Journal of Nursing and Public Health Research

Effects of a Case-Based Medication Adherence Promotion Program among Uncontrolled Hypertensive Patients at a Private Hospital in Bangkok

Siriwan Turongruang, Sasiwan Ngamjamrat — Tue, 16 Jun 2026 00:00:00 +0700

This quasi-experimental study with a two-group pretest–posttest design aimed to: 1) compare medication adherence scores and blood pressure levels among patients with uncontrolled hypertension before and after participation in a case management medication adherence promotion program; 2) compare medication adherence scores and blood pressure control outcomes between the experimental and control groups after the intervention; 3) compare adaptation scores based on Roy’s Adaptation Theory between the experimental and control groups after the intervention; and 4) examine patient satisfaction with the program. The sample consisted of 60 patients with uncontrolled hypertension and low medication adherence scores, divided equally into an experimental group and a control group (30 participants each) using matching and random assignment. The experimental group received a case management medication adherence promotion program developed based on Roy’s Adaptation Theory integrated with the World Health Organization’s five-dimensional adherence framework for a period of 6 weeks, with continuous support through the Line application throughout the study. The control group received standard care. Research instruments included the 8-item Morisky Medication Adherence Scale (MMAS-8), the Roy Adaptation Assessment Questionnaire, and a satisfaction questionnaire. Data were analyzed using independent and paired t-tests.

The findings revealed that, after completion of the program, the experimental group demonstrated a statistically significant increase in medication adherence scores from 3.80 to 6.40 points (p-value < 0.001), which was significantly higher than that of the control group (p-value < 0.001). The experimental group also achieved a mean reduction in systolic blood pressure of 19.70 mmHg, and 70% of participants achieved the treatment target of <130/80 mmHg compared with 30% in the control group (p-value = 0.001; RR = 2.33; NNT = 2.50). In addition, the experimental group had significantly higher adaptation scores across all four modes of Roy’s Adaptation Theory compared with the control group (p-value < 0.001). Participants also reported a very high level of satisfaction with the program (Mean = 4.60, S.D. = 0.40). Therefore, the case management medication adherence promotion program based on Roy’s Adaptation Theory combined with digital support through the Line application was effective in improving medication adherence, reducing blood pressure, and enhancing holistic adaptation among patients with uncontrolled hypertension. The program should be applied in primary healthcare services and extended to the management of other chronic diseases.

Effects of a Self-Management Program on Slowing the Progression of Stage 3 Chronic Kidney Disease in the Primary Care Network of Mueang Chi Health Promoting Hospital, Mueang Lamphun District, Lamphun Province, Thailand

Sirimas Pongkhanngern — Wed, 01 Jul 2026 00:00:00 +0700

This quasi-experimental study employed a one-group pretest–posttest design to compare the mean knowledge scores, self-management behavior scores, and estimated glomerular filtration rate of patients with stage 3 chronic kidney disease before and after participation in a self-management program. The sample consisted of 40 patients with stage 3 CKD and comorbid diabetes mellitus and/or hypertension who received care at the chronic disease clinic of the Primary Care Network, Mueang Chi Health Promoting Hospital, Lamphun Province, Thailand. Participants were selected using simple random sampling. The research intervention was a self-management program developed based on the Self-Management Concepts of Kanfer and Gaelick-Buys integrated with the 5A Behavior Change Model for Self-Management Support. Data collection instruments included a CKD knowledge questionnaire and a self-management behavior assessment questionnaire. Data were analyzed using descriptive statistics, and pretest–posttest comparisons were performed using the paired t-test.

The results showed that after participating in the self-management program, the participants’ mean knowledge score significantly increased from 19.85 (S.D. = 2.49) to 21.90 (S.D. = 2.59), and the mean self-management behavior score significantly increased from 68.72 (S.D. = 14.91) to 77.60 (S.D. = 7.79) (p-value < 0.001). However, no statistically significant difference was found in the mean estimated glomerular filtration rate (eGFR) before and after participation in the program (p-value = 0.14). These findings indicate that the self-management program effectively improved knowledge and self-management behaviors among patients with stage 3 CKD. Although no significant change in eGFR was observed during the 12-week intervention period, the program may serve as a useful approach for enhancing nursing services and chronic kidney disease management in primary care settings by promoting patients’ self-management capabilities.

