Boromarajonani College of Nursing, Uttaradit Journal

Writing Recommendations on Health Policy

2021-12-30T16:37:34+07:00

Thailand’s healthcare has been managed through the National Strategic Plan and then, to be practiced, it is transformed into a health policy to encourage agencies under the Ministry of Health and related ones to follow the policy to solve problems and meet public health’s need. The health policy is considered significant for driving people’s well-being and strengthening the community and the nation. Thus, all relevant organizations as well as people should be aware of and emphasize their participation in the health policy development through policy recommendations based on the former problems or policy. This includes 1) identifying and summarising the uncertainties, 2) identifying the most important uncertainties and prioritising them, 3) translating the prioritised uncertainties into research recommendations, 4) assigning ‘key priority’ status to the most important research recommendations, 5) consultation and finalising research recommendations, 6) disseminating research recommendations, and 7) reviewing research recommendations. Therefore, it can be seen that writing policy recommendations is considerably important from gathering the problems and the needs of people into a report on health policy recommendations so that the government administrator will agree and realize the importance of pushing the recommendations to be an effective policy and respond to health problems and public health’s needs.

District Quality Development Committee: Challenges and Development

2021-12-30T16:37:35+07:00

Health care in the past used the concept of basic public health care. Nowadays, public health problems have changed. There are various factors, both from the people government and private organizations problem solving requires integration in all sectors. Therefore, there is an additional concept, namely the district health system, with the district quality of life development committee (PADC) as the public health management group in the target district are the strongly community and self-help citizens. Under engagement creation found problems, obstacles, and the district health system in the form of operations and management. Therefore, the operational guideline is that leaders must have leadership that is committed to work. There is decentralization and participatory management focusing on the people as the center. Under network operation to jointly carry out activities that are health problems or problems that affect the way of life of the people in the area for the result that the people have a good quality of life

Research Based Learning: Implementing in Higher Education for Health Science Education

2021-12-30T16:37:37+07:00

Nowadays, the global encounter with triple burden of disease including 1) noncommunicable diseases, 2) communicable diseases, and 3) emerging and reemerging diseases and injuries. In addition, demographic transition occurred. Health education need to transform teaching approach that emphasis on the process of learning to make the learners solve the challenge in health system. Research based learning (RBL) is one of the methods facilitates student-centered educational approach. The RBL emphasis on seeking knowledge by themselves, systematic thinking, analyzing, and synthesis of the knowledge with supervision from the teacher. The aim of RBL is not merely producing researchers, but also providing students with sufficient knowledge and competencies and apply the process of RBL that they have learnt to solve the problems for future professionals. The model of RBL and level of learning intensity are differed according to the level of education in higher education. Application of RBL will be improve student’s learning outcomes including 1) subject-related knowledge 2) professional skills 3) social skills and communication skills and 4) meta-competencies. The students can be learning to cope with uncertain demands of their future. This article presents 1) definition of RBL and student-centered educational approach, 2) RBL and learning outcomes, 3) model of RBL and level of intensity involvement of the student. and 4) the beneficial of RBL. It will be serving the instructor to design appropriately teaching methods according to RBL.

Prevention and Risk Reduction from COVID-19 According to Practice Guideline

2021-12-30T16:37:38+07:00

COVID-19 situation in Thailand from 2019-2021 is approaching the fourth year of its pandemic. It is crucial that COVID-19 pandemic should be lessened by close cooperation of all public sectors in reducing the impacts of COVID-19 on people. The beginning of this article introduces readers to an overview of COVID-19 and subsequently guide to self-care practice during infection, risk groups of infection, infection prevention and medical treatments of COVID-19. The authors aim to distribute knowledge of prevention and risk reduction of COVID-19 according to practice guideline, raise awareness of importance of prevention and risk reduction of COVID-19 according to practice guideline in order that people could distribute knowledge of COVID-19 to others in family and community, encourage people to prepare a plan and cope properly with situation which could live safely without COVID-19. This is an example of prevention practice guideline includes 1) wearing properly fitted mask, 2) washing hands often, 3) not using alcohol gel that was exposed to the sun,4) keeping social distancing, 5) coughing or sneezing without a mask removal, 6) washing cloth masks often, 7) avoiding touching the face, 8) not sharing items with others, 9) telling the truth of information to everyone for safety finally.

