Nursing Journal CMU

Resilience and Health-Related Quality of Life Among Persons with Lung Cancer Completing Chemotherapy in China

Hua Li — 2024-06-21

Chemotherapy is the main treatment for lung cancer and will affect health-related quality of life (HRQoL). Moreover, chemotherapy can cause psychological problems which directly affect a patient's resilience. The objectives of this study were to examine resilience and HRQoL, and the relationship between resilience and HRQoL among persons with lung cancer completing chemotherapy. Purposive sampling was used to recruit 134 participants from the Affiliated Hospital of Chengdu University in China. The research instruments included a basic patient information form, the Resilience Scale Specific for Cancer (RS-SC-25), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer-43 (EORTC QLQ-LC-43). Data were analyzed using descriptive statistics and Spearman's rank-order correlation test.

The result of this study revealed that the mean score for resilience was 71.43 ± 18.11. For HRQoL, the mean score of global health status was 60.70 ± 28.37. The top three problems in terms of the general symptoms aspect were financial difficulty, fatigue, and insomnia. The top three problems regarding specific lung cancer symptoms were dyspnea, chest pain, and coughing. Resilience was positively significantly correlated with the positive aspects of HRQoL at a high level (global health status, role function, and emotional function) (rs = .78, .72, and .71, p < .01, respectively), and negatively significantly correlated with the negative aspects (fatigue, dyspnea, and appetite loss) (rs = -.72, -.64, and -.60, p < .01, respectively).

The results of this study are potentially useful for promoting resilience among persons with lung cancer who have completed chemotherapy in China, which might improve their HRQoL. In addition, an interventional research design may be considered in the future.

Health Literacy and Medication Adherence Among Persons with Chronic Obstructive Pulmonary Disease, Xishuangbanna Dai Autonomous Prefecture, the People’s Republic of China

Xiyuan Peng — 2024-06-21

Low rates of adherence to medication behaviors are expected among persons with chronic obstructive pulmonary disease (COPD). Health literacy may influence engagement in adherence to medication behaviors. This descriptive correlational study aimed to examine the relationship between health literacy and medication adherence among COPD patients. The sample included 120 ethnic minority participants with COPD in Xishuangbanna Dai Autonomous Prefecture. Research instruments included 1) a demographic information form; 2) the Chinese version of the Functional, Communicative, and Critical Health Literacy Scale (FCCHL); and 3) the Medication Adherence Scale and Inhaler Adherence Scale (MAS and IAS). The Cronbach’s alpha coefficients of the Chinese version of the FCCHL for each component were 0.82-0.84, and the Medication Adherence Scale and Inhaler Adherence Scale correlation coefficient (r) values were 0.83. Using descriptive statistics and Spearman's rank-order correlation, the data were analyzed.

The results demonstrated that the overall comprehensive health literacy mean score was 11.58 (SD = 3.86), and the average of overall medication adherence was 5.69 (SD = 2.70). Total health literacy strongly correlated with medication adherence (r = .589, p < 0.01).

The results of this research provide baseline information regarding the association between health literacy and oral and inhaled medication adherence among Chinese people with COPD.

Back Pain Management Among Patients after Transfemoral Coronary Angiography: A Systematic Review

Thunyaluk Tatong — 2024-06-24

Back pain is a common complaint among patients undergoing transfemoral coronary angiography. Prolonged complete bed rest in the supine position and immobilization of the affected leg causes back pain. There are many strategies to manage back pain in patients after transfemoral coronary angiography but no conclusion regarding the beneficial outcomes for patients. This systematic review aimed to summarize back pain management among patients after transfemoral coronary angiography using the Joanna Briggs Institute Systematic Review Guideline (2020). A search was undertaken to identify studies from 2012 to 2022. Relevant studies were screened to include experimental studies and quasi-experimental studies that studied the interventions for reducing back pain after transfemoral coronary angiography. A total of 10 studies were retrieved and reviewed. These studies employed various types of management, data, and collection methods. Therefore, narrative summary was used to describe the characteristics of the methods and the results.

The results of this systematic review revealed that position change, head-of-bed elevation, early ambulation, modifying the period of retaining the sandbag, and foot reflexology were the five strategies used to manage back pain in patients after transfemoral coronary angiography. In addition, a combination of back pain management methods was used. The studies showed heterogeneity in terms of pain management duration, pain assessment methods, pain assessment frequency, and outcome of back pain management methods.

