Boromarajonani College of Nursing, Uttaradit Journal

The Effectiveness among Nursing Students of the Comprehensive OSCE Clinical Skills in the Achievement of Adult and Elderly Nursing Practicum 2

2020-06-29T10:19:06+07:00

The purpose of a pre-experimental design was to examine the effectiveness among nursing students of the comprehensive OSCE clinical skills in the achievement of Adult and Elderly Nursing Practicum 2. A total of 87 third year nursing students were recruited. The research instrument named the Clinical Skills Assessment Evaluation and reflection of experience questionnaires were used. Data were analyzed using descriptive statistics and content analysis.

The results of this study were as follow: The comprehensive practice achievement of Adult and Elderly Nursing Practicum 2 found that the overall mean score was 77.58 (Good). The reflections from students’ experiences on the Clinical Skills Assessment Evaluation was found to be the most explicit of measurement and stressful while examinant ( X = 4.34, SD = .66, .80). The most of the opinions on the self-development were knowledge about disease and nursing care, attitudes about behavior caring and professional practice skills assessment to provide patient nursing care ( X = 4.23, 3.98, 3.93, SD = .76, .90, .79). In addition, this study was found that the students had the most difficulty to prioritize nursing practice and the suggestion to solve the problems which related to the further prepare their nursing knowledge. The result of this study would suggest that the OSCE is able to evaluation the achievement of clinical skills and it is appropriate to use evaluating in the other nursing practice skills

Effect of Cognitive Apprenticeship’s Instruction on Nursing Process’s Ability of Nursing Students

2020-06-29T10:20:31+07:00

The concept of using cognitive apprenticeship instruction is important to improve nursing process’s ability of nursing student. The aim of this quasi experimental research was to examine effect of the cognitive apprenticeship instruction to enhance nursing process’s ability by compared to the standard score of sixty percentages. Sixty nursing students from 114 in year 2 at Boromarajonani College of Nursing, Uttaradit were simple random. The study tool was the nursing process’s ability test. Data were analyzed applying descriptive statistics and one sample t test. The results showed that 81.67 percent of the nursing students passed the standard score after applying the cognitive apprenticeship instruction. The average posttest mean score was 35.64 (68.54 percent) which was significantly (P<0.05) higher than the standard score. This research showed that the cognitive apprenticeship instruction could be used for improve nursing process’s ability.

Effects of the Inquiry Method Teaching on Cognitive Skills and Learning Achievement of Nursing Students Regarding the Roy Adaptation Model

2020-06-29T10:18:05+07:00

The purpose of this study was to examine the effectiveness of the inquiry method teaching in nursing students regarding the Roy Adaptation Model using the repeated measure designs. The sample was nursing students who were studying in the first year, enrolled in the academic year 2017. The total of 52 nursing students were recruited, which was divided into the experimental and control group- 26 each. An intervention tool was Roy’s adaptation model teaching plan. The evaluation tools were the learning achievement questionnaire and cognitive skills questionnaire. Data were analyzed using descriptive statistics, repeated measurement ANOVA, and Multivariate Analysis of Variance). The results of this study were found; 1) After teaching immediately and after two weeks, the effects of the inquiry method teaching for nursing students concerning the Roy Adaptation Model were significantly higher mean scores of cognitive skills and learning achievement than before teaching (p < .001). 2) The effect of the inquiry method teaching for nursing students in regard to the Roy Adaptation Model, the experimental group had cognitive skills and learning achievement different from the control group with statistically significant (p < .05, .001, respectively) in the post-teaching measurement immediately. The experimental group had mean scores of cognitive skills and learning achievement ( X = 49.27, 8.19, respectively) higher than the control group. The active learning style for nursing students was set, which was the inquiry method of teaching about the Roy Adaptation Mode. Therefore, this pedagogical can prove that using the inquiry method teaching can develop cognitive skills and learning achievement and it should be implemented in other subjects.

