Journal of Nursing and Health Research

The situation of emergency patient triage among professional nurses in the emergency department of one community hospital in the western region

2024-09-09T11:17:33+07:00

Emergency patient triage is crucial in managing patients who come for services in the accident and emergency department. This research aims to study the situation of emergency patient triage by professional nurses in the emergency department of a community hospital in the western region. The key informants, totaling 22 people, consisted of 2 hospital administrators, 5 doctors, 9 professional nurses, and 6 service users. The tool used was a semi-structured interview form, validated for content by experts. Data was collected through in-depth interviews and focus group discussions until data saturation was reached. The data obtained from the transcripts was then analyzed using content analysis. The research results found that the study of the emergency patient triage situation by professional nurses in the emergency department revealed three main issues: 1) emergency triage situations: triage errors, causes of triage errors, current triage practices, challenges in triage, and suggestions for improving triage 2) nurses’ triage competencies: knowledge and ability, attitude, skills 3) organizational designs for nurses’ triage competency development: structure, process, and outcome. Recommendations from this research could be used to create a mentoring system where experienced nurses closely train new nurses and to review and improve triage guidelines to suit the hospital's context.

Effects of a basic support promotion program for unconscious patients on the knowledge and skills in basic support for unconscious patients among royal volunteers

2024-10-15T11:03:35+07:00

First aid for individuals having apnea or cardiac arrest is critically important. Delays or improper care can lead to disability or death. This quasi-experimental study aimed to examine the effect of a basic support promotion program for unconscious patients on the knowledge and skills in basic support for unconscious patients among royal volunteers. The sample group consisted of 100 royal volunteers from Muang District, Surat Thani Province, selected through a multi-stage random sampling. The instruments used in this study consisted of 1) a basic support promotion program for unconscious patients, which was developed under the concept of adult learning theory and learning by doing theory; 2) a general information questionnaire; 3) a knowledge test on first aid for unconscious patients with a reliability of .71 by the Kuder-Richardson method; and 4) a skills in basic support for unconscious patients with a reliability of .97 by the Cronbach's alpha coefficient. Data were analyzed using descriptive statistics and t-tests. The results of the research found that after receiving the program, the sample group had a significantly higher average score of knowledge and skills in basic support for unconscious patients than before receiving the program (p<.01). Therefore, the basic support promotion program for unconscious patients can increase the level of knowledge and skills in basic support for unconscious patients. It can be applied to develop knowledge and skills in basic support for unconscious patients among royal volunteers and community leaders in other areas to develop standards of care for people in emergencies.

Effects of self-management program on disease control behavior and fasting blood glucose levels among patients with type 2 diabetes mellitus

2024-10-28T14:38:52+07:00

Diabetes mellitus is a chronic disease that presents a significant public health issue. Promoting self-management in patients to control diabetes is therefore important. The quasi-experiment with a two-group pretest and posttest design aimed to examine the effects of a self-management program on the disease control behaviors and fasting blood glucose levels among patients with type 2 diabetes at Li Hospital, Lamphun Province. The sample consisted of 70 patients with type 2 diabetes who could not control their blood glucose levels. The sample was divided into an experimental group of 35 participants and a control group of 35 participants. The tools used included a self-management program, and a diabetes control behavior assessment tool focusing on diet and medication usage. Data were analyzed using descriptive statistics and a t-test between groups. The results of the study showed that after the program was completed, the experimental group had significantly higher average scores in disease control behaviors related to diet and medication use compared to the control group (p< .001), and their fasting blood glucose levels were significantly lower than those of the control group (p<.001). These findings demonstrated that the self-management program could improve disease control behaviors and reduce blood glucose levels in patients with type 2 diabetes mellitus. Therefore, healthcare personnel should apply the self-management program to promote type 2 diabetes patients' self-management of diet and medication in diabetes clinics at community hospitals to reduce blood glucose levels.

Perceptions and expectations of organizational management by nurse practitioners in primary healthcare units transferred to local administrative organizations

2024-11-24T09:48:24+07:00

The transfer of community health promotion hospitals from the Ministry of Public Health to local administrative organizations, under the Ministry of Interior has some impacts on health workers especially nurse practitioners. This descriptive research aims to study the perceptions and expectations regarding organizational management from nurse practitioners in primary healthcare units transferred to local administrative organizations. The study involved 70 nurse practitioners working in those units. The research tools were questionnaire obtained; 1) general information, and 2) perception and expectation about organizational management of transferred primary healthcare units. Questionnaires about perception and expectation obtained the congruence index (IOC) .94, respectively. Reliability was measured using Cronbach’s alpha, yielding a value of .92. Data analysis was conducted using descriptive statistics. The research findings indicated that the overall perception of nurse practitioners towards organizational management was at a high level (=3.45, SD=1.11), while the overall expectations of nurse practitioners towards organizational management were also at a high level (=3.72, SD=1.12). Therefore, local administrative organizations and agencies involved in organizational transfer should address the perceptions and expectations of nurse practitioners. This included establishing obvious policies associated with structures and roles of nurse practitioners according to nurse professional laws, as well as providing tangible support for professional advancement.

