Journal of Nursing Science and Health

Editorial

admin admin — Mon, 29 Sep 2025 00:00:00 +0700

Japan’s approach to older care and disaster management: Integration of culture, technology, and healthcare systems

Mon, 29 Sep 2025 00:00:00 +0700

An invited article presents the experience and an overview of the concepts and systems of older care in Japan, which are distinguished by the integration of traditional culture, modern technology, and high-quality health services, alongside effective disaster preparedness and management within the context of an aging society. The knowledge exchange through the Sakura Science Exchange Program in Shizuoka, Japan, serves as a case study of an integrated approach connecting multiple sectors. It reflects a model of older care and disaster management that can be adapted to enhance older care and disaster management in Thailand’s context, aiming to prepare for a sustainable aging society and face disasters effectively.

Predictive factors of postpartum stress at Chum Phae Hospital, Khon Kaen Province

Soiy Anusornteerakul, Pongsak Junngam — Mon, 29 Sep 2025 00:00:00 +0700

This predictive descriptive research aimed to study predictive factors of postpartum maternal stress within 48-72 hours after giving birth. The sample consisted of 306 postpartum mothers at Chumphae Hospital, Khon Kaen Province. The study was carried out between July 30 and October 30, 2023. The research tools used were a demographic data questionnaire, with the content validity index of 1; and the stress test questionnaire (ST5), with the Cronbach's alpha coefficient of 0.8. The data were analyzed using descriptive statistics, Chi-square test, and binary logistic regression.
The results showed that 15.7% of maternal postpartum stress was moderate to high, (13.7% was at moderate level and 2.0% was at high level). Factors that predicted postpartum stress were history of mental abuse (=18.4, p=0.002), postpartum complications (=17.4, p<0.001), poor family relationships (=5.4, p<0.001), intended duration of breastfeeding less than 6 months (=4.3, p=0.002), and anxiety during pregnancy (=3.1, p=0.011). Together, these factors explained 42% of the variance in postpartum stress (=0.42, p<0.001).
In conclusion, all postpartum mothers should be screened and assessed for stress before discharge to ensure that they receive prompt care and assistance, as well as to prevent and monitor the development of severe postpartum stress.

Effects of a first aid and basic life support training program on knowledge, attitudes, practical skills, and satisfactions among soldiers at a military armed force in Northeastern Thailand

Mon, 29 Sep 2025 00:00:00 +0700

Military field training involves risks of injury or death. First aid and basic life support training is essential to enhance the ability of soldiers to help themselves and others in emergency situations.
This quasi-experimental study with one-group pre-posttest design aimed to examine the effects of a first aid and basic life support training program on knowledge, attitudes, practical skills, and satisfactions. The concept of theory and practice was applied as a framework. Sample were 121 soldiers at a military armed force in Northeastern Thailand. The research instruments consisted of 2 parts: 1) the experimental instruments including of a resuscitation mannequin and an automated external defibrillator, and 2) data collection tools consisting of five parts: a demographic data questionnaire, a knowledge assessment form, an attitude assessment form, a first aid and basic life support skills assessment form, and a satisfaction questionnaires. Descriptive statistics and paired t-test were used for data analysis.
The results showed that after participating in the training program; the sample group's overall knowledge score (p<.001) and average attitude score (p<.001) statistically significantly increased compared to before participating in the training program; their first aid and basic life support skills were practicing correct higher than 80 percent (94.85-100%); and their overall satisfaction with the training was at the highest level (M=4.86, SD =.34), respectively.
The study concluded that the first aid and basic life support training program effectively improved knowledge, attitudes, practical skills, and satisfaction among soldiers in the military armed force. Therefore, future studies should be conducted in other population groups to demonstrate clearer results and to develop knowledge and practical skills continuously and comprehensively.

