Vajira Nursing Journal

Negotiation Strategies of Nurse Administration

Mon, 25 Dec 2023 00:00:00 +0700

.At present, negotiation is an important management skill used by nursing administrators in order to solve conflicts or unexpected benefits of patients. According to the rapid changes in the economy, society, and technology in the 21st century, National policies has been focused on the provision of health and public health services. Taking into account the promotion of health for the people. Furthermore, the government has been continued the development of the health and public health service system of insurance for people significantly. Many citizens comprehended the way to prevent their own health and perceived of the health-information through news and information technology rapidly. If the patients have been not provided to the aim or the expected nursing or medication services, it might be the cause of many conflicts and disagreement. Therefore, administrators require negotiation skills and strategies to reduce each side's frustration. In addition, nursing executives can use their internal negotiation skills in their daily management in the nursing organizationand management with service recipients and relatives.

The Empty Nest Syndrome among Older Adults in Thai Society: The Roles of Nurses

Surinrat Baurangthienthong, Duangrat Kaveenuntachai, Areeya Kiatkongrabue — Mon, 25 Dec 2023 00:00:00 +0700

The empty nest syndrome (ENS) in older adults is a response to the anxiety of older adults when their last adult child has to leave the house permanently. If older adults are left with this feeling for a long time, ENS tends to cause depression and can affect their illness. Although Thai cultures are concerned about respecting families and expressing gratitude to parents, the transformations of society may affect older adults becoming ENS.

This article aimed to describe the meaning, causes, factors, and applications of nursing processes in older adults who had ENS in Thai society. In addition, the nursing processes played an essential role in ENS, which required assessment, observation, and distribution of the multidisciplinary in caring for older adults, such as psychiatrists, psychologists and occupational therapists investigating the mental health of older adults. Besides, promoting social support resources appropriately for older adults is necessary to promote a good quality of life with a strong body and mind.

Nursing care of patients with abdominal aortic aneurysm after endovascular aneurysm repair (EVAR) with Type Ia Endoleak: a case study

Kittiyaphorn Panvilai, Siraporn Pinwihok — Mon, 25 Dec 2023 00:00:00 +0700

Abdominal aortic aneurysm (AAA) is a vascular disease commonly observed in urban populations. Currently, the preferred treatment for AAA is endovascular aneurysm repair (EVAR), which involves the insertion of a stent graft through the femoral artery until it reaches the abdominal aorta, allowing for expansion. However, a common complication following this treatment is the occurrence of Endoleak condition that can be classified into various types, each requiring different treatment approaches. This article focuses on analyzing the challenges associated with this disease and explores the integration of nursing care in patients with AAA, particularly those who have undergone type Ia endoleak repair, to ensure patient safety and achieve favorable nursing outcomes.

Psychiatric nurses’ role in mental health care of workers during the COVID-19 pandemic

Siriyupa Nunsunanon — Mon, 25 Dec 2023 00:00:00 +0700

The COVID-19 pandemic has been one of the biggest crisis challenges worldwide. World Health Organization states it is a public health emergency of international concern and pandemic. This situation makes the majority of non-essential workers adapt their work and lifestyle such as working from home, less communication and interaction with others. Some workers lose jobs and income. The mental health problems are anxiety, stress, substance use, alcohol drinking depression and suicide. Psychiatric Nurses play a major role in mental health care through mental health promotion and protection including providing mental health support during post-pandemic.

Perceptions of healthcare professionals towards palliative care

Janyarak Ploysupha — Mon, 25 Dec 2023 00:00:00 +0700

Palliative care has evolved from the philosophy of hospice care established by Cicely Saunders. Its primary objective is to improve the quality of life for patients facing life-threatening illnesses by addressing individual needs. This involves preventing and alleviating physical and emotional suffering, responding to spiritual needs, and providing support to patients' families. As society transitions into an aging population, there is a growing emphasis on the importance of palliative care in responding to the increased demand for comprehensive support. The current focus on caring for the elderly, particularly those with chronic illnesses, underscores the need for palliative care, which has a profound impact on overall healthcare systems. Medical professionals play a crucial role in providing palliative care and must possess the knowledge, skills, and a compassionate attitude necessary for such care. This article aims to explore the significance of palliative care and perceptions of healthcare professionals.

The study results on the importance of palliative care encompass various components, including emotional and psychological support, enhancing the quality of life, holistic care, symptom management, family support, continuous care, and respecting the needs of the patients.

The study on the awareness of healthcare professionals reveals that medical personnel need to seek knowledge and understanding in the following areas related to palliative care: philosophy of palliative care, interdisciplinary teamwork, communication skills, advance care planning, ethics and culture, end-of-life care, education and training.