Factors Influencing Infection Prevention and Control Behaviors Among Registered Nurses

Thu, 09 Jul 2026 00:00:00 +0700

This predictive correlational study aimed to examine the level of infection prevention and control behaviors and the factors influencing these behaviors among registered nurses. The sample consisted of 135 registered nurses working at Vajira Hospital, selected through multistage sampling. The research instrument was a set of questionnaires comprising demographic information, perceived susceptibility, perceived severity, perceived benefits, perceived self-efficacy, cues to action, health literacy, and infection prevention and control behaviors. Data were analyzed using descriptive statistics, and predictive factors were analyzed using stepwise multiple regression analysis.

The results showed that most registered nurses demonstrated a very high level of infection prevention and control behaviors, accounting for 87.41%. Stepwise multiple regression analysis revealed that health literacy (ß=0.47), cues to action (ß=0.24), and perceived benefits (ß=0.16) jointly predicted infection prevention and control behaviors among registered nurses, explaining 55.70% of the variance (R² = 0.55, Adjusted R² = 0.54, F = 54.90, p-value < 0.001). These findings can be used as a guideline for designing innovations or programs to promote infection prevention and control behaviors among registered nurses by enhancing health literacy, establishing clear cues to action, and strengthening perceived benefits of adherence to standard practices.

Development of a Participatory Model for Promoting Early Childhood Development by Grandparent Caregivers: A Case Study of Huai Yang Kham Child Development Center, Chun District, Phayao Province

Jutamas Ponmark, Pradchayaporn Thisara, Saengduean Lamsri — Tue, 14 Jul 2026 00:00:00 +0700

This action research aimed to develop a participatory model for promoting early childhood development among grandparents at Huai Yang Kham Child Development Center, Chun District, Phayao Province. The participants consisted of two groups: 1) a model development group comprising seven stakeholders, including a child development center teacher, representatives from the local administrative organization, a subdistrict health-promoting hospital, village health volunteers, and grandparents; and 2) an implementation group consisting of 20 grandparents serving as primary caregivers of children from skipped-generation families. The research instruments included: 1) a participatory model for promoting early childhood development among grandparents, 2) a semi-structured interview guide exploring the current situation of grandparents' practices in promoting child development, and 3) a questionnaire assessing grandparents' child development promotion behaviors. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using descriptive statistics and the paired t-test.

The results indicated that the developed participatory model for promoting early childhood development among grandparents was comprised of 4 activities: 1) surveillance and promotion of child development using the Developmental Surveillance and Promotion Manual (DSPM); 2) providing caregivers with knowledge and skills about developmental promotion; 3) monitoring of child development; and 4) developing a system for referring children who are suspected of developmental delays. An evaluation of the implementation of the grandparent-participatory model for promoting early childhood development revealed a statistically significant difference (p-value < 0.01) in the average scores of grandparents’ child-development-promoting behaviors prior to and post-implementation. Findings suggest that healthcare professionals can apply this model to promote early childhood development in skipped-generation families through the encouragement of grandparents' participation and effectively screening and referring children suspected of developmental delays.

Current Situation and Development Approach for Health Services to Enhance Health Literacy and Self-Management Among Patients with Chronic Obstructive Pulmonary Disease

Wed, 05 Aug 2026 00:00:00 +0700

This qualitative phenomenological research aimed to explore the current situation and development approach for health services designed to enhance health literacy and self-management skills among patients with Chronic Obstructive Pulmonary Disease (COPD). The study was conducted in COPD clinics of hospital under the Ministry of Public Health in a southern province of Thailand. The participants consisted of 15 professional nurses and 38 COPD patients. Data were collected using open-ended questions, verified using methodological triangulation and peer debriefing, and analyzed using content analysis according to the reflexive thematic analysis process.

The findings revealed that the current service delivery situation can be divided into four main themes: 1) service delivery models, 2) health literacy and self-management skills status, 3) systemic obstacles to service access, and 4) psychosocial impacts and economic burdens. The guidelines for healthcare service development are divided into six main themes: 1) developing integrated service models, 2) enhancing practical skills of patients, 3) establishing a screening and follow-up system for patients based on severity, 4) creating learning materials that meet patient needs, 5) increasing two-way communication channels for symptom monitoring, and 6) supporting the role of families and communities. This study indicates that healthcare services lack continuity. Patients also possess insufficient health literacy and self-management skills regarding. Meanwhile, service delivery is constrained by limited time, personnel, and learning resources. The acquired knowledge can be utilized to develop service approaches that meet patients' needs, resulting in a better quality of life and reducing the burden on the healthcare system.

