Journal of Nurses Association of Thailand Northern Office

The Role of Nurses in Prevention of Taenia solium Cysticercosis in Brain

Poonyanuch Yoojamrat — 2024-06-30

Cysticercosis can be found in all genders and ages who eat fresh vegetables or raw pork. Having consummed the embrynated eggs of Taenia solium in fresh vegetables or raw pork, the cysts will spread in all over the body. If the cysts penatrated into important organs such as brain and spinal cord, these caused neurocysticercosis. The fatal symptoms of neurocysticercosis are headache, nausea, vomiting, epileptic seizures, and paralytic limbs, which can may cause death. These have direct impacts on people’s health, as well as the economy and society. Cysticercosis can be prevented by the modification of healthy consuming behaviors. However, it is difficult to promote healthy consuming behaviors because of various factors. From literature reviews, promoting people's health literacy is very crucial that impacts on behaviors and health outcomes. It is also an essential skill in health care. However, health literate individuals can access, comprehend, apply communication skills, self-managed, and media literate, which influence on their health behaviors. Similarly, promoting people to be health literate in food consumption to prevent cysticercosis will help them to have safe behaviors and ultimately reduce cysticercosis.

Thus, the purpose of this academic article is to present nurses' roles in public health monitoring as well as provide knowledge and understanding. And changing the behavior of consuming cooked food and drinking clean water will be an effective and sustainable way to prevent the occurrence of pork tapeworm eggs in the brains of the population.

A Study of the Desirable Characteristics of the Air Force Nurse Graduates from the Bachelor of Nursing Science Program (Revised Curriculum, 2023) as Identified by Stakeholder Needs

Jirapinya Khamrath — 2024-06-30

This descriptive study aimed to identify the desirable characteristics of the Air Force nurse graduates for the Bachelor of Nursing Science program (Revised Curriculum 2023) as identified by stakeholders’ needs using the Delphi technique. The samples were 35 experts who were stakeholders of the Air Force nurse graduates recruited by purposive sampling method. The research instruments were demographic data questionnaires, and three rounds of questionnaires provided two sections: open-ended and a 5-point rating scale. The data were analyzed using median and interquartile range.

The study found that the desirable characteristics of the Air Force graduates as identified by stakeholders’ needs had a median equal to or greater than 3.50 and an interquartile range equal to or less than 1.50. The desirable characteristics consisted of nine characteristics. They were: 1) Integrated nursing knowledge and practice in nursing and midwifery skills; 2) Integrated the general knowledge, nursing knowledge, military knowledge, elementary aeromedical nursing and practice in nursing and midwifery in emergency and disaster situations skills; 3) Collaborating with interdisciplinary team skills; 4) Critical thinking, creative thinking, decision-making, and problem-solving skills; 5) Using technology skills; 6) Conducting nursing research and innovation skills; 7) Communicate in Thai and English skills; 8) Interpersonal relationship, characteristic appear with colleague and client skills; and 9) Military characteristics and good citizenship.

The results of this study can be used as basic information for directors and curriculum administrators in developing nursing science programs in order to improve the desired characteristics of graduates and the quality of learning and teaching in nursing.

Effects of setting up pre-anesthesia clinic on cancellations of surgery in the general hospital

Teeraphon Chanpiangkwang — 2024-06-30

This historical control study aimed to compare the surgical postponement before and after setting up the Pre-Anesthesia Clinic (PAC) at Mae Sot hospital in Tak province. The sample were 1038 elective surgery patients undergoing the operations etween August 1, 2022, to March 31, 2023. They were classified into 2 groups, before and after the setting up the pre-anesthesia clinic. The first group was 401 elective surgery cases before setting up the pre-anesthesia clinic between Augus 2022 to December 2022. The second group was 637 elective surgery cases after setting up the pre-anesthesia clinic between January 2023 to March 2023. The research instrument consisted of the three questionnaires: 1) general data, 2) the assessment and preparation and 3) the specific details describe situations in which surgery could be cancelledThe data were analyzed using descriptive statistics. Variable characteristics were compared using the Chi-square test, while the surgical rates between two groups were compared sing the incidence rate ratio.

The research results found that the rate of surgical postponement in the second group was found significantly lower than the first group (0.62 vs 5.74; IRR=9.26 95%CI 6.03-14.67, p<0.001).

Thus, the pre-anesthesia assessment and patient’ s preparations in the Pre-Anesthesia Clinic can help decrease the surgical postponement rate. The outcome assessment in other aspects should be explored such as hospital length of stay and efficiency in utilizing the operating room.