Sexual Healthcare Behaviors and Factors Affecting Sexual Healthcare Behaviors among the 5th and the 6th Grade Children in the Regional Health 2 Office

2021-12-30T16:37:11+07:00

The purposes of descriptive predictive research were to 1) examine sexual healthcare behaviors among school-Age children; grade 5 and 6, regional health 2. 2) the factors affecting to sexual healthcare behaviors among school-age children; grade 5 and 6, regional health 2. The sample consisted of 1,200 school-age children; grade 5 and 6 of the academic year 2020 by a simple random sampling using a lottery method. Research instruments were the questionnaire of Perception and Sexual Attitude, Family Communication on Sexual Issues, Perception of Friends’ Sexual Risk Behavior, Sexual Media Access and Sexual Healthcare Behaviors. The Cronbach’s alpha coefficient ranged from .87 - .95. Data were analyzed using descriptive statistics and multiple regression analysis.

The result showed that 1) the level of sexual healthcare behaviors of among school-Age children; grade 5 and 6 was at a medium level. 2) the factors affecting to sexual healthcare behaviors among school-age children; grade 5 and 6 were the perception & sexual attitude and the family communication on sexual issues which influenced on the sexual healthcare behaviors with 13.70 percent (p < .001). The results of this research can serve as the basis for the health team personnels to educate the school-age children and the steak-holders about the perception & sexual attitude and the family communication on sexual issues which lead to promote appropriate sexual healthcare behaviors.

Factors Influencing to Stress of Nursing Students while Practicing in Intensive Care Unit

2021-12-28T21:31:08+07:00

This research aimed to explore the factors influencing the stress in nursing students while taking the nursing practice at the Intensive Care Unit (ICU). Factors include the cumulative grade point averages (C-GPA), the knowledge of ICU care, the clinical care unit and patients’ status, faculty and preceptors, and nursing practice colleges. A simple random sampling was used to recruit a sample of 89 third-year students of Boromarajonani College of Nursing, Uttaradit in the academic year of 2019. The research instrument is the questionnaire of the factors influencing the stress in nursing students which was tested for the Index of Consistency (ioc) of .92. The reliability of the questionnaires of knowledge critical care were .97. The reliability of the questionnaires of the factors influencing stress were .93. The validity of the questionnaires of knowledge critical care were .85. The validity of the questionnaires of the factors influencing stress were .89. The reliability of the questionnaires of Suanprung Stress Test were .95. Data were analyzed using descriptive statistics and stepwise multiple regression.

The results showed as follow:

1) Majority of the samples were female (92.13%), the age of 21 years old (47.19%), the C-GPA of 2.51-3.00 (55.43%), and the moderate level knowledge of ICU care (65.17%).

2) Most of nursing students had a high level of stress during ICU practice (62.92%).

3) Factor significantly influenced the stress in nursing students during ICU practice was the faculty/ preceptors (Beta = .288, t = 2.809, p-value = .006).

The nursing students should be prepared in the aspects of the relationship with faculty and preceptors. The proper model/ or learning activities including the pre-clinic program would help reducing the stress and enhancing happiness and quality of care.

Model of Driving Care for Bedridden Older Patients in the Suburban Area: A Case Study in Phitsanulok Province

2021-12-30T16:37:12+07:00

This Qualitative research aimed to study the model of driving care for bedridden older patients in a suburban area at Phlai Chumphon sub-district, mueang district, Phitsanulok province. Informants were twenty-one stakeholders in Phlai Chumphon sub-district , selected by specific qualifications, consisting of the a director of Phlai Chumpon Sub-district Health Promotion Hospital, a nurse taking responsibility for the elderly job, a village head of the Phlai Chumphon sub-district, a mayor of municipality, a director of the division of Public Health and Environment , chairman and secretary of the elderly Club, a chairman of the volunteer Club, four trained elderly caregivers, a headman of the village, a head of Wang Hin temple, and seven main caregivers of the elderly bedridden group. The instruments were group discussion guidelines, in-depth interviews guidelines, and a draft model of driving care for bedridden older patients. Data were analyzed using Thematic analysis.