Effects of the Media Computer Games “KID…THINK” Program on Attitude, Norms, and Perceived Behavioral Control on Sexual Risk Behavior of the 6th Grade Students

2020-06-26T14:48:58+07:00

The objective of this quasi-experimental research was to investigate the effects of the media computer games “Kid…Think” program training on attitudes, norms and perceived behavioral control on sexual risk behavior of 6th grade students (n=50) in a primary school in Bangkok. The sample students were assigned into two main groups. The experimental group (n=27) received a media computer game "Kid ... Think" program and a traditional instruction. The control group (n=23) received only the traditional instruction. The instruments used in the study were a teaching plan for class activities and the media computer games “Kid…Think”. Data were collected using a set of questionnaires on general information of the respondents including attitude, norm, and perceived behavioral control on sexual risk behavior. These instruments were tested for content validity by 5 experts, while Cronbach’s Alpha Coeffient appruached for reliability were .82, .92, and .85, respectively. Data were analyzed through descriptive statistics and Man-Whitney U test.

The results showed that only the perceived behavioral control on sexual risk behavior of the experimental group is significantly different from that of the control group (p < .05). However, attitude and perceived subjective norms of the experimental group and control group are not significantly different (p >.05).

The results of this study suggest the media computer games “Kid…Think” program be applied as part of the course or an extracurricular activity as a learning material for children and adolescent in order to promote perceived behavioral control on sexual risk behavior.

Empowerment Evaluation: The Mother’s food Project for Promoting Nutrition among Family and Community in Songkhla Province

2020-06-26T17:30:42+07:00

This qualitative research aims to evaluate the Mother’s Food project for promoting nutrition among family and community in Songkhla province. The 3 steps of research included 1 setting the empowerment evaluation guideline by using Fetterman’s empowerment evaluation, 2 implementing empowerment evaluation process, and 3 evaluation the project after implementing empowerment evaluation process. Eighty-five 85 stakeholders including 10 of Administrators of subdistrict administration organization and subdistrict municipality, 10 Directors of public health and environment division, 10 Directors of education division, 15 Directors of school, 10 Teachers at daycare center, 10 Registered nurses at Health Promoting Hospital or nurse practitioners, 5 Nutritionists, and 15 Role model mothers were included in the study. Data were collected using various methods such as small group brainstorming, group discussion, and non-participant observation. Instrument to collect data was guideline for empowerment evaluation. Triangulation was used to verify the validity of research data and content analysis was use to analyze texts to determine trends, patterns, and relationship of words used.

The results revealed that key success factors of the project were 1 Context factor: the project was necessary and met the needs of community, 2 Input factor: subdistrict local administrative organization had community plan related to food and nutrition and had social capital that promoted the community development, 3 Process factor: subdistrict local administrative organization used a community participatory plan, 4 Result factors:

4.1) Outputs: each network had a successful project implementation such as a subdistrict mother role model who met the Mother’s Food project, and an integration process of work

4.2) Outcomes: each community had drastically changed as follows: the way of family eating, a network for systematic monitoring nutrition in community, a clean and safety food

production resources in child care centers and schools, and the perceived freedom of stakeholders to participate in the process of implementing nutritional problems in the community,

4.3) Impact: the Mother’s Food project promoted policy changing both in a subdistrict level and a provincial level by incorporated the Mother’s Food project in a provincial 5 - year strategic plan.

The successful of Mother’s Food project uses community participation in combine with an empowerment evaluation and a support from academic institute. Therefore, this project can be used as a program to promote sustainable nutrition in both family and community level

Interaction between Health Insurance Scheme and Residing Area that Affects Elderly Care as a Role of Local Government Organization and Social Activities Participation among the Elderly in Three Southern Border Provinces

2020-06-26T17:30:43+07:00

This descriptive research aimed to determine elderly care as a role of local government organization and social activities participation and interaction between health insurance scheme and residing area that affects elderly care as a role of local government organization and social activities participation among the elderly in three southern border provinces. Sample were 1,910, recruited by multi-stage sampling method. Instruments included questionnaire of implementation as a role of local government organization in elderly care in community and questionnaire of social activities participation which had IOC ranging from .67-1.00 and Cronbach alpha coefficient of .97 and .88 respectively. Data were analysed using frequency, percentage, and Two-way MANOVA. Results revealed as follows;

1) Elderly care as a role of local government organization in three southern border provinces, overall, was at a high level ( X = 2.04, SD=.87) and social activities participation, likewise, was at a high level ( X = 1.93, SD=.64).

