Journal of Nurses Association of Thailand Northern Office

Guidelines for Reducing Violent Behaviors in Problem Solving of Working-Age Individuals After the Pandemic of COVID-19

Keskan Tunprapussorn — 2023-12-30

The pandemic of COVID-19 had significantly direct impacts on economic and social status of working-age individuals. One significant impact was unemployment which led to negative emotional changes in working age individuals. These are stress, anxiety, anger, and distress. Some working-age individuals were unable to cope with problem solving and negative emotions. They solved the problems through violence and self-harm. This article aims to explore guidelines for reducing violent behaviors in problem solving of working-age individuals after the pandemic of COVID-19. The guidelines focused on the principles of emotional resilience and emotional regulation. It will be useful for community nurses in giving care for the working-age individuals who are at risk of violent behaviors, to prevent mental health issues and reduce violent behaviors.

Parental Roles on Sexual Abstinence Behavior in Female Adolescent

ละอองดาว วรรณฤทธิ์ — 2023-12-30

Parents play vital roles in encouraging female adolescents to abstain from sexual intercourse, which counts as a health-promoting behavior during school enrollment. Parents have various ways of raising their children to promote the delay of sexual intercourse to prevent them from risky sexual behavior. The purpose of this article is to present the perspectives on parental influence in promoting sexual abstinence behavior among female adolescents. Nurses may use this information as a guideline to develop and conduct research on sexual abstinence programs for female adolescents for their sexual well-being.

Nurses’ Roles in Promoting Health Literacy in Elderly People to Prevent Osteoporosis

Anchalee Ketsakorn — 2023-12-30

Osteoporosis commonly occurs in people who have decreased bone density and calcium leading to fragile and breakable bones that affect their quality of life. Thus, it is an increasing public health problem. However, it can be prevented by changing health behaviors. Health literacy is a significant factor affecting health behaviors, and health outcomes. It is also an essential skill in healthcare. People with health literacy will be able to access, understand, and use skills in communication, self-management, and media literacy which affect health behaviors. Nurses play significant roles in giving closed care to elderly people and providing health information to them. Therefore, nurses have important actions in promoting health literacy. This academic article aims to present the nurses’ roles in promoting health literacy by changing health behaviors to prevent osteoporosis which promotes a good quality of life among elderly people.

The Correlation between Mental Health Literacy and Stress among Public Health Volunteers During the Pandemic of Coronavirus Disease 2019

Kotchapong Sarakan — 2023-12-30

This survey research aimed to study the levels and relationship of mental health literacy and stress among public health volunteers during the pandemic of Coronavirus disease 2019. The samples were 107 public health volunteers in Ubon Ratchathani, recruited by stratified random sampling method. The research instruments included demographic data, mental health literacy and stress test questionnaires. The reliability of research tools was 0.81 and 0.85, respectively. Data was collected in August 2022. Data were analyzed using descriptive statistics and the Spearman’s rank correlation coefficient.

The results revealed that the participants had mental health literacy of knowledge about mental health and mental disorders at a very good level (56.1 %), whereas beliefs about mental health and mental disorders and abilities to recognize, prevention, and management of mental health problems were at a good level (85.0 % and 51.4 %, respectively). Additionally, the average level of stress among the participants was moderate (63.6%). There was a negative correlation between mental health literacy and stress, r = -.315, p=.05.

Therefore, health service settings should provide counseling clinics and promote mental health literacy for public health volunteers to cope with stress and obtain appropriate stress management during the pandemic of Coronavirus disease 2019.

