JOURNAL OF REGIONAL HEALH PROMOTION CENTRE 7 KHONKAEN

The Role of Modern Nursing Leadership in Advancing Non-Profit Professional Organizations through Academic Networks and Innovation

2025-04-04T13:57:56+07:00

Nursing leadership plays a crucial role in advancing professional organizations,particularly non-profit organizations that face challenges arising from social changes,technological advancements, and evolving public expectations. This article aims to propose strategies for driving non-profit nursing professional organizations through a modern leadership framework, emphasizing the effective management of academic networks and the application of innovations to enhance member capacity. Key elements include the development of leadership characteristics such as visionary thinking, networking ability, and appropriate utilization of digital technology, as well as the integration of innovative, strategic, and adaptive leadership roles. The case study of the Alumni Association of Boromarajonani College of Nursing Khon Kaen is used as empirical evidence. The analysis reveals that building academic networks, applying innovations, and integrating digital technology are essential tools for enhancing organizational capacity and sustainability despite resource constraints. The lessons learned from this case study lead to policy recommendations, including promoting new-generation leaders, supporting technological infrastructure, and expanding networks at regional and international levels. These findings can be adapted to strengthen other nursing professional organizations and enhance their competitiveness and sustainability in the future.

Decision-Making in Nursing: Theories, Models, and Applications

2025-03-25T10:14:48+07:00

Decision-making in nursing is a crucial process that significantly impacts healthcare quality and patient outcomes. In today's complex healthcare environment, nurses encounter various challenging situations that require selecting the most appropriate course of action based on evidence-based practice, professional knowledge, and ethical considerations. This article focuses on exploring the definitions, models, and theories related to nursing decision-making, as well as the example of an application of the decision-making process by Robbins and Coulter. This process comprises eight steps: identifying the problem, establishing decision criteria, weighing the criteria, developing alternatives, analyzing alternatives, selecting the best option, implementing the decision, and evaluating the outcome. Applying this structured approach enables nurses to make rational decisions, minimize risks, and enhance the effectiveness of nursing services. Additionally, the article discusses integrating decision-support technologies and developing best practices to promote high-quality patient care. Effective nursing decision-making strengthens patient safety, reduces errors, and improves nursing management efficiency, ultimately leading to better healthcare outcomes.

Development of Elderly Care Guidelines through Community Participation Integration in Phek Yai Subdistrict, Phon District, Khon Kaen Province

2025-04-23T13:28:28+07:00

This study aimed to explore elderly care conditions and needs, develop elderly care guidelines, and evaluate elderly satisfaction toward community-integrated
care guidelines in Phek Yai Subdistrict, Phon District, Khon Kaen Province. Using participatory action research methods from December 2024 to February 2025, the project was conducted in 3 phases : 1) Preparation phase, involving 110 elderly participants aged 60 and above; 2) Action phase, conducted through one cycle of planning, implementing, observing, and reflecting, involving 10 community stakeholders responsible for elderly care policies and implementation; and 3) Evaluation phase, assessing elderly satisfaction toward community-participated care guidelines. Quantitative data analysis was conducted using percentages, means, and standard deviations, while qualitative data analysis utilized content analysis methods. The findings showed that elderly individuals received physical care at a high level, whereas psychological, social, economic, and spiritual care were provided at a moderate level. Elderly participants expressed care needs across physical, psychological, social, and economic dimensions. Community-integrated participation strengthened the community, leading to comprehensive and sustainable elderly care. The developed care guidelines, termed "Home-Community Collaborative Care," encompassed health care, psychological and social support, economic and occupational assistance, and community collaboration to drive elderly care processes. Elderly satisfaction with the developed care guidelines was very high, with an average satisfaction score of 4.33 (S.D. = 0.59). These research findings could serve as a prototype for elderly care in other communities with similar contexts.

