Princess of Naradhiwas University Journal

The Effectiveness of a Massive Open Online Course on Knowledge, Learning Behavior, and Learning Satisfaction in Women’s Health and Newborn Nursing Among Nursing Students: A Quasi-Experimental Study

Sirinporn Sukarawan — 2026-05-01

Background and Objectives The Massive Open Online Course (MOOC) has been used to enhance nursing students’ knowledge in various areas of nursing, but its effectiveness has not been examined in women’s health and newborn nursing. This study aims to examine the effectiveness of MOOC on nursing students’ knowledge of women’s health and newborn nursing, learning behaviors, and learning satisfaction.

Methods This was a quasi-experimental one-group pretest-posttest study. The participants consisted of 184 third-year nursing students from three network institutions in Thailand. Participants were selected using stratified random sampling. Data was collected between April and May 2025 using demographic data form, the Knowledge in Women’s Health and Newborn Nursing Scale, the Learning Behavior Questionnaire, and the Satisfaction with Learning on MOOC Questionnaire. The index of item-objective congruence was 1.00, 0.67, and 1.00. Cronbach's alpha coefficients were 0.74, 0.90, and 0.82, respectively. Data analysis was performed with descriptive statistics and a paired t-test.

Results The mean score of knowledge in women’s health and newborn nursing at post-test (=28.46, S.D. = 5.67) was higher than at pre-test (=16.45, S.D. = 5.40) with statistical significance (t = 23.22, p < .001). The total mean score of online learning behavior in women’s health and newborn nursing was at a high level ( = 4.03, S.D. = 0.96). The overall satisfaction with learning through MOOC was at the highest level ( = 4.42, S.D. = 0.69). The satisfaction with the content ( = 4.39, S.D. = 0.68) and the satisfaction with the design ( = 4.44, S.D. = 0.69) were at the highest level.

Conclusion and Recommendation The MOOC has the potential to be integrated into nursing education as a self-directed learning approach for nursing students. However, this study’s main limitation is the lack of a between-group comparison. Further investigation is required to improve its applicability.

Research and Development of a Pediatric Patient Triage Model at the Outpatient Department in Nakornping Hospital

Thannapat Chankun — 2026-05-01

Background and Objectives The triage of pediatric patients in the outpatient department is an important process that helps prioritize urgency and reduce treatment risks. However, there are currently several limitations, particularly the lack of a standard model specifically for children, resulting in inaccurate triage and delays in treatment. Nakornping Hospital has seen a continuous increase in pediatric patients. Therefore, this research aimed to analyze the situation, develop a model, and evaluate the effectiveness of the pediatric patient triage model.
Methods The ADDIE Model was applied in three phases. Phase 1 involved analyzing the current situation through focus group discussions with 10 interdisciplinary professionals. Phase 2 focused on developing the model. Phase 3 assessed the effectiveness through a quasi-experimental study with two groups and measured post-intervention, testing with 30 pediatric patients and their parents in each group. The research instruments were validated by five experts, achieving a content validity index of 1.0 and a reliability coefficient of 0.88. Data were analyzed using descriptive statistics, independent t-tests, and chi-square tests.
Results The current situation had limitations in staffing, outdated practices, and a lack of specialized experts. The developed model included adjustments to the Emergency Severity Index criteria specifically for children, guidelines for special needs children, a 5-step triage process, a waiting time of no more than 10 minutes, and interdisciplinary teamwork. Parents in the experimental group had a satisfaction level (M = 93.10, S.D. = 10.76) significantly higher than the control group (M = 86.13, S.D. = 15.13) (p < 0.05) and a triage accuracy rate (76.67 %) significantly higher than the control group (36.67 %) (p < 0.01)
Conclusions and Recommendations The developed pediatric patient triage model enhances parental satisfaction and triage accuracy. It can be applied in other tertiary hospitals.

Effects of a Self-efficacy Promoting Program on Research Utilization among Professional Nurses in Community Hospitals

Arsiya Wayikor — 2026-05-01

Background and Objectives Research utilization is a necessary competency for professional nurses in community hospitals. This quasi-experimental research aimed to study the effects of a self-efficacy promoting program on research utilization among professional nurses in community hospitals.