The Quality of Graduates according to Thai Qualifications Framework for Higher Education and Identity of Graduates, Faculty of Nursing, Chiangrai College Based on Graduate Users’ Opinions

Waravan Supata — 2023-12-30

This comparative research aimed to study and compare the quality of graduates according to the Thai Qualifications Framework for Higher Education and the identity of graduates from the Faculty of Nursing, Chiang Rai College of Nursing who studied in the Bachelor of Nursing Science program (revised curriculum, 2017) and graduated in the year 2020. Data was collected from 98 graduate users who were employed in both public and private hospitals. The research instruments were the questionnaires on the quality of graduates according to the Thai Qualifications Framework for Higher Education and the identity of the Faculty of Nursing, Chiang Rai College of Nursing, developed by the researchers. The content validities of the research instruments were 0.91 and 0.94, respectively. The reliability of the questionnaires was confirmed using Cronbach's alpha, with values of 0.97 and 0.96, respectively. Data were analyzed using descriptive statistics, including frequency distribution, percentages, mean, standard deviation, and the Mann-Whitney U Test.

The result revealed that 1) The overall mean score of quality of graduate according to the Thai Qualifications Framework for Higher Education was at a high level (x̄ = 3.73, SD = 0.51). The quality of ethics and moral domain had the highest mean score (x̄ = 4.14, SD = 0.52). 2) The overall mean score of the identity of graduates was at a high level (x̄ = 3.91, SD = 0.58). The Identity of graduates on the aspect of nursing with compassion domain had the highest mean score (x̄ = 3.96, SD = 0.68). 3) There were no significant differences between the opinions of graduate users in public and private hospitals on the qualities of graduates according to the Thai Qualifications Framework for Higher Education (p > 0.05). 4) There were no significant differences between the opinions of graduate users in public and private hospitals on the identity of graduates (p > 0.05). These results can be useful in developing nursing curriculum in the future.

The Effects of Implementing FASTHUG and BANDAIDS Concepts on Critical Care Patients in The Intensive Care Unit, Nakornping Hospital

Darunee Chaiwong — 2023-12-30

This quasi-experimental study aims to investigate the effects of implementing FASTHUG and BANDAIDS concepts on critical care patients in the intensive care unit, Nakornping Hospital. The sample consisted of two groups: 1) intensive care unit nurses (n=40) and 2) two groups of critically ill patients, selected through purposive sampling. The first group was given ordinary nursing care (n=82), and the second group was given care using the nursing practice guidelines based on the principles of FASTHUG and BANDAIDS (n=82). The tools of nursing practice guidelines based on the principles of FASTHUG and BANDAIDS had IOC values at 1.00 and the tools used to collect data include 1) Nurses' practice record of FASTHUG and BANDAIDS concept. 2) Nurses' knowledge assessment of FASTHUG and BANDAIDS concept guidelines. 3) Assessment of nurses' satisfaction with the use of guidelines and 4) Patient clinical outcome record form. IOC values of the tools were assessed at .90, .98, .88, and .88, respectively. Data analysis was performed using descriptive statistics, paired t-test, independent t-test, and chi-square.

The study revealed the following results:

The nursing outcomes: There was a significantly increase in nurses’ knowledge after using nursing guidelines based on the principles of FASTHUG and BANDAIDS (p< 0.001). After promoting the practice of caring for critical patients based on the principles of FASTHUG and BANDAIDS, the proportion of correct practice by nurses increased significantly (p<0.001). Additionally, the group that utilized the guidelines reported a higher level of satisfaction with their use (Mean=4.47, S.D.=0.68).
Patient Outcomes: There were significantly decreases in mortality rate, ventilator associated pneumonia rate, weaning failure rate, the unplanned self-extubation, and the length of stay in intensive care unit (p < 0.05).

In summary, after implementing clinical practice guidelines based on FASTHUG and BANDAIDS and effective clinical teaching helps increase quality of care in intensive care unit.

