Journal of Nursing and Public Health Research https://he02.tci-thaijo.org/index.php/jnphr <p>The Journal of Nursing and Public Health Research (JNPHR) is owned by Boromarajonani College of Nursing, Chiang Mai. JNPHR is published in three issues a year (1st issue: January-April, 2nd issue: May-August, and 3rd issue: September-December). Authors are welcomed to submit to JNPHR, which welcomes excellent original articles and academic articles relevant to clinical nursing, community nursing, nursing education, health science, public health, and related fields.</p> <p> </p> Boromarajonani College of Nursing, Chiang Mai en-US Journal of Nursing and Public Health Research 2985-0916 <p>1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารวิจัยการพยาบาลและการสาธารณสุข ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการไม่จำเป็นต้องเห็นด้วย</p> <p>2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารวิจัยการพยาบาลและการสาธารณสุข</p> The Effects of a Self-Management Program in Chronic Kidney Disease Stages 3A to 4 Patients on Knowledge, Self- Management Behaviors, and Glomerular Filtration Rate, Sakaeo Crown Prince Hospital https://he02.tci-thaijo.org/index.php/jnphr/article/view/262291 <p>The objective of this quasi-experimental study was to examine the effects of a self-management program in chronic kidney disease stages 3a–4 patients on knowledge, self-management, and glomerular filtration rate at Sakaeo Crown Prince Hospital. Participants were 66 patients with chronic kidney disease stages 3A–4 who were selected by a random sampling technique. The study was conducted between September and November 2022. The research instrument was a self-management program, including three processes: 1) creating health knowledge; 2) developing self-management to slow down kidney deterioration; and 3) monitoring and evaluating behavioral performance in self-management to delay kidney deterioration. Data collection instruments were a demographic data questionnaire, a knowledge assessment form, a glomerular filtration rate recording form, and a self-management behavior assessment to slow down kidney deterioration. Data were analyzed using descriptive analysis to compare knowledge, self-management behavior, and the glomerular filtration rate before and after receiving the self-management program using paired t-test statistics.</p> <p>The results showed that after receiving a self-management program, participants had a knowledge score about chronic kidney disease, self-management behaviors, and glomerular filtration rate that were higher than before receiving the self-management program (<em>p-value</em> &lt; 0.001). It has been shown that a self-management program for patients with chronic kidney disease to slow down kidney deterioration has effectiveness. Nurses and other health providers can apply this self-management program to chronic kidney failure patients to promote knowledge, self-care behavior, and glomerular filtration rate in their own units.</p> Kasima Sa-ngrattanapiman Khomsun Arsa Rungnapha Khiewchaum Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-27 2023-12-27 4 1 e262291 e262291 Factors Affecting the Success of Generation Z Nursing Students During Their First Clinical Placement: A Qualitative Study https://he02.tci-thaijo.org/index.php/jnphr/article/view/264109 <p>The objective of this qualitative study was to explore factors related to factors affecting the success of generation Z nursing students during their first clinical placement. The key informants were undergraduate second-year nursing students at Boromarajonani College of Nursing, Chiang Mai, comprising 20 females and 4 males. The research instrument was a semi-structured interview regarding the experiences and views on clinical placements of generation Z nursing students during their first clinical placement. The data were analyzed by thematic analysis.</p> <p>The results from thematic analysis showed that factors affecting the success of generation Z nursing students during their first clinical placement included three themes: 1) being hopeful and self-optimistic; 2) receiving mental and spiritual support from surrounding people; and 3) experiencing trustworthy. The findings demonstrate that it is imperative for nursing schools and clinical placements to provide nursing students with a positive and supportive environment in which to study and gain experience. This will enhance their academic success and enable them to become registered nurses in the future.</p> Chonticha Amattayakong Roshinee Oupra Eakachai Kantawong Kenda Crozier Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-28 2023-12-28 4 1 e264109 e264109 Factors Related to Nurses' Research Capacity in Regional Hospitals https://he02.tci-thaijo.org/index.php/jnphr/article/view/265546 <p>The objective of this descriptive research was to examine nurses’ research capacity and factors related to the research capacity of nurses in regional hospitals in the Northern Region. Participants were 446 registered nurses working in three northern regional hospitals, selected using a multistage random sampling technique. The research tools consisted of 1) a personal data questionnaire, 2) the Research Participation Questionnaire (RPQ), and 3) the Research Capacity and Culture Tool (RCC Tool). The reliability of the RPQ was tested