Effects of a non-pharmacological pain management program on older people with cancer in an internal medicine ward of a university hospital

Siriporn Naiphimai, Ladawan Panpanit — Mon, 29 Sep 2025 00:00:00 +0700

This study employed a quasi-experimental research with a two-group pre-posttest design. The objective was to investigate the effects of a non-pharmacological pain management program for older people with cancer. The sample group consisted of 38 older people diagnosed with cancer admitted at the female medical ward 4C, Srinagarind Hospital, divided into a control group (n=19) and an experimental group (n=19). The experimental group received the developed program, while the control group received standard care of the study setting.
Research instruments included three categories: 1) instruments for screening sample into the study, including the depression screening tool, the Thai Mini-Mental State Examination (TMSE), and the innovative pain assessment form for older people (developed by the researchers); 2) instruments for conducting the study, which was a non-pharmacological pain management program for older people developed by the researcher; and 3) instruments for data collection, comprising a demographic data questionnaire, the Brief Pain Inventory Thai version (BPI-T), the innovative pain assessment form for older people, and a non-pharmacological pain management record form. The instruments were verified by five experts. Validity test revealed that content validity index (CVI) of the innovative pain assessment form for older people, the non-pharmacological pain management program for older people, the demographic data questionnaire, and the non-pharmacological pain management record form were 0.83, 0.83, 1.0 และ 1.0, respectively. Reliability test of the BPI-T obtained the cronbach's alpha coefficient of 0.86. Demographic data between groups were analyzed using Chi square test, Fisher’s Exact test and independent t test. Data distribution was tested using Shapiro wilk test and revealed normal distribution for continuous data. Comparisons of pain scores before and after the experiment within the groups were analyzed using Paired t test statistics. The differences in pain scores before the experiment, pain scores after the experiment, as well as the mean difference in pain scores before and after the experiment were compared between the groups using the independent t test.
The results demonstrated that: After the experiment, the mean pain scores in the experimental group (=1.561.30) were significantly lower than before the experiment (=4.441.63) (p<.001); the mean pain scores in the control group (=1.961.63) were significantly lower than before the experiment (=4.371.97) (p<.001); the mean pain difference score in the experimental group (=2.88.80) was significantly higher than in the control group (=2.40.61) (p=.024). This study indicated that the developed pain management program can reduce pain more than the original standard of care. Therefore, the developed pain management program should be considered for implementation in older people with cancer and other patients with similar contexts.

Effects of health promotion program on knowledge, attitudes, and health behaviors among older adults in Phitsanulok Province

Paphadar Chomphunit, Thitiporn Seangploy — Mon, 29 Sep 2025 00:00:00 +0700

This quasi-experimental research employing a two-group pre-posttest design aimed to investigate the effects of a health promotion program on knowledge, attitudes, and health behaviors among older adults. The sample consisted of 70 older adults in Muang District, Phitsanulok Province, who were purposively selected based on inclusion criteria: aged 60-69 years and ADL scores greater than 11 points. They were equally divided into an experimental and a control group, 35 people in each group. The experimental group received a health promotion program based on Pender's model comprising: 1) health promotion based on wisdom and experience, 2) learning to promote health through learning modules, 3) knowledge exchange to reduce barriers to practice, and 4) monitoring of health-promoting behaviors. The control group received standard care according to Ministry of Public Health guidelines. The data collection tools included a demographic record form, a knowledge tests, an attitude questionnaire, and a health behavior questionnaire. Descriptive statistics were used for demographic data. The differences in demographic data between the experimental and control groups were analyzed using Chi-square statistics. The comparison of mean scores was analyzed using independent and dependent t-test statistics.
Results revealed that, after the intervention, the experimental group demonstrated statistically significantly higher mean scores in knowledge, attitude, and health behavior compared to before the experiment (t=-12.79, p<.001), as well as statistically significantly higher scores than the control group (t=14.43, p<.001). These findings indicated that Pender's health promotion program effectively enhances knowledge, attitudes, and health behaviors among older adults. The program should be implemented as a guideline for promoting health behaviors in the elderly. However, long-term health outcomes should be continuously monitored.