Development of the Guidelines for Nursing Care of the Intra-hospital Transport for Critical care Patient, Chiangrai Prachanukroh Hospital

Warangkhana Dhuvakham — 2023-12-30

This research aimed to develop and examine the guidelines for nursing care of the intra-hospital transport for critical care patients. There were consisted of Phase one, analyzing the situation of nursing care of the intra-hospital transport for critically care patients in Chiangrai Prachanukroh hospital by reviewing 50 medical records and focus group discussions in 1 director of nursing department, 10 head nurses and 40 professional nurses: all intensive care unit. Data were analyzed using the content analysis. Phase two, developing the guidelines by integrating the results from Phase one with a systematic review. Phase three, implementing the guidelines in 30 critically care patients and evaluating the outcomes of implementation. Phase four, improving the guidelines according to the results from phase three. Phase five, implementing the improved guidelines from phase four in 164 critically ill patients.

The results revealed that Phase one, nurses did not assess the early warning signs prior to the transport, inadequate crisis monitoring competencies, transportation equipment’s were not available, ineffective coordination before transportation. Phase two, guidelines consisted of 1) guidelines for assessment early warning signs 2) developing professional nurse’s competencies in monitoring early warning signs 3) maintenance of transportation equipment 4) communication before transportation. Phase three, found that there was inadequate emergency management. Phase four, improved the guidelines by add guidelines for emergency management. Phase five, there were significantly decreases in the unplanned intubation rate, the unexpected cardiopulmonary resuscitation rate, and the unexpected dead rate. In conclusion, the guidelines for nursing care of the intra-hospital transport for critical care patients that were created resulted in safer transport of critical care patients.

The recommendations are as follows before implementing the guidelines for nursing care of the intra-hospital transport for critical care patients. Personnel should be trained to have specific knowledge about an assessment of early warning signs and chain of prevention (pre-arrest signs) in order to increase their knowledge and understanding so that they can use the guidelines effectively, and the study of the use of guidelines for nursing care of the intra-hospital transport for critical care patients should be expand to other groups of patients so that they can be used for transporting all groups of patients.

Factors Influencing Resident' Behaviors in Prevention and Control of Streptococcus suis Disease in Phayao Province

Kanokwan Aiemchai — 2023-12-30

This research aimed to study the associations between personal factors, knowledge, and health literacy on Streptococcus suis disease prevention and control behaviors. The samples were 400 residents in Phayao province receiving by stratified sampling method. The research instruments included a 5-point Likert scale for assessing knowledge, health literacy, and questionnaires for Streptococcus suis disease prevention and control behaviors. The Cronbach's alpha coefficient of the questionnaires was 0.89. Data were analyzed using Chi-square, Pearson's product moment correlation, and Multiple regression analysis.

Results:

1. The samples had a minimal level of knowledge about Streptococcus suis. The individual health literacy was moderate. The implementation of preventative and control measures for Streptococcus suis disease were at a moderate level.

2. There were significant associations between Streptococcus suis disease prevention and control behaviors and variables such as age, educational level, district areas, ethnic groups, knowledge, and health literacy (p <.05).

3. The prevention and control practices of Streptococcus suis disease were found positively influenced by factors such as district locations, ethnics, knowledge, and health literacy (p <.05). The ethnic factor exhibited the strongest link with knowledge, as well as with districts with standardized scores of 0.339 and 0.206, respectively.

The Effects of Discharge Planning and Coaching Program on Maternal Behaviors in Caring for Pre-term Infants

Mallika Siengyen — 2023-12-30

Premature infant care is likely different from full term newborn care. These two groups quasi-experimental research aimed to study the effects of discharge planning and coaching programs on maternal behaviors in caring for pre-term infants. The 32 samples, using simple random sampling, were mothers with premature infants born at the gestational age of less than 37 weeks, using Ballard's gestational age calculation, and were admitted to the neonatal intensive care unit of one hospital, Northern Thailand. The samples were randomly divided equally in numbers into a control group and an experimental group. The research instruments were the discharge planning and coaching program. The instruments for data collection included 1) a Demographic Data Form, and 2) a Maternal Behaviors in Caring for Premature Infants Form. The content validity of a Maternal Behaviors in Caring for Premature Infants Form was verified by three experts with the value 1. The content validity index using Cronbach’s Alpha, was 0.81. Demographic data were analyzed using descriptive statistics. The comparisons of mean scores between the experimental group and the control group were analyzed using independent t – test. The dependent t – test was used in the comparisons of mean scores within the experimental group.