using Kuder-Richardson 20 (KR-20), with a value of 0.86. The reliability of the RCC tool was tested using the Cronbach's Alpha Coefficient, which was 0.96. The general data were analyzed using descriptive statistics. Analyzing factors related to the research capacity of nurses using Sperman’s correlation coefficient test. </p> <p>The results showed that the research capacity of nurses in regional hospitals in the Northern Region, overall, was at a low level (Median = 3, IQR = 1.27-6.15). Education levels had a positive correlation with research capacity at a low level (r = 0.13, <em>p-value</em> &lt; 0.01). Research participation was moderately positively correlated with research capacity (r = 0.54, <em>p-value</em> &lt; 0.001). This study suggests that nursing administrators should develop strategies to promote nurses' participation in research and provide opportunities for nurses to further their education in order to the research potential of nurses.</p> Wantana Boonkong Somajai Sirakamon Apiradee Nantsupawat Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-02-01 2024-02-01 4 1 e265546 e265546 Effect of Slow Deep Breath on Chest Expansion, Pulmonary Function, and Heart Rate Recovery in Obese Persons Aged between 18 and 35 Years https://he02.tci-thaijo.org/index.php/jnphr/article/view/264105 <p>The objective of this randomized control trial research was to examine the change in chest expansion, pulmonary function, and heart rate recovery among obese persons after four weeks of diaphragmatic breathing exercise training. Participants were 19 obese persons, aged 18-35 years old, divided into two groups using stratified sampling. The control group included nine participants who were required to maintain daily health behaviors for four weeks. The intervention group consisted of 10 participants who practiced diaphragmatic breathing exercise training (DBE) six times in one minute, rested one minute, practiced 10 minutes per time, and practiced every day for four weeks. Both groups measured the change in chest expansion, predicted forced vital capacity (FVC), predicted forced expiratory volume in one second (FEV1), predicted ratio of the forced expiratory volume in one second to the forced vital capacity (FEV1/FVC), predicted maximum voluntary ventilation (MVV), and heart rate recovery (HRR) before and after the experiment. The data were analyzed using a two-way analysis of variance (Two-way ANOVA).</p> <p>The results showed that when comparing the results before and after the 4-week experiment, the intervention group had a statistically significant increase in the mean chest expansion (before the experiment: Mean ± SEM=2.2 ± 0.32 cm, after the experiment: Mean ± SEM= 2.95 ± 0.24 cm, <em>p-value</em> = 0.001). The control group had a statistically significant decrease in %predicted FVC (before the experiment: Mean ± SEM=101± 3.45, after the experiment: Mean ± SEM= 96.70 ± 3.32, <em>p-value</em> = 0.001). There were no statistically significant differences in the changes in %predicted FEV1/FVC, predicted MVV, and HRR values in both the experimental and control groups. It was concluded that practicing diaphragmatic breathing exercises for four weeks effectively enhanced chest expansion without changing pulmonary function and autonomic imbalance in obese persons in early adulthood.</p> Areewan Boondecharuk Issariyapon Natepra Pussacha Ingkanun Tanormsak Senakham Issariyapon Natepra Prapawadee Pirompol Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-02-02 2024-02-02 4 1 e264105 e264105 Effects of the Dietary Education Program in Conjunction with the Salt Meter on Reducing Sodium Intake, Blood Pressure Levels, and Glomerular Filtration Rate Among Uncontrolled Hypertension Patients https://he02.tci-thaijo.org/index.php/jnphr/article/view/264377 <p>The objective of this quasi-experimental research was to examine the effects of the dietary education program in conjunction with the salt meter on reducing sodium intake, blood pressure levels, and glomerular filtration rate among uncontrolled hypertension patients. Participants were 50 uncontrolled hypertension patients who received services from the chronic non-communicable disease clinic, Ban Phue Hospital, and were divided into an experimental group of 25 people and a control group of 25 people. The experimental group received the dietary education program in conjunction with the salt meter for a period of 8 weeks. The control group received only the dietary education program. The research instrument was the dietary education program in conjunction with the salt meter. The data collection tools included a general data recording form, a blood pressure record form, and laboratory test results records, including 24-hour urine sodium content and glomerular filtration rate. The data were analyzed using descriptive statistics. Comparing the mean 24-hour urine sodium content, blood pressure level, and glomerular filtration rate with independent t-test statistics.