https://he02.tci-thaijo.org/index.php/tnaph/issue/feed Nursing Journal of The Ministry of Public Health 2021-12-31T11:17:49+07:00 ดร.ศุกร์ใจ เจริญสุข n.tnaph@gmail.com Open Journal Systems <p><span style="text-decoration: underline;"><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วัตถุประสงค์</span></span></span></span></span></span></span></span><br></strong></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">วารสารพยาบาลกระทรวงสาธารณสุขจัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัยและงานวิชาการด้านการพยาบาลทุกสาขาและงานด้านการแพทย์</span></span></span></span></span></span></span></span></p> <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">ตั้งแต่ปี 2555 วารสารการพิมพ์ปีที่ 3 มกราคม - เมษายน, ฉบับที่ 2 พฤษภาคม - สิงหาคม, ฉบับที่ 3 กันยายน - ธันวาคม</span></span></span></span></span></span></span></span></p> <div id="__if72ru4sdfsdfrkjahiuyi_once" style="display: none;">&nbsp;</div> <div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;">&nbsp;</div> <div id="__hggasdgjhsagd_once" style="display: none;">&nbsp;</div> https://he02.tci-thaijo.org/index.php/tnaph/article/view/255632 A Comparative Study of the Effectiveness and Safety of Pha Tam Ra Luang Drugs and Cafergot® on the Treatment of Migraine in Working Age Group 2021-12-30T15:42:20+07:00 Nitirat Meekai Nitirat@scphpl.ac.th Yongyudh Vajaradul n.tnaph@gmail.com Supalak Fakkham n.tnaph@gmail.com Wudtichai Wisuitiprot n.tnaph@gmail.com <p>A comparative study of the effectiveness and safety of Pha Tam Ra Luang medication and Cafergot® &nbsp;for migraine was conducted in a group of working age people. This study was a quasi-experimental research study with a two-group pretest-posttest design. The sample included 70 participants aged 18-59 years who had been diagnosed by conventional medical doctors as migraineurs without aura and migraineurs with aura. The purposively selected sample was use to recruit migraine patients with moderate to severe pain at Wiang Nong Long Hospital in Lamphun Province. Thirty-five participants were assigned to the Pha Tam Ra Luang medication group and 35 were assigned to the Cafergot® group. Data were analyzed using descriptive statistics, including frequency, mean, percentage, standard deviation. Effectiveness and safety before and after the experiment were compared using a paired t-test. A comparison of effectiveness and safety between groups was tested using an independent t-test. The results showed that the Pha Tam Ra Luang medication had an analgesic effect, decreased pain levels and reduced headache duration at a statistical significance of .001. A comparison of effectiveness and safety between groups was statistically significant at .05.&nbsp; In terms of safety, no adverse effects occurred after taking the medication. Liver and kidney function were within normal range. In conclusion, the study shows that Pha Tam Ra Luang medication can be an alternative for migraine patients.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255634 Factors Influencing the Executive Function in Preschool-Age Children 2021-12-30T16:25:01+07:00 Ladda Leungratanamart ladda@bnc.ac.th Sompratthana Sudjainark n.tnaph@gmail.com Nattha Wattanaviroj n.tnaph@gmail.com วารุณี มีหลาย n.tnaph@gmail.com <p>Executive function plays an essential role in child development. It is a skill that leads to success both in study and career. The purpose of this study was to investigate the executive function of preschool children and the causal relationship between preschool children and family factors on the executive function of preschool children in Chonburi province. The sample selected through multistage random sampling consisted of 440 preschool children who attended child development centers and mothers who were their primary caregivers. The research instrument used to collect data was a questionnaire on factors affecting executive function, consisted of 3 parts: children's personal data, the parent personal data, and parenting style. The Cronbach alpha coefficient of this questionnaire was .84. The interrater reliability of the questionnaire was examined and ranged from .96 to 1.00. The data were analyzed using descriptive statistics and multiple regression analysis with dummy variables. The study revealed that the overall executive functions of preschool children was at a good level. (M=57.28, SD=7.34). The factors that influenced executive function were female, (b=.18), full term (b=.08), birth weight (b=.08), 6-month exclusive breastfeeding (b=.10), nighttime sleep duration (b=.30), family income per month 10,000-25,000 baht (b=.09), family income per month &gt;25,000 baht&nbsp; (b=.16), and parenting style (b=.20). All of these variables accounted for 33% of the variance in predicting the executive function. The results of this study suggest that all those involved in maternal and child health, child care providers and parents should pay more attention to promote children's executive function.