Nursing Journal of The Ministry of Public Health

The Effect of a Social-Emotional Learning Program on Stress Coping Skills of Bullied Middle School Students

2026-05-20T13:45:01+07:00

Promoting social and emotional learning (SEL) is essential for helping bullied middle school students develop appropriate stress coping skills. This quasi-experimental study employed a two-group pretest–posttest design to examine the effects of a social-emotional learning program (SELP) on stress coping skills among bullied middle school students. The sample consisted of 60 middle school students aged 13–15 years who had experienced bullying. Participants were assigned to either an experimental group or a control group, with 30 students in each group. The experimental group participated in the SELP, while the control group received routine care. Data were collected using a stress coping skills scale with a Cronbach’s alpha coefficient of 0.75. Data were analyzed using descriptive statistics, dependent t-tests, and independent t-tests. The results revealed that after participating in the SELP, the mean stress coping skills score of the experimental group was significantly higher than its pre-intervention score and significantly higher than that of the control group. These findings indicate that the social-emotional learning program effectively improved stress coping skills among bullied middle school students. Therefore, healthcare professionals may consider implementing this program to support bullied students in enhancing stress coping skills.

The Innovation of Knowledge Development for Support of Transcultural Nursing Services: Elderly Health Wisdom

2026-04-07T15:54:58+07:00

Healthcare provision for older adults is complex, as it involves beliefs, lifestyles, and expectations for healthcare services. This mixed-methods research aimed to develop a knowledge base and an innovation to support transcultural nursing services for older adults. The study was conducted in two phases. Phase 1 explored older adults’ culturally related healthcare needs, professional nurses’ perceptions of these needs, and cultural knowledge and skills among retired professional nurses. The participants included 440 older adults, 410 professional nurses, and 60 retired professional nurses from Chonburi, Chachoengsao, and Rayong provinces. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed through thematic analysis. Phase 2 involved the development and pilot implementation of a knowledge-based innovation among 40 professional nurses. The findings revealed that older adults reported the highest level of culturally congruent healthcare needs overall, while professional nurses similarly perceived a high level of these needs. Retired professional nurses identified age, religion, occupation, health behaviors, dietary practices, and health beliefs as key factors influencing older adults’ health. The synthesized findings led to the development of the knowledge supporting transcultural nursing services, encompassing cultural knowledge, cultural awareness, and culturally congruent care skills. This knowledge was subsequently transformed into a web-based application consisting of a transcultural nursing database, a knowledge repository, and a client information management system. Following implementation, nurses’ knowledge, cultural awareness, and care skills improved significantly (t₃₉=8.445, p<.001), and the innovation was evaluated as highly efficient. These findings demonstrate the potential of digital technology to strengthen transcultural nursing practice and enhance the quality of care for older adults in multicultural societies.

Depression and Associated Factors Among Older Adults in Phang Khon District, Sakon Nakhon Province

2026-03-05T16:07:37+07:00

Depression is a significant mental health problem among older adults, adversely affecting quality of life, daily functioning, and overall well-being. This cross-sectional descriptive study aimed to examine the prevalence of depression and its associated factors among older adults in Phang Khon District, Sakon Nakhon Province, Thailand. A total of 400 participants were recruited using multistage sampling. Data were collected using a structured questionnaire, the Six-Item Cognitive Impairment Test (6CIT), the Barthel Activities of Daily Living (ADL) index, the Short Form Family Relationship Scale (SF-FRE-Thai), and the Thai Geriatric Depression Scale (TGDS-15). Data were analyzed using descriptive statistics and logistic regression. The results showed that 84.80% of participants had no depression, while 15.20% had depressive symptoms. Biological factors significantly associated with depression included age and the presence of chronic diseases. Older age increased the likelihood of depression by 1.65 times (AOR=1.646, 95%CI:1.04–2.60, p=.033), and having chronic diseases was the strongest predictor, increasing the risk by 3.29 times (AOR=3.288, 95%CI:1.50–7.19, p=.003). Regarding social and psychosocial factors, participation in social activities reduced the risk of depression by 58% (AOR=.421, 95%CI:.29–.62, p<.001), and good family relationships reduced the risk by 52% (AOR=.484, 95%CI:.26–.89, p=.019). Psychological and health behavior factors were not significantly associated with depression. These findings highlight the importance of integrated approaches to mental health care for older adults, including early screening for depression, effective management of chronic diseases, promotion of social participation, and strengthening family relationships to reduce the risk of depression in the elderly.