Effectiveness of self-management supporting program among older people with hypertension: a systematic review

2024-11-22T08:24:28+07:00

Hypertension is both chronic and incurable disease. However, it could be controlled using self-management enhancement activities. This systematic review aimed to summarize the existing evidences related to self-management supporting program in older people with hypertension. A systematic search was performed to retrieve published and unpublished studies in older adults aged 60 years and over. Measured outcomes included self-management behaviors, adherence to medications, and blood pressure. Both Thai and English studies published from 2011 to 2023 were searched through electronic medical and nursing data bases based on PRISMA guideline. Quality assessment and data extraction was independently implemented by 3 researchers using quality appraisal form and data extraction form developed by Joana Briggs Institute. Data were analyzed using narrative summarization. Systematic review results revealed 13 studies, of which 3 were randomized controlled trials and 10 were quasi-experimental studies. Self-management supporting program in older people with hypertension had various components. Main components included self-management skill training, education, health behavior modification, family support, home visits, and telephone follow-up. Program outcomes covered self-management behaviors, blood pressure, adherence to medication, quality of life, body mass index, and exercise self-efficacy. Overall, self-management supporting program in older people with hypertension proved its effectiveness in these outcomes. Hence, nurses should enhance self-management behaviors in older people with hypertension. However, as limitation, most of the reviewed studies were quasi-experimental studies. Thus, further systematic review should include more randomized controlled trials in the review

Factors associated with self-care behaviors among patients with chronic obstructive pulmonary disease

2024-12-16T13:19:46+07:00

Chronic obstructive pulmonary disease (COPD) causes physical, mental, social, and economic impacts and affects the health behavior of COPD patients. This descriptive research aimed to examine factors associated with self-care behaviors among COPD patients in the 50th Anniversary Hospital, Maha Vajiralongkorn, Ubon Ratchathani Province. The sample was 150 patients attending COPD clinic. The research instruments included personal data form, health perception questionnaires, and self-care behaviors questionnaires. The reliability of the first and second questionnaires tested by Cronbach's alpha coefficient was .90 and .95, respectively. The data were analyzed using descriptive statistics, Pearson, Spearman, and point biserial correlation. The study showed that the self-care behaviors among patients with COPD were overall at a good level ( =2.54, SD=0.53). Additionally, the education level (r=0.167, p<.001), the duration diagnosis COPD) (r=0.108, p<.05), body mass index (r=0.258, p<.001), and health perception of benefits (r=0.165, p<.001) were related to self-care behaviors. The results of this study could be used as information to enhance self-care behaviors among patients with COPD in pulmonary clinics.

Development of nursing practice guideline for preventing birth hypoxia of newborns

2024-12-06T09:15:34+07:00

Birth asphyxia or Neonatal hypoxia or Hypoxic-Ischemic Encephalopathy (HIE) is the major problem that cause death or disability in newborns. Thus, its result leads to the loss of family and society. This research and development aimed to develop and study the results of using nursing guidelines to prevent birth asphyxia in newborns which was divided into 3 phrases: 1) the development of nursing practice guidelines, 2) the quality inspection and the trial of nursing practice guidelines, and 3) the evaluation results of nursing practice guidelines usage. The sample group consisted of 9 registered nurses and 496 of pregnant women who gave birth in the delivery room of Phayao Hospital. The sampling of pregnant women was divided into 2 groups: 1) the 248 of control group was treated by using the regular nursing care and 2) the 248 of experimental group was treated by using the developed nursing guidelines. The research tools were the nursing practice guidelines for the prevention of birth asphyxia in newborns and the data collection tools such as the personal information record, the feasibility assessment form of implementing the guidelines, and the assessment form of nurse satisfaction. Data were analyzed using the descriptive statistics and the independent sample t-test. The results showed that: 1) the developed nursing practice guidelines for the prevention of birth hypoxia in newborns, 2) the incidence of birth asphyxia in the experimental group was significantly lower than the control group (p<.01), 3) the feasibility of implementing the guidelines was found 96% at a high level, and 4) the nurses' satisfaction was at a high level. (\mu= 4.20, \rho=0.67) Nurses caring for newborns should implement the developed nursing practice guidelines in order to increase efficiency of the prevention of birth asphyxia in newborns.

