Journal of Nursing and Public Health Research

Magnet Hospitals Concept: Application to Reduce Nurses Burnout

Natthawat Wongchan — 2024-12-25

Nurse burnout is a major health system problem that negatively affects nursing outcomes, including nurses’ organizational commitment, nurse productivity, quality of care, patient safety, and patient satisfaction. Studies on reducing burnout found that work environment is a key factor influencing job burnout. Magnet hospitals concept focuses on creating a suitable working environment for nurses, which can be applied to reduce nurses' burnout. This academic article aims to explain the Magnet hospitals concept and its application through a new five-component model, which includes: 1) Transformational leadership, 2) Structural empowerment, 3) Professional practice models, 4) New knowledge, innovation, and improvement, and 5) Empirical quality outcomes. These components provide a framework for nurse administrators to manage healthcare organizations effectively. Implementing this approach can enhance job satisfaction among nurses, reduce burnout levels, improve nursing quality, ensure patient safety, and ultimately guide organizations toward achieving their goals

The Role of Public Health Nurses in Urban Areas among Frailty Screening and Assessment

Saranya Pimolkatekul — 2025-04-21

The growing aging population, particularly in urban areas, presents significant challenges for healthcare systems. Frailty is a condition characterized by the decline of various organs or bodily systems and is commonly found among older adults. This condition increases the risk of adverse health outcomes, such as falls, fractures, and reduced quality of life. Screening for frailty is essential in identifying at-risk individuals. The FRAIL scale is an effective screening tool that is easy to use, accessible, time-efficient, and applicable in both urban communities and elderly care settings. This article highlights the critical role of public health nurses in urban areas among frailty screening and assessment, based on guidelines from the Ministry of Public Health and a literature review. It emphasizes the importance of early detection, frailty prevention, and health promotion among older adults in urban settings through evidence-based practices. Maintaining physical, cognitive, and nutritional capacities is essential to addressing the specific needs of urban older adults, ultimately improving health outcomes and reducing the burden on public health systems.

Effects of a Health Perception Enhancement and Social Support Program on Health Security among Older Adults with Non-Communicable Diseases in Phayao Province

Siriporn Sangsrijan — 2025-03-04

This quasi-experimental study aimed to examine the effects of a health perception enhancement and social support program on health security among older adults with chronic non-communicable diseases (NCDs) in Phayao Province. The sample consisted of 70 older adults with chronic NCDs, divided into an experimental group (35 participants) and a control group (35 participants), as well as 38 caregivers of older adults with chronic NCDs. The experimental group received training to enhance health perception, while the caregivers received training to strengthen social support based on the program. The control group received standard care from healthcare facilities. The research instruments included the health perception enhancement and social support program, which comprised training activities for older adults in the experimental group and for caregivers, a health promotion manual for older adults with chronic NCDs, a caregiver’s manual for older adults with chronic NCDs, and discussion topics for knowledge exchange between older adults with chronic NCDs and their caregivers. Data collection tools included a general information questionnaire and a health security questionnaire. Descriptive statistics were used for general data analysis, while outcome comparisons before and after participation in the program were conducted using a Paired t-test within groups and an Independent t-test between groups.

The study results indicated that after participating in the program for eight weeks, the experimental group demonstrated a good level of health security. Their mean health security score at week 8 was significantly higher than at week 1 before receiving the program and was also significantly higher than that of the control group (p-value < 0.001). Therefore, healthcare professionals can apply this program to enhance health security among older adults with chronic non-communicable diseases or adapt it for use in other areas with similar populations.

The Effectiveness of Advanced Cardiopulmonary Resuscitation Training Using Multimedia Teaching Materials on Knowledge, Attitudes, and Practical Skills in Advanced Cardiopulmonary Resuscitation Among Nursing Students

Eakachai Kantawong — 2025-03-06

A quasi-experimental one-group pretest-posttest study aimed to evaluate the effectiveness of advanced cardiopulmonary resuscitation (ACLS) training using multimedia teaching materials on the knowledge, attitudes, and practical skills of nursing students. The sample, selected through simple random sampling, consisted of 30 nursing students from Boromarajonani College of Nursing, Chiang Mai. The training program incorporated multimedia teaching materials, including an educational video on ACLS, a digital ACLS manual, scenario-based simulation videos, and a virtual simulation for hands-on ACLS skill training. Data collection tools included a general information questionnaire, knowledge assessment, attitude assessment, and practical skills evaluation. Descriptive statistics were used for general data analysis, Wilcoxon Signed-Rank test for knowledge and skills assessment, and paired t-test for attitude scores.