Effects of a Participation Program in Preventing Febrile Convulsion on Knowledge and Skills for Children with High Fever among Guardians in Chomthong Hospital

Tidawan Manora — 2024-06-30

This one-group quasi-experimental research, pretest and posttest design aimed to investigate the effects of the participation program in preventing febrile convulsion on knowledge and skills among guardians of children with high fever. Purposive sampling was used to select 30 pairs of guardians and children who had body temperature 38.0 degrees Celsius and above. All febrile children were admitted to a pediatric ward of Chomthong Hospital from January to March 2024. The research instruments included the participatory program for guardians of children with high fever, the personal information questionnaire, the pediatric patients’ body temperature record form, and the questionnaire of knowledge and skills for guardians of children with high fever. The content validity index of knowledge and skills was .93 and .90 with reliability of .97 and .71, respectively. Data were analyzed using descriptive statistics and Paired t-test.

Results of the study showed that the mean scores of knowledges and skills after the program were significantly higher than those before the program (p<.001). The findings showed that the participatory program is effective to enhance the knowledge and skills of guardians in caring for children with high fever and prevent the episode of febrile convulsion. Therefore, nurses may appropriately apply this program to the context of guardians of children with a high fever in hospitals as well as communities.

Effects of Cold Compress Belly Band on Cesarean Incision Pain Level and Satisfaction of Post-Cesarean Section Mothers

Sarattiya Wongkaen — 2024-06-30

This quasi-experimental study aimed to explore the effects of using a cold compress belly band on pain level and satisfaction in post-Cesarean Section mothers. The samples were fifty of post-cesarean section mothers purposively recruited at Chomthong Hospital based on their personal characteristics. They were equally divided into two groups according to matching in pairs. The data collection was conducted in the experimental group after finishing in the control group. The research instruments were a cold compress belly band, a numeric rating scale for pain, and a mothers’ satisfaction questionnaire towards the use of a cold compress belly band. Data were analyzed using descriptive statistics, repeated measures one-way ANOVA and an independent sample t-test.

The results showed that the pain score in the experimental group was significantly decreased instantly after using a cold compress belly band, and at the 4^th, 8^th, 12^th, and 16^th hour (p<.05). In addition, a pain score in the experimental group was found lower than the control group. After using a cold compress belly band, the mothers reported a high satisfaction.

The findings suggest that nurses in obstetric ward can use a cold compress belly band to relief pain in post-cesarean section mothers.

The Development of a Clinical Nursing Practice Guidelines for The Management of Proper Dosing Interval Times of Intravenous Antibiotics After a Stat Dose

Bumnet Saengrut — 2024-06-30

This research and development study aimed to develop clinical nursing practice guidelines for the management of proper dosing interval times of intravenous antibiotics after a stat dose. This study applied the methods of the National Health and Medical Research Council of Australia. The samples included three groups. The first group was 11 developers of the guidelines. The second group was 30 users of the guidelines. And the third group was 10 clients who received care according to the guidelines. The research instruments used were: 1) the demographic data questionnaires for nurses; 2) the demographic data questionnaires for patients; 3) the guidelines feasibility questionnaires; and 4) the guidelines outcome record form. The study was divided into two phases. Phase1 or R1 was exploring the problems. Phase 2 or D1 was developing the guidelines. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation.

The results showed that: 1) there were six empirical evidences that passed all criteria.; 2) the developed guidelines consisted of important parts for practice and three tables for administering the second dose of intravenous antibiotics according to drug groups.; 3) the participants considered the very high feasibilities of implementing guidelines in most items.; 4) after implementing the guidelines, 90% of the dosing interval time of intravenous antibiotics was performed at the right time and 90% of the second dose of intravenous antibiotics after a stat dose was given in a proper dosing interval times.

Therefore, the developed guideline is effective. Nurses can use it for managing proper dosing interval times of intravenous antibiotics after a stat dose in order to obtain good outcomes for patients with infectious diseases and safety in drug administration.

Health Literacy and COVID-19 Preventive Behaviors Among Undergraduate Students at Payap University

Kanyapat Chaeye — 2024-06-30

This survey research aimed to investigate the relationships between health literacy on COVID-19 and the preventive behaviors of undergraduate students at Payap University, Chiang Mai Province, using Nutbeam's health literacy framework. The sample consisted of 175 first-year undergraduate students selected using Krejcie & Morgan's sample size estimation table and stratified random sampling to ensure equal representation from each faculty. Data were collected using an online questionnaire via Google Forms and analyzed using descriptive statistics and Pearson's correlation.

The results revealed that most students had moderate overall COVID-19 health literacy, with moderate levels of access to information, knowledge and understanding of preventive measures, and media literacy. Self-management and decision-making skills were low. Preventive behaviors were also moderate, with low levels of protective behaviors within families and close contacts. Health literacy had a significant positive correlation with preventive behaviors (r=.615, p<0.001).

