JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE

Editorial Board JPNHS — 2026-06-30

Editorial Board

Editorial Board JPNHS — 2026-06-30

Editorial

Editorial Board JPNHS — 2026-06-30

Nursing Care for Pediatric Patients with Acute Lymphoblastic Leukemia Receiving Chemotherapy Drugs: Concepts and Utilization in Clinical Practice

Somporn Poonpanitoopatum — 2026-06-30

Acute lymphoblastic leukemia (ALL) is a hematologic malignancy characterized by abnormal proliferation and impaired differentiation of leukocyte precursor cells, resulting in the accumulation of malignant cells within the bone marrow. These leukemic cells progressively replace normal hematopoietic cells, leading to bone marrow failure, manifested as anemia, neutropenia with an increased risk of infection, and thrombocytopenia with bleeding complications. Standard treatment for pediatric ALL primarily involves chemotherapy administered in four major phases, including remission induction, consolidation/ intensification, central nervous system prophylaxis, and maintenance. The primary goal of treatment is to ensure patient safety throughout hospitalization, particularly during chemotherapy administration. However, chemotherapy-related adverse effects can significantly affect the physical and psychological well-being of pediatric patients as well as their family members. Therefore, nurses play a crucial role in achieving desirable clinical outcomes through comprehensive and evidence-based care. Pediatric oncology nurses are required to possess extensive knowledge of the pathophysiology of ALL, its clinical manifestations, diagnostic investigations, principles of chemotherapy, and nursing interventions to prevent treatment-related complications. Integrating clinical practice guidelines and evidence-based practice into patient and family care is essential for promoting safety, optimizing treatment outcomes, and improving quality of life for children with ALL and their families.

Nursing Roles in Palliative Care for Patients with Liver Cancer

Pannawit Saikrasun — 2026-06-30

Liver cancer is a significant public health problem in Thailand due to its high incidence and mortality rates, and it remains one of the leading causes of cancer-related deaths. Most patients are diagnosed when the disease has progressed to an advanced stage, resulting in the need for palliative care to relieve distressing symptoms, reduce suffering, and promote the quality of life of patients and their families. This article aims to promote the roles of nurses in providing holistic palliative care for patients with liver cancer. These roles include being an educator who provides knowledge about the disease, health practices, self-care, observation of abnormal symptoms, nutrition, medication use, follow-up visits, and stress-relief methods for patients and their families; a counsellor who uses communication skills and attentive listening to help patients and families understand the illness situation, prepare for end-of-life care, and support advance care planning; a care provider who delivers comprehensive palliative care to patients and families across physical, psychological, spiritual, daily living, end-of-life preparation, and bereavement care dimensions after the patient’s death; a coordinator who links patients, families, multidisciplinary teams, and social support resources to ensure continuous, safe, and needs-based care; an advocate who protects patients’ rights to information, treatment decision-making, privacy, confidentiality, access to health services, and care that respects their values and human dignity; and a manager who assesses, plans, manages resources, coordinates, monitors, and continuously adjusts the care plan. These nursing roles enable patients with liver cancer to receive appropriate palliative care, achieve the best possible quality of life, and face the end of life peacefully and with dignity.

Integrating Health Literacy and Digital Health to Prevent Repeat Pregnancy in Postpartum Adolescents: A Narrative Review

Rukrung Gojuntak — 2026-06-30

This narrative review aimed to 1) synthesize empirical evidence on the associations between health literacy, digital health, and contraceptive behaviors among postpartum adolescents, and 2) propose nursing guidelines to prevent repeat pregnancy in this population. The review was conducted following PRISMA guidelines, with searches in six databases: PubMed, Scopus, CINAHL, Web of Science, Google Scholar, and ThaiJO, covering publications from 2015 to 2025. A total of 3,076 studies were identified. After eligibility screening and quality appraisal using the Joanna Briggs Institute (JBI) critical appraisal tools, 24 studies met the inclusion criteria, including one umbrella review, four systematic/scoping reviews, four randomized controlled trials (RCTs)/cluster-RCTs, four quasi-experimental studies, one single-group experimental study, eight descriptive/cross-sectional/validation studies, and two mixed-methods/qualitative studies. Among these, 12 studies focused specifically on postpartum adolescents, and 12 studies addressed adolescents in general sexual and contraceptive health contexts. Studies were categorized by primary focus: 10 on health literacy, 13 on digital health, and one examining both variables.
The synthesis revealed that interactive and critical health literacy were consistently associated
with the continuous use of highly effective contraceptive methods, particularly long-acting reversible contraception (LARC). Digital health tools, including decision-support systems, monitoring platforms, and interactive media, supported learning, enhanced self-efficacy, and promoted the continuity of contraceptive service use among postpartum adolescents. However, most evidence was derived from international studies, which may differ contextually from Thai postpartum adolescents, and long-term follow-up beyond 12 months was limited.
Integrating digital health interventions (DHIs) with the promotion of interactive and critical health literacy is a key approach to enable postpartum adolescents to access, appraise, compare options, and make informed contraceptive decisions based on valid empirical evidence. Furthermore, the continuous development of nurses’ digital competencies is essential to support postpartum adolescents in making appropriate contraceptive choices and sustainably preventing repeat pregnancy.