Results showed that after training, participants had significantly higher mean scores in knowledge (z = -4.79, p-value < 0.001), attitudes (t = -7.98, p-value < 0.001), and ACLS skills (z = -4.90, p-value < 0.001) compared to pre-training. These findings suggest that multimedia-assisted ACLS training effectively enhances nursing students' knowledge, attitudes, and skills.

Predictive Factors of the Perception of the Impact of Adolescent Pregnancy among High School Students in Mueang District, Phetchaburi Province

Prasit Sirited — 2025-02-27

This predictive research aimed to study the perception of the impact of teenage pregnancy and analyze the predictive factors influencing high school students' perception of its impact in Mueang District, Phetchaburi Province. The sample consisted of 380 high school students in grades 10-12. The data collection tools included a questionnaire covering general information, knowledge of pregnancy prevention, risky sexual behaviors, access to contraceptive methods, exposure to information, and perception of the impact of teenage pregnancy. Data were analyzed using descriptive statistics, including frequency and percentage, and multiple regression analysis using the Enter method.

The study found that 92.40% of the participants had a high level of perceived impact of teenage pregnancy. Five factors were identified as predictors of this perception: sexual experience (ß = 0.24), having a romantic partner (ß = -0.26), condom use during sexual intercourse (ß = -0.20), exposure to information (ß = -0.15), and knowledge of pregnancy prevention (ß = 0.13). These five factors collectively predicted 7.40% of the variance in the perception of the impact of teenage pregnancy, with statistical significance at the 0.05 level. Based on these findings, educational institutions and relevant organizations can use this information to develop policies or plan activities that promote knowledge, shape attitudes, and enhance healthcare services that support accessibility. Additionally, they can improve channels for disseminating accurate and appropriate information to adolescents more effectively.

The Effectiveness of the Metaverse Virtual Classroom on Learning Achievement in Anatomy and Physiology of the Digestive System among Nursing Assistant Students

Nattanun Kumpiriyapong — 2025-03-18

This quasi-experimental research with a one-group pretest-posttest design aimed to study the effects of learning management through a metaverse virtual classroom on academic achievement and satisfaction in the Anatomy and Physiology course, focusing on the digestive system, for nursing assistant students. The sample consisted of 71 nursing assistant students selected through purposive sampling. The research instruments included a metaverse virtual classroom for the Anatomy and Physiology course on the digestive system, developed using the ADDIE Model. Data collection instruments comprised pre-post tests and a satisfaction assessment form for learning through a metaverse virtual classroom. Data were analyzed using descriptive statistics, and academic achievement before and after participation was compared using paired t-test.

Results showed that the sample group had a mean academic achievement score after participating in a metaverse virtual classroom learning of 7.93 (S.D. = 1.59), which was significantly higher than before participation, with a mean score of 5.18 (S.D. = 1.39) (p-value < 0.001). Overall satisfaction with a metaverse virtual classroom was at a very good level (Mean = 4.64, S.D. = 0.61). When examining individual aspects, the highest mean score was found for the statement that a metaverse virtual classroom helped increase understanding of the content (Mean = 4.70, S.D. = 0.52). This study demonstrates that utilizing metaverse virtual classrooms can effectively enhance nursing assistant students' knowledge of anatomy and physiology, and this approach can be developed for other courses to further improve academic achievement.

The Perspective of Service Recipients on the Effectiveness of Mail-Order Medication for Diabetic Patients during the COVID-19 Pandemic

Suttini Wattanakul — 2025-03-20

This mixed-methods research aimed to examine the effectiveness of mail-order medication delivery for patients with diabetes based on service users' perceptions. The study sample consisted of 299 diabetic patients receiving services from six public hospitals. Quantitative data were collected using a questionnaire assessing the quality of medication delivery services according to postal medication delivery standards, while qualitative data were gathered through interviews focusing on service quality, patient satisfaction, and the impact of the mail-order medication delivery system. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed through content analysis and categorized into themes.

