Journal of Phrapokklao Nursing College, Chanthaburi

Holistic Nursing Care for Reducing Workplace Violence

2025-09-13T20:06:12+07:00

Workplace violence among healthcare professionals, particularly nurses, has become a critical issue that directly affects quality of life, safety, and the overall quality of healthcare services. Contributing factors include work-related stress, ineffective communication, high-pressure environments, and inappropriate behaviors of patients or their relatives. A holistic nursing approach is a conceptual framework to prevent and reduce workplace violence. The holistic perspective emphasizes caring for individuals as integrated beings—addressing physical, psychological, emotional, social, and spiritual dimensions. Through this approach, nurses can better assess and respond to patients’ needs, thereby reducing tension and misunderstandings that may lead to violent incidents. Three main strategies are highlighted: 1) developing information technology systems to enhance communication and preventive planning, 2) establishing systematic response measures to manage violent incidents effectively, and 3) strengthening nurses’ competencies in therapeutic communication and crisis management. The expected outcomes include creating a safe working environment, fostering mutual trust among healthcare personnel and patients, and improving the quality of care. Nurses thus play a central role in cultivating a culture of safety and compassion through holistic understanding of human needs.

The Best Guideline to Promote International Publication based on the SPARK model

2025-12-31T12:35:36+07:00

The Effect of a Promoting Health Belief Program on Health Perception and Stroke Preventive Behaviors in the Elders with Hypertension and Diabetes Mellitus

2025-09-16T00:03:25+07:00

This quasi-experimental research aimed to study the effect of a promoting health belief program on health perception and stroke preventive behaviors. The samples were 30 elders with hypertension and diabetes mellitus who received the medical service at Banmakae Sub-district Health Promoting Hospital, Maung Nakhon Sawan District, Nakhon Sawan Province. The research instruments included a promoting health belief program, a health record form, an educational handbook on stroke, a demographic questionnaire, a health belief on stroke preventive behaviors questionnaire with reliabilities in the range of .78–.86, and a stroke preventive behaviors questionnaire with a reliability of .82. The implementation and data collection were conducted from May to July 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and paired t-test.

The research results revealed that after receiving the program, the elders with hypertension and diabetes mellitus had a statistically significantly higher mean score of perceived susceptibility of stroke, perceived severity of stroke, perceived benefits of stroke preventive behaviors, and stroke preventive behaviors than before receiving the program (t = 4.540, p < .001; t = 2.720, p < .05; t = 2.660, p < .05; and t = 3.980, p < .001, respectively).

This research suggests that healthcare providers should implement this promoting health belief program for the elders with hypertension and diabetes mellitus. This will help the elders perform good stroke preventive behaviors.

Infections and Impacts of Catheter-related Bloodstream Infection of Pediatric Patients in a University Hospital

2025-09-20T10:53:42+07:00

This retrospective descriptive research aimed to investigate the infections and impacts of catheter-related bloodstream infection in pediatric patients. The samples consisted of 763 medical records of pediatric patients who underwent central venous catheter insertions in a university hospital over a 5-year period. The research instrument was a record form for documenting infections and the impacts of central line-associated bloodstream infection (CLABSI) in pediatric patients. Data were collected from December 2022 to February 2023. Data were analyzed using frequency, percentage, mean, standard deviation, and median, including calculations of CLABSI incidence and case fatality rate.

The research results revealed that the CLABSI incidence rates from 2017 to 2021 were 3.63, 1.64, 1.81, 2.58, and 3.46 per 1,000 central line days, respectively. The CLABSI occurred 79 times in 57 pediatric patients; 59.65% were male, with ages ranging from 14 days to 18 years (M = 2.64 years, SD = 4.64). Additionally, 59.65% of patients were newborns to less than 1 year old, 22.81% were 1–3 years old, and 8.77% were 13–18 years old. The most common causative pathogens were gram-positive bacteria (71.08%), followed by gram-negative bacteria (19.28%), and fungi (9.64%). The average duration of hospitalization was 116.53 days per case (range = 10–676, SD = 122.71). The case fatality rate of CLABSI in pediatric patients was 26.32%. The total cost of medical treatment for CLABSI was 1,339,253.12 baht, with an average cost of 16,952.57 baht per infection.

