Ramathibodi Nursing Journal https://he02.tci-thaijo.org/index.php/RNJ <p>รามาธิบดีพยาบาลสาร เป็นวารสารทางการพยาบาลราย 4 เดือน จัดทำขึ้นโดยโรงเรียนพยาบาลรามาธิบดี คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี และสมาคมศิษย์เก่าพยาบาลรามาธิบดี มีระบบการบริหารจัดการแบบสากล คือ มีกองบรรณาธิการและผู้ทรงคุณวุฒิภายนอกตามจำนวนที่ สกอ.และ TCI กำหนด มีวัตถุประสงค์เพื่อเผยแพร่ผลการศึกษาค้นคว้า โครงการกิจกรรม การวิจัยทางการพยาบาลและสาขาอื่นที่เกี่ยวข้อง</p> en-US <p>บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น</p> supreeda.mon@mahidol.ac.th (Supreeda Monkong) Saisunee.unp@mahidol.ac.th (Saisunee Unipanityou) Thu, 02 Sep 2021 13:26:01 +0700 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 บทบรรณาธิการ https://he02.tci-thaijo.org/index.php/RNJ/article/view/253324 Supreeda Monkong Copyright (c) https://he02.tci-thaijo.org/index.php/RNJ/article/view/253324 Thu, 02 Sep 2021 00:00:00 +0700 Hearing Impairment : Nursing Care of Ear and Hearing Health Promotion in Older Persons https://he02.tci-thaijo.org/index.php/RNJ/article/view/248928 <p>Hearing impairment that occurs in older persons tends to increase due to physical changes and the lack of promoting the ear health of older persons. This older population with hearing impairment and their families or caregivers experience longterm effects on physical, mental, emotional, social, and economic dimensions. This article aims to present knowledge about age-related changes of the ears, the importance of hearing impairment, and ear and hearing health promotion in older persons. Nurses can play significant roles in promoting hearing health and prevent untimely hearing impairment. This article provides information on hearing impairment regarding agerelated changes, types, causes, risk factors, impacts, and nursing practice to care for and promote the ear and hearing health of older persons with this problem. This information<br>is expected to be useful for nurses to promote ear and hearing health for enhancing the quality of life of older persons with hearing impairment.<br>Keywords: Hearing impairment, Nursing, Ear and hearing health promotion, Older persons</p> Piyanee Na Nakorn, Mukda Detprapon Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/248928 Sun, 29 Aug 2021 13:54:53 +0700 Roles of Nurses in Caring for Patients with Non-Operative Hemorrhagic Stroke https://he02.tci-thaijo.org/index.php/RNJ/article/view/241091 <p>Spontaneous intracerebral cerebral hemorrhage (SICH) is caused by a rupture of the blood vessel(s) in the brain. Major risk factors of cerebral hemorrhage include high blood pressure, smoking, and lack of exercise. The therapeutic regimens for SICH are either operation or non-operation, depending on pathology and criteria. This article aims to present evidence-based nursing about caring for patients with non-operation<br>hemorrhagic stroke, along with a case study. In clinical situations, nurses have major roles in providing standard care to control blood pressure and prevent intracranial pressure in these patients. The goal is to make them get through critical health issues safely. Based on the nursing process, nurses can apply the so-called ‘PAST-MANTT’ principle to provide essential care for these patients. This principle allows nurses to work systematically, from performing a problem analysis, patient assessment, specimen and test, treatment procedures, medication administration, activity, nutrition, teaching and education, and appropriate transfers. The provision of systematic care will lead to the best outcomes for these patients enabling them to recuperate at home and gain a quality of life.<br>Keywords: Nurse roles, Blood pressure, Increased intracranial pressure, Non-operative<br>hemorrhagic stroke</p> Titaporn Worapanwisit, Urai Jungloang, Sirikwaen Nakwili, Paradee Chairat Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/241091 Sun, 29 Aug 2021 00:00:00 +0700 Effect of Using “Rama ET-Tube Intubation Cart” on Duration, Accuracy and Completion of Prepared Intubation Equipment in Pediatric Intensive Care Unit https://he02.tci-thaijo.org/index.php/RNJ/article/view/242695 <p>This experimental research with a one-group crossover design aimed to investigate the effect of using a Rama ET-tube intubation cart on the duration, accuracy,and completion of prepared intubation equipment in a pediatric intensive care unit. The sample group was recruited by purposive sampling. The group includes 30 nurses in a pediatric intensive care unit, Ramathibodi Hospital. The instruments consisted of the<br>Rama ET-tube intubation cart, which was created using the design thinking process to prepare equipment for endotracheal intubation in children and was sorted according to the age and weight of patients. Data collection instruments included the demographic data questionnaire, time recording form, a list of devices used for endotracheal intubation,and a stopwatch. The method of preparation was random as usual nursing care or the Rama ET-tube intubation cart. Data were analyzed using descriptive statistics, repeated<br>measures ANOVA, and chi-square statistics. The results of this study revealed that the mean duration of preparing equipment using the RAMA ET-tube intubation cart was significantly shorter than usual nursing care. With chi-square analysis, it was found that the RAMA ET-tube intubation cart was significantly more accurate and complete than usual nursing care.