Effectiveness of a Modified Multifactorial Intervention Program on Health Outcomes among Community-Older Adults with Knee Osteoarthritis: A Comparative Study

Natthayawadee saraboon — 2026-06-29

This two-group repeated-measures quasi-experimental study aimed to examine and compare patient-reported and clinical outcomes among older adults with mild and moderate knee osteoarthritis. Assessments were conducted before the intervention and at 8 and 12 weeks after participation in the Modified Multifactorial Intervention Program (mMUFIP). A total of 83 participants were recruited. This included 38 with mild and 45 with moderate knee osteoarthritis. Both groups received the mMUFIP, which consisted of health education, weight management, exercise training, and home visits. Research instruments included the Six-item Cognitive Impairment Test (6CIT), Functional Reach Test (FRT), demographic questionnaire, clinical outcome assessment form, and the Arthritis Impact Measurement Scales 2–Short Form (AIMS2-SF). Data were analyzed using descriptive statistics, chi-square test, independent t-test, and Repeated Measures ANOVA. Statistical significance was set at p < .05.

The results revealed that participants in both groups had a mean age of 69.33 years (SD = 5.55). There were no significant differences in baseline characteristics (p > .05). After receiving the mMUFIP, psychosocial well-being improved in both groups. In the mild knee osteoarthritis group, scores decreased from 3.80 ± 1.44 to 0.86 ± 0.99. In the moderate group, scores decreased from 5.69 ± 1.82 to 1.72 ± 1.90. Significant between-group differences, time effects, and Group × Time interaction effects were observed (p < .05). Disease severity scores also decreased: from 13.71 ± 1.80 to 12.39 ± 2.38 in the mild group, and from 19.51 ± 1.93 to 14.27 ± 3.47 in the moderate group. Again, significant between-group differences, time effects, and Group × Time interaction effects were seen (p < .05). Pain scores dropped from 5.00 ± 2.21 to 1.84 ± 1.98 in the mild group, and from 7.20 ± 2.16 to 2.64 ± 2.68 in the moderate group. There were significant between-group differences and time effects (p < .05). In addition, body weight decreased and quadriceps muscle strength increased significantly over time in both groups (p < .05). No significant between-group differences or Group × Time interaction effects were found for these measures (p > .05).

These findings suggest that the mMUFIP is an effective intervention for improving psychosocial well-being, reducing disease severity, pain, and body weight, and enhancing quadriceps muscle strength among older adults with knee osteoarthritis. The program may be incorporated into community-based care to improve health outcomes in this population.

Characteristics of Patients with Antimicrobial-Resistant Gonorrhea Attending a Sexually Transmitted Infection Clinic: A Retrospective Descriptive Study

Lawitra Phithawutthikorn — 2026-06-29

This retrospective study was conducted using medical records to examine the demographic characteristics, sexual risk behaviors, and clinical manifestations of patients with antimicrobial-resistant gonorrhea at the Sexually Transmitted Infection Clinic, Bangrak Medical Center. The target population included 38 patients with gonorrhea who had antimicrobial susceptibility test results interpreted according to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) criteria and received care between 1 January 2020 and 30 April 2025. Data were collected from medical records, including general information, sexual behaviors, laboratory findings, and treatment outcomes. Descriptive statistics, including frequency, percentage, mean, and standard deviation, were used for data analysis.

The results showed that the mean age of patients was 31.74 years (SD = 10.43), and most were men who have sex with men (68.42%). A history of gonorrhea in the past three months was reported by 31.71% of patients. Regarding sexual risk behaviors, 36.84% reported having sex without using a condom, 52.63% had two to five sexual partners, and 47.37% had casual partners. Clinically, 90% of female patients had vaginal discharge, while 50% of male patients experienced dysuria with urethral discharge. Among men
who have sex with men, 46.15% presented with both dysuria and urethral discharge. After treatment, 89.47% of patients recovered from infection; however, 86.84% of patients and their sexual partners were lost to follow-up.

The findings suggest the need to develop a follow-up system for patients and their sexual partners to prevent reinfection and transmission. In addition, continuous monitoring of antimicrobial resistance and systematic health education, including condom use and partner treatment, should be implemented to prevent further infection.

