Journal of Phrapokklao Nursing College, Chanthaburi

“Will I Be Able to Return Home?”: A Question Still Awaiting an Answer

Benjarat Ruengsiri — 2026-06-30

8-Hour or 12-Hour Shifts: Which Model Best Supports Critical Care Nursing amid the Nursing Shortage?

Rungnapha Khiewchaum — 2026-06-30

The current nursing shortage has significantly affected patients, nurses, and the healthcare system. The Ministry of Public Health and the Thailand Nursing and Midwifery Council have attempted to address this issue through both short-term and long-term strategies. Long-term strategies include increasing the production capacity of nursing graduates through four-year nursing programs and accelerated 2.5-year nursing programs. In addition, short-term strategies have been implemented to urgently reduce the nursing shortage, such as rehiring retired nurses to return to clinical practice and introducing alternative nursing shift patterns, including changing nursing work schedules from 8-hour shifts to 12-hour shifts. In particular, changing nursing shift patterns is considered both challenging and necessary, requiring careful investigation of the potential impacts on all stakeholders, including administrators, nurses, and patients. Such evidence is essential to ensure that the implementation of nursing work schedules minimizes negative consequences for patients, nurses, and the overall healthcare system.

Effects of Coaching on Nurses’ Knowledge and Practices for Prevention of Catheter-associated Urinary Tract Infection in a General Hospital

Supaluk Auntapun — 2026-06-30

This quasi-experimental research aimed to examine the effects of coaching on nurses’ knowledge and practices for prevention of catheter-associated urinary tract infection (CAUTI). The sample consisted of 25 nurses working in the medical intermediate care unit of a general hospital. The research instruments included a coaching plan for prevention of CAUTI, a demographic data questionnaire, a knowledge test of prevention of CAUTI with a reliability of .96, and a practice observational record form of prevention of CAUTI with a reliability of 1. The implementation and data collection were conducted from June 2022 to January 2023. Data were analyzed using frequency, percentage, mean, standard deviation, median, Wilcoxon signed-rank test, Chi-square test, and Fisher’s exact test.

The research results revealed that 1) after implementing coaching, nurses had a statistically significantly higher score of knowledge for prevention of CAUTI than before implementing coaching (Z = -4.395, p < .001); and 2) after implementing coaching, nurses had a statistically significantly higher proportion of correct practices for prevention of CAUTI than before implementing coaching (χ² = 671.723, p < .001).

This research suggests that the nurse executives should implement this coaching plan for prevention of CAUTI to enhance knowledge and practices for prevention of CAUTI among nurses in other wards.

The Effect of Providing Information Via Media Application by Family Participation on Self-care Behaviors among School-aged Children with Asthma

Sasiwimon Limwattana — 2026-06-30

This quasi-experimental research aimed to examine the effect of providing information via media application by family participation on self-care behaviors among school-aged children with asthma. The sample consisted of 42 school-aged children with asthma who received treatment at the asthma clinics, Damnoen Saduak Hospital, Photharam Hospital, and Ban Pong Hospital, Ratchaburi Province, and their families. The children were equally divided into an experimental group (n = 21) and a control group (n = 21). The research instruments included a nursing plan for providing information via media application by family participation, a media application “Nu Chana Hued”, a questionnaire of perceived benefits of practicing self-care behavior of children with a reliability of .87, a questionnaire of perceived benefits of practicing self-care behavior of families with a reliability of .84, a self-care knowledge and skills assessment form with the reliabilities in the range of .80–.98, a questionnaire of demographic data of children, and a questionnaire of self-care behavior of children with a reliability of .83. The implementation and data collection were conducted from September 2023 to January 2024. Data were analyzed using frequency, percentage, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the school-aged children with asthma in the experimental group had a statistically significantly higher mean score in self-care behavior than before the experiment (t = 15.266, p < .001); and 2) after the experiment, the school-aged children with asthma in the experimental group had a statistically significantly higher mean score in self-care behavior than the control group (t = 13.702, p < .001).

This research suggests that nurses should assess the self-care deficit of school-aged children with asthma as well as promote self-care behavior through providing information via media application by family participation.

