Nursing Journal of The Ministry of Public Health
https://he02.tci-thaijo.org/index.php/tnaph
<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>วารสารพยาบาลกระทรวงสาธารณสุข จัดทำขึ้นเพื่อส่งเสริมและเผยแพร่ผลงานวิจัย และงานวิชาการด้านการพยาบาล ทุกสาขา งานด้านการแพทย์ และการสาธารณสุข</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;"> </div> <div id="__if72ru4sdfsdfruh7fewui_once" style="display: none;"> </div> <div id="__hggasdgjhsagd_once" style="display: none;"> </div>The Nurse Alumni Association of the Ministry of Public Healthen-USNursing Journal of The Ministry of Public Health0857-3743<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>The Effects of a Group Psychoeducation Program on Depressive Symptoms and Self-Care Behaviors of Older Adults with Depressive Disorder
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272837
<p>Older adults with major depressive disorder need a psychoeducation promoting self -care behaviors. This quasi-experimental research design aims to investigate the effects of a group psychoeducation program on depressive symptoms and self-care behaviors among older adults with depressive disorder. The participants were 64 patients, age over 60, from the outpatient psychiatric clinic at the hospital in Ubonratchathani. These were randomly assigned to an experimental group (n = 32) and a control group (n = 32). The research instruments were the follo wing: 1) An applied program based on transformative model whose content was validated by three experts. 2) The depressive symptoms inventory for Thai older persons with depressive disorder. The reliability of this inventory was determined by a Cronbach ’s alpha coefficient of .93.<br>3) Self-care behavior assessment, which also analyzed precision Cronbach's alpha coefficient was .74. The data were evaluated using descriptive statistics and multinomial analysis of variance (MANOVA). The results of the research can be summarized as follows: The mean depressive symptoms scores and self-care behaviors of the older adults with depressive disorder in the experimental group on the posttest were different from the mean depressive scores and self -care behaviors on the pretest. After participating in a group psychoeducation program, the mean depressive scores and self-care behaviors were different from those mean scores of the control group receiving regular nursing care at a statistical significance level of .05. In conclusion, a group psychoeducation program can be used as an alternative nursing activity to reduce the depressive symptoms and increase the self-care behavior of older adults with depressive disorder.</p>Pitchayanika ChuakanRangsiman SoonthornchaiyaSararud Vuthiarpa
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2024-12-252024-12-25343112Development of Food Application Knowledge for Hypertensive Patients
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272838
<p> Development of innovation enhancing people’ s food knowledge for hypertensive people is alternative strategy for changing consumption behaviors and for controlling hypertension. This research is a research and development study. The objectives are: 1) to develop a food knowledge application for patients with hypertension, 2) to compare knowledge before and after using the application, and 3) to assess user satisfaction with the application. The sample group consists of 130 patients with hypertension who received services at two sub- district health- promoting hospitals,undergoing four research phases: 1) needs assessment, 2) application design and development, 3)application usability testing, and 4) evaluation of application effectiveness. Research tools included surveys on application usage preferences, the developed nutritional education application, application quality assessment, nutritional knowledge evaluation, and user satisfaction assessment. Results revealed that the developed application contained comprehensive content covering the benefits of foods for hypertensive patients, hypertension- fighting foods, sodium and salt quantities in foods,recommended and restricted food types. Overall, the quality of the nutritional education application for hypertensive patients was rated as excellent ( Mean= 4. 65, SD= . 31) . Furthermore, statistically significant improvement in nutritional knowledge was observed after application usage ( p<. 01) . Moreover, user satisfaction with the application was notably high (Mean=4.38, SD=.46), indicating a positive reception among the study sample.</p>Somluk TepsuriyanontAmornrat Natason
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2024-12-252024-12-253431325Factors Related to Hopelessness of Family Caregivers of Patients with Stroke in Community
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272848
<p>Caring for stroke patients at home is the duty of family caregivers to care for the patient continuously every day. Caring for a stroke patient affects the physical and mental of family caregivers. This descriptive correlation research aimed to examine level of hopelessness and factors related to hopelessness in family caregivers of patients with stroke at community. The participants were 85 family caregivers of patients with stroke residing in communities by purposive sampling. Data were collected by interview between May 2023 to April 2024 and were then analyzed using descriptive statistics, chi- square test and Pearson Correlation. The results showed most family caregiver of stroke patients had a moderate level of hopelessness 58.8% and factors associated with hopelessness were stress (r=.28, p<.01) length of time caring for the patient (r=-.23, p<.05) self - esteem (r=-.27, p<.05) and social support from family (r =-.27, p<.05). The results of this study suggest that caretaker relatives should be taken care of by counseling and promoting self-worth and self-empowerment. To help prevent hopelessness that will occur in relatives who care for stroke patients in the future.</p>Nawarit PeerathawornwitPavinee PangsukChonlada KingmalaSuphawan Kimthong
