Journal of Nurses Association of Thailand Northern Office
https://he01.tci-thaijo.org/index.php/jnorthnurse
<p>วารสารสมาคมพยาบาลแห่งประเทศไทยฯ สาขาภาคเหนือเป็นวารสารที่จัดทำขึ้นโดยสมาคมพยาบาลแห่งประเทศไทยฯสาขาภาคเหนือ ได้รับการรับรองให้อยู่ในฐานข้อมูลเพื่อการสืบค้นงานวิจัย ผลงานวิชาการ และการอ้างอิงของบทความที่ตีพิมพ์ในวารสารวิชาการไทย (Thai-Journal Citation Index, TCI) กลุ่มที่ 2 โดยมีวัตถุประสงค์เพื่อเผยแพร่ความรู้ทางวิชาการและความก้าวหน้าของวิชาชีพการพยาบาล เป็นสื่อกลางให้ทราบถึงข้อมูล สถานภาพ และเกียรติศักดิ์ศรีแห่งวิชาชีพ เป็นศูนย์กลางรวบรวมและเผยแพร่ความคิดของมวลสมาชิก เสริมสร้างความแข็งแกร่งแห่งวิชาชีพ ก่อให้เกิดพลังสามัคคีสัมพันธภาพอันดีระหว่างมวลสมาชิก และเกิดความตระหนักถึงความสำคัญขององค์กรวิชาชีพพยาบาล</p>en-US<p>บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของสมาคมพยาบาลแห่งประเทศไทยฯ สาขาภาคเหนือ</p> <p>เนื้อหาและข้อคิดเห็นใดๆ ที่ตีพิมพ์ในวารสารสมาคมพยาบาลฯ ถือเป็นความรับผิดชอบของผู้เขียนเท่านั้น ผู้เขียนบทความต้องศึกษารายละเอียดหลักเกณฑ์การจัดทำต้นฉบับตามที่วารสารกำหนด และเนื้อหาส่วนภาษาอังกฤษต้องได้รับการตรวจสอบจากเจ้าของภาษามาแล้ว</p>wongchum@hotmail.com (Rungrudee Wongchum)wongchum@hotmail.com (รุ่งฤดี วงค์ชุม)Mon, 30 Dec 2024 00:00:00 +0700OJS 3.3.0.8http://blogs.law.harvard.edu/tech/rss60The Roles of Pediatric Nurses in Caring for Newborns with Multisystem Inflammatory Syndrome Born to Maternal SARS CoV-2 Infection
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/273999
<p>The COVID-19 pandemic affects to all age groups in Thailand, including infections in pregnant women, which may lead to abnormal immune responses in fetuses. This resulted in severe complications, such as Multisystem Inflammatory Syndrome in Neonates (MIS-N). The inflammation often impacts to the respiratory, cardiovascular, and immune systems, which are crucial to neonatal survival. Although current diagnostic and treatment guidelines for COVID-19-related multisystem inflammatory syndrome in children (MIS-C) are mainly used as references for physicians to manage MIS-N among neonates in Thailand. Specific published studies on the roles of nurses in caring for neonates with MIS-N have not been found. It might cause improper and delayed care in neonates which lead them to life-threatening consequences.</p> <p>Nurses caring for neonates who are at risk of or diagnosed with MIS-N must have a thorough understanding of the association between maternal SARS-CoV-2 infection and neonatal MIS-N during pregnancy. This includes taking history of maternal infection, planning care for the assessment, monitoring, prevention, and provision of standardized nursing care according to clinical guidelines, and providing suggestion and psychological support to the family. Additionally, nurses should monitor post treatment clinical manifestations to minimize complications and to promote better quality of life for the neonate and family.</p> <p>Thus, caring for neonates born to mothers infected with SARS-CoV-2, nurses must take comprehensive history of maternal infection during pregnancy, monitor effectively for MISN, provide effective and standard nursing interventions based on treatment plan. These practices aim to ensure neonatal survival and the transition to normal health status while respecting neonatal rights. Establishing a well-defined, accurate, and comprehensive role for nurses in caring for neonates with MIS-N is essential.</p>Onanong Anujornpipat, On-Anong Thammajinda, Jariya Indhabhandhu
Copyright (c) 2024 Nurse' Association of Thailand Northern Office
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/273999Mon, 30 Dec 2024 00:00:00 +0700The Roles of Community Nurses in Modifying the Dietary Behavior of People with Diabetes
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/272784
<p><span class="fontstyle0">Diabetes is a crucial public health problem worldwide. People with diabetes should control their sugar levels and body weight to delay complications. The recommended and effective method is dietary behavior modification. Community nurses play an important role in caring for people with diabetic, who has cultural differences among communities. In addition, each of person with diabetes has different levels of readiness to change their dietary behaviors. Community nurses should guide individuals with diabetes toward appropriate dietary behaviors, tailoring interventions to individual needs and applying the stages of change theory.</span></p> <p><span class="fontstyle0">This article aims to present the roles of community nurses in encouraging people with diabetes to develop appropriate dietary behaviors and applying the stage of change theory to modify dietary behaviors. These lead people with diabetes controlling their sugar levels and improving their quality of life.</span> </p>Luckkana Thetpiam
Copyright (c) 2024 Nurse' Association of Thailand Northern Office
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/272784Mon, 30 Dec 2024 00:00:00 +0700Personal Financial Planning for The Newly Graduated Nurses Applying Concepts of System Theory
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/273249