Community Health Management Competency among Professional Nurses in Primary Care: A Study in Maha Sarakham Province

2026-04-06T17:22:29+07:00

Community health management competency among professional nurses working in primary care units is a critical factor for community health system quality, particularly amid growing challenges related to demographic transitions and the rising burden of non-communicable diseases. This analytical descriptive study aimed to assess community health management competency levels and analyze predictive factors among professional nurses working in primary health care units in Maha Sarakham Province. A total of 205 participants were selected through proportional stratified random sampling. Research instruments included a general information questionnaire (CVI =.90) and a community health management competency assessment tool (CVI =.90, Cronbach's alpha = .98). Data were analyzed using descriptive statistics, Pearson's correlation coefficient, and Hierarchical Multiple Regression Analysis. The results revealed that participants demonstrated a high level of overall competency (49.75%) and a moderate level (47.32%). In addition, it was found that age, male gender, the number of nurses per unit, organizational support, average daily workload, duration of service in the current unit, project leadership experience, and completion of specialized training programs collectively accounted for 43.5% of the variance in competency (R²=.435, p<.001). These findings suggest that relevant agencies should continuously promote specialized nursing training programs, provide opportunities for nurses to lead community health management projects, and strengthen organizational support to sustainably enhance community health management competency among primary health care nurses.

The Effect of a Self-Efficacy Enhancing Program through Line Application on the Dementia Prevention Behaviours among Older Adults, Bangkok Metropolitan

2026-04-10T14:05:44+07:00

Dementia is a syndrome in older adults characterized by a progressive decline in memory and other cognitive functions, which affects behavior and the ability to perform activities of daily living. The objective of this study was to examine and compare the effects of a self-efficacy enhancement program using the LINE application on dementia-preventive behaviors among older adults in Bangkok. The participants in this quasi-experimental study comprised 72 older adults aged 60–79 years residing in Bangkok, who were equally divided into an experimental group (n = 36) and a control group (n = 36). The experimental group received a 7-week self-efficacy enhancement program via the LINE application, consisting of weekly 45-to-60-minute group sessions, supplemented by cognitive stimulation homework assigned through the LINE application every two weeks. The control group received routine care. Data were collected using a personal information questionnaire, a dementia-preventive behavior scale (Cronbach's alpha = .96), and the Thai version of the Montreal Cognitive Assessment (MoCA-Thai). Data were collected at baseline and at week 7, with monitoring via Google Forms every two weeks. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (paired-samples t-tests and independent-samples t-tests). The results revealed that after the intervention, the mean score of dementia-preventive behaviors in the experimental group was significantly higher than its baseline score and significantly higher than that of the control group. Therefore, the self-efficacy enhancement program via the LINE application can effectively improve dementia-preventive behaviors. This program empowers older adults by fostering their perceived self-efficacy and building their confidence in maintaining self-care practices to prevent dementia.

The Development and Evaluation of Perioperative Nursing Model for Hip Arthroplasty at Sakon Nakhon Hospital

2026-02-08T12:21:04+07:00

An effective and appropriate perioperative nursing model for hip arthroplasty enhances the quality of care. This research and development study aimed to explore the current situation, develop, and evaluate the outcomes of an operating room nursing care model. The study was conducted in four phases: 1) model development, 2) pilot implementation, 3) model refinement, and 4) outcome evaluation. The sample was selected through purposive sampling and consisted of 30 registered nurses and 30 patients. The research instruments included nursing practice guidelines, evaluation forms for nursing knowledge, skills, and competencies, a nursing supervision form, a focus group discussion guide, a patient data collection form, and nurse and patient satisfaction evaluation forms. Data were analyzed using content analysis, descriptive statistics, and inferential statistics, including the Chi-square test and the Wilcoxon Signed-Ranks test. The results revealed that: 1. The nursing model comprised five components: (1) clinical practice guidelines, (2) knowledge and skills, (3) nursing competencies, (4) coaching-based supervision, and (5) patient self-care guidelines. 2. Regarding patient outcomes, following the implementation of the nursing care model, patient identification accuracy and the preparation of unready surgical patients showed statistically significant improvements, whereas intraoperative blood loss showed no statistically significant difference. In addition, it was found that overall patient satisfaction was at the highest level. Concerning nursing outcomes, nurses' knowledge, skills, and competencies showed statistically significant improvements. Moreover, the results showed that compliance with the nursing care model during supervision was at the highest level (92.97%), and overall nurse satisfaction was also at the highest level. Therefore, this nursing care model should be continuously implemented to enhance the quality of nursing practice and promote positive patient outcomes.

