Journal of Nursing Science and Health

Qualitative research in the context of nurses' daily

Darunee Jongudomkarn — Thu, 01 Feb 2024 00:00:00 +0700

This invited article aimed to convey its message using digital platforms, reminiscent of traditional Thai methods such as palm leaves and slates to share about qualitative research. It has provided an overview, key terms, and guidelines for carrying out qualitative research, aligning with the nature, missions, duties, and daily tasks undertaken by nurses. The presentation covered the principles, theories directing the research, methodologies, and the collection and analysis of qualitative data. This was done to assist individuals who are unfamiliar with this research approach. Capable of comprehending the process of conducting and utilizing qualitative research findings, applying them to enhance the advancement of nursing practices. This involves leveraging the results for the betterment of nursing work and contributing to the dissemination of research outcomes to contribute to the broader expansion of nursing knowledge.

about qualitative research. It has provided an overview, key terms, and guidelines for carrying out qualitative research, aligning with the nature, missions, duties, and daily tasks undertaken by nurses. The presentation covered the principles, theories directing the research, methodologies, and the collection and analysis of qualitative data. This was done to assist individuals who are unfamiliar with this research approach. Capable of comprehending the process of conducting and utilizing qualitative research findings, applying them to enhance the advancement of nursing practices. This involves leveraging the results for the betterment of nursing work and contributing to the dissemination of research outcomes to contribute to the broader expansion of nursing knowledge.

Editorial

Darunee Jongudomkarn — Thu, 01 Feb 2024 00:00:00 +0700

Opisthorchiasis and cholangiocarcinoma prevention and control of risk behavior group in the context of health promotion hospitals transfer missions to local administrative

Boontian Arsarin , Supawan Wanprasert — Thu, 01 Feb 2024 00:00:00 +0700

The objective of this study was to compare the results of operations according to the control and prevention plan for Opisthorchiasis and cholangioma (OV-CCA) between the contexts of subdistrict health promoting hospitals, transferring missions to local administrative organization; and those have not yet been transferred; in health region 8,2023. The prospective analytic study was conducted between 1 January and 30 September 2023. The area selected by using purposive sampling. The transferred area was Khok Yai Subdistrict, Non Sang District, Nong Bua Lamphu Province; whereas the non- transferred area was Huai Sai Subdistrict, Phibunrak District, Udon Thani Province.

The results found that personal characteristics of the sample from both areas were similar, including gender; age; education; occupation; history of Opisthorchiasis infection; history of Opisthorchiasis treatment; behavior of eating raw or undercooked white scale freshwater fishes; knowledge, beliefs, behaviors to prevent Opisthorchiasis and cholangiocarcinoma. The operational plans included Opisthorchiasis screening, behavior modification training, Treating treatment for infected people, treatment monitoring, and testing for re-infection. Operations were 100% successful in both areas, except for the non-transferred area where 96.5% of re-infections were tested.

Screening before operation found that Opisthorchiasis prevalence in non -transferred area was statistically significantly higher than that of transferred area (p<0.001). After the operation, it was found that the reinfection rate in transferred area was significantly higher than that of non-transferred area (p<0.001). In conclusion, both areas were able to carry out and achieve goals of the program of Opisthorchiasis and cholangioma prevention and control if there was a clear plan and sufficient resources to support operations. However, behavior modification should be monitored and promoted to be suitable with the context of re-infected groups, especially for the t transferred areas.

The effects of providing information about the hypothermia prevention guideline in preterm infants on the knowledge, attitude, and practice of nurses in the intermediate care unit

Prakai Phongam , Atchariya Wonginchan — Thu, 01 Feb 2024 00:00:00 +0700

The incidence of premature infants is still rising. Also, there is a high risk of illness caused by hypothermia. Nurses who take care of them are essential to have the knowledge, a good attitude, right practice in the care and prevention of hypothermia. Objective: To study the effect of providing information about the prevention of hypothermia in preterm infants on the knowledge, attitudes, and practice of nurses in the intermediate care unit. Method: It is a quasi-experimental research. The study was conducted with a sample of 15 registered nurses working in the neonatal intensive care unit. Data were collected with a tool that tested the content validity index (S-CVI), consisting of a general information questionnaire, form of knowledge, attitude, and practice were 0.89, 0.93, 0.92, and 0.99, respectively. In addition, Cronbach's alpha coefficients were 0.82, 0.81, 0.80 and 0.86, respectively. Data were analyzed using descriptive statistics to find the frequency, percentage, mean, standard deviation, and repeated measures.