The results found that the perceived quality of mail-order medication delivery services, based on delivery criteria, was mostly rated as very good. Specifically, patients highly rated the accuracy of the received medications, timeliness of delivery, medication safety, and completeness of accompanying drug information. Two aspects of delivery quality were rated as having good efficiency: permission to record conversations during consultations (Mean = 2.62, S.D. = 1.32) and receiving injectable medications with proper temperature control (Mean = 2.96, S.D. = 1.32). The impact of the service was found to be positive, as it reduced waiting times for medication at hospitals, decreased travel expenses for medication pickup, and minimized the risk of disease exposure. The mail-order pharmacy service is considered a beneficial innovation, particularly during crises or outbreaks. However, further development is needed to ensure the delivery process meets standardized requirements, alongside the integration of telehealth services for patient health monitoring.

Knowledge, Attitudes, and Preventive Behaviors Toward Coronavirus Disease 2019 Infection Among Pregnant Women Attending an Antenatal Clinic at a General Hospital in Chiang Mai Province

Prapaisri Kabmala — 2025-03-21

This cross-sectional descriptive study aimed to examine the levels of knowledge, attitudes, and preventive behaviors regarding coronavirus disease and explore the relationships among these factors among pregnant women who received antenatal care at general hospitals in Chiang Mai Province. The study sample consisted of 380 pregnant women attending antenatal care, selected through cluster random sampling. The research instruments included a personal information questionnaire, a knowledge assessment questionnaire on coronavirus disease, an attitude questionnaire on coronavirus disease, and a questionnaire on preventive behaviors against coronavirus disease. Data were analyzed using descriptive statistics, Spearman's rank correlation coefficient, and Pearson’s correlation coefficient.

The research findings revealed that the participants demonstrated a good level of knowledge (Mean = 18.49, S.D. = 1.53), attitudes (Mean = 65.32, S.D. = 6.83), and preventive behaviors against COVID-19 (Mean = 51.91, S.D. = 5.05), respectively. Additionally, attitudes toward COVID-19 were found to have a low positive correlation with preventive behaviors against COVID-19, with statistical significance (r = 0.33, p-value < 0.01). However, knowledge about COVID-19 was not correlated with either attitudes toward COVID-19 or preventive behaviors against the disease. Therefore, pregnant women with positive attitudes toward COVID-19 prevention are more likely to engage in appropriate preventive behaviors. It is recommended to implement activities that promote positive attitudes among pregnant women to encourage proper infection prevention behaviors, thereby reducing potential health risks for both pregnant women and their unborn children.

The Effect of a Self-Efficacy Enhancement Program on the Determination to Refuse Kratom Use Among University Students in Nakhon Ratchasima Province

Rapeepat Rakguson — 2025-03-27

This quasi-experimental study aimed to examine the effects of a self-efficacy enhancement program on the commitment to refusing kratom use. The sample consisted of 56 university students from an institution in Nakhon Ratchasima province, divided into an experimental group (27 participants) and a control group (29 participants). The research instruments included the self-efficacy enhancement program for commitment to refusing kratom use, a personal information record, and a questionnaire measuring commitment to refusing kratom use. General data were analyzed using descriptive statistics. The mean scores for commitment to refusing kratom use were compared within the experimental group before and after participation in the program using the Wilcoxon Signed Rank Test. Additionally, post-program comparisons between the experimental and control groups were conducted using the Mann-Whitney U test.

The results indicated that after participating in the program, the experimental group had significantly higher mean scores for commitment to refusing kratom use compared to before the intervention (p-value < 0.001) and significantly higher scores than the control group (p-value < 0.001). These findings suggest that the self-efficacy enhancement program effectively improved university students' skills in refusing kratom use. Further research should focus on long-term follow-up to assess the sustainability of this behavior change.