2) There was statistical significance of interaction between health insurance scheme and residing area that affects elderly care as a role of local government organization and social activities participation among the elderly in three southern border provinces (p=.001 and .01 respectively).

Local government organization should provide medical welfare to the elderly as well as build elderly care implementation guideline and promote social activities participation for the elderly residing both in municipality and sub-district administration organization areas of three southern border provinces.

The Suffering-Happiness of the Elderly who depend on Families: A Qualitative Study in Northern Socio-Cultural Context of Thailand

2020-06-26T17:30:44+07:00

The study aims to describe meaning and potential factors related to sense of suffering and happiness of elderly people in the broader of social-cultural context using ethnographic approach. 27 elderly individuals with depending on and had direct experience in caring for family members who had chronic illness in the Northern area of Thailand are selected. Data are gathered from participants observation, in-depth interviews, focus groups, documents, and field notes. Methodological rigor of content and data analysis consists of a triangulation and member checks to verify adequate and valid data collected.

Two key issues describe cultural and patient preferences including; 1) participant suffering and happiness, and 2) relevant factors related to suffering and happiness. Findings of current study provide rich and useful information that is valuable in developing proposal and healthcare system in order to holistically support elderly people’s quality of life

Factors Influencing Antibiotics Use of Nursing Students to Sore Throat, Clean Wound and Diarrhea

2020-06-26T16:00:57+07:00

This research aims to study the knowledge of the antibiotic use and factors influencing the antibiotics used behaviors to sore throat, clean wound and diarrhea of the nursing students. The samples are 98 nursing students at Boromarajonani College of Nursing, Uttaradit calculating by G power program and using stratified random sampling. The research instrument is a questionnaire which was tested for the Index of Consistency of .94 and the Cronbach’s Alpha Coefficient for reliability of .80. Data were analyzed using descriptive statistics and the multiple regressions for predicting factors influenced the antibiotics used behaviors. The results revealed that, Firstly, most of the samples were female (90.82 %), the age between 21-31 years old (53.06 %), first year students (30.61 %), and no underlying diseases (94.90%). Most of them (59.95 %) had the antibiotics used history within the last one year that they bought from the retail or pharmacy stores without the prescription (77.55 %). Secondly, the knowledge about antibiotics usage was shown at the moderate levels (46.94 %) while the behaviors of antibiotics usage were at the levels of very good ( X = 3.39, SD = .87). Finally, the knowledge of antibiotics usages and the class levels were statistically significant factors explaining the antibiotics used behaviors about 16 percents. The knowledge of antibiotics usages could most explain those behaviors (Beta = .047, t = 2.527, p-value = .013) and follow by the class levels (Beta = .117, t = 2.335, p-value = .022).

Findings suggest that nursing students should be encouraged the proper antibiotic used behaviors by improving learning and teaching strategies to enhance the rational drug used knowledge and behaviors in further programs or courses.

Factors Influencing Cultural Competency of Professional Nurses in Phrae Hospital

2020-06-26T17:30:45+07:00

The purposes of descriptive research were; 1) to study the factors associated with cultural competency of professional nurse in Phrae Hospital. The samples consisted of 226 professional nurses in Phrae Hospital. The questionnaire consisted of the factors associated with cultural competency of professional nurse and cultural competency of professional nurse. All data were analyzed by both descriptive statistics (percentage, mean and standard deviation) and multiple regression analysis.

The research findings were as follows: 1) The cultural competency of professional nurse in Phrae Hospital was at high level ( X = 3.76, SD = .51) 2) the cultural competency of professional nurses in Phrae Hospital was significantly influenced by the ethnohistory including language aspect, political and legal aspect, kinship and social aspect, and environmental context (R² = .572, p< .01). This study suggested that administrators should provide policies or guidelines in promoting knowledge and understanding about ethnohistory for professional nurses and an interpreter for translating local languages, and promote professional nurses learning in various languages such as English, Burmese, or tribal languages etc. In addition, a place or small corners for religious activities and different sign languages should be established for effective communication between nurses and patients