Results: The knowledge before giving information was moderate (M=9.7, SD=3.0), after was high (M=15.5, SD=2.2). Next, attitudes before giving information were moderate (M=71.8, SD=3.6), after were high (M=89.1, SD=9.4). Lastly, the practice before giving information was moderate (M=25.9, SD=5.9), after was high (M=32.1, SD=6.5). Conclusion: Information on the prevention of hypothermia in preterm infants should be promoted to nurses before they perform their duties. Due to better knowledge, attitudes, and practices, it will help reduce the morbidity rate of preterm infants from hypothermia.

The development of the self-regulation knowledge instrument in relation to the functional and emotional responses of preterm mothers with infants hospitalized in the Neonatal Intensive Care Unit

Daruyaluk Saiwaew , Atchariya Wonginchan — Thu, 01 Feb 2024 00:00:00 +0700

Promoting maternal self-regulation knowledge in performing tasks and preparing before visiting or acknowledging the situation of preterm infants requiring treatment in the neonatal intensive care unit (NICU) to be more effective. It is necessary to measure maternal self-regulation knowledge with reliable quality instruments. Objective: To develop of the self-regulation knowledge instrument in relation to the functional and emotional responses of preterm mothers with infants hospitalized in the NICU. Method: The quality of the instuments was evaluated by 5 experts with different expertise. The instrument was examined by these five different specialists, including three neonatal nurse practitioners and two neonatal intensive care nurses. Also, the sample group was ten premature mothers who were selected by purposive sampling. The research tool was the self-regulation knowledge instrument of preterm infants mothers. It can be divided into two steps: 1) creating instruments, and 2) checking the quality of the instrument. The data were analyzed for the Content Validity Index (CVI), and the reliability was based on the Kuder-Richardson 20 (KR-20). Result: Adding details to some content points from the literature reviews were done. After that, created instruments and improved them based on the expert recommendations. Moreover, the quality of the instrument was checked by analyzing content validity, CVI, S-CVI, and ACP were .83, .91, and .91, respectively, and KR-20 reliability was .79. Conclusion: The contents of the instrument covered knowledge about mothers' self-regulation in terms of performance and emotional response. Finally, the quality of the instruments has validity and reliability through standard criteria that could be suitable for further using according to the research topic.

Effects of a program to reduce loneliness via digital health platform on loneliness among adolescents with cancer

Priyaporn Srimarueng , Juraporn Tangpukdee — Thu, 01 Feb 2024 00:00:00 +0700

This study aimed to determine the effects ofprograms to reduce loneliness via digital health platforms among adolescents with cancer. The samples consisted of all genders of adolescents aged 10-19 years old, who had been diagnosed with cancer outpatient, and treated at an outpatient department of a tertiary hospital. The study was selected by using a purposive sampling method, including 32 adolescents from April to June 2023. The research instrument is a program to reduce loneliness via a chatbot application (Feel My Feeling), a website (https://www.Lonelinessthesis.com/), and loneliness questionnaire in adolescents with cancer. Data were analyzed using descriptive statistics, The Parametric test isa Paired t-test.

The results showed that the loneliness score before receiving the program with after receiving the program statistically significant difference (p<.05). The study results recommended that nurses should use programs to reduce loneliness and promote nursing interventions for reducing loneliness in adolescents with cancer. And development. In addition, this program development guideline could be applied to create a digital health platform for nursing interventions of adolescents with other health problems.

