Thai Journal of Nursing and Midwifery Practice

Development and Evaluation of the Discharge Planning Model for Chronic Obstructive Pulmonary Disease Patients by Multidisciplinary Team, Medical Ward, Yala Hospital

Adeelah Sarai, Piyawan Phumivanichkit — Mon, 21 Oct 2024 00:00:00 +0700

Abstract: This research and development aimed to develop and evaluate a discharge planning model for chronic obstructive pulmonary disease (COPD) patients by a multidisciplinary team at the medical ward, Yala Hospital, during October 2022 - September 2023. The study comprised 3 phases. Phase 1 was studying the situation of discharge planning for patients with COPD. The sample was the medical records of 201 COPD patients and data from a focus group of representatives from the multidisciplinary team. Phase 2 was developing and implementing a discharge planning model for COPD patients by a multidisciplinary team. Phase 3 was evaluating the results of implementing the discharge planning model for COPD patients by a multidisciplinary team with two sample groups, namely 56 professional nurses in the medical ward and 70 COPD patients. The patient group was divided into two groups, each of 35 patients, to evaluate the outcome before and after implementing the discharge planning model. Data were analyzed using descriptive statistics and Chi-square to compare the unplanned readmission rate within 28 days. The study findings showed that discharge planning models for COPD patients by a multidisciplinary team was feasible and nurses were satisfied with the implementation at a high level. The readmission rate among COPD patients in the group receiving the discharge planning model by a multidisciplinary team was significantly lower than that among patients receiving regular discharge planning (p < .05). The developed discharge planning model can be used in practice and reduces the unplanned readmission rate. However, long-term follow-up study should be conducted.

Development of a Team Nursing Model for Prevention of Unplanned Extubation in Surgical Intensive Care Unit

Niphawan Chamthong, Saranya Tukchoosaeng — Mon, 28 Oct 2024 00:00:00 +0700

Abstract: This participatory action research aimed to develop and evaluate a team nursing model to prevent unplanned extubation. The sample comprised 56 nursing practitioners working in the surgical intensive care unit and 200 patients with oral intubation admitted in the surgical intensive care unit between February and September 2023. Data were collected by focus group discussion and survey report of the incidence of unplanned extubation. Data were analyzed by frequency, percentage and content analysis. The research revealed that the team nursing model for prevention of unplanned extubation involved 1) role and responsibility of team nursing, 2) training for promoting team learning and skills development, 3) implementing leadership in nursing teams, 4) double checking, 5) bedside shift rounds, 6) rapid rounds, 7) regular feedback and assessment, and 8) compliments for coworkers in team nursing. Nurses reflected their opinions that the team nursing model was of benefit and helpful, and increased nurses’ responsibility through supportive team nursing and engagement with a multidisciplinary team. The incidence of unplanned extubation decreased from 2.75 times per 1000 ventilator days to 0 times per 1000 ventilator days. This team nursing model can be used as a guideline to prevent unplanned extubation in surgical intensive care units and should be given sustained support for its successful implementation.

Effects of the Sexual Communication Program on Sexual Attitudes and Communication Skills of Parents and Female Junior High School Students

Pornpen Soda, Napaphen Jantacumma, Piyaorn Wajanatinapart — Mon, 21 Oct 2024 00:00:00 +0700

Abstract: This quasi-experimental research was a two-group pretest-posttest design which aimed to study effects of a sexual communication program on sexual attitudes and communication skills of parents and female junior high school students. The sample comprised 50 parents of female junior high school students and female students taken care by those parents purposively selected from two schools in Kumphawapi District, Udon Thani Province, and randomly assigned to an experimental group and a comparison group (25 per group). The instruments included the sexual communication program developed by applying David K. Berlo’s communication skill development theory. The program was organized in a workshop format, carried out 5 times over a period of 8 weeks. Data were collected at pre- and post- intervention using questionnaires on sexual communication attitudes and sexual communication skills that had already been tested for validity and reliability. Data were analyzed using descriptive statistics and t-test. The findings demonstrated that after intervention, the average score for attitude towards communication about sex and sexual communication skills of parents in the experimental group was better than before as well as significantly better than that of the comparison group (p < .05). In addition, the average score for attitude towards communication about sex and sexual communication skills perceived by female students of parents in experimental group was better than that of the comparison group (p < .05). Therefore, parents
should be educated to have a knowledge with good attitude on sexual communication, which would enhance better communication skills to talk to their teens.

Effect of Motivational Interviewing Program on Medication Adherence of Adolescents with Autoimmune Disease

Phakamat Saikhamfoo, Renu Pookboonmee, Soamarat Vilaiyuk, Jiraporn Punyoo — Tue, 12 Nov 2024 00:00:00 +0700

Abstract: The purpose of this one group pre-post quasi-experimental research was to examine the effect of motivational interviewing program on medication adherence of adolescents with autoimmune disease. The conceptual framework for this study was based on self-care theory and motivational interviewing. The program was applied to 17 adolescents who were 15-21 years old with autoimmune disease and poor medication adherence. The study instruments were the motivational interviewing program on medication adherence of adolescents with autoimmune disease. Data were collected using adolescents’ demographic data, Medication Adherence Report Scale (MARS) questionnaire, motivational interviewing record, and medication record. Data were analyzed using descriptive statistics and the medication adherence scores of adolescents with autoimmune diseases were compared using the Wilcoxon signed-rank test. The result of the study showed that after having motivational interviewing program on medication adherence of adolescents, the mean score and median score of Medication Adherence Report Scale: MARS of post-test were higher than pre-test at the statistical significance of 0.05 (Z = -3.634, p <.001). In conclusion, this motivational interviewing program could be used to improve medication adherence in adolescents with autoimmune disease who have poor medication adherence and should be further evaluated over a longer term and compared with a control group prior to applying it to adolescent groups with other chronic diseases.

Bias in Quantitative Nursing Research: Identifying and Mitigating Common Pitfalls

Wongchan Petpichetchian — Sat, 19 Oct 2024 00:00:00 +0700

Abstract: Bias in research is a common issue that can reduce the validity and reliability of study findings. In quantitative nursing research, bias can occur at various stages of the research process, from problem formulation to the reporting of study results. This paper aims to identify common biases in quantitative nursing research and provide strategies to reduce these biases to improve research quality. The types of bias discussed include problem framing bias, theoretical/ conceptual bias, misclassification of research design, sampling bias, selection bias, uncontrolled confounders, inadequate protocol descriptions, measurement bias, low power and analysis bias, and bias in interpretation and reporting and inappropriate implications and recommendations. The paper explains and provides common examples of these biases, along with strategies to mitigate them. If researchers correctly conduct their studies at every stage, it can enhance the quality of nursing research, making the findings more reliable, applicable in practice, and more
suitable for future research.