Effects of a perceived self-efficacy enhancement program on knowledge and skills in pre-hospital emergency care among village health volunteers
Keywords:
self-efficacy, knowledge, patient care skills, training program, pre-hospital emergency, village health volunteersAbstract
This quasi-experimental research with two-group pre-posttest design aimed to compare the pre-hospital emergency care knowledge and skills among 44 village health volunteers who were purposively selected based on inclusion criteria. They were equally divided into the experimental and control groups, 22 people for each group. The intervention group received the perceived self-Efficacy enhancement program on pre-Hospital emergency patient care that was developed based on Bandura's theory. The program consisted of 1) physiological and affective state 2) modeling or vicarious experiences 3) enactive mastery experiences and 4) verbal persuasion. The program was conducted for 4 weeks.
The research instruments for data collection included a demographic data questionnaire, a pre-hospital emergency patient care knowledge questionnaire, and a pre-hospital emergency patient care skills observation form. The reliability of the pre-hospital emergency patient care knowledge questionnaire was checked using the Kuder-Richardson formula (KR-20) and was equal to .85. Reliability test of the pre-hospital emergency patient care skills observation form obtained a Cronbach's alpha coefficient of 0.89.
Data were analyzed using descriptive statistics and t-test. The results showed that after receiving the program, the knowledge mean score of the experimental group was significantly higher than before (t=9.57, p<0.00) and significantly higher than those of the control group (t=15.42, p<0.00). The skills mean score of the experimental group was significantly higher than before (t=28.94, p<0.00) and was significantly higher than those of the control group (t=27.70, p<0.00). The results of the program can be utilized as a strategic framework to enhance the competencies of village health volunteers and the general public in serving as critical resources for pre-hospital emergency patients. This, in turn, contributes to improving survival rates while reducing disability and mortality.
References
Pangma A. Policy direction for driving emergency medical work fiscal year 2025. [Internet]. Nonthaburi: National institute for emergency;2024 [updated 2025; cited 2024 Oct 31]. Available from: https://www.niems.go.th/1/UploadAttachFile/2024/EBook/ 420366_20241004090336.pdf (in Thai)
National Institute for Emergency Medicine. Emergency medical master plan Issue 4, 2023-2027 (emergency medical action plan) [Internet]. Nonthaburi: National institute for emergency;2022 [updated 2025; cited 2024 Jul 10]. Available from: https://www.niems.go.th/pdfviewer/index.html (in Thai)
Nanaudon S, Rachjun P. Potential of emergency medical service of Wang Samakkhi sub-district administrative organization, Phon Thong District, Roi Et Province. Journal of social science, law and politics 2021;5(2):97-125. (in Thai)
Sbayjai W, Sorach K, Vongprasert J. Effectiveness of the group process-based health education program on the consumer protection behavior in the health products in the communities of the village public health volunteers of Ubon Ratchathani Province. UBRU journal for public health research 2018;7(2):6-17. (in Thai)
Chuengsatiansup K, Suksut P. Health volunteers in the context of change: potential and developmental strategies. Journal of health systems research 2007;1(3-4):268-79. (in Thai)
Jatawatana W. Altitude of village health volunteer about emergency medical services case study: namomdistric, Songkhla Province. Maharaj Nakhon Si Thammarat Medical Journal 2021;4(2):41-50. (in Thai)
Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman and Company;1997.
Ruanphet K, Saipech W. The effectiveness of the self-efficacy enhancement program for village health volunteers in caring for patients with diabetes mellitus and hypertension in community in Buriram province. Thai journal of nursing 2024;73(4): 11-20. (in Thai)
Kongphol J, Perngmark P, Chinawongsa T. Perceived self-efficacy and practices to prevent treatment failure among HIV/AIDS patients attending antiretroviral treatment program at 4 community hospitals in Songkhla province. Journal of health science 2014;23(4):677-86. (in Thai)
Khunsawai B, Promarak T, Tippayanate N. Effects of smart safe program on self efficacy for basic life support of village health volunteers in community Thadcherngchum sub-district Muang district Sakon Nakhon province. UBRU journal for public health research 2020;9(2):69-79. (in Thai)
Inkaew T, Paorod P, Chairat D. Relationships between knowledge, attitude, perceived self-efficacy and capabilities for basic life support among cardiovascular disease caregivers. JRTAN 2018;19:139-48. (in Thai)
Awae H, Khupantavee N, Jintana Damkliang. Effect of a self-efficacy enhancement program on capability of trauma patient care on scene and during transfer by emergency medical technician personnel. Journal of Research in Nursing-Midwifery and Health Sciences 2020;40(3):15-25. (in Thai)
Chatchaiphan T, Junprasert S, Rattanagreethakul S. Effects of village health volunteers empowerment on perceived self-efficacy and caring behavior for persons with diabetes in community. JFONUBUU 2016;24(3):83-93. (in Thai)
National Institute for Emergency Medicine. Emergency practical guide [Internet]. Nonthaburi: National Institute for Emergency;2020 [updated 2025; cited 2024 Dec 15]. Available from: https://www.niems.go.th/1/Ebook/ Detail/10634?group=21 (in Thai)
Relief and community health bureau, The Thai red cross society. Emergency first aid and basic CPR. Bangkok: New Thammada;2020. (in Thai)
Bloom BS, Madaus GF, Hastings JT. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill;1971.
Best JW. Research in education. 4th ed. New Jersey: Prentice-Hall;1981.
Samingnil A, Jariya W. Effects of the perceived self-efficacy promoting program on knowledge and skills in emergency medical services among emergency medical responders at Sam Ngam district, Phichit province. JRTAN 2023;24(3):388-97. (in Thai)
Wannachai J. Effects of the program development of technical competency in the assessment of emergency patient condition at the scene for emergency medical responder Phu-Wiang district, Khon Kaen Province. Journal of Health and Environmental Education 2023;8(3):208-18. (in Thai)
Janpilom N, Tangkawanich T. Effects of self-efficacy promoting program on competencies regarding emergency medical service among emergency medical responders. NU Journal of Nursing and Health Sciences 2018;12(1):24-34. (in Thai)
Chaiyingcheaw KA, Inpant S, Sondee S, Talerd W, Jantarasuk C, Polchamratpat R. The effect of an online community health care competency development program on the knowledge of village health volunteers during the covid outbreak. Mahasarakham Hospital Journal 2023;20(1):195-202. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Nursing Science and Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.