This systematic review recommends position change as an effective management of back pain in patients after transfemoral coronary angiography; it is widely used and does not increase vascular complications. However, the management of back pain in patients after transfemoral coronary angiography depends on the appropriateness and feasibility of the existing care system.

The Perception of Exercise in Patients with Acute Myocardial Infarction

Raywadee Sanaklang — 2024-06-24

Exercise, while beneficial for heart health in acute myocardial infarction (AMI) survivors, is often avoided due to fear. This descriptive qualitative study explored the perceptions of exercise in 20 AMI patients through in-depth interviews. Interviews were conducted using an interview guide developed by the researchers. The objective was to explore the perception of exercise in terms of its meaning, related factors, and exercise patterns.

The results revealed that AMI patients viewed any movement as exercise as they stated "any movement is exercise" and "movements prolong life" reflecting a recognition of its health benefits. Motivators included regaining health, recognizing exercise benefits, having friends to exercise, and family encouragement. However, fear of chest pain, anxiety, fatigue, and mobility limitations acted as barriers. They desired personalized, device-assisted, and supervised exercise, highlighting the need for tailored programs and specialized coaching for safe and effective rehabilitation.

Therefore, healthcare teams should develop diverse, personalized exercise programs and provide specialized coaching to ensure safe and effective rehabilitation for AMI patients.

The Effect of a Sexual Self-Concept Promoting Program Through Mobile Application on Sexual Function Among Male Acute Myocardial Infarction Patients after Percutaneous Coronary Intervention

Jirapong Srithep — 2024-06-25

Sexual dysfunction, one of the problems after acute myocardial infarction, is often untreated or unaddressed at discharge. The purpose of this quasi-experimental two-group pre-posttest design was to study the effects of a sexual self-concept promoting program through mobile application on sexual function among males with acute myocardial infarction after percutaneous coronary intervention. Participants were selected by purposive sampling and put into an experimental group or a control group, with 22 participants per group. The research instruments included 1) the sexual self-concept promoting program through mobile application for 3 weeks, 2) the international index of erectile function questionnaire, and 3) sexual self-concept questionnaire. The research instruments used for data collection were examined by five experts, with content validity indexes of 1 and .82, and reliability coefficients of .92 and .94. The data were analyzed using descriptive statistics, paired t-test, and independent t-test.

The results showed that after experimenting with the program, the mean sexual function scores for the experimental group (M = 67.09, SD = 4.03) were significantly higher than those before the experiment (M = 64.05, SD = 4.69) (t = 6.05, p < .05) as well as than those of the control group (M = 41.64, SD = 18.55) with statistical significance (t = 6.29, p < .05).

This study showed that the sexual self-concept promoting program through mobile application for males with acute myocardial infarction after percutaneous coronary inter- vention could increase sexual function. Nurses can apply this program to promote sexual function.

Needs and Received Needs Responses Among Families of Critically Ill Patients at a University Hospital in Bangkok

Chanon Khanantai — 2024-06-25

Families of critically ill patients must cope with the changes and instability of the patient's condition. This cross-sectional descriptive study aimed to investigate the needs and received needs responses among families of critically ill patients and to identify relationships between the expressed needs and the responses received by these families. The participants were 178 families of critically ill patients admitted to seven ICUs in a university hospital. The research instruments for data collection consisted of 1) a demographic data sheet; 2) needs and received needs responses of the families of critically ill patients, and 3) an open-ended questionnaire providing feedback on needs and received needs responses during treatment in the ICU. The instruments were validated by three experts and demonstrated validity through Content Validity Index (CVI) scores of .95 and 1, along with reliability coefficients assessed by Cronbach’s alpha coefficients of .93 and .94. Descriptive statistics and Pearson’s correlation coefficient were used to analyze the quantitative data and the content analysis method for the qualitative data.

The results of the study revealed that families of critically ill patients had overall needs at a high level. They desired the strongest response in terms of the information, physical, and emotional aspects, while their spiritual needs were also at a high level. The received needs responses among families of critically ill patients, overall and for each sub-aspect, were at a high level. Furthermore, there was a statistically significant positive relationship between their needs and received needs responses (r = .53, p < 0.001). Families stated their needs in four areas: 1) Information, 2) Physical comfort 3) Emotional, and 4) Spiritual needs.

