JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE

Editor's Note

Thipkhumporn Keskomon — Tue, 14 May 2024 00:00:00 +0700

Editorial Board Journal of The Police Nurses and Health Science — Wed, 15 May 2024 00:00:00 +0700

EVALUATION OF THE TRAINING PROGRAM ON DEVELOPMENT OF ROUTINE TO RESEARCH FOR REGISTERED NURSE IN NURSING SERVICE ORGANIZATION: MIXED-METHOD EVALUATION RESEARCH

Tue, 14 May 2024 00:00:00 +0700

This mixed-methods evaluation research aimed to evaluate the training program on the development of routine to research (R2R) for registered nurses in nursing service organizations and to study determining guidance for the development program. Ninety-five registered nurses with trained R2R programs and ten key informants were recruited using purposive selection techniques from Ramathibodi Hospital, Mahidol University. The research instruments consisted of two sets: 1) the assessment questionnaire for the training program (input, process, output, and impact) with content validity ranging from .60 to 1.00 and Cronbach’s alpha coefficient reliability ranging from .81 to .89, and 2) an interview form used to interview registered nurses with trained R2R programs. Data were analyzed using descriptive statistics and content analysis.

The results showed that: 1) in evaluating the input, process, output, and impact, all aspects were rated as appropriate at a high level and 2) the guidance for the development program of R2R for registered nurses to enhance efficiency and effectiveness included establishing a research clinic, providing nurse mentors with knowledge and capabilities in nursing research, enhancing positive reinforcement skills, and ensuring continuity of progressive evaluation.

THE EFFECT OF CHAIR AEROBIC EXERCISE WITH FAMILY SUPPORT ON HEMOGLOBIN A1C AMONG PERSONS WITH TYPE 2 DIABETES

Fri, 17 May 2024 00:00:00 +0700

The purpose of this quasi-experimental research was to examine the effect of chair aerobic exercise with a family support program on hemoglobin A1C among individuals with Type 2 Diabetes Mellitus (T2DM). The sample consisted of 54 individuals with type 2 diabetes who attended the diabetes clinic at Maesuai Hospital in Chiang Rai province. The sample was divided into two groups, with 27 individuals in each: the experimental group and the control group. The experimental group received chair aerobic exercise with family support, which included education, practice, and four home visits. The control group received usual care. The instruments used in this study were the chair aerobic exercise program with family support and a perceived family support assessment tool. The content validity index (CVI) of the assessment was .82, and its Cronbach’s alpha coefficient was .97. Data were analyzed using descriptive statistics and t-tests.

The results revealed that the experimental group, which received the chair aerobic exercise program with family support, had a lower average of hemoglobin A1C after receiving the program compared to before, and showed a greater decrease in the average of hemoglobin A1C compared to the control group, who received usual nursing care, with statistical significance (p < .05).

These findings suggest that chair aerobic exercise with family support could effectively help in controlling blood glucose levels in individuals with type 2 diabetes.

THE FACTORS INFLUENCING THE INTENTION TO QUIT SMOKING AMONG MILITARY STUDENTS IN THE ROYAL THAI ARMY

Chayaluck Siripukdeekan, Weha Kasemsuk — Wed, 15 May 2024 00:00:00 +0700

The objective of this predictive study was to investigate smoking behaviors and the factors influencing the intention to quit smoking among military cadets in the Royal Thai Army. The sample included 481 military students enrolled in educational institutions affiliated with the Royal Thai Army during the 2022 academic year, all of whom were either current smokers or had a history of smoking. Simple random sampling was used to select participants. Data were collected through an online questionnaire comprising 48 items designed to assess factors affecting the intention to quit smoking. The index of item-objective congruence (IOC) was at .67 or higher, and the Cronbach's alpha coefficient was .907. Analysis of the data involved descriptive statistics and multiple linear regression analysis using the Enter method.