</p> <p>The results showed that the mean systolic blood pressure values between the experimental group and the control group before and after the program at the 8th week were statistically significantly different (<em>p-value</em> = 0.02). However, the mean 24-hour urine sodium content, the mean diastolic blood pressure, and the mean glomerular filtration rate between the experimental group and the control group before and after receiving the program at the 8th week showed no statistically significant differences. (<em>p-value</em> &gt; 0.05). This research shows that this program can be used in patients with high blood pressure to promote healthy behaviors in order to control levels of blood pressure and prevent various complications that may occur in the future.</p> Sakhorn Sernthaisong Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-02-21 2024-02-21 4 1 e264377 e264377 The Evaluation on the Training Program Curriculum in Nursing Specialization in Child and Adolescent Mental Health and Psychiatric Nursing https://he02.tci-thaijo.org/index.php/jnphr/article/view/265494 <p>The objective of this evaluative research is to assess the context, inputs, processes, and outcomes of the specialized nursing curriculum in Child and Adolescent Mental Health and Psychiatric Nursing, generations 1-4, based on the CIPP Model. Participants includeed 14 administrators and instructors, 74 training completers, and 26 stakeholders. Quantitative data was collected using a curriculum assessment questionnaire encompassing contextual information, input factors, process aspects, and outcome dimensions. Quantitative data was analyzed using inferential statistics, frequency distribution, percentages, mean values, and standard deviations.</p> <p>The results showed that the overall curriculum evaluation was at a high level (Mean = 4.45, S.D. = 0.56), with the highest-rated aspect being the process dimension (Mean = 4.49, S.D. = 0.58), followed by the input factors (Mean = 4.45, S.D. = 0.56), outcomes (Mean = 4.29, S.D. = 0.60), and context (Mean = 4.14, S.D. = 0.41), respectively. These research findings serve as guidelines for curriculum development and improvement, aiming to modernize the curriculum, emphasize support for learning innovations, and promote students' clinical nursing competency and nursing management skills in mental health and psychiatric care for children and adolescents. Continuous monitoring and evaluation of the curriculum's outcomes are necessary to assess the long-term impacts and effectiveness of the curriculum.</p> Kesaraporn Choopun Karnrawee Khamchang Panida Palee Ponthip Thammawong Amavasee Ampansirirat Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-03-12 2024-03-12 4 1 e265494 e265494 Effects of Cooperative Gamification with Peer-assisted Learning on Learning Achievement Outcomes in the Nursing Process and Health Assessment Course https://he02.tci-thaijo.org/index.php/jnphr/article/view/267472 <p>The objective of this quasi-experimental study was to compare the effectiveness of gamification and peer-assisted learning versus the conventional teaching method on learning achievement outcomes toward the nursing process and health assessment course. The sample group consists of 60 second-year nursing students selected by simple random sampling using an electronic randomizer, divided into an experimental group of 30 students and a control group of 30 students. The research instrument was gamification-based learning and buddy. Data collection instruments were the head-to-toe physical examination assessment form, multiple-choice exams assessing health status from physical examination of all body systems, and satisfaction assessment questionnaires on learning and teaching through cooperative gaming and peer assistance. Data analysis included mean and standard deviation, comparing pre- and post-test scores within the experimental group using the Paired t-test, and comparing test scores between the experimental and control groups using independent t-test.</p> <p>The research findings revealed that overall satisfaction with the learning and teaching activities through gamification-based learning and buddy was at the highest level (Mean = 4.60, S.D. = 0.56). After participating in the cooperative gaming with peer assistance learning activities, the experimental group had significantly higher levels of health assessment scores compared to before participating in the learning activities, with statistical significance (<em>p-value</em> &lt; 0.001), and significantly higher scores compared to the control group with statistical significance (<em>p-value</em> &lt; 0.05). Additionally, the experimental group had significantly higher scores in the head-to-toe physical examination assessment after participating in the learning activities, with statistical significance (<em>p-value</em> &lt; 0.05). However, there was no significant difference between the groups in terms of head-to-toe physical examination scores before participating in the learning activities. In conclusion, teaching and learning through gamification-based learning and buddy helped develop knowledge in health assessment and physical examination skills for nursing students in the experimental group, serving as an effective measurement in collaborative learning skill development.