Nursing Journal CMU

EDITORIAL

Kannika Kantaruksa — 2024-10-01

Job Crafting and Work Engagement of Nurses in Affiliated Hospitals of Harbin Medical University, the People’s Republic of China

Tong Tong — 2024-09-19

Job crafting and work engagement are important components of the healthcare system to achieve positive organizational outcomes and quality nursing care. This descriptive correlation study aimed to examine the level of job crafting and work engagement among nurses, and to explore the relationship between job crafting and work engagement. The subjects included 408 nurses working in affiliated hospitals of Harbin Medical University, The People’s Republic of China. Research instruments consisted of the Job Crafting Scale (JCS) developed by Tims et al. and translated into Chinese by Huang et al. and the Utrecht Work Engagement Scale (UWES) developed by Schaufeli et al. and translated into Chinese by Fong and Ng. The Cronbach’s alpha coefficients for the overall JCS and UWES were .97 and .92, respectively. Descriptive statistics and Spearman’s rank-order correlation coefficient were used to analyze data.

The results of this study revealed that nurses perceived their overall job crafting at a high level (M = 3.80, SD = 0.80), and their overall work engagement at an average level (M = 3.66, SD = 1.48). There was a significant, positive relationship between overall job crafting and overall work engagement (rs = 0.68, p < .001).

The results of this study could provide understanding of the relationship between job crafting and work engagement leading to the development of appropriate strategies to enhance work engagement among nurses.

Symptom Experiences and Symptom Management of Persons with Chronic Obstructive Pulmonary Disease in a Tertiary Hospital, Sichuan Province, the People’s Republic of China

Dan Yu — 2024-09-19

Chronic Obstructive Pulmonary Disease (COPD) patients experiencing various distressed symptoms may seek strategies to relieve or get rid of these symptoms. The purposes of this study were to explore the symptom experiences and symptom management strategies of persons with COPD. 303 participants were recruited from a tertiary hospital in Sichuan, the People’s Republic of China. Research questionnaires were composed of demographic information and a clinical information form; the Memorial Symptom Assessment Scale, Chinese version (MSAS-Ch); and the COPD Symptom Management Strategies Questionnaire developed by the researchers and validated by six experts with a mean item-content validity index (I-CVI) of .84. The reliability, calculated by product moment correlation coefficient, was .89 for the MSAS-Ch, and .97 for the COPD Symptom Management Strategies Question- naire. Descriptive statistics were used to analyze data.

The results showed 32 symptom experiences. The top three by the average of frequency, severity and distress scores were shortness of breath, lack of energy, and cough (Mean = 3.96, 3.80, and 3.56, respectively). In terms of symptom management, most participants used pharmacological and non-pharmacological management strategies.

These findings provide basic information for clinical nurses to assess symptoms in every dimension and promote appropriate symptom management for people with COPD in China.

Mental Distress, Associated Factors, and Mental Distress Management Among Muslim Mothers of Infants Hospitalized in a Neonatal Intensive Care Unit

Nisalwa Japakeeya — 2024-09-19

Mental distress perspectives and coping with a situation depend on religion, beliefs, and culture. The purposes of this study were to describe mental distress, its associated factors, and coping distress management among Muslim mothers of infants hospitalized in a Neonatal Intensive Care Unit (NICU) using qualitative research. Twenty-five Muslim postpartum mothers of infants admitted to a NICU during the previous seventy-two hours were recruited for this study as informants, selected through the purposive sampling method. Data were collected through in-depth interviews, observations, and field notes. Data was analyzed according to the Colaizzi method, and the participants themselves thoroughly reviewed the participants' data.

The results demonstrated that mental distress, described as stress, fears, and anxiety, is caused by factors related to four main categories: 1) maintaining calm through faith includes: (1.1) belief in the Doom and Divine Decree, (1.2) being patient, (1.3) Dua, (1.4) Zikrullah recitation, (1.5) Prayer, and (1.6) listening to Al-Quran; 2) the child’s condition; 3) family support; and 4) communication of the medical team.