Effects of promoting nurses’ adherence to nursing practice guideline to prevent acute kidney injury in septic shock patients

Chetthaporn Chanlertrit , Wasana Ruaisungnoen, Maliwan Silarat — Thu, 01 Feb 2024 00:00:00 +0700

The purpose of this applied action research was to study the effect of promoting nurses' adherence to the use of nursing practice guideline to prevent acute kidney injury in patients with septic shock. The theory of change was employed as a conceptual framework for this study. The study participants were 20 registered nurses working in medical intensive care units 1 and 2 at Khon Kaen Hospital; and 20 patients diagnosed with septic shock, who were admitted at Khon Kaen Hospital between August and November 2022, which was an equal proportion to number of nurses participating in the study.

The research instruments consisted of the nurse’s adherence to the use of nursing practice guideline assessment form, clinical outcomes of acute kidney injury in patients with septic shock evaluation form, and the nurse satisfaction on nursing practice guideline adherence promotion questionnaire. These instruments yielded the content validity index of 1.0, 0.97, and 1.0, respectively. The interrater reliability between the researcher and the research assistants was 0.90. The comparison between guideline adherence scores before and after adherence promotion was analyzed using McNemar's test.

The findings of this study showed that the intervention improved nurses' adherence to 9 out of a total of 14 nursing practice guideline items. This could be the outcome of the theory of change application that altered nurses' behavior regarding adherence to recommendations. After the intervention, the overall nurse adherence score significantly improved (p<.001). In addition, number of patients with improved mean arterial pressure and urine output were significantly (p <.0143 and p<.0253, respectively) increased, demonstrating the better clinical outcomes of acute kidney injury.

Regarding renal function, the mean serum creatinine, the proportion of hyperkalemia, and the proportion of acidosis significantly decreased (p<.0001, p<.0082, and p<.0455, respectively). According to the study's findings, it can be concluded that promoting nurses’ adherence to nursing practice guideline can reduce acute kidney injury in patients with septic shock, by modifying the nurses' behavior according to the guideline. This contributed to improve outcomes in patients with septic shock, particularly the absence of acute kidney injury.

Factors predicting stroke prevention behaviors of hypertensive patients in Saingam District, Kamphaeng Phet Province

Sukhid Wongwian , Ansuree Sirisophon — Thu, 01 Feb 2024 00:00:00 +0700

The purposes of this research were to investigate stroke prevention behaviors and study factors predicting stroke prevention behavior of hypertensive patients im Saingam District, Kamphaeng Phet Province. The sample included 383 hypertension patients aged 35 and over who were registered for treatment at Sai Ngam Hospital and lived in the Sai Ngam district of Kamphaeng Phet province. Stratified random sampling was used to recruit the sample. A questionnaire was used as the research tool which comprised five sections: 1) demographic data, 2) stroke knowledge, 3) stroke perception based on the health belief model, 4) perceived social support, and 5) stroke prevention behaviors. Data were analyzed using descriptive statistics and stepwise multiple regression.

The findings revealed that 1) the majority of hypertension patients had a high degree of stroke knowledge, and 2) stroke perception based on the health belief model at moderate. They had a low level of perceived social support, while stroke prevention behavior was moderate. Factors predicting hypertensive patients' stroke prevention behaviors included stroke knowledge, perceived barriers to prevention behavior, perceived media social support, perceived family social support, and neighbors' social support. The factors accounted for 23.9% of the variance of stroke prevention behavior (p<0.01).

Recommendations from this research suggest that health promotion agencies should integrate perceived social support and health belief model to develop programs or activities for families or neighbors in community to support education and create awareness of disease prevention behaviors for hypertensive patients and the general public.

Effects of web-based diabetes and hypertension screening on health belief perception, preventive behavior, blood pressure, and blood sugar among individuals who are at risk

Kanokpun Promtong, Wararat Tiparat , Sunee Chaimon , Pimpimon Suwan — Thu, 01 Feb 2024 00:00:00 +0700

This quasi-experimental research aimed to compare the pre-and post-diabetes and hypertension screening website on people with pre-diabetes and/or pre-hypertension. Participants who met the inclusion criteria were assigned to the experimental or control group, eighteen in each group. The experiment and data collection were in eight weeks. The study tools two parts: 1) The tool used in the experiment, which was developed website for screening of diabetes., and hypertension conditions. And 2) The study tool for collecting data which consisted of (1) demographic characteristics questionnaire, (2) health status records, (3) health belief model perception questionnaire, and (4) diabetes and hypertension preventive behavior questionnaire. The demographic data were analyzed using descriptive statistics and compared the means in the group using the independent and between groups using the dependent t-test.

