The Competency of Psychiatric community Nurses in Naradhiwas Province for Relapse Prevention among Schizophrenia Patients Based on Multicultural Context: TRUCKS Model


  • Nuttika Choorat 0883882296
  • Muslin Tohpaerah
  • Nirussanee Akachi


Competency, Relapse prevention, Schizophrenia patients, Multiculture, Qualitative research


The purpose of this research was to study the competency of psychiatric community nurses in Naradhiwas province on preventing a recurrence of Schizophrenia patients based on multicultural context, the TRUCKS model. The samples consisted of 12 nurses working with Schizophrenia patients for at least two years, who neither had experience in psychiatric training nor received a master’s degree in the related fields. The qualitative data were collected through focus group discussion. The questions consisted of 18 and received Item-Objective Congruence (IOC) at 0.89.
The results of the research showed that the competency of psychiatric competency nurses to prevent a recurrence of Schizophrenia patients according to TRUCKS model was: 1) The competency of Teamwork (T) which coordinating with 1.1) family and network partners to participate in the care process, 1.2) doing case management, 1.3) referring for medicines and tracking system for follow-up and 1.4) setting up a patient support group, 2) The competency of Research & Innovation (R) which included focusing on 2.1) R2R/ research/ innovation and bringing the research results for implementation, and 2.2) creating care projects for Schizophrenia patients, 3) The competency of Understanding multiculturalism (U) included 3.1) understanding the doctrine, traditions, and customs of each religion, 3.2) exchanging ideas and opinions about the multicultural way, 3.3) using religious therapy and using local language and 3.4) greetings according to religious principles, 4) The competency of Counseling (C) included 4.1) counseling and 4.2) being counselor, 5) The competency of Knowledge (K) included 5.1) having common knowledge framework and 5.2) practice guidelines and receiving short-term training courses and 6) The competency of Specific skill (S) included 6.1) decreasing stimuli and managing mood, 6.2) encouraging patients to take medicine, 6.3) enhancing value,6.4) providing mental health education to patients, relatives, and 6.5) communities and using assessment form.


Download data is not yet available.


Artsanthia, J., & Chaleoykitti, S. (2016). Transcultural Nursing in ASEAN Community. Journal of the Royal Thai Army Nursing, 17(1), 10-16.

Bacote, J. (1999). A model and instrument for addressing cultural competence in health care. Journal of Nursing, 38(5), 203-207.

Butthayothi, N. (2021). Process of The Relapse Prevention by Community Participation with Multidisciplinary Team for Schizophrenic Patients at Kosumphisai Hospital, Mahasarakham District, Mahasarakham Province. Academic Journal of Mahasarakham Provincial Public Health Office, 5(9), 77-88.

Choorat, N. (2020). Schizophrenia Relapse Prevention Model Patients in Cho-I-Rong, Narathiwat Province with Multicultural Community Participation. Princess of Naradhiwas University Journal, 12(3), 213-226.

Damruk, P., Wangthong, A., & Wangthong, A. (2019). Family and community participation in Caring of complex chronic schizophrenia patients in Nongjik, Pattani Province. Journal of the Association of Researchers, 19(2), 92-103.

Department of Mental Health. (2020). Psychiatric and Mental Health Nursing Administration Manual, Bangkok.

Donchalermyutthana, P., & Wannakul, P. (2014). The development of quality of life of schizophrenic patients through participation of continuing care from hospital to community life, Kalasin Hospital network. Journal of Nursing and Health Care, 32(1), 176-184.

Khongsamai, T., Intarakamhang, U., & Tuntivivat, S. (2020). Effectiveness of a Cultural Competence Enhancement Program Using Experiential Learning on Cultural Care Behavior among Nurses in an International Hospital in Bangkok. Journal of Behavior Science for Development, 12(1), 1-19.

Leininger, M. (1998). Culture care diversity and universality: a theory of nursing. New York: John Wiley & Sons.

Phuttharod, P. (2018). Development of a Continuing Care Model to Reduce Recurrence in Schizophrenia Patients. Journal of Health Science, 27(3), 478-486.

Pliankerd, P., & Kerdsiri, S. (2014). The Competency of Psychiatric Nursing in the Practice of Nursing. Journal of The Royal Thai Army Nurses, 15(2), 160-165.

Posri, A. (2019). Family and Community Participation in Caring of Chronic Schizophrenia Patients: A Case study at Ban Tha Muang Community Roi Et Province. Srinagarind Medical Journal, 34(1), 83-89.

Pookaew, P. (2018). Effect of Art Therapy Group on Self-Esteem Among Patient with Schizophrenia. (Master’s thesis). Chonburi: Burapha University.

Seechiangsa, K., Kanjianasilp, J., Suttiruksa, S. (2019). Development of the System for Caring Schizophrenic Patients in Community by Multidisciplinary Team of Health Network of Amphoe Ban Thaen, Chaiyaphum Province. Thai Journal of Pharmacy Practice, 11(2), 457-469.

Sirisawat, M., Pengsawat, M., Chalakbang, V., & Pheasa, A. (2021). Transcultural Nursing Competency for Nurses, The Journal of Research and Academics, 4(3), 311-323.

Stithyudhakarn, S. (2016). Relapse in Persons with Chronic Schizophrenia:Situation and Prevention. Journal of Nursing Science Chulalongkorn University, 28(3), 1-15.

Suwan, I & Keawkingkeo, S. (2020). The Effects of Psychoeducation Program on Medication Adherence Among Individual with Schizophrenia in The Community. The Journal of Psychiatric Nursing and Mental Health, 34(1), 152-162.

Tiyawisutsri, C., Pakdeewong, P., & Wannapornsiri, C. (2016). Multicultural nursing: The competencies required for nurses in Thailand. Journal of Health Science Research, 10(1), 8-15.

Wiboonphan, V. (2009). Multicultural Nursing Competency of Professional Nurses private hospital. Chulalongkorn Nursing Journal, 21(3), 29-43.

Wongsin, N. (2020). Experience of self-care for non relapse schizophrenia patients and caregivers in Bung Nam Rak District Amphoe Bang Nam Priao Chachengsao. Chachoengsao: Bueng Nam Rak Sub-district Health Promotion Hospital.

Additional Files



How to Cite

Choorat ณ., Tohpaerah ม., & Akachi น. (2022). The Competency of Psychiatric community Nurses in Naradhiwas Province for Relapse Prevention among Schizophrenia Patients Based on Multicultural Context: TRUCKS Model. Princess of Naradhiwas University Journal, 14(2), 177–192. Retrieved from