The results found that the model of driving care for bedridden older patients consists of 5 components: 1) building network for partnership and cooperation 2) establishing cooperation policies 3) preparation of public health workers, community and network leaders 4) health care implementation for bedridden older patients with community network 5) performance evaluation. The success factors are partnerships, value each other, and using local wisdom. The obstacles are cooperation, clarity of the implementation plan, caregivers and community network 's knowledge, attitudes, skills and confidence in the holistic care of bedridden older patients. The suggestion is the working group to drive caring for the bedridden older patients should arrange practical plan and strengthen the confidence of trained caregivers by enhancing their knowledge, attitudes, skills in providing holistic care of the bedridden older patients that take into account individual differences.

The Effect of Participatory Learning Program on Health Promotion Behavior among Old Person in a Bansuan district, Chon Buri

2021-12-30T16:37:14+07:00

This study employed a quasi-experimental research with two-group pretest-posttest design, aiming to investigate the efficacy of participatory learning program on health promotion behaviors, among old persons. Participants were 60 old person, equally divided into an experimental and a controlled group. Instruments were a participatory learning program for health promotion, and a set of questionnaires obtaining data about personal information and health promotion behaviors including; health responsibility, physical exercise, nutrition, interpersonal relation, spiritual growth, and stress management, which reported an internal reliability of .01-.83. The program was implemented continuously lasting 6 weeks, and there was a follow-up evaluation one month after program finished. Data were analyzed using descriptive statistics, independent t-test, and repeated measure ANOVA.

The finding reveals that after finishing the program and 1 month after, old persons in an experimental group reported mean score of health promotion behaviors higher than that before participating the program (p<.05). Also, old persons in an experimental group reported mean score of health promotion behaviors higher than those in a controlled group (p<.05). Consequently, health workers should apply participatory leaning onto health promotion program for old persons. Also, health promotion program should be continuously implemented so that older persons will have a long term of appropriate health beliefs and behaviors.

Effects of Self-Management Programs on Self-Care and Control Blood pressure behavior of poor controlled Hypertensive patients

2021-12-30T16:37:16+07:00

The purposes of the Quasi-experimental research, single group were studied the effects of self-Management programs on self-care and control blood pressure behavior of poor controlled hypertensive patients that follow by concept of self- management of Kanfer & Gaelick, 1991. The program was developed on the activity that effect to the self management programs, Such as, dining, exercise, stress management, quit alcohol drinking. Smoking cessation and continue taking medicines in treatment planed. The samples were the 30- poor controlled hypertensive patients, between October 2020 -March 2021, of the Health Promoting Hospital of Mae pha-han sub-district. On-tai sub-district, Sankhampang district, Chiangmai province. The research tools were the questionnaire. Data analyzed by Frequency, Percentile, Mean, the Standard deviation and t-test dependent.

Results showed that 1) after received self- management program the sample group had a higher mean score of self-care behavior than before receiving the program with statistical significance at the .05 level. 2) After received the program the samples had lower mean blood pressure values before receiving the program with statistical significance at the .05 level. Demonstrated that the program could change the self- care behavior and decreased blood pressure in the hypertensive patients.

Effect of Capacity Building on Village Health Volunteers’ Knowledge and Skills in Basic Life Support

2021-12-29T09:15:39+07:00

This mixed method research aimed to study the effect of capacity building on Village Health Volunteers’(VHV) Knowledge and Skills in Basic Life Support (BLS).The Sample were 150 VHV living in Sanphisua subdistrict Chiang Mai province. Data were collected from July 2019 to June 2020 and were categorized into two stages. First Stage, data were collected from the participants after attending the capacity building program on Village Health Volunteers’(VHV) Knowledge and Skills in Basic Life Support. Second Stage, data were collected after one month by interviewing 30 participants from first stage who were randomly selected. General data and data regarding skills in performing basic life support were analyzed by using descriptive statistics, knowledge prior to attending the program and after attending the program was analyzed by using paired t-test and content analysis was used to analyzed the qualitative data. The results of the study revealed that the mean score of knowledge related to BLS of VHV Knowledge after participating in the program were significantly higher than before participating the program (p = .001) and all the participants passed the criteria for basic life support with good performance 12 % and very good performance 88 %. In addition, after attending this program all the participants reported to have confident to perform BLS in future. In addition, the participant had expressed feeling of pride having ability to help to safe life of others

Factors associated with Health Supplements Product Using Behaviors Among Elderly People

2021-12-30T16:37:17+07:00

This cross-sectional descriptive research aimed to study health supplement product using behaviors, health literacy and factors associated with health supplement product using behaviors among 202 elderly people. Simple randomization was employed to collect data through questionnaires. Data were then analyzed for descriptive statistics including frequency, percentage, mean, standard deviation, minimum, maximum. Also, a Chi-square test and Fisher’s exact test were used to determine correlation indicating OR and 95% confidence interval.