Factors Predicting Blood Sugar Control Behavior among Type 2 Diabetes Patients, Lom Sak Municipality, Lom Sak District, Phetchabun Province

Wanalee Toomta — 2026-06-30

This cross-sectional analytical research aimed to study blood sugar control behavior and factors predicting blood sugar control behavior among type 2 diabetes patients. The participants were 295 type 2 diabetes patients in Lom Sak Municipality, Lom Sak District, Phetchabun Province. The research instruments included a personal information questionnaire, a thought and feeling towards specific behavior questionnaire with a reliability of .87, and a blood sugar control behavior questionnaire with a reliability of .93. Data were collected from February to March 2024. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that most type 2 diabetes patients performed overall blood sugar control behavior at a moderate level (90.17%). Career trading/personal business, self-efficacy, performance-related emotions, and interpersonal influences could statistically significantly predict blood sugar control behavior among type 2 diabetes patients, accounting for 18.60% of the variance (R² = .186, p < .001). The most predictive factor was self-efficacy (Beta = .290, p < .001).

This research suggests that healthcare providers should provide activities enhancing thought and feeling towards specific behavior among type 2 diabetes patients, focusing on self-efficacy and interpersonal influences. This will help the patients increase their blood sugar control behavior.

Predicting Factors of Suicidal Behavior among Early Adults

Kamonpatch Inpun — 2026-06-30

This predictive correlational descriptive research aimed to explore suicidal behavior and factors predicting suicidal behavior among early adults. The participants were 89 early adults who had received services from mental health and psychiatric outpatient departments at community hospitals in Chiang Mai, Lampang, and Phrae Province. The research instruments included the demographic data record, the Rosenberg Self-Esteem Scale: Revised Thai RSES with a reliability of .80, the social support questionnaire with a reliability of .80, the revised version of the Thai Herth Hope Index with a reliability of .80, and the Mini International Neuropsychiatric Structure Interview (M.I.N.I.): Suicidality part with a reliability of 1. Data were collected from March to May 2021. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that most early adults were at a low level of suicide risk (79.77%). Social support is the only factor that could statistically significantly predict suicidal behavior among early adults, accounting for 33.90% of the variance (R² = .339, p < .01).

This research suggests that psychiatric nurses should enhance systemic social support for their clients to prevent suicidal behavior.

Organizational Commitment Factors Affecting Intention to Stay of Newly Graduated Nurses in Private Hospitals in Bangkok

Lunchana Permpool — 2026-06-30

This predictive correlational research aimed to determine the organizational commitment factors, intention to stay, and organizational commitment factors affecting intention to stay of newly graduated nurses. The sample consisted of 270 newly graduated nurses in private hospitals in Bangkok. The research instruments included a demographic questionnaire, an organizational commitment factors questionnaire with a reliability of .71, and an intention to stay questionnaire with a reliability of .70. Data were collected from November to December 2024. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis.

The research results revealed that newly graduated nurses had high mean scores across all six domains of organizational commitment, while their overall mean score for intention to stay was at a moderate level. Three domains of organizational commitment, including career advancement, organizational interaction, and compensation and benefits, could statistically significantly predict the intention to stay of newly graduated nurses, accounting for 24% of the variance (adj. R² = .240, p < .001). The most predictive factor was career advancement (Beta = 1.243, p < .001).

This research suggests that organizations should place importance on providing career paths and proper benefits to newly graduated nurses. This will help increase the intention to stay among these nurses.

Development of Care Model for Dependent Elderly by Community Participation

Sirin Kananurak — 2026-06-30

This qualitative research aimed to develop a care model for the dependent elderly by community participation. The research was carried out in three phases. The informants in the first phase were 12 primary caregivers of the dependent elderly; in the second phase, there were 53 people involved in caring for the dependent elderly; and in the third phase, there were 12 representatives involved in caring for the dependent elderly. The research instruments included an in-depth interview question for the primary caregiver, a focus group guide on social capital, and a focus group guide regarding model evaluation. Data were collected using in-depth interviews and focus groups from May 2023 to February 2024. Data were analyzed using content analysis.