</p> Sattha Prakobchai Chayanis Chobarunsitti Renu Kwanyuen Prapassorn Sangiamkulthavorn Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-03-13 2024-03-13 4 1 e267472 e267472 Factors Related to the Intention to Implement Evidence-Based Practice by Nurses in University Hospitals https://he02.tci-thaijo.org/index.php/jnphr/article/view/265928 <p>This descriptive correlational study aimed to examine the intention and factors related to the implementation of evidence-based practice among 393 nurses working in university hospitals. The data collection tools included a questionnaire adapted from Kortteisto et al. (2010), covering the intention to use evidence-based practice, attitude toward evidence-based practice, subjective norms regarding evidence-based practice, and perceived behavioral control over evidence-based practice. The Content Validity Index (CVI) for all aspects was 1, indicating excellent content validity. Data analysis was conducted using descriptive statistic and Spearman correlation coefficients.</p> <p>The research findings indicated that professional nurses working in university hospitals had a positive attitude toward evidence-based practice (Mean= 5.48, S.D. = 1.01). They exhibited a high level of subjective norms regarding evidence-based practice (Mean = 5.57, S.D. = 0.97). Their perceived ability to control and their intention to use evidence-based practice were at a moderate level (Mean = 4.06, S.D. = 0.45, Mean = 4.68, S.D. = 1.18, respectively). Attitude toward evidence-based practice, subjective norms regarding evidence-based practice, and perceived behavioral control over evidence-based practice were significantly positively correlated with the intention to use evidence-based practice among nurses (<em>p-value</em> &lt; 0.01). This study provides guidelines for nursing administrators to support nurses in developing intentions, fostering attitudes, and promoting the ability of nursing staff to apply evidence-based practice continuously.</p> Panupong Sritip Apiradee Nantsupawat Petsunee Thungjaroenkul Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-03-14 2024-03-14 4 1 e265928 e265928 The Influences of Stress, Social Support, and Nursing Care Plan Capability on Nursing Practice among Nursing Students https://he02.tci-thaijo.org/index.php/jnphr/article/view/266832 <p>The objective of this predictive correlational study was to investigate the influence of stress, social support, and capability in nursing care planning on nursing practice among nursing students during fundamental nursing practice at Boromarajonani College of Nursing, Buddhachinaraj. Participants were 123 second-year nursing students in the academic year 2566, selected by simple random sampling. The data collection tools included: 1) stress scale, 2) social support scale, 3) nursing care planning capability scale, and 4) nursing performance scale, with congruence indices of 0.67-1.00, and reliabilities of 0.94, 0.83, 0.89, and 0.91, respectively. Data were analyzed using descriptive statistic, Pearson’s correlation, and stepwise multiple regression analysis.</p> <p>The results showed that the nursing performance had a negative correlation with stress (r= -0.23<em>,</em><em> p-value</em> = 0.005) and a positive correlation with social support from family, friends, and teachers (r=0.21, <em>p-value</em> = 0.009; r=0.25, <em>p-value</em> = 0.006; r=0.19, <em>p-value</em> = 0.02) respectively. Moreover, there was a positive correlation with the capability to plan nursing care (r=0.61, <em>p-value</em> &lt; 0.001). The variables influencing nursing practice were identified as two variables: the capability to plan nursing care and social support from friends, which together predicted nursing practice performance by 40.80% with a coefficient of determination (R<sup>2</sup>) of 0.41 (<em>p-value</em> &lt; 0.05). The findings from this research can be beneficial as fundamental data for the development of teaching management to enhance nursing practice efficiency for nursing students.</p> Supanee Klungrit Suwannee Sroisong Piyapong Sornlob Jindawan Ngaoratsamee Samaphorn Theinkaw Nantawan Teerapong Chantana Sowat Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-03-25 2024-03-25 4 1 e266832 e266832 The Relationship between Competency and Well-Being of Elderly Leaders in Family and Community in Phetchaburi Province https://he02.tci-thaijo.org/index.php/jnphr/article/view/265745 <p>The objectives of this correlation study were to examine the competency and well-being of elderly leaders in families and communities in Phetchaburi province, as well as to explore the relationship between competency and well-being. The participants were selected by 369 elderly leaders aged 60 years and lived in Phetchaburi province. Data collection tools included a competency assessment questionnaire and a well-being assessment questionnaire. The content validity coefficient for both questionnaires was 0.97, and the Cronbach’s alpha reliability coefficient for the competency domain questions was 0.97, while for the well-being domain questions, it was 0.96. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and correlation analysis using Pearson Correlation Coefficient.