Findings revealed that 1) The respondents reported that an average age of initial smoking onset was between 16 and 18 years (49.50%, M = 17.02 years, SD = 2.38). Daily cigarette consumption ranged from 1 to 10 cigarettes (83.60%, M = 5.49 cigarettes/day, SD = 5.75), while smoking durations varied from 2 to 5 years (45.30%, M = 3.74 years, SD = 2.85). Curiosity was identified as the most common reason for smoking (45.70%). The types of cigarettes commonly used included traditional cigarettes alone (39.10%), a combination of traditional and e-cigarettes (34.30%), and solely e-cigarettes (22.90%). The majority of participants smoked on a daily basis (48.20%). Notably, military cadets exhibited high levels of awareness regarding their own attitudes and abilities, social support, and intention to quit smoking, and 2) The study found that variables such as age of first smoking, smoking quantity per day, frequency, duration, social support in smoking cessation, self-efficacy in smoking control, and attitude towards smoking cessation collectively accounted for 63.70 percent of the variance in smoking cessation intention among military cadets in the Royal Thai Army (R = .798, R² = .637, F (7,473) = 118.785, p = .000).

Recommendations include establishing smoking cessation clinics or organizing anti-smoking campaigns in schools, enhancing awareness regarding the adverse effects of e-cigarettes, and providing support resources for individuals seeking to quit smoking.

THE SITUATION OF SAFETY MANAGEMENT FROM CHEMOTHERAPY DRUGS, SURATTHANI HOSPITAL

Supaporn Supantee, Pratyanan Thiengchanya, Shutiwan Purinthrapibal — Wed, 15 May 2024 00:00:00 +0700

The purpose of this qualitative research was to study the safety management situation from chemotherapy drugs in Surat Thani Hospital the informants were people involved with chemotherapy, a total of 30 people, selected purposively consisting of 5 administrators, 13 practical registered nurses, and nursing assistants. and 5 patient assistants, 1 building employee, 2 chemotherapy drug delivery staff, and 4 service recipients using standard safety management concepts for giving chemotherapy drugs. of the National Cancer Institute (2022) data were collected using semi-structured interviews. and document review data were analyzed by content analysis.

Results of a study of the standard situation of safety management of chemotherapy drugs according to standards 1) Personnel. It was found that personnel lack awareness. not following guidelines lack of continuous review and supervision. less communication in the team 2) The location was found to be crowded, not conducive to work, and not safe 3) Service recipients (patients) found that health education and knowledge assessment including giving advice to patients and relatives Before giving chemotherapy is important. Because if patients and relatives lack knowledge and do not follow guidelines and standards it will affect both patients and relatives. Including operating personnel. Results of this study reflects the necessity of developing a management model for safety from chemotherapy drugs to be consistent with the context of the agency.

EFFECTS OF TRANSITIONAL CARE PROGRAM FOR STROKE PATIENTS ON FAMILY CAREGIVER’S READINESS AND BURDEN

Pasika Kimhong, Duangkamol Wattradul, Aurauma Chutinet — Wed, 15 May 2024 00:00:00 +0700

This quasi-experimental research aimed to study the effects of the transitional care program for stroke patients on family caregivers’ readiness and burden. The sample consisted of family caregivers of stroke patients admitted to King Chulalongkorn Memorial Hospital, the Thai Red Cross Society. Purposive sampling was used to select subjects. The control group (n = 28) received routine nursing care, while the experimental group (n = 28) received routine nursing care along with the transitional care program for seven consecutive days during hospitalization, followed by six weeks of continuous follow-up phone visits after discharge. Caregivers were provided with teaching material through the LINE official account, consisting of video clips and five infographics. Data were collected using questionnaires for the family caregiver’s readiness, and the family caregiver’s burden. Descriptive statistics, Chi-square tests, and t-tests were employed for data analysis.

The results revealed that the mean score of family caregivers’ readiness after the experiment in the experimental group was significantly higher than that of the control group (t = -14.00, p = .00). Additionally, the mean score of family caregivers’ readiness after the experiment in the experimental group was significantly higher than that before the experiment (t = -29.86, p = .00). Moreover, the mean score of family caregivers’ burden after the experiment in the experimental group was significantly lower than that of the control group (t = 12.32, p = .00), and lower than that before the experiment (t = 26.38, p = .00). Therefore, nurses are encouraged to utilize the transitional care program and the LINE official account to enhance the readiness of stroke patients’ family caregivers.