The research results revealed that a care model for the dependent elderly by community participation, operated by the "Support the Life of Dependent Elderly Team" consisting of the subdistrict health promoting hospital, elderly caregivers, village health volunteers, community medical center team, subdistrict municipality, local leaders, elderly clubs, temples, subdistrict quality of life development and career development center, and private agencies in the area. There were six steps in the process: 1) identifying the problem, 2) gathering additional problem information, 3) scheduling a team meeting, 4) visiting the home together, 5) holding a team meeting to find a solution, and 6) evaluating the team’s performance.

This research suggests that the agencies related to care for the dependent elderly should utilize this care model for the dependent elderly by community participation. It is necessary to create participation in problem awareness to jointly make decisions, take action, receive benefits, and evaluate.

Factors Related to COVID-19 Prevention Behaviors of Adult Clients at Outpatient Department in a Private Hospital

Kamolpat Worapani — 2026-06-30

This descriptive correlational research aimed to investigate COVID-19 prevention behaviors and factors related to COVID-19 prevention behaviors of adult clients. The sample consisted of 351 adult clients visiting the outpatient department in a private hospital. The research instruments included the personal information questionnaire, the factors related to COVID-19 prevention behaviors questionnaire with the reliabilities in the range of .75–.92, and the COVID-19 prevention behaviors questionnaire with a reliability of .83. Data were collected from December 2022 to February 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, median, interquartile range, and Spearman’s rank correlation.

The research results revealed that adult clients had an overall mean score of COVID-19 prevention behaviors at a high level (M = 85.68, SD = 12.09, Med = 86, IQR = 19). Perceived benefit of action, perceived self-efficacy, activity-related affect for practice, and interpersonal influence were positively statistically significantly related to COVID-19 prevention behaviors of adult clients (r_s = .569, p < .001; r_s = .624, p < .001; r_s = .117, p < .01; and r_s = .403, p < .001, respectively). In contrast, perceived barriers to action was negatively statistically significantly related to COVID-19 prevention behaviors of adult clients (r_s = -.393, p < .001).

This research suggests that nurse executives should encourage the clients to perceive the benefit of COVID-19 prevention behaviors, provide positive activity-related affect for practice, and promote confidence in the practice. This will help increase proper COVID-19 prevention behaviors of clients.

Work Engagement, Work-Family Enrichment, and Innovative Work Behavior of Professional Nurses at the Public Hospital: The Mediator Role of Psychological Capital

Napasorn Phongphol — 2026-06-30

This descriptive research aimed to study factors directly and indirectly affecting the innovative work behavior of professional nurses through psychological capital. The sample were 246 professional nurses at the public hospital. The research instruments included a personal data questionnaire, a work engagement questionnaire with a reliability of .94, a work-family enrichment questionnaire with a reliability of .94, a psychological capital questionnaire with a reliability of .94, and an innovative work behavior with a reliability of .95. Data were collected from October to November 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Pearson’s product-moment correlation. For the analysis of direct and indirect effects, the bootstrapping method was used.

The research results revealed that 1) work engagement had a statistically significant direct effect on innovative work behavior of professional nurses (c' = .094, p < .05), and it had a statistically significant indirect effect on innovative work behavior of professional nurses through psychological capital as a partial mediator (a*b = .446, p < .05); and 2) work-family enrichment had no direct effect on innovative work behavior of professional nurses, but it had a statistically significant indirect effect on innovative work behavior of professional nurses through psychological capital as a full mediator (a*b = .349, p < .05).

This research suggests that nurse executives should promote professional nurses to perform more work engagement and work-family enrichment as well as enhance psychological capital. This will help increase the innovative work behavior of professional nurses.

Effect of the Social Support Program on Fear of Childbirth among First-time Expectant Fathers during the First Stage of Labor of Their Wives

Silchai Tana — 2026-06-30

This quasi-experimental research aimed to examine the effect of the social support program on fear of childbirth among first-time expectant fathers during the first stage of labor of their wives. The subjects were 44 first-time expectant fathers whose wives were in the first stage of labor at the labor unit, the Health Promotion Hospital, Health Promotion Center Region 1, Chiang Mai. They were equally divided into an experimental group (n = 22) and a control group (n = 22). The research instruments consisted of the social support program among first-time expectant fathers during the first stage of labor of their wives, an expectant father’s personal data questionnaire, and the Fear Visual Analogue Scale with a reliability of .97. The implementation and data collection were conducted from March 2023 to February 2024. Data were analyzed by frequency, percentage, median, interquartile range, Fisher’s exact test, Mann-Whitney U test, and independent t-test.