Effects of mindfulness-based therapy and counseling program on stress, depression, and mindfulness level in elderly people living alone in the community of Chum Het Municipality, Buriram Province

Nichaphat Maneephan, Sarinrut Juntapim — Mon, 29 Sep 2025 00:00:00 +0700

Currently, elderly people living alone in the community tend to experience more mental health problems, especially stress and depression, which affect their quality of life and daily life. Therefore, promoting mental skills to help the elderly cope with emotional and mental problems effectively is essential. This quasi-experimental research aimed to study the effects of a mindfulness-based therapy and counseling program on the levels of stress, depression, and mindfulness levels in elderly people living alone in the community.
The sample consisted of 60 elderly people living alone in the community, divided into an experimental group and a control group, 30 people in each group. The experimental group received a mindfulness-based therapy and counseling program, while the control group received general psychosocial counseling. Data were collected using a stress assessment, a depression assessment, and a mindfulness assessment, which had Cronbach's alpha coefficient reliability values of .86, .84, and .87, respectively. Data were analyzed using descriptive statistics, including frequency percentages, means, standard deviations; and an independent t-test.
The results of the research found that after receiving the mindfulness-based therapy and counseling program, the experimental group had significantly lower mean stress scores and depression scores than the control group (p<.05) and significantly higher mean mindfulness scores than the control group (p<.05). Therefore, the health team should be encouraged to apply this program to promote and prevent mental health problems in the elderly to enhance their ability to manage thoughts and emotions, reduce suffering, and improve the quality of life of the elderly in the long term.

Effects of a perceived self-efficacy enhancement program on knowledge and skills in pre-hospital emergency care among village health volunteers

Jiranuwat Chansungnoen, Kanokpun Promtong — Mon, 29 Sep 2025 00:00:00 +0700

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.

Prototype development and effectiveness evaluation of a health literacy promotion program on health behavior and outcomes of elderly people in the Khun Thale community, Surat Thani province

Rajaya Yekusang, Donlarawee Simkum, Weena Limsakul, Kamolchanok Thongied — Mon, 29 Sep 2025 00:00:00 +0700

This participatory action research (PAR) aimed to develop and evaluate a prototype health literacy promotion program for older adults in the Khun Thale community, Surat Thani Province. The program was grounded in Nutbeam’s three-tier model-Functional, Interactive, and Critical literacy-addressing five key components: information access, media literacy, knowledge exchange, decision-making, and self-management. It was integrated with the “3A2S” behavior model, focusing on nutrition, physical activity, emotional well-being, smoking cessation, and alcohol abstinence. Targeted health outcomes included: no falls, no forgetfulness, no depression, enjoyable eating, and quality sleep.
A purposive sample of 100 elderly participants was recruited. Data were collected before and after participating in the program using a validated researcher-developed questionnaire, with content validity confirmed by experts. Reliability test revealed cronbach's alpha coefficient ranging from .846–.917. Data were analyzed using paired t-tests and wilcoxon signed-rank tests.
The results indicated significant improvements in all levels and components of health literacy (p<0.001). Health behaviors notably improved in the areas of diet, physical activity, and emotional regulation (p<0.001), while smoking and alcohol behaviors remained unchanged, likely due to already appropriate baseline levels. Furthermore, all five intended health outcomes improved significantly, particularly sleep quality, fall prevention, and memory function (p<0.001).
In conclusion, the prototype program developed under the concept of health literacy and community participation was effective in systematically enhancing the self-care capacity of the elderly and can be expanded to other similar community settings.

Community participation in promoting health literacy of cardiovascular disease prevention among patients with multiple chronic diseases aged 35 years and over in the area of Ubonratana District, Khon Kaen Province

Attaya Thongphunsa, Nisachon Bubpa , Surada Photatong — Mon, 29 Sep 2025 00:00:00 +0700

