Nursing Journal of The Ministry of Public Health <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;">วัตถุประสงค์</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;">วารสารพยาบาลกระทรวงสาธารณสุขจัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัยและงานวิชาการด้านการพยาบาลทุกสาขาและงานด้านการแพทย์</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;">ตั้งแต่ปี 2555 วารสารการพิมพ์ปีที่ 3 มกราคม - เมษายน, ฉบับที่ 2 พฤษภาคม - สิงหาคม, ฉบับที่ 3 กันยายน - ธันวาคม</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> The Nurse Alumni Association of the Ministry of Public Health en-US Nursing Journal of The Ministry of Public Health 0857-3743 <p>บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้</p><div id="__if72ru4sdfsdfrkjahiuyi_once" style="display: none;"> </div><div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;"> </div><div id="__hggasdgjhsagd_once" style="display: none;"> </div> Historical Research Methodology in Nursing <p class="Pa3" style="text-align: justify;"><span class="A31"><span style="font-size: 14.0pt;">Historical research is a research process that helps researchers understand past events in order to better understand the present and future events. Conducting historical research in nursing is uncommon, since some scholars consider it as only data collection and organization but not research. However, other scholars are aware of its value and have founded associations in many countries. There are very few nursing researchers employing historical research methodology in Thailand. The purpose of this article is to present the basic tenets of historical research methodology, its critiquing guidelines, and potential scope for future historical research in nursing. </span></span></p> Prangthip Thasanoh Elter Patcharee Jaigarun Siriphan Siriphan Copyright (c) 2020-04-30 2020-04-30 30 1 1 13 Effects of an Empowerment Program on Selfcare Behaviors, HbA1C and Clinical Outcomes in Uncontrolled Type 2 Diabetes Patients <p>The purpose of this quasi-experimental, one group Pretest-Posttest research design was aimed to studying the effects of an empowerment program on selfcare behaviors, HbA1C, and clinical outcomes among uncontrolled type 2 diabetes patients in one health promoting hospital in Nakhon Si Thammarat province.The sample of 35 uncontrolled type 2 diabetes patients received the empowerment program for 16 weeks. The research instruments included 1) the empowerment program based on the Gibson’s model and 2) a questionnaire of selfcare behaviors. The content validity index of the questionnaire was .82 and Cronbach’s alpha coefficient was .70. Data were analyzed using frequency, percentage, mean, and standard deviation. A paired t-test was used to compare pre-test and post-test scores. The results showed that after implementing the program, the sample had significantly a higher mean self-care behavior score, while the mean score of HbA1C, systolic blood pressure, BMI, and blood sugar decreased significantly after completing the program at the .05 level. The findings suggest that the empowerment program was useful for promoting the selfcare behaviors among uncontrolled diabetic patients in a primary care unit.</p> Uraiwan Pantong Patcharaporn Kajornwattanakul Copyright (c) 2020-04-30 2020-04-30 30 1 14 24 Readiness for Interprofessional Learning among Undergraduate Students in Surin Province <p>This descriptive study was aimed to determine and compare the level of readiness for interprofessional learning (IPL) among undergraduate students in Surin Province. The sample consisted of 719 undergraduate students studying at the Boromarajonani College of Nursing Surin, Surin Rajabhat University, and Rajamangala University of Technology Isan. The Readiness for Interprofessional Learning Scale (IPL) was used to collect data in which the Cronbach’s Alpha coefficient was .91. Independent t-test and one-way ANOVA were utilized to compare the differences in the means of the readiness for IPL. The majority of the participants were female, Buddhists, never had experience with IPL, studying at the Rajabhat University, and the first year students. Overall, the sample had a high level of readiness for IPL. There were statistically significance differences in readiness levels among the students with regards to gender, different institutes, and experience with IPL but not statistically different regarding different years of study. The suggestion from this study is that all institutes located in Surin province should consider integrating interprofessional education in their curriculum and can launch IPE in the first year of the program.</p> Chularat Howharn Thawatchai Yeunyow Suchada Nimwatanakul Sukhumal Sanpuang Copyright (c) 2020-04-30 2020-04-30 30 1 25 34 Cultural Competency of Nursing Students from Nursing College under The Ministry of Public Health <p>This research was descriptive research aims to study the cultural competency among nursing students in 3<sup>rd</sup>year and 4<sup>th</sup>year from nursing college under The Ministry of Public Health. The sample were 345 nurse students, selected by a stratified random sampling across the nursing college under MOPH. Data were collectedusing a self-reported questionnaire to obtain data about personal data, perceived cultural competence, and cultural understanding. While the questionnaire of perceived cultural competence reported its Cronbach’s coefficientalpha of .86, the questionnaire of cultural understanding reported its KR-20 of .73. Data were analyzed usingdescriptive statistic. The finding reveals that nurse students reported a moderate level of culture competence (mean=3.29, SD=.32). Regarding cultural understanding, furthermore, 50.72% of nurse students reported a moderate level of cultural understanding, and 35.94 % of those reported a low level. The findings of this study might be utilized as basic information for teaching, so that the cultural competency of the nursing students could be promoted as congruent with the cultural contexts of patients who come to receive health services from the patients.