https://he02.tci-thaijo.org/index.php/RNJ/issue/feed Ramathibodi Nursing Journal 2022-08-24T19:47:32+07:00 Supreeda Monkong supreeda.mon@mahidol.ac.th Open Journal Systems <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> https://he02.tci-thaijo.org/index.php/RNJ/article/view/253125 Associations among Knowledge, Attitudes, Health Behaviors, and Stress of Pregnant Women in Thailand during the New Coronavirus-2019 2021-12-29T14:03:53+07:00 Pairin Sukontrakoon sailom.ger@mahidol.ac.th Srisamorn Phumonsakul sailom.ger@mahidol.ac.th sailom Gerdprasert sailom.ger@mahidol.ac.th Shuleeporn Prohm sailom.ger@mahidol.ac.th Arissara Sawatpanich sailom.ger@mahidol.ac.th <p> A descriptive correlational study aimed to examine the associations among knowledge about COVID-19, attitudes toward COVID-19, health behaviors, and stress of pregnant women in Thailand during the COVID-19 pandemic. A sample of 283 pregnant women who met the inclusion criteria was recruited and participated via self-administered online questionnaires. The questionnaires requested personal information, knowledge about COVID-19, attitudes toward COVID-19, health behaviors related to COVID-19 in pregnancy, and stress. Descriptive statistics and Spearman’s rank correlations were applied for data analysis. The results showed that most pregnant women had a high level of knowledge about COVID-19 and good health behaviors (75.62% and 88.34%, respectively), a neutral attitude, and a moderate stress level (78.09% and 76.32%, respectively). Also, findings revealed a significant positive association between knowledge and health behaviors, negative attitudes toward COVID-19 and health behaviors, and negative attitudes toward COVID-19 and stress. However, significant associations were not found between knowledge and attitudes,knowledge and stress, and health behaviors and stress. Therefore, pregnant women should receive reliable health information about the novel coronavirus disease, which may influence attitudes toward this disease, to help them engage in health behaviors and prevent such infections. Importantly, accurate information should make the pregnant women gain more understanding of COVID-19. Psychological support is needed to help pregnant women manage their stress appropriately.<br />Keywords: Knowledge, Attitude, Health behaviors, Stress, Pregnant women, COVID-19</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/251139 Sleep Patterns and Sleep Problems in Older Persons with Dementia and Management by Caregivers 2021-08-08T06:59:27+07:00 Narumon Numpha knarumon5@gmail.com Pornthip Malathum malathum@hotmail.com Nuchanad Sutti nuchanad.jea@mahidol.ac.th Taweevat Assavapokee drgames061@gmail.com <p>This descriptive study aimed to describe sleep patterns and sleep problems among older persons with dementia and management by their caregivers. Purposive sampling was used to recruit 88 community-dwelling older persons with any stage of dementia and 88 caregivers. The research instruments for older participants included the Demographic Questionnaire, sleep diaries, and wrist sleep trackers; those for caregivers included the Demographic Questionnaire, and the Caregivers’ Management of Sleep Problems in Older Persons with Dementia. The data were collected from June to August 2019 and then analyzed using descriptive statistics and chi-square. Almost all of the sleep data showed the polyphasic (sleeping many times per day) sleep pattern, while a few had biphasic (sleeping twice per day) and monophasic (sleeping once per day) sleep patterns. Sleep problems in the older sample included sleep-related breathing disorder (snoring), sleep talking,hyper-somnolence, and wake after sleep onset, respectively. Mainly, non-pharmacological interventions were used for sleep problems of older persons with dementia by caregivers,including promotion of relaxation, light exposure, sleep hygiene, and physical activities.However, one quarter used medications prescribed by doctors. Healthcare providers could use the results from this study to plan interventions for reducing the polyphasic sleep pattern,decreasing hypersomnia and excessive daytime sleepiness, and developing the educational program for caregivers about the management of sleep problems in older persons with dementia appropriately.<br />Keywords: Sleep patterns, Sleep problems, Sleep problem management, Older persons,Dementia</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/251119 The Effect of Individualized Listening to Music on Agitated Behaviors in Older Persons with Dementia 2021-12-28T13:08:57+07:00 Lalita Sawangchan lalita5838304@gmail.com Porntip Malathum Malathum@hotmail.com Nuchanad Sutti nuchanad.jea@mahidol.ac.th <p><strong>Abstract:</strong> This quasi-experimental research aimed to examine the effect of individualized listening to music on the agitated behaviors of older persons with dementia. A crossover design was used to compare mean changes in agitated behaviors of older persons with dementia between the intervention period (listening to music) and the control period without music. Purposive sampling was used to recruit a sample of 16 older persons from a nursing