Journal of Research in Nursing-Midwifery and Health Sciences

Skin to Skin Contact for Protecting and Promoting Breastfeeding

Nopparat Tharana, Yaowares Somsap — Sun, 31 Aug 2025 00:00:00 +0700

Abstract

Skin-to-skin contact (SSC) was originally used with premature infants and full-term babies because it is safe and has positive effects on breastfeeding and infant feeding. It also helps create a good relationship between the baby, the mother, and father. SSC is an important part of parent and infant care during the neonatal period. SSC should be initiated immediately after birth and practiced as a standard of care in all settings, as well as in the home. There is strong evidence that SSC has a positive effect on breastfeeding and human milk feeding in both term and preterm infants. SSC is recommended as best practice for all infants. The benefits of SSC reduces mortality, cardiopulmonary stability, and thermoregulation. SSC reduces pain and infant stress, enhances parent infant bonding, and has positive effects on parental mental health. SSC occurs as a safe and positive experience for the parent, family, infant, and health care team.

This article aimed to provide information and technique for nurses and midwives to provide parents to SSC, enhances parent–infant bonding, and initial breastfeeding. This article presents the main issues as follows: meaning, the importance of SSC, the benefits of SSC, principles of caring for mothers and babies to receive SSC, SSC procedure, contraindications to SSC, factors affecting Kangaroo mother care, guidelines for promoting SSC during pregnancy, labor, and postpartum, and suggestions for skin-to-skin contact.

In summary, understanding SSC, and providing breastfeeding for mothers to continue breastfeeding and promote success breastfeeding.

Keywords: skin-to-skin contact; promoting and supporting breastfeeding; postpartum mothers

The Development and Evaluation of an Enhancing Empowerment Curriculum on Self-Care Behavior among Patients with Substance-Related Psychosis for Psychiatric Nurses

Kantawan Makwichit, Orawan Nukaew — Mon, 25 Aug 2025 00:00:00 +0700

Objectives: To develop and evaluate an enhanced empowerment curriculum on self-care among patients with substance-induced psychosis for psychiatric nurses. Methods: The research and development consisted of 2 phases: 1) Curriculum development: including 1.1) The situation analysis was applied by a group focusing on 10 psychiatric nurses, Tyler’s curriculum development concept, Kolb experiential learning theory, and Bloom’s Taxonomy principle, along with the literature review. And 1.2) The prototype curriculum was developed, and 2) Curriculum evaluation: including 2.1) The competency assessment (knowledge, attitude, and skills) was validated by five experts, with the IOC value of .83, and CVI values of .96, 1.0, and .98, respectively, and 2.2) The curriculum was evaluated using quasi-experimental research with 10 psychiatric nursing participants and 40 patients with substance-induced psychosis. Data were analyzed using descriptive statistics, the Wilcoxon Signed Rank test, and the Friedman test. Results: 1) The curriculum consisted of 5 modules with theoretical and practical components within three weeks, including 1) Attitude 2) Knowledge 3) Practice Skills 4) Practical components and 5) Reflection summary and a training manual 2) The median competencies of psychiatric nurses (knowledge, attitude, and skills) after completing the curriculum training were significantly higher than before participation, with a significance level of .05 (χ2=10.16, 6.97, 14.36), and 3) The median self-care of patients with substance-induced psychosis who participated in the enhancing empowerment were significantly higher than before participating in the enhancing empowerment, with a significance level of .001 (Z = -5.51). Conclusion: The enhancing empowerment curriculum on self-care among patients with substance-induced psychosis for psychiatric nurses could improve their competencies and enhance the empowerment and self-care of patients with substance--induced psychosis.

