Journal of Research in Nursing-Midwifery and Health Sciences

Development of a Blended Learning Model for Nursing Students in Nursing Practicum for Healthy Children During COVID-19 Pandemic

Wassana Chotsamphancharoen — 2024-10-09

Objective: This study aimed to develop a blended learning model for nursing students in nursing practicum for healthy children during COVID-19 pandemic. Methods: Four phases of research and development were conducted, comprising (1) analyzing the situation and needs, (2) developing a blended learning model, (3) try out a blended learning model, and (4) assessing students’ satisfaction. There were eight pediatric nursing lecturers involved in the developing phase. Sample were fifty-five of fourth-year nursing students. The research instrument included 1) the blended learning model for nursing students in nursing practicum for healthy children and its manual, 2) the demographic data questionnaire, and 3) satisfaction questionnaire. Descriptive statistics were used to analyze the data. Results: The blended learning model for nursing students in nursing practicum for healthy children includes three components. There are 1) the nursing practicum for healthy early childhood using case-based learning, 2) growth assessment and promotion in early childhood based on the scenario, and 3) developmental assessment and promotion in early childhood based on the scenario. The students’ satisfaction on the blended learning model based on scenario was at the high level (M = 4.27, SD = .55). Conclusion: The blended learning model for nursing students in nursing practicum for healthy children included learning activities that enhance the course learning outcomes achievement, especially during the limitation of clinical practice due to pandemic of communicable disease.

Satisfaction of Patients with Diabetes Mellitus and Caregivers with an Abdominal Manikin for Insulin Injection Training: A Prototype Testing

Jintana Nakklom — 2024-11-13

Objective: This descriptive research aimed to test the prototype of an abdominal manikin for insulin injection training. The objective was to study the level of satisfaction with the use of an abdominal manikin for insulin injection training among patients with diabetes mellitus and caregivers. Methods: A purposive sampling method was used to select 32 participants, consisting of diabetic patients or their caregivers who were administering insulin injections. Data were collected between August 2023 and July 2024. The instruments included: 1) a demographic questionnaire, and 2) a satisfaction evaluation form on using an abdominal manikin for insulin injection training, covering usability and design aspects, which was verified by three experts, yielding a content validity index (CVI) of 1. The reliability was confirmed with a Cronbach’s alpha coefficient of .88. Data were analyzed using descriptive statistics. Results: The findings revealed that the overall satisfaction of the participants with using an abdominal manikin for insulin injection training was at the highest level (M = 4.38, SD = .46). When considering specific aspects, the top three aspects of satisfaction in terms of usage were: safety in use (M = 4.66, SD = .55), durability (M = 4.53, SD = .62), and ease of use without complexity (M = 4.50, SD = .67). The top three aspects of satisfaction in terms of design were: creativity in designing the insulin injection training model for type 2 diabetes mellitus (M = 4.53, SD = .62), neatness and aesthetics of the Insulin Injection training model (M = 4.38, SD = .66), and appropriateness of shape and size (M = 4.28, SD = .68). Conclusion: The development of the simulated abdomen for insulin injection training provides realistic characteristics similar to human skin, offering convenience, safety, and durability, effectively substituting more expensive models.

Effectiveness of Process Development to Promote Desired Health Behaviors for Good Health of Working Age Groups in the Workplaces of Health Region 12