Findings showed that the experimental group had higher scores on perception and preventive behaviors than the control group. Moreover, the blood sugar mean scores at the end of the study among the experimental group were lower than before the study. In addition, systolic and diastolic blood pressure of all participants was increased before the study but was still probable to be hypertension. Therefore, the research results revealed that using the developed website could help to promote awareness of people health beliefs and behaviors to prevent diabetes and hypertension conditions.

Participatory care for dependent people of the center for elderly quality of life development at Wapi Pathum District, Maha Sarakham Province

Jutamat Jantarak , Suthaporn Songsiri — Thu, 01 Feb 2024 00:00:00 +0700

The objective of this research was to study a model for participatory care for dependent people, evaluate care outcomes, and measure satisfaction of dependent people or their relatives. The study was divided into three phases: 1. preparatory phase; 2. implementation phase, which was divided into four steps: 1) planning stage 2) action stage 3) observation stage 4) performance reflection stage; and 3. evaluation phase. The sample group consisted of 91 dependent people, who were purposively selected. Data collection was carried out from February 1, 2022 to February 29, 2023. Results were measured after 9 months of care. Data were collected through group discussion, in-depth interview, and participatory observation. The ADL assessment from and satisfaction assessment from were also used. Quantitative data were analyzed using descriptive statistics, including percentage, mean, standard deviation. Qualitative data were analyzed using content analysis.

The results of the study found that taking care of dependent people in a participatory manner results in the care model ‘Home Hang, Mueng Ngang, Hug Phang, Thai Wapi Bau Thim Kan,’ using the principles of WAPI Model in operation work. There was a multidisciplinary team, including physician, pharmacists, nurses, physical therapists, Thai traditional medicine, public health academics, nutritionists, and related network partners. When comparing the average of ADL before and after providing care, it was found that average ADL of the elderly in group 1 increased from 10.04 (±0.72) to 10.39 (±0.79), group 2 increased from 9.83 (±0.75) to 10.00 (±1.41), and group 3 increased from 1.83 (±1.83) to 2.20 (±2.68). Eight out of 91 people in the dependent group changed to be in the active group, accounting for 8.79%. The overall satisfaction score after providing care was at a high level (mean 4.11±0.49 points). The aspect with the greatest satisfaction was elderly caregivers who provided care with willingness, happy and enthusiastic. Therefore, participatory care for dependent elderly people can provide all dimensions of care and enhance quality of life for the elderly in the community to live life happily.

The outcome of preventive care for peritonitis in pediatric patients undergoing peritoneal dialysis: A case management approach

Tue, 27 Feb 2024 00:00:00 +0700

Peritonitis is a common and serious complication in pediatric patients undergoing peritoneal dialysis. The interdisciplinary team caring for children with renal diseases, therefore, has developed a care guideline to prevent peritonitis in children undergoing peritoneal dialysis in 2021, using case management concept. In this approach, case management nurses who are advanced practice nurses, manage continuous care. The care process has been developed and improved through the LINE Application. This includes communication, coaching, counseling, empowerment, and helping to manage problems to prevent peritonitis.

This retrospective observational study aimed to evaluate the outcomes of this preventive care approach for peritonitis in pediatric patients undergoing peritoneal dialysis using a case management concept. This was a retrospective study based on patient medical records, hospital information system, peritonitis incidence records, and records of knowledge and skill assessment of caregivers of children receiving peritoneal dialysis. The sample consisted of the medical records of pediatric peritoneal dialysis patients who were cared for at the Pediatric Nephrology Unit between 1 January 2020-31 December 2020 (20 cases), and between 1 January 2021-31 December 2021 (22 cases). Statistical analysis was conducted using descriptive statistics and the incidence of peritonitis was compared using Chi-square test.