The study results reflect the experience of maternal beliefs and faith in religion, which can be used as information for cultural nursing care to promote mental distress coping for Muslim postpartum mothers of infants admitted to a NICU to be more effective.

Development of Nursing Practice Guidelines to Prevent Acute Kidney Injury in Critically Ill Pediatric Patients

Tarntip Prachakul — 2024-09-19

Acute Kidney Injury (AKI) has been recognized as a common condition and can have serious and life-threatening consequences for critically ill pediatric patients. The objective of this research and development study was to develop clinical nursing practice guidelines (CNPG) for acute kidney injury prevention in pediatric patients in the Intensive Care Unit. The IOWA model was adopted for the CNPG development. Quality was measured in terms of content validity index and Index of item objective congruence, which five experts verified. The CNPG was tried out by 15 nurses at the pediatric intermediate intensive care unit of a tertiary care level hospital in the Northeast region of Thailand

There were fourteen studies included and EBPs were synthesized to develop the CNPG which was comprised of two main parts: 1) assessment of risk factors for acute kidney injury prevention in pediatric patients; and 2) nursing intervention and monitoring for acute kidney injury prevention in pediatric patients. The first part had a content validity index of .86 and an index of item objective congruence of .97 while the second part had a content validity index of 1.0 and index of item objective congruence of .99 (AGREE II = 95%). The overall nurse’s opinion of applying the CNPG was at a high level (86.66%).

The developed CNPG illustrated adequate quality in application for acute kidney injury (AKI) prevention in pediatric patients in the Intensive Care Unit. Future research should be carried out to evaluate the effectiveness of the CNPG.

Effects of a Caregiver Preparation Program on the Care Skills and Burden of Caring for Stroke Patients: A Randomized Controlled Trial

Arissara Sukwatjanee — 2024-09-26

Stroke patients have limitations in performing daily activities and rely on caregivers. It has been found that caregivers lack care skills, and the burden of caring affects their psychophysiology and socioeconomics. The objective of this randomized controlled trial was to study the effects of a caregiver preparation program on care skills and care burden for stroke patients. The research sample was 72 caregivers of stroke patients, divided into 36 persons each in an experimental and a control group by simple random sampling. Research instruments consisted of a personal data record form, a care skills assessment, a care burden questionnaire, and a caregiver preparation program. For the care skills assessment and the care burden questionnaire, the Content Validity Indexes (CVI) were .81 and .75, respectively, and the reliabilities were .87 and .82, respectively. The experimental group received a caregiver preparation program in which they practiced patient care skills at a hospital for 3 days before discharge. During the 6 months after discharge, there were 3 home visits (1^st week, 3^rd month, 6^th month), and telephone once a week (24 times). Data were analyzed using descriptive statistics, paired sample t-test, and independent sample t-test.

The research results found that after receiving the caregiver preparation program, the experimental group had significantly higher mean care skills scores (M = 3.21, SD = 0.12) than the control group (M = 1.81, SD = 0.18, t = 33.44, p < .001). Moreover, the experimental group had significantly lower mean care burden scores (M = 15.12, SD = 1.93) than the control group (M = 43.19, SD = 1.10, t = -64.63, p < .001).

The caregiver preparation program helped caregivers gain confidence in performing patient care activities effectively.

Development of a Multidisciplinary Sepsis Management Model in an Emergency Department

Napattorn Kuntorn — 2024-09-26

Management of sepsis patients in an emergency department needs effective multidisciplinary teamwork to ensure optimum outcomes. This developmental research aimed to develop a multidisciplinary sepsis management model in the emergency department at Maharaj Nakorn Chiang Mai Hospital, and to explore the feasibility of the model for sepsis management. The National Health and Medical Research Council's Guide to the Development of Clinical Practice Guidelines (1999) was applied as the framework for the model development. The developed model covered the management in three processes, including sepsis screening, diagnosis, and treatment, and the assignment of involved personnel and their roles. Participants for testing the feasibility of the model were 40 healthcare providers involved in the management of sepsis patients in the emergency department. The model was piloted for 2 weeks. There were 24 sepsis patients during the pilot period. The feasibility of the model was assessed by the Sepsis Management Model Feasibility Questionnaire and the model testing outcomes, including door-to-needle time within 60 minutes, occurrence of septic shock, and mortality rate. The data was analyzed using descriptive statistics.