The research results revealed that after the experiment, the experimental group had a statistically significantly lower mean score of fear of childbirth than the control group (t = 11.741, p < .001).

This research suggests that nurse-midwives should apply this social support program to care for first-time expectant fathers during the first stage of labor of their wives. This will help reduce their fear of childbirth.

Leader-Member Exchange and Job Embeddedness of Generation Z Nurses, University Hospitals

Supansa Wanna — 2026-06-30

This descriptive correlational research aimed to explore leader-member exchange, job embeddedness, and the relationship between leader-member exchange and job embeddedness of Generation Z nurses. The sample consisted of 244 Generation Z registered nurses working at four public university hospitals in northern Thailand. The research instruments included a demographic data questionnaire, a leader-member exchange questionnaire with a reliability of .95, and a job embeddedness questionnaire with a reliability of .79. Data were collected from July to August 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Spearman’s rank correlation.

The research results revealed that Generation Z nurses had an overall mean score of leader-member exchange at a high level (M = 3.72, SD = .52). They also had mean scores of on-the-job and off-the-job embeddedness at a moderate level (M = 3.21, SD = .52; and M = 3.19, SD = .58, respectively). Leader-member exchange was positively and statistically significantly related to on-the-job embeddedness of Generation Z nurses (r_s = .332, p < .001).

This research suggests that nurse executives should encourage head nurses to regularly exchange with Generation Z nurses as well as promote job embeddedness through various activities. This will help Generation Z nurses remain in the organization.

Factors Related to Family Management among Caregivers of Children with Systemic Lupus Erythematosus

Rungthip Phubphon — 2026-06-30

This descriptive correlational research aimed to study family management and factors related to family management among caregivers of children with systemic lupus erythematosus (SLE). The participants were 102 caregivers of children with SLE in three tertiary hospitals in Northern Thailand. The research instruments included a caregiver and child demographic questionnaire, a social support questionnaire with a reliability of .91, and the Family Management Measure (FaMM) with the reliabilities in the range of .81–.87. Data were collected from May 2022 to July 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Eta correlation, Spearman’s rank correlation, and Pearson’s product-moment correlation.

The research results revealed that caregivers of children with SLE had an overall mean score of family management at a moderate level (M = 152.31, SD = 13.33). Education level of caregivers, family income, and social support were positively and statistically significantly related to family management among caregivers of children with SLE (η = .477, p < .001; η = .331, p < .05; and r = .632, p < .001, respectively).

This research suggests that nursing professionals should encourage the caregivers of children with SLE to perform more proper and more effective family management by providing social support.

Effectiveness of the Surgical Site Infection Prevention Program among Operating Room Nurses in a Tertiary Hospital

Kamonchanok Puripattrawat — 2026-06-30

This quasi-experimental research aimed to examine the effectiveness of the surgical site infection (SSI) prevention program among operating room nurses in a tertiary hospital. The sample consisted of 50 operating room nurses in a tertiary hospital of northern Thailand. They were equally divided into an experimental group (n = 25) and a control group (n = 25). The research instruments included the SSI prevention program, a demographic data questionnaire, an SSI prevention knowledge test with a reliability of .87, and an SSI prevention practice questionnaire with a reliability of .83. The implementation and data collection were conducted from October 2022 to January 2023. Data were analyzed using frequency, percentage, mean, standard deviation, median, Fisher’s exact 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 higher score of SSI prevention knowledge and SSI prevention practice than before the experiment (Z = -2.859, p < .001; and Z = -4.337, p < .001, respectively); and 2) after the experiment, the experimental group had a statistically significantly higher score of SSI prevention knowledge and SSI prevention practice than the control group (Z = -3.644, p < .001; and Z = -5.218, p < .001, respectively).