This research suggests that nurses and infection control nurses should utilize the findings to develop guidelines for the prevention and control of CLABSI in hospitalized pediatric patients.

Occupational Health and Safety Literacy on Safe Work Behaviors and Work-related Injuries among Waste Collectors Under Local Administrative Organization

2025-10-05T14:40:14+07:00

This descriptive correlational research aimed to study the correlations of occupational health and safety literacy with safe work behaviors and work-related injuries among waste collectors. The participants were 312 waste collectors under local administrative organization in Mueang Nakhon Ratchasima District, Nakhon Ratchasima Province. The research instruments included a demographic and occupational questionnaire, an occupational health and safety literacy questionnaire with reliabilities in the range of .70–.85, a safe work behaviors questionnaire with a reliability of .80, and a work-related injuries questionnaire with a reliability of 1. Data were collected from October to December 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Spearman’s rank correlation.

The research results revealed that most waste collectors had overall occupational health and safety literacy at a high level (83.97%) and had overall safe work behaviors at a good level (75.96%). In the past three months, the rate of work-related injuries was 37.50%. Occupational health and safety literacy was positively statistically significantly correlated with safe work behaviors among waste collectors (r_s = .395, p < .001). Additionally, occupational health and safety literacy was negatively statistically significantly correlated with work-related injuries among waste collectors (r_s = -.116, p < .05).

This research suggests that occupational health nurses and related personnel should utilize the findings to promote occupational health and safety literacy for waste collectors. This will help enhance safe work behaviors and reduce work-related injuries among waste collectors.

Factors Influencing Premature Sexual Intercourse in Female High School Students of a District in the Lower Northern Province

2025-10-05T14:45:23+07:00

This cross-sectional descriptive research aimed to determine premature sexual intercourse and factors influencing premature sexual intercourse in female students. The participants were 472 female high school students of a district in the lower northern province. The research instruments included the questionnaires regarding predisposing factors, enabling factors, and reinforcing factors with reliabilities in the range of .79–.97, and a premature sexual intercourse questionnaire. Data were collected from October to December 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and binary logistic regression analysis.

The research results revealed that 20.76% of female students experienced sexual intercourse. The factors that statistically significantly influenced premature sexual intercourse in female students were composed of sexual value (AOR = .81, 95% CI = .73–.90, p < .001), smoking (AOR = 4.68, 95% CI = 1.80–12.17, p < .01), peer influence (AOR = 1.09, 95% CI = 1.04–1.14, p < .01), parental married status (AOR = 2.43, 95% CI = 1.28–4.59, p < .01), sexual curiosity (AOR = .89, 95% CI = .82–.96, p < .01), having had a boyfriend (AOR = 10.46, 95% CI = 1.95–56.06, p < .01), currently having a boyfriend (AOR = 12.30, 95% CI = 2.37–63.83, p < .01), and erotic media consumption (AOR = .34, 95% CI = .17–.69, p < .01). These factors could predict premature sexual intercourse in female students at 52.90%.

This research suggests that school executives and related agencies should provide activities to promote sexual value and reduce peer influence. This will help prevent premature sexual intercourse in female students.

The Development and Operation Trend of the Nurses’ Association of Thailand, Eastern Branch Office

2025-08-18T09:56:12+07:00

This qualitative research was conducted to examine the development and operation trend of the Nurses’ Association of Thailand, Eastern Branch Office. The participants consisted of nine presidents and twenty-two board of committee, both past and present terms (the term of 2022–2024); as well as eight professional nurses and ten practical nurses. The research instruments consisted of an in-depth interview guideline with a reliability of .93, a focus group discussion guideline for professional nurses with a reliability of 1, and a focus group discussion guideline for practical nurses with a reliability of 1. Data were collected through in-depth interviews, focus group discussions, and reviewing the relevant documents from May to July 2024. Data were analyzed by content analysis.