</p> <p>The research results found that the overall competency leader of the elderly was at a moderate level. The four competency levels with the highest averages were service mind, emotional and personality control, the ability to maintain health equipment, and intentions in morals and ethics, respectively. The overall the well-being of the elderly leaders were at a high level. The five well-being levels with the highest average values ​​were eating, sleeping, environment housing and community satisfaction and, value for society and value to the family, respectively. Competency and well-being of the elderly leaders in family and community in Phetchaburi province had moderately positively correlated statistically significant (r = 0.780, <em>p-value</em> &lt; 0.01). Therefore, it can be concluded that as the competency level of elderly leaders increases, their well-being also increases. Hence, it is advisable to promote or develop high competency in elderly leaders to enhance their well-being.</p> Vanida Durongrittichai Kitisak Rujiganjanarat Nuttaphat Namjud Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-04-10 2024-04-10 4 1 e265745 e265745 Women’s experience of living with covid-19 during pregnancy: A qualitative study https://he02.tci-thaijo.org/index.php/jnphr/article/view/264916 <p>The objective of this qualitative study to describe the experiences of pregnant women infected with COVID-19. The study selected a specific, targeted sample group of 15 women who had experienced COVID-19 infection during pregnancy, were aged between 20-44 years old, and resided in Nakhon Nayok province. Data was collected through in-depth interviews using a semi-structured questionnaire set and analyzed using Brown and Clarke's six-step thematic analysis.</p> <p>The research findings identified five main points regarding the experiences of pregnant women with COVID-19 infection: 1) fear and impact of COVID-19 infection during pregnancy; 2) coping with the fear and impact of COVID-19 infection during pregnancy; 3) support for pregnant women infected with COVID-19; 4) knowledge about COVID-19 and post-COVID conditions among pregnant women infected with COVID-19 during pregnancy, and 5) practices to prevent the spread of COVID-19 infection among pregnant women infected with COVID-19 during pregnancy. This study reveals the deep experiences of COVID-19 during pregnancy and the need for assistance desired from the healthcare system to provide knowledge about viral infection in pregnant women, which is crucial for preventing COVID-19 infection during pregnancy and ensuring the quality of life for both mothers and infants in the future.</p> Paradee Boonperm Patcharin Ngoenthong Pulawit Thongtaeng Sujitra Chaiwuth Chadaporn Wattanawilai Nongyao Lawin Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-04-10 2024-04-10 4 1 e264916 e264916 Entrepreneurial Mindset of Professional Nurses https://he02.tci-thaijo.org/index.php/jnphr/article/view/264564 <p>Professional nurses who are embarking on their journey as entrepreneurs should prioritize formal nursing examinations and research into the most beneficial business resources, with a focus on nursing. Their goal should be to establish and expand a business or organization that supports the healthcare system and fosters financial success. Most nurses aspiring to run a successful business possess critical entrepreneurial traits, such as innovative ideas, enthusiasm for their work, determination, passion, and a strong desire for success. They invest significant effort in achieving their goals and have the courage to explore new avenues. Additionally, they have knowledge and understanding of risk management, remain flexible in dealing with changing situations, and effectively address problems as they arise. They believe in themselves, possess the ability to control their actions, and have high confidence in their own abilities. They demonstrate innovative thinking and creative design skills. They are capable of recognizing and identifying business opportunities, with a firm grasp of business development. They exhibit strong leadership qualities, promote teamwork, and foster a culture of inspiration for organizational development. The entrepreneurial mindset of professional nurses serves as a driving force for self-development as well as for the development of businesses or organizations and the enhancement of the healthcare industry through the pursuit of opportunities, creative thinking, research, digital technology, and innovation within the bounds of the law and professional ethics.</p> Khunatpakorn Makkabphalanon Nattiya Peansungnern Jutamast Wongjan Weerawat Thangthum Natchaya Palacheewa Pramote Thangkratok Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2023-12-27 2023-12-27 4 1 e264564 e264564 Subjective Career Success: Strategies for Nurse Retention https://he02.tci-thaijo.org/index.php/jnphr/article/view/265727 <p>The nursing shortage is an important problem that needs appropriate management strategies. Subjective career success is an important strategy because it reflects the person's perception of their own career success, increases job retention, and decreases the problem of nursing shortages. This article aims to present the concept of subjective career success, its factors, and methods to promote the subjective career success of nurses, which consist of job success, interpersonal success, financial success, hierarchical success, and life success. This is important for nursing administrators to develop the management of nursing personnel in the organization.</p> Natthawat Wongchan Kulwadee Abhicharttibutra Copyright (c) 2023 Journal of Nursing and Public Health Research https://creativecommons.org/licenses/by-nc-nd/4.0 2024-04-17 2024-04-17 4 1 e265727 e265727