THE EFFECTIVENESS OF PRE-PRACTICE PREPARATION PROGRAM IN PRACTICUM OF ADULT AND GERONTOLOGICAL NURSING II IN NEW NORMAL ERA ON KNOWLEDGE, PRACTICAL SKILLS AND CONFIDENCE, IN THE THIRD YEAR NURSING STUDENTS

Chulaluk Jaipang, Araya Jeranukul — Sun, 19 May 2024 00:00:00 +0700

This mixed-methods research study aimed to investigate the effectiveness of the pre-practice preparation program on knowledge, practical skills, and confidence, as well as to explore the experiences of third-year nursing students in the practicum in adult and gerontological nursing II during the new normal era. The participants consisted of 89 third-year nursing students enrolled in this program and twenty-five nursing students engaged in group discussions and underwent an in-depth interview process. The research instruments included the pre-practice preparation program, questionnaires on personal data, knowledge, practical skills, and confidence, as well as group discussion and in-depth interview questions. Quantitative data were collected before qualitative data. Descriptive statistics, one-way repeated measures ANOVA, the Friedman test and the paired t-test were employed to analyze the data.

The results showed that average scores for knowledge and confidence were significantly higher immediately after and 2 months after the program compared to the beginning (p < .05). Nursing practice skills immediately after the program were also significantly higher than 2 months after the program (p < .05). The experience of participating in the pre-practice preparation program has two main points: 1) the program had promotes practical learning including enhancing knowledge, understanding, and confidence; and 2) the program had limitations, including limited time, non-continuous practice, the inability to observe changes in patients, and the inability to provide online experiences for some skills.

In conclusion, the pre-practice preparation program had demonstrated its efficacy in improving nursing students’ knowledge, practical skills, and confidence in the new normal era.

FACTORS ASSOCIATED WITH E-CIGARETTE USAGE BEHAVIORS AMONG STUDENTS OF NAKHON PATHOM RAJABHAT UNIVERSITY

Kamollabhu Thanomsat, Panittanan Sealim, Puttaporn Onkhamsee — Sun, 19 May 2024 00:00:00 +0700

This descriptive cross-sectional study aims to explore factors associated with e-cigarette usage among university students. The research sample comprised regular undergraduate students aged 18 years and above, enrolled in years 1-4 at Nakhon Pathom Rajabhat University during the academic year 2023, totaling 409 individuals. The research employed various tools, including a questionnaire assessing student smoking behaviors, inquiries about perceptions and attitudes toward electronic cigarettes, and a stress assessment form (ST-5). Data analysis involved the use of descriptive statistics and binary logistic regression analysis.

The findings of the research reveal that among the sample group, e-cigarettes has the highest usage recorded at 62.84 percent. The majority of these individuals exclusively use e-cigarettes, with 41.88 percent using them daily. The majority of participants initiated e-cigarette usage between the ages of 16 to 18, constituting 41.02 percent, with a prevalent tendency to smoke whenever the opportunity arises, at 40.17 percent. The primary reason cited for commencing e-cigarette usage was stress relief, with 40.17 percent indicating this as their main motive. Students with low awareness about e-cigarettes were found to have a 3.03 times higher risk of using e-cigarettes (AOR = 3.03, 95%CI = 1.62 - 5.68). Additionally, students with an agreeable attitude towards smoking electronic cigarettes were 4.42 times more likely to engage in e-cigarette smoking (AOR = 4.42, 95%CI = 1.19 - 6.93), whereas those who disagreed with smoking e-cigarettes had a lower likelihood. Moreover, students with friends who smoke e-cigarettes exhibited a 20.00 times higher likelihood of using e-cigarettes (AOR = 20.00, 95%CI = 10.22 - 39.16) compared to those without such friends. Students with higher incomes were 3.42 times more likely to smoke e-cigarettes (AOR = 3.42, 95%CI = 1.50 - 7.77) than those with lower incomes.