Development of a management model to integrate the health for wealth policy into wellness tourism routes Phetchaburi Province

2024-10-23T21:49:02+07:00

Health economic policy is an important issue linked to the support of preventive and restorative health care as well as the community economy, which will affect the development of the quality of life and well-being of the people. This research and development study aimed to develop a management model to integrate the health for wealth policy into wellness tourism routes in Phetchaburi Province. This study was conducted in three phases: Phase 1: Preliminary model development; Phase 2: Model testing and refinement; and Phase 3: Implementation and evaluation. The research instruments consisted of questionnaires and semi-structured interviews and analyzed the quantitative data using inferential statistics, the paired t-test, and content analysis. The results showed that the management model was DIAMOND, which consisted of D: Diamond referred to Phetchaburi city; I: Integration referred to the integration of health economy policies; A: Anti-aging Long Living referred to promoting a lifestyle through the science of anti-aging; M: Meaningful Wellness Phetchaburi referred to meaningful health and wellness in Phetchaburi; O: Operation referred to continuous operation with clear policies; N: Network referred to building a network of health business partnerships; D: Database referred to wellness centers in Phetchaburi Province. After the model was developed, the number of certified wellness centers accredited by the Phetchaburi Provincial Public Health Office increased by 56.67%. Additionally, it was found that after the model’s implementation, the number of customers per establishment per year, as well as the average annual income related to the wellness centers, significantly increased (p<.05). Therefore, relevant stakeholders from the public, private, and civil sectors should prioritize establishing strong and continuous collaborations in developing high-quality wellness centers that meet international standards. This would positively impact the local economy, society, and quality of life for the people in the area.

Three good process model by family for developing early childhood

2024-11-17T15:57:20+07:00

Addressing early childhood development through the Three Good policy, which emphasizes good media, good spaces, and good folk wisdom, requires collaboration among teachers, children, parents, and communities. This participatory action research aimed to develop a three good process management model by families for early childhood development. The sample group consisted of 45 parents, 9 community leaders, and 5 teachers from a Child Development Center, selected through purposive sampling. The research instrument comprised open-ended questions for group meetings, divided into three sets: 1) questions to design activities based on the three good process, 2) questions to follow up on Three good process activity implementation, and 3) questions to identify problems in organizing activities. Data were analyzed using the content analysis method. The findings revealed problems such as a lack of grandparents' cooperation, insufficient space and equipment, parents' lack of knowledge, and excessive mobile phone use among children. The three good process management model consisted of four components: 1) establishing practical and achievable policies and objectives, 2) developing parents’ knowledge, skills, and attitudes using knowledge management processes, enhancing the working group’s ability to organize child development activities and create good media, 3) designing concrete work methods with clear responsibilities, and 4) ensuring support from government and private community organizations while allocating space for shared activities. All four elements reinforced the collaboration between individuals and organizations in the community and promoted the continuity of the three good processes for early childhood development.

The expectations of stakeholders towards the competencies of nursing administrators in the 5.0 era

2024-11-06T13:55:40+07:00

The rapid evolution of technology, policy, administrative structures, and rising patients’ expectations necessitate a significant shift in nursing management practices. In the health 5.0 era, the healthcare system faces transformative challenges, driven by advancements in digital technology, artificial intelligence, telemedicine, decentralization, and increasing patients’ service demands. This qualitative research aimed to identify the expected competencies of nursing administrators in this dynamic environment, as perceived by various stakeholders. The study involved 58 participants, selected through purposive sampling, including nurse leaders from tertiary, secondary, and primary healthcare services, representatives from professional organizations, local government executives, private sector nursing administrators, and academic leaders. Data collection methods included in-depth interviews and focus group discussions, analyzed using thematic analysis. Findings indicate that the competencies expected of nursing administrators in the Health 5.0 era are crucial for navigating rapid changes. The result showed the 9 competencies which were 1) Leadership and change management, 2) Strategic management 3) Digital technology and data management 4) System and network management 5) Business acumen and sustainability 6) Team development 7) Ethical leadership 8) Visionary thinking and flexibility, and 9) Research and innovation. These competencies collectively empowered nursing administrators to lead effectively in a rapidly evolving healthcare landscape.

Effectiveness of researchers’ competencies development program for raising meta-analysis capacity towards evidence-based practice

2024-11-12T15:12:40+07:00

Developing personnel with high potential in research is essential for driving the production of academic work and raising the standards of educational institutions. This quasi-experimental study utilized a one-group pre- and post-test design to evaluate the effectiveness of a competency development program aimed at improving meta-analysis skills for evidence-based practice. Thirty lecturers from the Praboromarajchanok Institute participated in the study. The research instruments included: 1) a demographic questionnaire, 2) a knowledge assessment questionnaire,
3) a research competency questionnaire covering the research process, research management, and attitudes/ethics, and 4) a satisfaction questionnaire. Content validity was confirmed by experts, with Item Objective Congruence (IOC) values ranging from .67 to 1.00. The reliability of the instruments was also tested. The knowledge assessment questionnaire had a KR-21 reliability score of .73, while the research competency and satisfaction questionnaires demonstrated Cronbach’s alpha coefficients of .99 and .87, respectively. Data were analyzed using descriptive statistics, and a dependent t-test. The results showed a statistically significant increase in participants' knowledge after completing the program (t=9.433, p=0.001). Additionally, post-intervention, participants reported significantly higher overall research competency scores compared to baseline scores (p<.001). The satisfaction score was also at the highest level (\bar{x}=4.83, SD=0.38). The research results indicate that this research capacity-building program enhances the abilities of the participants and should be applied to personnel development in other institutions to boost the production of advanced research work. Additionally, continuous monitoring of academic output is recommended.