Assessing the needs among families of critically ill patients is an important role for critical care nurses. Such information can be used to plan for caring in order to fulfill their needs accordingly to ensure enough support for the family transition through their critical time.

Factors Related to Shared Decision-Making Needs Regarding Treatment of Patients’ Families in a Medical Intensive Care Unit

Chadarat Chaitan — 2024-06-26

Patients admitted to the medical intensive care unit (MICU) include severely ill persons with acute multiple organ failure and uncertain progression. Most of them are unable to make decisions by themselves, meaning that families have to take part in decision-making. The aim of this descriptive-correlational study was to examine factors related to shared decision-making needs for treatment in the MICU. Eighty-five families of critically ill persons were recruited from the MICU, Maharaj Nakorn Chiangmai Hospital using a simple random sampling technique. Research instruments were composed of four parts, 1) the family’s information, 2) needs of family regarding the medical treatment questionnaire, 3) Acute Physiology and Chronic Health Evaluation II (APACHE II), and 4) Consumer Quality Index Relative in Intensive Care Unit. Descriptive and Pearson’s correlational analysis were used to analyze data.

The results showed that:
1. The shared decision-making needs regarding medical treatment of critically ill patients’ families were at a high level (94.11%).
2. Severity of illness in medical care units was at a high level (77.59%).
3. Quality of care, according to family’ s perceptions, was at a good level (91.76%).
4. The shared decision-making needs regarding medical treatment of critically ill patients’ families had a small positive significant relationship with severity of illness (r = .023, p < .05).
5. The shared decision-making needs regarding medical treatment of critically ill patients’ families had a small positive significant relationship with quality of care according to families’ perceptions (r = .120, p < .05).

The results of this research provide foundational information to promote quality of care so that critically ill patients’ families can share decision-making needs regarding medical treatment.

Effects of Wound Irrigation Using Pressure Controlled Technique on Wound Infection and Satisfaction Towards Wound Cleansing Among Persons with Large Laceration Wounds

Tanyaluk Apichai — 2024-06-26

Wound cleansing is an essential procedure for decreasing the likelihood of wound infection. This quasi-experimental research aimed to examine the effects of wound irrigation using a pressure-controlled technique on wound infection and satisfaction towards wound cleansing among persons with large laceration wounds. The participants included 58 persons with lacerated wound lengths of more than 5 cm receiving care at an emergency room. There were 29 participants in the control group and the experimental group. The participants in both groups were matched by wound cause, wound size, wound location, age, history of diabetes mellitus, history of cancer, smoking, and receiving antibiotics. The research instrument was the pressure-controlled wound irrigation equipment. The data collection instruments were the Lacerated Wound Infection Evaluation Form and the Satisfaction Towards Wound Cleansing Evaluation Form, the latter of which was evaluated for validity by five experts yielding an index of item-objective congruence between .80-1. It was also checked for its test-retest reliability, yielding a Pearson’s correlation coefficient of .82. Data were analyzed using descriptive statistics, Fisher’s Exact Probability test, and Mann-Whitney U test.

The results revealed that the wound infections among the experimental group were statistically significantly lower than those of the control group (p < .05). None of the participants in the experimental group had wound infection, while six participants in the control group (20.69%) had wound infection. The satisfaction towards wound cleansing among the experimental group (M = 4.97, SD = 0.19) was statistically significantly higher than that of the control group (M = 4.72, SD = 0.53) (p < .05).

The results of this study reveal that wound irrigation using a pressure-controlled technique can reduce wound infection and increase satisfaction towards wound cleansing among persons with large laceration wounds.

Nurses’ Competency in Facilitating Advance Care Planning

Nanthawuth Wachirapanitchakul — 2024-06-26

Advance care planning (ACP) is the process of ongoing discussions focused on identifying and articulating patient’s value as a significant aspect of palliative care. Policy regarding facilitation of ACP has been implemented in Thailand for a while. However, little is known about ACP implementation among nurses. This descriptive study aimed to examine nurses’ competency levels in facilitating ACP among patients with advanced chronic illness. The sample consisted of 246 nurses working in general or private medical wards. Instruments used for collecting data included: 1) a demographic data form, and 2) the Nurses’ Competency in Facilitating Advance Care Planning Questionnaire (NCACP-Q). The NCACP-Q was developed from a conceptual framework of nurse practitioner compe- tencies for ACP and a literature review. It was validated by five experts, achieving a CVI of .94. Cronbach’s alpha coefficient was used to test reliability, yielding a value of .92. The data were analyzed using descriptive statistics.