The results showed that 12.4% of the participants had health supplement product using behaviors. Most of them had high levels of health literacy in all 6 aspects ( = 124.6, SD. = 32.6). The aspects with high levels of health literacy included self-management ( = 27.4, SD. = 9.2) and decision making skill ( = 25.2, SD. = 7.6). Communication ( = 16.3, SD. = 5.3), and media literacy ( = 18.1, SD. = 8.1) skills were in moderate levels. The health literacy in low levels included cognitive (=1.97, SD. = 1.42) and access skills (= 21.8, SD. = 7.4). Health literacy was found to be statistically significantly related with health supplements product using behaviors (p< .05). The results of this study suggested that health literacy regarding health supplement products should also be promoted among the elderly. The elderly, therefore would be able to adapt those knowledge into daily life and to reduce the risks and dangers of misleading advertising products

Health Promoting Behaviors and Health Status of Construction Workers in Non-Seasonal Agricultural Laborers

2021-12-30T16:37:20+07:00

Thai agricultural laborers, mostly in rural non-agricultural season, are working as construction laborers. The aim of this descriptive study was to investigate potential health promoting behaviors and the health status of construction labor workers within non-seasonal agricultural labor in the Ban Kham Namphong district (Khonkaen province). Using cluster and simple random (90) sampling, data was collected using questionnaires between the period of May-June 2015. Descriptive statistics and Chi-square were analyzed in this research. The results of this study showed that the majority of participants was male (57.80%) with their ages between 18 and 68 years old. Most of them graduated in elementary level (66.70%), 30% of them were smoking; 13.30 of alcohol consumption, 43.30% of drinking coffee, and 47.80% of consuming energy drinks. Moreover, 3.30% of participants were exercising 3.30% and 77.77% used to check up their health. Participants were wearing a protective equipment of 96.70%. 35.60% of participants were asked for medicines when they get feel unhealthy, and 42.72% purchased medicines from pharmacy shops. 76.54% were relaxed by watching the TV and 8.90% had underlying disease. The most disease that it has found from participants were diabetes mellitus and hypertension. 7.77% used to get accidence from work. They got backpain and body ache for 57.80%. The average BMI was 31.11. The associated factors related health were 1) health promotion include exercise, smoking, alcohol consumption, drinking coffee, consuming energy drinks, self-care for minor illnesses, self-care for severe illnesses, relaxing associate with health conditions. 2) Relaxing, it was associated with accidence at work. 3) exercising, it was associated between energy drink and body ache. 4) a protective equipment was significantly associated to skin and eyes irritation. Therefore, the results of this study can guide for health promotion and prevention for agricultural laborers in non-agricultural season.

Development of learning program to prevent bullying behavior in schools

2021-12-30T16:37:23+07:00

The research and development, aimed to 1) investigate bullying behaviors among students in Lampang Province, 2) develop learning program to prevent bullying behavior in schools and 3) evaluate the effectiveness of the program. The research procedure consisted of 3 phases. Phase I: investigate bullying behaviors among students. The sample consisted of 370 primary and lower secondary level students in Lampang Province, by using the multi-stage random sampling method. The research instruments included the Bullying Scale for students. Data were analyzed using means and standard deviations. Phase II: developing learning program to prevent bullying behavior in school and assessing program quality using the Program Quality Assessment Scale. Data were analyzed using means and standard deviations. And phase III: Evaluating effectiveness of program by applying the one group pre-posttest experiment design. The sample consisted of 42 secondary level students. The research instruments included the Bullying Prevention Skills Assessment and the Satisfaction Assessment Form. Data were analyzed using means, standard deviation and paired t-test.

The results of the study were as follows:

1. The verbal and physical bullying behaviors of students were at a low level and the verbal and physical victim were at a moderate level.

2. The learning program to prevent bullying behavior in schools consisted of the learning management manual and the game set consists of 4 games: self-esteem games, respect games, assertiveness games and coping games. The results of the quality of the program found that the overall level was at a high level.

3. The evaluation of effectiveness of the program showed that the average scores on the bullying and victim prevention skills after using the program was significantly higher than before using the program at the .05 level and the satisfaction in using the program was at a high level.