This qualitative research aimed to study community participation in enhancing health literacy for cardiovascular disease prevention among individuals aged 35 years and over with multiple chronic conditions residing in Ubonrat District, Khon Kaen Province. Sample were 34 participants from four primary community organizations: the Public-Sector (12 participants), community leaders (6 participants), local administrative organizations (7 participants), and sub-district health promoting hospitals (9 participants). A purposive sampling method was employed. Data collection was conducted through semi-structured interviews. Data analysis was performed using content analysis, analyzed the similarities and differences within the data, divided it into major sections, and categorized them into respective groups.
The findings revealed that health network partners in the community played significant roles in supporting and caring for chronic disease patients. Their responsibilities included providing health education, conducting disease screenings, making home visits, and offering financial and material support. It was observed that most patients were elderly and lived alone, their children working away from home, resulting in a lack of caregivers. Limitations faced by these patients included difficulty in occupational constraints, earning income, and ability to access health information through technology. Many participants perceived cardiovascular disease as irrelevant to them. Barriers identified in the study included difficulties in accessing healthcare services due to transportation limitations. However, most patients were cooperative in maintaining their health and were receptive to guidance from healthcare personnel, village health volunteers (VHVs), and community leaders. Improvement of work in caring for patients with chronic non-communicable diseases (NCDs) to prevent cardiovascular disease in the area were as follows: Suggestions for individual level, patients with NCDs should get trained to enhance self-care skills. At community level, leaders should seek and identify people to serve as role models in health promotion and disease prevention. Moreover, it was recommended that health professionals, government agencies, and health networks work collaboratively to strengthen healthcare systems for NCD patients by providing additional health education to those who lack knowledge, such as the elderly and those with technological limitations. Health communication strategies should be adapted to suit individual needs, especially regarding dietary guidance and adherence to medical appointments, to strengthen and maintain knowledge on disease prevention. Additionally, it is essential to improve the capacity of healthcare personnel, expand proactive health services, and ensure continuous feedback and information sharing within the community.

The effect of a health belief model application program on stroke prevention in high risk groups at Phimai District, Nakhon Ratchasima Province

Natchaleeya Champutsa, Kittiphoom Phinyo — Mon, 29 Sep 2025 00:00:00 +0700

This research aimed to study the effects of a health belief model application program on stroke prevention in high-risk groups in patients with diabetes and comorbidities such as hypertension or dyslipidaemia, who were receiving services at NCDs (non-communicable diseases) clinic in subdistrict health promoting hospitals in Phimai District, Nakhon Ratchasima Province. A total of 40 participants were recruited and divided into an experimental group and a control group, with 20 participants in each. All participants were able to use mobile phones and the LINE application, had good awareness, able to communicate effectively. The experimental group was drawn from Bancuem Subdistrict Health Promoting Hospital, while the control group was from Makarawe Subdistrict Health Promoting Hospital. The research tool was a health belief model application program on stroke prevention in high risk groups. The experimental group received knowledge enhancement and perception reinforcement through the LINE application over an 8-week period. Data collection instruments included: 1) a demographic data questionnaire, which has a content validity of 0.80-1.00; 2) a stroke knowledge questionnaire, with a reliability value of 0.86 using the Kuder-Richardson 20 method; 3) a stroke perception questionnaire, with a reliability value of Cronbach's alpha coefficient 0.78; and 4) a stroke risk reduction behavior questionnaire, with a reliability value of Cronbach's alpha coefficient 0.83, respectively. Data were analyzed using descriptive statistics, including frequency distribution, percentage, mean, standard deviation; chi-square test, wilcoxon signed-rank test, and mann-whitney u test. The results showed that, after the intervention, the experimental group demonstrated significantly higher posttest scores in stroke knowledge, stroke-related perceptions, including perceived susceptibility, perceived severity, perceived benefits of prevention, perceived barriers to preventive behaviors, and self-efficacy in performing preventive behaviors, and stroke prevention behaviors compared to their pretest scores and to the control group. These differences were at statistically significant level of 0.05. Therefore, the health belief model application program effectively could promote better stroke knowledge and perception in stroke-risk patients, resulting in appropriate stroke prevention behaviors.