Results showed that all participants agreed on the feasibility of using the model in real practice. The model testing outcomes revealed that all 24 sepsis patients received antibiotics within 60 minutes after emergency department arrival, 5 patients developed septic shock (20.83%), and none died.

The results confirmed that the Multidisciplinary Sepsis Management Model was feasible in real situation practice. It should be further implemented and tested for effectiveness.

Nurses’ Competency in Caring for Patients with Incontinence-Associated Dermatitis

Jintana Suwan-on — 2024-09-26

Incontinence-Associated Dermatitis (IAD) is a condition in which there is inflammation of the skin from contact with urine or stool. It is a common condition in elderly and chronically ill patients who cannot control their continence. This descriptive research aimed to examine the level of nurses’ competency in caring for patients with IAD. Study participants included 253 registered nurses working in medical wards in the 4^th Public Health Region. The instruments used for collecting data included: 1) a demographic data form, and 2) the scale of competency in caring for patients with IAD (SC-IAD). The SC-IAD was tested for content validity by five experts and received a Content Validity Index (CVI) of 1.00. The reliability was tested among 30 registered nurses and yielded a Cronbach’s alpha of .98. The data were analyzed using descriptive statistics.

The results showed that nurses’ competency in caring for patients with IAD was at a moderate level (M = 179.63, SD = 38.16). When considering each dimension, it was found that only nursing practice competency was at a high level (M = 63.86, SD = 11.05), while competency in other dimensions was at a moderate level.

The results of this study can be used as basic information to improve nurses’ competency in caring for patients with IAD to enhance the quality of care.

Effect of a Combined Oral Care and Cryotherapy Program on Oral Mucositis in Cancer Patients Receiving Chemotherapy

Kaneungnit Peerapassakorn — 2024-09-26

Oral mucositis is a complication in cancer patients receiving chemotherapy. Therefore, it must be prevented and managed to reduce its occurrence and severity. The research objective was to compare the occurrence of oral mucositis and to compare onset time, time duration of symptoms, and the severity of oral mucositis among cancer patients receiving chemotherapy between a group receiving a program and a group receiving normal nursing care. Purposive sampling was used to selected 52 first-time chemotherapy-treated cancer patients from the Chemotherapy Unit at Chomthong Hospital, who were divided into an experimental group and a control group of 26 participants each. The research tools included: 1) an oral care program combined with cryotherapy and 2) an oral mucositis symptoms assessment form from the World Health Organization. The data collection tools consisted of a personal information questionnaire; a form for recording oral symptoms at home; and a follow-up form for continuation by telephone. The research instruments were approved for inter-rater reliability, which was equal to 1. Data were analyzed using descriptive statistics, chi-square test, Fisher’s exact test, independent t-test, and the Mann-Whitney U test.

The results showed that the incidence of oral mucositis in the experimental group receiving the oral care program combined with cryotherapy (5 people, 19.2%) was less than that in the control group (26 people, 100%). There was a statistically significant (p < .001) onset time of oral mucositis in the experimental group (M = 6.6, SD = 0.54), which was significantly longer than that of the control group (M = 3.92, SD = 0.68, p < .001). The severity of oral mucositis in the experimental group (M = 2.80, SD = 0.44) was lower than that in the control group (M = 4.73, SD = 1.18) with statistical significance (p < .001). The degree of severity of oral mucositis in the experimental group (M = 0.19, SD = 0.40) was significantly less than that of the control group (M = 1.88, SD = 0.51, p < .001).