Biopsychosocial Factors Associated with Frailty among Older Adults in the Service Area of a Primary Care Unit in Nonthaburi Province

2026-04-11T09:54:22+07:00

Frailty among older adults is a major public health concern that increases the risk of illness, falls, disability, and mortality, particularly in semi-urban and semi-rural areas where social conditions and ways of life are continuously changing. This study aimed to examine biopsychosocial factors associated with frailty among older adults in the service area of a primary care unit in Nonthaburi Province. This study used an analytical cross-sectional design. The participants consisted of 148 older adults selected by a convenience sampling technique from those residing in the service area of a primary care unit in Nonthaburi Province. The research instruments included a demographic questionnaire, a social factors assessment, the Geriatric Depression Scale (GDS-15), and the FRAIL Scale. Data were analyzed using descriptive statistics, bivariate analysis, and logistic regression. Frailty was defined as a binary outcome for logistic regression analysis, coded as
0 = non-frail/pre-frail and 1 = frail. The results showed that most participants were female (70.9%), aged 60–69 years (50.0%), and had underlying diseases (81.8%). Logistic regression analysis showed that depressive symptoms and social factors were significantly associated with frailty, whereas age and body mass index were not significantly associated in the final model. In conclusion, the findings of this study indicate the importance of screening for depression and assessing social factors to develop an effective care plan for the frail older population.

Development of A Care System for Patients with Sepsis and Septic Shock at Warinchamrap Hospital

2025-12-23T09:48:56+07:00

Septic shock causes rapid, multi-organ failure throughout the body and is life-threatening. This research and development study aimed to develop and evaluate the outcomes of an integrated care system for patients with sepsis and septic shock at Warinchamrap Hospital. The sample consisted of 164 physicians and registered nurses, and 70 patients diagnosed with sepsis or septic shock who were admitted to Warinchamrap Hospital. The patients were divided into a comparison group (n = 35) receiving routine care and an experimental group (n = 35) receiving care through the newly developed sepsis and septic shock care system. Research instruments included a collaborative practice guideline for the hospital sepsis and septic shock care committee, a clinical practice guideline for sepsis and septic shock management, data recording forms, and a satisfaction questionnaire. Data were analyzed using descriptive statistics, Mann–Whitney U test, paired t-test, Fisher’s exact test, and risk ratio regression. The findings revealed that: 1) The sepsis and septic shock care system developed for Warinchamrap Hospital was appropriate, feasible for clinical implementation, and yielded the expected outcomes. 2) Process outcomes showed that the experimental group had a shorter time to diagnosis than the comparison group, although the difference was not statistically significant. However, the time to first antibiotic administration in the experimental group was significantly shorter than that in the comparison group. For clinical outcomes, the results indicated that the experimental group had a significantly greater reduction in 3-hour lactate levels compared with baseline in the emergency department. The mortality rate in the experimental group was also significantly lower than that in the comparison group. In terms of service outcomes, it was found that the experimental group had a significantly shorter length of hospital stay compared with the comparison group. Regarding staff satisfaction, physicians and nurses reported high overall satisfaction with the care system. Therefore, the results indicate that the integrated care system for patients with sepsis and septic shock developed in this study is effective.

Factors Associated with Anesthetic Complications among Dental Patients Undergoing General Anesthesia at a Dental Hospital

2026-03-11T09:31:23+07:00

Presently, the number of dental procedures performed under general anesthesia has increased. These procedures involve shared airway management between the surgical and anesthesia teams, thereby increasing the risk of anesthetic complications for patients. This study aimed to investigate factors associated with anesthetic complications in patients undergoing dental surgery under general anesthesia. A prospective analytical study was conducted among 618 patients undergoing dental procedures under general anesthesia using consecutive sampling. Data were collected using an anesthetic complication record form developed by the researcher. The content validity index ranged from .67 to 1.00, and Cohen’s kappa coefficient was .82. Data were analyzed using descriptive statistics, simple binary logistic regression, and multiple binary logistic regression. Crude odds ratios (COR), adjusted odds ratios (AOR), and 95% confidence intervals were reported, with statistical significance set at .05. The results showed that intraoperative anesthetic complications occurred in 22.80% of patients. After adjustment for confounding variables, endotracheal intubation remained significantly associated with complications. In the post-anesthesia care unit, complications occurred in 79.30% of patients, with age, type of intubation, and type of surgery identified as significant associated factors. Within 24–48 hours post-anesthesia, complications were found in 56.00% of patients, and significant associated factors included sex, age, and endotracheal intubation. Therefore, nurse anesthetists should place particular emphasis on the assessment and close monitoring of older patients, those undergoing prolonged anesthesia, and patients requiring nasotracheal intubation, as these factors were associated with anesthesia-related complications. Such vigilance may help enhance patient safety in dental procedures performed under general anesthesia.

