Journal of Public Health Nursing

Factors Predicting Job Satisfaction among Nurse Practitioners During the Transfer of Subdistrict Health Promoting Hospitals in Si Sa Ket Province

2025-01-14T10:48:44+07:00

This predictive research aimed to examine nursing practice satisfaction among nurse practitioners working in Subdistrict Health Promoting Hospitals and to determine the extent to which personal characteristics, motivational factors, and hygiene factors predicted nursing practice satisfaction during the transfer of Subdistrict Health Promoting Hospital responsibilities. Herzberg’s Two-Factor Theory was used as the conceptual framework. The sample consisted of 157 nurse practitioners working in Subdistrict Health Promoting Hospitals in Si Sa Ket Province, selected using stratified random sampling. Data were collected using rating-scale questionnaires, with content validity indices ranging from 0.97 to 1.00 and Cronbach’s alpha coefficients ranging from 0.96 to 0.99. Data collection was conducted from November to December 2023. The data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The results showed that the overall level of nursing practice satisfaction among nurse practitioners during the transfer of Subdistrict Health Promoting Hospital responsibilities was high (Mean = 3.94, SD = 0.40). Organizational climate, nurse practitioner competency, and current job position jointly predicted nursing practice satisfaction among nurse practitioners working in Subdistrict Health Promoting Hospitals, accounting for 47.0% of the variance (Adjusted R² = .470). Organizational climate was the strongest predictor, followed by nurse practitioner competency and current job position.

Effects of a workplace lead exposure prevention program applying Health Belief Model on preventive behaviors toward lead exposure among workers in ammunition plants

2025-05-04T21:12:07+07:00

Ammunition factories are high-risk workplaces where employees are at risk of occupational lead exposure. This research aimed to examine the effects of a workplace lead exposure prevention program applying Health Belief Model on perceptions and preventive behaviors toward lead exposure among workers in ammunition plants.

This Quasi-experimental research employed a pretest-post-test with follow-up design over an 8-week period. The sample comprised workers from two ammunition factories in Ratchaburi Province. The two factories were randomly allocated by lottery to either the experimental or comparison condition. Eligible workers within each factory were then selected using simple random sampling, resulting in 39 participants per group. Of these, 64 participants completed the study and were included in the final analysis, with 32 participants in each group. The experimental group received a program developed based on the Health Belief Model. Data were collected using questionnaires and analyzed using Repeated Measures ANOVA, Post-hoc Bonferroni test, and Independent t-test.

The results revealed that after the intervention, the experimental group showed significant increases in perceived susceptibility, perceived severity, and lead-exposure preventive behaviors after the intervention compared with baseline (p < 0.05), whereas changes in perceived benefits and perceived barriers were not statistically significant change. Significant group-by-time interactions were observed for perceived severity and preventive behaviors, indicating greater changes over time in the experimental group. The experimental group also showed significantly higher mean scores in all perception components related to lead poisoning and preventive behaviors compared to the comparison group (p < 0.05) at both post-intervention and follow-up phases. These findings suggest that the Health Belief Model-based lead exposure prevention program was associated with a differential improvement over time in perceived severity and lead-exposure preventive behaviors. Recommendations from this research include implementing this program in facilities with similar risk profiles and utilizing the findings as empirical evidence in occupational health education for risk workers.

Effects of a Nursing Program Promoting Self-Care Capability for Family Caregivers of Older Adults with Stroke in Photharam District, Ratchaburi Province

2025-05-04T21:15:48+07:00

This quasi-experimental research with a two-group pretest-posttest design aimed to examine the effects of a supportive-educative nursing system program on caregivers’ knowledge, caregiving ability for older adults with stroke, the patients’ ability in activities of daily living (ADL), and the occurrence of complications among older adults with stroke in Photharam District, Ratchaburi Province. The sample consisted of caregivers and older adults with stroke, divided into experimental and comparison groups of 24 participants each. The study was conducted over six weeks. The experimental group received a program based on Orem’s supportive-educative nursing system, which included: (1) guidance, (2) support, (3) teaching, and (4) creating a supportive learning environment for caregivers, along with a caregiver’s manual, home visits, and follow-up through telephone or LINE application. The comparison group received routine care from professional nurses at their respective primary care units. Data were collected using interviews and patient assessments. Research instruments included: a general information questionnaire, a caregiver ability assessment, a caregiver knowledge test, an ADL assessment, and a complication risk assessment for older adults with stroke. Data were analyzed using Chi-square test, Independent t-test, and Dependent t-test.