The results showed that the effects of oral care combined with cryotherapy can be used as a guideline for preventing the occurrence and reducing the severity of oral mucositis in cancer patients receiving chemotherapy.

Factors Influencing Caring Behaviors for End-of-Life Patients of Registered Nurses in a University Hospital

Nuntawat Pinyo — 2024-09-27

Caring is an essential part of nursing for end-of-life patients. Caring behaviors among registered nurses can be influenced by many factors. The purpose of this predictive research was to examine factors influencing caring behaviors for end-of-life patients. The sample was 113 registered nurses working in a university hospital. Data were collected using questionnaires, including those on demographic data, caring behaviors for end-of-life patients (S-CVI = .99, α = .92), knowledge about end-of-life care (S-CVI = .96, KR-20 = .94), attitudes toward death and dying patients (S-CVI = .94, α = .79), and emotional intelligence (α = .93). Data were analyzed using descriptive statistics and multiple regression.

The results showed that most of the participants had a high level of overall caring behaviors for end-of-life patients (92.04%). Factors significantly influencing caring behaviors for end-of-life patients of registered nurses included end-of-life care training (β = .341, p < .001), emotional intelligence (β = .265, p < .01), attitudes toward death and dying patients (β = .192, p < .05), and knowledge about end-of-life care (β = .178, p < .05). These factors collectively explained 39.40% of the variance in caring behaviors for end-of-life patients (Adjusted R²= .394, F = 19.217, p < .001).

The study suggests that registered nurses should receive appropriate training, develop emotional intelligence, cultivate positive attitudes, and enhance their knowledge about end-of-life nursing to promote more effective caring behaviors for end-of-life patients.

Factors Related to Health-Related Quality of Life Among Young Adults with Stroke

Satita Watcharadilok — 2024-09-29

The occurrence of stroke in young adults is increasing globally, leading to greater mortality, morbidity, and a higher risk of recurrence. The purpose of this descriptive correlation study was to investigate health-related quality of life and to study the relationships among factors related to health-related quality of life in young adults with stroke, including body mass index, stroke severity, fatigue, depression, and disability. One hundred and fifty young adults with stroke who met the inclusion criteria were recruited from three hospitals in Bangkok. Research instruments consisted of demographic information, the National Institutes of Health Stroke Scale, the Fatigue Severity Scale, the Center for Epidemiologic Studies-Depression Scale, the Modified Rankin Scale, and the Stroke-Specific Quality of Life Scale. The questionnaires demonstrated acceptable content validity (content validity index: .93-1.00), internal consistency (Cronbach’s alpha: .84-.98), and inter-rater agreement (Kappa coefficient: .90). Data were analyzed using Pearson’s product moment correction, Spearman’s rank correlation, and Point biserial correlation.

The results revealed that young adults with stroke had good health-related quality of life (Mean = 210.96, SD = 32.85). Stroke severity, depression, fatigue, disability, and body mass index were significantly negatively correlated with health-related quality of life (r = -.77, -.71, -.66, -.60, and -.56 respectively; p.< .05).

This finding can be used as basic information for health care personnel to promote health-related quality of life in young adults with stroke.

Factors Associated with Post-Stroke Fatigue Among Patients with Acute Ischemic Stroke

Supachai Rakkaew — 2024-09-29

Post-stroke fatigue (PSF) is a key factor in post-stroke recovery. This descriptive correlation research aimed to study the factors associated with PSF in acute ischemic stroke patients. The participants were purposely selected to include 97 patients diagnosed with acute ischemic stroke who were over 18 years old and had stable symptoms while receiving services at Thammasat University Hospital. The instruments used in the research included a demographic characteristics' questionnaire, the Fatigue Severity Score (FSS), the Numerical Pain Rating Scale (NRS), the Athens Insomnia Scale: (AIS-Thai), the Barthel Activities of Daily Living (ADL), the Hospital Anxiety and Depression Scale (HADs), and the Stress Test Questionnaire (ST-5). All instruments were tested for reliability, which was .96, 1.00, .86, .88, .81, .86, and .86, respectively. Data analysis used descriptive statistics and Pearson correlation statistics.