The results showed that after receiving a discharge planning and coaching program, the mean score of caring behaviors in the experimental group have a statistically significantly higher than before receiving the program (p < .001). The mean score of caring behaviors in the experimental group have statistically significantly higher than the control group (p < .001).

In summary, Discharge planning and coaching program help patients to connect knowledge to practice, reflect their abilities to think, make decisions, and find real solutions for problems within the context of their own environment, and promote the awareness of how to adjust behaviors in caring for pre-term infants.

Factors Influencing the Chronic Complications of Patients with Diabetes Mellitus in one Health Promoting Hospital, Nakhon Pathom Province

Sirinda Srichongchai — 2023-12-30

This descriptive research aimed to study the chronic complications and the factors influencing the chronic complications of patients with Diabetic Mellitus in one health promoting hospital in Nakhon Pathom province. The purposive samples of 108 patients with Diabetes Mellitus were recruited in one health promoting hospital in Nakhon Pathom province. The research instrument was developed by researchers based on Orem’s theory and the Cronbach alpha coefficient was .93. The data were analyzed using percentages, mean, standard deviation, Pearson’s product-moment correlation coefficient, and multivariate multiple regression analysis.

The findings revealed that 1. The samples had basic knowledge and the attitude toward Diabetes Mellitus disease and its complications, self-care cooperation and social support were at a high level; 2. The correlation between the chronic complications of diabetes mellitus and the duration of Diabetes Mellitus illness was statistically significant (r = .309, p <.01). 3. There was a positive correlation between the perception of diabetes mellitus, its complications and blood sugar levels at the statistical significance (r=.223, p <.05) 4. There was a positive correlation between social support and blood sugar levels at the statistical significance (r =.470, p < .01).

Conclusion, when a patient is diagnosed with Diabetes Mellitus at the first time, healthcare providers should give them complete information about the progression of Diabetes Mellitus and the importance of regular blood glucose control to prevent and delay the onset of chronic complications. In addition, the promotion of continuing care should be provided by developing a program of education and practice for the patients.

Factors Related to Humanized Care Behaviors in Nursing Students

Srisuda Eklakkanarat — 2023-12-30

This descriptive research aimed to study 1) the humanized care behaviors’ perception in nursing students and 2) the relationships between academic achievement, student engagement and attitude towards the nursing profession, nurse characteristics and humanized care behaviors in nursing students. The samples were 182 of the third-year nursing students who were studying at Boromarajonani College of Nursing Sawanpracharak, Nakhon Sawan. The research tools included 1) The questionnaires on factors of student engagement, attitude towards the nursing profession, nurse characteristics and academic achievement, and 2) The questionnaires on the behaviors of humanized care of the Praboromarajchanok Institute. The content validities were tested by 3 academic experts, which was found to be .81 –1.00. The reliability was tested by the Cronbach’s Alpha Coefficient with results of .80 and .89 respectively. The data were analyzed using descriptive statistics and Pearson's correlation coefficient.

The results showed that: 1) the humanized care behaviors of nursing students were at the high level which the overall mean of all three aspects was 4.26 (S.D.=0.56 2), student engagement, attitude towards the nursing profession and nurse characteristics were positively correlated statistically significant with humanized care behavior (r=.469, .384, .481; p<.01). 3) the academic achievement was not statistically associated with the behavior of humanized care (r=-.080, p>.05).

The results show that persons who in charge of nursing programs should be aware of the improvement of student engagement, attitude towards the nursing profession and nurse characteristics using various activities which related to humanized care behaviors among nursing students.