JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE

Editor Note

2025-06-29T22:11:01+07:00

CARING FOR OLDER ADULTS WITH COMMUNITY-ACQUIRED PNEUMONIA RECEIVING HIGH-FLOW NASAL CANNULA THERAPY: NURSING CONCEPTS AND UTILIZATION

2025-04-18T13:22:22+07:00

Community-acquired pneumonia (CAP) is one of the most significant infectious diseases and a major cause of morbidity and mortality worldwide. The causes of CAP include typical bacterial pathogens such as Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The assessment of pneumonia severity can be done using CURB-65, which consists of confusion, uremia, respiratory rate, blood pressure, and age over 65 years in admitted patients. The clinical presentation of CAP is shown by fever and productive cough. In severe cases, pneumonia is indicated by respiratory distress and sepsis. High-flow nasal cannula (HFNC) is an alternative treatment for patients with CAP who have acute hypoxemic respiratory failure. It delivers a flow rate of up to 60 L/min, with humidification and heating, and a constant fraction of inspired oxygen (FiO₂) via nasal cannula. Therefore, nurses should have knowledge about the definition and types of pneumonia, the causes and risk factors of CAP, assessment of CAP, treatment guidelines, and the concepts and principles of using HFNC for patients with CAP, in order to enhance the quality of nursing care for patients with CAP admitted to the hospital, with efficiency and effectiveness.

MEDICATION BELIEFS AMONG PATIENTS WITH HEART FAILURE: CONCEPTS AND IMPLICATIONS FOR NURSES

2025-04-01T22:40:00+07:00

The beliefs about medication for patients with heart failure are a behavior of patients that shows the relationship between medication adherence and advice received from medical personnel. According to Horn's concept, beliefs about medication consisted of 2 main beliefs: 1) Specific beliefs, consisting of specific – necessity beliefs in the perception of the medication, which are beliefs about the necessity and effectiveness of medication, and specific – concern beliefs in the medication adherence, which are concerns about the harmful effects of medication. 2) General beliefs, consisting of general beliefs in overuse of medication, which are beliefs that medications are generally overused according to the doctor's treatment plan, and general harm beliefs in the dangers of medication adherence. Medication adherence for patients with heart failure is considered important because it helps control symptoms and signs, and the severity of disease. If patients have beliefs about medication adherence along with self-regulation of health and illness, they will be able to take care of themselves and have a good quality of life. Therefore, the important role of nurses is to promote knowledge about the disease, the necessity of taking medication regularly, and appropriate self-care behaviors.

NURSING CARE FOR MPOX PATIENTS: PREVENTION, CONTROL, AND REHABILITATION

2025-06-29T08:54:34+07:00

Mpox (Monkeypox) is a viral infectious disease that can be transmitted from animals to humans, as well as from person to person. Although the mortality rate of Mpox is lower than that of smallpox, the increasing number of outbreaks in many countries has underscored the need for effective patient care management. Nurses play a crucial role in the prevention, control, and rehabilitation of patients to limit transmission and reduce the impact of the disease. This article focuses on nursing care guidelines for Mpox patients in three main aspects: 1) Prevention - Focusing on emphasizing public education on reducing the risk of infection; implementing infection control measures in healthcare settings, such as the proper use of personal protective equipment (PPE), hand hygiene, and vaccination for high-risk groups. 2) Control - Focusing on highlighting the importance of early screening and diagnosis; isolating patients to prevent further transmission, providing symptomatic treatment to reduce disease severity, and preventing possible complications such as secondary bacterial infections or dehydration. 3) Rehabilitation - Focusing on providing holistic care that addresses physical, psychological, and social needs of patients. This includes promoting skin wound healing and offering psychosocial support to alleviate stress and anxiety in both patients and their families.

Content

2025-06-29T22:14:24+07:00

Editorial Board

2025-06-29T22:22:48+07:00

EXPERIENCES OF PEDIATRIC NURSES WORKING WITH COVID-19 INFECTION PATIENTS

2024-12-22T11:32:18+07:00

This phenomenological study utilized Heidegger's philosophical framework to investigate the lived experiences of pediatric nurses providing care to children diagnosed with COVID-19. A purposive sampling strategy was employed to recruit a sample of 9 professional nurses with experience in caring for children with COVID-19. Data collection methods included in-depth interviews using a semi-structured interview guide, audio recording, observations, and field notes. The data were analyzed using van Manen’s method of phenomenological interpretation.

