Journal of Nursing, Siam University

The 3Cs Model: A New Model of Nursing Care for Pregnant Women

Sophaphan Ploungbunmee — 2026-06-30

The digital era enables pregnant women to access health information rapidly but exposes them to information overload. Meanwhile, the traditional nursing model, functioning merely as a one-way "educator" and lacking personalized feedback, cannot effectively manage this issue. Consequently, pregnant women experience anxiety, lack health literacy in the dimension of information evaluation, and make inaccurate health decisions.

This article aims to analyze the impact of the "Cyberchondria" phenomenon–defined as heightened health anxiety resulting from excessive internet searching–on the anxiety and health behaviors of pregnant women. This highlights the urgent need to transition the nursing role to a "Digital Health Coach" by utilizing the 3Cs Model. Synthesized by the researcher from relevant knowledge, the model comprises: 1) Curation (smart information screening), 2) Customization (flexible and personalized services), and 3) Collaboration (health partnerships building). Implementing this model in health guidance services helps alleviate anxiety and enhance health literacy, ultimately leading to safety and a better quality of life for both the pregnant women and their fetuses.

The Role of Nurse-Midwives in Counseling and Supporting the Selection of Appropriate Contraceptive Methods for Women of Reproductive Age

Pichaporn Janthanakul — 2026-06-30

Thailand is currently facing notable challenges in reproductive health, largely driven by a decline in the overall fertility rate. At the same time, unintended pregnancies remain a concern among certain groups of women of reproductive age. These issues are associated with inappropriate contraceptive use, limited access to high-quality contraceptive information, and the influence of social, cultural, and economic factors. Therefore, the selection of appropriate contraceptive methods is essential for promoting sexual and reproductive health among service recipients. As frontline healthcare providers, nurses play a crucial role in supporting women of reproductive age and other reproductive health service users to make informed and voluntary decisions about contraceptive use in ways that are appropriate to their individual health conditions and life circumstances. This article aims to synthesize academic evidence and present a conceptual framework regarding the role of nurses in supporting the selection of appropriate contraceptive methods according to the context of service recipients. The review draws upon international guidelines and academic sources, including those from the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and the Faculty of Sexual and Reproductive Healthcare (FSRH), as well as relevant research published between 2018 and 2024. These sources were analyzed to identify the roles of nurses and the factors influencing contraceptive decision-making. The synthesis revealed five key roles of nurses in supporting contraceptive method selection: (1) Health assessment and related factors; (2) Counseling and Health Education; (3) Support for shared decision-making and psychosocial aspects; (4) Promotion of Contraceptive Service Accessibility; and (5) Follow-up and evaluation. These roles enable clients to make appropriate contraceptive choices that are consistent with their health conditions, lifestyles, sociocultural contexts, and reproductive goals. The proposed conceptual framework can be utilized to guide nursing practice and improve reproductive health service delivery, ultimately promoting population health and supporting sustainable societal development.

Concepts and Models of Faculty Practice Among Community Health Nursing Faculty in Management of Diabetic Foot Complications

Chanida Mattavangkul — 2026-06-30

Faculty Practice involves applying the nursing faculty's expertise to provide direct services to clients, thereby continuously enhancing their professional proficiency. This practice integrates scholarship, education, research, and nursing practice. The purpose of this article was to describe the concepts and models of faculty nursing practice in Community Health Nursing and to present a study of managing diabetic foot complications in collaboration with primary care units. The Collaboration Model was employed, involving faculty members, professional nurses, and healthcare staff. This initiative addressed a prevalent local health issue and a significant national public health concern. The operational framework was guided by the System Approach, utilizing Family-Centered Care and Orem’s Self-Care Deficit Nursing Theory.

The result showed that patients and their families improved their foot care behaviors and self-examination skills, thereby reducing the risk of foot ulcers. However, challenges remained regarding awareness of appropriate footwear selection, necessitating ongoing follow-up by the primary healthcare unit. Healthcare personnel and village health volunteers (VHVs) enhanced their competencies in promoting foot care behaviors tailored to the community's lifestyle and context to prevent and reduce diabetic foot complications. Furthermore, the faculty members refined their clinical skills in caring for patients with chronic diseases and their families. This experience has led to the integration of these insights into Community Health Nursing pedagogy and fostered future research collaborations between the educational institution and the healthcare facility.

Legal Risk Management in Nursing Practice: Lessons Learned from Obstetric Litigation

Sophaphan Ploungbunmee — 2026-06-30

This academic article aims to analyze legal issues extract lessons from three significant case studies: shoulder dystocia, intrapartum fetal asphyxia, and postpartum hemorrhage. By analyzing clinical documents in comparison with professional laws and academic guidelines, it presents assessment standards, problem-solving approaches, and dispute prevention strategies. The synthesis of facts revealed that the primary causes of litigation stem from a lack of risk assessment standards, ignoring warning signs from electronic fetal monitoring, incomplete medical records, and delayed physician notification.