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2024-12-252024-12-253432639Factors Related to Transitional Stress among the Relatives when Transferring Neuro-Critically Ill Patients from Intensive Care Units to General Wards
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272849
<p>Transferring neuro-critically ill patients from intensive care unit to general ward leads patients’ relatives to be stressful. This descriptive study described transitional stress and examined the relationship between perceived severity of illness, hope, caregiving preparedness, and quality of teaching with transitional stress among relatives during the transfer of neuro-critically ill patients from intensive care units to general wards. The sample were the relatives of neuro-critically ill patients who were treated at affiliated hospitals of Bangkok Hospital group. 84 participants were recruited by defining a collecting data period and selected samples following inclusion criteria. The research instruments included The Demographic Questionnaire, The Family Relocation Stress Scale, The Perceived Severity of Illness Scale. The Herth Hope Index, The Preparedness of Caregiving Scale, and The Quality of Discharge Teaching Scale. Data were analyzed using descriptive statistics and Pearson correlation coefficients. The result showed that the stress levels of relatives of neurological critically ill patients during patient transfers from the intensive care unit to general wards were low (M=34.69, SD=7.65). The perceived severity of illness was positively correlated with transitional stress (r=.22, p<.05). Hope, caregiving preparedness, and quality of teaching were negatively correlated with transitional stress (r=-.44, p< .001; r=-.63, p<.001; r=-.36, p<.01), respectively. The study suggests that nurses who caring for patients in critical care units should develop nursing interventions to continuously assess relatives' perceived severity of illness, develop guidelines for providing consistent caregiving information and support the relatives to maintain hope. Moreover, effective nursing intervention should promote the preparedness of the relatives for caregiving responsibilities through quality teaching and information provision while patients are treated in the critical care unit. To enhance their readiness of caregiver’s roles when patients are transferred out of critical care unit.</p>Asadangphon MonwanNiphawan SamartkitKhemaradee Masingboon
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2024-12-252024-12-253434054Development of the Nursing Model to Prevent Early Postpartum Hemorrhage, Somdet Phra Sangharaja 19 Hospital
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272851
<p> Postpartum hemorrhage is a significant contributor to maternal mortality . This research and development study aimed to create and evaluate a nursing model to prevent early postpartum hemorrhage. The research was conducted in three phases: Phase 1 involved assessing the current situation, Phase 2 focused on developing the model, and Phase 3 evaluated the model's effectiveness .</p> <p>he study took place from November 2022 to September 2023, with a sample population that included: 1) 18 nurses, 2) 259 vaginal birth attendants, and 3 ) 152 medical records of birth attendants. The results were as follows: 1. Nursing model to prevent early postpartum hemorrhage: The KRIYA model, implemented at Somdet Phra Sangharaja 19 Hospital, includes 1.1) knowledge about nursing practices to prevent postpartum hemorrhage 1.2) risk assessment for postpartum hemorrhage 1.3) implementation of standard of nursing 1.4) yardstick of nursing manual, and 1.5) active management of the third stage of labour and alert to warning signs. 2. After implementing the model, the severity of one case of early postpartum hemorrhage (level E) was reduced compared to before its use. Overall, maternal satisfaction with delivery room nursing services was rated high. 3. Following the implementation of the model, nurses demonstrated significantly improved knowledge in preventing postpartum hemorrhage. Furthermore, their overall satisfaction with the nursing model was also rated highly. In conclusion, this research's findings indicate that the nursing model developed to prevent early postpartum hemorrhage can effectively address this critical issue in maternal health.</p>Chatchada Yenbamrung
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2024-12-252024-12-253435567Factors Predicting Postpartum Depression Among First – Time Mothers
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272852