Based on these findings, the study recommends that universities should plan to create guidelines to promote good attitudes regarding not smoking e-cigarettes, educate about the dangers of e-cigarettes, and promote rejection skills to develop strategies for preventing e-cigarette use among university students.

PREVALENCE OF DEMENTIA, READINESS, AND GUIDELINE FOR PREPARING RELATIVES TO CARE FOR DEMENTIA PATIENTS IN NONTHABURI PROVINCE

Mon, 27 May 2024 00:00:00 +0700

The objectives of this research were to study 1) the prevalence of dementia, and 2) the readiness of relatives to care for dementia patients and guidelines to prepare relatives for caregiving in Nonthaburi province. There were two groups of subjects and informants: 1) Subjects for studying the prevalence of dementia were 400 elderly people over 60 years old in Nonthaburi province, obtained through stratified random sampling, and 2) informants for studying the guidelines to prepare relatives for caregiving were 13 relatives of high-risk dementia subjects from the dementia prevalence study and 5 medical personnel who worked with dementia patients. Instruments used were: 1) the Mini-Mental State Examination (MMSE), 2) the Montreal Cognitive Assessment (MoCA), 3) group discussion topics evaluated by experts, and 4) the readiness questionnaires for assessing relatives to care for dementia patients, with a reliability of .83. Data were analyzed by frequency, percentage, mean, standard deviation, and content analysis.

The results were as follows: 1) The prevalence of dementia in Nonthaburi province was 3.25 percent, with the highest prevalence in Amphur Mueang Nonthaburi at 1.50 percent and no dementia cases in Amphur Bang Yai. Most cases were female. 2) The overall readiness of relatives was moderate, with the highest readiness in the physical aspect and the lowest in the information and support resources aspect. 3) Guidelines to prepare relatives caring for dementia patients were as follows: 1) Medical personnel involved with dementia patients should provide accurate and understandable information about symptoms and management of dementia. 2) Relatives and caregivers must be strong both physically and mentally, accept the changing status of patients, and have no financial problems. Additional information about caring for dementia in the elderly such as manage their time effectively and ensure readiness in terms of place and equipment for effective care. Health personnel must have knowledge and skills in using dementia screening forms, a special hotline for counseling, and a dedicated clinic for dementia. The involved agencies must integrate management policies and improve accessibility to standard treatment.

A STUDY OF HEALTH-PROMOTING LIFESTYLES AND SELF-DEVELOPMENT NEEDS OF THE ELDERLY IN BANPHO DISTRICT, CHACHOENGSAO PROVINCE

Onchuma Nunoy — Mon, 27 May 2024 00:00:00 +0700

The objectives of this descriptive research were to study the health promotion lifestyles, and self-development needs of the elderly. The samples consisted of 369 people, aged 60 - 69 years. The sample size was calculated using Taro Yamane's formula. This research used stratified and simple random sampling. Data were collected using questionnaires which was the index of item objective congruence (IOC) ranging from .60 to 1.00. The Cronbach's alpha coefficient for elderly well-being was .95, for self-improvement needs was .93, and for health-promoting lifestyles was .97. Data were analyzed using frequency, percentage, mean, standard deviation, and Pearson's product moment correlation coefficient.

The results showed that the elderly had a high level of overall well-being (M = 3.92). The overall health-promoting lifestyle was also at a high level (M = 3.72). Overall self-improvement needs were moderate (M = 3.23). The aspect with the greatest need for personal development was training, as well as social and spiritual well-being.

DEVELOPMENT AND QUALITY TESTING OF A FAMILY-CENTERED CARE MEASUREMENT FORM FOR PEDIATRIC PATIENTS

Somporn Poolpanitoopatum, Teepatad Chintapanyakun, Numtip Tongsawang — Mon, 27 May 2024 00:00:00 +0700

This descriptive research aimed to develop and validate a family-centered care (FCC) measurement form for pediatric patients. The total sample consisted of 319 parents of pediatric patients admitted to the pediatric ward at Ramathibodi hospital, recruited using a purposive selection technique. The research instrument was the FCC measurement with a 5-point rating scale. Data were analyzed using frequency, percentage, mean, standard deviation, Cronbach's alpha coefficient, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).