The results found that the participants consisted of equal numbers of males and females, with an average age of 64.44 years (SD = 11.28). Post-stroke period ranged from 1-13 days (Mean = 3.40, SD = 1.77), and 44.3% had fatigue after stroke (Mean = 3.76, SD = 1.42). The relationships between the FSS and the NRS, AIS-Thai, ADL, Anxiety, Depression, and ST-5 were statistically significant (r = .334, p < .01; r = .481, p < .01; r = -2.67, p < .01; r = .476, p < .01; r = .384, p < .01; and r = .469, p < .01, respectively).

The results of this study can be used as basic information for planning care to prevent and manage PSF in patients with acute stroke.

Health Literacy and Self-Management in Older Persons with Dyslipidemia

Taksaporn Fuping — 2024-09-29

Health literacy is a factor that helps many older persons with dyslipidemia manage themselves more effectively. This descriptive study aimed to investigate health literacy, self-management, and the relationship between health literacy and self-management among older persons with dyslipidemia. The 82 participants were older persons with dyslipidemia who visited Lanna hospitals in Chiang Mai province, selected using simple random sampling. The research instruments included a demographic and illness data recording form, and health literacy and self-management questionnaires for older persons with dyslipidemia, which demonstrated reliability via Cronbach’s alpha coefficients of .92 and .98., respectively. Data were analyzed using descriptive statistics and Pearson’s product-moment correlation.

The results showed that the older persons with dyslipidemia in this study had high levels of health literacy and self-management, and health literacy was statistically positively correlated with self-management at a high level (r = .746, p < .001)

The results of this study can be used as database information for health care professionals who take care of older persons with dyslipidemia in order to support self-management through enhancing health literacy.

Effect of a Participatory Learning Enhancing Program on Family’s Practices in Assessing Development of Children in Early Childhood in Communities

Yaowalak Makong — 2024-09-29

The situation of children in early childhood who have appropriate development is decreasing. Assessment of early childhood development by parents is, therefore, important for finding the problems and ensuring children receive timely care. This quasi-experimental two-group, pretest-posttest design aimed to investigate the effect of a participatory learning enhancement program on family practices in assessing early childhood development. The 48 participants were parents or guardians of young children in a childcare center affiliated with the local administration and who were assigned, by simple random sampling, into an experimental or a control group with 24 in each. The research instruments included the Participatory Learning Enhancing Program devised by the researcher, based on Kolb’s Participatory Learning, for a duration of 8 weeks; and an activities' learning plan from the Developmental Surveillance and Promotion Manual (DSPM). Video instructors were also used. The data collecting instrument was a family practice questionnaire on assessing development in early childhood, with a Kuder-Richardson (KR-20) coefficient of .90. Data were analyzed using descriptive statistics, the Wilcoxon matched pairs signed-ranks test, and the Mann-Whitney U test

The findings revealed that parents and guardians of young children who received the Participatory Learning Enhancing Program for 8 weeks had a mean score of family practices in assessing early childhood development (M = 6.33, SD = 2.18) significantly higher than before the program (M = 3.13, SD = 1.42, Z = -4.394, p < .001) and higher than that of the control group (M = 3.04, SD = 1.04, Z = -5.703, p < .001).

The results show that the participatory learning enhancement program resulted in the parents having accurate early childhood development assessment skills. This will affect the quality of life of children in the long run.