The Effect of a Mindfulness-Based Cgnitive Therapy Program on Anxiety and Depression among Patients with Breast Cancer Receiving Chemotherapy

Thu, 06 Aug 2026 00:00:00 +0700

This quasi-experimental study using a two-group repeated-measures design aimed to examine the effects of a Mindfulness-Based Cognitive Therapy (MBCT) program on anxiety and depression among patients with breast cancer receiving chemotherapy. The sample consisted of 40 patients with breast cancer receiving chemotherapy at the outpatient department of Chonburi Cancer Hospital. The research participants were divided into two groups: an experimental group and a control group, with 20 participants in each group. The experimental group participated in the MBCT program consisting of four sessions, each lasting 60-90 minutes, whereas the control group received usual care. The research instruments included the MBCT program and the Thai version of the Hospital Anxiety and Depression Scale (HADS). Data were collected at three time points: before the intervention, immediately after the intervention, and at follow-up. Data were analyzed using repeated-measures analysis of variance, and pairwise comparisons were performed using the Bonferroni post hoc test.

The results revealed that participants in the experimental group had significantly lower mean anxiety scores at both the post-intervention and follow-up assessments compared with the pre-intervention assessment (F_(2,38) = 267.77, p-value < 0.001, η² = 0.93). Similarly, the mean depression scores significantly decreased following the intervention (F_(2,38) = 376.66, p-value < 0.001, η² = 0.95). Between-group comparisons showed that the experimental group had significantly lower mean anxiety scores than the control group at both the post-intervention and follow-up assessments (F_(2,76) = 99.92, p-value < 0.001, η² = 0.72). Likewise, the experimental group demonstrated significantly lower mean depression scores than the control group (F_(2,76) = 120.77, p-value < 0.001, η² = 0.76). The findings indicate that the Mindfulness-Based Cognitive Therapy (MBCT) program was effective in reducing anxiety and depression among patients with breast cancer receiving chemotherapy. The program should therefore be integrated into standard care to enhance the effectiveness of psychosocial care and rehabilitation for this patient population.

Experiences and Meanings of Buddhist Beliefs and Lower Lanna Cultural Values in Family Members' Decision-Making for Critically Ill Patients: A Hermeneutic Phenomenological Study

Thu, 06 Aug 2026 00:00:00 +0700

This qualitative study aimed to understand and interpret the meanings of Buddhist beliefs and Lower Lanna cultural practices within the decision-making experiences of family members of critically ill patients in Uttaradit, Phrae, and Nan provinces. A hermeneutic phenomenological qualitative approach was employed. Sixteen key informants were selected using purposive and snowball sampling. Data were collected through individual in-depth interviews and analyzed using van Manen's thematic analysis.

The finding revealed four major themes: 1) illness interpretation through a karmic and merit-based lens that motivated active caregiving rather than passive acceptance; 2) the use of Lower Lanna cultural rituals including life-extension ceremonies, votive offerings, and merit dedication as mechanisms for managing uncertainty in crisis situations; 3) seniority-based family authority structures and the role of Buddhist monks as ethical consultants who share collective moral responsibility in decision-making; and 4) the application of Buddhist teachings on intention and letting go to derive meaning and adapt to outcomes. The essence of the experience revealed that Buddhist beliefs and Lower Lanna cultural practices function as a "meaning space" enabling family members to sustain dignity amid uncertainty, operating alongside biomedical care as complementary systems rather than barriers to treatment. The contribution of this study lies in uncovering the meaning dimensions of decision-making within the Lower Lanna cultural context, an area that has not been systematically examined. Nurses should assess family belief systems as part of initial admission, provide space and time for families to perform cultural rituals alongside medical treatment, and communicate medical information in ways that reasonably accommodate family consultation with elders and Buddhist monks.