<br>Keywords: ET-tube intubation cart, Duration, Accuracy and completion, Critically ill<br>pediatric patient</p> Thitima Watthanasereewetch, Supatra Phaopant, Sriwanna Thasanthiah Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/242695 Sun, 29 Aug 2021 14:19:44 +0700 Effects of Using the 2- in- 1 Tape Measure Innovation for Estimating Fetal Weight at Birth in Pregnant Women https://he02.tci-thaijo.org/index.php/RNJ/article/view/245988 <p>This quasi-experimental research aimed to 1) develop the 2-in-1 tape measure innovation for estimating fetal weight; 2) examine the effectiveness of the 2-in-1 tape measure innovation for estimating fetal weight compared with actual birth weight and 3) investigate the perceived efficiency towards the 2-in-1 tape measure innovation. The research process was divided into two phases: Phase 1: creating and developing the 2-in-1 tape measure innovation, and Phase 2: investigating the efficiency and effectiveness of the innovation. Phase 2 was divided to: 2.1) evaluating the effectiveness of the 2-in-1 tape measure innovation by comparing the estimated fetal weight using the 2-in-1 tape measure innovation with the actual<br>birth weight, and 2.2) evaluating the perceived efficiency by nurses towards the 2-in-1 tape measure innovation. There were 2 sample groups: 1) 60 pregnant women in labor, and 2)12 registered nurses working at the labor room. The instrument used in the experiment was the 2-in-1 tape measure innovation. The data collection instruments included the questionnaire about the personal information, the perceived efficiency questionnaire towards the innovation,and the record form of estimated fetal weight measured by the innovation and the actual birth weight. The data were analyzed using descriptive statistics and paired sample t-test. The research results revealed that the mean actual birth weight and the mean estimated fetal weight measured by the innovation were not significantly different, and the overall mean score of the<br>perceived efficiency by nurses towards the 2-in-1 tape measure innovation was at the highest level. Thus, nurses should use the 2-in-1 tape measure innovation to primarily estimate the fetal weight in pregnant women giving birth to help shorten the time and process of screening pregnant women at risk of difficult labor to properly plan delivery.<br>Keywords: 2-in-1 tape measure innovation, Estimate fetal weight, Pregnant women, Birth<br>weight</p> Prapairat Kaewsiri, Siriporn Hemadhulin, Pimonpan Aunsook Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/245988 Sun, 29 Aug 2021 14:29:04 +0700 A Feasibility Study of Applying a Nursing Care Plan for Persons with Heart Failure in a Secondary Hospital https://he02.tci-thaijo.org/index.php/RNJ/article/view/250281 <p><strong>The purpose of this study was to examine the feasibility and satisfaction of nurses with applying the Nursing Care Plan for Persons with Heart Failure (NCPPHF)admitted to Nakhon Phanom Hospital. Donabedian’s Quality Framework and Soukup’s Evidence-based Practice Model was used to guide the study. Participants consisted of 18 nurses from two medical wards, and eight nurses from the Home Health Care Unit at Nakhon Phanom Hospital. The NCPPHF was used with patients who were admitted<br>to the medical ward until discharge from hospital to home for three months. The instruments used to collect data included questionnaires to elicit the personal data and the feasibility to use the NCPPHF for each item and as a whole and satisfaction of nurses with using the Nursing Care Plan. Data were analyzed with descriptive statistics. The findings revealed that most nurses agreed that the NCPPHF was possible to use. Only 25% of Home Health Care nurses agreed with the NCPPHF in terms of monitoring patients by a telephone call after discharge from the hospital. In addition, nurses were<br>satisfied with the NCPPHF with the highest level. In conclusion, the NCPPHF is feasible to use. Criteria of persons with heart failure for home visits monitoring should be developed so nurses can monitor persons with heart failure by telephone call after discharge from the hospital. The continuing home visit had to maintain effectiveness of nursing care. The Administration Board of Nakhon Phanom Hospital should systematically support collaborative units of care in managing effective care of persons with heart failure. All nurses who are responsible for caring heart failure persons should have the opportunity to be trained in knowledge and care of persons with heart failure.