The Effects of Health Belief Model-Based Interventions on Caregivers’ Health Literacy and Blood Pressure in Uncontrolled Hypertensive Older Adults

Wararat Tiparat — 2024-09-29

Uncontrolled hypertensive older adult patients are at a high risk of complications from this disease. Caregivers’ health literacy is important for managing the health behavior of older adults in families. This quasi-experimental research aimed to study the effects of health belief model-based interventions on caregivers’ health literacy and blood pressure in uncontrolled hypertensive older adults. Participants were 64 uncontrolled hypertensive older adult patients and their caregivers, who were divided into an experimental and a control group. The experimental instruments consisted of health belief model-based interventions, based on Becker's theory of the heath belief model and enhancing health literacy, administered for 12 weeks. The data collection tools were a questionnaire on caregivers’ health literacy and a blood pressure monitor. The questionnaire was tested using Cronbach's alpha coefficient, yielding a value of .84. Data were analyzed by descriptive statistics and t-test.

The results indicated that after receiving the program, the experimental group had a higher mean score for caregivers’ health literacy. The average systolic and diastolic blood pressure was lower than before receiving the program with statistical significance (p < .001, p < .001, and p < .05, respectively), and higher than that of the control group with statistical significance (p < .001, p < .001, and p < .01, respectively).

This study showed that the health belief model-based interventions with the enhancing health literacy program could increase health literacy levels of caregivers and lead to healthier behavior for uncontrolled hypertensive older adult patients.

Effect of a Food Literacy Enhancing Program on Dietary Behaviors Among Groups at Risk of Hypertension in Communities

Suthathip Maikham — 2024-09-29

Enhancing effective food literacy on dietary behaviors among groups at risk for hypertension is important for leading to improved health for people. This quasi-experimental research study, with a two-group pretest-posttest design, aimed to compare food consumption behavior scores for an experimental group, before and after receiving a food literacy enhancing program, and to compare the food consumption behavior scores between the experimental and control groups after they had undergone the program for a period of 8 weeks. The participants consisted of adults aged 35-59 years who were identified as being at risk for hypertension. A total of 48 participants were selected, and divided evenly into 24 for the experimental group and 24 for the control group. Research tools included 1) a program for enhancing food literacy, based on the health literacy framework of Nutbeam combined with food literacy from Fingland et al.; 2) a manual on food literacy for those at risk of hypertension in the community; 3) video media; and 4) a food consumption log. Data collection tools were comprised of a general information questionnaire and a food consumption behavior questionnaire. The content validity index of the tools was .97, and the reliability, as measured by Cronbach’s alpha coefficient, was .84. Data was analyzed using descriptive statistics, Wilcoxon signed-rank test, and Mann-Whitney U test.

The findings revealed that the experimental group had a higher mean score for food consumption behavior (M = 4.12, SD = 0.17) than before receiving the program (M = 3.40, SD = 0.21). Their score was also significantly higher than that of the control group (M = 3.37, SD = 0.18), with statistical significance (p < 0.001).

The study results showed that the food literacy enhancing program could be effectively used as a guideline to modify food consumption behaviors among groups at risk of hypertension in communities.

Effect of a Bilingual Learning Multimedia Innovation Package on Vegetarian Dietary Practices Among Karen at Risk of Hypertension in Bann Phra bat Huai Tom, Lamphun Province

Chananchida Katkanta — 2024-09-29

Assessing health information enables individuals to learn and apply that knowledge to maintain good health. A bilingual learning multimedia innovation for Karen people, who are unable to communicate in Thai or only communicate in Thai to a limited extent, will help this population access health information. This quasi-experimental study used a two-group pretest-posttest design aiming to compare the vegetarian dietary practices of a group that received an innovative bilingual multimedia set before and after the experiment and to compare the vegetarian dietary practices between an experimental group and a control group over a 4-week period.The participants included 40 Karen people at risk of hypertension living in Bann Phra Bat Huai Tom, Lee district, Lamphun province, selected by purposive sampling, with 20 persons in the control group and 20 persons in the experimental group. The research instrument was a bilingual multimedia innovation regarding the practice of vegetarian cuisine consumption for Karen people at risk of hypertension, developed by the researcher from a product innovation concept and consisting of a bilingual education handbook (Thai-Karen language), a voice clip in Karen, bilingual still image media (Thai-Karen language), and a language test that was developed using the back translation principle by a general practice nurse who is bilingual. The content validity index of the questionnaire on the practice of vegetarian cuisine consumption was .9, and the Cronbach’s alpha coefficient was .81. Descriptive statistics were used for data analysis and included paired t-test and independent t-test.