The findings revealed 5 major themes related to the experiences of pediatric nurses caring for COVID-19 patients: 1) the process of admitting pediatric COVID-19 patients for treatment, 2) adapting care practices for pediatric COVID-19 patients, 3) caring for parents infected with COVID-19, 4) COVID-19 infection control measures, and 5) challenges and issues encountered in clinical practice.

The results of this study provide essential insights for nursing administrators in managing, planning, and allocating resources to support nurses in the care of pediatric patients with COVID-19. Furthermore, this research offers a foundational perspective for nurses in providing care for patients with COVID-19 or other emerging respiratory infectious diseases in the future.

EFFECTS OF A PAIN MANAGEMENT AND BOWEL MOTILITY ENHANCEMENT PROTOCOL IN PATIENTS FOLLOWING URGENT ABDOMINAL SURGERY

2025-04-12T21:08:44+07:00

This quasi-experimental study aimed to compare pain scores, bowel motility, length of hospital stay, and medical expenses between two groups of patients after urgent abdominal surgery: one receiving a developed pain management and bowel motility enhancement protocol, and the other receiving standard postoperative care. The sample consisted of 56 male patients admitted to Male Surgical Ward 1 at King Narai Hospital in Lopburi Province, evenly divided into experimental and control groups (28 each). The control group received routine postoperative care, while the experimental group received an intervention protocol involving pain medication with deep breathing exercises, gum chewing, and mobilization at 24-, 48-, and 72-hour post-surgery. Data collection tools included personal data forms, pain score records, bowel motility assessments, hospital length of stay, and treatment cost records. Data were analyzed using descriptive statistics and non-parametric tests including the Mann-Whitney U test, Chi-square test, Friedman test, and Spearman’s rank correlation coefficient.

The results showed that the experimental group’s median pain scores at 24-, 48-, and 72-hour post-surgery were 6.33 (moderate), 4.00 (moderate), and 1.33 (mild), respectively, significantly lower than those in the control group (Z = 118.50, 73.00 and 27.00; p < .05). Median bowel motility scores in the experimental group were 5.83 (moderate), 3.66 (high), and 1.33 (high), which showed a significant improvement over those of the control group (Z = 2.50, 27.50 and 58.00; p < .05). However, there were no statistically significant differences between the two groups in terms of hospital stay duration or treatment costs (p > .05).

The findings of this study support that the developed practice guidelines can be appropriately applied to this patient group, particularly in clinical settings aiming to reduce postoperative pain and accelerate bowel function recovery.

THE DEVELOPMENT OF A LEARNING MODEL USING VIRTUAL SIMULATION IN COMMUNITY HEALTH NURSING EDUCATION TO PROMOTE CLINICAL DECISION-MAKING ABILITY AND SELF-CONFIDENCE AMONG NURSING STUDENTS

2024-06-10T16:13:11+07:00

This study employed a research and development design to create a learning management model using virtual simulation scenarios in the subject of community health nursing. It also aimed to evaluate the effects of this model on promoting clinical decision-making ability and self-confidence among nursing students. The research instrument was the learning management model based on virtual simulation scenarios. The quality of the model was evaluated by three experts, with a content validity index (CVI) of .91. The first trial was conducted with third-year nursing students in the academic year 2020. Based on the findings, the model was revised and then tested again in 2021 with another group of third-year nursing students. Data collection tools included a clinical decision-making ability test and a self-confidence assessment. The Cronbach’s alpha coefficient of these tools was .90 and .89, respectively. Data were analyzed using percentage, mean, and repeated measures MANOVA.

The research findings were:

1. The learning management model using virtual simulation scenarios comprised four situations:
(1) Home visits for elderly patients, (2) Home visits for patients with chronic illnesses, (3) Student health checkups, and (4) Home visits for preschool children. Teaching activities were conducted in small groups of eight students. Each scenario lasted 60 minutes, divided into three phases: a 10-minute introduction, 20 minutes of scenario-based practice, and a 30-minute learning reflection session.