The research results revealed that the 50-year operation of the association was divided into 3 eras: 1) the establishment era (1974–1991), which was the period of the establishment of important foundations in terms of networking and good corporate culture; 2) the growth and strength era (1992–2004), which was the period of more efficient operations and concrete standardization of nursing professionals amidst changes in the quality assurance system in healthcare of the country; and 3) the adaptation era (2005–2024), which was the period of operating in rapidly changing and volatile contexts while maintaining a good corporate culture. In summary, it can be pointed out that the association has been able to maintain its role and value as a professional association due to the transformative leadership of the presidents and executive team in each period. However, in the future, the association may need to adjust its operations to meet the needs of its members, consisting of many groups and generations, as well as to be relevant to the context of society.

This research suggests that the Nurses’ Association of Thailand, Eastern Branch Office, should utilize the findings for developing the strategic plans in order to obtain goals of professional association functioning.

The Effectiveness of a Program Promoting Immediate and Continuous Breastfeeding in Conjunction with Family Support at Ban Phai Hospital, Khon Kaen Province

2025-10-03T16:02:35+07:00

This quasi-experimental research aimed to investigate the effectiveness of a program promoting immediate and continuous breastfeeding in conjunction with family support. The participants consisted of 60 postpartum mothers who gave normal birth at Ban Phai Hospital, Khon Kaen Province. They were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a program promoting immediate and continuous breastfeeding in conjunction with family support, a personal information questionnaire, a knowledge about breastfeeding assessment form with a reliability of .86, an attitude towards breastfeeding assessment form with a reliability of .85, an intention to breastfeed assessment form, a family involvement in breastfeeding assessment form, and a satisfaction in breastfeeding questionnaire with a reliability of .84. The implementation and data collection were conducted from October to December 2023. Data were analyzed using frequency, percentage, paired t-test, and independent t-test.

The research results revealed that after the experiment, the experimental group had a statistically significantly higher mean score of satisfaction in breastfeeding than before the experiment (t = 13.480, p < .001). After the experiment, the experimental group had statistically significantly higher mean scores of knowledge about breastfeeding, attitude towards breastfeeding, intention to breastfeed, family involvement in breastfeeding, and satisfaction in breastfeeding than the control group (t = 7.830, p < .001; t = 4.330, p < .001; t = 9.130, p < .001; t = 5.140, p < .001; and t = 6.330, p < .001, respectively).

This research suggests that nurses should implement this program promoting immediate and continuous breastfeeding in conjunction with family support for postpartum mothers in the communities. This will help the mothers perform their breastfeeding for six months.

Work Values of Two Generations of Nurses, Maharaj Nakorn Chiang Mai Hospital

2025-10-13T00:24:19+07:00

This descriptive comparative research aimed to study the work values and compare the work values between Generation X and Generation Y nurses. The participants were 337 professional nurses at Maharaj Nakorn Chiang Mai Hospital. The research instruments included a demographic questionnaire and the Work Values Questionnaire (WVal) with a reliability of .91. Data were collected from January to February 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, and Mann-Whitney U test.

The research results revealed that Generation X nurses had two aspects of work values at a high level, namely 1) the power aspect and 2) the stimulus aspect. Generation Y nurses had three aspects of work values at a high level, namely, 1) the power aspect, 2) the tradition aspect, and 3) the stimulus aspect. Generation X nurses had statistically significantly higher scores on five aspects of work values than Generation Y nurses, namely 1) the benevolence aspect (Z = -2.961, p < .01), 2) the universalism aspect (Z = -4.773, p < .001), 3) the self-direction aspect (Z = -5.763, p < .001), 4) the stimulus aspect (Z = -4.010, p < .001), and 5) the hedonism aspect (Z = -4.965, p < .001). On the other hand, Generation X nurses had statistically significantly lower scores on two aspects of work values than Generation Y nurses, namely 1) the tradition aspect (Z = -8.004, p < .001) and 2) the conformity aspect (Z = -7.081, p < .001).

This research suggests that nursing executives should utilize the findings to encourage nurses in each generation to achieve satisfaction and success in their work.