The Effects of a PITS-Based Educational Program on Self-Care Behaviors and Glomerular Filtration Rates among Patients with Stage 3 – 4 Chronic Kidney Disease

Sunisa Meesati — 2026-06-29

This quasi-experimental study aimed to compare self-care behaviors and glomerular filtration rates (GFRs) among patients with stage 3–4 chronic kidney disease (CKD) between an experimental group receiving the PITS-based teaching program and a control group receiving standard nursing care. The sample consisted of 80 patients with stage 3 – 4 CKD who received services at the Non-Communicable Disease Clinic, Kut Khaopun Hospital, Ubon Ratchathani Province. Purposive sampling was used to select the participants, who were then assigned to a control group (n = 40) and an experimental group (n = 40). Research instruments included the PITS-based teaching program, a personal and health information questionnaire, and a self-care behavior questionnaire. Data were analyzed using descriptive statistics, Chi-square test, and independent sample t-test.

The findings revealed that the experimental group demonstrated a significantly higher mean score for overall self-care behaviors after receiving the PITS-based teaching program compared with the control group, which received standard nursing care at the .05 level of significance (M = 126.23, SD = 9.54 and M = 118.53, SD = 9.35; t = 3.646, p = .000). Furthermore, the control group experienced a greater decline in renal function than the experimental group with statistical significance at the .05 level (MD = -3.38, SD_MD = 5.83 and MD = .88, SD_MD = 4.05; t = -3.793, p = .000). These findings suggest that the PITS-based teaching program effectively promotes self-care behaviors and may contribute to slowing the decline in glomerular filtration rate among patients with stage 3 – 4 CKD when followed over a longer period.

Selected Factors Related to Caregiver Burden among Primary Caregivers of Older Adults with Multimorbidity

Kaewkanya Husajuntong — 2026-06-29

This cross-sectional study aimed to examine caregiver burden and factors associated with caregiver burden among family caregivers of older adults with multimorbidity. The sample consisted of 101 caregiver–older adult dyads attending outpatient internal medicine clinics at three tertiary government hospitals in Bangkok, obtained using convenience sampling. The research instruments included a personal information questionnaire. They validated standardized instruments, including the Activities of Daily Living (ADL) Scale, Frailty Scale, Zarit Burden Interview (ZBI), Pittsburgh Sleep Quality Index (PSQI), Social Support Questionnaire, and the Center for Epidemiologic Studies Depression Scale (CES-D). The internal consistency of these instruments, measured by Cronbach’s alpha coefficients, was .90, .74, .92, .76, .91, and .90, respectively. Data were analyzed using descriptive statistics and correlation analyses, including Eta, Spearman’s rank correlation, and Pearson’s product–moment correlation.

The findings revealed that caregivers experienced a caregiving burden ranging from no burden to a mild burden (M = 21.24, SD = 13.82). Analysis of the relationships between selected factors and caregiver burden revealed that caregiver depression (r = .414, p < .05), Poor caregiver sleep quality (r = .371, p < .05), and physical frailty of the older adults (r = .350, p <.05) were moderately and positively correlated with caregiver burden. Conversely, the older adults’ ability to perform activities of daily living was moderately and negatively correlated with caregiver burden (r = −.435, p < .05), while social support for caregivers showed a weak negative correlation (r = −.210, p < .05). However, no significant correlations were found between caregiver burden and either the gender of the older adults (η = .07, p > .05) or the educational level of the caregivers (r_s = −.096, p > .05).

Therefore, reducing caregiver burden among family caregivers of older adults with multimorbidity requires integrated strategies. At the caregiver level, interventions should prioritize the assessment and management of depression, the promotion of sleep quality, and the strengthening of social support. At the older-adult level, they should focus on preventing and reducing physical frailty and preserving functional ability in activities of daily living. These findings provide evidence to inform the planning and design of nursing interventions and the development of targeted strategies to reduce caregiver burden effectively.

Experience of Glycemic Control of Women with Gestational Diabetes Mellitus in Eastern Area of Bangkok

Jarupa Chirasopone — 2026-06-29

This qualitative study explored the experiences of glycemic control among women with gestational diabetes mellitus (GDM) in Eastern Bangkok. Twenty pregnant women at 24 weeks of gestation or more, diagnosed with GDM based on at least two abnormal values in the Oral Glucose Tolerance Test (OGTT), and receiving antenatal care at hospitals in the Bangkok Metropolitan Region between January and October 2024, participated in the study. Twenty informants were purposively selected. Data were collected through individual in-depth interviews conducted by the principal investigator, using research instruments developed by the investigator: (1) a personal data record form, (2) a semi-structured interview guide, and (3) a field note form. Content validity was assessed by three experts, with item-objective congruence (IOC) scores of .875, .875, and .937. Qualitative data were analyzed using thematic analysis and methodological triangulation.

The research finds that four major themes: 1) confronting emotional distress following a diagnosis of GDM, 2) self-management strategies for living with GDM, 3) navigating barriers to optimal glycemic control, and 4) Driven by motherhood: Doing everything for the well-being of the child. These findings can inform policy development, guide the design of self-management promotion programs, and support the development of clinical care practices to maintain optimal blood glucose control among women with GDM in the Thai context, thereby ensuring systematic and continuous quality of care.