2. The implementation of the learning management model using virtual simulation scenarios revealed that the use of the virtual simulation-based learning model significantly improved both clinical decision-making ability and self-confidence compared to before the model was applied, with statistical significance at the .05 level.

It is suggested that nursing education institutions adopt this virtual simulation-based learning model to better prepare students for community health nursing practicum in order to effectively enhance students’ decision-making skills and build their confidence in clinical practice.

A RESEARCH AND DEVELOPMENT STUDY OF A RESISTANCE EXERCISE PROGRAM WITH ELASTIC BAND COMBINED WITH SOCIAL SUPPORT FOR OLDER ADULTS AFTER TOTAL KNEE ARTHROPLASTY

2025-03-15T08:41:46+07:00

Abstract

This research and program development is part of a thesis submitted titled "The Effect of Progressive Resistance Exercise with Rubber Chain Program and Social Support on Knee Range of Motion and Quadriceps Muscle Strength in Older Persons After Total Knee Arthroplasty." The objective is to develop and implement a progressive resistance exercise program using rubber chains and social support to improve knee range of motion and quadriceps muscle strength in older persons following total knee arthroplasty.

A developmental approach was used to tailor the program to patients' needs, ensuring effectiveness and feasibility by integrating theoretical and practical elements. The program development process was divided into three phases: 1) problem identification and literature review, 2) program design and development, and 3) program implementation with a sample of ten older persons who had undergone total knee arthroplasty at Police General Hospital. The instruments used included the exercise program (comprising the developed program and teaching media), a knee range of motion measurement tool, a quadriceps muscle strength evaluation form, and a satisfaction questionnaire assessing usability, practicality, safety, and overall satisfaction. The program and teaching media were evaluated by five experts for content validity in terms of appropriateness, continuity, and linguistic accuracy, meeting the standard criteria (CVI ≥ 0.80). Descriptive statistics (percentages, means, and standard deviations) were used for data analysis.

The program's results were well-received, with average scores of 4.73 (±0.45) for participation convenience, 4.87 (±0.35) for practical applicability, 4.60 (±0.49) for safety, and 4.80 (±0.40) for overall satisfaction. These findings underscore the program's capacity to enhance the physical and emotional recovery of older patients, supporting its appropriateness and effectiveness for future large-scale implementation.

Keywords: Progressive resistance exercise, social support, knee range of motion, quadriceps muscle strength.

THE EFFECTS OF LEARNING MANAGEMENT THROUGH MASSIVE OPEN ONLINE COURSES (MOOCs) ON ACADEMIC ACHIEVEMENT IN MATERNAL, NEWBORN, AND MIDWIFERY NURSING AMONG NURSING STUDENTS

2025-05-19T17:38:57+07:00

This study was a quasi-experimental research using a two-group pretest-posttest design. The objectives were: 1) to compare students’ average score before and after studying through a Massive Open Online Course (MOOCs), and 2) to compare post-intervention average score between students learning through MOOCs and those receiving traditional classroom instruction. The sample consisted of 50 second-year nursing students, selected through purposive sampling based on specific inclusion criteria. They were divided into an experimental group and a control group, with 25 students in each group. The experimental group received learning management through MOOCs, while the control group participated in traditional classroom learning. The research instruments included: 1) a learning management program using MOOCs, and 2) a knowledge test with an index of item-objective congruence (IOC) of .75 - 1.00. The reliability coefficient for the entire test, analyzed using KR-20, was .80. Data were analyzed using paired samples t-test and independent samples t-test.

The results showed that both the experimental group and the control group had moderate post-test scores (M = 14.60, SD = 3.44 and M = 9.44, SD = 2.29, respectively). The experimental group showed a statistically significant increase in mean score from pre-test to post-test at the .05 level (t = -10.853, p = .000), and the control group also showed a statistically significant improvement at the .05 level (t = -6.225, p = .000). Moreover, the post-test mean score of the experimental group was significantly higher than that of the control group at the .05 level (t = 6.241, p = .000).

In conclusion, learning through MOOCs in maternal, newborn and midwifery nursing led to higher academic achievement in post-intervention than traditional classroom learning. Therefore, the use of MOOCs should be promoted and expanded to other subjects to improve the academic performance of nursing students.

