Ramathibodi Nursing Journal 2021-01-11T09:38:42+07:00 Supreeda Monkong Open Journal Systems <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> Nurses ‘Roles to Promote Teenage fathers' Roles 2021-01-06T16:47:53+07:00 Atcharawadee Sriyasak Wirod Chinglek Suwannee Sangarthit <p>Nurses play a vital role in taking care of teenage parents starting from the period of mothers’ pregnancy until the childrearing period. Nurses also promote the functions of teenage fathers in the transition to balance their teenage roles and father roles. These help mothers and children receive comprehensive care, both physically and mentally. This article aims to review and present nurses’ roles to promote teenage fathers’participation in taking care of mothers and children and in strengthening the family relationship. Nurses’ roles includes several phases. Firstly, during teenage mothers’ pregnancy, nurses should assess teenage fathers’ feeling towards the wives’ pregnancy,provide specific care for teenage fathers, promote teenage fathers’ roles, promote equality between men and women, and perform a risk assessment of teenage fathers. During delivery, nurses should provide physical and mental support for both mothers and fathers,and promote father-mother-infant bonding. During the postpartum period, nurses should<br>encourage the fathers to engage in parenting roles, support breastfeeding, and recommend proper contraceptive methods for birth control. During a childrearing period, nurses should encourage fathers’ participation in childrearing and promote a similar pattern of childrearing among family members to prevent any family conflicts.<br>Keywords: Nurse’s roles, Father’s roles, Teenager</p> 2021-01-05T13:45:32+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Factors Related to Caring Behavior for Prevention of Central Line-Associated Bloodstream Infections in Adult Intensive Care Units 2021-01-06T16:49:21+07:00 Chitlada Kamonphan Kusuma Khuwatsamrit Apinya Siripitayakunkit <p>This descriptive research aimed to explore relationships among nurses’ knowledge,attitude, subjective norm, intention to care, and caring behavior for prevention of central lineassociated bloodstream infections (CLABSI) in intensive care units. The Planned Behavior theory was used as the conceptual framework to guide the study. The sample consisted of 184 nurses in the adult intensive care and intermediate care units at Ramathibodi Hospital, Thailand.Six questionnaires were used to collect the data, including demographic characteristics, attitudes,knowledge, subjective norm, intention, and practice for prevention of central line-associated bloodstream infections of nurses. Data were analyzed using descriptive statistics and Pearson’s<br>correlation. The results showed that the participants had high scores on attitude, knowledge,subjective norm, and intention to care. In particular, the nurses’ knowledge, attitudes, and subjective norms were significantly and positively correlated with the intention to care for prevention of CLABSI. Furthermore, nurses’ intention to care was significantly and positively related to nurses’ caring behavior for CLABSI prevention. The results of this study can be used as basic information to promote caring behavior of nurses by strengthening nurses’ knowledge,attitude, subjective norm, and intention to care for CLABSI prevention.<br>Keywords: Attitude, Subjective norm, Intention to care, Caring behavior, Central lineassociated<br>bloodstream infection</p> 2021-01-05T14:58:04+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Effects of Motivation for Self-care Program on Self-care and Quality of Life in Persons with Heart Failure 2021-01-06T16:42:54+07:00 Nalinee Niyomthai Apinya Siripitayakunkit Sumolchat Duangbubpha <p>The purpose of this quasi-experimental study, using one group with pretest-posttest design with repeated measures, was to examine the effects of a motivation for self-care program on self-care and quality of life in persons with heart failure. The Situation-Specific Theory of Heart Failure Self-Care, combined with the motivation interview technique, was used as the theoretical framework of the study. Twenty-nine persons with heart failure during hospitalization were recruited by purposive sampling based on the inclusion criteria. The program consisted of three phases: Phase I: Promoting self-awareness on health status and motivating health behavior modification; Phase II: Developing self-care abilities and skill training for heart failure self-care in the first during hospitalization, and Phase III: Empowering continuous self-care in heart failure using home telephone counselling after discharge once a week for four times with the Hotline service for 24 hours for the emergency case, in a total of six weeks. Data collection was done three times: before the program intervention, after completion of the program, and one month after completion of the program. Descriptive statistics and one-way repeated measures analysis of variance were used to analyze the data. The study findings showed that the mean scores of self-care and quality of life after completion of the program, and one month after completion of the program were significantly higher than those before entering the<br>program. The findings show the effectiveness of the motivational for self-care program.Therefore, the motivation for self-care program should be implemented to improve self-care behavior in controlling heart failure exacerbation and promote the quality of life in persons with heart failure.