Factors Associated with Knowledge of Stroke Warning Signs among Patients with Diabetes and Hypertension at A Subdistrict Health Promoting Hospital

Ajala Prommi — 2026-06-29

This study aimed to assess the level of knowledge regarding stroke warning signs and to examine the associations between personal factors, including age, gender, education level, comorbidities, receipt of information, and knowing someone with stroke, and knowledge of stroke warning signs among patients with hypertension and/or diabetes attending Bang Cha Long Health Promoting Hospital, Samut Prakan Province. A total of 168 participants completed the study. The research instruments included a personal information questionnaire and a stroke warning signs knowledge test based on the B.E.F.A.S.T. guidelines, which demonstrated content validity index (CVI) was 1.00 and original reliability (KR-20) was .728. Descriptive statistics, Fisher’s Exact test, and logistic regression were used for data analysis.

The findings indicated that participants had moderate to good knowledge of stroke warning signs, particularly for highly observable symptoms such as arm or leg weakness and facial drooping. However, “unknown” responses were reported for other warning signs, especially dizziness and visual disturbances. Among the personal factors examined, receipt of information regarding stroke warning signs was significantly associated with higher knowledge levels both before and after adjustment for confounding variables. Participants who had previously received stroke-related information were more likely to have higher knowledge levels than those who had not (COR = 3.58, 95% CI = 1.89–6.77, p < .05; AOR = 3.03, 95%CI = 1.55 - 5.91, p < .05). In contrast, gender, comorbidities, and knowing someone with stroke were not significantly associated with knowledge levels (p > 0.05). Age (≥60 years) and education level (secondary or higher) showed unclear associations with knowledge of stroke warning signs.

Therefore, efforts should be made to promote the dissemination of information regarding stroke warning signs, particularly for symptoms that are less recognized by the public. Developed a continuous educational program for hypertensive and diabetic patients to enhance their knowledge of stroke warning signs. In addition, healthcare professionals’ competencies in providing appropriate patient education should be developed to enhance the effectiveness of stroke prevention.

Correlation among Insomnia, Symptom Management Strategies, and Quality of Sleep in End Stage Renal Disease Patients Undergoing Hemodialysis at Police General Hospital

Sataporn klangkan — 2026-06-29

This study examined the levels of, and relationships among, insomnia symptoms, symptom-management strategies, and sleep quality. The sample comprised 80 patients with end-stage renal disease receiving hemodialysis at the Hemodialysis Unit of the Police General Hospital, purposively selected. The research instruments were: (1) a personal data questionnaire, (2) an insomnia symptom assessment, (3) an insomnia symptom-management questionnaire, and (4) a sleep quality assessment. Five experts examined content validity, and the reliability of the instruments measuring insomnia symptoms, symptom-management strategies, and sleep quality, determined by Cronbach’s alpha coefficient, was .73, .56, and .74, respectively. Data were analyzed using frequencies, percentages, means, standard deviations, and Pearson’s product-moment correlation coefficient.

The results revealed that: (1) the sample had a mean insomnia symptom score at the subthreshold (early-stage) insomnia level (M = 8.31, SD = 2.63); more than half experienced early-morning awakening, resulting most frequently in daytime sleepiness (75%), followed by fatigue (70%); (2) regarding insomnia symptom-management strategies, at the personal level most participants watched television, played games, or used social media before bed (76.3%), at the environmental level they slept in a darkened room with the lights off (82.5%), and at the health level they managed itching before bed (31.1%); (3) for sleep quality, the sample had a mean score of 13.04 (SD = 4.90), indicating poor sleep quality, even though 43.8% went to bed before 8:00 p.m.; and (4) the correlation analysis revealed that insomnia symptoms had the strongest, moderate positive relationship with sleep quality, which was statistically significant at the .05 level (r = .48, p < .05), followed by a positive relationship between insomnia symptoms and symptom-management strategies (r = .36, p < .05), while symptom-management strategies had a low positive relationship with sleep quality, statistically significant at the .05 level (r = .22, p < .05).

Therefore, to address the problem of sleep quality, hemodialysis nurses should assess and screen for insomnia symptoms from the onset of hemodialysis treatment, as well as advise patients to reduce electronic media use before bed and concurrently manage disruptive symptoms such as itching.

Development of Competency-Enhancement Program for Nurse Care Managers in Caring for Dependent Older Adults in The Health Region 10

Wannapa Intaracha — 2026-06-29

The objectives of this research and development study were to develop a competency-enhancement program for nurse care managers in caring for dependent older adults and to examine the effects of the program on the perceived self-competency and knowledge of nurse care managers in providing care for dependent older adults. The sample consisted of 72 registered nurses assigned to provide care for older adults in Health Region 10. They were divided into two groups: 36 participants in the experimental group, who received the competency-enhancement program for nurse care managers in caring for dependent older adults, and 36 participants in the control group, who received the usual competency-enhancement activities. The research instrument was the competency-enhancement program for caring for dependent older adults. The data collection instruments included a personal information form, the perceived self-competency questionnaire, and the test of knowledge related to caring for dependent older adults. Data were analyzed using percentages, means, and mean-difference testing with the dependent and independent t-tests.