The Factors Influencing Health Literacy of Elderly Caregivers in Phitsanulok Province

2025-11-03T19:09:14+07:00

Long-term caregivers for the elderly require health literacy to effectively care for dependent older adults in the community. This cross-sectional analytical study aimed to investigate factors influencing health literacy among elderly caregivers in Phitsanulok Province. The sample consisted of 327 elderly caregivers selected through multi-stage sampling. Data were collected between June and July 2024 using a questionnaire with five parts: personal factors, knowledge of elderly healthcare, attitudes toward elderly healthcare, social support, and health literacy of elderly caregivers. The instrument’s content validity ranged from 0.67 to 1.00. The knowledge section’s reliability (KR-20) was 0.56, and the Cronbach’s alpha coefficients for attitudes, social support, and health literacy were 0.70, 0.89, and 0.90, respectively. Data were analyzed using descriptive statistics and stepwise multiple linear regression. The results revealed that overall health literacy among elderly caregivers was at a high level. Social support (β=.45, p<.001) and attitudes toward elderly healthcare (β=.15, p=.003) together predicted 27.5% of the variance in health literacy among elderly caregivers (R²=.275, p<.001). Therefore, to promote and enhance health literacy among elderly caregivers, emphasis should be placed on providing social support and fostering positive attitudes toward elderly healthcare.

Factors Influencing Performance Based on Core Competency of Village Health Volunteers in Health Region 3

2026-04-17T13:00:05+07:00

Village health volunteers (VHVs) play a crucial role in strengthening Thailand’s primary health care system. This cross-sectional analytical study examined factors influencing VHVs performance based on core competencies in Health Region 3. The sample consisted of 880 VHVs selected using a multistage sampling method. Data were collected through a structured questionnaire and analyzed using descriptive statistics and stepwise multiple regression analysis. The results showed that most participants were female (80.70%), with a mean age of 51.96 ± 10.75 years, and the average duration of service as VHVs was 13.64 ± 9.61 years. Role perception, social support, work motivation, and intersectoral collaboration were high, while performance based on core competencies was moderate. Factors influencing performance included role perception (β=.23), social support (β=.19), work motivation (β=-.12), being employed or self-employed (β=.09), and lower secondary education (β=.08). These five predictors accounted for 10.00% of the variance in performance (p.05). Therefore, the capacity of VHVs should be developed by focusing on enhancing role perception, social support, and work motivation, with development programs tailored to their occupations and educational levels.

Effect of Using the Game-Based Learning Model for Nursing Students' Learning Outcomes and Satisfaction in Geriatric Psychiatric Nursing

2026-02-25T10:45:12+07:00

Current nursing education aims to foster practical knowledge through active student participation, develop problem-solving skills, and cultivate a satisfying learning environment. This study employed a quasi-experimental comparative design with a two-group pretest–posttest approach to examine the effect of game-based learning on learning outcomes and instructional satisfaction in geriatric psychiatric nursing content among nursing students. The sample consisted of 149 third-year nursing students, divided into an experimental group of 81 students and a comparison group of 68 students. The research instruments included a game-based learning model for geriatric psychiatric nursing, a learning outcomes test with a reliability coefficient (KR-20) of .85, and a satisfaction assessment with a reliability coefficient of .80. Data were analyzed using descriptive statistics, the Mann–Whitney U test, and the Wilcoxon signed-rank test. The results revealed that following game-based learning, the experimental group had significantly higher mean learning outcome scores than before the intervention and significantly higher than those of the comparison group. Furthermore, the experimental group demonstrated a significantly higher mean satisfaction score with instruction compared to the comparison group. In conclusion, the game-based learning model in geriatric psychiatric nursing can more effectively enhance learning outcomes and instruction satisfaction among nursing students than traditional lecture-based instruction.