home. Each participant’s sequence of these two periods was randomly assigned to the intervention group or control group by drawing lots. The sample in the intervention period listened to music that they chose for 30 minutes, three times per week, a total of four weeks, while those in the control group did not listen to music. The washout duration of two weeks was set between the two periods. The agitated behaviors were assessed with the Cohen-Mansfield Agitation Inventory every week (the 1st to the 4th weeks) and after finishing the music program (the 5th and the 6th weeks) from the baseline. The analysis showed that the mean changes in the total score of agitated behaviors in the intervention period significantly decreased more than in the control period in the first two weeks. For subsets of agitated behaviors, the mean changes in physically non-aggressive scores and verbally aggressive behaviors in the intervention period significantly decreased more than in the control period in the first two weeks. The mean changes in verbally nonaggressive behaviors and physically aggressive behaviors were not significantly different between the two periods. However, when the listening to music period ended at the 5th and the 6th weeks, the mean changes in verbally non-aggressive behaviors significantly increased more than in the control period. In conclusion, this study showed that the<br />individualized listening to music program could decrease overall agitated behaviors. For the subsets of agitated behaviors, the program could decrease physically non-aggressive behaviors and verbal behaviors even though not consistently, but it could not decrease physically aggressive behaviors. Thus, the caregivers of older persons with dementia may use the program as an option to decrease their non-aggressive behaviors.<br />Keywords: Music, Individualized listening, Agitated behaviors, Older persons, Dementia</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/249070 Lived Experience of Older Women Caring for Frail Dependent Elderly Spouses 2021-09-12T19:13:58+07:00 Pantamon Suparee casper_baifern@hotmail.com Jiraporn Kespichayawattana wattanaj@yahoo.com <p>This research aimed to study the lived experience of older women caring for a frail, dependent elderly spouse using the qualitative research method and phenomenology of Martin Heidegger. The key informants were 14 older women who were the main caregivers of a frail, dependent elderly spouse, selected through the purposive sampling method. The data were collected through an in-depth interview, observation, notes, and tape recordings. The data were then transcribed using verbatim transcription and analyzed using content analysis. The results indicated that the meanings of being a caregiver to a frail, dependent elderly spouse provided by the informants could be divided into two points: 1) taking care with deep connection and 2) taking care because they had been through difficulties together. It was also found that the experience of older women caring for a frail, dependent elderly spouse could be categorized into three themes, which were 1) life changed, 2) acceptance and learning of being caregivers, and 3) being a caregiver in the context of being a wife. The findings of this study could lead to an understanding of lived experiences of older women caring for a frail, dependent elderly spouse and serve as guidelines to help wives who take care of a frail, dependent elderly spouse for efficient care.<br />Keywords: Lived experience, Older women, Dependent, Elderly spouse</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/248613 Relationships Among Nurses’ Personal Factors, Knowledge, Attitudes, and Acute Pain Management for Trauma Patients in Emergency Department 2021-06-23T20:26:27+07:00 Wijit Srisuphon knotnurse@gmail.com Kusuma Khuwatsamrit kusuma.khu@mahidol.ac.th Phichpraorn Youngcharoen phichpraorn.you@mahidol.edu <p> This descriptive research aimed to explore relationships among nurses’personal factors, knowledge, and attitudes toward acute pain management, and acute pain management (APM) for trauma patients in the emergency department. Eighty-six professional nurses who worked in an emergency department and met the inclusion criteria were recruited for this study. The questionnaires were used to elicit demographic data, nurses’ knowledge about APM, nurses’ attitudes towards APM, nurses’ APM,and an assessment checklist on nurses’ APM. Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficients, and point-biserial correlation<br />coefficients. The results demonstrated that the mean scores of nurses’ knowledge,attitudes, and APM for trauma patients in the emergency department were moderate,positive, and good, respectively. A moderate positive correlation was found between nurses’ knowledge and attitudes. Significant positive correlations were found between APM and nurses’ attitudes, years of working experience, and pain management training.However, nurses’ knowledge was not significantly correlated with APM. The findings could be used to develop clinical nursing practice guidelines for APM for trauma patients in the emergency department. Also, a regular APM training program should be provided for emergency nurses to improve nursing service quality.