A Development of Humanistic Leadership Model of Nurse Instructors in The Jurisdiction of Praboromarajchanok Institute Ministry of Public Health

2020-06-29T16:05:46+07:00

The main purposes of this research was to study the result of a development of humanistic leadership model of nurse instructors in the jurisdiction of Praboromarajchanok Institute Ministry of Public Health. Subjects were nurse instructors (n=15) who have been teaching in Boromarajonani college of Nursing, Uttaradit. Purposive sampling was applied. Technical Action Research (TAR) was undertaken through four phases on this study 1) instruction of a humanistic leadership model 2) planning to apply a model 3) applying a model in 2 cycles 10 steps 4) developing a model. Instruments consisted of semi-structure interview, practical planning record, process of dialogue, practicing note, voice recorder and structure interview for assess humanized leadership in nurse instructors. Content analysis was performed on qualitative data and triangulation method for checking.

Finding revealed that ;

1. There were four components of a development of humanistic leadership model of nurse instructors 1) anchoring and attitude 2) access and approach 3) action and arrangement 4) ambition and aim.

2. For planning to apply a model, processing was produced “A guide to developing humanistic Leadership of nurse instructors.

3. For applying on the model, nurse instructors to enhance improving of humanistic leadership when including these three dimensions of mind 1) understanding of human being 2) insight and compassion for others 3) continually developing of self- awareness by practice mindfulness.

4. The result of a development of l humanistic leadership model of nurse instructors in the jurisdiction of Praboromarajchanok Institute Ministry of Public Health consisted of four elements 1) anchoring and attitude 2) access and approach 3) action and arrangement 4) effect and benefits.

This study confirmed that nurse instructors in the jurisdiction of Praboromarajchanok Institute Ministry of Public Health can apply a model for develop a humanistic leadership and may use for teaching nursing students.

The Effect of Promoting Patients to Participate in Self-Care on Self-Care Behaviors and Rehabilitation of Chest Traumatic Patients with Chest Tube Insertion

2020-06-26T17:30:46+07:00

This study was a quasi-experimental research of two sample groups and it was aimed at examining the effects of promoting participation on self-care behaviors and rehabilitation of chest traumatic patients with chest tube insertion. The samples of this study included a total of 20 chest traumatic patients who were treated with chest tube drainage at Accident Surgery Ward of Uttaradit Hospital during October 2019 to January 2020. The research instruments were the patients’ self-care behaviors record form as they received chest tube insertion, as provided with reliability (Cronbach's alpha coefficient of .89). The statistic analysis was performed with frequency, percentage, mean, and Mann-Whitney U Test.

The results of this research were described as follows;

1) Self-care behaviors of the experimental group were found to be better than the control group with a statistical significance at .05 (p < .05);

2) The increasing percentage of the maximum exhaled air volume after full inhalation after chest tube insertion on the second day and the third day of the experimental group were higher than the control group with a statistical significance at .05 (p < .05).

Relationship between Health Literacy, Self Care Behaviors, and Glomerular Filtration Rate Among Patients with Chronic Kidney Disease Stage 3-4

2020-06-26T17:30:47+07:00

This correlation research aimed to identify the relationship between health literacy of patients with chronic kidney disease stage 3 – 4 and their self-care behaviors and glomerular infiltration rates. Theory of Health Literacy was used to guide the development of the conceptual framework of this study. The samples were 97 patients having chronic kidney disease stage 3 – 4 and seeking medical care at an outpatient department in Nopparatrajathanee Hospital Bangkok. They were purposively selected according to the inclusion criteria set by the researcher. The data were collected from the samples during May – June, 2018, using questionnaires which consisted of three parts, namely, personal information, health literacy assessment, and self-care behaviors of the patients. Descriptive statistics, Pearson’s moment product correlation and Spearman’s Rank correlation with statistical significance level at p<.05, were used to analyse data. Results showed mostly, self-care behaviors of the samples were at moderate level . The majority of the sample had mean score of health literacy at the moderate level. Health literacy domains that were at moderate level were at moderate level were knowledge and understanding, information accessibility, and communication skills and media literacy.Their literacies on self-care management and decision making were at high level.That the patients had inadequate health literacy in five areas. These included water intake for patients with chronic kidney diseases stage 4, water intake for patients with chronic kidney diseases stage 3, searching and selecting sources of information on self-care behaviors, using herbal medicines and food supplements, and convincing others to adopt healthy practices. Health literacy of the patients was found to have a positive and significant relationship with self-care behaviors, but was negatively related to glomerular filtration rate. The results can be used to guide the development of health literacy enhancement programs for patients with chronic kidney diseases stage 3 – 4 to practice proper self-care behaviors. This, consequently, will delay the reduction of glomerular filtration rate and the progress of the disease into the terminal stage.