Workplace Violence among Multidisciplinary Teams of Psychiatric Hospitals in Thailand

2025-10-22T01:13:21+07:00

This descriptive research aimed to study workplace violence among multidisciplinary teams of psychiatric hospitals in Thailand. The samples consisted of 323 multidisciplinary teams working in psychiatric hospitals. The research instrument was a survey questionnaire on workplace violence in healthcare settings. Data were collected from August to December 2020. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Mann-Whitney U test.

The research results revealed that 1) multidisciplinary teams experienced physical violence (2.48%) and psychological violence (9.29%); 2) patients or customers were the most common sources of violence; 3) regarding the impact of physical violence, it was found that 50% were injured and 50% needed treatment. For the impact of psychological violence, there were a little bit of repeated, disturbing memories; 4) the workplace’s management of physical violence was to do nothing or report to the director. The workplace’s management of psychological violence was to do nothing, try to think that nothing happened, tell that person to stop, tell colleagues, report to the director, and write an incident report; and 5) there was no difference in the score for physical and psychological violence in the workplace between nurses and other multidisciplinary team members.

This research suggests that hospital executives should develop guidelines for preventing and solving workplace violence as well as promote writing an incident report.

Factors Associated with Mortality in Patients with ST-segment Elevation Acute Myocardial Infarction Admitted to Chao Phraya Abhaibhubejhr Hospital

2025-11-01T23:30:25+07:00

This cross-sectional descriptive research aimed to examine factors associated with mortality in patients with ST-segment elevation acute myocardial infarction (STEMI). The samples were 285 medical records of patients with STEMI admitted to Chao Phraya Abhaibhubejhr Hospital over a three-year period. The research instrument was a case record form. Data were collected from December 2022 to February 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and multiple binary logistic regression analysis.

The research results revealed that 1) the female patients had a 2.49 times higher likelihood of mortality compared to the male patients (AOR = 2.49, 95% CI = 1.17–5.29, p < .05); 2) the patients aged 60 years and over had a 4.37 times greater likelihood of mortality compared to the patients aged less than 60 years (AOR = 4.37, 95% CI = 1.80–10.53, p < .01); and 3) the patients with first medical contact (FMC) 120 minutes and over had a 2.09 times higher likelihood of mortality compared to those with FMC less than 120 minutes (AOR = 2.09, 95% CI = 1.00–4.36, p < .05).

This research suggests that related agencies should establish a guideline or a management system that provides the patients with STEMI access to health services immediately and effectively. This will help reduce the mortality rates in these patients.

Effectiveness of Implementing Clinical Practice Guidelines for Nursing Care of Schizophrenic Patients with Auditory Hallucination, Inpatient Department, Suan Prung Psychiatric Hospital, Chiang Mai Province

2025-11-17T12:35:49+07:00

This operational research aimed to investigate the effectiveness of implementing clinical practice guidelines (CPGs) for nursing care of schizophrenic patients with auditory hallucination, inpatient department, Suan Prung Psychiatric Hospital, Chiang Mai Province. The participants included 12 healthcare personnel who used the CPGs, 22 schizophrenic patients, and 22 caregivers of schizophrenic patients. The research instruments consisted of the CPGs for nursing care of schizophrenic patients with auditory hallucination, a personal data of healthcare personnel record form, a personal data of schizophrenic patient record form, a personal data of caregiver of schizophrenic patient record form, an incidence of severe aggressive behavior record form, a suffering from auditory hallucination assessment form, a re-admitted to the hospital within 28 days record form, a healthcare personnel satisfaction assessment form, a schizophrenic patient satisfaction assessment form, a caregiver of schizophrenic patient satisfaction assessment form, and a self-care after discharge assessment form with a reliability of .81. The implementation and data collection were conducted from April to June 2022. Data were analyzed by frequency, percentage, mean, and standard deviation.

