Journal of Prachomklao College of Nursing, Phetchaburi Province

Healthcare Provider Support Contributing to Resilience among Caregivers of Advanced Cancer Patients: A Phenomenological Study

2025-04-22T21:28:49+07:00

This qualitative study, employing a phenomenological approach, aimed to explore the experiences of health care professionals’ support and its influence on the psychological resilience of caregivers of advanced cancer patients. Twenty caregivers of advanced cancer patients were purposively selected according to the inclusion criteria. Data were collected through in-depth interviews and behavioral observations and analyzed using the thematic analysis method.

The results revealed that caregivers articulated profound experiences of supportive interactions with health care professionals that enhanced their resilience. Four overarching themes emerged: 1) providing care to relieve suffering; 2) offering information and communication to facilitate caregivers’ decision-making; 3) supporting caregivers’ learning and capacity development through professional guidance; and 4) providing resources and service systems that ensure continuity of care.

These findings underscore the proactive roles of professional nurses and other health care providers in fostering the psychological resilience of caregivers of advanced cancer patients. Emotional and informational support were provided to empower caregivers, while structural and system-level support promoted continuity and comprehensiveness of care. The insights derived from this study can contribute to the development of holistic, evidence-based guidelines for end-of-life cancer care.

The Effect of an Applied Fon Jerng Exercise Program on Physical Balance, Muscle Strength, and Activities of Daily Living (ADLs) among the Social Bound Elderly in Lampang Province

2025-08-13T18:19:16+07:00

This quasi-experimental study, employing a two-group pretest–posttest design, aimed to compare mean balance time, lower-extremity muscle strength, and activities of daily living (ADL) ability among socially engaged older adults in Lampang Province. Sixty-six participants were recruited using simple random sampling and allocated to either the control group (n = 33) or the experimental group (n = 33). Research instruments included the adapted Fon Joeng exercise program, a general information form, the Time Up and Go Test, the Five Times Sit-to-Stand Test, and the Basic Activities of Daily Living Assessment. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the Mann–Whitney U test.

The results indicated that after participating in the program, older adults in the experimental group demonstrated statistically significant reductions in mean balance time and muscle strength time (Z = 5.13, 3.27; p < .01, respectively). These values were also significantly lower than those of the control group at level of .05 (Z = 3.46, 3.46; p < .01, respectively). However, no significant differences were observed in mean ADLs scores from baseline or when compared with the control group (Z = 0.58, p = .56; Z = 1.02, p = .30, respectively).

These findings suggest that nurses and public health personnel should incorporate this exercise program into community health promotion initiatives to enhance balance and muscle strength among community-dwelling older adults.

A Needs Assessment of Positive Parenting Skills among Parents of Primary School Students in Private Schools: Comprehensive Needs Assessment Research

2025-09-21T11:35:01+07:00

This survey research aimed to identify, analyze, and propose solutions to address the needs related to positive parenting skills among parents of elementary school students in private schools. The research was conducted in three phases. In the first phase, needs identification, 217 parents of private elementary school students completed a positive parenting skills questionnaire with a Cronbach’s alpha coefficient of .98. Data were analyzed using descriptive statistics and the PNI_Modified index to identify and prioritize needs. In the second phase, needs analysis, semi-structured interviews with six key informants, including parents and experts in parent education. Data were analyzed using fault tree analysis (FTA) to determine the contributing factors to insufficient positive parenting skills. In the third phase, needs solutions, the multi-attribute utility technique (MAUT) was applied to prioritize the proposed intervention strategies. The results revealed that.

1. Parents demonstrated a very high overall level of need for developing positive parenting skills (M = 4.73, SD = .55), with self-care of parents identified as the most urgent area (PNI_Modified = .24).

2. The main causes of these needs were parental unpreparedness and problems from family conditions.

3. The key utility attributes for solutions included activity content, delivery formats, and available resources. The top three recommended interventions were practical training workshops, school-based parental development programs, and small-group or single-family activities.

The findings provide essential empirical evidence for designing and implementing contextually appropriate parenting development programs for families in private school settings.