Therefore, article this article proposes practical guidelines, including proactive maternal assessment standards, the use of standardized communication tools such as ISBAR and CUS, and the development of accurate medical record management in real-time. The findings demonstrate that integrating precise clinical competency with ethical communication skills and rigorous documentation is essential for preventing disputes and sustainably enhancing patient safety.

The Effects of an Information Competency Development Program for Registered Nurse, Professional Level in a Community Hospital.

Ganoksri Jardngoen — 2026-06-30

The objective of this research was to study and compare the results of an information competency development program on the knowledge, skills and attitudes of professional-level registered nurses at a community hospital. The quasi-experimental study used a single group pre-test/post-test research design. The population and sample were hemogenous. They were consisted of 40 professional level registered nurses working at a community hospital. Two sets of research instruments were employed: 1) an information competency development program, with had a content validity index of 1.00 ; and 2) an assessment form to measure the information competency of professional level registered nurses in three dimensions, including (1) a form to assess knowledge before and after the program, with a Kuder-Richardson reliability score of .71; (2) a skill assessment form; and (3) an attitude assessment form, with consistency index of .60 to 1.00 and Cronbach’s alpha coefficient of .94. Data were analyzed by descriptive statistics to find percentages, means, standard deviation, and Wilcoxon Signed Rank Test.

The results found that comparison of the nurses’ scores before and after the program showed that after the competency development program, the mean scores for knowledge, skills and attitudes about applying information science in their work were higher than before the program to a statistically before the program degree at .05.

Development of Cream Soup Ice Cream Nutritional Promotion for Pregnant Women

Krittika Thummarattanakul — 2026-06-30

Promoting maternal nutrition during pregnancy is an essential role of professional nurses. This research and development study aimed to develop cream soup ice cream prototypes and examine participants’ preferences and acceptance using the ADDIE Model. The participants were 40 pregnant women. Data were collected using a questionnaire on preference and acceptance and were analyzed using descriptive statistics.

Two formulas were developed: mushroom soup ice cream and pumpkin soup ice cream, providing 120–122 kcal per 100 grams. The pumpkin soup ice cream contained higher calcium, while both were low in protein and folate but slightly high in sodium. Participants rated the pumpkin soup ice cream highly in all aspects (Mean = 7.35, SD = 1.53), while the mushroom soup ice cream received moderate ratings (Mean = 5.82, SD = 2.12). Regarding acceptance, 72.5% supported the product, 55% reported willingness to purchase it, 40% would consume it as a snack, and 50% perceived it as having nutritional value. Suggested improvements included enhancing the color, flavor, aroma, and texture to more closely resemble traditional ice cream.

In conclusion, both prototypes provided appropriate nutritional value and were acceptable to pregnant women. They may be further developed as innovative supplementary foods to enhance energy and calcium intake, However, further formulation adjustments are recommended to increase protein and folate content, reduce sodium levels, and improve the texture to more closely resemble conventional ice cream.

The Development of Competency Assessment for Urological Surgery Nurse in a Public University Hospital

Wiriya Chuenchit — 2026-06-30

The objectives of this research were 1) to analyze the situation of urological surgery nurse competencies; 2) to develop an assessment form to evaluate the competency of urological surgery nurses at a public university hospital; and 3) to evaluate the appropriateness of the developed assessment form. In this research and development project, there were 2 study groups: 1) the group of key informants, purposively chosen through meeting the inclusion criteria, which consisted of 7 people, and 2) the practicing nurses, out of whom 42 who met the inclusion criteria were randomly chosen. There were 3 sets of research instruments: 1) a semi-structured interview form; 2) an assessment form to evaluate the competency of urological surgery nurses, the items of which had content validity scores of .80 -1.00, a content reliability score of .95, a Cronbach’s Alpha coefficient of .98 and an Inter-rater Reliability score of .97; and 3) an assessment form to evaluate the appropriateness of the developed urological surgery nurse competency assessment form. Data were analyzed using content analysis and descriptive statistics. The results showed that 1) study of the situation revealed the following required competencies for urological surgery nurses (1) moral, ethical and legal competencies, (2) knowledge and skills in patient care, (3) communication and teamwork competencies, (4) professional and personal development, (5) use of nursing technology and innovations, and (6) consultation skills to support patients and family members. 2) The competency assessment form for urological surgery nurses that was developed based on the present situation and the context of the work unit consisted of 8 parts: (1) moral, ethical, legal and professional nursing competencies, (2) knowledge and skill competencies in surgical patient care, (3) prevention, rehabilitation and acceptance competencies for caring for surgery patients, (4) self-development competencies, (5) knowledge management and evidence-based practice competencies for developing nursing quality, (6) effective communication competencies,(7)teamwork and human relations competencies, and (8) systematic critical thinking competencies. Lastly, the tool was structured as a five-level rating scale with behavioral indicators, aligned with actual practice, and capable of appropriately reflecting nurses’ competency levels; 3) the items on the developed competency assessment form were evaluated as “extremely appropriate” for overall.