Findings demonstrated that the FCC measurement consisted of six components: 1) dignity and respect, 2) communication and information sharing, 3) empowerment, 4) collaboration, 5) equity-oriented care, and 6) developmental and psychosocial needs. The measurement contained 35 items with a content validity index ranging from .87 to 1.00. For reliability testing, each component’s reliability coefficient ranged from .886 to .965, with an overall reliability coefficient of .984. For construct validity testing, the exploratory factor analysis exhibited five components with Eigenvalues greater than 1.0. The measurement explained 82.28% of the total variance for the FCC of pediatric patients. Additionally, the construct validity tested by confirmatory factor analysis revealed empirical data confirming the use of the FCC measurement ( ² (df = 526, N = 319) = 1,316.299, p = .000, ²/df = 2.50, CFI = .931, TLI = .922, RMSEA = .069, SRMR = .046).

This study suggests that the developed FCC measurement instrument is valid and reliable for assessing nursing care with FCC from the perspective of parents.

PREVALENCE, RISK FACTORS, AND SHORT-TERM OUTCOMES AMONG LOW-BIRTH WEIGHT NEONATES BORN AFTER THE COVID-19 PANDEMIC IN A TERTIARY HOSPITAL IN NORTHERN THAILAND

Apiraya Panthong — Tue, 28 May 2024 00:00:00 +0700

This retrospective, matched case-control study aimed to assess the prevalence and determine maternal factors and short-term outcomes associated with low birth weight in neonates born after the COVID-19 outbreak at a tertiary hospital in northern Thailand between October 1, 2022, and April 30, 2023. The sample group consisted of 183 Thai women aged 15 years and above, giving birth to singleton and alive newborns. The samples were also 61 babies with low birth weight (LBW) and 122 babies with normal birth weight. Data were collected using a data recording form created by the researcher and checked for content validity by 3 experts, with a CVI value calculated to be .87. Data were analyzed using descriptive statistics, chi-square test, and binary logistic regression.

The results showed that the prevalence of low birth weight was 9.32%. Maternal risk factors that increased the chance of low birth weight included: weight gain during pregnancy < .50 kg/week increases the chance of LBW .21 times (OR = .21; 95%CI = .09 - .61, p = .000), prenatal care according to quality criteria < 5 times increases the chance of LBW .03 times (OR = .30; 95%CI = .15 - .58,
p = .000), obstetric complications increase the chance of LBW 3.10 times (OR = 3.10; 95%CI = .25 - 79.61, p = .007), and prenatal complications increase the chance of LBW 21 times (OR = 21.00; 95%CI = 2.56 - 171.93, p = .001). Infants with low birth weight had a .10 time increased risk of having Apgar scores < 7 in the 1st and 5th minutes (OR = .10; 95%CI = .02 - .38, p = .001), risk of hypoglycemia increased 7.77 times (OR = 7.77; 95%CI = 2.00 - 29.45, p = .003), risk of severe hypoxia/ventilation with CPAP/ET tube increased 19.35 times (OR = 19.35; 95%CI = 5.46 - 68.52, p = .000), and they would be transferred to the NICU 12.35 times higher (OR = 12.35; 95%CI = 3.95 - 38.55, p = .000) when compared to newborns with normal birth weight.

Health personnel should increase efficiency in caring for pregnant women by assessing risk factors for low birth weight, promoting quality prenatal care, enhancing nutrition during pregnancy, and providing advice on self-care to reduce the chance of low birth weight. This will help reduce complications that cause illness, disability, and death among infants and young children in this region.

