.

Research methodology: A cross-sectional study was conducted, collecting data from 144 subdistrict health-promoting hospitals across three provinces, using the 2023 primary-care service quality assessment form of the Primary Healthcare System Support Office, Ministry of Public Health. Data were analyzed using descriptive statistics and Kruskal-Wallis Test.

Results: The average score of the primary- care service quality assessment of all three provinces in all eight parts were statistically significantly different in 4 parts: 1) Management system, 2) personnel arrangement and service potential, 3) primary healthcare service system, with statistical difference levels of p < .001, and 4) medical and public-health laboratory system, with a statistical difference level of p < .05.

Conclusions: Management system, personnel arrangement and service potential, primary healthcare service system and medical and public-health laboratory systems differed among the three provinces.

Implications: Primary care units should utilize the evaluation results to improve their services to achieve comprehensive coverage across all aspects of care. Subdistrict Health Promoting Hospital administrators, in particular, should analyze their staffing needs and forward them to the Provincial Administrative Organization for overall analysis. This implication could inform the development of staffing frameworks and the allocation of adequate resources to Sub-district Health Promoting Hospitals.

Nursing Practice in the Rational Use of Antibiotics among Pediatric Patients at Health Promotion Hospitals

2025-04-17T21:49:42+07:00

Introduction: Nurses play an important role in advocating for the rational use of antibiotics in pediatric patients at sub-district health-promoting hospitals (HPHs) by supporting parents to ensure the appropriate use of antibiotics.

Research objectives: To examine the nursing practices and the factors associated with the appropriate use of antibiotics in pediatric patients.

Research methodology: A descriptive research design was employed with a sample of 180 registered nurses working at HPHs in Phayao Province. Data were collected using a questionnaire that included personal information and an assessment of nurses' behaviors related to the rational use of antibiotics in pediatric patients. The content validity index and Cronbach’s alpha of the questionnaire were .82
and .90, respectively. Data were analyzed using descriptive statistics and point-biserial correlation test.

Results: The highest overall scores for nursing practice concerning rational use of antibiotics in pediatric patients were reported (M = 4.58, SD = .41). Significant correlations were found between nursing practice concerning rational use of antibiotics and several factors, including working experience (r = .43, p < .01), primary medical care experience (r = .50, p < .01), nurse practitioner training (r = -.61, p < .01), and education on rational drug use (r = -.66, p < .01).

Conclusions: Nurses working at HPHs demonstrated rational use of antibiotics, which was related by several factors- primarily education on rational drug use.

Implications: HPHs should continue to advocate for and support professional nurses in the rational use of antibiotics.

Predictive Factors of Adaptation in New Cases of HIV/AIDS Infection in Bangkok

2025-05-02T10:42:50+07:00

Introduction: Bangkok has the highest prevalence of new HIV infections in Thailand, which affects the adjustment of new HIV/AIDS infected individuals. Roy's theory of adjustment was used as a conceptual framework to this study.

Research objectives: To study the predictive factors of adaptation among newly infected people with HIV/AIDS in Bangkok.

Research methodology: This study was descriptive research. The sample consisted of 242 newly infected HIV/AIDS patients diagnosed within 6 months and living in Bangkok. Proportional random sampling of the population was used to collect data by using questionnaires. Data were analyzed using descriptive statistics, chi-square test, Pearson's product moment correlation coefficient, and stepwise multiple regression analysis.

Results: The majority of the sample had a high level of adaptation (M = 96.7, SD = 1.0), with the highest level of adaptation in terms of role work 83.10%. From the stepwise multiple regression analysis, it was found that social support, access to health services related to HIV infection, knowledge about diseases of HIV/AIDS patients, and depression could jointly predict adaptation of newly infected HIV/AIDS patients by 49.40% (R² = .494).

Conclusions: Social support, access to HIV-related health services, knowledge about HIV/AIDS diseases, and depression can jointly predict adjustment among newly infected people with HIV/AIDS.

Implications: This study provided recommendations for planning the service system and served as basic information for agencies responsible for caring for patients infected with HIV/AIDS to care for and promote adaptation to plan for improving and developing the health promotion service system for caring for HIV/AIDS patients.

Comparative Effectiveness of Simulation-Based and Interactive Media Learning of Heart Failure Nursing on Knowledge and Satisfaction among Undergraduate Nursing Students of Boromarajonani College of Nursing, Bangkok

2025-04-08T17:40:14+07:00

Introduction: Simulation-based learning (SBL) and interactive media learning (IML) are learning approaches that present distinct advantages and limitations, each of which can influence student learning outcomes.

Research objectives: This study aimed to compare the effectiveness of SBL and IML on heart failure knowledge and satisfaction among nursing students.