The results revealed that after the intervention, caregivers in the experimental group had significantly higher mean scores of knowledge and caregiving ability than those in the comparison group (p-value = .000). Older adults with stroke cared for by caregivers in the experimental group had significantly higher mean scores of ADL than those cared for by the comparison group (p-value = .005). However, there was no statistically significant difference in the occurrence of complications between the two groups (p-value = .054).

The Effectiveness of a Capability-Strengthening Program on Knowledge and Capability of Professional Nurses in Caring for Patients with Sepsis at Damnoen Saduak Hospital, Ratchaburi Province

2023-05-27T10:13:11+07:00

Septicemia Syndrome is a challenge for the patient care system because it is the leading cause of dead in patient who admitted to Hospital. This study was a quasi – experimental research. The purpose of this study was to compare knowledge and ability of registered nurse to care for septicemia syndrome patients before and after receiving a capability-strengthening program for caring for sepsis patients. System theory is a conceptual framework in this research. The sample consisted of 30 registered nurse who had experience as a team leader, these nurses were trained according to a capability-strengthening program for caring for sepsis patients as follow 1) Patient care situations were analyzed by registered nurse 2) Knowledge and capability development for registered nurse and septicemia syndrome nursing process 3) Evaluation of output and outcome. Data were analyzed using percentage, mean, standard deviation, and a Paired simple t-test.

The results showed that nurses' knowledge and capabilities scores significantly improved after receiving a capability-strengthening program for caring for sepsis patients (p<0.05). This research has led to the process of nursing care for septicemia syndrome patients and as a result, the quality system of care for patients with septicemia syndrome is better. The researchers recommend conducting a comparative study of patient care outcomes for bloodstream infections before and after implementation of the program, compared with routine nursing practice. Future research should also assess nurses’ satisfaction with a capability-strengthening program caring for sepsis patients.

From Chronic Kidney Disease Clinical Practice Guidelines to Primary Health Care: A Proposed Community Nurse Practitioner-led Care Model in the Digital Era

2026-08-29T16:18:27+07:00

Chronic kidney disease (CKD) is a major public health problem with a steadily increasing prevalence and is associated with serious complications, reduced quality of life, and rising healthcare costs. Although Thailand has established clinical practice guidelines for CKD screening, delaying disease progression, and referral management, significant challenges remain in implementing these recommendations in primary health care and community settings. This academic article aimed to synthesize key CKD clinical practice guidelines, analyze challenges in primary health care, and propose a community-based care model led by community nurse practitioners and supported by digital health technology. Evidence was synthesized from Thai CKD clinical practice guidelines, the kidney disease: Improving Global Outcomes (KDIGO) 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease, chronic care concepts, self-management support, and evidence on digital health interventions in nursing. The proposed care model consists of five key components: 1) proactive case finding, 2) risk classification, 3) coaching for self-management, 4) continuity of care through community and digital health technology, and 5) coordinated referral. The model has the potential to support guideline implementation and strengthen continuity of care. However, as the model remains conceptual, pilot studies are needed to evaluate its feasibility, clinical outcomes, and cost-effectiveness in real-world practice settings.

Lessons Learned on Quality Improvement of Primary Care Units in Bangkok

2026-07-12T13:43:20+07:00

Public Health Centers (PHCs) play a crucial role in providing health services for People in Bangkok. Public Health Nursing Division under Department of Health, Bangkok Metropolitan is the main responsible division for continuous quality improvement of the primary care units. Objective: This study aims to analyze personnel experiences and synthesize a modern PHC quality improvement model. A lesson-learned approach was conducted from January to April 2026 using After-Action Review (AAR) and the PDCA framework. Key Informants included five specialized staff: one supervisor, three practitioners, and one observer who worked in the Public Health Nursing Division. Internal peer review was done by two evaluators to ensure data validation. Results: The findings revealed that knowledge, skills, and experiences in public health center quality improvement were analyzed and synthesized into a novel model for public health center quality development. The synthesized model highlighted supportive policy, allocated budgets, and executive commitment as key strengths. Additional strengths were identified as team readiness, mentorship structuring, and participatory observation. However, challenges included quality sustainability risks due to leadership rotations, alongside high volumes of redundant, unintegrated, and low-value documentation. Conclusion: Primary care units can leverage these findings as a strategic framework to optimize healthcare service quality.