Journal of Nursing, Siam University

The Effect of Using the MOPH ED Triage Model with Update Version on the Accuracy of Triage and the Waiting Time of the Patients in Emergency Department, Nakornping Hospital

2025-03-12T11:23:55+07:00

The effectiveness of the MOPH ED Triage is important to identify the severity level categorization of patients. This quasi-experimental research aimed to compare the accuracy of triage decision of nurses and the waiting time the patient between using the MOPH ED Triage model and using the MOPH ED Triage model with updated version. The samples consisted of 112 patients receiving services at the emergency room selected by purposive sampling; 56 patients by using the MOPH ED Triage model, and 56 patients of using the MOPH ED Triage model with update version. Research tools included questionnaires; demographic, assessment forms for the accuracy of the triage decision form, the waiting time of the patient’s record, and guidelines for patient triage using the MOPH ED Triage with update version. All instruments were tested for validity by experts which was 1.00. The Cronbach alpha coefficient of the questionnaire was .79 and the test-retest was .56. The data were analyzed by descriptive statistics and inferential statistics, including Chi-square test, and the independent t-test.

The results revealed that after using the MOPH ED Triage model with updated version, the accuracy of triage decisions of nurses was significantly higher than using the MOPH ED Triage model at the level .05, whereas the waiting time for emergency patients was significantly less than the MOPH ED Triage model at the level .01.

Therefore, the MOPH ED Triage model with updated version should be applied to identify the patient triage practices in emergency and accident departments in order to treat the most extraordinary symptoms as fast as necessary and to ensure patient safety and provide quality services.

Factors Predicting Knowledge, Prevention and Control of Coronavirus Disease (COVID-19) among Village Health Volunteers in Nam Ruem Subdistrict, Mueang District, Tak Province.

2025-03-12T09:29:36+07:00

This research aimed to study factors affecting health literacy and self-protective behavior for surveillance operations of coronavirus infection diseases. Sample size was Village Health Volunteers (VHVs) in Namrum subdistrict, Mueang district, Tak province, which studied a population of 410 people. The newly developed questionnaire was used. Data analysis was conducted using descriptive statistics and multiple linear regression analysis.

The results of the study revealed that the VHVs had a very good level of both health literacy of covid-19 (85.12%) and self-protective behaviors (80.24%). he factors that significantly affected health literacy at the .05 level, classified by aspect, were knowledge and understanding, with only one factor, social media use, predicting 2.54 percent. Three factors could be predicted for access to information to a degree of 17.92 percent were: area of residence, participation in community proactive activities, and learning from model observation. Four factors could be predicted for media literacy to a degree of 22.45 percent were: income, perceptions of proactive health services by health care workers, participation in community proactive activities, and learning from model observation. Three factors could be predicted for self-management to a degree of 12.73% were: income, participation in community proactive activities, and learning from model observation. Four factors could be predicted for communication questioning and interaction to a degree of 18.40% were: income, perceptions of proactive health services by health care workers, participation in community proactive activities, and learning from model observation. Factors that significantly influenced self-protective behavior at the .05 level included health literacy, self-management, access to information and decision-making, as well as residential area factors, which together predicted 40.90 percent.

The results of suggestions for development encourage volunteers to participate in more proactive activities in the community, such as activities to search for risk groups. proactive disease screening, etc. because it affects health literacy information access Media Literacy self-management and communication, questioning and answering.

Development of Health Education and Health Counseling Model Using LINE Official Account Application for Parents in Caring for School-Aged Children

2025-03-11T12:39:45+07:00

This research and development aimed to develop a health education and counseling model via LINE Official Account application for parents in school-aged child care. It also sought to compare parents' confidence in caring for their children before and after using the developed model, and to study the satisfaction of both parents and professional nurses with the developed model. The study was conducted in four phases: 1) problem analysis, 2) model design and development 3) model implementation with a sample group of 27 parents and 5 professional nurses, and 4) evaluation of the developed model. The research instruments included a parental self-efficacy assessment form and a satisfaction assessment form for parents and professional nurses. These instruments were validated for content quality by three experts, yielding a Content Validity Index of .86 and a Cronbach's alpha coefficient of .86. Data were analyzed using descriptive statistics and paired sample t-tests.

The results revealed that 1) the health knowledge and counseling model via the LINE OA application, named "School-Aged Children Care," presented knowledge through infographics and provided a channel for inquiries via a message box. 2) Following the implementation of the model, parents exhibited a statistically significant increase in their confidence in caring for school-aged children (t = 9.93, p < 0.001), and the overall satisfaction was high for both parents (M = 4.40, S.D. = 0.54) and professional nurses (M = 4.54, S.D. = 0.51). These findings suggest healthcare professionals should use LINE OA for health education and counseling, as it's an accessible, straightforward, and modern platform enabling parents to review information independently.