RELATIONSHIP BETWEEN ATTENTION-DEFICIT/HYPERACTIVITY DISORDER SYMPTOMS AND ACADEMIC PERFORMANCE, PRACTICAL PROBLEMS, AND INTERNET ADDICTION AMONG NURSING STUDENTS

Kamonnat Klongdee, Surachai Chaniang — Tue, 28 May 2024 00:00:00 +0700

This descriptive research aimed to investigate the relationship between attention-deficit/hyperactivity disorder (ADHD) symptoms and academic performance, practical problems, and internet addiction among nursing students. The sample consisted of 216 third- and fourth-year nursing students enrolled in the Bachelor of Nursing Science Program at a nursing education institution in northeastern Thailand. The research instruments for data collection were the Adult ADHD Self-Report Scale Thai Version (ASRS-v1.1), a questionnaire on the opinions of nursing students towards practical problems on the ward, and the internet addiction test. The reliability indices of the research instruments were tested using Cronbach’s alpha coefficients, yielding values of .94, .95, and .96, respectively. Data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient.

The findings revealed that ADHD symptoms were positively and significantly related to practical problems and internet addiction (r = .51, p < .05; r = .58, p < .05, respectively). On the other hand, there was no relationship between ADHD symptoms and academic performance (r = .03, p > .05). These findings can serve as foundational information for developing college guidelines aimed at reducing practical problems and preventing unnecessary and excessive internet use among nursing students with ADHD.

THE EFFECT OF THE BALANCING MOVEMENT PROGRAM USING THE MAGIC ANIMAL WAY ON THE BALANCE OF SCHOOL-AGE CHILDREN WITH PHYSICAL DISABILITIES

Jaruwan Kansri, Prachaya Samana-changpheuk , Sasiwimon Booranarek — Tue, 28 May 2024 00:00:00 +0700

The aim of this quasi-experimental study using a one-group pretest-posttest design was to determine the effect of the balancing movement program using Magic Animal Way on the balance of school-age children with physical disabilities in balancing movement. The sample group consisted of 20 school-age children with physical disabilities in balancing movement, aged between 7 and 12 years, from Chai Nat Special Education School in Mueang District, Chai Nat Province. They were selected based on specified qualification criteria. The research instrument was the balancing program "Magic Animal Way" and the Pediatric Balance Scale (PBS) assessment form. The content validity values (IOC) ranged from .94 to .98. The Cronbach’s alpha coefficient for the PBS questionnaire was .72. Data were analyzed using descriptive statistics, which are frequency, percentage, mean, and standard deviation. The dependent t-test was used to compare the PBS scores.

The results of this study reveal that balancing scores in school-age children with physical disabilities in balancing movement improved after receiving the Magic Animal Way program, with statistical significance at the .05 level (M = 29.08, SD = 6.29 and M = 14.60, SD = 4.45, t = - 13.093,
p = .000). The results recommend that this program should be utilized to improve the balance of school-age children with physical disabilities in balancing movement, enabling them to more effectively assist themselves.

INTEGRATED PSYCHOLOGICAL INNOVATION FOR ENHANCING DEPRESSION PREVENTION POTENTIAL IN THE ELDERLY IN NONTHABURI PROVINCE

Sukaroon Wongtim, Saisamorn Chaleoykitti, Thitikorn Yawichai Jarueksil — Tue, 28 May 2024 00:00:00 +0700

The objectives of this research were to 1) study depression prevention potential in the elderly, 2) compare depression prevention potential in the elderly, and 3) study the results of using the innovation. The sample for studying depression prevention potential consisted of 324 elderly individuals obtained by stratified random sampling. For studying the result of the depression prevention potential, 30 subjects were divided into 2 groups: an experimental group and a control group, each consisting of 15 subjects. The experimental group received the innovation, while the control group received usual information. Data were collected by depression prevention potential questionnaire. Data were analyzed using descriptive statistics; frequency, percentage, mean, and standard deviation, inferential statistics; t-test and one-way ANOVA.

The results were as follows: 1) The overall potential to prevent depression in the elderly was at a moderate level, with the thinking aspect being the highest. 2) The elderly with different ages, marital statuses, and educational levels showed significant differences in depression prevention potential. 3) After using this innovation, the experimental group had significantly higher depression prevention potential compared to the control group, with statistical significance at the .05 level.