EFFECTIVENESS OF AN EMPOWERMENT PROGRAM IN PROMOTING AND STIMULATING EARLY CHILDHOOD DEVELOPMENT FOR PARENTS OF CHILDREN SUSPECTED OF DEVELOPMENT DELAYS IN SOK NOK TEN SUBDISTRICT, PHON DISTRICT, KHON KAEN PROVINCE.

2025-04-17T10:46:29+07:00

This one-group repeated measures quasi-experimental research aimed to study the effectiveness of an empowerment program to promote and stimulate early
childhood development. The sample group was 32 parents who took care of children aged 3-4 years. They received the program with 4 activities: Analyze problems, tell each other, consider and reflect on their own real situations, make decisions and take action, be confident in yourself and continue to practice, 2 hours each time, and took 4 weeks, from December 2024 to February 2025. Data were collected using 2 tools: the empowerment program to promote and stimulate child development and a questionnaire. Data were analyzed using descriptive statistics and Paired Sample t-test statistics. Results Before participating in the program, the sample group had a moderate level of knowledge in promoting and stimulating child development and a high level after joining the program. When comparing the mean before and after (mean = 12.38, mean = 16.22), Mean Difference = 3.84, 95%CI =3.42-4.26, it was significantly higher at the p-value <.001 level. The mean skill before joining the program was at the level of needing practice. After joining the program, it was at the level of needing practice and 18.75 percent were at the level of intelligent. When comparing the mean before and after (mean = 6.56, mean = 20.59), Mean Difference = 14.03, 95%CI =12.89-15.18, it was significantly higher at the p-value <.001 level. Satisfaction with the program was at the highest level after joining the program ( =4.74+0.32). The results of the program can enable parents to have better knowledge and skills in promoting and stimulating development. However, the implementation must be adjusted to the context of the area.

Quality of Life of Pediatric Patients with Congenital Heart Disease After Cardiac Surgery at the Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, Khon Kaen University

2025-06-13T10:40:28+07:00

The study of quality of life in pediatric patients with congenital heart disease after cardiac surgery is essential for the development and design of healthcare services aimed at promoting the health and well-being of these patients. This study employed a descriptive cross-sectional design to examine the quality of life of pediatric patients with congenital heart disease after surgery at the Queen Sirikit Heart Center of the Northeast. The population consisted of pediatric patients who underwent cardiac surgery and received care at the center. A total of 49 participants were selected through purposive sampling. Data were collected using a personal information questionnaire and the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™), in four aspects : physical , emotional , social and school functioning with a reliability coefficient of 0.84. Descriptive statistics were used for data analysis.The results showed that The mean total score from the questionnaire answering by patient quality of life score was 72.43 ± 12.03 and mean total score from the questionnaire answering by care giver quality of life score was 61.09 ± 9.54. Psychosocial scale scores answering by patient quality of life score was 73.10 ± 13.74 and answering by care giver quality of life score was 63.40 ± 10.52. Physical scale scores by patient quality of life score was 70.40 ± 15.01 and by care giver quality of life was 54.15 ± 18.00. Among the quality-of-life domains, emotional functioning had the highest mean score (72.19 ± 13.63), followed by social functioning (68.72 ± 14.34) School functioning and physical functioning had the lowest mean scores (58.42 ± 14.44 and 59.50 ± 13.17, respectively). These findings highlight the need to enhance the quality of life of children with congenital heart disease after surgery, particularly in the areas of school and physical functioning,

DEVELOPING GUIDELINES FOR PREVENTING TEENAGE PREGNANCY THROUGH COMMUNITY PARTICIPATION AT NONGRUA SUBDISTRICT, NONGRUA DISTRICT, KHONKAEN PROVINCE