Effects of a Program Based on the COM-B Model and the Behaviour Change Wheel on Food Sanitation Knowledge, Practices, and Motivation Among Food Handlers, and on the Physical and Biological Standards of Street Food Stalls in Phuket Municipality

Fri, 07 Aug 2026 00:00:00 +0700

This quasi-experimental study aimed to examine the effects of a program based on the COM-B model and the Behaviour Change Wheel (BCW) theory on food sanitation knowledge, behaviors, and motivation among food handlers, as well as the physical and biological food sanitation standards of street food vendors in Phuket City Municipality. Sixty participants were recruited and equally assigned to an experimental group (n=30) and a control group (n=30). The research instruments included a COM-B and Behaviour Change Wheel-based intervention program, a demographic questionnaire, a food sanitation knowledge test, questionnaires assessing food sanitation practices and motivation, and a food sanitation standards inspection checklist. Data were analyzed using descriptive statistics, paired t-test, independent t-test, analysis of covariance (ANCOVA), one-way repeated measures ANOVA, and two-way repeated measures ANOVA.

The results showed that, after the intervention, the experimental group demonstrated significantly higher food sanitation knowledge, practices, and motivation than before the intervention (p-value < 0.001) and significantly higher scores than the control group (p-value < 0.001). The physical food sanitation standards of street food stalls in the experimental group improved significantly at Weeks 8, 12, and 16 (p-value < 0.001) and were significantly higher than those of the control group. Although the biological food sanitation standards improved in both groups compared with baseline, no significant difference was found between the groups (p-value = 0.08). The findings suggest that the COM-B model and Behaviour Change Wheel-based program is effective in improving food sanitation knowledge, practices, motivation, and physical sanitation standards among food handlers. The program may serve as a practical guideline for public health agencies, local administrative organizations, and street food vendors to enhance food sanitation practices and strengthen food safety.

The Effects of Using a LINE Official Account Application on Knowledge, Attitudes, and Intentions to Use E-Cigarettes among Undergraduate Students

Sirisup Sihawong, Kitti Laosupap, Phusanisa Meenakete, Sarayut Duangta — Thu, 13 Aug 2026 00:00:00 +0700

This one-group pretest–posttest quasi-experimental study aimed to compare the effects of a LINE Official Account (LINE OA) application on knowledge, attitudes, and intention to use electronic cigarettes among 39 undergraduate students from an educational institution in Ubon Ratchathani Province, Thailand. Participants were recruited through voluntary sampling based on the predefined inclusion and exclusion criteria. The intervention consisted of the LINE OA “V-Free” application. Data were collected using a knowledge questionnaire, an attitude questionnaire, an intention to use e-cigarettes questionnaire, and a satisfaction questionnaire regarding the LINE OA “V-Free” application. Data were analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test to compare pretest and posttest scores.

The results showed that participants' knowledge scores regarding e-cigarettes significantly increased after the intervention (W = 60.00, p-value < 0.001), with a large effect size (r .83), indicating that the LINE OA “V-Free” application effectively enhanced participants' knowledge of e-cigarettes. However, no statistically significant difference was found in attitudes toward e-cigarettes (W = 242.50, p-value = 0.23, r = 0.23). In addition, no change was observed in participants' intention to use e-cigarettes before and after the intervention. These findings suggest that the LINE OA “V-Free” application can serve as an effective educational tool for improving e-cigarette knowledge among undergraduate students, particularly in educational institutions with limited personnel or educational resources.

The Effects of a Self Management Program on Knowledge, Self-Care Behaviors and Blood Sugar Levels among Patients with Type 2 Diabetes mellitus

Wilailuck Chanpum, Munlika Makrat, Adchara Khammathit, Wachirun Chanluen — Thu, 13 Aug 2026 00:00:00 +0700

This quasi-experimental study employing a two-group pretest–posttest with follow-up design aimed to examine the effects of a self-management promotion program on diabetes knowledge, self-care behaviors, and blood glucose levels among patients with type 2 diabetes mellitus at Ban Duea Subdistrict Health Promoting Hospital, Nong Khai Province. The sample consisted of 60 participants, who were equally assigned to an experimental group (n = 30) and a control group (n = 30). The experimental group received the self-management promotion program for 12 weeks, whereas the control group received standard care. Data were collected at three time points: baseline (pretest), post-intervention, and follow-up. The research instruments included a self-management promotion program, a diabetes knowledge test, a self-care behavior questionnaire, and a blood glucose record form. Data were analyzed using descriptive statistics and two-way repeated measures ANOVA.