EXPLORATORY FACTOR ANALYSIS OF GLYCEMIC CONTROL BEHAVIORS AMONG TYPE 2 DIABETES MELLITUS PATIENT SCALE AT KANTHARALAK HOSPITAL, SISAKET PROVINCE

Tue, 28 May 2024 00:00:00 +0700

The purpose of this research was to analyze the exploratory components of the glycemic control behavior assessment of patients with type 2 diabetes mellitus (Type 2 DM). The sample consisted of 210 Type 2 DM patients treated at Kantharalak Hospital, Sisaket Province. The sample was selected by simple random sampling. Data were collected using self-administered questionnaires on glycemic control behaviors of Type 2 DM patients. The four-scale Likert’s questionnaire used as a research instrument had a content validity index ranging from .84 to .96, and the Cronbach’s alpha coefficient was .90. The data were analyzed using exploratory factor analysis, employing principal component analysis and the varimax orthogonal method.

The results revealed five essential components of glycemic control behaviors in Type 2 DM patients: 1) exercise behavior, 2) stress management behavior, 3) food control behavior, 4) diabetes medication use behavior, and 5) general health care behavior. These were 22 indicators, with factor loadings ranging from .503 to .841. All components collectively explained 62.36 percent of the glycemic control behaviors of the patients.

THE COMPONENTS OF NURSING INFORMATION MANAGEMENT IN NURSING ORGANIZATIONS OF FIRST-LINE NURSE MANAGERS IN HOSPITALS UNDER THE ROYAL THAI POLICE

Saiwarin Larbpaiboonpong, Phechnoy Singchungchai, Kannikar Chatdokmaiprai — Tue, 28 May 2024 00:00:00 +0700

This research aimed to investigate the components of nursing information management in nursing organizations of first-line nurse managers in hospitals under the Royal Thai Police. The sample consisted of 498 registered nurses selected through stratified random sampling. Data were collected using a questionnaire with a 5-point rating scale. The content validity index (CVI) was .90, and the Cronbach's alpha coefficient was .99. Descriptive statistics, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used for data analysis.

The results revealed that nursing information management in nursing organizations of first-line nurse managers had 6 components (43 indicators), consisting of: 1) Information management plan (16 indicators), 2) Organizational management and information team (9 indicators),
3) Interprofessional network management (5 indicators), 4) Data management for quality and services (5 indicators), 5) Vision and information management (5 indicators), and 6) Data utilization for management (3 indicators). The nursing information management model of first-line nurse managers was consistent with the empirical data (Chi-square = 138.24, p = 1.000, Chi-square/df = .162, GFI = .9872, AGFI = .9859, NFI = .9692, CFI = 1.000, RMSEA = .000). Therefore, nursing organization administrators can use these elements to evaluate and develop nursing information to be consistent with the context of hospitals under the Royal Thai Police.

SELECTED FACTORS PREDICTING MATERNAL – INFANT ATTACHMENT OF UNPLANNED CESAREAN SECTION IN THAI- MUSLIM MOTHERS NARATHIWAT PROVINCE

Narisa Chantaburee, Siriphan Siriphan, Muslin Tohpaeroh, Supawadee Maeka — Tue, 28 May 2024 00:00:00 +0700

This descriptive study aimed to identify the predictive factors of maternal-infant attachment following unplanned cesarean sections in Thai-Muslim mothers in Narathiwat Province, Thailand. The Maternal-Infant Attachment Theory of Klaus & Kennel (1982) was used as the conceptual framework. The sample consisted of 110 Thai-Muslim mothers who had undergone unplanned cesarean section delivery and postpartum recovery care at the Obstetrics-Gynecology Patient Ward in Naradhiwas Rajanagarindra Hospital from September 2022 to December 2022. The sample was purposively selected based on set inclusion criteria. The data collection instruments included the personal data questionnaire, the perceived childbirth experience assessment form, the Labour Support Scale for Intrapartum Nurses form, the perceived marital relationship quality assessment, and the Maternal-Infant Attachment Inventory form. The reliability, measured using Cronbach's alpha coefficient, was .86, .92, .92, and .88, respectively. Data were analyzed using descriptive statistics and logistic regression analysis.