The development of queue application prototype for clients at outpatient clinics

Mon, 29 Sep 2025 00:00:00 +0700

Queue management in hospitals is a key factor affecting service efficiency and patient satisfaction. The application of technology in queue management can effectively reduce waiting times and enhance the operational agility of the service system. This developmental research aimed to develop a prototype queue application for outpatient clinics and to evaluate the efficiency and satisfaction of both service providers and recipients regarding the use of this prototype application. The study was conducted from January to October 2024, divided into three phases: 1) Pre-development phase, 2) Development phase, and 3) Evaluation phase. The sample group consisted of 10 rehabilitation clinic staff, selected purposively, and 392 service recipients, selected through simple random sampling.
The research tools included a questionnaire on satisfaction with the use of the traditional queue system for service providers and recipients, in-depth interview guides, meeting minutes, and a questionnaire on satisfaction with the use of the prototype queue application for service providers and recipients. These tools were content validated by three experts. The reliability test of the questionnaire on satisfaction with the use of the traditional queue system for service providers, the questionnaire on satisfaction with the use of the traditional queue system for recipients, the questionnaire on satisfaction with the use of the prototype queue application for service providers, and the questionnaire on satisfaction with the use of the prototype queue application for recipients yielded Cronbach's alpha coefficients of 0.83, 0.87, 0.88, and 0.80, respectively. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation.
The research findings revealed that a prototype queue management application for outpatient clinics was an online system developed to facilitate service recipients by registering for queues via a website. It included a QR code for real-time queue status tracking and receives notifications via LINE or SMS. Meanwhile, service providers could manage queues through a user-friendly dashboard, which displays numbers, colors, and automatic voice announcements. The study found a statistically significant reduction in the average waiting time compared to the traditional system (p<.05), and a statistically significant increase in service provider perceptions of queue management efficiency (p<.05). Satisfaction among service providers and service recipients were at a high levels (
=4.480.60 and 4.460.70, respectively).
Recommendations: An online queue booking system should be developed to allow service recipients to book queues independently at their preferred times.

Operational model of geriatric clinic in health facilities under the 1st to 12th health zones, Ministry of Public Health in the Thai context: A sequential mixed-method study

Mon, 29 Sep 2025 00:00:00 +0700

This mixed-methods based on sequential approach aimed to explore the operational model of geriatric clinics across healthcare facilities at all levels under the Ministry of Public Health, within the 1st to 12th health zones of Thailand. The sample for the quantitative research consisted of those responsible for geriatric clinics, service providers, and clients. The sample for the qualitative research includes administrators/policy makers, geriatric clinic staff, and clients. The study area was selected using stratified random sampling based on the proportion of geriatric clinics meeting the standard criteria (50%) and the distribution of healthcare facilities across different levels, totaling 450 facilities. These included 1) 45 facilities at Levels A and S, 2) 66 facilities at Levels M1 and M2, and 3) 339 facilities at Levels F1, F2, and F3. Data were collected using questionnaires, structured interviews, and focus group discussions with structured question guides. Quantitative data were analyzed using descriptive statistics, including frequency, percentage, and mean; while qualitative data were analyzed through content analysis based on the research themes.
The study found that 397 healthcare facilities responded to the questionnaire. These included 55 facilities categorized as A and S levels, 63 facilities categorized as M1 and M2 levels, and 279 facilities categorized as F1, F2, and F3 levels. Of these, 99.5% had established elderly care clinics. Service models showed that 59% operated stand-alone elderly care clinics, 2.62% combined elderly care with non-communicable diseases clinics, and 17.04% provided mobile elderly care clinics within the community. Clients expressed satisfaction with the care, particularly the health consultation provided by multidisciplinary teams, and indicated a desire to utilize the services more frequently. Service providers demonstrated a positive attitude toward older clients, taking care for older clients as they would care for older persons in their own families. Persons relevant to this policy emphasized the need for implementing this policy continuously and enhancing the standards to ensure the quality of services. They also perceive these services as a critical policy and be responsible for implementing in the community continuously.
The findings could be used to drive policy initiatives and to launce the geriatric clinics. These insights could also be adapted and applied across all levels of healthcare facilities continuously. This would improve the accessibility to the healthcare services for the older persons to get the comprehensive care systematically and thoroughly, contributing to the well-being of the Thail aging population.

Outcomes of nursing practice guidelines for patients presenting with chest pain and suspected acute myocardial infarction in the emergency outpatient unit