The study found that the competency-enhancement program for caring for dependent older adults consisted of five components: knowledge provision, essential skill training, motivation enhancement, personal attribute development, and the promotion of appropriate values and attitudes. The program demonstrated a high content validity index of 0.94, indicating its appropriateness and feasibility for enhancing the competency of nurse care managers in caring for dependent older adults. The experimental group that participated in the competency-enhancement program demonstrated significantly higher perceived self-competency and knowledge related to caring for dependent older adults compared to their pre-program levels (p < .05). In addition, the experimental group showed significantly higher self-competency and knowledge related to caring for dependent older adults than the control group (p < .05).

Predicting Factors of Prevention Behaviors of Central Obesity among Working-Age Factory Workers, Ratchaburi Province

Watsana Khaopenyai — 2026-06-29

This study employed a correlational research design to determine the predictive power of health literacy, health beliefs regarding central obesity, food accessibility, and social support for central obesity prevention for central obesity-preventive behaviors among working-age industrial factory workers in Ratchaburi province, using the PRECEDE model as the conceptual framework. A sample of 210 participants was selected through multi-stage random sampling. Data were collected using validated questionnaires assessing health literacy, health beliefs regarding central obesity, food accessibility, social support for central obesity prevention, and preventive behaviors, with Cronbach’s alpha coefficients of .885, .871, .751, .873, and .786, respectively. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.
The findings indicated that participants demonstrated a high level of central obesity-preventive behaviors (M = 47.47, SD = 4.83). Food accessibility, social support for central obesity prevention, health beliefs regarding central obesity, and health literacy collectively explained 38.8% of the variance in preventive behaviors (Adjusted R² = .388, p < .05). Among these factors, food accessibility emerged as the strongest predictor (Beta = .500, p < .05).
The results suggest important implications for community nurse practitioners in developing targeted intervention programs among industrial workers. These programs should emphasize improving food accessibility alongside strengthening health literacy, health beliefs, and social support to promote sustainable, central obesity-preventive behaviors.

The Effectiveness of Counseling Program to HIV Patients for Invite Partner to Receive Health Counseling Services Chomthong Hospital

Sakawduen Chommaung — 2026-06-29

This quasi-experimental study employed a one-group pretest-posttest design with three objectives: 1) to examine the levels of AIDS knowledge and attitudes toward HIV status disclosure to sexual partners among people living with HIV (PLHIV); 2) to compare AIDS knowledge and attitudes toward HIV status disclosure to sexual partners before and after receiving a counseling program for PLHIV to invite partners to health counseling services; and 3) to examine partner-invitation behaviors among PLHIV after receiving the program. The sample consisted of 33 PLHIV receiving antiretroviral therapy at the Antiretroviral Clinic, ChomThong Hospital, Chiang Mai Province, from May to October 2024, who had not yet disclosed their HIV status to their sexual partners and whose partners had never accessed health counseling services. Participants were selected by simple random sampling. Research instruments comprised two components. The first was a counseling program for PLHIV to invite partners to health counseling services, developed in accordance with the guidelines of the Department of Disease Control, Ministry of Public Health, consisting of 10 steps implemented over 4 sessions within 6 weeks. The second was a questionnaire comprising an AIDS knowledge test, an attitude assessment toward HIV status disclosure to sexual partners, and a partner-invitation behavior assessment, with an overall reliability coefficient of .85. Data were analyzed using descriptive statistics and a paired-samples t-test.
The findings after counseling program revealed that: 1) PLHIV had a high level of AIDS knowledge (78.18%), with the highest correct response being that AIDS is caused by HIV (84.80%), while attitudes toward HIV status disclosure to sexual partners were at a moderate level (M = 1.63, SD = .75); 2) after receiving the counseling program, PLHIV showed statistically significant increases in both AIDS knowledge scores and attitudes toward HIV status disclosure to sexual partners compared to before the program (t = -7.239 and t = -3.104, respectively; p < .05); and 3) partner-invitation behaviors among PLHIV after receiving the program were at a high level (M = 2.30, SD = .71), with perceived benefits of treatment yielding the highest mean score (M = 2.58) and perceived barriers to treatment yielding the lowest (M = 1.67).
In conclusion, the counseling program for PLHIV to invite partners to health counseling services was effective in enhancing AIDS knowledge, promoting positive attitudes toward HIV status disclosure, and supporting partner-invitation behaviors. It is therefore recommended that this program be integrated into antiretroviral clinics and expanded to other health service settings to reduce HIV transmission at the community level.