DEVELOPMENT OF A BEHAVIORAL PROBLEM ASSESSMENT TOOL FOR CHILDREN WITH INTELLECTUAL DISABILITIES TO BE USED IN THE IMPLEMENTATION OF DEVELOPMENTAL PROGRAMS BY PUBLIC HEALTH PERSONNEL

2025-03-22T11:39:54+07:00

This research employed a Research and Development (R&D) methodology and was conducted in two phases. Phase 1 involved the drafting, quality verification, and pilot testing of a behavioral problems assessment tool for children with intellectual disabilities. Phase 2 focused on the development and refinement of the tool based on Phase 1, along with its implementation evaluation. The sample was divided into two phases: Phase 1 included 32 children with intellectual disabilities, and Phase 2 involved 60 public health personnel, all selected through purposive selection based on specific criteria. The research instruments consisted of the Behavioral Problems Assessment Tool for Children with Intellectual Disabilities and the Evaluation Form for Tool Utilization. Data were analyzed using descriptive statistics, including frequency, percentage, and analysis of instruments with the index of item objective congruence and inter-rater reliability.

The results indicated that: 1) The pilot version of the assessment tool comprised 7 domains with 35 items. The IOC values ranged from .40 to 1.00, and the inter-rater reliability was .81. 2) The finalized version of the assessment tool consisted of 7 domains with 30 items. Evaluation results showed that the developed tool was useful for screening, treatment planning, application in community or network settings, academic or research work, and educational dissemination. Furthermore, the research instrument has the potential to be extended into policy guidelines to support the development of children with intellectual disabilities at both national and community levels in the future.

EFFECTS OF A DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAM ON HEALTH BEHAVIORS AND HbA1c LEVELS AMONG PEOPLE WITH UNCONTROLLED TYPE 2 DIABETES

2024-06-25T13:49:24+07:00

This quasi-experimental study aimed to compare the average health behavior scores and the hemoglobin A1c (HbA1c) among patients with poorly controlled type 2 diabetes before and after using the program of the experimental group and between the experimental group and the comparison group. Participants were patients receiving care at a Sub-district Health Promoting Hospital in Mueang District, Udon Thani Province. Sixty participants were randomly assigned to either an experimental group (n = 30) or a control group (n = 30) a combination of simple and systematic random sampling. The experimental group underwent a 12-week Diabetes Self-Management Education and Support (DSMES) intervention, validated by 3 experts, while the control group received standard care. The data collection instruments utilized in this study included a questionnaire assessing blood glucose management behaviors and a HbA1c record form. The questionnaire assessing blood glucose management behaviors has undergone content validity verification and demonstrated reliability with a Cronbach's alpha coefficient of .76. Data was analyzed using descriptive statistics, independent t-tests, paired t-tests and Chi-square test.

The results indicated that after the intervention, the experimental group demonstrated statistically significant improvements in dietary practices, physical activity, stress management, and medication adherence compared to the control group (p < .05). Moreover, the experimental group exhibited a significantly greater reduction in HbA1c levels than the control group (p < .05).

These results support the use of the DSMES program as an effective intervention to enhance self-care behaviors and glycemic control in patients with uncontrolled type 2 diabetes and highlight the need for ongoing monitoring to maintain long-term blood sugar management.

THE EFFECT OF PENDER’S HEALTH PROMOTION MODEL ON COREGIVERS’ HEARING PROMOTION BEHAVIORS TOWARDS HIGH-RISK INFANTS WITH HEARING IMPAIRMENT AND FOLLOW UP RATE

2025-04-18T13:29:47+07:00

This quasi-experimental study aimed to 1) compare caregivers’ hearing promotion behaviors for newborns at risk of hearing loss before and after receiving Pender’s Health Promotion Model and 2) examine the follow-up attendance rate among these infants. The sample consisted of 27 caregivers and 27 newborns at risk of hearing loss who were admitted to the Neonatal Intensive Care Unit and the Premature Care Unit at the Queen Sirikit National Institute of Child Health. All infants had failed their initial hearing screening and were scheduled for follow-up assessments. The experimental tool was Pender’s Health Promotion Model applied to caregivers’ hearing promotion behaviors for newborns at risk of hearing loss and their adherence to follow-up appointments. The research instruments used for data collection include: a caregiver demographic questionnaire, a follow-up appointment record form, and a caregiver behavior assessment form for hearing promotion in newborns at risk of hearing loss. The assessment form was validated by experts and had a reliability coefficient of .83. Data was analyzed using descriptive statistics and Friedman’s test.