Effects of Developing Registered Nurses' Competency in Assessing Emergency Cases and Severity in Outpatient Triage and Clinical Incidents at the Outpatient Department of Hangdong Hospital, Chiang Mai Province

Duangdao Likhittrakran — 2025-03-27

This one-group quasi-experimental study aimed to examine the effects of developing the competencies of professional nurses in assessing the urgency and severity of outpatients and clinical incidents in the outpatient department of Hang Dong Hospital, Chiang Mai Province. The sample consisted of 15 professional nurses selected through purposive sampling. Research instruments included 1) a training program using simulated scenarios; 2) a competency assessment tool for evaluating urgency and severity; 3) an accuracy assessment form for outpatient urgency and severity evaluation; and 4) a clinical incident data recording form. Data were analyzed using descriptive statistics, one-way repeated measures analysis of variance, and the chi-square test.

The study found that after training using simulated scenarios, the participants' competency scores in assessing the urgency and severity of outpatients significantly differed before and after training, as well as four weeks post-training, at a statistical significance level of 0.05. However, there was no significant difference in the accuracy of outpatient urgency and severity assessments or the number of clinical incidents before and four weeks after training. Therefore, the training program using simulated scenarios can be applied to enhance the competency of professional nurses in outpatient departments, ultimately improving the quality of outpatient care.

The Effects of Cooperative Learning Based on the Jigsaw Technique on the Learning Achievement and 21st Century Learning Skills of Nursing Students

Tip Luechai — 2025-03-28

This quasi-experimental study aimed to compare the learning achievement and 21^st-century learning skills of students enrolled in the bachelor of nursing science program between those who received cooperative learning using the jigsaw technique and those who received lecture-based learning. The sample consisted of 155 second-year nursing students from Boromarajonani College of Nursing, Chiang Mai, selected through purposive sampling. Research instruments included a lesson plan for the Adult Nursing 1 course on infectious and tropical diseases, incorporating cooperative learning using the jigsaw technique, an academic achievement test, and a 21^st-century learning skills questionnaire. Data were analyzed using descriptive statistics and the Independent t-test.

The study found that nursing students who received cooperative learning through the jigsaw technique demonstrated significantly higher learning achievement and 21^st-century learning skills than those who received lecture-based instruction (p-value < 0.001). These findings highlight the effectiveness of the jigsaw technique in promoting deep learning, enabling students to enhance their academic performance while developing essential 21^st-century skills. Therefore, integrating the jigsaw technique with other teaching methods and expanding its application across various nursing courses and specialties is recommended. This approach can further enhance students’ academic achievement and equip them with learning skills that align with the demands of the 21^st century.

Comparison of Lowering Blood Pressure and Heart Rate Variability Between Slow and Diaphragmatic Breathing Exercises in Male Prehypertensive Persons Aged 18-25 Years

Prapawadee Pirompol — 2025-03-31

This randomized controlled experimental study aimed to examine changes in blood pressure (BP) and heart rate variability (HRV) following diaphragmatic breathing and slow breathing exercises. The sample consisted of 27 males aged 18–25 years at risk of hypertension. Stratified random sampling was used to divide participants equally into three groups: the control group, the slow breathing exercise (SBE) group, and the diaphragmatic breathing exercise (DBE) group. Data were collected over four weeks. Research instruments included an OMRON blood pressure monitor to assess BP changes and a Polar Team 2 device to measure HRV changes. Data were analyzed using Two-way Mixed ANOVA.

The study found that both breathing exercises effectively reduced systolic blood pressure (SBP) and pulse pressure (PP) from weeks 2 to 4. Diaphragmatic breathing significantly decreased SBP (p-value = 0.041, 0.047, 0.018) and PP (p-value = 0.006, 0.003, 0.043), while slow breathing significantly reduced SBP (p-value = 0.018, 0.009, 0.004) and PP (p-value = 0.003, 0.001, 0.001). In conclusion, practicing breathing exercises for at least two weeks can lower blood pressure without affecting heart rate variability in males aged 18-25 years at risk of hypertension.

