Journal of Research in Nursing-Midwifery and Health Sciences

The Development of the Case Management Model for Patients with Serious Mental Illness: Waeng District Case Study

2026-04-01T13:57:26+07:00

The research and development aimed to develop and test the case management model for psychiatric patients with serious mental illness (SMI) in the community. The research consisted of two phases: 1) Developed a case management model for psychiatric patients with serious mental illness (SMI) based on the conceptual framework of Powell and literature review of case management as well as content analysis. A case management guideline was then designed and the content validity verified by three experts, with IOC yielding a value of .81. and 2) Tried out the case management model with six participants, registered nurses. Qualitative data were analyzed by using content analysis, and quantitative data were analyzed by using descriptive statistics. Results: The results showed that the case management of patients with SMI for nurses in community consisted of; 1) the case management categories including registered nurses as a case manager, case management team in community, and clinical pathway; 2) the case management of patients with SMI guideline; and 3) the case management process through IMed@home application and testing the case management for 6 months that the patients symptoms no relapse and no hospitalization as well as overall mean score of nurse’s satisfaction for implementation was very good Conclusion: the case management model for patients with serious mental illness in community could be applied by registered nurses to improve care in the community for psychiatric patients with serious mental illness.

Effects of Flipped Classroom Combined with Game-Based Learning on Learning Achievement and Satisfaction Among Nursing Students in Nursing Care for Children with Urinary Tract Disorders

2026-04-17T13:10:01+07:00

Objective: To examine the effects of a flipped classroom combined with game-based Learning on the learning achievement and satisfaction of nursing students regarding the topic of nursing care for children with urinary tract disorders. Methods: This study utilized a quasi-experimental research design with a one-group pretest-posttest approach. The sample consisted of 103 third-year nursing students. The research instruments consisted of eight parts including a learning management manual, self-learning materials, game scoring forms, learning game kits, question cards, a demographic questionnaire, a pretest and post-test, and a satisfaction questionnaire. The content validity of instruments was evaluated by three experts. The question cards and the pretest and post-test had Item-Objective Congruence (IOC) values of .96 and 1.00, respectively. The satisfaction questionnaire had content validity index (CVI) value of .96 and a reliability coefficient, with a Cronbach’s alpha of .91. Data were analyzed using descriptive statistics and a paired t-test. Results: After the intervention, the participants' mean post-test score was significantly higher than the pre-test score (t = -12.18, p < .001). The overall satisfaction was at the highest level (M = 4.67, SD = .56). Specifically, the promotion of teamwork skills (M = 4.83, SD = .47) and the enjoyment of the teaching method (M = 4.82, SD = .46) received the highest ratings. Conclusion: The implementation of flipped classroom learning combined with game-based learning resulted in students achieving higher post-test scores than pre-test scores and reported learning satisfaction. Therefore, this instructional method can be effectively applied in pediatric nursing courses.

Development of a Rubber Manikin Prototype for Ventrogluteal Intramuscular Injection Skill Training: A Pilot Testing

2026-05-27T08:45:27+07:00

Objective: To develop the first prototype of a ventrogluteal intramuscular injection training manikin and evaluate its feasibility through preliminary pilot testing for use in teaching and learning among nursing students and nursing instructors. Methods: This research and development study focused on prototype development and pilot evaluation. The participants were purposively selected from the Faculty of Nursing, Prince of Songkla University and included 5 nursing instructors with experience in administering ventrogluteal intramuscular injections and 25 nursing students who had completed the Fundamental Nursing Competencies course. The research instruments consisted of a demographic questionnaire and a feasibility questionnaire for the prototype. The questionnaire demonstrated excellent content validity, with a Content Validity Index (CVI) of 1.00, and high internal consistency reliability, with a Cronbach’s alpha coefficient of 0.96. Descriptive statistics were used to analyze quantitative data, while qualitative suggestions for prototype improvement were analyzed using content analysis. Results: Prototype I consisted of 6 major components as followings (1) a realistic manikin structure; (2) palpable anatomical bony landmarks; (3) simulated blood vessels; (4) a simulated sciatic nerve; (5) a sensor system; and (6) a fluid drainage system. Overall feasibility for educational use was rated at the highest level (M = 4.44, SD = 0.63), whereas sensor system accuracy was rated at the lowest level, albeit remaining at a high level (M = 3.77, SD = 0.97). Conclusion: Prototype I demonstrated high feasibility for use in nursing education. Nevertheless, future development should focus on increasing muscle thickness, optimizing sensor sensitivity to minimize false positives during palpation, and refining the functional leg joints for prototype II.