<br />Keywords: Knowledge, Attitude, Acute pain management, Trauma patient, Emergency nurses</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/251769 Selected Factors Related to Perceived Practice for Acute Kidney Injury Prevention for Critically Ill Patients among Nurses in Intensive Care Units 2021-12-20T20:01:54+07:00 Kanokporn Kaewyota kanokporn.k@bcnpb.ac.th Sumolchat Duangbubpha sumolchat.pua@mahidol.ac.th Poolsuk Janepanish Visudtibhan poolsuk.jan@mahidol.ac.th Surasak Kantachuvesiri poolsuk.jan@mahidol.ac.th <p>Abstract:This study aimed to examine the relationships among knowledge about AKI prevention, attitude towards AKI prevention, working experience in intensive care units (ICU), training experience, and perceived practice for acute kidney injury (AKI)prevention for critically ill patients among ICU nurses. A sample of 141 ICU nurses in a general hospital participated in the study. Data were collected using four questionnaires to collect demographic data, knowledge about AKI prevention, attitude towards AKI prevention, and perceived practice for AKI prevention for critically ill patients. Data were analyzed using descriptive statistics and Spearman's rank correlation coefficient. The results demonstrated that most participants had a moderate level of knowledge regarding AKI prevention, a good level of attitude towards AKI prevention, and a high level of perceived practice for AKI prevention. Knowledge about AKI prevention and positive attitude towards AKI prevention were significantly positively related to the perceived practice for AKI prevention among ICU nurses. On the other hand, working experience at ICUs and training experience were not related to perceived practice regarding AKI prevention. Therefore, ICU nurses should be encouraged to increase their knowledge and promote positive attitudes about AKI prevention to increase the effectiveness of prevention of AKI in critically ill patients.<br />Keywords: Knowledge, Attitude, Perceived practice, Acute kidney injury, Critically ill patients, ICU nurses</p> <p> </p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/251319 Factors Predicting the Influenza Vaccination Behaviors among Healthcare Workers in Pathumthani Province 2021-07-25T23:20:00+07:00 Chanika Senangnart pui_chanika@hotmail.com Pregamol Rutchanagul pregamol@nurse.tu.ac.th Jeeraporn Kummabutr pregamol@nurse.tu.ac.th <p><strong>Abstract</strong></p> <p>This descriptive predictive research study aimed to examine factors predicting the influenza vaccination behaviors among healthcare workers in Pathumthani Province.The PRECEDE-PROCEED model was applied for the research framework. A sample workers of 358 healthcare workers was recruited from primary, secondary, and tertiary hospitals in Thailand using multi-stage sampling. Data were collected using self-administered questionnaires from January to February 2021. Eight questionnaires were used to assess demographic data, influenza vaccination experience, attitude towards Influenza vaccine,access to care, being prompted, recognition of vaccine policy, persuasion from other persons, and influenza vaccination behaviors. Data were analyzed using descriptive statistics and binary logistic regression analysis. The results revealed that 78.8% of healthcare workers received influenza vaccination. The significant factors predicting the influenza vaccination behaviors among healthcare workers were age, influenza vaccination experience, and persuasion from other persons. Participants under 45 years of age were 2.33 times more likely to have influenza vaccination than those aged 45 years or over.Those with good vaccination experience were 46.34 times more likely to have influenza vaccination than those without good vaccination experience. Those highly persuaded by others were 2.54 times more likely to have influenza vaccination than those less persuaded by others. These findings can be used to create or set up a program to promote influenza vaccination behaviors among healthcare workers.<br />Keywords: Predictive factor, Influenza vaccine, Vaccination behaviors, Healthcare </p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/256362 Educational Needs Assessment and Prioritization of Certificate Program for Practical Nursing (care for older people) as Perceived by Graduate Practical Nurses 2022-02-26T20:30:04+07:00 Nuchanad Sutti nuch240@yahoo.com Pornsiri Phipatanapanit nuchanad.jea@mahidol.edu <p>This research aimed to assess and prioritize the educational needs of a certificate program for practical nursing (care of older people). The population in this study consisted of 82 practical nurses who graduated from the Certificate Program for Practical Nursing(Care for Older People) at Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital in the academic year 2018. The data collection questionnaires included the Personal Characteristics Questionnaire and the Educational Needs Assessment Questionnaire. Descriptive statistics and the Modified Priority Need Index(PNImodified) were used to analyze data. The results showed