A Model for Preparing to Become a First-Line Nurse Manager for Professional Nurses at a University Affiliated Hospital

Daranee Charoenruen — 2026-06-29

This mixed-methods research aimed to: 1) examine the current situation of preparedness for first-line nursing management positions among head nurses in the nursing department of a university hospital; 2) develop a preparedness model for professional nurses transitioning to first-line nursing management positions; and 3) evaluate the feasibility of implementing the developed model. The study was conducted in two phases. Phase I involved developing the preparedness model using data from eight head nurses with at least two years of managerial experience, selected through purposive sampling. Phase II evaluated the model's feasibility among 45 professional nurses preparing for first-line nursing management positions, selected through simple random sampling. Research instruments consisted of: 1) a semi-structured interview guide, 2) the preparedness model for professional nurses transitioning to first-line nursing management positions, and 3) a model feasibility assessment form. Five experts verified content validity. Data were analyzed using descriptive statistics and content analysis.
The findings revealed that: 1) the organization had a clear managerial succession policy; however, nurses preparing for managerial roles demonstrated insufficient management knowledge, lacked motivation to pursue higher positions, and declined promotion opportunities; 2) the preparedness model comprised three components: (2.1) practical training in the head nurse role, (2.2) management knowledge training, and (2.3) managerial competency assessment and follow-up evaluation; and 3) the feasibility of implementing the preparedness model was rated at a high to highest level.
The nursing department should therefore establish a systematic succession planning process by selecting and developing high-potential professional nurses, using individual development plans, leadership and management preparedness curricula, and a structured mentoring system to ensure sustainable continuity of first-line nursing leadership.

The Development of Nursing Practice Guidelines for Stroke Patient in The Emergency Accident and Forensic Unit at Sawangweerawong Hospital

Thawannarat Sanjornkoksung — 2026-06-29

This research and development study aimed to develop nursing practice guidelines (NPGs) for patients with stroke and to evaluate the outcomes of their implementation. The participants consisted of 50 patients with stroke who received services at the emergency and forensic unit of Sawangweerawong Hospital. Purposive sampling was used to select participants, who were divided into two groups: an experimental group (n = 25) that received the stroke NPGs developed by the researcher and a comparison group (n = 25) that received the existing standard stroke NPGs. The research instruments included the stroke NPGs and a stroke patient screening record form. Data were analyzed using descriptive statistics, independent samples t–test, Chi-square test, and Risk Ratio (RR).
The results revealed that the stroke NPGs developed by the researcher consisted of four components: 1) assessment and screening at the triage point, 2) nursing interventions and risk management, 3) pre-transfer nursing care before referral to a higher-capacity referral hospital, and 4) nursing care during patient transfer. The mean of door-to-refer time in the experimental group was significantly longer than that in the comparison group (M = 65.20, SD = 41.59 and M = 55.72, SD = 31.73, respectively; p = .009). However, the mean of door-to-refer time in the experimental group was significantly shorter than that in the comparison group (M = 25.68, SD = 2.75 and M = 42.12, SD = 11.62, respectively; p = .000). The probability of receiving recombinant tissue plasminogen activator (rt-PA) therapy was higher in the experimental group than in the comparison group (RR = 2.00, 95%CI = .80 - 5.02). However, the difference was not statistically significant (p = .108).

Predictors of Health-Promoting Behaviors among Pregnant Women

La-Ongdao Wannarit — 2026-06-29

This predictive research aimed to examine health-promoting behaviors among pregnant women and to identify their predictors. The sample consisted of 166 pregnant women attending the antenatal care unit at Bhumibol Adulyadej Hospital, Directorate of Air Medical Services, selected through simple random sampling. Research instruments included a demographic questionnaire and standardized questionnaires assessing health-promoting behaviors, perceived benefits, perceived barriers, perceived self-efficacy, social support, and commitment to practicing health-promoting behaviors. All instruments were evaluated for content validity and demonstrated acceptable reliability, with Cronbach’s alpha coefficients of .86, .98, .83, .90, .82, and .71, respectively. Data were analyzed using descriptive statistics and multiple regression analysis with the Enter method.
The results revealed that health-promoting behaviors were at a high level (M = 121.65, SD = 11.89). Commitment to practicing health-promoting behaviors, perceived benefits, social support, and perceived self-efficacy jointly and significantly predicted health-promoting behaviors among pregnant women at the .05 level, accounting for 36.1% of the variance (R = .601, R² = .361, Adjusted R² = .341, F (5,160) = 18.109, p < .05). Among these variables, commitment to practicing health-promoting behaviors was the strongest predictor (Beta = .382, p < .05).
These findings suggest that nurse-midwives should promote commitment to health-promoting behaviors, perceived benefits, social support, and perceived self-efficacy among pregnant women to enhance appropriate health-promoting behaviors during pregnancy.