The results revealed that Thai-Muslim mothers who had undergone unplanned cesarean section delivery and had high perceived marital relationship quality were 1.114 times more likely to have increased maternal-infant attachment, with statistical significance (p < .05). Based on the findings, it is recommended that professional nurses continually assess perceived marital relationship quality to ensure they provide effective care that promotes maternal-infant attachment.

HEALTH LITERACY AND HEALTH BEHAVIORS OF THE POLICE OFFICERS ATTENDED IN FIELD NURSING CERTIFICATE PROGRAM

Withee Thuratham — Wed, 29 May 2024 00:00:00 +0700

The objective of this research was to study health literacy and healthy behaviors among the police officers attended in Field Nursing Certificate Program from 2018 - 2022. The data were collected between July to August 2023. The samples were 93 police officers attended in Field Nursing Certificate Program. The tool used for data collection was an assessment form health literacy and health behavior of the Health Education Division, Department of Health Service Support, Ministry of Public Health. Data were analyzed using descriptive statistics.

The research results showed that the health literacy of the police officer attended in Field Nursing Certificate Program was at a very good level (M = 65.38, SD = 7.67) and health behaviors were at a good level (M = 47.69, SD = 6.30). The study results will be used as information to enhance health literacy and health behaviors of police officers in Royal Thai Police, in the future.

CASE STUDY: NURSING CARE OF BRAIN-DEAD ORGAN DONORS

Wed, 29 May 2024 00:00:00 +0700

The current trend of organ donation has significantly increased. Therefore, nursing care for patients with brain death is crucial. This academic article aims to present nursing care for organ donors with brain death based on real-life case studies in hospitals. The objective is to help nurses understand and be able to visualize the nursing care and treatment of organ donors, along with the healthcare team. This includes addressing the mental well-being of the donor's family. Nursing care for organ donors with brain death comprises three stages: 1) Pre-diagnosis stage: Nurses have to focus on identifying potential organ donors and negotiating organ donation with the patient's family, 2) Diagnosis stage: Nurses prepare the patient and assist physicians in accurately diagnosing brain death at every process, and 3) Post-diagnosis stage: Nurses provide comprehensive care to preserve the humanity of the donors and their families, helping them cope with the loss after organ donation.

MENTAL HEALTH PROMOTION IN OLDER ADULTS WITH DEPRESSION AFTER LONG COVID-19

Promumpratum Saensuriwong, Nutthakritta Sirisopon, Saisamorn Chaleoykitti — Wed, 29 May 2024 00:00:00 +0700

Coronavirus disease 2019 or COVID-19 is a pandemic affecting populations around the world. Currently, the severity of the disease had been adjusted from a pandemic to an endemic disease, but it can have a long-term impact on the health status of the elderly, both physical and mental health. The post COVID-19 symptom that remains and affects the elderly is depression. Therefore, this article aims to disseminate guidelines for mental health promotion in the elderly with depression after COVID-19 infection by applying the self-efficacy theory with resilience quotient (RQ). Thus, health personnel could use it as a guideline to encourage the elderly to be coping with depression correctly and appropriately.

EMERGENCY NURSING CARE FOR PATIENTS WITH SEPTIC SHOCK

Worralug Sriwilai — Wed, 29 May 2024 00:00:00 +0700

Septic shock remains a leading cause of mortality in emergency patients. Delayed assessment, screening, diagnosis, and treatment of sepsis can lead to septic shock, which has a high mortality rate. Therefore, nursing care using sepsis and septic shock guidelines with early goal-directed therapy (EGDT) in the first hour can reduce the mortality rate. Emergency nurses should have the knowledge, skills, and experience to assess, monitor, and care for patients with septic shock, ensuring they receive EGDT within the first hour to reduce organ failure and mortality rates. This article synthesizes guidelines and care management for emergency patients with septic shock. The information encompasses essential elements of care, including the definition, pathophysiology of septic shock, septic shock guidelines, and a case study of a patient with septic shock receiving treatment in the accident and emergency room. The outcome of the patient was positive, ensuring safety and subsequent admission to the general ward.

Editorial Board

Editorial Board Journal of The Police Nurses and Health Science — Tue, 14 May 2024 00:00:00 +0700