The effect of informational on anxiety level of first time mother with caesarean section

2024-12-28T09:47:43+07:00

This quasi-experimental study aimed to compare the levels of anxiety related to the cesarean section between primigravida who received informational support and those who received standard nursing care. The sample consisted of 78 primigravida divided into a control group (39 participants) and an experimental group (39 participants). Participants were aged between 20-34 years, had normal pregnancies of 37 - 42 weeks, and were experiencing their first pregnancy. The research instruments included (1) a 20-item maternal anxiety assessment scale for cesarean section and (2) a personal information recording form. The reliability of the instruments was tested using Cronbach’s alpha coefficient, yielding a value of .85. Data was analyzed using descriptive statistics and t-tests to compare anxiety levels before and after the intervention, both within and between groups.
The findings revealed that primigravida who received informational support had reduced anxiety levels after receiving information about the cesarean section. The mean anxiety scores between the two groups showed a statistically significant difference at the .001 level. The study suggests that providing informational support regarding cesarean sections before surgery can help reduce anxiety among pregnant women.

Influence of Perceived Value of Parental Upbringing on Learning Motivation, Adaptation, and Effective Time and Extracurricular Activity Management of Late Adolescents

2025-04-23T09:02:27+07:00

This research aims to study the relationship between parental perceived value of upbringing and the intention to learn, adaptation, and effective time and extracurricular activity management among late adolescents. The sample consists of 55 first-year nursing students from North Bangkok University, obtained through purposive sampling. The instrument used was a questionnaire that has been validated for reliability and credibility. Data analysis employed Multivariate Multiple Regression.

The research findings indicate that the perceived value of upbringing significantly influences:

Intention to learn (R² = .431, p < .001)
Adaptation (R² = .343, p < .001)
Effective time and extracurricular activity management (R² = .153, p = .003)

In summary, the perceived value from upbringing plays a crucial role in developing learning behaviors and life skills among late adolescents, particularly in the context of nursing students transitioning into their professional roles. It is recommended to promote nurturing styles that emphasize positive relationships between parents and children to foster sustainable life skills.

Self-management of Elderly with COVID-19 Pneumonia after Discharge from the Hospital.

2025-05-03T06:35:49+07:00

The current outbreak of the coronavirus (COVID-19) is spreading rapidly. Most patients with COVID-19 Pneumonia are elderly. This Qualitative research studies aimed to study the Self-management of elderly with COVID-19 pneumonia after discharge from the hospital by applying the concept of self-management from Creer in nursing to the context of the elderly. Data was collected from November 2022 to April 2024. The interview consisted of 1) questionnaire on personal data such as gender, age, education level, status, occupation, monthly income, residence, and underlying diseases. 2) Assessment of self-management of the elderly. 3) Inquiry into self-management of the elderly. 4) Assessment of follow-up of symptoms of elderly with COVID-19 Pneumonia after discharge from the hospital. A specific sample of 30 people aged 60 years and over was selected. Symptoms were followed up twice after discharge: the first interview was for 3 months, and the second interview was for 6 months. The researcher analyzed the data: 1) General data using descriptive statistics, percentages, means, and standard deviations; 2) Data was collected and analyzed according to the conceptual framework. Self-management of elderly with COVID-19 Pneumonia after discharge from the hospital was good.

The results showed that: The concept of Self-Management has been applied to nursing care for the Self-management of elderly with COVID-19 Pneumonia after discharge from the hospital. When returning home, they can live their daily lives with quality and reduce the risk of long-term complications.

The effect of Powerful Tools for Caregivers Program on Caregiving Burden of Persons with Schizophrenia in Community

2025-05-13T18:48:44+07:00

This study is quasi-experimental research with two groups pretest-posttest design. This research purposed to compare: 1) Caregivers burden of persons with schizophrenia in community before and after received the powerful tools for caregiver program, and 2) Caregivers burden of persons with schizophrenia in community who received the powerful tools for caregiver program and those who received regular nursing care. The samples consisted of 50 caregivers of persons with schizophrenia in community according to inclusion criteria. The caregivers were matched pair by patient care’s period and then randomly assigned into experimental group and control group, 25 subjects in each group. The research instruments consisted of the powerful tools for caregiver program, and the caregiver burden scale. All the research instruments were tested by 5 professional experts. The Cronbach’s alpha coefficient reliability was .88, data were analyzed using mean, standard deviation, and t-test statistics. The results and conclusion revealed the following: 1) Caregivers burden of persons with schizophrenia in community after received the program was significantly lower than that before (p<0.05). 2) Caregivers burden of persons with schizophrenia in community who received the program were significantly lower than those who received regular nursing care (p<0.05).

Level Up Nursing Skills through Game-Based Learning

2025-01-17T11:22:49+07:00

Game-Based Learning (GBL) is gaining attention as a highly effective teaching tool, particularly in nursing education, which requires the development of both theoretical knowledge and practical skills. GBL enhances essential competencies such as critical thinking, decision-making, and teamwork through a Challenge-Response-Feedback process. The approach offers immediate feedback for improving the development of skills and knowledge while helping students to participate in simulated scenarios in a safe environment without risks associated with real patients.

However, GBL has limitations, such as expensive costs for development, the requirement for interpersonal skills training in real-life situations, and a lack of realism in some circumstances. This article suggests integrating GBL with blended learning methods to develop an improved educational framework that includes contextual awareness and the development of practical skills. With an appropriate structure and support, GBL could significantly improve nursing students' efficiency and awareness, giving them the self-assurance and skills their require for effective clinical practice.