Factors Influencing the Participation of Older Person in the Implementation of Health Promotion at the Elderly School, Pathum Thani Province

Sawanya Benjakhan — 2026-06-30

This research is a survey study aiming to investigate factors influencing the participation of elderly individuals in health promotion programs at senior schools in Pathum Thani Province. The sample consisted of 418 elderly individuals aged 60 years and older studying at senior schools in Pathum Thani Province. Stratified random sampling was used, with an additional 15% sampling rate added to prevent errors. The research instrument was a questionnaire with an IOC value of 0.931. Statistical analyses included frequency, percentage, mean, standard deviation, chi-square test, Pearson correlation coefficient, multiple correlation, and stepwise multiple regression. The results showed that attitudes towards health promotion programs, motivation for health promotion, social support, and participation in health promotion at senior schools were generally at a high level. Personal factors such as age and average income were correlated with elderly participation in health promotion programs at senior schools in Pathum Thani Province. Only social support was found to significantly influence elderly participation in health promotion programs at senior schools. Pathum Thani Province achieved 62.4%.

Based on research findings indicating that social support influences the promotion of elderly health, district and sub-district health agencies should incorporate this into their plans concretely. This involves promoting activities that stimulate the participation of families, communities, and public health volunteers. Research data should be used as a basis for resource allocation and project design that aligns with the local context, ensuring that elderly health development is effective and meets the actual needs of the community.

Effects of a Dietary Control Program on Eating Behavior and Blood Sugar Levels among Uncontrolled Type 2 Diabetic Patients in Khok Charoen District, Lopburi Province

Nuntawan Khwansuk — 2026-06-30

This study aimed to examine the effects of a dietary control program on eating behaviors and blood glucose levels among patients with uncontrolled type 2 diabetes mellitus in Khok Charoen District, Lopburi Province. A quasi-experimental design with two groups was employed. The sample consisted of 60 patients with uncontrolled type 2 diabetes mellitus selected using simple random sampling and equally assigned to an experimental group (n = 30) and a control group (n = 30). The intervention was implemented over a 12-week period. Data were collected using questionnaires administered before and after the intervention. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used for data analysis. The independent t-test was used to compare mean scores between groups, while the paired t-test was used to compare mean scores within groups.

The results showed that the majority of participants in the experimental and control groups were female, accounting for 73.33% and 70.00%, respectively. The mean ages were 59.33 ± 9.31 years and 62.87 ± 8.79 years, respectively. After the intervention, the experimental group demonstrated significantly higher eating behavior scores compared to both baseline and the control group (p < 0.05). In addition, blood glucose levels in the experimental group were significantly lower than both pre-intervention levels and those of the control group (p < 0.05). In conclusion, the dietary control program effectively improved eating behaviors and enhanced glycemic control among patients with uncontrolled type 2 diabetes mellitus. Therefore, provincial and regional public health agencies should support the continuous implementation of such programs and integrate them into existing diabetes care services to promote patients’ knowledge and self-management skills.

The Effects of a Knowledge and Skills Development Program for Nurses on the Care of Patients Undergoing Loop Electrosurgical Excision Procedure as One Day Surgery at a Hospital in Loei Province

Kanchanaporn Yadpanya — 2026-06-30

The objectives of this research were to: 1) compare nurses' knowledge and skills before and after participation in a knowledge and skills development program for nurses at a hospital in Loei Province on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery. 2) compare the incidence of complications in patients before and after program implementation.

This was quasi-experimental research using a single-group pretest-posttest design. The sample was selected by purposive sampling who met the inclusion criteria consisted of 11 nurses working at a hospital in Loei Province and 11 patients undergoing loop electrosurgical cervical excision procedure as one day surgery. The research instruments consisted of 1) a program of knowledge and skills development on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery 2) a questionnaire on knowledge about the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery, 3) a skill evaluation form on the care of patients undergoing loop electrosurgical cervical excision procedure as one day surgery, and 4) a complication and incidence record form. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.

The results revealed that: (1) after the program, nurses’ knowledge and skill scores were significantly higher than before (p < .05); and (2) the incidence of complications decreased from 55.55% to 9.09%. It is recommended that this program be integrated into personnel development, with further studies to evaluate long-term retention.