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255636 Effectiveness of Participatory Learning Program on Knowledge and Practice of Village Health Volunteers for Taking Care of Hypertension Patients 2021-12-30T16:36:18+07:00 Kwanta Petmaneechote kwanta@bnc.ac.th Laksana Pongpumma n.tnaph@gmail.com Anisa Arunkeeree n.tnaph@gmail.com Patcharee Taowalanon n.tnaph@gmail.com <p>This quasi-experimental study with one group pretest-posttest design aimed to investigate the effectiveness of the participatory learning program on the knowledge and practice of village health volunteers in caring for hypertensive patients. A sample of 35 volunteer health workers from villages in Bang Sai sub-district, Maung district, Chonburi province was recruited through simple random sampling. The research instrument included the participatory learning program developed by the researchers based on Kolb's learning model, demographic data, hypertension knowledge test, and hypertension health practice questionnaire. The reliabilities of the knowledge test and health practice questionnaire were .72 and .88 respectively. Data were collected before and after 8 weeks of participation in the participatory learning program and analyzed by paired t-test comparisons. The results showed that village health volunteers had a high level of knowledge about hypertension after participating in the program (=19.51, SD =.70) and their practice of health care for hypertension was at a high level (&nbsp;=2.52, SD =.26). The knowledge and practice of health care for hypertension patients of village volunteers were statistically higher after participating in the program than before participating in the program at .01 (t=9.45, df=34 and t=8.75, df=34, respectively).</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255637 Comparison of Health Literacy to Prevent Premature Pregnancy Between Tribal and Lowland High School Students 2021-12-30T16:44:14+07:00 Ruankaew Yorapat n.tnaph@gmail.com Waraporn Boonchien n.tnaph@gmail.com Kannikar Intawong n.tnaph@gmail.com <p><strong>A</strong> comparative study of health literacy on prevention of premature pregnancy between tribal and lowland high school students was conducted by a mixed-methods study using both quantitative and qualitative data collection methods. For the quantitative data, a questionnaire regarding health literacy on prevention of premature pregnancy was used to ask 216 high school students including the groups of tribal and lowland high school students. Each group comprised 108 students. For the qualitative data, in-depth interviews were conducted with 16 individuals. Descriptive statistics were used to analyze the quantitative data while content analysis was used to analyze the qualitative data, using the conceptual framework of the research to identify the main themes. The findings revealed that the average age of the sample was 17 years. In line with the objective of the study, it was found that the level of health literacy on prevention of premature pregnancy among the tribal and lowland students was at moderate level. The mean score was 113.15 and standard deviation was 16.00. The mean scores of access to health information and services, teaching health literacy, managing own health status and media and information literacy on prevention of premature pregnancy were moderate. Cognitive aspect of health was at a low level while decision making for correct practice was at a very good level. The total means scores of health literacy on prevention of premature pregnancy of the tribes and lowland high school students in were 107.03 (SD = 14.04) and 119.27 (SD = 15.54). Independent t-test statistics showed that there were statistically differences in the mean scores of almost all aspects at the significant level of .05 except element 6 “decision making for correct practice to prevent premature pregnancy”.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255640 A Development of Learning Model for Basic Nursing Course in Enhancing the Academic Achievement of Nursing Students at Saint Theresa International College 2021-12-30T16:54:43+07:00 Veena Bhakdisirivichai veena@stic.ac.th Vassna Pongsupasa n.tnaph@gmail.com Vanee Pothinakorn n.tnaph@gmail.com Surang Prungdij n.tnaph@gmail.com <p>This action research aimed to develop a pedagogical model for the undergraduate nursing course called STIC to improve the academic performance of nursing students at Saint Theresa International College. A classroom action research design was used. The research process consisted of four basic criteria including plan, act, observe, and reflect. The subjects were 97 first-year nursing students at Saint Theresa International College in the academic year 2019. Data were collected using questionnaires and assessment instruments developed by the researchers. The results showed that 1) the mean score on the academic achievement of the Fundamental nursing course after applying the STIC model was significantly higher than that of before applying the STIC model at .01. the mean scores on satisfaction and happiness in learning of the nursing students were at a high level, and 2) the STIC model, a learning model for the Fundamental Nursing course, consisted of 4 components, namely situation, reflective thinking, inquiry method, and cooperative learning. Therefore, the STIC model can improve the academic performance of nursing students.