This research suggests that nurse executives should implement this SSI prevention program with operating room nurses to increase their SSI prevention knowledge and practice.

Person-Environment Fit and Innovative Work Behaviors among Nurses in Regional Hospitals

Sirinun Keawnim — 2026-06-30

This descriptive correlational research aimed to study person-job fit, person-group fit, person-organization fit, innovative work behaviors, and the relationships among person-job fit, person-group fit, and person-organization fit with innovative work behaviors among nurses in regional hospitals. The sample consisted of 394 nurses working in three regional hospitals of northern Thailand. The research instruments included a demographic data questionnaire, the Perceived Person-Environment Fit Scale (PPEFS) with the reliabilities in the range of .87–.94, and the Innovative Behavior Scale with a reliability of .87. Data were collected in June 2024. Statistics used for data analysis included frequency, percentage, mean, standard deviation, and Spearman’s rank correlation.

The research results revealed that nurses had mean scores of person-job fit, person-group fit, and person-organization fit at a high level (M = 5, SD = .79; M = 5.13, SD = .73; and M = 5.11, SD = .78, respectively). Also, they had a mean score of innovative work behaviors at a high level (M = 25.78, SD = 5.41). Person-job fit, person-group fit, and person-organization fit were positively statistically significantly related to innovative work behaviors among nurses (r_s = .350, p < .001; r_s = .280, p < .001; and r_s = .330, p < .001, respectively).

This research suggests that nurse executives should promote nurses to have person-job fit, person-group fit, and person-organization fit through various strategies to increase innovative work behaviors among nurses.

Competencies of Nurses in Maritime Emergency Care in Thailand

Tharatip Tamrong — 2026-06-30

This descriptive research aimed to examine the competencies of registered nurses related to emergency care for maritime patients in Thailand, employing the ethnographic Delphi futures research (EDFR) technique. The research involved 22 healthcare experts from three groups: 4 academics, 6 executives, and 12 practitioners. The research was conducted in three rounds from March to August 2024. The first round was an interview of the experts following an open-ended question guideline, analyzed by the content analysis method. The second round was an assessment of the experts’ opinions of the importance of competencies with the closed-ended questionnaires based on the first-round analysis, analyzed for median and interquartile range. The third round was an assessment of confirmation or revision of the experts’ opinions for the competency importance with an updated questionnaire reflecting the second-round analysis.

The research results revealed that competencies of registered nurses in maritime emergency care in Thailand consist of 8 competencies, comprising 35 items: 1) 6 items related to maritime emergency nursing care, 2) 4 items related to safety, 3) 4 items related to maritime diseases and illnesses, 4) 4 items related to the use of tools, medical supplies, equipment, and transportation, 5) 5 items related to systems, standards, and practices for maritime emergency care, 6) 5 items related to assessment, diagnosis, and triage of patients, 7) 4 items related to management and teamwork, and 8) 3 items related to geography, society, and environment.

This research suggests that nursing executives should utilize the results to improve nursing competencies and develop relevant maritime emergency care curricula in Thailand.

The Nurse Anesthetists’ Burnout at Anesthesia Department of Sakaeo Crown Prince Hospital: A Convergent Mixed-Methods Study

Chananya Thiraprapruet — 2026-06-30

This convergent mixed-methods study aimed to explore the level of burnout among nurse anesthetists. The participants consisted of 10 nurse anesthetists working at the anesthesia department of Sakaeo Crown Prince Hospital. The research instruments included a demographic questionnaire, the Thai version of the Maslach Burnout Inventory (MBI), with the reliabilities of .86, .85, and .78 for each domain, respectively, and a semi-structured interview guide. Data was collected from November 2023 to March 2024. Quantitative data were analyzed using frequency, percentage, median, and interquartile range. Qualitative data were analyzed using a content analysis approach.

The research results revealed that 70% of the nurse anesthetists had low levels of emotional exhaustion and depersonalization, while 90% reported high levels of personal accomplishment.

This research suggests that nursing administrators should use these findings to enhance personnel development programs aimed at preventing burnout. This may help nursing personnel achieve a better quality of work life.