Factors Predicting Work Happiness among Professional Nurses in A Private Hospital Group

Thitiporn Pomyukhol — 2026-06-29

The purposes of this predictive study were to 1) examine the level of work happiness among professional nurses in a private hospital group 2) examine the relationships among hardiness, teamwork, ethical climate, professional autonomy, and work happiness among professional nurses in a private hospital group and 3) determine the predictive power of hardiness, teamwork, ethical climate, and professional autonomy on work happiness among professional nurses in a private hospital group. The sample consisted of 192 professional nurses selected through multistage sampling. The research instrument was a questionnaire of hardiness, teamwork, ethical climate, professional autonomy, and work happiness. Content validity was established by a panel of experts, with content validity index (CVI) values ranging from .90 to 1.00, and Cronbach’s alpha coefficients ranging from .90 to .96. Data were collected via an electronic system and analyzed using descriptive statistics, Pearson’s product-moment correlation coefficient, and stepwise multiple regression analysis. The statistical significance level was set at .05.
The research findings revealed that professional nurses perceived their overall work happiness at a high level (M = 4.25, SD = .41). All study variables were positively and significantly correlated with work happiness (r = .769 - .844, p < .05) Professional autonomy, teamwork, hardiness, and ethical climate significantly predicted work happiness among professional nurses (Beta = .354, .240, .227, and .193, respectively; p < .05). Together, these variables explained 83.4% of the variance in work happiness (R² = .834).
The findings of this study indicate that work happiness among professional nurses is influenced by both individual and organizational factors, particularly professional autonomy and teamwork, which were identified as key contributors to nurses’ work happiness. Therefore, nurse administrators should prioritize promoting professional autonomy in clinical decision-making, enhancing teamwork competencies, strengthening psychological hardiness, and fostering a positive ethical climate within healthcare organizations. These initiatives may help enhance work happiness among professional nurses, leading to greater retention in the profession, improved quality of nursing care, and the achievement of effective and sustainable healthcare outcomes in the long term.

Effectiveness of Modified Boonmee Long-Stick Exercise Program for Older People on Physical Fitness and Quality of Life

Prairahong Somwong — 2026-06-29

This quasi-experimental study examined the effectiveness of a modified Boonmee long-stick exercise program on physical fitness and quality of life among older adults. Participants were 64 older adults with below-standard physical fitness who attended the Healthy Aging Clinic at King Chulalongkorn Memorial Hospital. They were recruited through purposive sampling and allocated to an experimental group (n = 32) and a control group (n = 32). The experimental group performed the modified Boonmee long-stick exercise for 45 minutes per session, at least five times per week, over 12 weeks. In contrast, the control group maintained their usual physical activity. Research instruments comprised the modified Boonmee long-stick exercise program, a personal data record form, physical fitness tests, and the Thai version of the WHO Quality of Life–BREF (WHOQOL-BREF-THAI). Data were analyzed using frequencies, percentages, means, and standard deviations, and differences in means were compared using a t-test.
Results showed that the experimental group showed significantly greater increases in skeletal muscle index and upper-leg circumference than the control group (p < .05). In contrast, body weight, body mass index, and mid-upper-arm circumference did not differ significantly. For physical fitness, the experimental group demonstrated significantly higher muscle strength, flexibility, and cardiorespiratory endurance than the control group (p < .05). For quality of life, the experimental group reported significantly better outcomes in the physical, psychological, and social domains than the control group (p < .05). In contrast, the environmental domain showed no significant difference.
The modified Boonmee long-stick exercise program can be applied as a practical exercise modality to enhance physical fitness and quality of life in older adults.

The Effects of a Health Promotion Program Based on PBRI Model and Department of Health via Digital Media on Self-Care Behaviors of Pregnant Women with Anemia

Nurome Juiphuang — 2026-06-30

This quasi-experimental research aimed to: 1) compare the mean self-care behavior scores of pregnant women with anemia before and after receiving a health promotion program; 2) compare these mean scores between the experimental and control groups; and 3) compare mean hematocrit (Hct) levels between the experimental and control groups. The sample comprised 60 pregnant women with anemia who were receiving services at the Antenatal Care (ANC) Department of Buddhachinaraj Phitsanulok Hospital. Participants were selected through purposive selection and equally assigned to an experimental group (n = 30) and a control group (n = 30). The experimental intervention was a health promotion program based on the Praboromarajchanok Institute Model (PBRI Model) and the Department of Health guidelines, delivered via video. Data collection instruments included: 1) a personal information questionnaire, 2) an HCT record form, and 3) a self-care behavior questionnaire. The content validity index for all instruments was evaluated by three obstetric experts, yielding an Index of Item-Objective Congruence (IOC) of 0.87 for the video media and 1.00 for the self-care behavior questionnaire. The Cronbach’s alpha coefficient for the questionnaire’s reliability was .82. Data were analyzed using descriptive statistics and inferential statistics, including paired t-tests and Mann-Whitney U Test, with a statistical significance level set at .05.
The results showed that after the 6-week program, the experimental group had significantly higher mean self-care behavior scores than before the intervention (t = 11.799, p < .05) and significantly higher scores than the control group (z = -6.600, p < .05). Furthermore, the experimental group demonstrated significantly higher mean Hct levels than the control group (z = -3.971, p < .05).
This study suggests that a health promotion program based on the PBRI Model and Department of Health guidelines, delivered via video, can effectively improve self-care behaviors among pregnant women with anemia.

