Journal of Nursing and Public Health Research

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, Paralee Opasanant, Porntip Pa-in — Tue, 04 Mar 2025 00:00:00 +0700

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

Thu, 06 Mar 2025 00:00:00 +0700

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

Thu, 27 Feb 2025 00:00:00 +0700

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, Yommana Chananin, Natthapol Marutapan — Tue, 18 Mar 2025 00:00:00 +0700

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

Thu, 20 Mar 2025 00:00:00 +0700

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.

Magnet Hospitals Concept: Application to Reduce Nurses Burnout

Natthawat Wongchan, Primpiriya Jindawan, Chulaporn Yaprom — Wed, 25 Dec 2024 00:00:00 +0700

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