Sopida Sukjarung — 2024-11-25

Objectives: This research aimed to compare health conditions of working age groups in the workplaces of Health Region 12 before and after participating in the developmental process of desired health behavior promotion. The effectiveness of the process was evaluated by comparing various health indicators before and after the process. The process of developing and implementing the program was also evaluated. Methods: The process was divided into 5 phases: 1) preparing the process for developing health promotion leaders in the workplaces, 2) recruiting and developing 80 health promotion leaders, 3) surveying the desired health behaviors and primary health conditions of 1,649 participants in 40 the workplaces before and after participating in the developmental process, 4) evaluating the effectiveness of the developmental process, and 5) summarization of lessons learned from the “health promotion process and health behavior change” from the workers and workplaces. Results: The finding showed that the participants consumed at least five servings of vegetables per day in average, added more salty seasonings to their food, had their last meals at least four hours before bedtime, ate boiled, steamed, fried or baked foods, and drank sweetened beverages less than 3 days a week. They spent two minutes brushing the teeth before bedtime, visiting dental services, smoking cessation. The health conditions evaluated found that levels of diastolic blood pressure and fasting blood sugar had significantly reduction after the process (p < .05). The evaluation of the effectiveness of the health behavior promotion development process in four aspects: context, input factors, process, and performance outcomes. Overall, the effectiveness was at a high level (M = 4.09, SD = .78). Conclusion: The developed process can drive health promotion among working age groups in the workplaces. The health promoters are significant facilitators for health promotion and coordinators for support from network agencies.

Factors Related to Health Literacy in Hypertension Prevention among Village Health Volunteers in Don Tum District, Nakhon Pathom Province

Kornklao Rattanachankorn — 2024-12-19

Objectives: This study is a correlational research project aimed to examine the level of health literacy and the factors associated with health literacy in the prevention of hypertension among village health volunteers (VHVs) in Don Tum District, Nakhon Pathom Province. Methods: A correlational research design was employed, with a sample of 260 participants selected through random sampling. The research instrument was a questionnaire consisting of four parts: 1) personal factors, 2) personal ability factors, 3) VHV performance factors, and 4) health literacy in preventing of hypertension among VHVs. The questionnaire had an Item-Objective Congruence (IOC) value of 1 and a Cronbach’s alpha coefficient of .97, .96 and .98. Data were analyzed using descriptive statistics and correlational coefficients analysis. Results: The majority of participants demonstrated a very high level of health literacy. Personal ability factors that showed a low positive correlation with the health literacy of VHVs included technology utilization ability (rs = .245), writing ability (rs = .196), and reading ability (rs = .168), with statistical significance at p < .05. Performance factors, which desire for work performance (r = .781), social support (r = .773) and encompassed role perception as VHVs (r = .739), were positively correlated with health literacy outcomes of VHVs, with statistical significance at p < .05. Conclusion: To enhance VHVs’ health literacy in hypertension prevention, it is recommended to promote individual abilities in reading, writing, and technology utilization. Additionally, fostering social support, increasing motivation for work performance, and enhancing the perception of their roles as VHVs are critical strategies for improving their overall effectiveness.

The Development of a House Chore Board for Children with Attention Deficit Hyperactivity Disorder: Innovation Prototype

Orawan Nukaew — 2024-12-17

Introduction: Children with attention-deficit hyperactivity disorder have inattention, hyperactivity, and impulsive symptoms; those symptoms impact the children related to unfinished daily life activities and other unsuccessful activities, and also affect the family burden and increase the cost. This study aimed to develop a prototype innovation; a house chore board for Children with attention-deficit hyperactivity disorder (ADHD). In addition, it refers to promoting the attention of the children at home. The conceptual framework of the innovation process is based on design thinking. The developmental innovation process consisted of 5 steps: (1) To empathize, with the main problems of caring for ADHD children, which are the method and cost of caring; (2) To define, and review the literature on house chores and sufficiency based on context; (3) To ideate, creative appropriated house chores to children with ADHD and create fun; and (4) To develop
prototype No.1, improve a modal to a wood house chore broad. The validity of the house chore broad prototype No.1 was verified by three experts, item-objective congruence of the index yielded a value of .72; and (5) To testing, children with ADHD and caregivers evaluated the house chore broad prototype No.2, relating to satisfaction’s caregivers of the structure and implication of the house chore broad was very good. Conclusion: A house chore board for children with ADHD includes a wood house chore board, 9 inches by
12 inches adding the area of attached cards and scroll button, the personal and volunteer house shore card in terms of daily, weekly, and monthly, and a house shore activity manual.