The results showed that nurses’ competency in facilitating advance care planning was at a moderate level (M = 261.35, SD = 31.51). When classified by component, it was found that consultation and collaboration, and therapeutic management were at a high level (M = 28.47, SD = 4.28; M = 87.42, SD = 10.95, respectively), while clinical practice and advocacy were at a moderate level (M = 122.03, SD = 15.59; M = 23.43, SD = 3.82, respectively).

The results of this study may be useful for administrative personnel in the healthcare and education sectors in creating training courses to enhance nurse’s competency in facilitating ACP among patients with advanced chronic illness.

Development of Nursing Guidelines for Assessing Dysphagia in Elders with Stroke

Arissara Sukwatjanee — 2024-06-28

Dysphagia in stroke patients causes aspiration pneumonia which extends hospital stays and increases medical care costs. The objective of this research and development was to create nursing guidelines for assessing dysphagia in elders with stroke. The 54 participants were comprised of 10 nurses who developed the guidelines, 10 nurses who used the guidelines, and 34 patients with stroke who received care based on the guidelines. The research instrument consisted of personal data questionnaires, a questionnaire on feasibility and patient outcomes in using the guidelines, and a questionnaire on nurses' opinions on the guidelines. The guideline development was performed following four steps: 1) define the problem, 2) search for empirical evidence, 3) trial the guidelines, and 4) present the results. Data were analyzed using descriptive statistics and content analysis.

The research results revealed the nursing guidelines for assessing dysphagia in elders with stroke comprised four steps: 1) nursing care for patients at the first admission, 2) solid-diet swallowing test, 3) semisolid-diet swallowing test, and 4) liquid-diet swallowing test. The guidelines were reliable quality using AGREE II and the value was 84.23%. All nurses who used the guidelines agreed that the developed guidelines were feasible for assessing dysphagia in elder patients and were easy to understand and implement. The average satisfaction score with the guidelines was at level 3 (strongly agree). No incidence of aspiration was found during evaluation.

This guideline could prevent aspiration for elder patients with stroke, which is one cause of pneumonia while patients are staying in a hospital.

Effect of a Health Literacy for Fall Prevention Enhancing Program on Practices of Recurrent Fall Prevention Among the Elderly in Communities

Supawan Luehan — 2024-06-28

Health Literacy is an important outcome factor of elderly health behaviors; thus, enhancing health literacy is necessary. This quasi-experimental research study, with a two-group pretest-posttest design, aimed to study the effect of a program for enhancing health literacy for fall prevention on practices of recurrent fall prevention of the elderly in communities, developed from the health literacy concept by Don Nutbeam. The participants were 50 elderly persons who had a history of falling at least once per year, recruited using purposive sampling, and assigned to an experimental group (n = 25) or a control group (n = 25). The research instruments consisted of 1) an 8-week program for enhancing health literacy for fall prevention on practices of recurrent fall prevention; 2) media and a guidebook on health literacy for fall prevention; and 3) an interview questionnaire on the practices of recurrent fall prevention among the elderly in the community, which was examined for content validity by six experts, demonstrating a content validity index of .97 and a Cronbach's alpha coefficient of confidence of .75. Data were analyzed using descriptive statistics, paired sample t-test, and independent t-test.

The results revealed that the experimental group had higher mean scores for practices of recurrent fall prevention (M = 31.00, SD = 1.15, p < 0.001) than before receiving the program (M = 22.20, SD = 5.19) and higher scores than those of the control group (M = 22.44, SD = 6.70), with statistical significance (p < 0.001).

The results from this research revealed that community nurse practitioners and healthcare teams can apply the health literacy enhancement program as a guideline for promoting health literacy and effective practices in preventing recurrence of falls among the elderly in communities.