The results indicated a significant reduction in the incidence of peritonitis in 2021, with a rate of 0.11 cases per patient per year, compared to 2020, where the rate was 0.67 cases per patient per year (p-value<0.05). Furthermore, the assessment of caregivers' knowledge and skills revealed high levels of knowledge and skills (100%), with mean knowledge score of 18.31 (SD=1.25) and mean skill score of 22.27 (SD=1.93).

A care guideline to prevent peritonitis in pediatric patients undergoing peritoneal dialysis, with advanced practice nurses as case managers in collaboration with the interdisciplinary team, providing continuous individualized care demonstrated a substantial decrease in peritonitis incidence and improved care outcomes.

The development of caring behaviors assessment questionnaires for caregivers of children and adolescents with epilepsy

Prakaikaew Siripoon , Kaewkarn Sueram , Penkha Chunrat — Wed, 27 Mar 2024 00:00:00 +0700

Research tools are important and play an important role in research as they are employed to measure the situations and the behaviors that need to be measured. This research aims to develop the tools to assess the caregiving behaviors of caregivers of children and adolescents with epilepsy and verify the quality of the developed tools for maximum benefit of measurement consistent with the objectives.

Purposive sampling was administered to select the samples, namely 3 experts in the field of examining research tools and 40 caregivers of children and adolescents with epilepsy. The research tools were four caregiving behaviors assessment questionnaires for caregivers of children and adolescents with epilepsy, classified into caregivers of toddlers, preschool children, school-aged children, and adolescents with epilepsy which were developed according to Orem’s self-care theory. The research process consisted of 3 steps. 1) The research tools were constructed based on related concepts or theories. The conceptual and operational definitions of variables were defined. The questions for measuring variables were drafted. The assessment format was determined. 2) The research tools were verified for quality by using the Index of Item Objective Congruence (IOC) at 0.60 or higher and the Content Validity Index (S-CVI) at 0.80 or higher and then trying out the research tool. 3) The validity of the research tools was checked by piloting them with the caregivers of children and adolescents with epilepsy with the same qualifications as the sample group. The reliability was tested by determining Cronbach’s alpha coefficient (α-coefficient) at 0.70 or higher.

The findings revealed that the IOC values of each developed caring behaviors assessment questionnaire for caregivers of children and adolescents with epilepsy were 0.67-1.00, S-CVI 0.81-0.93, and Cronbach’s alpha coefficients were 0.81-0.92. Therefore, the tools were reliable, and can be used to assess caring behaviors of caregivers of children and adolescents with epilepsy.

Darunee Jongudomkarn — Thu, 01 Feb 2024 00:00:00 +0700

Journal of Nursing Science and Health

Qualitative research in the context of nurses' daily

Editorial

Opisthorchiasis and cholangiocarcinoma prevention and control of risk behavior group in the context of health promotion hospitals transfer missions to local administrative

The effects of providing information about the hypothermia prevention guideline in preterm infants on the knowledge, attitude, and practice of nurses in the intermediate care unit

The development of the self-regulation knowledge instrument in relation to the functional and emotional responses of preterm mothers with infants hospitalized in the Neonatal Intensive Care Unit

Effects of a program to reduce loneliness via digital health platform on loneliness among adolescents with cancer

Effects of promoting nurses’ adherence to nursing practice guideline to prevent acute kidney injury in septic shock patients

Factors predicting stroke prevention behaviors of hypertensive patients in Saingam District, Kamphaeng Phet Province

Effects of web-based diabetes and hypertension screening on health belief perception, preventive behavior, blood pressure, and blood sugar among individuals who are at risk

Participatory care for dependent people of the center for elderly quality of life development at Wapi Pathum District, Maha Sarakham Province

The outcome of preventive care for peritonitis in pediatric patients undergoing peritoneal dialysis: A case management approach

The development of caring behaviors assessment questionnaires for caregivers of children and adolescents with epilepsy

Contents