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255664 The Development of a Nursing Care Model for the Elderly with Hip Fracture in Fast-Track Surgery, Phrae Hospital 2021-12-31T10:23:25+07:00 Porntida Chuenban dadachuenban@gmail.com Thanawan Sanpunya n.tnaph@gmail.com Tipakorn Krasao n.tnaph@gmail.com <p>This research and development study aimed to develop a nursing care model for the elderly patients with hip fracture, receiving fast-track surgery in Phrae Hospital. Three stages of research were conducted, including 1) problem analysis and identification by focus group discussion, 2) nursing model development, and 3) evaluation of the nursing care model. The sample were 60 elderly patients with hip fracture and 55 registered nurses. The study was conducted from February to June 2021. The Research instrument used was a nursing care model for elderly with hip fracture in fast-track surgery. The data collecting instruments included 1) the elderly outcome form, 2) the nursing knowledge questionnaire, 3) the nursing capacity development plan, and the nursing supervision manual and 4) the evaluation form of model satisfaction. The Nursing Care Model for elderly patients with hip fracture included 1) screening of the elderly patients with hip fracture for fast-track surgery, 2) management of elderly patients with hip fracture for surgery in 48 hours, 3) use of Clinical Nursing Practice Guideline (CNPG) for the elderly patients with hip fracture, 4) ERAS program, 5) nursing care by the case manager,&nbsp; 6) development of nurses’ knowledge and skills, and 7) the nursing supervision manual. It was found that after using the model the elderly had better outcomes in all aspects. The average operating room nurses’ knowledge score increased from 12.14 to 14.57 and the average score of nursing practice following the guideline increased from before using the model development with the statistically significant level of .05. The nursing care model for the elderly with hip fracture in fast-track surgery had improved the efficiency and quality of the elderly care leading to achievement of &nbsp;all standard goals set by the hospital.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255642 Effect of Palliative Care Application in Spiritual Dimension according to Multicultural Ways on Knowledge and Spiritual Care Competencies among Village Health Volunteers in Narathiwat Province 2021-12-30T17:12:07+07:00 Nurdeenee Dereh nurdeenee.d@pnu.ac.th Ansory A-lee n.tnaph@gmail.com Manasavee Adulyarat n.tnaph@gmail.com ธิดารัตน์ หวังสวัสดิ์ n.tnaph@gmail.com <p>This quasi-experimental study with one group pretest-posttest design aimed to compare the knowledge and spiritual ability scores before and after using an application of spiritual dimension caring according to multicultural way among village health volunteers and to examine the level of satisfaction <strong>with</strong> the application. <strong>&nbsp;</strong>The sample consisted of 45 village health volunteers selected through multistage random sampling. The research instruments were divided into 2 parts: 1) the application of spiritual dimension in a multicultural way "I CARE" 2) the data collected consisted of: demographic data, spiritual care knowledge questionnaire, spiritual skills questionnaire, and application satisfaction evaluation form. The data were analyzed using descriptive statistics and a paired t-test. The results of this study showed that the mean scores for knowledge and spiritual skills after participating in the program were significantly higher than the scores before participating in the program at a p level of .001 (t = -9.23, t = -33.59, respectively). The overall satisfaction score was at a high level.