Effect of an Experiential Learning Program on Home Visiting Practices for Persons with Hypertension Among Village Health Volunteers

Kanokkan Kimprasit — 2024-06-28

An experiential learning program can promote correct actions. This quasi-experimental two-group pre-post measurement aimed to study the effects of an experiential learning program on home visiting practices for persons with hypertension among village health volunteers (VHVs). A total of 52 VHVs were divided into an experimental group and a control group, with 26 subjects per group. The subjects were selected according to the specified characteristics. The study employed Kolb's experiential learning theory implemented over 5 weeks, and incorporating PowerPoint materials, a home visit practice guide, information sheets, and a demonstration kit. Tools used for data collection included personal information questionnaires and a home visit practice questionnaire for persons with hypertension for the VHVs. The content validity (CVI) was 1, and reliability was .81. Descriptive statistics were used to analyze the personal data, and chi-square test, Fisher’s exact test, paired t-test, and independent t-test were used to analyze mean scores between the two groups.

The results indicated that the experimental group had a higher mean score after receiving the program than before, with statistical significance (p < .001). Moreover, after receiving the program, the experimental group had a higher average score for performing home visiting than those who received normal service, with statistical significance (p < .001).

The results show that this program can be used to promote home visiting practices for persons with hypertension among village health volunteers.

Effect of a Family Participation Program on Sexual Assault Prevention Among Guardians of Middle School Girls in Communities

Netnapa Sri-inkum — 2024-06-28

Sexual assault prevention among middle school girls through family participation is extremely necessary. This study used a quasi-experimental design with two groups which aimed to examine the effect of a family participation program on sexual assault prevention among guardians of middle school girls in communities. The participants were 42 parents of middle school girls assigned to a control or an experimental group with 21 participants in each group. The instruments used in this study consisted of a family participation program, developed from Cohen and Uphoff’s participation concept; a handbook on sexual assault among middle school girls for guardians; and a questionnaire on sexual assault prevention among guardians of middle school girls. The instruments were approved by six experts with a content validity index value of .94 and a reliability value of .95. Data were analyzed by descriptive statistics, paired t-test, and independent t-test.

The research results revealed that after the family participation program 1) guardians in the group receiving the program had a higher mean score for sexual assault prevention than before receiving the program (t = 5.57, p < .001) and 2) parents in the group receiving the program had a higher mean score for sexual assault prevention than the group who did not receive the program (t = 5.89, p < .001).

The results of this study show that this family participation program can increase sexual assault prevention among guardians of middle school girls in communities and, therefore, should be implemented to help prevent further sexual assault of middle school girls in other schools.

The Relationship Between the Perception and the Behavior of Surveillance and Prevention Towards C0VID-19 Among Junior High School Students in Bang Soa Thong District Samut Prakan Province

Chutima Soynak — 2024-06-28

Encouraging junior high school students to have awareness about COVID-19 will result in disease surveillance behavior and prevention of COVID-19 infection. This descriptive research had the following objectives: 1) study levels of awareness about COVID-19 and behavior for surveillance and prevention of infection and 2) study the relationship between awareness about COVID-19 with behaviors to monitor and prevent infection with COVID-19 among junior high school students. The sample group consisted of 166 junior high school students studying in schools in Bang Sao Thong District, Samut Prakan Province. The research tool consisted of three parts: 1) personal information 2) awareness about the occurrence of COVID-19, and 3) behavior to monitor and prevent the occurrence of COVID-19 infection. Content validity was checked by three experts, demonstrating acceptable values at .77, .72, and .87. Data were analyzed using descriptive statistics and Pearson's correlation coefficient statistics.

The results found that junior school students had awareness about COVID-19 and behavior for surveillance and prevention of the occurrence of COVID-19 infection at a moderate level. It was found that perceived susceptibility of COVID-19, perceived severity of COVID-19, perceived benefits of following measures to prevent COVID-19, and perceived barriers to following measures to prevent COVID-19 showed a statistically significant relationship with behavior to monitor and prevent against COVID-19 infection (r = .345, .327, .393, and .182, respectively).

The results of this research can be used as basic information for teaching and learning in health education to help students learn about and realize the importance of health, enhancing their ability to practice health care and disease prevention effectively.

