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> en-US <p>1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารวิจัยการพยาบาลและการสาธารณสุข ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการไม่จำเป็นต้องเห็นด้วย</p> <p>2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารวิจัยการพยาบาลและการสาธารณสุข</p> ampicha@bcnc.ac.th (Ampicha Nawai, PhD, RN) panutsaya@bcnc.ac.th (Panutsaya Promdee) Wed, 27 Dec 2023 00:00:00 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/262291 Wed, 27 Dec 2023 00:00:00 +0700 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/264109 Thu, 28 Dec 2023 00:00:00 +0700 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/265546 Thu, 01 Feb 2024 00:00:00 +0700 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/264105 Fri, 02 Feb 2024 00:00:00 +0700 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/264377 Wed, 21 Feb 2024 00:00:00 +0700 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 https://he02.tci-thaijo.org/index.php/jnphr/article/view/264564 Wed, 27 Dec 2023 00:00:00 +0700