The research results found that: (1) Caregivers' hearing promotion behavior scores significantly increased over time, from a low level before the intervention (M = 21.29, SD = 3.18), to a moderate level at the first follow-up (M = 41.67, SD = 3.71), and to a high level at the second follow-up (M = 53.39, SD = 2.81). (2) The caregivers’ hearing promotion behavior scores for newborns at risk of hearing loss before receiving the intervention, after receiving the intervention at the first follow-up, and after receiving the intervention at the second follow-up were significantly different in at least one pair, with a statistical significance level of p < .05. (3) Follow-up attendance rates for infants at risk of hearing loss were 85.19% at the first follow-up and 88.89% at the second follow-up.

The results should be used to establish policies or guidelines for improving the quality of hearing screening programs, in order to identify children with hearing impairments and provide timely hearing rehabilitation within six months.

PILOT STUDY: DEVELOPMENT OF A LEARNING MANAGEMENT MODEL BASED ON COGNITIVE COACHING AND EXPERIENTIAL LEARNING TO ENHANCE RATIONAL DRUG USE COMPETENCY AMONG NURSING STUDENTS

2025-04-18T09:46:33+07:00

This study was a pilot study with the objectives of: 1) developing a learning management model based on cognitive coaching combined with experiential learning to enhance rational drug use competency among nursing students, and 2) evaluating the quality of the learning management model based on cognitive coaching combined with experiential learning to enhance rational drug use competency among nursing students. The informants consisted of 97 participants. In Phase 1, these included 7 nurse educators, 5 nurse preceptors, 3 instructional experts, and 60 nursing students. In Phase 2, the participants comprised 5 experts responsible for assessing the quality of the model, 9 experts for connoisseurship to validate the model, and 8 nursing students. The research instruments used in this study were: 1) a document analysis form, 2) an interview guide, 3) a questionnaire, 4) a focus group discussion guide, and 5) a model quality assessment form for the learning management model. The data were analyzed using means, standard deviation, percentage, and content analysis.

The results indicated that: 1) The learning management model based on cognitive coaching and experiential learning to enhance rational drug use competency among nursing students consisted of six components: (1) Principles, (2) Objectives, (3) Content, and (4) Learning activities based on the PERCA Model, which includes five steps: Step 1 – Plan; Step 2 – Expand, divided into two sub-steps: Step 2.1 – Learn and Step 2.2 – Exchange Opinion; Step 3 – Reflect; Step 4 – Consult; Step 5 – Apply; (5) Evaluation, and (6) Factors influencing learning. 2) The quality assessment of the developed instructional model, conducted by five experts, revealed that the overall quality was at the highest level (M = 4.85, SD = .35). Regarding the component specification, the model was evaluated as highly appropriate, comprehensive, and coherent. Furthermore, each of the 6 components of the learning management model was rated as highly appropriate.

FACTORS PREDICTING PERCEIVED SELF-EFFICACY IN EMERGENCY MANAGEMENT AMONG PEOPLE AT RISK OF STROKE IN UBON RATCHATHANI PROVINCE

2025-03-22T11:41:29+07:00

This study aimed to investigate the factors predicting perceived self-efficacy in emergency management among people at risk of stroke. The sample consisted of 167 individuals diagnosed with hypertension, diabetes mellitus, hyperlipidemia, ischemic heart disease, or atrial fibrillation, who received services at subdistrict health-promoting hospitals in Ubon Ratchathani Province. Participants were selected using simple random sampling. The research instruments included questionnaires on self-management, health literacy, social support, stress, and perceived self-efficacy in emergency management. All instruments were reviewed for content validity by a panel of experts. Cronbach’s alpha coefficients were .714, .917, .793, .706, and .805, respectively. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple linear regression analysis.