Development of a Nursing Practice Guideline for Patients with Ischemic and Obstructive Cerebrovascular Disease Treated with Cerebral Artery Catheterization at Udon Thani Hospital

Yupaporn Watcharachosttrakoon — 2025-04-18

This research and development study aimed to develop and evaluate the effectiveness of nursing practice guidelines for patients with ischemic and obstructive cerebrovascular disease treated with cerebral artery catheterization at Udon Thani Hospital. The research process consisted of four phases: (1) reviewing the current situation and problems, (2) developing nursing practice guidelines, (3) implementing the guidelines, and (4) evaluating and disseminating the guidelines. The purposive sample included a guideline development team of 4 members, 30 professional nurses working in the emergency unit, stroke unit, and cerebral artery catheterization room, and 100 patients with ischemic and obstructive cerebrovascular disease treated with cerebral artery catheterization. The patients were divided into two groups: 50 in the control group and 50 in the experimental group. Research instruments included the developed nursing practice guidelines, an evaluation form for guideline implementation, and personal data recording forms for nurses and patients. Data analysis was conducted using descriptive statistics, Independent t-test, Chi-square test, and Paired t-test.

The research findings revealed that the nursing practice guidelines comprised four key components: 1) guidelines for screening patients with indications for cerebral artery catheterization; 2) nursing care before the procedure; 3) nursing care during the procedure; and 4) nursing care after the procedure. These guidelines resulted in 97.20% of nurses achieving an excellent level of performance. Clinical outcomes between the control and experimental groups showed that the experimental group had significantly fewer hospital days, reduced complications, lower levels of disability, and greater improvement in functional ability (p-value < 0.05). Therefore, these nursing practice guidelines are effective in preventing and reducing post-procedural complications in patients undergoing cerebral angiography and can be adapted for use in managing other vascular conditions at Udon Thani Hospital and its network facilities.

The Effects of a Self-Efficacy Enhancement Program Using Simulation Scenarios on Knowledge, Skills, and Self-Efficacy in Advanced Cardiovascular Life Support Among Nursing Students

Phitinan Isarangura Na Ayudhaya — 2025-04-18

This quasi-experimental research with a pretest-posttest control group design aimed to examine the effects of a self-efficacy enhancement program using simulation scenarios on knowledge, skills, and self-efficacy in advanced resuscitation among nursing students at Boromarajonani College of Nursing, Chiang Mai. The sample consisted of 120 third-year nursing students, selected through simple random sampling and divided equally into an experimental group and a control group (60 participants each). The intervention tool was a self-efficacy enhancement program using simulation scenarios, which included patient simulations, mannequins, task trainers, and demonstration videos. Data collection instruments included an advanced resuscitation knowledge test, an advanced resuscitation skills assessment, and a self-efficacy assessment in advanced resuscitation. Descriptive statistics were used to analyze general data, and Independent t-test was employed to compare knowledge, skills, and self-efficacy in advanced resuscitation between the experimental and control groups.

The research findings revealed that after participating in the self-efficacy enhancement program using simulation scenarios, the experimental group had significantly higher mean scores in knowledge, skills, and self-efficacy compared to the control group (p-value < 0.001). These results highlight the importance of simulation-based training in medical education to enhance students' competencies in managing critically ill and emergency patients. Enhancing students’ self-efficacy through simulation scenarios can increase their confidence and proficiency in real clinical practice.

The Relationship between Health Status and Health Behaviors of the in Ban Pong Din, Pa Miang Subdistrict, Doi Saket District, Chiang Mai Province

Sarinyaporn Chandeekaewchakool — 2025-04-18

This cross-sectional research aimed at examining the relationship between health status and health behaviors among residents of Ban Pong Din. The sample consisted of 109 individuals aged 15 years and older who participated in a health screening. Participants were selected using purposive sampling. Data collection tools included a personal information record form, a health status questionnaire, and a health behavior questionnaire. Data were analyzed using descriptive statistics and Pearson's correlation coefficient.

The results revealed that most participants had an overall low level of health behaviors (Mean = 1.05, S.D. = 0.25). Body Mass Index (BMI) was found to have a low positive correlation with health-risk behaviors, with statistical significance (r = 0.36, p-value < 0.01). Blood pressure showed a low negative correlation with both health-promoting behaviors and health-risk behaviors (r = 0.25, p-value < 0.01). Additionally, mental health status had a low positive correlation with health-promoting behaviors (r = 0.20, p-value < 0.05). Based on the findings, nurses and staff at sub-district health promoting hospitals can use this information to plan health promotion activities aimed at modifying community members’ behaviors, with the goal of preventing the onset of new chronic diseases. Moreover, these activities may encourage individuals with chronic conditions to adopt healthier behaviors, thereby reducing the risk of disease complications.