Factors Related to Smoking among Pga K’nyau People in Umphang District, Tak Province

Phusada Yomnawakul — 2026-06-30

This cross-sectional survey research aimed to study the prevalence of smoking and factors related to smoking among Pga K’nyau people. The sample consisted of 315 Pga K’nyau people in Umphang District, Tak Province, aged 20–60 years. The research instruments included a personal data questionnaire, a knowledge test regarding cigarettes with a reliability of .85, an attitudes questionnaire toward smoking with a reliability of .78, a conformity to social norms questionnaire regarding smoking with a reliability of .87, and a smoking questionnaire. Data were collected from February to April 2023. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Chi-square test, and multiple logistic regression analysis (enter method).

The research results revealed that 1) the prevalence of smoking among Pga K’nyau people (in the recent 30 days) was 78.73%; and 2) the factors that statistically significantly affected smoking among Pga K’nyau people were composed of gender (AOR = 4.33, 95% CI = 2.41–7.77, p < .001), knowledge regarding cigarettes (AOR = 2.78, 95% CI = 1.48–5.22, p < .01), attitudes toward smoking (AOR = 7.60, 95% CI = 1.39–41.53, p < .05), and conformity to social norms regarding smoking (AOR = 12.10, 95% CI = 2.41–60.72, p < .01).

This research suggests that healthcare and local agencies should provide proactive activities to enhance knowledge regarding cigarettes’ harm as well as encourage Pga K’nyau people to enroll in various activities. This will help increase awareness and modify attitudes toward smoking among Pga K’nyau people.

Factors Affecting Behavior of Corona Virus Disease 2019 Prevention among Village Health Volunteers, Uttaradit Province

Phorndanan Chantakoa — 2026-06-30

This cross-sectional analytical research aimed to study behavior of Corona Virus Disease 2019 (COVID-19) prevention and factors affecting behavior of COVID-19 prevention among village health volunteers. The sample consisted of 390 village health volunteers in Uttaradit Province. The research instruments included a personal characteristics questionnaire, a knowledge test regarding COVID-19 with a reliability of .72, an attitudes questionnaire toward COVID-19 with a reliability of .72, a health belief questionnaire regarding COVID-19 with the reliabilities in the range of .72–.94, and a COVID-19 prevention behavior questionnaire with a reliability of .86. Data were collected from April to July 2024. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Pearson’s product-moment correlation, Chi-square test, and stepwise multiple regression analysis.

The research results revealed that most village health volunteers performed the overall behavior of COVID-19 prevention at a high level (95.64%). Attitudes toward COVID-19 prevention, perceived severity of COVID-19, and cue to action could statistically significantly predict behavior of COVID-19 prevention among village health volunteers, accounting for 24.40% of the variance (adj. R² = .244, p < .001). The most predictive factor was cue to action (Beta = .274, p < .001).

This research suggests that relevant agencies should utilize the findings to enhance the preparedness of village health volunteers for the prevention of emerging respiratory infectious diseases. This will help village health volunteers practice appropriate preventive behaviors.

Effect of 3-Minute Mindfulness on Compassion Fatigue of Nurses in Intensive Care Units

Muansak Takabkho — 2026-06-30

This quasi-experimental research aimed to examine the effect of 3-minute mindfulness on compassion fatigue of nurses in intensive care units. The sample consisted of 54 nurses working in intensive care units at government hospitals in the northern region of Thailand. They were equally divided into an experimental group (n = 27) and a control group (n = 27). The research instruments included a 3-minute mindfulness practice manual, a daily mindfulness practice logbook, a personal information questionnaire, and the Compassion Fatigue Questionnaire (CFQ) with a reliability of .90. The implementation and data collection were conducted from January to March 2024. Data were analyzed using frequency, percentage, mean, standard deviation, Chi-square test, paired t-test, and independent t-test.

The research results revealed that 1) after the experiment, the experimental group had a statistically significantly lower mean scores of compassion fatigue, in terms of both secondary traumatic stress and burnout, than before the experiment (t = 9.320, p < .001 and t = 12.330, p < .001, respectively); and 2) after the experiment, the experimental group had a statistically significantly lower mean scores of compassion fatigue, in terms of both secondary traumatic stress and burnout, than the control group (t = 8.090, p < .001 and t = 6.670, p < .001, respectively).