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255644 Experiences of Caregivers in Prevention of Acute Respiratory Infection in Preschool Children 2021-12-30T17:19:47+07:00 Yunee Pongjaturawit photjanart@yahoo.com Photjanart Sarapat n.tnaph@gmail.com Nujjaree Chaimongkol n.tnaph@gmail.com <p>The aim of this descriptive qualitative study was to describe caregivers' experiences of preventing acute respiratory infections in preschool children. Participants were randomly selected and included 19 caregivers of children attending a child development center in Muang district, Chon Buri province. Data were collected using an in-depth interview. Data were collected using in-depth interview. The content analysis method was used to analyze the data. Data were collected using an in-depth interview. The content analysis method was used to analyze the data. The findings regarding caregivers' perceptions of the prevention of acute respiratory infections in preschool children can be divided into four themes: 1) the definition of acute respiratory infection in children, 2) the causes of acute respiratory infection, 3) the effects of acute respiratory infection, and 4) the prevention of acute respiratory infection in children. These findings increase understanding about experiences of caregivers in prevention of acute respiratory infection in preschool-age children. These could be used as baseline data for planning an effective intervention to promote caregivers taking care for children with acute respiratory infection.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255645 A Study of Readiness to Open Graduate Program of Faculty of Nursing, Praboromajchanok Institute and Needs for Further Study at the Nursing Graduate Level of Professional Nurses 2021-12-30T17:29:35+07:00 Panarut Wisawatapnimit panarut.w@bcn.ac.th Kwanta Boonvas n.tnaph@gmail.com Chiraporn Worawong n.tnaph@gmail.com Payao Pongsakchart n.tnaph@gmail.com จุฬารัตน์ ห้าวหาญ n.tnaph@gmail.com <p>Further studies in nursing are important to retain professional nurses and enhance their skills. The literature search revealed that there are not many studies on this phenomenon. The aim of this survey was to investigate the readiness to open graduate programs in the Faculty of Nursing, Praboromarajchanok Institute and the need for further studies in nursing at graduate level. The sample consisted of 30 directors and 1,216 nurses who are alumni of the nursing schools. Data were collected using online surveys and analyzed using descriptive statistics. The results showed that the nursing schools within the faculty of nursing under Praboromajchanok Institute were willing to open graduate programs in nursing. There were 313 faculty members with doctoral degrees. The average number of academic papers in the last 5 years is 4.65 articles per person. Seventeen nursing schools also had readiness to provide learning resources. The sample was ready to pursue further studies in nursing (43.00%). The majority of the sample wanted to study in adult and geriatric nursing (41.30%), in ordinary graduate study programs (79.50%), and on weekend (57.60%). Nursing education institutes should provide graduate programs that meet the needs of learners and provide adequate faculty members as well as learning resources to enhance the competencies and desirable attributes of the learners. This will lead to good nursing outcomes for the population.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255666 The Relationship between Health Literacy and Good Serum Lipid Level of the Population at Risk for Ischemic Heart Disease in The Northeast, Thailand. 2021-12-31T10:32:33+07:00 Issaree Padphai kaogrand@hotmail.com Duangruedee Chotklang n.tnaph@gmail.com Atchara Chanaboon n.tnaph@gmail.com <p>This cross-sectional analytic research study was designed to determine the relationship between health literacy and good serum lipid levels in the population at risk for ischemic heart disease. Data were collected from October 2020 to January 2021. A sample of 510 at-risk people with type 2 diabetes and/or hypertension who visited four health promotion hospitals in the Northeast was selected by the multistage stratified cluster sampling method. Data were collected using questionnaires on general information, clinical information and health literacy for prevention of ischemic heart disease (HL). Descriptive statistics for categorical data were analyzed using logistic regression and generalized linear mixed model. The results showed that the mean scores of the samples’ six categories of HL regarding the ischemic heart disease prevention skills namely Access, Cognitive, Communication, Self-Management, Media Literacy, and Decision were at a moderate level. In addition, the those who had high cognitive ability (adjusted OR =3.43, 95% CI=1.82 to 6.47), high communication ability (adjusted OR =3.05, 95% CI=1.41 to 6.59), high media literacy (adjusted OR =7.02, 95% CI=3.40 to 14.50) had statistically significant higher level of good serum lipid levels than those who had low and moderate levels (p &lt;.05). In conclusion, 73.92% of the study participants had poor serum lipid levels and also had moderate levels in the six skills of HL. Based on the findings of this study, health care providers should promote HL for prevention of ischemic heart disease in people who are at high risk.