<p> Postpartum depression is a significant mental health problem that impairs childcare capabilities. The predictive research aimed to assess the prevalence of postpartum depression and identify its influencing predictors among first- time mothers. Participants were 264 first - time mothers, 4 to 6 weeks postpartum, who attended the check-up at four hospitals in Nakhon Ratchasima Province. Participants were selected through multistage random sampling, and data were collected using self-report questionnaires from August to December 2023. The research instruments consisted of personal record form, maternal role attainment questionnaire, family support questionnaire, perception of childbirth experience questionnaire, and postpartum depression questionnaire. The reliabilities were .85, .96, .84 and .88 respectively. Descriptive statistics and logistic regression were utilized to analyze the data. The results revealed that the prevalence of postpartum depression among first- time mothers was 23. 11%. Significant predictors of postpartum depression included a low level of family support (OR=4.19, 95%CI=2.00–8.75, p<.001) and a negative perception of the childbirth experience (OR=3.25, 95%CI=1.65–6.40, p<.001). Therefore, nurses or midwives should promote positive childbirth experiences and encourage their families in the care of postpartum women and newborns to reduce the risk of postpartum depression.</p>Sutida SuebanunTatirat TachasuksriUsa Chuahorm
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2024-12-252024-12-253436881Effects of a Perceived Self-efficacy Promoting Program on Health Behaviors, Stress, and Blood Sugar Level among Women with Gestational Diabetes Mellitus
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272853
<p>Gestational Diabetes Mellitus (GDM) causes complications in pregnant women and fetuses.</p> <p>herefore, controlling blood sugar levels is very important. This study was quasi- experimental research aimed to examine the effects of a perceived self-efficacy promoting (PSEP) program. The participants were composed of 42 GDM pregnant women at antenatal care of Phrapokklao hospital,Chanthaburi province. They were selected using match-paired sampling into two groups: controlled and experimental groups. Research instruments included a PSEP program; questionnaires assessing health behaviors and stress with a reliability of .77 and .95, respectively; and a form recording blood sugar level. During a period of experimentation, the experimental group participated in the PSEP program for 6 weeks to support their mastery experiences and vicarious experiences using social persuasion to promote physiological and emotional states. Data were analyzed by t-tests to compare the differences in mean scores within groups and between two groups. The results found that the mean scores of health behavior of the experimental group after the program were significantly higher than those before the program and higher than those of the control group. It was also found that the mean score of stress of the experimental group after the program was significantly decreased, as well as lesser than that of the control group. In addition, the average blood sugar level in the experimental group was significantly lower than that of the control group. Thus, this study indicates that the PSEP program can promote health behaviors in GDM pregnant women to reduce stress and control blood sugar levels. As a result, complications in GDM pregnant women and fetuses can be reduced.</p>Kritsanee SuwannaratKannikar Ponngam
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2024-12-252024-12-253438297Relationship Between Health Belief Models and Oral Health Care Behaviors by Parents in Elementary Schools, Warinchamrab District, Ubon Ratchathani Province
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272854
<p>Oral care behaviors among preschool children rely on their parents’ health belief. This cross-sectional study aimed to examine the relationship between health belief model and the oral health care behaviors of parents with preschool children in elementary schools under the jurisdiction of Ubon Ratchathani Primary Educational Service Area Office 4, Warinchamrab District, Ubon Ratchathani Province. The sample consisted of 303 parents of preschool children in elementary schools, selected through multi-stage random sampling. Data were collected using questionnaires that included personal characteristics, health belief model, and oral health care behaviors of parents. The data were analyzed using descriptive statistics, Chi- square test, Fisher's exact test, and Spearman's rank correlation coefficient. The findings revealed that the majority of caregivers were female (78.22%). The level of oral health care behaviors for preschool children among caregivers was moderate (Mean=2.10,SD= . 44) . Overall health belief model showed a weak positive correlation with oral health care behaviors at a statistically significant level ( rs= . 204, p<. 01) . When considering individual components, perceived susceptibility (rs=.138, p=.02), perceived barriers (rs=.183, p=.01), and cues to action ( rs= . 115, p<. 05) demonstrated weak positive associated with oral health care behaviors. However, significant correlations between perceived severity and perceived benefits with oral health care behaviors were not observed. Recommendations include that dental personnel and relevant organizations should encourage parents to take their children for dental check-ups every six months and increase activities promoting dental health among parents of preschool children in elementary schools.</p>Somporn KeawtongSonsai BoonpunyaSaowaluk SeedaketNiruwan Turnbull
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2024-12-252024-12-2534398113Family Experience in Supporting Healthcare for the Elderly People Living Long Lives
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272855