The research results revealed that the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others was zero. In 86.36% of schizophrenic patients, the level of suffering from auditory hallucination decreased. The number of schizophrenic patients re-admitted to the hospital within 28 days was zero. The satisfaction of healthcare personnel who used the CPGs was at a high level (100%). The satisfaction of schizophrenic patients was at a high level (100%). Additionally, the satisfaction of caregivers of schizophrenic patients was at a high level (77.27%) and a moderate level (22.73%).

This research suggests that psychiatric personnel should utilize the CPGs for the care of schizophrenic patients with auditory hallucination to reduce the incidence rate of severe aggressive behavior of schizophrenic patients against themselves and others.

The Effect of a Health Belief Model Program on Electronic Cigarette Smoking Prevention Behaviors among Junior High School Students, Chanthaburi Province

2025-11-07T19:13:05+07:00

This quasi-experimental research aimed to examine the effect of a health belief model program on electronic cigarette smoking prevention behaviors among junior high school students. The participants included 60 junior high school students who were studying in schools under the local administrative organization in Mueang Chanthaburi District, Chanthaburi Province. They were equally divided into an experimental group (n = 30) and a comparison group (n = 30). The research instruments consisted of a health belief model program on electronic cigarette smoking prevention behaviors, a general data questionnaire, a knowledge regarding electronic cigarette test with a reliability of .71, an attitude towards electronic cigarette questionnaire with a reliability of .75, and an electronic cigarette smoking prevention behaviors questionnaire with a reliability of .95. The implementation and data collection were conducted from August 2024 to March 2025. Data were analyzed using frequency, percentage, mean, standard deviation, independent t-test, and two-way repeated measures ANOVA.

The research results revealed that 1) in the after-experiment and the follow-up periods, the experimental group showed no different mean scores of knowledge regarding electronic cigarette and attitude towards electronic cigarette from the comparison group and from the before-experiment period; and 2) in the after-experiment and the follow-up periods, the experimental group presented statistically significantly different mean score of electronic cigarette smoking prevention behaviors from the comparison group (p < .001) and from the before-experiment period (p < .05).

This research suggests that school executives should utilize this health belief model program as a health promotion activity among junior high school students, with a particular focus on fostering sustained electronic cigarette smoking prevention behaviors.

The Effects of a Resilience Quotient Enhancing Program for Depression Prevention among Nursing Students

2025-10-08T22:13:15+07:00

This quasi-experimental research aimed to examine the effects of a resilience quotient enhancing program for depression prevention among nursing students. 60 participants were 1st-year nursing students at a nursing college. They were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a resilience quotient enhancing program for depression prevention, a personal data questionnaire, a resilience quotient assessment form with a reliability of .84, and the Center for Epidemiologic Studies-Depression Scale (CES-D): Thai version, with a reliability of .71. The implementation and data collection were conducted from July to September 2022. Data were analyzed using frequency, percentage, mixed-design ANOVA, and repeated measures ANOVA with multiple comparisons by the Bonferroni method.

The research results revealed that 1) at the post-intervention and the one-month follow-up periods, the experimental group had statistically significantly different scores of resilience quotient and depression from the control group; and 2) the experimental group had a statistically significantly increased score of resilience quotient and decreased score of depression.

This research suggests that nursing educational executives should utilize this resilience quotient-enhancing guideline for depression prevention among nursing students through various activities such as positive perspective practices, self-control, and proper modification.

Outcomes of Care for Acute Hemorrhagic Stroke Patients Receiving Care with a Stroke Program at the Stroke Unit in Rayong Hospital

2025-10-28T15:07:32+07:00

This retrospective descriptive research aimed to examine the outcomes of care for acute hemorrhagic stroke patients receiving care with a stroke program. The samples consisted of 417 medical records of acute hemorrhagic stroke patients receiving care with a stroke program at the Stroke Unit in Rayong Hospital in the fiscal years 2021 and 2022. The research instrument included the record form of quality of hemorrhagic stroke service in Rayong Hospital, the Barthel Index of Activities of Daily Living with a reliability of .99, and the Modified Rankin Scale (mRS) with a reliability of .84. Data were collected from April to June 2023. Data were analyzed using frequency, percentage, mean, standard deviation, median, interquartile range, and Wilcoxon signed-rank test.