2025-05-14T14:48:15+07:00

The action research aimed to develop guidelines for preventing teenage pregnancy through community participation in Nong Ruea Subdistrict, Nong Ruea District, Khon Kaen Province. The study was divided into 3 phases: 1) Community situation study phase, with 38 adolescents aged 13-19 years using questionnaires and focus group discussions; 2) Development phase for preventing teenage, including planning phase using the AIC process among 18 community leaders, carrying out activities as designed, observing by visiting adolescent families at home, and reflecting results by holding meetings to return information to the community; 3) Evaluation phase on knowledge, attitudes, adolescent behavior, participation, and satisfaction of community stakeholders, with 250 people, conducted from August 2024 to March 2025. Data were analyzed using descriptive statistics and the mean scores were compared using paired t-test statistics. The research results found that most adolescents were in high school and living with their families. The summary of adolescent problems was as follows: 1) Adolescents themselves had moderate knowledge, attitudes, and behaviors in preventing pregnancy; 2) Families had little communication about sex; 3) Lack of access to counseling clinics; and 4) Adolescents did not use their free time effectively. The development of community guidelines has created a project to solve problems in all 4 areas. The evaluation results found that after the implementation, the knowledge, attitudes, and behaviors in preventing pregnancy increased significantly by 0.05 (p<0.001). The community participated and was most satisfied with most of the activities. The development of guidelines for preventing pregnancy in teenagers has positive effects on both teenagers and those involved. Therefore, the implementation should be expanded to neighboring communities and the monitoring and evaluation period should be extended to produce clearer results.

Factors Associated with Oral Health Status in Lower Secondary School Students in Nam Phong District, Khon Kaen Province.

2025-05-26T11:06:44+07:00

This research study aims to examine individual data regarding oral healthliteracy, behaviors for preventing dental caries, the average rates of decayed,missing and filled permanent teeth (Decay Missing Filling Tooth index: DMFT), and factors associated with the dental health status of lower secondary school students in Nam Phong District, Khon Kaen Province. The simple random sampling consisted of 237 individuals. Datas were collected through questionnaires and an examination of dental health status. Data analysis was performed using descriptive statistics and relationships were analyzed using the Chi-Square test. The results indicated that the age was an average of 13.73 S.D. 0.95. The most 131 males were 55.30%. The third year and first year students had 35% and 33.80%. Living with parents was 51.10%. In addition, 64.10% received pocket money of 0-50 baht per day (mean 52.85 S.D. 24.51). The oral health literacy showed that 50.20% had a moderate level of knowledge about oral health information (mean 10.55 S.D. 2.27). The 71.70% had skills in accessing, 58.50% understanding, 55.45% interacting, 60.10% decision making, and 54.75% had self-management in practicing dental caries prevention. Most students had a moderate level of caries prevention behavior, 66.70 percent (mean 23.08±3.79). DMFT average at 2.08 teeth per person S.D. 2.73. The Chi-Square tested the relationship between individual data, oral health literacy, and behaviors for preventing dental caries and factors associated with dental health status. The sex was significantly associated with dental health status (p-value 0.026).

DEVELOPMENT OF LARB MOO RECIPE USING BEANS-BASED PROTEIN FOR THE ELDERLY

2025-05-15T14:30:37+07:00

Elderly individuals experience physiological deterioration, increasing their susceptibility to diseases and protein deficiency, which is crucial for muscle development, bone maintenance, and immune system function. Certain animal protein sources contain high fat content, exhibit toughness, and present mastication challenges, resulting in inadequate protein intake among elderly populations. Legume-derived proteins offer an alternative source for high protein content, low fat concentrations, high fiber levels and nutrients, while simultaneously providing a soft texture conducive to mastication, making them suitable for developing elderly-appropriate cuisines. This research quasi experimental study aimed to develop Larb Moo (a traditional Thai minced meat salad) formulations utilizing kidney beans, soybeans, and black beans as meat substitutes, evaluating acceptance among 50 elderly participants. The black bean formulation received the highest preference ratings, while the soybean formulation demonstrated superior protein content (13.82 g). The conventional pork formulation contained the highest fat content (5.08 g), whereas the kidney bean formulation exhibited the greatest dietary fiber content (1.32 g), with statistically significant differences (p-value < 0.05). These findings indicate that all three legume-incorporated formulations offer health benefits, maintaining protein levels comparable to conventional Larb Moo while providing elevated dietary fiber content. Notably, both kidney bean and black bean formulations demonstrated significantly lower fat content (p-value < 0.05). Further research is warranted to investigate additional nutritional components present in legume-enhanced Larb Moo formulations and to evaluate potential long-term health impacts associated with sustained consumption.