Therefore, educational institutions should use these findings to incorporate content on COVID-19 prevention and emerging infectious diseases into their curricula for students, emphasizing accurate information, reliable sources, and critical thinking. Decision-making and self-management skills should also be emphasized.

Factors Influencing the Resilience Among Elderly Individuals Living in Muang Nakhon Sawan Province

Wongsiri Jamfa — 2024-06-30

This descriptive research aims to study the factors influencing the resilience among elderly individuals living in Muang Nakhon Sawan Province. The samples were 278 elderly people in Muang Nakhon Sawan Province. The research instruments were SPST-20, health behaviors questionnaires, and resilience inventory with CVI = 1 and Cronbach’s Alpha Coefficient at 0.90, 0.74, and 0.93, respectively. Percentage, average, and standard deviation are statistical measurements that were used to analyze the data. The chi-square test of association and Pearson’s product-moment correlation were used to analyze the correlations between factors and the resilience inventory. Lastly, multiple regression analysis was used to analyze predictive variables that are useful in predicting the resilience inventory.

The results show that the mean score of the resilience among the elderly is 120.12 (SD = 12.24) and 113 samples (40.6%) have a greater or equal to the mean score. Stress and health behaviors were at moderate levels of 56.5% and 37.4%, respectively. Personal factors such as gender, age, salary, marital status, education, and diseases are directly related to the resilience of the elderly, with statistical significance at the.01 level. Stress and health behaviors are found to be correlated with the resilience among the samples with statistically significant level of.01 (r = -.273,.575 respectively). Health behaviors (X1),gender (X2), salary (X3), and age (X4) are the crucial factors for predicting resilience at 63.5 % with statistical significance at the.01 level. The equations were 72.850 + (-.286) (X1) + 6.127(X2) + (-1.652) (X3) + (-3.744) (X4).

Therefore, nurses and health team members must be aware of health behaviors, gender, income, and age of the individuals when planning for nursing cares or health counseling. These help to promote the resilience of the elderly, helping the elderly to accept themselves, enhancing self-esteem, coping with critical situations, recovering to normal livings, and maintaining a good quality of life.

Factor analysis of Empathy Inventory for Nursing Students

Ansuree Sirisophon — 2024-06-30

The purpose of this research was to factor analyses empathy inventory for nursing students. The sample group consists of 200 fourth-year undergraduate nursing students in nursing college from the Faculty of Nursing, Praboromarajchanok Institute. The instrument is a scale measuring empathy with 7 levels. Data analysis includes exploratory factor analysis using SPSS and confirmatory factor analysis using LISREL.

The research results were as follows: 1) empathy for nursing students consists of three factors and 20 indicators including the perspective taking, compassionate care, and ability to stand in patients’ shoes. 2) the factors of empathy for nursing students had been developed was consistent well fitted with the empirical data. The factor analysis showed that the factor loadings of ability to stand in patients’ shoes factor, perspective taking factor, and compassionate care factor were equal to .97, .77 and .32, respectively. Cronbach alpha coefficient was .68.

In summary, this empathy inventory for nursing students has appropriate validity and reliability and it can be used to measure empathy among nursing students.

The Effects of Childbirth Self-Efficacy Enhancement Program on Fear of Childbirth and Satisfaction of Childbirth Experience among Pregnant Women in Chun Hospital

Warunee Meechalad — 2024-06-30

The purposes of this quasi-experimental research were to study the effects of Childbirth Self-Efficacy Enhancement Program on fear of childbirth and satisfaction of childbirth experiences among pregnant women in Chun Hospital. This one group pretest-posttest study consisted of 32 pregnant women. The research tools were a Childbirth Self-Efficacy Enhancement Program, a general information questionnaire, a childbirth self-efficacy enhancement questionnaire, a fear of childbirth questionnaire for pregnant women and a childbirth experience satisfaction questionnaire. The data were analyzed using descriptive statistics, frequency, percentage, mean, standard deviation and paired t - test.

The results demonstrated that after the samples had received a Childbirth Self-Efficacy Enhancement Program: 1) the average score of fear of childbirth was significantly reduced (p < 0.05), 2) the average score of a childbirth efficacy was significantly increased (p < 0.05), and 3) the overall satisfaction of childbirth experiences was high.

The results of this study show that the Childbirth Self-Efficacy Enhancement Program affects fear of childbirth self-efficacy in giving birth and satisfaction with the birth experience. Therefore, the Childbirth Self-Efficacy Enhancement Program should be supported and promoted.to be used by pregnant women in preparation before giving birth.