Effect of Self-Management Support for Self-Care Behavior and Blood Glucose Level in Patients with Type 2 Diabetes Mellitus

2020-06-26T17:01:40+07:00

This quasi-experimental study aimed to investigate the effect of self-management support program on self-care behavior and blood glucose levels in patients with type 2 diabetes mellitus. Sixty diabetes patients were participated in this study. They were randomly divided equally into experimental and control group. Experimental group received self-management support program for 10 weeks. Research instruments consisted demographic information, a knowledge test on diabetes mellitus, self-care behavior, and blood glucose level records. The data were analyzed by using mean, percentage standard deviation independent t-test and paired t-test.

The results showed that the average scores of knowledge and self-care behavior of the experimental group at post- intervention were higher than pre intervention; and the average scores of blood glucose =was lower than that of pre- intervention (p<.05). The knowledge scores and self-care behavior at post- intervention were significantly higher than those a control group, and the average blood glucose level was significantly lower than those a control group. (p<.05).

The research findings suggest that self-management support program can improve the knowledge and self-care behavior of patients with type 2 diabetes mellitus, as well as lower their blood glucose levels. It is therefore recommended that the program may be used as part of diabetes patient care

Effects of Using the Dementia Prevention Programs on Cognitive Function of Older Persons with Chronic Illness in Community

2020-06-26T17:30:48+07:00

The objective of this quasi-experimental, pretest-posttest control group design study was to determine the effects of using the dementia prevention programs on cognitive function of older persons with chronic illness in community. The sample consisted of 60 older persons with chronic illness. The Research tools were personal record, Mini – Mental State Examination Thai 2002, and the dementia prevention programs. Data were collected from October 2017-September 2018 Data analyzed using frequency, percentage, mean, standard deviation, t-test and one-way repeated measure ANOVA

The results showed that:

1. The mean total score of Mental State Examination - Thai version in older persons with chronic illness in community who received dementia prevention programs was significantly higher than those who received the regular nursing care at p <.01;

2. The mean total score of Mental State Examination - Thai version in older persons with chronic illness in community who received dementia prevention programs in week 7 and week 12 was significantly higher than that before at p. The mean total score of Mental State Examination - Thai version in older persons with chronic illness in community who received dementia prevention programs in week 7 and week 12 was significantly higher than that before at p <.01.

Implementing a Model to Evaluate Family Impact Associated with Chronic Illness: Research Utilization

2020-06-29T10:36:33+07:00

This article aims is to provide an overview of the development and implementation of a nurse educator initiative, a model to evaluate the family impact associated with chronic illness of their family members. The model that was developed was integrated in family and community health nursing I practice curriculum. The objective of this article is to explain how the Initiative model has helped to enhanced the nursing student assessment of the family impact associated with chronic illness of their family members and improved quality of care.

The New Smoker Protection: Thailand Society has to Modify

2020-06-26T17:30:51+07:00

Tobacco is a legal drug both in Thailand and abroad. The tobacco smoking affects to wide area people therefore the World Health Organization (WHO) has created a framework convention on Tobacco Control ( FCTC ) for each country to apply tobacco control. Tobacco Control Operations in Thailand was accepted around the world. In particular, the Law on Tobacco Control, which is widely praised in Thailand, has the best law. On the other hand although there is decrease of tendency but there are always being the emergences of new smokers and most of them are youth groups. According the survey of smoking behavior in 2017, it was found that the Thai population started smoking at the age of 18 - 19 years, and the average age of new smoking started was 16 years. The applying legal to preventing the emergence of new smokers is insufficient. There are many causes of facing that lead to the being of new smokers; facing about individual, friends, family and environment. This article is intended to present three types of the changing that can cover the causes of new smokers that consist of the first is policy, laws, and protective measures changing. The second is society and culture changing. The last is individual changing. However these three changings are very challenging for Thailand but they can modify and prevent the causes of new smokers permanently.