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255648 Effect of Competencies Development Program on Nursing Quality Improvement of Nursing Students 2021-12-30T17:42:23+07:00 Nusara Prasertsri nussara@bcnsp.ac.th Chanukorn Kaewmanee n.tnaph@gmail.com <p>Quality improvement (QI) competency is considered an essential competency in the nursing profession. Information on teaching to improve QI competency of nursing students is limited. The purpose of this study was to examine the effect of a quality improvement program on QI competency, which includes knowledge, attitude, and skills related to QI. A quasi-experimental one-group pretest-posttest design was conducted. The sample was composed of 175 4th year nursing students of Boromarajonani Collage of Nursing, Sanpasithiprasong. The quality improvement program included a lecture (2 hrs), a workshop on evidence-based practice (7 hrs), and a nursing practicum (120 hrs.) integrated with clinical teaching. A self-administered QI competency questionnaire (20 items, 5 Likert scale) was completed before and after the QI program implementation. Mentors rated QI competency of the students after the QI program implementation. Descriptive statistics were used and a paired t-test analysis was conducted to assess the differences of the mean scores before and after the QI teaching program. It was found that significant improvement in QI competency and QI practice can be achieved in nursing students through the QI program. The mentor expressed that the students’ QI competency was at a high and highest level. The integration of the QI program for nursing into pre-graduation clinical instruction and nursing practicum has led to the development of quality improvement competencies in nursing.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255667 Factors Associated with Self-Care Behaviors Glycemic Control in Patients with Type 2 Diabetes Mellitus 2021-12-31T10:39:59+07:00 Kanjana Punyapet 59810042@go.buu.ac.th Nipa Maharachpong n.tnaph@gmail.com ยุวดี รอดจากภัย n.tnaph@gmail.com <p>A cross-sectional study was designed to examine the relationship between personal factors, knowledge of diabetes, self-regulatory ability, and self-care behaviors in glycemic control in patients with diabetes mellitus (DM) Type 2. The sample consisted of 403 patients who visited the diabetes clinic of primary care units in Samut-Sakhon province from August to October 2020. Questionnaires that included personal factors, knowledge of diabetes, ability to self-regulate, self-care, and self-care behaviors were used as instruments for data collection. The reliability coefficients of the questionnaires were .73, .83, .75, and .77, respectively. The data were analyzed using frequency, percentage, mean, standard deviation, and binary logistic regression. The result showed that the mean scores for knowledge of diabetes, self-care, and ability to self-regulate were at a high level (8.54, 32.85, and 44.49, respectively). In the relationship study, personal factors on follow-up care, self-preparation for food, and having family members with diabetes, knowledge of diabetes &nbsp;and self-care were statistically significant associated with self-care behaviors for glycemic control at the .05 level. Therefore, nurses and public health workers should promote self-care behaviors for glycemic control by emphasizing self-regulation to improve knowledge of self-care, follow-up care, and self-cooking for better self-care behaviors and glycemic control.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255651 Factors Influencing the Sudden Deterioration of Emergency Critical Patients in Pre-hospital Care Period 2021-12-30T17:56:22+07:00 Kannika Katsomboon ajkannika.kat@gmail.com Phadungvit Yottavee n.tnaph@gmail.com สิริวรรณ ธัญญผล n.tnaph@gmail.com <p>The aim of this study was to determine the factors influencing clinical deterioration during the prehospital care phase in critically ill patients who used the emergency medical system in Phrae province. This cross-sectional analytical study included 299 patients who were categorized as " red" (emergency) and "yellow" (urgent) by telephone triage, received on-site care from emergency medical personnel, and were transferred to Phrae Hospital. Data were collected retrospectively by reviewing patients' medical records and referral documentation from November 2019 to April 2020. Data were analyzed using t-test, Wilcoxon rank sum test and logistic regression analysis. The results showed that 25.63% of participants developed clinical deterioration. In the logistic regression analysis, patients over 60 years of age had a 6.16-fold higher risk of clinical deterioration (95% CI = 2.07-18.31). Patients with one underlying disease and two or more underlying diseases had a 3.82-fold risk (95% CI = 1.63-8.96) and a 3.51-fold risk (95% CI = 1.23-10.06) of clinical deterioration, respectively. Similarly, an on-scene of systolic blood pressure less than 90 mmHg resulted in a 7.73-fold risk of clinical deterioration (95% CI = 2.52-23.69). On-scene of the time greater than 10 minutes resulted in a 2.09-fold risk of clinical deterioration (95% CI = 1.04-1.16). These findings can be used to develop a guide for healthcare providers for on-scene assessment and care to prevent the occurrence of clinical deterioration in critically ill patients during a prehospital crisis.