Effectiveness of the Knowledge and Practices for Infection Transmission Prevention Promotion Program Among Relatives of Patients in Medical Wards

Koontida Chanchad — 2024-06-28

Hospital-associated infections (HAI) can result in severe illness and death. Relatives of patients, as the persons who are involved with taking care of patients closely, can be exposed to and transmit microorganisms in hospitals. This quasi-experimental research aimed to examine the effectiveness of the knowledge and practices gained through the infection transmission prevention promotion (KPITPP) program among relatives of patients in medical wards. The participants consisted of 50 relatives of patients undergoing treatment in medical wards in a tertiary hospital. The participants were divided into two groups which consisted of 25 each in an experimental group and a control group. The research instruments included the KPITPP program, a demographic data questionnaire, a knowledge test, and an infection transmission prevention practice questionnaire. The content validity indices of the knowledge test and the infection transmission prevention practice questionnaire were .95 and .95, respectively. The reliabilities of the knowledge test and the infection transmission prevention practice questionnaire were .81 and .80, respectively. Data were analyzed using descriptive statistics, Wilcoxon signed-rank test, Mann-Whitney U test, Chi-square test, and Fisher’s exact test.

The results of the study revealed that after implementing the program, the experimental group’s median knowledge score increased significantly from 25.00 to 28.00 out of 30.00 points (p < .001) which was significantly higher than the control group with a median knowledge score of 25.00 points (p = .001). The experimental group’s median practice scores for infection transmission prevention increased significantly from 51.00 to 63.00 out of 75.00 points (p < .001) which was significantly higher than the control group with a median practice score of 53.00 points (p < .001).

The results showed that the KPITPP program could improve knowledge and transmission prevention practices among relatives of patients and should be implemented to promote knowledge and practice of infection transmission prevention in other wards.

Factors Related to Sleep Quality Among First Time Fathers

Nittha Khamsaen — 2024-06-28

First time fathers experience changes in roles when taking care of their wives and the newborn after childbirth, affecting their quality of sleep. This descriptive correlational study aims to describe the sleep quality among first-time fathers and the relationship between age, health status, stress, the perception of infant’s communicated behavior, and sleep quality. The participants consisted of 112 first-time fathers who brought their wives in the 4th-6th week postpartum to the family planning unit at Maharaj Nakorn Chiang Mai Hospital and the Health Promotion Center Region 1 Chiang Mai. The research instruments were the Pittsburgh Sleep Quality Index (PSQI), the Suanprung Stress Test-20, and the Perception of Infant’s Communicated Behavior. Cronbach’s alpha coefficients of the instruments were .81, .89, and .83, respectively. Descriptive statistics, Spearman’s rank correlation, and point biserial correlation were used to analyze the data.

The results of the study revealed that:
1. The mean of participants’ global PSQI scores was 6.68 (SD = 2.69), and the group identified their sleep quality as poor. Participants’ global PSQI scores indicated that 59.83% had poor sleep quality (PSQI > 5) while 40.17% had good sleep quality (PSQI ≤ 5).
2. Stress had a significant positive correlation with sleep quality (r_s = .334, p < .001), and perception of infant’s communicated behavior had a significant negative correlation with sleep quality (r_pb = -.231, p < .05). However, age and health status were not significantly correlated with sleep quality.

The findings from this study can be used as baseline data for planning nursing care to promote sleep quality in first-time fathers.

Perceived Competency Focusing on Program Learning Outcomes, Supporting Factors, and Obstacles Related to Competency Development of Nursing Students in the Bachelor of Nursing Science Curriculum

Chuleekorn Danyuthasilpe — 2024-06-28

Perceived competency as a learning outcome of the Bachelor of Nursing Science Curriculum (Revised Edition 2016) at the Faculty of Nursing, Naresuan University, was the focus of this study which aimed to examine the self-perceived competencies of nursing students, including supporting factors and obstacles facing the students in gaining these competencies. The participants comprised 107 nursing students who completed their studies in the academic year 2023. A questionnaire was used for data collection on these perceived competencies, focusing on program learning outcomes. The questionnaire attained a content validity index of .99, and Cronbach’s alpha coefficient was .92. The focus group discussion was conducted with 12 participants. Descriptive statistics for quantitative data and content analysis for qualitative data were used.

The results revealed that the overall competency of participants was at a high level (M = 4.27, SD = 0.61). All aspects were high: the highest mean score was for ethics and morals (M = 4.44, SD = 0.57), followed by professional practice skills (M = 4.39, SD = 0.61), interpersonal skills and responsibility (M = 4.32, SD = 0.62), cognitive skills (M = 4.19, SD = 0.63), knowledge (M = 4.17, SD = 0.61), numerical analysis, and communication and information technology skills (M = 4.11, SD = 0.66). Supporting factors related to competency were 1) instructional designs and nursing teachers’ characteristics, 2) teaching methods, 3) intention of nursing students, 4) encouragement, and 5) learning environment. The barrier related to competency of participants was tiredness.