<br>Keywords: Feasibility study, Nursing care plan, Heart failure, Secondary hospital</strong></p> Duangjai Boonkong, Apinya Siripitayakunkit, Porntip Malathum Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250281 Sun, 29 Aug 2021 14:32:05 +0700 Factors Related to Nutritional Status of the Head and Neck Cancer Older Patients Receiving Concurrent Radiochemotherapy https://he02.tci-thaijo.org/index.php/RNJ/article/view/245350 <p>This descriptive research aimed at studying the relationships among taste alteration, stress, social support, and nutritional status in older patients with head and neck cancer receiving concurrent radiochemotherapy. The sample consisted of 80 patients aged 60 years and above. The older patients who met the inclusion criteria were recruited in this study. The participants were interviewed using five instruments: the Demographic Questionnaire, the Taste Alteration Questionnaire, the Stress Questionnaire, the Social<br>Support Questionnaire, and the Mini Nutrition Assessment-Short Form. Data were collected from April 2019 to January 2020. Descriptive statistics and Spearman’s Rank Correlation Coefficient were used to analyze the data. The results revealed that 52.50% of the sample was at risk for malnutrition, and 36.25% had malnutrition. The sample’s taste alteration was between mild and severe levels. Most of them had low-level stress but high-level social support. Taste alteration and stress had a significant negative correlation with the nutritional status. However, there was no significant relationship between social support and nutritional status. Nurses should realize the importance of nutritional assessment, including stress and taste alteration, to continuously provide patients with the most appropriate treatment.<br>Keywords: Taste alteration, Stress, Social support, Nutritional status, Head and neck<br>cancer, Concurrent radiochemotherapy</p> Rungnapa Kongpakdee, Mukda Detprapon, Supreeda Monkong Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/245350 Sun, 29 Aug 2021 14:33:38 +0700 Food Consumption Behaviors and Nutritional Status among Adults and Older Persons in Nakhon Si Thammarat https://he02.tci-thaijo.org/index.php/RNJ/article/view/242224 <p>The objective of this descriptive study was to compare food consumption behaviors and nutritional status between adults and older persons in Nakhon Si Thammarat Province. The sample group consisted of 537 participants recruited by the purposive sampling method using inclusion criteria. Data were collected using a questionnaire,which consists of personal information and a food consumption behavior questionnaire.<br>Data were analyzed using descriptive statistics and the Chi-square test. Results indicated that the food consumption behaviors between adults and older persons were significantly different. The older persons presented a good level of food consumption behaviors,which was higher than the adult counterparts. However, the BMI between the two groups was not significantly different. This study result suggests that healthcare workers design screening guidelines and assess nutritional status to develop plans for promotion of healthy food consumption behaviors, nutritional status, and restoration among adults and older persons to achieve good health.<br>Keywords: Food consumption behavior, Nutritional status, Adult, Older persons</p> Kannika Srisomthrong, Rewwadee Petsirasan, Naiyana Noonil Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/242224 Sun, 29 Aug 2021 14:36:22 +0700 Factors Associated with Delayed Hospital Discharge among Patients being Transferred to Home Health Care Unit https://he02.tci-thaijo.org/index.php/RNJ/article/view/243015 <p>Delayed hospital discharge is a critical issue in health care services affecting ineffective bed management and cost escalation. This cross-sectional survey research determined factors associated with delayed discharges among patients being transferred to the home health care unit. The samples consisted of 231 in-patients having the score on the Modified Barthel Index(MBI)≤ 19 andtheircaregivers(n = 231). The research<br>instruments included the demographic questionnaires of patients and caregivers, the MBI, the Caregiver Confidence Scale, the Family APGAR Questionnaire, and the Healthcare Professional Support Questionnaire. Data were analyzed using descriptive statistics and binary logistic regression analysis. The results revealed that the following factors had significant correlations to delayed discharge: length of hospital stay, length<br>of stay in the intensive care unit, prolonged respiratory problems, older age of caregivers,insufficient income,unhealthy caregivers, inexperienced caregivers, low confidence of caregivers, low family support, and limited time of discharge planning. Therefore,healthcare professionals should provide appropriate discharge planning for patients to manage any health issues that might prolong their length of stay and enhance caregivers’confidence to decrease the delay in hospital discharge of these patients.