Journal of Nursing and Health Research

Caring situation of patients with surgical catheters in surgical nursing division, regional hospital

Tipwadee Sikkapan — 2024-04-10

Retaining a catheter or drain in a patient is a safety management used to treat, monitor, and evaluate the patient's condition. Malposition or disconnection of the catheter or drain can result in active bleeding and respiratory discomfort. The purpose of this qualitative research was to study the situation of caring for patients with tubes and lines in the surgical nursing division of a southern regional hospital. Nineteen informants were purposively selected, consisting of 1) four head nurses, 2) eight risk leader nurses, 3) a risk committee member, 4) a surgical doctor, and 5) five practical nurses. Research tools included the demographic questionnaire and a semi-structured interview form. Data were collected through in-depth individual interviews and document reviews. Data from the interviews were transcribed verbatim and analyzed using content analysis. The results of this study found that the situation of caring for patients with catheters and drains consisted of 6 issues as follows: 1) inconsistency in knowledge and skills among the nursing team, 2) a lack of communication of safety management policies to all nursing team, 3) outdated guidelines 4) continuously inadequate supervision and follow-up 5) limited choice of medical supplies, and 6) restricted nursing practice area between beds. The results of the incident reviewed three related issues causing catheter or drain slippage: 1) changes in the patient's condition, 2) inappropriate patient transferring, and 3) moving the patient when performing nursing activities. The results of this study can provide information for administrators and nursing practice teams in developing a safety management model for caring for patients with catheters or drains.

Family functions, life skills, social support, and mental health problemsof clients at a university counseling center: predictive study

Ampaphan Rutthapichairuck — 2024-04-10

Studying the factors affecting the mental health of university students at counseling center is a piece of crucial basic information to support and prevent mental health issues in students. The objectives of this research were to study the influence of personal factors, family functions, life skills, and social support on the mental health problems of clients. The sample was conducted amongst 230 students who were the clients at the university counseling center in 2023. The research instruments used were questionnaires regarding personal factors, the Thai GHQ-28 evaluation form, family functions, life skills, and social support. The Cronbach's alpha values of the Thai GHQ-28 evaluation form, family functions, life skills, and social support were .84 .93 .89 and .92, respectively. The data were analyzed using descriptive statistics and multiple regression analysis with a stepwise method. The results found that self-awareness in life skills, grade point average, and family functions through communication perspective could significantly predict clients' mental health problems at the university counseling center at 16.20 percent. (p<.05) Thus, the counseling center should hold activities or conduct training workshops that enhance grade point average, self-awareness in life skills, and family functions through communication to prevent clients' mental health problems.

Exploring the rapid response situation of the nursing team in caring for elderly patients in a private ward

Churairat Chaichana — 2024-04-10

Elderly patients are considered a high-risk group and require the expertise of the nursing team to take care. This qualitative research aimed to explore the situation of rapid response of the nursing team for elderly patients in a private ward. Sixteen Informants were purposively selected including 10 nurses and 6 non-nursing staff, from a private ward 2. The research tools consisted of a personal information form and a semi-structured interview form. Data were collected through in-depth individual interviews. Data from the interviews were transcribed verbatim and were analyzed using content analysis and building the trustworthiness of information according to Lincoln and Guba's guidelines. The study revealed the situations as follows: 1) a lack of an evaluation system and search for elderly patients at risk, 2) inappropriate care become to insufficient knowledge and skills of the nursing team, 3) a lack of communication of problems and participation in quality development, 4) the problems and barriers in managing a rapid response of the nursing team, and 5) supporting factors to successfully manage a rapid response of the nursing team. The findings suggested the need for 1) knowledge and skills development for the nursing team in assessment and comprehensive care for the elderly, and 2) good communication for effective management. Future researchers can utilize the results of this study to develop a model for the rapid response of the nursing team for elderly patients.