Effects of a Self-Efficacy Enhancement Program on Knowledge and Decision-Making Skills in Preventing Unintentional Injury and First Aid for Kindergarten Teachers

Authors

  • Yapat Niyomsat Boromarajonani College of Nursing, Nakhon Ratchasima, Faculty of Nursing, Praboromarajchanok Institute, Ministry of Public Health
  • Phattharakorn Konthon Boromarajonani College of Nursing, Nakhon Ratchasima, Faculty of Nursing, Praboromarajchanok Institute
  • Srimana Niyomkar Faculty of Nursing, Chiang Mai University
  • Nawrechaya Phasertsukjinda โรงพยาบาลมหาราชนครราชสีมา กระทรวงสาธารณสุข

Keywords:

Self-efficacy enhancement program, Unintentional injury prevention and first aid, Knowledge, Decision-making skills, Kindergarten teachers

Abstract

This quasi-experimental study with two-group pretest-posttest design, was aimed to examine the effects of a self-efficacy enhancement program on knowledge and decision-making skills regarding unintentional injury prevention and first aid among kindergarten teachers. The sample consisted of 60 kindergarten teachers in Nakhon Ratchasima Province, selected through multi-stage random sampling and simple random sampling assigned equally to experimental and comparison groups (30 participants each). The research instruments included: 1) The self-efficacy enhancement program for unintentional injury prevention and first aid delivered via the Line official account, 2) A knowledge questionnaire, and 3) A decision-making skills scale. The reliability coefficients (KR-20) of instruments part 2 and 3 were 0.85 and 0.80, respectively. Data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and the Mann-Whitney U Test.

The results revealed that the experimental group demonstrated significantly higher knowledge related to unintentional injury prevention and first aid after the program was delivered (p< .001). Furthermore, their decision-making skills also improved significantly compared to the pre-test (p< .01). When comparing between groups: 1) the mean score of knowledge among experimental group (Mean=20.63, SD.=1.54) was significantly higher than that of the comparison group (Mean=19.03, SD.=1.13) at the .001 level, and 2) the mean score of decision-making skills among the experimental group (Mean=11.67, SD.= .55) was also significantly higher than that of the comparison group (Mean=10.73, SD.=1.14) at the .001 level.

Therefore, the self-efficacy enhancement program was effective in enhancing knowledge and decision-making skills regarding unintentional injury prevention and first aid among early childhood caregivers. It is recommended that the program should be disseminated and applied among other stakeholders involved in early childhood care.

References

Alsulami, M. (2023). First-aid knowledge and attitudes of schoolteachers in Saudi Arabia: a systematic review. Risk Management and Healthcare Policy, 769-777. Retrieved July 14, 2025, from https://doi.org/10.2147/RMHP.S395534

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman and Company.

Barnie, P. A., Dzomeku, V. M., Tetteh, A. A., Barnie, B. A., Mock, C., & Donkor, P. (2025). Effects of trauma-related amputations in children on caregivers: An exploratory descriptive study in a developing country. PloS one, 20(2), e0313980.

Bou-Karroum, L., El-Jardali, F., Jabbour, M., Harb, A., Fadlallah, R., Hemadi, N., & Al-Hajj, S. (2022). Preventing unintentional injuries in school-aged children: a systematic review. Pediatrics, 149(Suppl. 6), e2021053852J

Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence. Maryland Heights, MO: Saunders Elsevier.

Changpad, T., Duangbubpha, S. (2023). Development of online learning material to promote decision-making ability in morphine administration in clinical simulation among the third years nursing students. Journal of Health and Nursing Education, 29(3), 1-18. (in Thai)

Cohen. (1988). Power Tables for Effect Size d. Retrieved August 12, 2024 from https://www.pilesofvariance.com/Chapter13/Cohen_Power_Tables.pdf.

Council on School Health. (2008). Medical emergencies occurring at school. Pediatrics, 122(4), 887-894.

De Castro Silva, E., Barbosa Gonçalves, L., Teixeira Silva, A., Silva Pereira, V. O., Santos Barbosa Oliveira, I., & Goulart Alves, M. (2024). First aid for education professionals working with children. Revista Família, Ciclos de Vida e Saúde no Contexto Social (REFACS), 12(2), 1-10.

Dechthit, P., Patoomwan, A., & Phumonsakul, S. (2021). Effects of a febrile convulsion care program on knowledge and perceived self-efficacy to care for children with febrile convulsion among caregivers. Nursing Research and Innovation Journal, 27(1), 30-46.

Division of Injury Prevention, Department of Disease Control, Ministry of Public Health. (2022). Mortality situation from injuries among children in Thailand, 2015-2019. Department of Disease Control, Ministry of Public Health. Retrieved March 24, 2025, from https://ddc.moph.go.th/uploads/publish/1343520221109024056.pdf

El Seifi, O. S., et al., (2018). Effect of community-based intervention on knowledge, attitude, and self-efficacy toward home injuries among Egyptian rural mothers having preschool children. PloS one, 13(6), e0198964.