The results revealed that: 1) there were no significant differences in mean diabetes knowledge scores between the experimental and control groups or in the interaction effect between time and group (p-value > 0.05), although diabetes knowledge significantly changed over time (p-value = 0.02); 2) the experimental group demonstrated significantly higher mean self-care behavior scores than the control group (p-value = 0.04), with a significant interaction effect between time and group (p-value = 0.04). Self-care behavior scores at post-intervention and follow-up were significantly higher than those at baseline (p-value < 0.001); and (3) no significant differences in mean blood glucose levels were found between the two groups, and no significant time-by-group interaction was observed (p-value > 0.05). However, blood glucose levels changed significantly over time (p-value < 0.001). In conclusion, the self-management promotion program was effective in improving self-care behaviors among patients with type 2 diabetes mellitus. The program should be integrated into primary healthcare services to enhance diabetes care.

Factors Associated with Ethical, Professional Conduct, and Legal Competencies among Nursing Students at a Private University in Thailand

Sulee Tongvichean, Chonticha Chonsawat, Ponnipass Ariyaprana — Thu, 13 Aug 2026 00:00:00 +0700

This descriptive research aimed to examine the relationships among cumulative grade point average (GPA), attitudes toward the nursing profession, and self-efficacy, and the ethical competency, professional code of conduct, and legal competency of nursing students at a private university. The sample consisted of 124 second - to fourth-year nursing students enrolled in the Bachelor of Nursing Science program in the academic year 2025, selected using stratified random sampling. The research instrument was a questionnaire comprising measures of ethical competency, professional code of conduct and legal competency, attitudes toward the nursing profession, and self-efficacy. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.

The results revealed that nursing students demonstrated a high level of ethical competency, professional code of conduct, and legal competency (Mean = 4.44, S.D. = 0.50). Among these, ethical competency had the highest mean score (Mean = 4.44, S.D. = 0.50), followed by legal competency (Mean = 4.32, S.D. = 0.49) and professional code of conduct (Mean = 4.18, S.D. = 0.48). Furthermore, attitudes toward the nursing profession and self-efficacy were positively correlated with ethical competency, professional code of conduct, and legal competency at a statistically significant level of 0.01 (r = 0.56 and 0.44, respectively). Therefore, nursing education administrators should develop or implement active learning approaches that promote positive professional attitudes and enhance students’ self-efficacy in order to continuously strengthen students’ ethical, professional, and legal competencies.

The Relationship Between Mental Health Literacy, Social Media Addiction Behaviors and Depression Among Students at Ubon Ratchathani University

Fri, 14 Aug 2026 00:00:00 +0700

This correlational study aimed to examine mental health literacy, social media addiction behavior, and depression, and to investigate the relationships between mental health literacy, social media addiction behavior, and depression among students at Ubon Ratchathani University. The sample consisted of 376 first-year undergraduate students at Ubon Ratchathani University. Data were collected using a demographic questionnaire, the Mental Health Literacy Questionnaire, the Social Media Addiction Behavior Questionnaire, and the Adolescent Depression Assessment Scale. Descriptive statistics, including mean, percentage, and standard deviation, were used to analyze demographic characteristics. Spearman’s rank correlation coefficient was employed to examine the relationships among the study variables.

The results revealed that the participants had a very high level of mental health literacy (Mean = 140.12, S.D. = 13.27), a moderate level of social media addiction behavior (Mean = 3.22, S.D. = 0.82), and a mild level of depression (Mean = 9.39, S.D. = 6.94). Mental health literacy was not significantly associated with social media addiction behavior (r_s = 0.06, p-value = 0.19). However, mental health literacy was negatively correlated with depression (r_s = -0.15, p-value < 0.01), whereas social media addiction behavior was positively correlated with depression (r_s = 0.22, p-value < 0.01). The findings suggest that enhancing mental health literacy and promoting appropriate social media use may contribute to the prevention and early surveillance of depression among adolescents and university students. These findings may serve as baseline information for developing mental health promotion and depression prevention programs in higher education institutions.

Policy Proposals for Scaling Up the Development of Emergency Medical Service Systems for Community-Dwelling Older Adults with Long-Term Dependency Using Emergency Notification Technology

Siranee Sihapark, Kulnaree Hanpatchaiyakul, Wacharee Amornrojanavaravutti — Mon, 17 Aug 2026 00:00:00 +0700

This research and development study aimed to develop policy proposals for an emergency medical service system for community-dwelling older adults with long-term dependency using emergency notification technology. The study was conducted in three phases: 1) analyzing the situation and factors associated with medical emergencies; 2) testing a prototype emergency medical service system using emergency notification technology; and 3) developing policy proposals for scaling up the system. The participants included 1,396 older adults receiving care at an emergency department, 279 older adults with long-term dependency, and 140 stakeholders. Research instruments included medical record forms, an emergency medical event prevention outcome assessment, an activities of daily living assessment, an emergency notification technology acceptance assessment, and guidelines for in-depth interviews, focus group discussions, and stakeholder consultations. Quantitative data were analyzed using descriptive statistics, multiple logistic regression, paired t-test, and McNemar’s test, while qualitative data were analyzed using content and thematic analysis.