</p> Rungnapa Chantra Suthanan Kunlaka Atiya Sarakshetrin Darawan Rongmuang Ratthayanaphit Ratchathawan Copyright (c) 2020-04-30 2020-04-30 30 1 35 46 Effectiveness of Educational Training via Mobile Application on Caregivers’ Understanding regarding Bedridden Elderly Care <p>Providing educational training for caregivers of bedridden elderly care through mobile application is an effective strategy to enhance caregivers’ competence, especially those who live in metropolitan areas. This quasi-experimental research study aimed to investigate the effectiveness of educational training via mobile application regarding bedridden elderly care. The participants consisted of 30 caregivers, living in the area under the jurisdiction of 5 district health promoting hospitals. The research instrument included an educational training program through mobile application for the care of the bedridden elderly. It consisted of 8 topics, and was disseminated to participants, 2 topics per week, and lasting for 4 weeks. The data collection instruments were questionnaires evaluating participants’ understanding of bedridden elderly care, and satisfaction with the educational training program. Both reported reliability of .73 and .87, respectively. Data were analyzed us­ing descriptive statistics and t-test comparisons. The finding revealed that, after participation in the education training program, the mean score of caregivers’ understanding of bedridden elderly care and the number of participants who reached the targeted score, were higher than those before participation (p&lt;.01). The participants also reported high level of attitude towards the training program, in terms of both the method and contents (mean=4.28-4.43, SD=.54-.62). The findings show the effectiveness of educational training through mobile application. Healthcare staff should use this strategy to provide health education to caregivers in other groups because it can save time and cost. Caregivers can review the contents conveniently for further understanding.</p> Patchara Sateanpuctra Sopapan Sa-ard Rujitra Vonvicha Akarapa Kuasuwan Copyright (c) 2020-04-30 2020-04-30 30 1 47 56 The Effects of the Innovation “3-Color Spoon” on Knowledge and Dietary Consumption among Patients with Type 2 Diabetes Mellitus and Poor Glycemic Control <p>This quasi-experimental research used a one group pretest-posttest design that aimed to compare knowledge and dietary consumption behaviors among patients with type 2 diabetes mellitus and poor glycemic control, before and after utilizing the innovation “3-Color Spoon”. The sample consisted of fourteen participants selected by purposive sampling technique. The research instruments consisted of the innovation “3-Color Spoon”, knowledge test and a dietary consumption behavior questionnaire. Data were collected by interviews using the questionnaire. Data were analyzed by descriptive statistics and paired t-tests. The results revealed that after the program, the mean scores of knowledge and dietary consumption behaviors among patients with type 2 diabetes mellitus and poor glycemic control were higher than those before they received the innovative program. The differences were statistically significant (p&lt;.05). This research recommends that nurses should focus on providing knowledge regarding the diabetic diet as an important factor that leads to constant blood sugar control.</p> Pavinee Pangsuk Aurjit Sookpool Chonlada Kingmala Watchareewong Wangmun Thawatchai Yeunyow Copyright (c) 2020-04-30 2020-04-30 30 1 57 68 Self-Management Experiences of Patients with Type 2 Diabetes Mellitus Living in Rural Area <p>This qualitative research aimed to explore the self-management experiences of type 2 diabetes mellitus patients (T2DM) living in rural areas, compare the patients who could control their blood sugar levels and those who could not. Data were collected by in-depth interviews with 30 T2DM patients living in a rural area. The results of the study showed that two groups of T2DM patients had three different self-management experiences, namely 1) Life goals: T2DM patients who could control blood sugar levels had clear life goals for themselves and others, whereas the other group did not have a definite life goal; 2) Reliable resources: T2DM patients who could control blood sugar levels sought out information for their health management from reliable resources, whereas the other group sought out information from a few unreliable resources to manage themselves, and 3) Behavior modification: T2DM patients who could control blood sugar levels had self-disciplineregarding adjustment of behaviors to control blood sugar levels in terms of eating, exercising, taking medicationto control blood sugar levels, and foot care, while the other group had no strict self-discipline on the above issues. In terms of stress management, it was found that both groups of patients had similar stress management methods, including acceptance of problems, talking with others, and finding activities to relieve stress. The resultsof this study can be used to adjust the activities to be more appropriate for the problems of T2DM patients who can and cannot control their blood sugar levels.