Development of a Health Care Behavior Program for Pregnant Women with Hyperglycemia

Ratchaya Rattanatavorn — 2026-06-30

This participatory action research employed a one-group pretest-posttest quasi-experimental design with two objectives: to develop a health care behavior program for pregnant women with hyperglycemia, and to compare mean health care behavior scores and mean blood glucose levels before and after program participation. A purposive sample of 50 pregnant women with hyperglycemia was recruited from the antenatal care clinics at Khlong Luang Hospital and Thanyaburi Hospital in Pathum Thani Province, Thailand. The intervention program was theoretically grounded in the constructs of self-management, self-efficacy, and social support, and was implemented over 24 weeks through the Participatory Action-Oriented Research (PAOR) process. Program delivery modalities comprised group meetings, home visits, and telephone follow-up. Research instruments included the health care behavior program, a health manual and self-monitoring diary, assessment tools for self-management, self-efficacy, and social support, a personal and health data questionnaire, a health care behavior questionnaire, and a blood glucose recording form. All instruments underwent content validity verification, with Cronbach’s alpha coefficients ranging from .76 to .84. Data were analyzed using descriptive statistics and the dependent t-test.
The findings revealed that following program participation, participants demonstrated significantly higher mean health care behavior scores compared with baseline (M = 4.24, SD = .56 vs. M = 2.94, SD = .59, respectively; t = - 25.92, p < .05). Mean blood glucose levels were also significantly reduced post-intervention (M = 118.42 mg/dL, SD = 14.76 vs. M = 142.36 mg/dL, SD = 18.52, respectively; t = - 12.84, p < .05). Furthermore, scores across all three psychosocial domains- self-management, self-efficacy, and social support- improved significantly from moderate to high levels (p < .05). These findings demonstrate that the PAOR-based health care behavior program effectively promotes health-protective behaviors and achieves clinically meaningful glycemic control among pregnant women with hyperglycemia. The program warrants broader implementation across community and clinical settings as a replicable, evidence-based intervention for this at-risk population.

JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE

Contents

Editorial Board

Editorial

Nursing Care for Pediatric Patients with Acute Lymphoblastic Leukemia Receiving Chemotherapy Drugs: Concepts and Utilization in Clinical Practice

Nursing Roles in Palliative Care for Patients with Liver Cancer

Integrating Health Literacy and Digital Health to Prevent Repeat Pregnancy in Postpartum Adolescents: A Narrative Review

Effectiveness of a Modified Multifactorial Intervention Program on Health Outcomes among Community-Older Adults with Knee Osteoarthritis: A Comparative Study

Characteristics of Patients with Antimicrobial-Resistant Gonorrhea Attending a Sexually Transmitted Infection Clinic: A Retrospective Descriptive Study

The Effects of a PITS-Based Educational Program on Self-Care Behaviors and Glomerular Filtration Rates among Patients with Stage 3 – 4 Chronic Kidney Disease

Selected Factors Related to Caregiver Burden among Primary Caregivers of Older Adults with Multimorbidity

Experience of Glycemic Control of Women with Gestational Diabetes Mellitus in Eastern Area of Bangkok

Factors Associated with Knowledge of Stroke Warning Signs among Patients with Diabetes and Hypertension at A Subdistrict Health Promoting Hospital

Correlation among Insomnia, Symptom Management Strategies, and Quality of Sleep in End Stage Renal Disease Patients Undergoing Hemodialysis at Police General Hospital

Development of Competency-Enhancement Program for Nurse Care Managers in Caring for Dependent Older Adults in The Health Region 10

Predicting Factors of Prevention Behaviors of Central Obesity among Working-Age Factory Workers, Ratchaburi Province

The Effectiveness of Counseling Program to HIV Patients for Invite Partner to Receive Health Counseling Services Chomthong Hospital

A Model for Preparing to Become a First-Line Nurse Manager for Professional Nurses at a University Affiliated Hospital

The Development of Nursing Practice Guidelines for Stroke Patient in The Emergency Accident and Forensic Unit at Sawangweerawong Hospital

Predictors of Health-Promoting Behaviors among Pregnant Women

Factors Predicting Work Happiness among Professional Nurses in A Private Hospital Group

Effectiveness of Modified Boonmee Long-Stick Exercise Program for Older People on Physical Fitness and Quality of Life

The Effects of a Health Promotion Program Based on PBRI Model and Department of Health via Digital Media on Self-Care Behaviors of Pregnant Women with Anemia

Development of a Health Care Behavior Program for Pregnant Women with Hyperglycemia