Mon, 29 Sep 2025 00:00:00 +0700

This quasi-experimental study aimed to compare the mean duration of each step in the care process for patients with suspected acute myocardial infarction. This comparison resulted from the implementation of a nursing practice guideline for patients presenting with chest pain and suspected acute myocardial infarction in the emergency department. The guideline emphasized every step of patient care process, including: (1) a focused chest pain assessment, (2) attaching “chest pain” tag, (3) immediate transfer to the resuscitation room, (4) electrocardiogram (ECG) acquisition and interpretation within 10 minutes, (5) prompt cardiac enzyme testing per physician orders, (6) using a zip-lock bag with an “alert chest pain” tag to transport specimen, (7) providing complementary nursing care while awaiting cardiac enzyme results, (8) prompt cardiac enzyme test reporting, (9) final diagnosis by a physician, and (10) disposition from the emergency department. A purposive sample of 50 participants was selected and equally divided into two groups of 25people each. The experimental group received nursing care according to the nursing practice guidelines. The control group received conventional nursing care before using the nursing practice guidelines, which data were collected retrospectively from medical records. Independent t-test was used for data analysis in comparing the experimental and control groups.
The study showed that the control and experimental groups had an average time to ECG acquisition and interpretation of 16.60 and 2.40 minutes, respectively. The average time to cardiac enzyme reporting were 81.36 and 56.52 minutes, respectively. Comparison between the groups revealed that the differences were statistically significant (p<.005). Additionally, a higher proportion of participants in the experimental group were discharged from the emergency department within 3 hours compared to the control group. Patients receiving care according to this practice guideline had faster access to ECG acquisition and interpretation as well as cardiac enzyme reporting. This enables physicians to diagnose and initiate treatment immediately, ensuring timely care, lowering the risk of serious complications, and improving survival outcomes. Furthermore, patients can be discharged from the emergency department more quickly, which helps reduce waiting times and alleviate emergency department overcrowding.
In conclusion, the implementation of this nursing practice guideline directly benefits service recipients; enabling systematic, rapid, and safe care for patients with chest pain; while also being consistent with international standards.

Home visiting, traditional home nursing tools and techniques: Toward developing proposals for modern nursing innovation and technologies

Suree Trumikaborworn — Mon, 29 Sep 2025 00:00:00 +0700

Home visiting is increasingly important and in high demand in the context of Thailand entering a complete aged society and increasing access to home visit services. This was particularly influenced by the National Health Security Office (NHSO) policy encouraging private sector participation in home health services. Therefore, effective home visits were important and challenging to develop. This article aimed to promote the efficiency of home visits by integrating digital health technologies.
The scope of content included; 1) key principles for effective home visiting—namely, efficiency, tele-nursing, and holistic health; 2) structured home visit activities—such as planning and preparation, nursing interventions during the home visit, post-visit actions, and home visit summary; 3) essential competencies of home-visiting nurses; 4) the role of nurses in home visits - assessment, home care planning and referrals, nursing care provision, evaluation and referral; and 5) guidelines for integrating home visits with digital health technology to foster nursing innovation.

Journal of Nursing Science and Health

Editorial

Contents

Japan’s approach to older care and disaster management: Integration of culture, technology, and healthcare systems

Predictive factors of postpartum stress at Chum Phae Hospital, Khon Kaen Province

Effects of a first aid and basic life support training program on knowledge, attitudes, practical skills, and satisfactions among soldiers at a military armed force in Northeastern Thailand

Effects of a non-pharmacological pain management program on older people with cancer in an internal medicine ward of a university hospital

Effects of health promotion program on knowledge, attitudes, and health behaviors among older adults in Phitsanulok Province

Effects of mindfulness-based therapy and counseling program on stress, depression, and mindfulness level in elderly people living alone in the community of Chum Het Municipality, Buriram Province

Effects of a perceived self-efficacy enhancement program on knowledge and skills in pre-hospital emergency care among village health volunteers

Prototype development and effectiveness evaluation of a health literacy promotion program on health behavior and outcomes of elderly people in the Khun Thale community, Surat Thani province

Community participation in promoting health literacy of cardiovascular disease prevention among patients with multiple chronic diseases aged 35 years and over in the area of Ubonratana District, Khon Kaen Province

The effect of a health belief model application program on stroke prevention in high risk groups at Phimai District, Nakhon Ratchasima Province

The development of queue application prototype for clients at outpatient clinics

Operational model of geriatric clinic in health facilities under the 1st to 12th health zones, Ministry of Public Health in the Thai context: A sequential mixed-method study

Outcomes of nursing practice guidelines for patients presenting with chest pain and suspected acute myocardial infarction in the emergency outpatient unit

Home visiting, traditional home nursing tools and techniques: Toward developing proposals for modern nursing innovation and technologies