</p> Ausanee Wanchai Pawadee Totharung Yaowaluck Meebunmak Copyright (c) 2020-04-30 2020-04-30 30 1 69 81 Control and Prevention of Iron Deficiency Anemia in Children Aged 6 -12 Months <p>This research aimed to 1) study the situation of anemia in children aged from 6 to 12 months, and 2) compare hemoglobin levels before and after implementation of an iron supplementation program . The sample consisted of 566 children, both male and female, age 6-12 months and 566 parents, who came to the well-baby clinic in 2018. The sample was divided into experimental and control groups, with 283 children in each group. These children were clients of the health promotion hospitals in region 5, in 2018. The program includes blood tests, evaluation of anemic condition and the administration of iron supplements. The instrument used for collecting data were a parent interview form and blood hemoglobin test. Data analysis included descriptive statistics and t-tests. The results found that children aged 6 and 9 months had an anemia rate of 16.9 % and 23.3 %, respectively. When taking iron supplements, the rate of anemia decreased to 13.4 % and 18.5 %, respectively. The parent’s knowledge of the intake of iron supplements was at a moderate level. The results from this study can be applied to adjust the policies of anemia screening system in well-baby clinics, and the development guidelines and advanced warning technologies such as mobile phone alerts to parents or the use of multimedia to give information.</p> Busaba Autthawee Autthawee Bampen Phongphetdit Copyright (c) 2020-04-30 2020-04-30 30 1 82 93 Development of ‘Self-learning Package: Basic Knowledge of Mental Health and Psychiatric Nursing’ for Nursing Students <p>This research and development study aimed to develop and examine the effectiveness of the “Self-learning package: Basic knowledge of Mental Health and Psychiatric Nursing” for nursing students. The self-learning package was developed according to ADDIE Model. Participants consisted of a random sample of 32 nursing students who passed the nursing course entitled Persons with mental health problems, both theoretical and practical components. The research instruments included: 1)Assessment of the situation and educational media needs, 2) Self-learning package: Basic knowledge of Mental Health and Psychiatric Nursing, 3) Learning achievement test and a questionnaire of satisfaction of students towards the use of the self-learning package. Data were analyzed using descriptive statistics and dependent t-tests. The results of this study revealed that the efficiency of “Self-learning package: Basic knowledge of Mental Health and Psychiatric Nursing” for nursing students was at 80.00/88.44, which was close to the set criteria (80/80). The post-test of the achievement test of the self-learning package was statistically significant higher than the pre-test (t=1.28, p&lt;.001). A high level of satisfaction towards the self-learning package (Mean=4.50, SD=.64) was reported. The findings indicate that the “Self-learning package: Basic knowledge of Mental Health and Psychiatric Nursing” for nursing students is effective for self-review.</p> Sasiwimon Booranarak Suthanan Kunlaka Malinee Yeujaiyen Jaruwan Kansri Copyright (c) 2020-04-30 2020-04-30 30 1 94 106 Factors Affecting the Prevention Behavior of Hand Foot Mouth Disease among Guardians in Child Development Centers <p>The purposes of this research aimed to study the behavior and factors affecting the prevention behavior of hand foot mouth disease among 352 guardians in child development centers of Wangthong district, Phitsanulok province. The sample was randomly selected through the multi-stage random sampling technique. The research instrument was a questionnaire. Data were collected from March to April 2019, and analyzed using frequency distribution, percentage, mean, standard deviation, and stepwise multiple regression analysis at the .05 level of significance. The study indicated that the sample group had a high level of preventive behavior for hand foot mouth disease ( <img title="\bar{x}" src="\bar{x}"> =3.84, SD=.60). Factors affecting prevention behavior of hand foot mouth disease included sex, education, parent-child relationships, experience in caring for children with hand foot mouth disease, perception of the severity of hand foot mouth disease, perception of the benefits of hand foot mouth disease prevention, perception of barriers to prevention of hand foot mouth disease, obtaining support from relevant persons and child health status awareness. These factors can predict prevention behavior of hand foot mouth disease at 40.0%. Therefore, relevant agencies in all sectors should organize empowerment activities for parents to encourage the parents to have a better awareness of hand foot mouth disease and to promote the good health of children and to continually support disease prevention resources for parents. This will enable parents to practice better behavior to promote the prevention of hand foot mouth disease more effectively.