The results showed that the participants had a moderate level of perceived self-efficacy in emergency management (M = 30.87, SD = 6.08). Social support, health literacy, self-management, and stress were significantly correlated with perceived self-efficacy in emergency management. Among these, only social support and health literacy were significant predictors, together explaining 31.5% of the variance in perceived self-efficacy in emergency management.

Therefore, promoting health literacy and social support among individuals at risk of stroke may help improve their perceived self-efficacy in managing emergencies.

THE EFFECTIVENESS OF USING NURSING PRACTICE GUIDELINES FOR THE PREVENTION OF POSTPARTUM HEMORRHAGE WITHIN 2 HOURS AFTER DELIVERY IN THE DELIVERY ROOM DEPARTMENT, OMKOI HOSPITAL, CHIANG MAI PROVINCE

2025-04-18T10:53:43+07:00

This quasi-experimental research aimed to study the incidence of postpartum hemorrhage (PPH) within 2 hours after delivery, evaluate nurse satisfaction, and compare nursing practical skill scores before and after the implementation of nursing practice guidelines for the prevention of postpartum hemorrhage within that period. The sample consisted of 14 professional nurses rotating through the labor room and 57 term pregnant women who received care between March and April 2024. The research tool was the nursing practice guidelines for the prevention of postpartum hemorrhage within 2 hours after delivery. The instruments used for data collection were the nurse satisfaction questionnaire and the nursing practice skill assessment form for PPH prevention. Data were analyzed using descriptive statistics including frequency, percentage, mean, standard deviation, variance, and compared using Repeated Measures ANOVA.

The results showed that: 1) The incidence of postpartum hemorrhage within 2 hours decreased after the intervention. 2) The mean nurse satisfaction score after the intervention was at a moderate level (M = 18.00). 3) The mean nursing practice skill scores after the intervention in both the first and second months were significantly higher than before the intervention. 4) The mean skill scores in the second month post-intervention were significantly higher than both the pre-intervention and the first month post-intervention scores.

Therefore, the nursing practice guidelines for the prevention of postpartum hemorrhage within 2 hours after delivery can help labor room midwives at Omkoi Hospital provide more effective care and reduce maternal mortality. Future research should explore the long-term sustainability of skill retention and the outcomes of this guideline, and the implementation of these guidelines should be promoted in labor rooms of other hospitals as well.

SELECTED FACTORS RELATED TO STRESS OF THE NEW TROOPS AT A MILITARY TRAINING UNIT IN THE NORTHEASTERN REGION

2025-05-06T13:23:31+07:00

This descriptive correlational study aimed to examine the stress, resilience quotient, self-esteem, and the relationships between resilience quotient and self-esteem with the stress of new troops. The participants consisted of 280 new troops in the first shift of the year 2024 at a military training unit in the Northeastern region. Multi-stage random sampling was used to select the participants. The research instruments consisted of a Thai Perceived Stress Scale-10, Resilience Quotient, and Thai version of Rosenberg Self-Esteem Scale, which had Cronbach's alpha coefficients of .84, .89, and .72 respectively. Data was analyzed using descriptive statistics and Pearson’s product-moment correlation.

The research results found that most new troops had moderate levels of stress (70.72%), resilience in the normal range (57.86%), and moderate levels of self-esteem (73.57 %). It was also found that resilience and self-esteem were negatively significantly related to stress at the .05 level (r= -.340 and -.473, p< .05).

The results of this study could be used as a guideline to develop methods for promoting new troops to strengthen their mental resilience and self-esteem to reduce stress in this population.

ENHANCING THE EFFECTIVENESS OF FORENSIC PSYCHIATRIC OPERATIONS FOR PREVENTING RECIDIVISM AMONG PSYCHIATRIC PATIENTS

2024-07-20T10:52:46+07:00

At present, the number of crimes committed by psychiatric patients is increasing, with many patients repeating offenses they have committed in the past. Enhancing the effectiveness of operations aimed at preventing recidivism is therefore critical in addressing this issue. This study aimed to examine the factors related to repeated offenses by psychiatric patients, investigate the operational context and obstacles in forensic psychiatric work within psychiatric hospitals, and explore strategies to improve the effectiveness of recidivism prevention. A qualitative research methodology was employed using in-depth interviews with 13 key informants, including multidisciplinary teams from psychiatric hospitals, police officers, and family members or caregivers. Data were analyzed using qualitative content analysis.