The Relationship between Health Literacy and E-cigarette Use among University Students in Khon Kaen Province

2025-05-19T09:17:44+07:00

This descriptive research aimed to study the relationship between health literacy and e-cigarette smoking behavior among students in a higher education institution in Khon Kaen Province. The population in the study was 2,234 first- to fourth-year students. The sample size was 106 people, and Multi-stage random was used. Data were collected during December 2024 - January 2025 using the e-cigarette health literacy assessment form that applied Nutbeam's health literacy concept and the e-cigarette smoking behavior assessment form. The quality of the instruments was checked for content validity of 0.94 and 0.72, and the Cronbach alpha coefficient was 0.92 and 0.72, respectively. Data were analyzed using descriptive statistics and analyzed for correlation using Pearson's correlation coefficient. This study found that only the information access skill was negatively associated with e-cigarette use (r = -0.24, p = 0.02). These findings suggest the need to improve access to reliable information and consider broader environmental factors influencing behavior, It is also recommended that activities be implemented to help develop students’ creative communication skills related to e-cigarette issues.

Factors Affecting the Effectiveness of Internal Control of the Inspection Division, Office of the Permanent Secretary, Ministry of Public Health

2025-06-19T10:42:04+07:00

This research is a cross-sectional descriptive study aiming to examine (1) the effectiveness of internal control of the Inspection Division, (2) the internal control factors, and (3) the factors affecting the effectiveness of internal control within the Inspection Division, Office of the Permanent Secretary, Ministry of Public Health. Data were collected using questionnaires from 95 personnel within the Inspection Division. Descriptive statistics including frequency, percentage, mean, and standard deviation were used to describe respondents’ general information and their levels of opinion toward internal control factors and control effectiveness. Inferential statistics, specifically multiple regression analysis, were employed to analyze the factors affecting internal control effectiveness. The findings revealed that most respondents were female (88.42%) with an average age of 40.75 ± 8.06 years. The majority were aged between 30–39 years (43.16%), held a bachelor’s degree (56.84%), worked as civil servants (63.16%), and had an average length of service of 10.07 ± 7.11 years. Overall, internal control factors and the effectiveness of internal control within the Inspection Division were rated at a high level. Among the internal control factors, “Rules, Regulations, and Compliance” and “Communication” had a statistically significant effect on internal control effectiveness (p-value < 0.05), The model explained 76.9% of the variance (R² = 0.769). The results indicate that having clear, well-structured rules and efficient communication mechanisms are key contributors to effective internal control systems. Continuous improvement in these two areas can significantly enhance the overall internal control performance in the long run.

Factors Associated with the Effectiveness of Personalized Medication Management : A Case Study of Kalasin Hospital

2025-07-07T10:18:54+07:00

The expiration of medications represents a critical challenge within Thailand’s healthcare system, particularly among personalized or patient-specific medications, which tend to have a higher risk of expiration. This issue is often attributed to inappropriate usage patterns and inefficiencies in medication management processes. The present study aims to investigate the factors associated with the effectiveness of personalized medication management at Kalasin Hospital. A cross-sectional descriptive research design was employed. The study population comprised 32 pharmacy personnel working at Kalasin Hospital, selected through purposive sampling. Data were collected using a structured questionnaire during the period of April to May 2025. The research findings revealed that the majority were female (93.75%), aged 31-40 years (46.88%), held a bachelor's degree (87.50%), and had more than 11 years of work experience (68.76%). They primarily worked in inpatient pharmacy (46.88%), with responsibilities related to medication dispensing (90.63%) and monitoring expired medications (71.88%). Most had a high level of knowledge regarding specific patient medication management (mean = 9.28, S.D. = 0.73). The personnel also exhibited high levels of individual medication management efficiency (mean = 4.33, S.D. = 0.38), perceived benefits (mean = 4.32, S.D. = 0.42), participation (mean = 3.87, S.D. = 0.37), and satisfaction (mean = 4.28, S.D. = 0.38). The analysis of the relationship using chi-square statistics found that job positions and roles in managing drug inventory were significantly related to the effectiveness of the individual drug management model (p-value<0.05). This research shows that individualized medication management with a knowledge system, monitoring, and clear roles for personnel plays a significant role in reducing the problem of expired medications in public hospitals.