Research methodology: This study employed a quasi-experimental, two-group pretest–posttest design. The sample size consisted of 80 third-year nursing student from Boromarajonani College of Nursing, Bangkok. Participants were assigned in equal numbers to either the SBL group (n = 40) or the IML group (n = 40), with both interventions focusing on heart failure nursing. The knowledge and satisfaction assessment tools showed good validity and reliability, with content validity indices of 1.00 and .89, and Cronbach’s alpha values of .82 and .87, respectively. Data analysis was performed using descriptive statistics, paired-sample t-test, and independent-sample t-test.

Results: The mean knowledge score for heart failure in the SBL group increased from pretest (M = 4.53, SD = 1.61) to posttest (M = 7.33, SD = 1.76). Similarly, the IML group’s score increased from pretest (M = 4.78, SD = 1.66) to posttest (M = 7.48, SD = 1.43). Both improvements were statistically significant (p < .01). However, there was no significant difference in posttest knowledge scores between
the two groups. Satisfaction scores were significantly higher in the SBL group than the IML group
(t = 2.46, p < .05).

Conclusions: SBL and IML can enhance undergraduate nursing students’ knowledge of heart failure nursing.

Implications: SBL and IML approaches should be promoted and applied to other complex nursing topics to further enhance the achievement of learning outcomes.

Factors Related to Executive Function (EF) Ability of Nursing Students at a Private University in Bangkok

2025-02-11T15:36:26+07:00

Introduction: Executive functions are higher-order brain processes that affect learning, emotional regulation, and behavior. These functions are especially important for nursing students who face stress from academic demands and clinical practice.

Research objectives: This study aimed to examine the level of executive function abilities among nursing students and identify factors related to their executive function levels at a private university in Bangkok.

Research methodology: This descriptive study involved 260 nursing students from years 1 to 4 at a private university in Bangkok. The sample size was calculated using Krejcie & Morgan’s table and selected by quota sampling. Research instruments included a demographic questionnaire, the Department of Mental Health stress scale, and an executive function assessment tool. The content validity index ranged from 0.89 to 1.00 per item and 0.98 overall, with a Cronbach’s alpha of .94 indicating high reliability. Data were analyzed using descriptive statistics, chi-square tests and Pearson’s correlation coefficient.

Results: The nursing students demonstrated an overall high level of self-management thinking ability (M = 58.50, SD = 3.32). The highest scores were in behavioral regulation, emotional regulation and cognitive regulation, respectively. Additionally, the year of study was found to be significantly associated with self-management thinking ability (p < .05).

Conclusions: Nursing students possess good executive function abilities, particularly in behavioral and emotional regulation.

Implications: It is recommended to promote activities or programs that focus on training cognitive regulation skills to enhance the potential for learning, life management, and future professional nursing practice.

The Developmental Model using Family-Centered Care to Promote Developmental among Preschool Children in Roi-Et Province

2025-04-02T10:04:27+07:00

Introduction: The developmental model using family-centered care to promote developmental caregiverss supports the enhancement of development promoting Knowledge and behaviors in caregivers and improvement in children with developemtal delays.

Research objectives: This study aims to 1) develop the model using family center care to promote development among pre-school children in Roi-Et province. 2) evaluate the outcomes of the model using family center care among pre-school children in Roi-Et province.

Research methodology: This research study was development design comprised three phases including: phase 1-situation analysis, studying and analyzing the development of pre-school children in Roi-Et province. Phase 2 focused on developing model using family center care to promote developmental among pre-school children. Phase 3 evaluated the outcomes of the model using family center care among pre-school children. Data collection were done by using the questionnaire including: the Developmental Surveillanceand Promotion Manual (DSPM), the evaluation form of parental nowledge and behavioral assessment on child health promotion and development, and the model using family center care to promote development among pre-school children. Descriptive statistics were used to present the number and percentage mean and stadard deviation,
and inferential statitics were used the Independent t-test and Pearson Chi-Square.

Results: The prevalence of risk of delay development was 38%. Parental knowledge and behaviors on child health promotion and development were low (36% versus 39%). The mean of parental knowledge and behavioral score after participatation in this model were significantly higher than before participation
(p < .001). The pre-school children in experimental group were significantly increased appropriate development than those in control group (p < .001).

Conclusions: The model using family- centered care enhances to promote development among preschool children.

Implications: Nurse should consider this model to promote development among preschool children with suspected delayed development.

Incidence and Factors Influencing Hypotension Following General Anesthesia in Patients with Peptic Ulcer Perforation at Suratthani Hospital

2025-06-04T14:07:15+07:00

Introduction: Peptic ulcer perforation is a common surgical emergency. The treatment involves surgical closure of the perforation under general anesthesia. Without timely intervention, fluid loss into the interstitial space occurs leading to decreased blood volume and hypotension.

Research objectives: This study aims to investigate the incidence and factors influencing hypotension in patients with perforated peptic ulcers undergoing surgery and general anesthesia.