<br>Keywords: Heart failure, Motivation interviewing, Self-care, Quality of life</p> 2021-01-05T16:09:29+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Palliative Care Roles of Nurses in Primary Care Units of Health Region 11 2021-01-06T16:42:55+07:00 Oraphan Khongsrichay Naiyana Noonil Urai Jaraeprapal <p>This descriptive study aimed to explore nurses’ roles in the care of palliative patients at the primary units. It was a part of the Thailand Nursing and Midwifery Council Research Project, entitled “Roles and Responsibilities of Nurses in Driving Primary Health Care Systems.” Multi-stage sampling was used to select 33 nurses who worked in palliative care at the primary units of Health Region 11. The study instruments consisted of the Nursing Roles in Palliative Care Questionnaire, the Interview Guide of Palliative Care Process, and the Interview Guide of Problems and Barriers of Working. Data were analyzed using descriptive<br>statistics, the Mann-Whitney U test, and content analysis. The results revealed that nurses in the sub-district health-promoting hospital (PCU) performed the overall palliative care roles more than nurses in the primary care cluster (PCC). In particular, nurses’ roles consisted of creating a team of a health care partnership in the community; giving knowledge and skills training for caregivers and relatives; pain management/pain relief; and cooperating and providing holistic care in the end of life; respectively. The care process included: preparation;home health care; creating caregiver networks; strengthening caregivers’ potential, and visiting<br>the family of the deceased patients at home. The obstacles for working of nurses in both the PCC and PCU included a lack of a clear policy on palliative care in the primary care level, a lack of knowledge development and necessary equipment, a heavy workload, and insufficient personnel. The results of this study suggest: 1) establishing a policy supporting palliative care and implementing concrete actions to in all levels, 2) providing knowledge development through training and support, as well as, providing necessary equipment, and 3) the Ministry of Public Health should review the workforce frame for the supply of sufficient numbers of<br>nurses based on workloads.<br>Keywords: Roles of nurses, Palliative care, Primary care unit</p> 2021-01-06T00:00:00+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Factors Related to Fear of Death among Community Dwelling Older Adults Living Alone with Chronic Diseases 2021-01-11T09:35:56+07:00 Phachongchit Kraithaworn Rattana Boonpha Noppawan Piaseu <p>This descriptive research aimed to 1) describe the fear of death, and 2) examine relationships of personal factors and social support with fear of death among community-dwelling older adults living alone with chronic diseases. The sample consisted of 262 older adults living alone with chronic diseases in a province of the northeastern region. Data were collected using the demographic characteristics, social support and fear of death questionnaire and analyzed using Descriptive statistics, Biserial correlation, and Spearman’s rank correlation. The findings revealed that the mean age of the participant was 70.92 years. More than half of them had social support at a moderate level, and the fear of death at a high level. Correlation analysis revealed that income and education were significantly negatively associated with the fear of death,<br>while overall social support, tangible, and appraisal support were significantly positively associated with the fear of death. However, sex, age, and marital status were not associated with it. Therefore, in caring for this group, it is necessary to assess their fear of death,promote the family and related persons to participate in care, and provide information to educate older adults living alone about their illness and treatment, especially those with low education and low incomes. These caring actions will help them become more<br>confident in their self-care and might reduce the fear of death.<br>Keywords: Older adults with chronic disease, Living alone, Community, Fear of death,<br>Social support</p> 2021-01-06T10:23:02+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Factors Influencing Food Consumption Behaviors to Prevent Non-Communicable Diseases among Adults with Overweight and Obesity 2021-01-11T09:37:34+07:00 Paiwan Kotta Amornrat Natason <p>This research aimed to examine factors influencing food consumption behaviors to prevent non-communicable diseases (NCDs) among adults with overweight and obesity. The sample consisted of 142 adults aged 19-59 years with overweight and obesity, who were recruited using multistage random sampling. The research instruments included seven questionnaires to elicit personal information, food consumption behaviors to prevent NCDs, perceived susceptibility to NCDs, perceived severity of NCDs, perceived benefits of food consumption behaviors to prevent NCDs,perceived barriers to food consumption behaviors to prevent NCDs, and cue to action.Data were analyzed using descriptive statistics, Pearson, s correlation coefficient, and multiple regression analysis with the Enter method. The result revealed that all seven<br>study variables jointly accounted for 35% of the variance in food consumption behaviors to prevent NCDs. However, only the perceived barriers to food consumption behaviors significantly explained of the variance in food consumption behaviors to prevent NCDs.The results of this study could be utilized as basic information for healthcare providers to promote healthy food consumption behaviors by finding strategies for minimizing perceived barriers to healthy food consumption among adults with overweight and<br>obesity.<br>Keywords: Overweight, Obesity, Food consumption behaviors, Non-communicable disease, Adults</p> 2021-01-06T10:58:34+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Effects of The Computer Game “Kid…Think” Program on Attitudes,Subjective Norms, Perceived Behavioral Control, and Intention to Not Express Sexual Risk Behaviors of Deaf Students in High Schools 2021-01-06T16:43:00+07:00 Patcha Chaisamdaeng Rutja Phuphaibul Autchareeya Patoomwan <p>This quasi-experimental study with a two-group pre-posttest design aimed to examine effects of the computer game program “Kid...Think” towards attitudes, subjective norms, perceived behavioral control, and intention to not express sexual risk behaviors (SRBs) of deaf students in highschools. Convenience sampling was used to select the sample from the school for only deaf people in two central regions and then was divided into 34 students for the experimental group and 35 students for the control group. The experimental group received regular