Factors associated with pregnancy prevention behaviors among undergraduate students

2025-07-08T09:19:35+07:00

This study was a cross-sectional analytical study aimed at examining the knowledge, behaviors and factors associated with pregnancy prevention behaviors among undergraduate students at the Faculty of Liberal Arts and Sciences, Sisaket Rajabhat University. A total of 367 students participated in the study. Data were collected using a questionnaire between December 2024 to February 2025. Data analysis employed descriptive statistics including frequency, percentage, mean, and standard deviation, as well as binary logistic regression analysis. A statistical significance level was set at P-value < 0.05. The results showed that the participants’ overall health literacy regarding pregnancy prevention was at a low level ( =125.24; SD = 11.21), and their pregnancy prevention behaviors were also at a low level ( =21.80; SD = 4.36). The analysis of factors associated with pregnancy prevention behaviors revealed that students in health science programs (OR = 1.61, 95%CI = 1.06- 2.46), students whose parents were government officers or state enterprise employees (OR = 2.45, 95%CI = 1.30-4.65), those with high levels of health knowledge (OR = 5.10, 95%CI = 3.12-8.32), good access to health information and services (OR = 2.10, 95%CI = 1.36-3.26), effective self-management of personal health conditions (OR = 1.65, 95%CI = 1.06-2.56), media and information literacy (OR = 3.06, 95%CI = 1.92-4.86), and sound decision-making ability (OR = 2.41, 95%CI = 1.55-3.77) were significantly more likely to engage in pregnancy prevention behaviors at the statistical significance level of P-value < 0.05. Therefore, educational institutions should promote health literacy among students through curriculum integration or the development of health literacy promotion programs, particularly in the context of pregnancy prevention among students and adolescents.

The Effectiveness of a Health Belief Program on Health Beliefs Perception and Stroke Prevention Behaviors Among Patients with Hypertension in Ban Ped Subdistrict, Mueang District, Khon Kaen Province.

2025-06-19T10:42:42+07:00

This Quasi-experimental research aimed to study the effectiveness of using a health belief program on health belief perception and stroke prevention behaviors among patients with hypertension. This was a quasi-experimental study. The sample consisted of 30 patients with hypertension who were selected by purposive sampling. The instrument used in the experiment was a health belief program for enhancing health perception and the Stroke Prevention Behaviors. The Health Belief Measurement tool had a reliability value of 0.78 and the Stroke Prevention behavior measurement tool had a reliability value of 0.83. Data were analyzed using descriptive statistics and paired t-test. The results showed that the sample group mainly consisted of female patients (70.0%), with an average age of 65.1 years SD.=11.47. Most were married (43.33%), unemployed (46.66%), had a primary education level (86.66%), were classified as obese level 1 (40.00%), had hypertension for 5-10 years (46.66%), and had a monthly income between 1,000-5,000 baht (40.00%). The mean scores for perceived susceptibility to stroke, perceived severity of stroke, perceived benefits of stroke prevention after receiving the program, and behaviors to prevent stroke were significantly higher than before receiving the program (p < 0.05). However, the mean score for perceived barriers to stroke prevention after receiving the program was not significantly different from before. Research Summary: The program can create health belief and change disease prevention behaviors.