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255653 Development Model of Emergency Medical Service for the Older People with Hip Facture 2021-12-31T11:16:48+07:00 Nikorn Janpilom korn_ems22@hotmail.com Lak Chutitharamanan n.nbaisri@gmail.com <p>This research and development study aimed to 1) investigate the current situations and conditions, problems, and needs of emergency medical services for the elderly with hip fractures, 2) develop the model of emergency medical services for the elderly with hip fractures, and 3) evaluate the results of using the model. The sample consisted of 60 emergency physicians and 19 specially selected older people with hip fractures. The instruments used for data collection were 1) paramedic self-efficacy program records, 2) paramedic skills assessment in emergency rooms, and 3) satisfaction with paramedic services questionnaire. Data were analyzed using descriptive statistics and paired t-tests. The results showed that the forms of emergency medical care for the elderly with hip fractures in Phrae consisted of 1) emergency medical care through self-efficacy programs, 2) the emergency medical care fact sheet for the elderly with hip fractures to participate in the Hip Fracture Fast Track, and 3) the proper use of casts. It was found that after using the model the emergency responders were better than the previous ones in every aspect. The mean scores of emergency medical workers' knowledge and attitudes were statistically significant at the p &lt;.001 level. A total mean score &nbsp;of satisfaction with the model of the clients was at a very high level (<img title="\bar{x}" src="https://latex.codecogs.com/gif.latex?\bar{x}">=4.92, SD =.27). The study suggests that there should be a program for training of emergency medical volunteers to improve their competency in emergency medical services. The model should be further implemented in other groups of emergency medical services to reduce the loss of organs and patients' lives before they reach the hospital.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255654 Components of Managerial Competencies of Executives to Support People Excellence Strategies of the Ministry of Public Health 2021-12-30T18:15:57+07:00 Sudkanueng Ritruechai sudkanuengrit@cpha.ac.th Pongsuwan Srisuwan n.tnaph@gmail.com <p>The purpose of this study was to examine the components of managerial competencies. The conceptual framework of the study included the concept of "people excellence" in the Twenty-Year National Strategic Plan for Public Health including "hard skills" and "soft skills" in the National Strategic Plan for Public Health, and the framework of the six management competencies of the civil servants. Each component consisted of two main competencies, administrative or hard skills and social-emotional or soft skills. A traditional Delphi technique was used in this future research study. Data were collected three times from 20 experts. The questionnaires used were the components of administrative skills of MOPH questionnaire developed by the researcher. The data were analyzed using content analysis, means, percentages and interquartile ranges. The study revealed that the 17 hard skills and 15 soft skills that make up administrative competence can be used to promote the competencies of leadership, vision, strategic planning in the public sector, change leadership, self-control, and coaching and teaching in relation to the people excellence policy and management competencies needed in the future. The findings of the study suggest that the 17 hard skills and 15 soft skills should be included by the Task Force on Human Resource Development in the five-year National Strategic Plan for Public Health (2022-2026) to work towards the goal of the twenty-year National Strategic Plan for Public Health.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0 https://he02.tci-thaijo.org/index.php/tnaph/article/view/255655 The Servant Leadership Development: The Management Direction of the Nursing Organization 2021-12-30T18:23:19+07:00 Surapan Panomrit surapan_ram@hotmail.com <p>The servant leadership is a leadership style that focusing on being a role model, paying attention to promote the team development, giving priority to moral, and fostering genuine relationships between leaders and teams in the organization. The servant leadership management makes the team happy to work and empowers the team, resulting in a successful achievement. This article aims to present a synthesis of the characteristics of servant leadership in the current situation and a direction for nurse leaders to apply servant leadership concept into their practice for a sustainable development of their organization.</p> 2021-12-30T00:00:00+07:00 Copyright (c) 0