teaching via the computer game “Kid…Think” program and participated in activities according to activities planned, while the control group received regular teaching. Data were collected at the pretest and posttest six weeks apart.The questionnaires were used to collect personal information, attitudes towards SRBs, subjectivenorm, perceived ability in self-control for SRBs, and intention to not express SRBs. Data were analyzed using the Mann-Whitney U statistic, Wilcoxon Signed-rank test, Independent t-test, and<br>Paired t-test. The results of the research indicated that the experimental group had higher scores on attitude towards SRBs, subjective norms, and intention to not express SRBs than did the control group significantly, but the scores on perceived behavioral control towards SRBs between groups were not different. Also, the experimental group had the higher scores on attitude towards SRBs, subjectivenorms, and intention to not express SRBs, after receiving the program than those before receiving the program significantly. The results of this study showed that the computer game “Kid…Think” program can be used for teaching deaf students in adjusting attitudes and subjective norms, as well as promoting perceived ability in self-control and intention to not express SRBs, thereby appropriate manners.<br>Keywords: Deaf students, Attitudes, Subjective norms, Perceived behavioral control, Intention to<br>not express sexual risk behaviors</p> 2021-01-06T13:21:59+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Ethical Behavior: A Comparative Cross-sectional Study among Nursing Students in Different Class Years at a Nursing College 2021-01-11T09:38:42+07:00 Kesinee Chaimo Kittiporn Prachasaisoradej Pichata Oangkanawin <p>The purposes of this descriptive research were to explore the ethical behavior of nursing students and compare the ethical behavior among nursing students in different class years, from the first year to the fourth year. The accessible population were 507 nursing students in the bachelor’s program&nbsp; at Boromarajonani College of Nursing, Chonburi Province. Participants were asked to respond to the Moral Virtues Scale for Nursing Students. Descriptive statistics, Kruskal-Wallis test, and Mann-Whitney U test were used for data analysis. The results revealed that all nursing students from the first year to the fourth year exhibited a high level of the overall ethical behavior. The ethical behavior dimensions that had the highest level included discipline, punctuality,honesty, and appropriateness, while those in the high level included compassion, patience, justice,professional responsibility, caring, and cooperation. For the comparison of the overall ethical behavior among students, the first-year students had significantly higher overall ethical behavior than the third-year and the fourth-year students. Likewise, the second-year students had<br>significantly higher overall ethical behavior than the fourth-year students. For the ethical behavior dimensions, the first-year students had significantly higher discipline and honesty than any other classes, higher cooperation than the third-year and fourth-year, and higher compassion, justice,professional responsibility, and caring than the fourth-year students. The second-year students had significantly higher justice, caring, and cooperation than the fourth-year students. The thirdyear students had significantly higher caring than the fourth-year students. However, there were no differences in punctuality, patience, and appropriateness among the first-year to fourth-year nursing students. These findings suggest that administrators of the bachelor program should develop a system to continuously assess and monitor ethical behavior of nursing students from the firstyear to the fourth-year students to sustain the ethical behavior as a standard of nursing care.<br>Keywords: Ethical behavior, Virtue, Nursing education, College of Nursing, Nursing students</p> 2021-01-06T14:27:29+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal Satisfaction with and Self Confidence in Nursing care for Pediatric Patients with Heart Failure among Nursing Students after Attending High Fidelity Simulation 2021-01-06T16:43:04+07:00 Dongruethai Buadong Jumpee Granger Jiraporn Punyoo Jongjai Jongaramraung <p>Nursing education is essential to improve the quality of nursing learning.The mixed-method study approach consisting of a quantitative and qualitative design,was used to assess the satisfaction with learning outcomes and self-confidence in caring for pediatric patients with heart failure by using high fidelity simulation-based learning.Purposive sampling was used to recruit the participants, who were the third-year students<br>of Ramathibodi School of Nursing and currently experienced high fidelity simulationbased learning. In the quantitative design, 55 nursing students participated in the study.A questionnaire was used to collect data on satisfaction with and self-confidence in nursing care after attending the high fidelity simulation. The quantitative data were analyzed with descriptive statistics. For the qualitative design, from the 55 students, 30 participants were specifically selected. The qualitative data collected from focus group interviews were then analyzed by content analysis. The results demonstrated that nursing students who experienced high fidelity simulation-based learning had a high to the highest level of satisfaction with and self-confidence in caring for pediatric patients with heart failure. Also, from the focus group, the students were satisfied with the high fidelity simulation and excited to learn about nursing care for pediatric patients with complex<br>symptoms. They had practiced in applying theoretical knowledge and experience in nursing care for pediatric patients. Therefore, high fidelity simulation-based learning should be considered to develop the teaching and learning strategies for nursing students.<br>Keywords: High fidelity simulation, Pediatric nursing, Satisfaction, Self-confidence,<br>Nursing students</p> 2021-01-06T15:13:43+07:00 Copyright (c) 2021 Ramathibodi Nursing Journal