Desirable Competencies as Perceived by Professional Nurses in Terms of the Safety Culture of Patients and Professional Nurses at Operating Room in Tertiary Hospitals in the Northern Region under the Ministry of Public Health

2021-12-26T12:14:26+07:00

This research is descriptive research. The purposes of this research were to explore 1) desirable competencies as perceived by professional nurses in terms of the safety culture of patients and professional nurses at the operating room in tertiary hospitals in the northern region under the Ministry of Public Health and 2) the elements of desirable competencies as perceived by professional nurses in terms of the safety culture of patients and professional nurses at the operating room in tertiary hospitals in the northern region under the Ministry of Public Health. The sample was a group of 300 professional nurses working at the operating rooms from 5 hospitals. In this study, a questionnaire was employed to elicit background information and information about desirable competencies as perceived by professional nurses in terms of the safety culture of patients and professional nurses at the operating room in tertiary hospitals in the northern region under the Ministry of Public Health. The data were analyzed by using percentage, mean, standard deviation, and Exploratory Factors Analysis (EFA) through Principle Component Analysis (PCA) and orthogonal rotation axis by Varimax method.

The findings showed that there were 7 elements of desirable competencies as perceived by professional nurses in terms of the safety culture of patients and professional nurses at the operating room in tertiary hospitals in the northern region under the Ministry of Public. Element 1 was the competency in management, Element 2 was prevention of physical injury of patients, Element 3 was information management of patients and nurses,Element 4 was organization support, Element 5 was application of knowledge, Element 6 was nursing skills in the operating room, and Element 7 was monitoring and control of professional.

Factors Influencing Nursing Organization Administration of Nursing Supervisors: Case Study Nonthaburi Province

2021-12-30T16:37:24+07:00

This Mix method research objective were to 1) study the current situation of political, social, environment and technology factors and 2) study the effects of those factors on nursing organization administration of nursing supervisors. Subjects included 300 nurses who either practical experience nurses or nurse supervisors who were working in hospitals in the Nonthaburi province and 8 interviewed nurses. Research instruments consisted of survey questionnaires and structure interview. Data was analyzed and reported as frequency, percentage mean and standard deviation (SD). The relationship between explanatory and dependent variables was using structural equation modeling (SEM). Analyze qualitative data by content analysis.

The result of the study showed that registered nurses rate the current state of including political, social, environment, technology factors and the management of the nursing organization of the head nurse is at a medium level. Causal variables of all factors were positively correlated with nursing management (p=.0001). Their correlation coefficients were between .290 to .947. Understanding about factors affecting nursing organization administration of nursing supervisors can be applied for successful management of nursing organization.

Components and Indicators of Information Technology Competencies of Students under Praboromarajchanok Institute for Heath Workforce Development

2021-12-30T16:37:25+07:00

This quantitative research aimed to 1) determine components and indicators of information technology competencies among students, Praboromarajchanok institute, 2) examine concurrent validity of components and indicators of information technology competencies among nursing students, Praboromarajchanok institute with known group. Sample were 820 students studying bachelor’s degree program in colleges under Praboromarajchanok institute, which were recruited by systematic sampling method. Instrument was questionnaire used through google form which had validity ranging from .67-1.00 and Cronbach’ s alpha coefficient reliability ranging from .878-.981. Data were analyzed using Exploratory Factor Analysis and Factor Extraction was performed by Principal Component Analysis using Factor Rotation in form of Orthogonal Rotation with Varimax and One sample t-test. Research results were found as follows;

Information technology competencies among students, Praboromarajchanok institute had 7 components and 76 indicators which could together explain 67.208 % of the total variance including competency of ethics and law having 15 indicators, competency of information technology utilization for study having 23 indicators, competency of maintenance and data storage having 13 indicators, component of information technology utilization for communication having 8 indicators, competency of basic program utilization having 6 indicators, competency of avoidance of technology utilization effect having 6 indicators, and competency of management of general office having 3 indicators. All indicators had statistically significant concurrent validity (p=.001).