Factors Related to Pressure Ulcers from Endotracheal Tube in Adult and Older Adult Patients: An Integrative Review

Jutamas Kingtong — 2024-12-17

Introduction: The purpose of this integrative literature review was to synthesize potential factors related to the occurrence of pressure ulcers from endotracheal tube in adult and elderly patients. The review was of research from electronic databases, including Pub Med, Science Direct, Scopus, and Web of Science between 2015 and 2024. Thirteen full research articles were selected that met the inclusion criteria of the Joanna Briggs Institute. The results of the literature review synthesis found factors related to the occurrence of pressure ulcers from endotracheal intubation in adult and elderly patients, divided into 5 categories 1) Demographic factors including age, gender, and diagnosis; 2) Health condition factors include congenital disease, body weight, Apache-II Score, WBC, Albumin Level, Hemoglobin Level, and Hematocrit Level; 3) Treatment factors included admission in ICU, length of stay for treatment, and history of receiving medicine vasopressor corticosteroid sedative; 4) Biological factors included humidity and edema; 5) Risk factors from equipment included duration of intubation, fixation, suction, and having other equipment inside the mouth besides the endotracheal tube. Conclusion: The results of this study can be used as basic information for further research to explore the relationship of these factors with the occurrence of pressure ulcers from tracheal intubation.

Preparation of Gastrointestinal Symptoms Management and Anxiety Management Program in Breast Cancer Patients Receiving Chemotherapy: A Literature Review

Phattra Ployngam — 2024-12-17

Introduction: This academic article discusses programs to prepare breast cancer patients receiving chemotherapy to reduce gastrointestinal symptoms and anxiety. Data was gathered from ThaiJO, Scopus, PubMed and EBSCO host from 2017 to 2023. Keyword searches included “breast cancer patient” and “chemotherapy” and “preparing program” and “gastrointestinal symptom cluster” and “nausea and vomiting” and “mucositis” and “anxiety”. Ten related research subjects were selected and analyzed. Results were that two theories were used as a framework for creating the program: 1) Orem's self-care theory and 2) symptom management theory. Program activities included pre-treatment of chemotherapy drugs, physical and mental chemotherapy, self-action education, non-pharmacological management activities, and phone follow up. The ten to fifty minute program sessions extended from one day to three months. Results were that physically, frequency and severity of nausea, vomiting, loss appetite, and mucositis decreased as well as mental anxiety levels. Conclusion: These programs can be used in the clinic to prepare patients by providing education on managing physical and psychological symptoms of chemotherapy in breast cancer patients receiving chemotherapy.

Promoting Mobility and Strengthening Respiratory Muscles among Older Persons with Respiratory Failure: An Integrative Review

Wipawan Jitworawat — 2024-12-17

Introduction: This integrative review aimed to analyze and synthesize knowledge of research related to promoting mobility and strengthening respiratory muscles to facilitate successful weaning from mechanical ventilator among older persons with respiratory failure. This review was based on studies extracted from electronic databases, including CINAHL Complete, PubMed, Scopus, Google Scholar, and ThaiJO from 2019 to 2024. Seven full-text research articles were selected based on the criteria from Polit and Beck. Conclusion: The synthesis of the results reveals strategies for promoting mobility and strengthening respiratory muscles among older persons with respiratory failure including early mobilization, as well as passive and active exercises. Passive exercise involves passive range of motion combined with passive chest mobilization exercises, while active exercise incorporates qigong training or resistance exercise using elastic band. These progressive exercises increase in difficulty by adding more postures, repetitions, and time, depended on the individual's ability to perform daily activities or physical capacity. The Functional Independence Measure (FIM) is used to categorize the patients and tailor activities according to the needs of each older person individually. Training is conducted for 20-30 minutes per session, 1-2 times per day, at least three days a week. These interventions have been shown to improve the successful of weaning from mechanical ventilator, reduce the time required for weaning, and shorten the overall duration of mechanical ventilator use.