The study results indicated that, for the experimental group, the mean posttest score (M = 71.25, SD = 8.95) was higher than that of the mean pretest score (M = 57.23, SD = 6.87), and higher than that of the control group (M = 60.0, SD = 9.12) with statistical significance (p < .05).

The results show that the bilingual learning multimedia innovation can be integrated to educate Karen people with hypertension to learn, leading to the practice of vegetarian food consumption according to the principles and ways of the community.

Risk Factors Associated with Antibiotic Use Behavior of Populations in Health Region 8

Nuttaporn Nidthumsakul — 2024-09-29

In some situations, the tendency to use antibiotics is excessive or unreasonable. As a result, drug resistance is now on the rise. Therefore, the correct use of antibiotics requires knowledge and understanding as a basis, and recommendation of correct medications to families, reducing problems of drug resistance that may occur in the long term. This cross-sectional analytical study aimed to investigate the prevalence and risk factors associated with antibiotic use behavior of populations in Health Region 8 in the upper northeastern region. The study used secondary data from the Health and Welfare Survey in 2021, conducted by the National Statistical Office. The sample group consisted of 1,778 individuals. Statistical analysis included both descriptive and inferential statistics, specifically multiple logistic regression, presenting adjusted odds ratios, and 95%CI.

The study revealed that the prevalence of antibiotic use behavior was 10.69% (95% CI:0.09-0.12). Risk factors associated with antibiotic use behavior included: had an illness in the past month (AOR = 5.52, 95%CI: 3.75-8.13, p-value < 0.001); had an emergency in the past month (AOR = 3.90, 95%CI: 3.63-15.54, p-value = 0.006); those who have illnesses that require hospital treatment but do not go to hospital (AOR = 7.51, 95%CI: 1.34-3.04, p-value < 0.001); those who stop using antibiotics when their symptoms improve (AOR =3.11, 95%CI: 2.18-4.42, p-value < 0.001); those who stop using antibiotics by themselves (AOR = 2.45, 95%CI: 1.13-5.30, p-value < 0.001); and those who received advice from medical professionals regarding antibiotic use (AOR = 5.07, 95%CI: 3.58-7.16, p-value < 0.001).

Therefore, relevant organizations should plan to promote the development of policies, especially in health education, to foster informed health decision-making and effective antibiotic use.

Factors Related to COVID-19 Prevention Practices Among Operating Room Nurses

Wasuphorn Phatthanakhuha — 2024-09-29

Operating room nurses play a vital role in COVID-19 prevention in operating rooms. This descriptive correlational research aimed to examine COVID-19 prevention practices of operating rooms nurses, factors related to practice, and the relationship between factors related to COVID-19 prevention practices among operating room nurses. The study was performed at a university hospital in Northern Thailand. The participants were 74 operating room nurses. The research instruments were a demographic questionnaire; a COVID-19 prevention practices questionnaire; and questionnaires on knowledge, attitude, organizational support, and environmental support for COVID-19 prevention practices among operating room nurses. The content validity of the questionnaires was examined by six experts, demonstrating a content validity index of 1.00. The reliabilities of the practices, knowledge, attitudes, organizational support, and environmental support questionnaires were .92, .86, .88, .85, and .82, respectively. The data were analyzed using descriptive statistics and Spearman’s correlation coefficient statistics.