Development of The Habits of Mind in The 21st Century test of nursing students in Boromarajonani College of nursing, Uttaradit

2021-12-26T21:12:37+07:00

The Development of The Habits of Mind in The 21^stCentury test of nursing students was aimed. The construct validity of measurement model of Habits of Mind in The 21^stCentury in nursing students was then investigated. The sample consisted of 215 nursing students, Boromarajonani College of nursing, Uttaradit. The factors and indicators of the Habits of Mind in The 21st Century in nursing students were preceded. The construct validity was then checked and the research tool of measurement model of the Habits of Mind in The 21^st Century in nursing students was produced. It is a five level scale with 65 items are content validity and reliability coefficients result was .933 and analyzed by descriptive statistics and a second confirmatory factor analysis.

The results showed that the indicators of the Habits of Mind in The 21^st Century in nursing students on the synthesis of document and research and assessment by experts composed of sixteen subcomponent and sixty-fifth indicators. The components and indicators of the Habits of Mind in The 21^st Century in nursing students are construct validity

Factors Affecting to the Results of Thai Traditional Medicine License Tests

2021-12-30T16:37:27+07:00

The purpose of this research was to study the Factors Affecting to the Thai Traditional Medicine License Tests of the graduate, Thai traditional medicine graduate program. Sirindhorn College of Public Health Phitsanulok There were 99 students who graduated from 2015-2016. Objectives: To study the factors relating to the examination results for registration of Thai Traditional Medicine License Tests, the research instruments consist of the curriculum evaluation form. Data analysis was done by using percentage (%), mean () standard deviation (S.D) and data analysis using inferential statistics (Inferential Statistics) to test hypotheses. At the significance level of 0.05. Pearson product - moment correlation coefficient. Select a specific (Purposive sampling).

From the research results, it was found that the Factors Affecting to the results of the Thai traditional medicine license exam were divided into 2 issues: 1) The factors most closely to exam results were teaching and learning, theory and practice, content being taught, and family support. 2) The relationship between the results of the 4 branches of the professional license exam with the combined GPA at the end of the degree. The bachelor's (GPA) is not statistically correlated with p > 0.05, but if the results are compared with the grade, it is found that those with a GPA of ≥ 3.50 are more likely to obtain a license in all four fields than those who obtained a GPA. However, if the graduates' examination results are desired to pass more, the responsible person should be aware of the planning of teaching students to be as knowledgeable as possible and should strengthen their professional commitment during their studies. In the course in order to make the results of the Thai traditional medicine professions examination more quality.

The Curriculum Evaluation of the Bachelor of Nursing Science Program (Revised in 2017), Boromrajonani College of Nursing, Chiangmai

2021-12-30T16:37:28+07:00

The descriptive research aimed to evaluate the Bachelor of Nursing Science Program (revised in 2017), Boromrajonani College of Nursing, Chiangmai using CIPP model which has 4 dimension: context, input, process and output. The sample were 154 new graduates, 29 instructors, and 67 stakeholders. Thirty participants were graduates, stakeholders, nurse administrators, and nurse instructors. The instruments consisted of three forms (graduates, instructors, and of stakeholders) questionnaire related to the evaluation of the bachelor of nursing curriculum (revised edition 2017) which had content validity and Cronbach’s alpha coefficient of 0.98, 0.93, and 0.98, respectively. The focus group method was also used for data collection. Data were analyzed by frequency, persentage, mean, standard deviation and a content analysis.

The research finding were 1) Context: Graduates and stakeholers were rated at high level (= 4.16, SD =.78; = 4.23, SD = .78), respectively. The instructors assesed the context of nursing curriculum was consistent with the national standards and philosophy of PBRI. 2) Input: Graduates , instructors and stakeholders rated at high level ( = 4.15, SD =.73; = 4.39, SD =.67; = 4.32, SD = .66), respectively.3) Process: Graduates , instructors and stakeholders rated at high level ( = 4.10, SD = .69; = 3.90, SD = .80; = 4.19, SD = .74), respectively and 4) Output: Graduates , instructors and stakeholders rated at high level ( = 4.12, SD = .70; = 4.11, SD = .68; = 4.12, SD = .78), respectively.

The results of this study showed that the nursing curriculum had high quality and can use in the future. People whom concern it should use the research findings as a basis for further improvement of the quality of the curriculum.