Hybrid Learning Development by Simulation-based Approaches Integration for Alternatives to Traditional Clinical Practice

Pinsuda Sangkano, Pissamai Wattanasit, Jutarat Kongpet — Mon, 25 Aug 2025 00:00:00 +0700

Objective: To develop hybrid learning by integrating a pediatric nursing simulation-based approach for alternatives to traditional clinical practice. Method: The Research and development approach was employed. The sample consisted of 10 pediatric nursing lecturers and 55 fourth-year nursing students. The research tools used in the study included learning resources for the hybrid pediatric nursing simulation-based educational approach, a demographic data questionnaire, and a satisfaction questionnaire regarding the hybrid learning simulation-based approach. Descriptive statistics were used to analyze the quantitative data. Results: The hybrid learning model using complex pediatric nursing simulations was developed. This model was designed to allow the students to perform the nursing process according to simulation scenarios for 2 hours per group, including nursing rounds and assessments, the nursing handover process, pre-conferences, planned nursing care implementation, nursing documentation, and the nursing handover process. The average participant’s satisfaction score with the hybrid pediatric nursing simulation-based learning approach was very satisfactory (M = 4.19, SD = .39). Conclusion: Hybrid learning, integrating a pediatric nursing simulation-based educational approach, led to significantly high overall satisfaction, especially improving students’ knowledge and skills. This approach offers a possible alternative to traditional in-person pediatric nursing practice for students, particularly during the COVID-19 pandemic or in other scenarios where face-to-face learning is impractical.

Ethical Risks and Management Experienced by Registered Nurses in Caring for Patients with Limb Amputation and Disability in a Tertiary Hospital, Southern Thailand.

Pattarawan Thongtaluang, Pratyanan Thiangchanya, Pramot Thongsuk — Fri, 29 Aug 2025 00:00:00 +0700

Objective: This study aimed to explore ethical risks and ethical risk management of registered nurses in caring for impairment patients in a southern tertiary hospital. Methods: This qualitative descriptive research data were collected using demographic questionnaires and in-depth interviews focused on ethical risks and management experienced by registered nurses when caring for patients with limb amputation and disability. Demographic data were analyzed using frequency and percentage. Qualitative data were analyzed using content analysis. Results: The ethical risks consisted of 4 issues;1) providing insufficient information that caused anxiety to the patients, 2) delayed providing pain relief, 3) exposing the amputated area which caused embarrassment to the patients, and 4) neglecting psychological care to focus on physical care activities. The ethical risk management consisted of 5 issues; 1) providing information about injuries during the nursing rounds to reduce patient’s anxiety, 2) seeking additional knowledge of caring for patients with dismemberment and disabilities. 3) expressing empathy for others and having a kind heart, 4) expressing acceptance and sincere apologies, and 5) providing psychological support when the additional loss occurred and as soon as one was aware of it. Conclusion: The results of this research provide information for nurse administrators in promoting and developing ethical behaviors in nursing care.

Attitudes toward Palliative Care and the Influence of the Service Marketing Mix on the Intention to Use Palliative Care Services in Hospitals Southern Thailand

Thanittee Tongnuanoun, Warangkana Tantasuntisakul — Fri, 29 Aug 2025 00:00:00 +0700

Objectives: This study attitudes toward palliative care and the service marketing mix that influence the intention to use palliative care services in hospitals in Southern Thailand. Methods: The sample population includes families of terminally ill patients, terminally ill patients themselves, and individuals with
critical illness experiences who possess an understanding of palliative care and have previously used palliative care services in hospitals in southern Thailand. A total of 400 participants were surveyed. Data were collected using questionnaires and analyzed through descriptive and inferential statistics, specifically using multiple regression analysis to determine factors impacting the intention to use palliative care services. Results: The study
found that attitudes and service marketing mix specifically the physical evidence and promotion components significantly influence the intention to use palliative care services in hospitals Southern Thailand. Conclusion: The study’s findings provide a foundational basis for enhancing palliative care systems and can be applied to promote health within Thailand’s healthcare system, particularly in hospitals in southern Thailand.

