Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong

Development of the Newborn Baby Wristband of Phra Pathum Worartchasuriyawong 4 ward in Sunpasitthiprasong Hospital

Wilaiwan Pasilo — 2025-10-25

Accurate patient identification is essential for verifying medical information and preventing errors in medication administration, diagnosis, or medical procedures, especially for newborns who cannot communicate. This study aimed to (1) develop an innovative newborn wristband and (2) compare the effectiveness of conventional versus innovative newborn wristbands. The development process involved five steps: (1) empathize, (2) define, (3) ideate, (4) prototype, and (5) test. Participants included professional nurses at Sunpasitthiprasong Hospital who provided newborn care (30 in the control group and 30 in the experimental group) and parents of newborns (30 in the control group and 30 in the experimental group). The research instruments were: (1) the innovative newborn wristband, validated by three experts, and (2) the newborn wristband performance evaluation form, with a content validity index (CVI) of 1.00 and reliability (Cronbach’s alpha) of 0.89. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using frequency, percentage, mean, standard deviation, and independent t-test.

Results: The study found that introducing a newborn identification wristband made of brushed fabric resulted in statistically significant differences in safety performance (t (43.76) =-9.17, p < .01; t (45.82) = -30.98, p < .01). Parents and nurses in the experimental group scored higher than those in the control group (Mean = 4.64, 4.78; S.D. = 0.50, 0.20, respectively). Similarly, significant differences were noted in the effectiveness of newborn identification (t (39.90) =-5.28, p < .01; t (51.02) = -21.83, p < .01), with the experimental group of parents and nurses achieving higher mean scores than the control group (Mean = 4.63, 4.90; S.D. = 0.61, 0.31, respectively). Encouraging nurses to apply design thinking in developing patient-centered innovations is advisable. This approach involves systematic and analytical thinking at every stage, with a strong focus on addressing the needs of service recipients, thereby fostering continuous improvement in nursing practice.

The Development of a Nursing Program for Emergency Care and Reducing Patient Stress in the Emergency Room at Thong Pha Phum Hospital, Kanchanaburi Province, through the Integration of Nursing Team and Family Participation

Marisa Karun — 2025-11-24

Emergency room patients often face severe illnesses, long waits, and a stressful environment, all of which cause stress and can impact their treatment. Integrating the involvement of nursing teams and families is therefore a key approach to communication and psychological support in order to promote holistic care. This research and development aimed to develop and evaluate a nursing program to reduce the stress of emergency room patients at Thong Pha Phum Hospital, Kanchanaburi Province. The study involved three groups: 7 nurses and medical personnel, 323 patients and relatives, and an experimental group of 30 patients. The research consisted of 5 phases: R1-studying the situation and identifying essential needs, D1-developing the program, R2-trial implementation, D2-program adjustment, and R3-evaluation of the actual results. The research tools demonstrated appropriate reliability (IOC = 0.66–1.00, α = 0.80–0.85). Qualitative data were analyzed using content analysis, and quantitative data using descriptive statistics, the Priority Needs Index (PNI), and the one sample t-test.

Results: It was found that the main sources of stress included delays and congestion, lack of information, and psychological and economic burdens. PNI analysis identified key needs such as effective communication, emotional relaxation, family integration, and mental support systems. The developed program consisted of four steps: assessment, planning, activity implementation, and follow-up. It was evaluated as highly appropriate and feasible (Mean = 4.34, 4.40). After the trial implementation, stress and anxiety levels were found to have decreased significantly (t = 2.46, p = .045), dropping to a low level (Mean = 2.15). When practically applied, the program notably increased family participation, enhanced the efficiency of the nursing team, and concretely reduced patient stress. In conclusion, this program is effective and can be applied in other community hospitals to elevate the quality of holistic emergency patient care.

Joy at Work of Professional Nurses, Srinagarind Hospital

Wanarat Chinnapan — 2025-12-04

Joy in the workplace among nurses is a critical determinant of service quality and organizational commitment. This descriptive study aims to 1) assess the level of job happiness among professional nurses, 2) analyze the relationship between age groups, organizational climate, and emotional intelligence with job happiness, and 3) identify factors that can predict job happiness among professional nurses at Srinagarind Hospital. The sample comprised 124 professional nurses selected through stratified random sampling. The research instruments included four-part questionnaires: general information, job happiness, organizational climate, and emotional intelligence. The content validity was verified (Index of Item-Objective Congruence: IOC), with IOC values for parts 2–4 ranging from 0.6 to 1.00, and the reliability (Cronbach’s alpha) was .88, .94, and .93, respectively. Data analysis employed descriptive statistics, the Fisher-Freeman-Halton exact test, Pearson's correlation analysis, and stepwise multiple regression analysis.

Results: The study revealed that 1) professional nurses exhibit a high degree of job satisfaction; 2) age group does not correlate with job satisfaction, whereas organizational climate and emotional intelligence demonstrate a statistically significant positive correlation with job satisfaction at the .01 level; and 3) organizational climate and emotional intelligence collectively account for 50.8% of the variance in job satisfaction. These findings underscore the critical influence of these two factors on the job satisfaction of professional nurses. It is recommended to cultivate a supportive organizational climate and enhance the emotional competencies of personnel to improve job satisfaction and promote sustainable organizational commitment.