Research methodology: This retrospective descriptive study utilized data from medical records. A total of 150 patients who received surgery for peptic ulcer perforation and under general anesthesia at Suratthani Hospital from 2020 to 2022 was recruited to the study. Data collection was conducted using patient record forms. Statistical analysis employed descriptive statistics, chi-square tests, Fisher’s exact test, independent t-tests, and binary logistic regression.

Results: 1) The incidence of hypotension in patients with peptic ulcer perforation who received surgery under general anesthesia was 43.30%. 2) Females were 28.41 times more likely to develop hypotension compared to males (p = .014). An increase in age by one year was associated with a 4% higher likelihood of developing hypotension (p = .002). Additionally, patients with fever were 2.48 times more likely to experience hypotension than those without fever (p = .05). These factors could combine with the effects of predictive power for post-general anesthesia hypotension at 21.90%.

Conclusions: Age and fever are significant contributing factors to the development of hypotension following general anesthesia in patients with peptic ulcer perforation.

Implications: Nurse anesthetists should implement a risk assessment for the occurrence of hypotension in high-risk patients, especially older adults. Additionally, clinical practice guidelines should be established for managing patients with perforated peptic ulcers who are at high risk of hypotension. including preoperative assessment, preparation before anesthesia administration, and postoperative monitoring.

A Comparison Study of Resilience Quotient Before and After Mental Health & Psychiatric Nursing Practicum among Senior Nursing Students, Faculty of Nursing Chaiyaphum Rajabhat University

2025-04-17T21:31:36+07:00

Introduction: The Resilience Quotient (RQ), or psychological strength, serves as a mental immune system that helps individuals cope with challenges and prevents the deterioration of their mental health.

Research objectives: This study aimed to compare the resilience quotient of fourth-year nursing students at the Faculty of Nursing, Chaiyaphum Rajabhat University, before and after undergoing psychiatric and mental health nursing practicum.

Research methodology: A quasi-experimental study with a one-group pretest-posttest design was conducted to assess changes in resilience among 30 fourth-year nursing students (Cohort 14, academic year 2024). Data collection tools included a personal information questionnaire and the Resilience Quotient Assessment. The intervention consisted of activities designed to enhance psychological resilience, conducted over a three-week period. Data were analyzed using frequency, percentage, mean, standard deviation, and the paired sample t-test to compare pre- and post-intervention RQ scores.

Results: 1) The overall and subscale levels of resilience among nursing students, both before and after psychiatric nursing practicum, were within a the normal range. 2) Emotional stability, encouragement, and problem-solving dimensions of resilience significantly increased after the psychiatric nursing practicum at the .05 level. 3) The total resilience of nursing students after the practicum was significantly higher than before the practicum at the .01 level.

Conclusions: Mental health empowers senior nursing students to effectively deal with difficult situations and cope better with problems.

Implications: Activities that promote resilience should be incorporated into the development of students to strengthen their mental well-being, enabling them to recover and continue living effectively in all situations.

Factors Related to Violence against Generation Z Workers in Bangkok

2025-05-16T09:41:24+07:00

Introduction: Generation Z workers are a new generation in the labor force who are increasingly vulnerable to workplace violence, particularly psychological and sexual violence. Such experiences can negatively affect mental health and job performance.

Research objectives: To examine the prevalence of workplace violence and identify its predictors among Generation Z working adults.

Research methodology: This study was a survey study. The sample consisted of 235 Generation Z employees working in Bangkok. Participants were selected using the snowball sampling technique. Data were collected using an online questionnaire and analyzed using descriptive statistics, chi-square tests, and binary logistic regression.

Results: Psychological violence was the most frequently reported form of abuse (77%) followed by sexual violence (40%). Factors significantly associated with experiences of violence included age, workplace relationships, and attitudes toward violence (p < .05). Logistic regression analysis revealed that age (β = 1.39, p = .01) and attitudes toward violence (β = 3.53, p = .01), were significant predictors, jointly explained 31% of the variance (Nagelkerke R² = .31).

Conclusions: Age and attitudes toward violence were key predictors of workplace victimization among Generation Z employees.

Implications: This study offers practical recommendations for organizational leaders, government agencies, and policymakers to develop measures, promote social support and foster a safe and supportive work environment that prevent and mitigate workplace violence.

Predictors of Bullying Victims among Young Lesbian Gay Bisexual Transgender (LGBT) in Bangkok Metropolis

2025-04-17T21:38:05+07:00

Introduction: Lesbian Gay Bisexual and Transgender (LGBT) youth had experience higher rates of bulling. However, factors related to bullying among this group remain unclear.

Research objectives: To study the predictive factors of being bullied among young lesbian gay bisexual transgender (LGBT) in Bangkok, Thailand.