Provided Environmental Healthy Aging

2020-06-26T17:30:52+07:00

In 2030, Thailand will achieve the status of a “complete aged society” when the proportion of the elderly over reached 22.7% of a total 68.3 million of Thai people. The family size is presently decreasing which leads to elderly people living alone in their house. Therefore, a preparing to become a complete aged society, housing design are important to improve to serve their health and quality of life. An accessing environmental care is a crucial for reducing the accident among elderly people. Particularly in, the improvement of physical housing, the modification of local instrument, and the framework for improving the physical housing within their context. In addition, a universal design and care manager (daughter, son, son-in-law, and daughter-in-law) should be concerned for supporting and minimizing the risk of an accident. This article was aim to provide an environmental healthy for elderly people, an accessing environmental care, a universal design, and a role of care manager. Moreover, this article would be valuable for policy makers, politician and all people who looking after the elderly people to adapt for improving quality of life.

Improving Health Literacy in Type 2 Diabetes Mellitus Patients

2020-06-26T17:31:47+07:00

Type 2 diabetes mellitus patients (T2DM) are at risk for several complications including cerebrovascular disease, diabetic retinopathy, amputation, and diabetic nephropathy. The goals of diabetes management are optimal glycemic control and reduce risk factors through medication and behavior to reduce risk factors. Health literacy (HL) in T2DM is the degree which individual can obtain the health information, communicate health information, understand the information regarding diabetes, and understand the process of self-care in order to make health decisions. Therefore, T2DM who have optimal HL will be able to manage their health. This article aims to describe definition and the principle for treatment of T2DM, definition of HL, the significance of HL in chronic disease, the association between HL and health outcome in T2DM, and the improvement of intervention to enhance effectiveness of HL in T2DM that may be contributed to achieve desirable health outcome in T2DM.

Using Mobile Application for Stroke Screening in Risk Groups

2020-06-26T17:32:21+07:00

In Thailand, stroke has become a major public health concern which reported in high mobility. This may lead to the motor system and also bodily malfunctions which may result in paralysis, palsy and, eventually, and death. Therefore, the purpose of this article was to present the methods on stroke screening especially for the risk groups which included people with hypertension, diabetes mellitus, dyslipidemia, and obesity. In addition, this article compared the using of a method that tests an individual patient’s risk factors by noting down and calculating and using a Mobile Application to screening on their smart phones. Using mobile application in risk groups currently becomes an available option, in which people in the risk groups can screening themselves on smartphones. It is very accurate and useful for determining the risk factors for people in the risk groups. Therefore, this mobile application is recommended for people who in the risk group to screening themselves and avoid the possibility to have the stroke in the future.

Solid Waste Management of Karen Hilltribe Communities in the Village Area for Security and Border Guard Villages Chiangmai

2020-06-29T10:46:20+07:00

The highland community is home to many tribal populations. Such as Karen, Hmong, Yahu, Mien, Hu, Lisu, and minority groups. Due to the diverse population, it affects the quality of life of people living in the highlands, especially environmental health problems. Problems found in most highland communities are waste management problems, problems on sanitation, environment, households, problems of water shortage for agriculture. Consumption and consumption Degraded soil, water pollution, unsafe production of highland products. National Health Center Marginalized and migrant workers Is an agency under the Bureau of Health Reproductive, Department of Health, Ministry of Public Health. Who runs a waste management project of the Karen hill tribe communities in the Ban Pattana village. For security and border guards Chiang Mai Province. For the highland people in the highlands to have proper disposal of garbage in order to have good health and environmental health.This article about Solid waste management of Karen hilltribe communities in the village area. For security and border guard villages Chiangmai . The project is a successful project and results in the community that operates the project. (Ban Nam community) received awards and recognition as a model for waste management at the sub-district level.