that the top five rankings of educational needs in the Certificate Program for Practical Nursing (Care of Older People)were: 1) dormitory welfare during the day and night shifts, 2) medical welfare, 3)duplication of course content, 4) locations for clinical skill practice, and 5) educational facilities in terms of instruments, materials, and models used for clinical skill practice.This finding suggests that program administrators should improve dormitory welfare during the day and night shifts, medical welfare, location, and facilities for clinical skill practice. Furthermore, program administrators should revise and reorganize course outlines in the curriculum more clearly to avoid duplication of course contents. This finding will help the educational management of the practical nursing program more match the learners’ expectations.<br />Keywords: Certificate program for practical nursing, Needs assessment, Educational management, Perceptions of graduates</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/255826 Medication Administration Errors of Nursing Students during Practice in Clinics and in Simulation 2022-04-11T08:15:45+07:00 Streerut Thadakant sumolchat.pua@mahidol.ac.th Sophia H Hu sumolchat.pua@mahidol.ac.th Sumolchat Duangbubpha sumolchat.pua@mahidol.ac.th Teerawat Changpad sumolchat.pua@mahidol.ac.th Mingkamon Pibanwong sumolchat.pua@mahidol.ac.th <p> This cross-sectional observational study aimed at investigating 1) graduating nursing students’ experience in medication administration errors (MAEs) in clinical practice and reporting MAEs, 2) their attitude to the safety climate of practice areas, and 3) types,causes of MAEs, and reasons for not reporting MAEs in simulation. A purposive sample of the 68 fourth-year graduating nursing students was recruited. Simulations of scenarios related to medication administration were set up. Recruited students were assigned to administer medication under nursing roles. The instruments for collecting data were the Medication Administration Errors Experience Questionnaire, the Safety Climate Attitude Questionnaire,and the Medication Administration Error Checklist. Descriptive statistics were used for data analysis. The results are as follows. Firstly, nearly half of the students reported MAEs during actual clinical practice experience. The top three types of reported errors were wrong dosage,wrong time, and wrong drug. Approximately three-quarters who experienced errors did not report MAEs. Secondly, they had a moderate attitude level toward the safety climate of practice areas. Lastly, most students made MAEs in the simulations. Amongst these, three dominant types of errors were wrong patient, wrong dosage, and giving medicine to a patient with a history of drug allergy. The obvious observation for MAEs was not rechecking to reassure before giving medication to a patient. The three reasons for not reporting the errors were: not knowing of mistakes, fear of making errors, and fear of being blamed. Additionally, nearly half of MAEs occurred from insulin administration. In conclusion, this study reflects the types and causes of MAEs and risky behaviours in medication administration of nursing students in clinical practice. The findings can be used to promote and develop nursing students’ medication-safety competencies and positive attitudes towards patient safety management.<br />Keywords: Medication administration error, Nursing students, Clinics, Simulation </p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/250759 Family Participation: A Strategy for Encouraging Treatment Adherence among Older Persons with Uncontrolled Hypertension 2021-08-12T18:10:52+07:00 Junjira Seesawang junjira2926@gmail.com Pulawit Thongtaeng pulawit@yahoo.com Phatchararin Naimkerd phatchararin@pck.ac.th Jongjit Tantaphoprasit jongjit@hotmail.com <p>Family participation is important in addressing non-adherence to treatment among older persons with uncontrolled hypertension. Supporting from family could enhance better medication and healthy lifestyle modification adherence. Thus, strategies that promote family participation in the care for older persons with uncontrolled hypertension are as follows: 1) facilitating older persons in performing self-management activities, 2) being a partner in decision-making and problem-solving, 3) finding and connecting to outside resources, 4) supporting stress management, 5) helping to integrate illness care into daily life and promoting social engagement, and 6) assisting patient-provider communication. This article aims to describe the importance of family participation in caring for older persons with uncontrolled hypertension, family participation, and strategies to enhance family participation. Family participation in hypertension care can improve patient outcomes and quality of care.<br />Keywords: Hypertension, Family participation, Treatment adherence, Older persons</p> 2022-08-23T00:00:00+07:00 Copyright (c) 2022 Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ/article/view/259053 บทบรรณาธิการ 2022-08-24T19:47:32+07:00 Supreeda Monkong supreeda.mon@mahidol.ac.th 2022-08-24T00:00:00+07:00 Copyright (c) 2022