Research methodology: This research study was a cross-sectional descriptive correlational predictive study. The sample consisted of 488 LGBTs aged 18 to 25 years old who resided in Bangkok metropolis. The sample was selected by using snowball sampling technique. The instruments in the study were self-administered questionnaires. Data were collected in 12 weeks and were analyzed by using descriptive statistics, Chi-square, Odd ratio, and Binary Logistic Regression Analysis.

Results: Based on the findings, the participants reported experiencing bullying 79.30%, and Most participants reported that they had engaged in sexual bullying (67.80%). The factors correlated to bully victims with statistical significance (p < .05) as risk factors included the acceptance of gender diversity within the family (OR = 4.05) and Less attentive parenting (OR = 2.08), protective factors included permissive parenting style (OR = .48) and gender stigma (OR = .58), The results as non-acceptance of gender identity within the family (Exp(b) = 4.049), indulgent parenting (Exp(b) = .539), high levels of gender identity disclosure to society (Exp(b) = 1.704) can predict among bullying youth LGBT (Nagelkerke R²= 10.8).

Conclusions: The results as non-acceptance of gender identity within the family, indulgent parenting, and high levels of gender identity disclosure to society can predict among bullying youth LGBT.

Implications: The study can be a part of supporting policies and developing programs to prevent LGBT youth from bullying. The focus is on fostering, understanding, and accepting gender diversity within families, promoting appropriate parenting styles, and encouraging social acceptance in gender differences.

Effectiveness of Mindfulness-Based Application for Smoking Cessation: A Systematic Review

2025-05-26T14:21:58+07:00

Introduction: Smoking is a major cause of premature death worldwide. Smoking cessation significantly reduces health risks. Mindfulness-based applications are an alternative way to support smoking cessation, although their effectiveness remains unclear.

Research objectives: To synthesize evidence on the effectiveness of mindfulness-based applications for smoking cessation.

Research methodology: This systematic review involved research articles published between 2015 and 2024. Eligible studies included both Thai and English-language research that investigated the use of mindfulness-based applications for smoking cessation in databases: CINAHL Complete, PubMed, Embase, Scopus, Google Scholar, and ThaiJo. Data were analyzed using descriptive statistics and content analysis. Six research papers from 295 studies met the inclusion criteria.

Results: The findings revealed that awareness of bodily sensations, self-compassion, breath awareness, and the RAIN technique are core components of mindfulness-based smoking cessation applications, which feature behavior tracking and experience-sharing functions. Most programs lasted between 22 and 30 days, with daily practice sessions of 5 to 15 minutes. The applications significantly reduced stress and anxiety levels and increased the likelihood of achieving seven-day point-prevalence abstinence.

Conclusions: Analyzing mindfulness-based apps for smoking indicates they can help reduce stress and anxiety and support short-term smoking abstinence.

Implications: Future research should focus on evaluating the effectiveness of systematically designed mindfulness-based smoking cessation applications using standardized tools and outcome measures. This would help reduce data variability and facilitate future meta-analyses.

The Effects of a Motivational Enhancement Program on Readiness to Change Behavior in Psychiatric Patients with Substance Use Disorders during The Pre-Discharge Phase

2025-07-31T09:55:38+07:00

Introduction: Behavioral problems and risks among psychiatric patients with substance use disorders are increasing, affecting both social safety and patients’ quality of life. Treatment in general hospitals is often constrained by the short length of stay, which limits the provision of adequate psychosocial therapy and may increase the risk of relapse in substance use.

Research objectives: To examine the effects of a motivational enhancement program on readiness to change for relapse prevention among psychiatric inpatients with substance use disorders during the pre-discharge phase.

Research methodology: This quasi-experimental study employed a two-group pretest-posttest design with repeated measures. The sample consisted of 46 psychiatric inpatients with substance use disorders in the pre-discharge phase at Nong Khai Hospital, selected through purposive sampling and divided into an experimental group (n = 23) and a control group (n = 23). The research instruments included: 1) the motivational enhancement program, and 2) the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES-8D). The content validity of the program was assessed by experts, yielding an average item-objective congruence score ranging from .67 to 1. The readiness-to-change scale demonstrated high reliability, with a Cronbach’s alpha coefficient of .87. Data were analyzed using descriptive statistics, paired sample t-tests, and independent sample t-tests.

Results: The experimental group showed significantly higher mean readiness-to-change scores at the immediate posttest compared to the pretest, and the scores at 2-week follow-up were significantly higher than the immediate posttest scores. Furthermore, the readiness-to-change scores of the experimental group were significantly higher than those of the control group at both the immediate posttest and the 2-week follow-up (p < .05).

Conclusions: The motivational enhancement program effectively increases motivation to change and promotes problem recognition among psychiatric inpatients with substance use disorders during the pre-discharge phase.

Implications: Substance use treatment units should implement this program during the rehabilitation phase to enhance patients’ readiness for behavioral change.