The Effects of VDO Media Usage for Pre and Post – Operative Preparation on the Knowledge and Satisfaction of Patients with Cardiac Implantable Electronic Devices

Natapat Deelertpipatkul, Jansudaphan Boontham — Mon, 25 Dec 2023 00:00:00 +0700

This study was a quasi – experimental research aimed to comparative study the knowledge and satisfaction for post – operative preparation in cardiac implantable electronic devices between the group taught by the VDO media and the group taught normally. A sample is cardiac arrhythmia patients aged 18 years and undergoing cardiac electrocardiography implantation in Petcharat wards 4C (Medication cardiac care unit), 16B (Cardiac ward) and 17A (Cardiac care private ward), The Faculty of Medicine Vajira Hospital, Navamindradhiraj University. A total of 50 subjects were selected by purposive sampling according to the inclusion criteria. The experimental group and the control group were randomly divided by sampling without replacement method.

The study found that the knowledge scores of the experimental group and the control group for post – operative preparation were 16.28±1.82 and 16.32±1.18 respectively. When controlling the influence of the pre-experimental knowledge score, it was found that the mean post-test knowledge score between the experimental group and the control group differed on average -0.31 points (95%CI: -1.15, 0.54), not statistically significant (p-value = 0.473). In addition, both groups had a high level of satisfaction with an average score of 3.93±0.11 points and 3.93±0.14 points, respectively. The average satisfaction was different andno statistical significance (p-value = 0.991). The use of VDO preparation for pre and post – operative preparation resulted in more knowledge and satisfaction at a high level.

The Effects of Local Warming for Difficult Peripheral Venous Access in Critically ill Patient

Benjamad Chantasakda, Jansudaphan Boontham — Mon, 25 Dec 2023 00:00:00 +0700

This study was a quasi – experimental research aimed to comparative study the peripheral intravenous cannulation between the local warming with electric hot towel before the cannulation and the normal technique in patients with difficult peripheral venous access. The hypothesis was that warming before the cannulation in critically ill patients with rare veins would be more successful than in the usual pattern. A sample was 160 patients in Phetcharat 4C unit, The Faculty of Medicine Vajira Hospital, Navamindradhiraj University. The sample was divided into control groups namely, 80 subjects who received peripheral intravenous cannulation by normal technique and 80 subjects in the experimental group that received the local warming with electric hot towel the local warming with 40-45 Celsius degrees electric hot towel for 15 minutes before before the cannulation. The sample was random by blocked using a computer program according to the inclusion criteria from 15 January 2022 to 31 March 2023.

The finding was found that the sample with local warming was able to access the peripheral venous at 98.8% and 70% success in the first time. The control group with normal cannulation technique was able to open peripheral venous at 72.5% and success
in the first time at 30%. The success of peripheral intravenous cannulation between the experimental group and the control group was statistically significant different (p-value ≤ 0.001), and the number of successful peripheral intravenous cannulation between the experimental and control groups were significantly different (p-value≤0.001)

The Development of a Clinical Nursing Practice Guideline for Prevention of Increased Intracranial Pressure in Patients with External Ventriculostomy at Phra Nakhon Si Ayutthaya Hospital

Daranee Nongyow, Piraluk Laplai, Marasri Pinsuwan — Mon, 25 Dec 2023 00:00:00 +0700

The purpose of this action research study were 1) develop a clinical nursing practice guideline and 2) examine effectiveness of clinical nursing practice guideline to prevent increased intracranial pressure among patients with external ventricular drainage in Phra Nakhon Si Ayutthaya Hospital. The clinical nursing practice guideline utilization was developed using the evidence-based practice as a framework. The developed clinical pathway was construct validated with AGREE II by 7 experts and adjusted for better application. The participants were included 30 registered nurses and 40 patients.

The results of this study found that the important develop technique on nursing intervention to prevent increased intracranial pressure among patients with external ventricular drainage were eight core nursing interventions included 1) patient positioning 2) external ventricular drainage system positioning 3) dressing change 4) external ventricular drainage bag and catheter care 5) cerebrospinal fluid (CSF) care 6) CSF volume documentation 7) monitoring the risk during transfer mobilization and 8) monitoring clinical signs of IICP after EVD was removed. The effectiveness outcome was high performance nursing care among patients with external ventricular drainage and high to highest level of satisfaction scores. The result of this study was safer patient and personnel. It should be continuing patient care.