The research results revealed that 1) in the fiscal years 2021 and 2022, the outcomes of care for acute hemorrhagic stroke patients were as follows: The average lengths of stay were 9.20 days (SD = 9.20, Med = 7, IQR = 8) and 11.80 days (SD = 13.60, Med = 7, IQR = 12), respectively; the average costs were 55,676.50 baht per case (SD = 56,574.20, Med = 32,550.63, IQR = 52,446.69) and 67,715.03 baht per case (SD = 74,433.50, Med = 39,506, IQR = 56,509.94), respectively; the rate of readmission within 28 days was 0% in both years. For the complication rates, it was showed that aspirated pneumonia occurred in 1.64% and 0.43%, respectively, while urinary tract infection (UTI) occurred at rates of 2.19% and 1.28%, respectively, the rate of pressure sore were 1.64% and 0%, respectively, as well as the mortality rate were 25.14% and 27.78%, respectively; and 2) in the fiscal years 2021 and 2022, at the discharge day, the patients demonstrated a statistically significantly higher average score from the Barthel Index of Activities of Daily Living than at the first day of admission (Z = -7.500, p < .001 and Z = -9.200, p < .001, respectively), whereas they showed a statistically significantly lower average score from the Modified Rankin Scale than at the first day of admission (Z = -4.200, p < .001 and Z = -3.300, p < .001, respectively).

This research suggests that hospital administrators should promote the establishment of stroke units that provide care for ischemic and hemorrhagic stroke patients in critical condition. It will enhance the quality of care in accordance with standards, reduce mortality rates, and decrease disability levels.

The Effects of a Health Coaching Program on Health Literacy, Behavior in Controlling Hyperlipidemia, and Clinical Outcome among Individuals with Hyperlipidemia

2025-10-16T15:56:33+07:00

This quasi-experimental research aimed to examine the effects of a health coaching program on health literacy, behavior in controlling hyperlipidemia, and clinical outcome. The participants comprised 80 individuals with hyperlipidemia who received the medical services at Khamong Sub-district Health Promoting Hospital, Tha Mai District, Chanthaburi Province. They were divided into an experimental group (n = 39) and a control group (n = 41). The research instruments included a health coaching program for controlling hyperlipidemia, a health behavior recording handbook, a demographic questionnaire, a health literacy assessment form for controlling hyperlipidemia with a reliability of .92, and a behavior in controlling hyperlipidemia assessment form with a reliability of .72. The implementation and data collection were conducted from April to July 2025. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, paired t-test, and independent t-test.

The research results revealed that 1) after entering the program, the experimental group demonstrated statistically significantly higher mean scores in health literacy and behavior in controlling hyperlipidemia than before entering the program (t = 4.098, p < .001 and t = 5.918, p < .001, respectively), it also demonstrated statistically significantly lower mean total cholesterol level, low-density lipoprotein (LDL) level, and triglyceride level than before entering the program (t = 2.019, p < .05; t = 1.984, p < .05; and t = 2.155, p < .05, respectively), but it showed that mean high-density lipoprotein (HDL) level was not differ from before entering the program; and 2) after entering the program, the experimental group demonstrated statistically significantly higher mean scores in health literacy and behavior in controlling hyperlipidemia than the control group (t = 4.912, p < .001 and t = 4.338, p < .001, respectively), it also demonstrated statistically significantly lower mean total cholesterol level and triglyceride level than the control group (t = 3.262, p < .01 and t = 2.965, p < .01, respectively), but it showed that mean HDL level and LDL level were not differ from the control group.

This research suggests that primary healthcare personnel should implement a health coaching program for controlling hyperlipidemia to enhance health literacy and behavior in controlling hyperlipidemia, particularly among individuals not currently receiving lipid-lowering medication. There should be supervision and follow-up to ensure consistent and sufficient exercise that can help increase HDL cholesterol and decrease LDL cholesterol levels.