These findings provide baseline information for planning, curriculum development, and teaching design to better enhance nursing students’ competencies.

Modifying Attitudes for Reducing Alcohol-drinking Behaviors Among Thai People

Siriluck Panya — 2024-06-28

Currently, Thai society is facing an escalating problem stemming from increasing alcohol consumption which is considered a major societal problem with a continuous rise in the severity of its consequences. Alcohol consumption has become more prevalent among women, children, and youths, as Thai society sees drinking alcohol as normal. Thais have a positive attitude towards alcohol consumption and view drinking alcohol as entertainment for social gatherings and festivals. In addition, the transition of Thai society to the 4.0 era, in which it is easier for sellers to reach buyers online, is another factor that makes it possible to buy liquor anywhere and anytime. Therefore, modifying attitudes to reduce alcohol drinking behavior among regular drinkers and cultivating new attitudes toward not drinking alcohol among young people of the new generation are good ways to prevent the emergence of new drinkers so that alcohol problems can be managed in society.

This article presents modifying attitudes for reducing alcohol-drinking behaviors among Thai people as follows: attitude adjustment by managing the teaching curriculum to focus on content related to the harms and effects of drinking alcohol; a campaign to adjust attitudes to reduce alcohol consumption in public media; stricter government policy controlling the sale and purchase of liquor, controlling alcohol advertising as a social activity, and fostering beliefs that prioritize good health. Therefore, the problem of alcohol drinking can be efficiently and effectively dealt with, building Thai society into a society that is peaceful, orderly, safe and sustainably maintains the good culture of Thailand.

Nursing Care for Newborn Infants with Critical Congenital Heart Disease undergoing Therapeutic Cardiac Catheterization: A Case Study

Chirawachr Kasemsook — 2024-06-28

Critical congenital heart disease is an abnormality of the cardiac structures which poses a high risk of blood circulatory crisis from birth. Urgent cardiac catheterization and/or cardiac surgery are necessary within the first few months of life to improve survival rates while waiting for further surgical correction. However, neonatal cardiac catheterization carries a higher risk of complications and death than for other age groups of children. Pediatric nurses require specific knowledge, skills, and good attention in preparing newborn infants before and after cardiac catheterization. During post-cardiac catheterization, newborn infants need close surveillance and evaluation. Implementing the nursing care mentioned above will result in increased efficiency and quality of care for newborns undergoing therapeutic cardiac catheterization.

This article aims to provide knowledge on critical congenital heart disease in newborn infants, therapy and indications for cardiac catheterization, complications that may occur during and after the invasive procedure, and proper nursing care before and after for newborn infants who undergo therapeutic cardiac catheterization, in addition to a case study.

Enhancing the Competency of Utilization Review Nurses Through 21st – Century Skills: Case Study of Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University

Julaluk Suksabai — 2024-06-28

A Utilization Review Nurse plays an important role in private health insurance services provided by hospitals. The main job description includes six duties: 1) Ethical aspect and law; 2) Nursing and midwifery practice; 3) Professional characteristics; 4) Academics and research; 5) Communication and relationships; and 6) Technology and information. In essence, the quality of utilization review nurses is crucial for a hospital's private health insurance service. They must have comprehensive medical knowledge across all fields and various operational skills, as they often collaborate with diverse societal groups, encountering frequent work-related challenges. These challenges may include lack of up-to-date medical knowledge covering all fields, absence of current insurance knowledge, poor communication quality, and complexities in coordinating with insurance company’s claim systems, all of which affect nursing efficiency.

This article proposes the adaptation of "New Future Skills: Learning in the 21^st Century" from The Partnership for 21^st Century Skills, encompassing three aspects: 1) Learning and Innovation Skills; 2) Information, Media, and Technology Skills; and 3) Life and Career Skills. This can enhance the skill set of utilization review nurses in all six aspects mentioned above: becoming a nursing professional in the 21^st century, equipped with abilities in medical science, nursing knowledge, information literacy, information and communication techno- logy literacy, as well as life and career skills, to effectively care for patients both physically and mentally.