Competencies and Development Needs of Professional Nurses in Emergency and Forensic Nursing at Community Hospitals in Songkhla Province

Arraya Tuwanputeh, Shutiwan Purinthrapibal, Pramot Thongsuk — Sat, 30 Aug 2025 00:00:00 +0700

Objectives: To assess the competency levels and competency development needs of professional nurse in emergency and forensic nursing at community hospitals in Songkhla Province. Methods: This descriptive study included 125 professional nurses working in emergency and forensic nursing departments at community hospitals in Songkhla Province, excluding department heads. The research instrument was a questionnaire divided into three parts: 1) general information, 2) competency levels, and 3) competency development needs. The content validity of part 2 and 3 was reviewed by three experts, yielding CVI values of .97 and 1.0, respectively, and reliability was confirmed with a Cronbach’s alpha coefficient of .98. Data were analyzed using mean, standard deviation, frequency, and percentage. Results: The overall competency level of professional nurses was high (M = 4.10, SD = .50), and the highest mean score among the nine categories was resuscitation competency (M = 4.10, SD = .50), with “life-saving” skills scoring the highest (M = 4.31, SD = .59). 2) The overall competency development needs were also high (M = 4.10, SD = .50), “life-saving” (M = 4.22, SD = .78), and “patient triage” (M = 4.22, SD = .69). Conclusion: Competency development plans should utilize self-assessment data from professional nurses to enhance the quality of care in emergency and forensic nursing.

Facebook Usage for Tutorial on the Community Health Nursing and Primary Medical Care Course in the Nursing and Midwifery Licensure Examination

Sun, 31 Aug 2025 00:00:00 +0700

Objectives: This descriptive research aims to examine Facebook usage for tutorial on the community health nursing and primary medical care course in the nursing and midwifery licensure examination, including frequency, participation in learning, satisfaction, and recommendations regarding Facebook usage for tutorials. Methods: The study involved 112 samples who graduated with a bachelor’s degree from the Faculty of Nursing, Prince of Songkla University, academic year 2019, who took the first-round examination in July 2020. The instruments included a tutorial program, a general information questionnaire, and a satisfaction with the tutorial via Facebook questionnaire, approved by three experts, CVI = 1, .97, and .81, respectively. The data were analyzed using descriptive statistics and content analysis. Results: The results showed that all samples passed the licensure examination in the first round of the community health nursing and primary medical care course. The sample 89.29 percent used tutoring via Facebook at the highest overall frequency (M = 4.28, SD = 1.27), participating in informal learning through commenting, questioning, and revisiting review content. The overall satisfaction including the content of the tutoring, techniques for taking exams, facilitation, and encouragement was at the highest level (M = 4.38, SD = .56). Conclusion: Facebook tutorials can be utilized as a guideline for preparing students before the Community Health Nursing and Primary Medical Care Course in the Nursing and Midwifery Licensure examination.

Development of a Surveillance and Promotion Model for Infant Development in the Huai Yot District Health Service Network

Kamonwan Sukkhaw, Pranee Khamchan, Pissamai Wattanasit — Sun, 31 Aug 2025 00:00:00 +0700

Objectives: This research aimed to develop and evaluate the feasibility of a model for infant development surveillance and promotion in the Huai Yot District Health Service Network. Methods: This research and development was conducted in three phases; Phase1: Analyzing the situation and needs of early childhood development surveillance and promotion through a focus group with health care personnel involved in early childhood development promotion, interviewed with postpartum mothers, and literature review; Phase 2: Constructing a model for early childhood development surveillance and promotion; Phase 3: Implementing of the model with seven mother-child pairs in the target area. The research tools included 1) the infant development surveillance and promotion model consists of a manual for implementing the model for officers, a record form for promoting early childhood development. and on early childhood development promotion skills assessment form, 2) a questionnaire on maternal behaviors in promoting early childhood development 3) a child development assessment form. Results: The study revealed that the model consisted of three phases; 1) the antenatal phase to foster positive maternal attitudes toward child development promotion, 2) the postpartum phase to promote maternal skills in child development promotion based on the Developmental Surveillance and Promotion Manual, and 3) the follow-up phase to encourage maternal behaviors in promoting child development through home visits and provide guidance. The result from the pilot test revealed that maternal development-promoting behaviors at 7 and 30 days postpartum were high (M = 2.62, SD= .12; M=2.90, SD= .12, respectively). Additionally, child development at 1 and 2 months was age-appropriate in all aspects. Conclusion: A surveillance and promotion model for infant development in the Huay Yot District Health Service Network could be used to monitor and promote child development.