A Study Of Activity Based Costing Of Nursing Care Patients With Diabetic Retinopathy Patients

Ampa Jitkui, Somjai Cheepsuk, Parichad Jansoontraporn, Arthit Kaewnopharat — Mon, 25 Dec 2023 00:00:00 +0700

This descriptive study aimed to explore the patients with DR operative retina nursing activity based costing. The activity-based costing (ABC) concept was used. The sample groups patients with DR operative retina 28 patients and 15 nursing personnel in the internal mahavajiravudh 6B ward of Vajira Hospital. Collected data by observing and recording the time of nursing activities. The data were collected during October, 2020 – February, 2023. The measurements were 1) a form for recording the patient’ s general information 2) the nursing activities for patients with DR operative retina 3) an activity time observation form 4) the summarized time spent in providing services 5) the nursing personal’s general information. The content validity index of all instruments was 0.83. The data were analyzed using descriptive statistics in terms of frequency, percentage, mean and standard deviation.

The results of study revealed that the total cost of nursing service activities for 28 patients with DR operative retina from admission until discharge from the hospital was 103,011.36 baht, averaging per case 3,678.97 baht. The cost of key nursing service activities were divided into 4 groups, which the cost of patients with postoperative care was the highest, averaging per case 1,363.20 baht, followed by the cost of preoperative, averaging per case 1,241.80 baht, discharge planning, averaging per case 559.28 baht and the average cost of admission care was averaging per case 514.68 baht. The highest time of nursing activities was nursing care patients with preoperative, averaging per case 85.17 minutes. It is suggested that nursing administrator should use this result to manage resource cost of department in order to cost effectiveness and patients safety.

The Development of Nursing Students' Competencies Assessment in Clinical Practice at Emergency Department

Theerachol Satsin, Boonrat Plangsorn — Mon, 25 Dec 2023 00:00:00 +0700

The purpose of this study was to investigate the competency assessment formof nursing students in the core skills of emergency nursing activities. Data were collected by simple random sampling from 30 3^rd year students who were enrolled in the Adult and Elderly Nursing Practicum 2, Suan Dusit University, In the first semester of academic year 2023. The researchers developed the instrument based on skills of emergency nursing concept, using semi-structured interview and focus group. As a part of collecting evidence for content validation of the instrumentation, Item Objective Congruence (IOC) analysis was used in this study. The data was analysed with descriptive statistics for performance competence of nursing activities and Cronbach's alpha coefficient to analyze the consistency between.

The results of this study revealed that a competency consisted of five categories and twenty-six behavioral indicators which were 1) competency of skill in emergency assessment consisted of seven behavioral indicators, 2) competency of nursing practice in critical
and emergency condition consisted of eight behavioral indicators, 3) competency of communication consisted of two behavioral indicators, 4) competency of ethical and legal aspects consisted of five behavioral indicators, and 5) competency of personality and self- Improvement consisted of four behavioral indicators. The Item Objective Congruence were
1, 0.98, 0.67, 0.80, and 1, respectively, and the Cronbach's alpha coefficient values were 0.80, 0.82, 0.65, 0.69, and 0.87, respectively.

The Effect of Developing a Nursing Service Model for High Alert Drug Administration at Surgical Unit, Suratthani Hospital

Prapawadee Tonsook — Mon, 25 Dec 2023 00:00:00 +0700

This research investigates the effect of developing a nursing service model for High Alert Drug Administration in the surgical unit at Suratthani Hospital. The objectives are to enhance the nursing service model for High Alert Drug Administration among registered nurses in the surgical unit at Suratthani Hospital and to assess the effectiveness of the nursing service model for High Alert Drug Administration among registered nurses in the surgical unit at Suratthani Hospital in terms of knowledge, concordant practice with the High Alert Drug Administration model, the number of medication errors resulting from High Alert Drug Administration, and the satisfaction of participating registered nurses. This quasi experimental research adopts a one-group pretest-posttest design. The sample comprises 60 nurses working in the surgical unit at Suratthani Hospital. The research instruments include guidelines for High Alert Drug administration, a manual for High Alert Drug administration, a questionnaire about knowledge on High Alert Drug Administration, a monitoring and follow-up record for High Alert Drug Administration, an assessment form for adherence to the High Alert Drug Administration model, and a satisfaction evaluation form for using the High Alert Drug Administration model. Data analysis includes descriptive statistics (frequencies, percentages, means, standard deviations) and paired t-test statistics.

The research results indicate that the average knowledge score significantly increased after receiving knowledge about High Alert Drug Administration compared to before receiving such knowledge (p<0.05). The 97.2% of the sample group concordant practice with the High Alert Drug Administration model. No incidence of medication errors from High Alert Drug Administration was found and satisfaction levels at 86.8% at the highest level.