The results of the study revealed that the participants had practices of COVID-19 prevention at a high level with a median score of 182.50 out of 189.00 points; knowledge of COVID-19 prevention practices at a high level with a median score of 15.00 out of 20.00 points; attitude towards COVID-19 prevention practices at a moderate level with a median score of 58.00 out of 80.00 points; working experience with a median of 13.50 years and a range of 1-38 years; organizational support for COVID-19 prevention practices at a high level with a median score of 31.00 out of 40.00 points; and environmental support for COVID-19 prevention practices at a high level with a median score of 73.00 out of 92.00 points. In addition, knowledge, attitude, working experience, and organizational support were significantly positively correlated with practices at a moderate level (r = .345, p = .003; r = .374, p = .001; r = .484, p < .001; and r = .471, p < .001, respectively). Environmental support was significantly positively correlated with COVID-19 prevention practices at a low level (r = .193, p = .041).

The results show that COVID-19 prevention practices for nurses in operating rooms will increase if the nurses have good knowledge, a good attitude, and more extensive working experience; receive support from the organization; and have a conducive environment. Therefore, these factors should be promoted for operating room nurses to prevent COVID-19.

Resilience and Associated Factors Among Adolescents with Congenital Heart Disease Receiving Services at King Chulalongkorn Memorial Hospital

Suthawee Somboonsap — 2024-09-29

Currently, medical science in the treatment of congenital heart diseases (CHD) has made significant advancements. However, adolescents with CHD must adjust their lifestyles and face several health-related obstacles, which may lead to mental health issues such as depression and anxiety. Resilience can enable them to confront and manage stressful situations. The 73 participants were adolescent patients with CHD attending the Pediatric Outpatient Clinic of King Chulalongkorn Memorial Hospital, and aged 13-18 years. The tools used for data collection included: 1) a personal information; 2) an assessment of friendship intimacy; 3) the Resilience scale (Thai version); and 4) the Patient Health Questionnaire for Adolescents (Thai version). The data was analyzed using descriptive statistics, Chi-square statistics, and Pearson correlation.

The research findings were as follows. The sample group had average resilience scores at a moderate level (Mean = 20.22, SD = 4.47). Most of the participants, 58 adolescents (79.45%), showed a moderate level of resilience, 11(15.07%) showed a low level; and 4 (5.48%) showed a high level. The marital status of parents and friend intimacy showed a statistically significant correlation with resilience (p < 0.05 and p < 0.05, respectively). Congenital heart disease-related factors and depression showed a non-significant association with resilience.

The results of this research can serve as baseline data on resilience levels in adolescents with CHD. In addition, they can guide the development of mental health care strategies by supporting family and friends' involvement in adolescent care.

Nursing Students' Satisfaction with the Use of Simulation Manikins for Venipuncture and Peripheral Intravenous Cannulation Practice in Networked Nursing Institutions

Reena Mano — 2024-09-30

Venipuncture and peripheral intravenous cannulation practice are essential skills for nursing students. Practicing with highly realistic simulation manikins can enhance learning effectiveness and confidence before clinical practice in hospitals. This descriptive research aimed to examine nursing students' satisfaction with using simulation manikins for venipuncture and peripheral intravenous cannulation practice in networked nursing institutions. The participants consisted of 292 nursing students from the academic year 2023 in 10 networked nursing education institutions, selected through purposive sampling. The instruments used included a personal information questionnaire and a nursing student satisfaction assessment scale, which had a Cronbach's alpha coefficient of .97. Data were analyzed using descriptive statistics.

The research results showed that the highest levels of student satisfaction regarding usage were in the following three aspects: safety in usage (M = 4.61, SD = 0.65), the manikins meeting operational needs (M = 4.55, SD = 0.70), and ease of use without complexity (M = 4.49, SD = 0.72). The top three aspects of satisfaction with the design included the creativity in the manikins' creation (M = 4.64, SD = 0.64), the appropriateness of shape and size (M = 4.54, SD = 0.67), and the neatness and aesthetic of the manikins (M = 4.53, SD = 0.66).

This study concludes that nursing students are satisfied with using simulation manikins for venipuncture and peripheral intravenous cannulation practice, which can increase their confidence in their practical training and serve as a guideline for developing more effective simulation models.