</p> Kanokwan Nuankerd Sunsanee Mekrungrongwong Copyright (c) 2020-04-30 2020-04-30 30 1 107 119 A Development of Caring Model for Sepsis Patients in the Medical Wards, Nan Hospital <p>This research and development study aimed to develop and evaluate a caring model for sepsis patients in the medical ward of Nan Hospital. The research was divided into 3 phases. Phase 1: Situational analysis included 1) in-depth interviews of 20 members of the multidisciplinary health care team in the medical wards and 2) focus group discussions among nine members who developed the caring model. Phase 2: Developing and implementing the Caring Model included the development of the model by conducting two focus group discussions among 8 health care members who would use the model for their opinions regarding the model and implementation of the model in the medical ward for 3 months. Phase 3: Model Evaluation was carried out by comparing clinical results before and after using the model. The quantitative data were analyzed using percentage, mean, Chi-Square tests, and the Mann-Whitney U Test while content analysis was performed for qualitative data analysis. The results showed that in Phase1, factors affecting the care for sepsis patients included the duration of the diagnosis and treatment of sepsis, dissemination of caring guidelines to personnel at all levels, communication among multidisciplinary teams, and monitoring and supervising the multidisciplinary team to follow the guidelines. Phase 2: the caring model for sepsis patients comprised 1) early screening and prompt treatment for high-risk patients, 2) workforce management using skill mixed nursing care team, 3) providing a workshop to enhance update knowledge for the multidisciplinary team, 4) creating a manual for nursing practice, and, 5) establishing a system for monitoring and supervising the multidisciplinary care team. Phase 3: after implementation of the 3-month study, it was found that the number of patients who received early diagnosis and prompt treatment of sepsis was significantly increased (χ2=13.017, p&lt;.05). The number of patients who suffered from septic shock and mortality rate statistically significant decreased (χ2=10.80, χ2=1.92, p&lt;.05)</p> Somporn Rodjinda 4Somporn Rodjinda Wimonthip Phuangkhem Copyright (c) 2020-04-30 2020-04-30 30 1 120 134 Factors Influencing Health Promotion Behaviors among Pre-aging Group <p>This crossectional study aimed at assessing the health promotion behaviors and identifying factors influencing health promotional behaviors among a pre-aging group. The participants consisted of 380 pre-aging people who were residing in the Ban tom sub district of Phayao province. Multi-stage random sampling was used to recruit the participants. Questionnaires were used to interview participants and were approved by three experts. Demographic data was analyzed using descriptive statistics. Multiple Regression Analysis was used to identify factors influencing health promotion behaviors. The research revealed that a pre-aging group had health promotion behaviors at a moderate level (mean=3.67, SD=.70). When each component of health promotion behaviors were considered, it was found that responsibility to their own health had the highest score and at a good level(mean=3.81, SD=.68), followed by doing physical activities which was at a good level (mean=3.71, SD=.86), but nutritional promotion behavior was at a moderate level (mean=3.50, SD=.55). Five factors significantly influenced health promotion behaviors: gender (female), annual physical examination, health promotion knowledge, and enabling and reinforcing factors (Multiple R=.576, F=37.108, p&lt;.001, df (5, 374). Those factors predicted 33.2% of the variation in health promotion behavior (R2=.332). Regarding the coefficients of regression (Beta), the results revealed that gender (female) was the most significant influencing factor (Beta=3.410, t=5.253, p&lt;.001). The research suggests that health care providers should enhance health promotion among males and provide more nutritional promotion activities for a pre-aging group in order to prepare them to be the healthy elderly.</p> Donnapa Chaisombut Nantika Ananchaipattana Copyright (c) 2020-04-30 2020-04-30 30 1 135 147 Factors Affecting the Competency of Chief Nurses towards Quality System Management of Hospitals in Suphan Buri Province <p>The purposes of this survey research were to investigate the competency level of chief nurses and to examine the predictive power of the factors that affect the quality of management system performance. The sample size was calculated and a systematic random sampling technique was used to recruit 120 chief nurses from nine public hospitals in Suphan Buri Province.. Data were collected using questionnaires. The content validity was checked using an index of Item–Objective Congruence of 1.00 Cronbach’s Alpha Coefficient was used to find the reliabilities of the questionnaires. The reliabilities of the Personal factors, Motivation factors from administrators, Organization factors, and Performance levels were .72, .97, .89 and .97 respectively. Data were analyzed using descriptive statistics, Pearson’s Product Moment Correlation Coefficient, and Stepwise Multiple Regression Analysis. The results of the study revealed that the competencies used at a high level was