<p>Family plays key role providing care for elderly. This qualitative study aimed to explore the life experiences and successes of elderly families who cared for their older members, enabling them to live beyond 100 years. The informants were a group of primary caregivers responsible for elderly people living long lives. Interviews with 10 primary caregivers in a community in Suphanburi province collected the data. The researcher used narrative interviews and conducted a qualitative content analysis. The findings revealed two main themes and five subthemes. Main Theme 1: Family success in caring for elderly people with longevity, comprising two subthemes: (1) acceptance from the elderly and (2) praise and appreciation from society and the community; Main Theme 2: Family participation in caring for elderly people with longevity, comprising three subthemes: ( 1) Family relationships ( 2) Family care practices for elderly individuals with longevity ( 3) Family learning and problem- solving strategies in caregiving. The results indicated that families caring for elderly individuals with longevity were the most important resource, providing essential support in all aspects to promote the well-being and health of the elderly. Mutual respect and acceptance between the elderly and their caregivers contributed to effective health care and extended life expectancy. Based on these findings, recommendations include developing a program to strengthen family involvement in caregiving to ensure appropriate health and quality of life for the elderly with longevity.</p>Umakorn JaiyungyuenAkom PhosuwanSupaporn VoraroonNetiya JamtimChiraphun Phothong
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2024-12-252024-12-25343114126Predictors of Healthy Food Consumption Behaviors Among the Elderly in Banpong, Ratchaburi
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272857
<p>Healthy food consumption depends on several factors. This predictive study aimed to identify factors that predict healthy food consumption behaviors among elderly individuals in Banpong District, Ratchaburi Province. A total of 396 elderly participants were selected using multistage random sampling. The research tools included a structured interview questionnaire covering three sections: 1) demographic data, 2) predictors of healthy food consumption, and 3) healthy food consumption behaviors. The content validity values of the questionnaires were . 67- 1. 00 and Cronbach’s alpha coefficient .85 and .91. Data were analyzed using descriptive statistics and stepwise multiple regression analysis. Key predictors of healthy food consumption behaviors included attitudes towards food, , perception of information, and social support from medical personnel. Together, these factors explained 52. 90% of the variance in healthy food behaviors ( Adjusted R²= . 529, p<. 01) . These findings provide valuable data for the development of healthcare plans aimed at promoting healthy food consumption behaviors among the elderly, potentially improving their quality of life and long-term health outcomes.</p>Sabaitip CheuaiamKomwat RungruangDanai DussarukNuananong Srisuksai
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2024-12-252024-12-25343127138Self-care Experiences of Teenagers with Post-Coronavirus 2019 Condition
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272858
<p>Post-infection illness caused by Coronavirus 2019 leads teenagers to change their health behaviors for staying healthy as previously. This descriptive qualitative research aimed to describe the self- care experiences of teenagers with post- coronavirus 2019 conditions. Participants were purposefully selected based on specific criteria: adolescents diagnosed by a physician as having post-coronavirus 2019 condition, experiencing these symptoms for at least four weeks, and having no other chronic illnesses. The research was conducted at two hospitals in Ubon Ratchathani Province. Data were collected through in- depth interviews and field notes, which were the primary tools used in this research. Thematic analysis was conducted concurrently with data collection until data saturation was reached, including a total of 7 participants, from February 2023 to May 2024. The study concluded that the self- care practices of adolescents who had been affected by the post-coronavirus 2019 condition evolved into chronic symptom management. The results were categorized into two main themes. The first theme, " Life facing the consequence of COVID- 19," included subthemes of changes in life and impact on emotional and mental well- being. The second theme, Finding ways to manage chronic symptoms," included subthemes of discovering health care methods and managing and coping with symptoms independently. These findings help pediatric nurses understand the specific self-care experiences of adolescents with post-coronavirus 2019 conditions. his evidence may be utilized to create nursing care guidelines for this group and provide insight for future research.</p>Panita ChantraSurasak Treenai
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2024-12-252024-12-25343139151Influencing Factors of Post-Concussion Syndrome Intensity in Patients with Mild Traumatic Brain Injury During One Month after the Trauma
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272859