Effects of Teaching and Learning Management Using Virtual Simulation Situations on Clinical Judgement Skills of Nursing Students

2025-12-01T08:36:50+07:00

This quasi-experimental research aimed to examine the effects of teaching and learning management using virtual simulation situations on clinical judgement skills of nursing students. The samples were 150 fourth-year nursing students studying at Phrapokklao Nursing College, Chanthaburi, in the first and second semesters of the academic year 2024. The research instruments included the teaching and learning management plan using virtual simulation situations, a general data questionnaire, and the Thai version of Lasater Clinical Judgement Rubric (T-LCJR) with a reliability of .81. The implementation and data collection were conducted from June to July 2024 and October to December 2024. Data were analyzed using frequency, percentage, mean, standard deviation, one-way repeated measures ANOVA (multiple comparisons by the Bonferroni method), and content analysis.

The research results revealed that 1) most nursing students reached the proficient level of clinical judgement skills; 2) every aspect of clinical judgement skills of nursing students was continuously developed, especially the responding and reflecting aspects; and 3) before and after teaching and learning management, and at the end of the practicum, the students showed a statistically significantly different mean score of clinical judgement skills (F = 120.450, p < .001).

This research suggests that nursing instructors should design suitable virtual simulation situations for nursing students with low clinical judgement skills, increase practice hours in the simulation laboratory, and integrate supportive technologies such as AI clinical reasoning tools, as well as provide continuous evaluation and feedback. This will help enhance good learning outcomes.

The Development of a Perceived Self-efficacy Enhancement Program for Depression Prevention of the Elders in Community, Chanthaburi Province

2025-12-09T23:59:43+07:00

This research and development aimed to develop a perceived self-efficacy enhancement program for depression prevention of the elders and examine the effectiveness of a program. The research was carried out in 3 phases, including 1) situation analysis and identifying needs of the elders; 2) developing a program and testing the feasibility of the program with 14 elders; and 3) improving the program and evaluating the program with the elders, who were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a perceived self-efficacy enhancement program for depression prevention of the elders, a nine-question depression screening form (9Q), a semi-structured interview form, a program feasibility questionnaire with a reliability of .85, a demographic questionnaire, a test of knowledge regarding self-care for depression prevention with a reliability of .87, and a questionnaire of perceived self-efficacy for depression prevention with a reliability of .85. The implementation and data collection were conducted from October 2020 to February 2021. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, Fisher’s exact test, paired t-test, independent t-test, and content analysis.

The research results revealed that 1) 75% of the elders presented mild depression, and the elders needed a depression prevention approach; 2) the elders indicated that the level of feasibility of the program was high (M = 48.81, SD = 4.31); 3) after the experiment, the experimental group had a statistically significantly higher mean scores of knowledge regarding self-care for depression prevention and perceived self-efficacy for depression prevention than before the experiment (t = 5.549, p < .001 and t = 27.246, p < .001, respectively), they also had a statistically significantly lower mean score of depression than before the experiment (t = 14.621, p < .001); and 4) after the experiment, the experimental group had a statistically significantly higher mean score of perceived self-efficacy for depression prevention than the control group (t = 19.878, p < .001), they also had a statistically significantly lower mean score of depression than the control group (t = 16.610, p < .001). However, the elders showed no difference in mean score of knowledge regarding self-care for depression prevention between two groups.

This research suggests that healthcare providers working on elderly mental health in the community should implement this perceived self-efficacy enhancement program for depression prevention of the elders to care for the elders. This will help reduce depression among these elders.

Effects of a Perceived Self-efficacy Promoting Program on Exclusive Breastfeeding Success in Postpartum Mothers Diagnosed with Gestational Diabetes Mellitus and Obesity Class 1 or Higher

2025-10-31T00:41:06+07:00

This quasi-experimental research aimed to examine the effects of a perceived self-efficacy promoting program on exclusive breastfeeding success in postpartum mothers. The participants consisted of 34 postpartum mothers diagnosed with gestational diabetes mellitus (GDM) and obesity class 1 or higher who delivered at Phrapokklao Hospital, Chanthaburi Province. They were equally divided into an experimental group (n = 17) and a control group (n = 17). The research instruments comprised a perceived self-efficacy promoting program for breastfeeding, a general information questionnaire, a delivery data record form, a LATCH score assessment form with a reliability of .92, a breastfeeding perceived self-efficacy interview form with a reliability of .95, and an exclusive breastfeeding follow-up record form. The implementation and data collection were conducted from May 2024 to September 2025. Data were analyzed by frequency, percentage, mean, standard deviation, Chi-square test, Mann-Whitney U test, and McNemar test.