planning and implementation of the plans (<img title="\bar{x}" src="\bar{x}"> =3.77, SD=.54) .The stepwise multiple regression analysis found that Inspiration aspect of the motivation factors from the management dimension (β=.437, B=.322, p&lt;=.001), Teamwork aspect of the Organizational fac­tors: (β=.391, B=.335, p&lt;=.001), and Role of participation in the quality system aspect of the Personal fac­tors (β=.199, B=.153, p&lt;=.002) accounted for 64.10 % of the variation in the competency of chief nurses towards quality system management of hospitals. The study suggests that hospital administrators should increase com­munication roles to inspire the unit heads to have bonding with the organizational goals. Chief nurses should also increase their roles in quality control and participate in the hospital quality system for continuous hospital quality development.</p> Nissama Puchkanit Nittaya Pensirinapa Pornthip Kirapong Copyright (c) 2020-04-30 2020-04-30 30 1 148 160 A Development of the Self-directed Learning Model to Develop Transcul¬tural Nursing Competencies for Nursing Students, Faculty of Nursing Burapha University <p>The research aimed to create and evaluate the feasibility of a self-directed learning model to develop transcultural nursing competencies for nursing students. There were two research procedures. Firstly, a model was developed by studying relevant research documents in order to determine the model framework and examining the quality of the model, model manual and tools used for data collection by 6 experts. Secondly, the effectiveness of the model was assessed. The sample consisted of 40 nursing students in academic year 2018. A one group pre-test and post-test design was applied to this study. Statistics were used for the data analysis included median, interquartile range, mean, standard deviation, correlation coefficient and dependent t-tests. The study found that during the model formulation phase, the experts agreed to use 4 steps of learning: assessing readiness, developing knowledge, developing awareness and developing skills of caring for clients, with a median of 4.10-4.68 and a quartile range of .50-.96. The effectiveness index of the model was found higher than the criteria (.58). The participants in the program had a significantly higher mean score in self-directed learning than before the program (t39=-7.406, p&lt;.001). The sample demonstrated a significantly higher score in the cultural competencies of knowledge, awareness, and cultural skills, after participation in the program (P&lt;.05). Self-directed learning was positively related with awareness and cultural skills with statistical significance at the level of .001 (r=.712 and .774, respectively). The research shows that this model could promote self-directed learning which can lead to the development of transcultural nursing competencies of nursing students.</p> <p><strong>Keywords: </strong>transcultural nursing competencies; self-directed learning; research and development</p> Laddawan Puttaruksa Jinjutha Chaisena Dallas Wanita Kwansumran Copyright (c) 2020-04-30 2020-04-30 30 1 161 173 Development of a Safety System Model to Prevent Infection in Operating Theatre Nursing Department, Rajavithi Hospital <p class="Default"><span style="font-size: 14.0pt; color: #221e1f;">This research aimed to develop a safety system model to prevent infection in operating theatre nursing department at Rajavithi Hospital using a mixed-method design. The study composed of 3 phases: Phase 1: study of the current situation; Phases 2: model development; Phases 3: evaluation of the outcomes of the model. Data were collected using a literature review and evidenced-based practice, a focus group, a record, observations, and questionnaires. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using frequency, percentage, mean, standard deviation and paired t-tests. The results found that the safety system model to prevent infection in the operating theatre nursing department composed of 3 phases. Phase 1: Pre-operation, which consisted of 5 components, including a pre-operative care at the ward, a patient visit before the operation, preparation of the operating room, preparation of personnel for the operation, and preparation of patients when they come to the operating rooms. Phase 2: Intra-operation, which consisted of 1 component which was nursing care during the operation. Phase 3: Post-operation, which consisted of 2 components, namely, the post-operative period in the operation room and post-operative period in the ward. After implementing the model, 99.20% of personnel were able to follow the model. There were no incidents of surgical site infection and no incidents of injury to personnel. Patients who received nursing care using the model reported a moderate level of satisfaction (Mean=35.79) at the first time of implementation, and a high level of satisfaction (Mean=37.93) at the second time of implementation. Personnel reported a moderate level of satisfaction for using the model, both at the first and second time of implementation. However, satisfaction of the second imple­mentation was significantly higher than the first implementation at p=.01. In conclusion, the model was tested to be effective to reduce surgical site infections and injury to personnel.</span></p> Theera Pongpanich Tananya Lokittichon Sudavan Maknual Copyright (c) 2020-04-30 2020-04-30 30 1 174 189