Methods The sample group consisted of 60 professional nurses from two community hospitals under the Yala Provincial Public Health Office, divided into an experimental group of 30 people and a control group of 30 people, selected through purposive sampling. The instruments used in the experiment included the self-efficacy promoting program on research utilization among professional nurses in community hospitals, which was content-validated by 3 experts, and data collection tools consisting of a general information questionnaire and a self-efficacy questionnaire for nurses, with content validity indices of 0.80 and 0.88, respectively, and reliability. Part 2 had a Cronbach's alpha coefficient of 0.92. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and inferential statistics, including independent t-tests and paired t-tests.

Results The research results found that after participating in the program, the experimental group had an average score of self-efficacy on research utilization (M = 4.26, S.D. = 0.30) higher than before receiving the program (M = 2.73, S.D. = 0.46), which was significant at the .05 level. After participating in the program, the experimental group's average self-efficacy score on research utilization (M = 4.26, S.D. = 0.30) was significantly higher than the control group's score (M = 2.92, S.D. = 0.41) at the 0.05 level.

Conclusion and Recommendation This research results indicates that this program can be promoted to encourage nurses in community hospitals to utilize research in nursing development.

Factors Correlated with the Health Service Performance Competencies of Prison Health Volunteers in Sakon Nakhon Province

Nilubon Tilaruk — 2026-05-01

Background and Objectives Thailand has a large number of inmates, resulting in overcrowded prisons and health issues. Therefore, prison health volunteers were established to assist with health services within the prison. This research aimed to study the competencies in health service performance and the factors influencing these competencies of prison health volunteers in Sakon Nakhon Province. The sample group was purposively selected and consisted of 208 prison health volunteers in Sakon Nakhon Province.

Methods This study was a cross-sectional analytical design, collecting data through a self-assessment questionnaire regarding factors influencing the health service performance competencies of prison health volunteers. The quality of the instruments was validated by three experts, with content validity ranging from 0.67 to 1.00 and Cronbach's alpha reliability coefficients for social support at 0.88 and the health service performance competencies at 0.92. Quantitative data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation, and median, and correlation analysis using chi-square and Spearman's correlation coefficient.

Results The research findings revealed that the majority of the health service performance competencies (61.1%) were at a high level (x̅ = 3.73, S.D. = 0.48). Factors correlated with the health service performance competencies of prison health volunteers that had statistical significance included previous occupation (χ² = 7.101, p-value = 0.029), acquisition of volunteers (χ² = 9.238,
p-value = 0.002), department affiliation (χ² = 17.585, p-value < 0.001), and additional training
(χ² = 5.371, p-value = 0.020). In addition, social support (rs = 0.433, p-value < 0.001) had a moderate correlation. The duration of volunteering (rs = 0.172, p-value = 0.013) had a low correlation.

Conclusion and Recommendation An evaluation tool should be developed for the health service performance competencies of prison health volunteers, involving personnel from various departments, such as correctional officers and prison nurses, in the evaluation process. Additionally, a study should be conducted to explore factors correlated with the health service performance competencies of prison health volunteers using qualitative research methods to obtain in-depth information, as well as to investigate other factors beyond the scope of this study.

Development of Nursing Management Models to Prevent and Control the Spread of Tuberculosis Infection, Maha Sarakham Hospital

Bussabongkot Intawong — 2026-05-25

Background and Objectives The transmission of pulmonary tuberculosis (TB) in hospitals remains a significant problem. Although the Ministry of Public Health has issued guidelines, their implementation within individual units has been unclear, varies according to the skills and experience of nurses, and lacks consistency. Healthcare worker infections continue to be reported. This study aimed to develop and evaluate a nursing management model to prevent and control the transmission of pulmonary tuberculosis at Maha Sarakham Hospital.

Research Methodology This action research consisted of three phases: a situational analysis phase, a development phase, and an evaluation phase. Participants were divided into two groups: 80 registered nurses and 142 newly diagnosed pulmonary TB patients. Research instruments included focus group interview guides (IOC = 0.89), medical record and TB patient screening data recording forms (IOC = 0.87), a nursing management assessment tool (CVI = 0.87, KR-20 = 0.86), and a satisfaction assessment tool (CVI = 0.85, Cronbach's alpha = 0.92). Data were analyzed using descriptive statistics.