<p>This article aims to provide newly graduated nurses with knowledge about personal financial planning using the system theory concept in analysis and decision-making, starting with estimating income from their career and then planning each month’s overall revenue and expenses. This includes managing income to be sufficient for expenses, planning investments through monthly savings regularly, and managing potential future risks through life or health insurance, which also provides tax benefits, and retirement planning.</p> <p>The process of personal financial planning through the System theory consists of: 1) Inputs, which include income, knowledge and attitudes towards personal financial planning; and the workplace savings policies; 2) Processes, which involve the practices of new nurses in personal financial planning and the support provided by their workplace; 3) Outputs, which include personal financial planning; 4) Feedback, where newly graduated nurses review inputs, processes, and outputs; and 5) Environment, which includes the current socio-economic conditions to ensure balanced personal financial management.</p>Kasinee Wudhiwong, Darin Hemavibool, Metta Ponwannasiriveth
Copyright (c) 2024 Nurse' Association of Thailand Northern Office
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/273249Mon, 30 Dec 2024 00:00:00 +0700The Relationships Between the Perceptions of Chronic NonCommunicable Diseases and Health Behaviors Among University Staff in Kamphaeng Phet Rajabhat University
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/275084
<p>This correlational research aimed to examine: 1) the level of perception regarding non-communicable diseases (NCDs) among personnel at Kamphaeng Phet Rajabhat University, 2) the level of health behaviors among personnel at Kamphaeng Phet Rajabhat University, and 3) the relationships between perceptions of NCDs and health behaviors among personnel at Kamphaeng Phet Rajabhat University. The samples consisted of 88 personnel aged 20 to 65, selected through purposive sampling. Data were collected using a personal information questionnaire, a perception of NCDs questionnaire based on the Health Belief Model, and a health behavior questionnaire. Data were analyzed using percentage, mean, standard deviation, and Spearman’s rank correlation coefficient.</p> <p>The findings revealed that personnel at Kamphaeng Phet Rajabhat University had a high level of perception regarding NCDs (Mean = 3.94, S.D. = 0.44) and a high level of health behaviors (Mean = 3.51, S.D. = 0.59). There was a low positive correlation between perception of NCDs and health behaviors, which was statistically significant (rs = .228, p = .032).</p> <p>The results suggest that promoting health behaviors related to NCDs, providing information to increase awareness of the risk of NCDs, perceiving the severity of diseases, the benefits NCDs’ prevention, and the obstacles of preventing NCDs are very crucial. These will encourage university personnel to adopt health-promoting behaviors, prevent the personnel from the impacts of NCDs, which lead to improving quality of life and safety from the NCDs.</p>Sureewan Vora-aroon, Poonyanuch Yoojamrat, Sonwanee Sonchai, Oatchariya Pinta, Haruethai Benja, Ratchaneekorn Panchan, Rungruedi Maninin, Rattikan Yasan
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/275084Mon, 30 Dec 2024 00:00:00 +0700Development of the Competency Indicators for Professional Nurses in Stroke Units, Health Districts, Ministry of Public Health
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274446
<p>This descriptive research aimed to analyze and test the competency Indicators for professional nurses in stroke units, health districts, Ministry of Public Health. The samples consisted of 500 professional nurses from 35 hospitals in 13 health districts, Ministry of Public Health using a multi-stage random sampling method. The content validity of the questionnaire used in this study was approved by 5 experts. The reliability value of the questionnaire yielded at 0.97. The period of data collection was July-August 2024. The data were analyzed using percentage, mean, standard deviation and Confirmatory Factor Analysis (CFA).</p> <p>The results found that the competency indicators for professional nurses in stroke units, health districts, Ministry of Public Health consisted of 6 factors and 48 indicators; 1) Knowledge about stroke (b=0.87) with 10 indicators. 2) Abilities to evaluate and manage in urgent situations (b=0.94), with 13 indicators. 3) Giving medicine to dissolve blood clots (b=0.89), with 6 indicators. 4) Nursing cares in the assessment and management after urgent period (b=0.98), with 7 indicators. 5) Discharge care plans and continuing care at home (b = 0.95), with 6 indicators. and 6) Coordinating communication (b = 0.97), with 6 indicators. The linear structural model performance of the competency indicators for professional nurses in stroke units was in statistically significant congruence with empirical data. (c2 =1711.51, df=859, c2D/F =1.99,<em>p</em>-value < .001, NFI =0.99, CFI =1.00, GFI =0.94, AGFI =0.972, RMSEA =0.045, RMR =0.029).</p> <p>It is suggested that nurse administrators should apply these results in developing individual development plan for professional nurses. in stroke unit.</p>Charoonlux Pongcharoen, Yukon Mangchang, Wassana Upeor, Damnoen Nimnuan
Copyright (c) 2024 Nurse' Association of Thailand Northern Office
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274446Mon, 30 Dec 2024 00:00:00 +0700Development of a Telephone Triage and Criteria-Based Dispatch System for Acute Ischemic Stroke Patients of the Emergency Medical Service Call Center, Phrae Province
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274018