<br>Keywords: Delayed hospital discharge,Patients, Caregivers, Healthcare professionals</p> Phatcharakoraphot Sreeprasarn, Nitchatima Sereewichayasawad, Nareemarn Neelapaichit Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/243015 Sun, 29 Aug 2021 14:40:59 +0700 Path Analysis of the Relationship between Managerial Roles and Innovative Work Behavior of First-Line Nurse Managers in Private Hospitals Bangkok Metropolitan https://he02.tci-thaijo.org/index.php/RNJ/article/view/245219 <p>The purposes of this quantitative research were to determine the level of managerial roles and innovative work behavior, the path analysis of the relationship between managerial roles, and innovative work behavior of first-line nurse managers at private hospitals in Bangkok Metropolis,and examine the consistency of the hypothesized path model of the relationship between managerial roles and innovative work behavior with the empirical data. The sample was 371 randomized first-line nurse managers selected by the simple random sampling method. The research tool was a questionnaire comprising three sections: (1) demographic data, (2) managerial roles, and (3)innovative work behavior, which had four continuous process behaviors including idea exploration,idea generation, idea championing, and idea implementation.Sections 2 and 3 of the questionnaires were analyzed by content validity. The statistical parameters revealed structural validity by the confirmatory factor analysis (CFA) and the reliabilities. The data were analyzed using descriptive<br>statistics and inferential statistical analysis, including exploratory factor analysis (EFA), CFA, and path analysis. The research results revealed a high mean score level of managerial roles and innovative work behavior of first-line nurse managers. The study of the path of the relationships between managerial roles and innovative work behavior showed that the managerial roles had direct and indirect influences on the innovative work behavior through serially multiple variables (Serial Multiple Mediators:SMM)from idea exploration, idea generation,idea championing,and idea implementation<br>with statistical significance. The hypothesized path model of relationships between managerial roles<br>and innovative work behavior was significantly consistent with the empirical data. The research results<br>indicated that the managerial roles of first-line nurse managers at private hospitals are important for<br>developing innovative work behavior, which should be done as a continuous process serially to clarify<br>innovation development in nursing organizations.<br>Keywords: Managerial role, Innovative work behavior,First-line nurse manager,Private hospital</p> Bubpha Kitsahawong, Phechnoy Singchungchai, Netchanok Sritoomma Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/245219 Sun, 29 Aug 2021 14:43:37 +0700 Effects of Computer Game Media-Based Sexuality Education Program on Attitude, Norms, Perceived Behavioral Control on sexual risk behavior and Sexual Abstinence Intention in Early Adolescents https://he02.tci-thaijo.org/index.php/RNJ/article/view/250899 <p>This quasi-experimental research aimed to investigate the effects of a computer game media-based sexuality education program on attitude,norms,and perceived behavioral control on sexual risk behavior and sexual abstinence intention in early adolescents. The sample consisted of 164 fifth-grade students. They were assigned to the experimental (n= 87) and control group (n = 77). The instruments used in this study were a computer game and questionnaires including general information, attitude, norms, and perceived<br>behavioral control on sexual risk behavior and sexual abstinence intention questionnaires.Data were analyzed using descriptive statistics, Chi-square Test, Wilcoxon Signed Rank Test,and Generalized Estimating Equations(GEE). The result of the study illustrated that after participation in the computer game media-based sexuality education program, the experimental group had a significantly higher score of perceived behavioral control on sexual risk behavior than did the control group. However, the scores of attitudes towards<br>sexual risk behavior,norms regarding sexual risk behavior,and sexual abstinence intention between the two groups were not significantly different. Therefore, the computer game media-based sexuality education program should be used with adolescents to promote their perceived behavioral control on sexual risk behavior.<br>Keywords : Early adolescents, Attitude, Norms, Perceived behavioral control, Sexual<br>abstinence intention</p> Lawan Singhasai, Monrudee Chokprajakchad, Rutja Phuphaibul, Jumpee Granger Copyright (c) 2021 Ramathibodi Nursing Journal http://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/RNJ/article/view/250899 Sun, 29 Aug 2021 14:47:48 +0700