The research results revealed that 1) at the third day postpartum, the experimental group demonstrated a statistically significantly higher score of breastfeeding ability than the control group (Z = -2.020, p < .05); 2) at the second week postpartum, the experimental group showed no different rate of exclusive breastfeeding success from the control group; 3) at the sixth week postpartum, the experimental group presented a statistically significantly higher rate of exclusive breastfeeding success than the control group (X² = 10.885, p < .01); and 4) at the sixth week postpartum, the experimental group had a rate of exclusive breastfeeding success not lower than at the second week postpartum.

This research suggests that nurses working on postpartum obstetric units should adopt and continue this perceived self-efficacy promoting program for postpartum mothers with GDM after hospital discharge, particularly throughout the first six weeks postpartum. This will help increase the exclusive breastfeeding rates.

Effect of the Anger Management Program on Aggressive Behavior among Patients with Alcohol-use Disorders, Suan Prung Psychiatric Hospital, Chiang Mai Province

2025-10-26T10:13:14+07:00

This quasi-experimental research aimed to examine the effect of the anger management program on aggressive behavior among patients with alcohol-use disorders. The samples consisted of 18 patients with alcohol-use disorders in Suan Prung Psychiatric Hospital, Chiang Mai Province. They were equally divided into an experimental group (n = 9) and a control group (n = 9). The research instruments included the anger management program, the Clinical Institute Withdrawal Assessment for Alcohol-Revised Version (CIWA-Ar) with a reliability of .90, a demographic data form, and the Overt Aggression Scale with a reliability of .90. The implementation and data collection were conducted from January to April 2020. Data were analyzed by frequency, percentage, mean, standard deviation, median, Fisher’s exact test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U test.

The research results revealed that 1) after the experiment, the experimental group had a statistically significantly lower score of aggressive behavior than before the experiment (Z = -2.754, p < .01); and 2) after the experiment, the experimental group had a statistically significantly lower score of aggressive behavior than the control group (Z = -2.915, p < .01).

This research suggests that psychiatric personnel should utilize the anger management program for reducing aggressive behavior among patients with alcohol-use disorders.

Quality and Safety in the Care of Patients with Sepsis: A Descriptive Study in the Emergency Department of a Tertiary Hospital

2025-12-05T00:00:04+07:00

This retrospective descriptive research aimed to examine the relationships between clinical characteristics and nursing practices based on standard guidelines and clinical outcomes related to quality of care and patient safety among patients with sepsis. The sample consisted of medical records of 119 patients with sepsis who presented to the emergency department of a tertiary hospital between January 1 and June 30, 2024. The research instrument was a nursing situation assessment form for patients with sepsis, comprising three components: clinical characteristics, nursing practices, and clinical outcomes. The reliability coefficients were 1, .95, and 1, respectively. Data were collected from January to June 2025 and analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, as well as Chi-square test and Fisher’s exact test.

The research results showed that most patients with sepsis were older adults with multiple comorbidities. The most common presenting symptoms were dyspnea and fever. The mean blood lactate level was 3.18 mmol/L (SD = 3.41). Most patients received antibiotics within one hour after diagnosis (60.50%). Regarding clinical outcomes, the mean emergency department length of stay was 150.24 minutes (SD = 72.58). The in-hospital mortality rate was 26.89%, and the incidence of hypotension in the emergency department was 7.56%. Statistical analysis revealed that disease severity, as measured by the SOS score, was significantly associated with both in-hospital mortality and the occurrence of hypotension in the emergency department among patients with sepsis.

This research suggests that administrators should promote early severity screening and reduce emergency department length of stay to improve the quality of care and enhance patient safety for patients with sepsis.