Faust, J. S., Chen, J., Bhat, S., Otugo, O., Yaver, M., Renton, B., ... & Krumholz, H. M. (2025). Firearm laws and pediatric mortality in the US. JAMA pediatrics. Retrieved November 15, 2025, from https://doi.org/10.1001/jamapediatrics.2025.1363

Hedges, L. V. (1982). Estimation of effect size from a series of independent experiments. Psychological Bulletin, 92(2), 490-499. Retrieved July 19, 2024, from https://doi.org/10.1037/0033-2909.92.2.490

Intraratsamee, J. (2024). The incidence of accidents in childcare centers of the local government organizations. Community Health Development Quarterly Khon Kaen University, 12(2), 145-156. (in Thai)

Klim-Klimaszewska, A. (2025). Kindergarten teacher preparedness to provide first aid. Multidisciplinary Journal of School Education, 14(1(27)), 343-364.

Konthon, P., et al., (2025). Development of an Accident Prevention and In-School First Aid Training Program for Kindergarten Teachers. Ramathibodi Medical Journal, 48(2), e272504. (in Thai)

Kouli, O., Morela, E., Papanikolaou, E., Dalakis, A., Karageorgopoulou, M., & Kambas, A. (2025). Determinant Factors and Characteristics of Injuries Among Preschool Children in Public Daycare Centers. Children, 12(2), 251.

Li, C., Jiao, J., Hua, G., Yundendorj, G., Liu, S., Yu, H., ... & Liu, L. (2024). Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019: a prospective cohort study. International Journal of Surgery, 110(4), 2092-2103.

Lopes, M. P., & Fonseca, L. R. D. (2025). The use of design thinking in the development of first aid training actions: An experience with basic education professionals. Educação em Revista, 41, e49557.

McGriff, S. J. (2000). Instructional system design (ISD): Using the ADDIE model. College of Education, Penn State University. Retrieved April 18, 2024, from https://snazlan.wordpress.com/wp-content/uploads/2017/03/instructional-system-design-isd-using-the-addie-model.pdf

Meyer, K., et al., (2022). Caregiver self-efficacy improves following complex care training: results from the learning skills together pilot study. Geriatric nursing, 45, 147-152.

Miranda, P. da S., et al. (2023). Knowledge, attitudes, and practices in first aid in the school environment: An integrative review. Revista de Enfermagem do Centro-Oeste Mineiro, 13(1), 1-13.

Moonsan, S., Kalampakorn, S., & Sillabut, J. (2020). Effects of self-efficacy enhancement program on home accident prevention and first aid skills for early childhood caregivers. Thai Red Cross Nursing Journal, 13(2), 271-285. (in Thai)

Mujkić, A., & Zebec, J. Š. (2024). The accident prevention. Global Pediatrics, 9, 100191.

Ngamcherdtrakul, P., Yampratoom, R., & Dardaranonda, B. (2020). Knowledge and Attitudes of Participants on Childhood Injury Prevention Program. Journal of the Department of Medical Services, 45(2), 98-106. (in Thai)

Polit, D. F. (2010). Statistis and analysis for nursing research (2nd ed.). United States of America: Pearson Education.

Rahimi, T., Faryabi, R., Javadi, A., & Shojaei, S. (2017). Attitudes of women from Jiroft city about prevention of home injuries in children under 5 years using protection motivation theory in 2015 (Persian). Journal of Rafsanjan University of Medical Sciences, 16(1), 17-30.

Simon, H. (1966). Administrative Behavior: A Study of Decision-Making Process in Administrative Organization. Toronto: The Free Press.

Simon, H. (1997). The New Science of Management Decision. New York: Harper & Row.

UNICEF. (2024). Child and Adolescent Injuries. Retrieved June 26, 2025 from https://www.unicef.org/health/inj

Wang, M., Cheng, Y., Wang, H., Lin, L., & Shen, Y. (2024). Epidemiological and clinical characteristics of hospitalized unintentional injuries among children in central China from 2017-2023. Frontiers in pediatrics, 12, 1381287. Retrieved June 26, 2025, from doi: 10.3389/fped.2024.1381287

Wells, M., Bujkiewicz, S., & Hubbard, S. J. (2022). Using threshold analysis to assess the robustness of public health intervention recommendations from network meta-analyses: Application to accident prevention in households with children under five. BMC Public Health, 22(1), 966. Retrieved July 9, 2025, from https://doi.org/10.1186/s12889-022-13377-5

Zheng, S., Cheng, L., Li, D., Wu, F., & Fang, J. (2025). Mental Health Outcomes and Rehabilitation Challenges in Children with Orthopedic Trauma: A Public Health Survey from Pediatric Rehabilitation Center. Frontiers in Public Health, 13, 1652569.

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Published

2025-12-01

How to Cite

Niyomsat, Y., Konthon, P. ., Niyomkar, S., & Phasertsukjinda, N. (2025). Effects of a Self-Efficacy Enhancement Program on Knowledge and Decision-Making Skills in Preventing Unintentional Injury and First Aid for Kindergarten Teachers. Journal of Health Research and Innovation, 8(2), e276562. retrieved from https://he02.tci-thaijo.org/index.php/jhri/article/view/276562

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Research Articles