<p>This study aimed to develop a telephone triage and task allocation system for patients with acute ischemic stroke at the in the Emergency Medical Dispatch Center, Phrae Province. The research process consisted of three steps: 1) analyzing the situation of stroke patient emergency calls over the past six months and conducting focus group discussions for in-depth data collection; 2) developing a telephone triage and dispatch system based on the findings from step one; and 3) testing the effectiveness of the developed system. The purposive sample included 11 personnel and 60 patients, and were assigned to control and experimental group. Each group consisted of 30 participants. Data were collected before and after the use of the triage guidelines. General data of the sample groups were analyzed using descriptive statistics, while differences between the control and experimental groups were compared using dependent t-test, independent t-test and Wilcoxon Rank sum test.</p> <p>The results showed that: 1) the accuracy of telephone triage for acute ischemic stroke patients was improved after the system development; 2) the developed triage and dispatch system demonstrated high reliability, with a Content Validity Index of 0.98; 3) personnel knowledge was significantly increased after training (p < 0.01), and the rate of correct triage and dispatch was increased from 83.3% to 100% (p = 0.05); and 4) personnel satisfaction with the practice was at a very high level (mean = 4.71, SD = 0.44), with the increased rate of the stroke fast-track access from 33.3% to 63.3% (p = 0.04) and the increased rate of the rt-PA administration from 3.3% to 10%, with an average door-to-needle time of 68 minutes.</p> <p>Conclusion, the telephone triage and criteria-based dispatch system for acute ischemic stroke patients which has been developed in this study can be used at the emergency medical service center with a similar context to the research. It was suggested that there should be a training and communicate with the user to gain proper understandings before using this system.</p>Natthawut Bunsonti, Kannika Katsomboon
Copyright (c) 2024 Nurse' Association of Thailand Northern Office
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274018Mon, 30 Dec 2024 00:00:00 +0700The Effects of Simulation-Based Learning in Psychiatric Emergency on Clinical Decision-Making Skill among Nursing Students in a Private University
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274295
<p>This quasi-experimental research one group pretest-posttest design aimed to examine the effectiveness of simulation-based learning in psychiatric emergency on clinical decision-making skills among nursing students in a private university. The participants of this research were 49 fourth-years nursing students<span style="text-decoration: line-through;">,</span> in 2024 academic year, enrolled in a Mental Health and Psychiatric Nursing Practicum. The research instruments consisted of the simulation-based learning scenario, the clinical decision-making skill assessment form and the assessment form for satisfaction of simulation-based learning scenario with the Cronbach’s alpha coefficients test scores 91, and 92, respectively. The data were analyzed using descriptive statistics and pair t-test. </p> <p>The results showed that after attending the simulation-based learning in psychiatric emergency, the mean score of clinical decision-making skill of the nursing students increased significantly from .82 (S.D. = .17) to 1.84 (S.D. = .17) (t = 31.94, p<.001). The mean score of satisfaction of nursing students after attending simulation-based learning was significantly higher than before the learning from 2.26 (S.D. = .29) to 4.41 (S.D. = .570) (t=22.57, p<.001) </p> <p>The findings suggest that the simulation-based learning on psychiatric emergency increased the effectiveness of clinical decision-making skill in nursing students and the student’s satisfaction.</p>Arisya Wichaidit, Pornphimon Phrommanat , Kanokrat Sudlapa
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/274295Mon, 30 Dec 2024 00:00:00 +0700Factors Influencing Depression Among Persons with Chronic Obstructive Pulmonary Disease
https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/275087
<p>This descriptive correlational research study aimed to examine depression among persons with chronic obstructive pulmonary disease and the factors related to depression, including daily activities, disease severity, duration since diagnosis, and dyspnea. The sample consisted of 112 purposively selected persons with chronic obstructive pulmonary disease who were visiting outpatient clinics of two district hospitals in the northern region of Thailand. Data were collected using 1) the Center for Epidemiological Studies-Depression Scale (CES-D), 2) the Demographics Questionnaire, 3) Gift’s Dyspnea Scale, 4) the Barthel Index for Activities of Daily Living, and 5) the Disease Severity Scale. Data analysis on depression and its related factors was performed using descriptive statistics and Chi-square statistic.</p> <p>The results showed that 13.4 % of the participants had depression. Dyspnea was related to depression, with statistical significance (χ² = 8.288, p=.011). The practice of daily activities was related to depression, with statistical significance (χ² = 3.997, p=.046). Disease severity and duration since diagnosis had no relationship with depression among persons with chronic obstructive pulmonary disease. </p> <p>Therefore, nurses should motivate patients to perform daily activities, and breathing efficiency should be further strengthened to reduce depression among persons with chronic obstructive pulmonary disease.</p>Saowaluck Hongsachait, Benchawan Nuntasai
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https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/275087Mon, 30 Dec 2024 00:00:00 +0700