Outcome of Elderly Diabetic Patients Care in Primary Care System by “Pharmacist’s Workup of Drug Therapy (PWDT)” Process

2021-12-30T16:37:30+07:00

The objective of this study was to determine the average number of drug related problems (DRPs), clinical outcome (HbA1c and FBS) and quality of life among diabetic elderly patients at Community Health Centers before and after the use of the “Pharmacist’s Workup of Drug Therapy (PWDT)” process as a guideline for pharmaceutical care. The study design is an experimental research which was conducted at Community Health Center, Wat-Tai-Talat, Muang District, Uttaradit Province in 42 elderly diabetic patients. Patients were follow up for the period of 6 months during 4 appointments. The research found that 37 DRPs was detected according to the implementation of the PWDT process. The mean number of DRPs in the 2^nd and 3^rd appointment decreased from the previous appointment (P-value .001 and .02). However, the mean number of DRPs was greater in the 4^th appointment compare to the 3^rd appointment (P-value .002). Regarding to the clinical outcome, HbA1c was decrease by 0.019 ± 1.08 mg % (P-value .9099) but FBS in the 4^thappointment were statistical significantly higher than 1^st appointment 16.12 ± 37.52 mg/dl (P value 0.0004). According to the D-39 Thai version, quality of life tended to improve in all dimensions. In terms of diabetes control, quality of life was significantly improved. PWDT process is one of the tools that enable clinical pharmacists and multidisciplinary teams in the primary care setting to resolve the DRPs and to follow a clear patient care process. Moreover, the PWDT emphasized the Individualization of patient’s need and understanding which help improve the quality of life of the patient.

Meanings and Behaviors of Moral Identity: Perceptions of Nursing Students

2021-12-30T16:37:31+07:00

The purpose of this qualitative descriptive research was to study the perceptions, meaning and moral identity behavior of nursing student at Boromarajonani College of Nursing, Bangkok. Data were collected by group discussion within 22 informants with inclusion criteria. They are 1) to be a student representative in the position of president or vice president of a student club or representative of students in each year and 2) through participation in review activities and announcement of the college of nursing’s moral policy. The research instrument was a group discussion questionnaire, which composed of the 9 Moral hearts identity framework led the Boromarajonani College of Nursing, Bangkok. (SHAPE BCNB), consisted of 9 main questions as follows: 1) Service mind 2) Honesty 3) Analytical thinking 4) Participation 5) Eco college 6) Bonding 7) Code of conduct 8) New technology and innovation 9) Based on sufficiency economy philosophy. Each issue would have questions about meaning and behavior. The data was analyzed by content analysis based on the concepts of Johnson and LaMontagne.

The results showed that students had a clear perception of the meaning of moral identity according to the SHAPE BCNB framework in all 9 characteristics by which students were able to describe behavior. The outstanding identities in 5 attributes are service mind, honesty, code of conduct, bonding, based on sufficiency economy philosophy. The other 4 identities clearly describe behavioral characteristics namely, eco college, participation, and analytical thinking. The student’s moral identity is diverse in each component, so it is important to understand the meaning and behavior of students. Moral identity as a guideline for organizing various activities, organizing the environment, and nursing moral behavior continuously. However, the College of Nursing should create awareness and understanding of the way of developing a moral identity with student since entering the College of Nursing. To provide students with opportunities and space to continuously express such identities.

The Development of Multimedia Education on Promotion of Early Childhood Development in the Context of Akha Ethnicity

2021-12-30T16:37:33+07:00

The purposes of this study were 1) to analyze the situation of promotion Akha early childhood development 2) to develop and to assess multimedia education on the promotion of early childhood development in the context of Akha ethnicity. A qualitative method using purposive chain-referral sampling was employed to recruit 52 key informants to the study. Data were analyzed by using content analysis and the triangulation process. The efficiency of multimedia testing E1/E2 was calculated among 53 Akha primary caregivers before and after using the media. The Sample t-test was used to compare the mean knowledge scores before and after using the media; mean and standard deviation was used to analyze Akha primary caregivers’ opinions toward the media.

The findings showed that 1) The four main points show the situation toward early childhood development including beliefs, knowledge, activities, and obstacles 2) The efficiency of the multimedia test showed E1/E2 = 76/91 which all met the criteria. 3) The comparison showed that the mean post-test knowledge scores were significantly higher than the pretest at the 0.05 level of significance. 4) There was no statistically significant difference in mean scores between after immediate usage of multimedia education and after 15 days at the significance level 0.05 and 5) 40 primary caregivers had their opinions “strongly agree” toward the use of multimedia education ( = 4.75, SD=.64).