The findings showed that 88.4% of older adults presenting to the emergency department had illnesses or chronic diseases, and 23.42% experienced medical emergencies. Factors significantly associated with medical emergencies, in descending order, were loss of consciousness, asthma or emphysema, heart disease or chest pain, pneumonia, and age. After three months of prototype implementation, acceptance of emergency notification technology significantly increased (p-value < 0.001). Blood pressure (p-value = 0.018) and blood glucose levels (p-value = 0.039) improved, and patients with hypertension demonstrated improved blood pressure control (p-value = 0.049). Clinical outcomes also improved, including emergency department visits (p-value = 0.004), hospital readmissions (p-value = 0.045), and the incidence of stroke and falls (p-value = 0.003). At the local level, policy proposals included integrating an emergency medical event prevention program and emergency notification technology into individualized care plans for older adults with long-term dependency and chronic diseases within the long-term care system. At the national level, policies should promote the development of care standards for community-dwelling older adults with long-term dependency and improve access to emergency notification technology.

The Effect of Silver - Modified Atraumatic Restorative Technique (SMART) on the Oral Health-Related Quality of Life of Preschool Children in Ang Thong Subdistrict, Srinakarin District, Phatthalung Province

Chakriya Ninsakul, Orawan Nammontri, Phayong Thepaksorn — Tue, 18 Aug 2026 00:00:00 +0700

This quasi-experimental study employed a two-group pretest-posttest design to investigate the effects of Silver Diamine Fluoride (SDF) combined with the Silver-Modified Atraumatic Restorative Technique (SMART) on the oral health-related quality of life (OHRQoL) of preschool children in Ang Thong Subdistrict, Srinakarin District, Phatthalung Province. The participants comprised 60 preschool children aged 3-5 years with dental caries without pulpal involvement and their 60 parents. The participants were allocated by educational setting into an intervention group and a control group, with 30 children in each group. The intervention group received SDF application followed by glassionomer cement restoration using the SMART technique, whereas the control group received usual care. Outcomes were assessed at baseline and at the 1-month follow-up using an oral health status record form and the Thai version of the Early Childhood Oral Health Impact Scale (Thai-ECOHIS). Data were analyzed using Independent t-tests and Paired t-tests.

The results showed that, after the intervention, the overall oral health-related quality of life score in the experimental group decreased from baseline and was significantly lower than that of the control group (p-value < 0.05). Significant improvements were observed in the domains of child symptoms, child impact on daily activities, parental/family impact of the child’s oral health, and family functioning. In conclusion, the use of SDF combined with GIC restoration using the SMART technique can improve oral health-related quality of life among preschool children and may serve as an appropriate approach for managing dental caries in communities.

Management of Compassion Fatigue among Nurses

Watcharin Chaithong, Natthawat Wongchan, Sasicha Rodpet — Wed, 20 May 2026 00:00:00 +0700

This article proposes strategies to prevent compassion fatigue among nurses. Currently, nurses are continuously exposed to work-related stress, which leads to both mental and physical health problems. Compassion fatigue is one of the outcomes of working under pressure and continuous exposure to patients’ suffering. It has been found that nurses experience compassion fatigue at prevalence rates exceeding 50%, with levels ranging from low to high. This condition not only affects attitudes toward the profession and quality of work life but also increases turnover intention and impacts patient safety and quality of care. Studies indicate that compassion fatigue is associated with long working hours, heavy workloads, lack of organizational support, job characteristics, and insufficient coping skills. Therefore, managing this issue requires systematic implementation at both the individual and organizational levels. Furthermore, promoting compassion satisfaction, a positive feeling derived from helping others. The implementation of these strategies is expected to reduce compassion fatigue, increase job satisfaction, enhance professional commitment, and support nurse retention, ultimately contributing to the long-term sustainability of the healthcare system.