This research suggests that nurse executives should encourage nurses in intensive care units to practice 3-minute mindfulness every day to reduce their compassion fatigue and have good mental health.

Effectiveness of Health Behavior Modification Program Using Motivational Interviewing in Uncontrolled Type 2 Diabetes Mellitus Patients, Umphang Hospital

Nutchanat Prakas — 2026-06-30

This quasi-experimental research aimed to examine the effectiveness of health behavior modification program using motivational interviewing in uncontrolled type 2 diabetes mellitus patients, Umphang Hospital. The sample consisted of 60 type 2 diabetes mellitus patients who received treatment at the diabetes mellitus and hypertension clinic of Umphang Hospital, Tak Province. The patients were equally divided into an experimental group (n = 30) and a control group (n = 30). The research instruments included a health behavior modification program using motivational interviewing in uncontrolled type 2 diabetes mellitus patients, Umphang Hospital; a questionnaire on personal information; a questionnaire on sweet, fatty, and salty food consumption behaviors with the reliabilities in the range of .71–.79; a questionnaire on exercise behavior with a reliability of .89, and a record form regarding FPG and HbA1c. The implementation and data collection were conducted from January to April 2025. Data were analyzed using frequency, percentage, median, interquartile range, Chi-square test, Fisher’s exact test, Wilcoxon signed-rank test, and Mann-Whitney U test.

The research results revealed that 1) after the experiment, the experimental group had statistically significantly lower scores on sweet food consumption behavior, fatty food consumption behavior, salty food consumption behavior, FPG, and HbA1c than before the experiment (Z = -3.626, p < .001; Z = -3.626, p < .001; Z = -2.828, p < .01; Z = -3.515, p < .001; and Z = -3.718, p < .001, respectively). Also, the experimental group had a statistically significantly higher score on exercise behavior (Z = -3.464, p < .01); and 2) after the experiment, the experimental group had statistically significantly lower scores on sweet food consumption behavior, fatty food consumption behavior, salty food consumption behavior, FPG, and HbA1c than the control group (Z = -4.343, p < .001; Z = -3.700, p < .001; Z = -4.008, p < .001; Z = -2.056, p < .05; and Z = -2.109, p < .05, respectively). In addition, the experimental group had a statistically significantly higher score on exercise behavior than the control group (Z = -3.214, p < .01).

This research suggests that healthcare personnel should implement this health behavior modification program using motivational interviewing to care for diabetes mellitus patients. This approach may help the patients achieve remission and improve their quality of life.

Influence of Self-care Knowledge and Social Support on Quality of Life in Children with Transfusion-dependent Thalassemia at Phrapokklao Hospital

Rossukon Charoensatsiri — 2026-06-30

This predictive correlational research aimed to study quality of life; the relationships among self-care knowledge, social support, and quality of life; and the influence of self-care knowledge and social support on quality of life in children with thalassemia. The sample consisted of 90 children with transfusion-dependent thalassemia at Phrapokklao Hospital, Chanthaburi Province. The research instruments included a general information questionnaire for children and parents, a self-care knowledge test with a reliability of .84, a social support questionnaire with a reliability of .88, and the Pediatric Quality of Life Inventory^TM with a reliability of .91. Data were collected from January to March 2026. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Pearson’s product-moment correlation, and multiple regression analysis (enter method).

The research results revealed that 1) the overall score of quality of life in children with transfusion-dependent thalassemia was 74.86 (SD = 15.79); 2) self-care knowledge and social support were positively and statistically significantly related to quality of life in children with transfusion-dependent thalassemia (r = .457, p < .001 and r = .461, p < .001, respectively); and 3) self-care knowledge and social support could statistically significantly predict quality of life in children with transfusion-dependent thalassemia, accounting for 30.30% of the variance (adj. R² = .303, p < .001). The most predictive factor was social support (Beta = .351, p < .001).

This research suggests that healthcare personnel responsible for caring for children with thalassemia should provide activities aimed at enhancing self-care knowledge and strengthening social support to ultimately improve the quality of life for children with transfusion-dependent thalassemia.