<p>Mild traumatic brain injuries can have a profound impact on a patient's quality of life . The purpose of this predictive descriptive research was to study factors influencing the intensity of post-concussion syndrome (PCS) in patients with mild traumatic brain injury (mTBI) 1 month after injury. Participants were 85 mTBI patients who were admitted to the neurological and trauma surgery ward in Chonburi Hospital . The research instruments included 1) the demographic and health status of patients with mild TBI record form, 2) the Rivermead Post Concussion Symptoms Questionnaire, and 3) the Verran and Snyder-Halpern Sleep Scale. Data were collected through the Application Line Official Account. Data were analyzed using descriptive statistics and multiple regression. The results revealed that sleep quality had the greatest influence on the intensity of PCS in mTBI patients 1 month after injury (β=-.55, p=.01), followed by the intensity of PCS at first admission (β=.29, p=.01). It was also found that gender, level of consciousness on first attendance at the emergency department, severity of PCS after the initial brain injury, and sleep quality could explain 54% of the variance in the intensity of PCS in mTBI patients 1 month after injury (adjusted R2=.54, p <.001). In conclusion, the findings of this study suggest that health care providers should be concerned about the importance of evaluating PCS continuously from the acute phase throughout one month in order to develop nursing intervention programs and effective treatment for preventing persistent PCS after traumatic brain injury.</p>Sutthiphong PanthongNiphawan SamartkitPatchanok Witheethamsak
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2024-12-252024-12-25343152163Desirable Characteristics of Nursing Graduates for Private Health Service Systems
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272861
<p>The ongoing shortage of nurses in the public sector has led clients to increasingly seek private sector services. This qualitative study aimed to explore the desired competencies of nursing graduates working in the private healthcare settings. The participants were selected using purposive and snowball sampling methods. Data were collected by focus group discussions and in-depth interviews using semi-structured interview guides. The study involved three groups of participants, including 11 head nurses, 11 practicing nurses, and 10 interdisciplinary healthcare professionals. Additionally, individual interviews were conducted with 2 hospital executives, 7 nursing administrators, and 9 patients receiving care in the private healthcare settings. The findings identified three core competencies expected of nursing graduates in private healthcare institutions: <strong>Hard Skills:</strong> These encompassed six key domains: (1) foreign language proficiency, (2) digital literacy in computers, technology, and data management, (3) effective communication using diverse and modern tools, (4) knowledge of general and professional legal frameworks, (5) entrepreneurial capabilities, and (6) leadership skills. Soft Skills: Eight critical attributes were identified: (1) multicultural communication, (2) teamwork, (3) integrity and accountability, (4) adaptability and creativity, (5) problem-solving abilities, (6) emotional intelligence, 7) professional demeanor with ethical and moral principles, and (8) a commitment to lifelong learning. Professional Skills: This category included (1) proficiency in fundamental nursing practices and (2) expertise in specialized nursing practices aligned with specific areas of competency. The results of this study point out that nursing education institutions that have the goal of producing nurses to work in private healthcare facilities should develop nursing graduates to meet these desired characteristics.</p>Suwanna VudhironaritJiraporn WattanasrisinKanokwan Silapakumpises
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2024-12-252024-12-25343164179Developing Transformational Leaders in Primary Care: A Curriculum to Cultivate Leadership Competencies in Primary Care Units and Primary Care Networks
https://he02.tci-thaijo.org/index.php/tnaph/article/view/272862
<p>Leaders in primary care units need transformational leadership skills in order to effectively lead their organization. This research and development aimed to 1) develop a transformational leadership curriculum in primary health systems and 2) study the effectiveness of a leadership curriculum promoting leadership competencies in primary care units and networks. The study was conducted across two cohorts of the Transformational Leadership Program in Primary Health Systems. Phase 1 involved 20 participants from the first cohort, selected through specific criteria. Phase 2 comprised 57 participants from the second cohort, selected through simple random sampling. The research tool was a course for developing transformational leadership in a developed primary health system. The tool used for data collection was a competency survey for the leaders of the primary health system that had been developed by the research team, consisting of 5 leadership competency domains: 1) self-development, 2) human development, 3)job development, 4) communication, and 5) integration of work development and communication. Data were analyzed using descriptive statistics and inferential statistics - the paired sample t-test. The overall training program was evaluated through two methods: 1) assessing the leadership competencies in 5 areas and 2) curriculum validation through an expert panel seminar. The results showed that the transformational leadership competencies in the primary health system across all 5 domains were significantly higher after training. The transformational leadership course for the primary health system proved effective and can be used for further development of leadership competencies in the primary health system.</p>Masarin SukolpukWaranist LamyaiSujira FoongfaungGanittar Thanadkit
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2024-12-252024-12-25343180191