The research findings revealed that repeated offenses were primarily associated with medication discontinuation, lack of continuity in treatment, insufficient caregiving skills among family members, and unsupportive social or environmental contexts. Forensic psychiatric services in hospitals cover both outpatient and inpatient care, focusing on patients’ safe reintegration into society. The main challenges include shortages of mental health professionals, the need for collaborative networks, and substance abuse that exacerbates psychiatric symptoms. Recommended preventive strategies include establishing forensic psychiatric units to prepare families, caregivers, neighbors, community leaders, and local networks, along with promoting positive attitudes and accurate understanding of mental health services among the public.

FACTORS ASSOCIATED WITH QUALITY OF LIFE AMONG HOME-BOUND OLDER ADULTS IN MUEANG CHIANG RAI DISTRICT, CHIANG RAI PROVINCE

2025-06-07T06:45:18+07:00

This study aimed to examine the quality of life (QoL), depression levels, and the relationships between individual factors, depression, and QoL among home-bound older adults in Mueang Chiang Rai, Chiang Rai Province. The sample consisted of 186 home-bound older adults aged 60 years and over residing in Mueang Chiang Rai, Chiang Rai Province. Participants were selected using multistage random sampling. Data collection instruments included a general demographic questionnaire, the Thai version of the World Health Organization Quality of Life-BREF (WHOQOL-BREF-THAI), and the 9-Question Depression Assessment (9Q). The Cronbach's alpha coefficients for the WHOQOL-BREF-THAI and the 9Q were .89 and .84, respectively. Data were collected between December 2024 and February 2025. Descriptive statistics were used to analyze general data, while the relationships between individual factors, depression, and QoL were using Chi-square test, Fisher’s Exact test and Pearson’s product moment correlation coefficient.

The results showed that home-bound older adults had an overall QoL at a moderate level (M = 94.94, SD = 11.86). By domain, physical health (M = 24.54, SD = 3.44), psychological health (M = 21.95, SD = 3.45), and social relationships (M = 10.72, SD = 1.82) were also at moderate levels, while the environmental domain was rate as good (M = 30.43, SD = 4.51). Depression was classified as non-depressed levels (M = 2.18, SD = 2.67).

Marital status, income, and depression were found to be significantly associated with overall QoL (p < .05). These findings provide valuable insights for the development of policies, health promotion strategies, and care plans to enhance the quality of life among home-bound older adults.

A STUDY OF THE MEANING AND CHARACTERISTICS OF SERVANT LEADERSHIP AMONG REGISTERED NURSES AT KING CHULALONGKORN MEMORIAL HOSPITAL, THAI RED CROSS SOCIETY: A QUALITATIVE STUDY

2025-05-08T23:53:43+07:00

This study was a qualitative research project aimed at studying the meaning and characteristics of servant leadership among registered nurses at King Chulalongkorn Memorial Hospital, Thai Red Cross Society, through focus group discussions. The Informants were 20 nurse executives and registered nurses who had completed nursing management or executive leadership training programs and had at least 10 years of work experience. Research instruments included the researcher, a personal information questionnaire, and a semi-structured interview guide on servant leadership among registered nurses at King Chulalongkorn Memorial Hospital. These tools were validated by 3 experts, yielding a 90% agreement rate. Data were analyzed using thematic analysis, and trustworthiness and data saturation were verified through triangulation methods.

The research findings revealed three major themes of servant leadership among registered nurses at King Chulalongkorn Memorial Hospital: 1) The meaning of servant leadership involves being a good role model, providing quality service that adds value to the nursing profession, and engaging in self-development that leads to organizational development; 2) There are 16 identified characteristics of servant leadership; 3) Nurturing servant leadership begins with the individual, while the organization must also provide support and opportunities for growth. The data obtained from the analysis also highlighted the beliefs, experiences, thoughts, and behaviors of the key informants related to servant leadership, which contribute to the development of appropriate servant leadership measurement tools tailored to registered nurses and aligned with the organizational context of King Chulalongkorn Memorial Hospital, Thai Red Cross Society. This scale can serve as a guideline for the further development of servant leadership.