Research Findings Phase 1 revealed that only 38.75% of registered nurses practiced according to the guidelines appropriately and comprehensively, and TB patient screening using standardized questions was conducted in only 44.75 % of cases. Phase 2 — following development through three action research cycles — produced the ALERT-TB Model, comprising: A – Active screening at the front line to identify pulmonary TB patients, L – isolation of patients/suspected TB cases in isolation rooms or negative pressure rooms within each ward, and transfer to a dedicated TB unit, E – Environmental arrangement to prevent transmission, R – use of personal protection measures, emphasizing personal protective equipment (PPE), T – surveillance among medical and nursing personnel, T – discharge planning and patient/family education, B – supervision and monitoring of practice. Phase 3 — following implementation — found that 86.25% of registered nurses were able to follow the guidelines appropriately and comprehensively at a very good level, and satisfaction with the model was rated at the highest level.

Conclusion and Recommendations The developed ALERT-TB Model can be effectively used as a practice standard for registered nurses in preventing and controlling pulmonary tuberculosis transmission in hospitals. It is further recommended that artificial intelligence technology be incorporated to support ongoing screening efforts.

Policy Proposals for the Efficiency of the Long-term Care Fund System Following the Transfer Missions of the Subdistrict Health Promotion Hospitals to the Provincial Administrative Organizations

Siranee Sihapark — 2026-05-27

Background and Objectives The transfer of the missions of the subdistrict health promotion hospitals has led to structural changes that impact the operations of long-term care funds, both in terms of fund management and the provision of health care services to community recipients. This study aimed at developing policy proposals for the efficiency of the long-term care fund system following the transfer of the subdistrict health promotion hospitals.

Methods This was a mixed-methods research study in the research area of 747 funds across all transferred mission provinces. The research was conducted in three phases: Phase 1: Analyzing the situation and impact of the long-term care fund system operations following the transfer of the missions; Phase 2: Developing a model to enhance the efficiency of the long-term care fund system. Phase 3: Developing policy proposals for the efficiency of the long-term care fund system following the transfer of the missions.

Results Research findings revealed that 1) The majority of long-term care fund recipients were older adults, with an average age of 77.55 years, with 1.6% living in solitude. The average duration of dependency was 5.39 years, and they were diagnosed with hypertension (50.4%), followed by diabetes (26.8%). 2) The health services organized under the long-term care fund following the transfer of missions found that almost all caregivers were professional nurses who provided services in healthcare and organized long-term care in the community, leading to a heavy workload. In addition, it was found that almost all long-term care services lacked interdisciplinary teams joining for services. 3) The efficiency of the long-term care fund following the transfer of missions showed a statistically significant decrease in the fund's budget (p-value < .001) and a statistically significant decrease in the percentage of completed individualized care plans (p-value < .001).

Conclusion and Recommendations The crucial policy proposals for organizations involved with the long-term care fund following the transfer of missions include the development of a performance monitoring and evaluation system, enhancing the capabilities of care managers and caregivers, and developing long-term care standards to ensure patients can access services according to the integrated benefit package.

Development of Natural Rubber-Based Simulators for Normal Labor and Realistic Placental Delivery Training

Athipa Amornpiyaphakorn — 2026-05-31

Background and Objective This research and development study aimed to design and develop an innovative natural rubber-based simulator for training in normal labor and realistic placental delivery.
Methods The study was conducted in three phases. Phase 1 explored problems and needs related to childbirth and realistic placental delivery simulators through focus group discussions with six nursing personnel, including nursing instructors, laboratory committee members, and laboratory staff, as well as six fourth-year nursing students. Phase 2 involved the design and development of the simulator in three steps: 1) constructing the simulator using natural rubber materials, 2) evaluating its quality by five experts, and 3) pilot testing with 30 professional nurses working in labor rooms. Phase 3 examined the simulator’s effectiveness by comparing the mean scores of placental delivery skill performance between the developed simulator and the conventional model. The sample consisted of 46 fourth-year nursing students. Research instruments included a semi-structured interview form, a simulator quality assessment form, a realistic placental delivery skill assessment form, and a satisfaction questionnaire. The content validity indices were 0.92, 1.00, and 0.90, respectively, while the reliability coefficients were 0.91, 0.86, and 0.79, respectively. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed through content analysis.
Results The developed innovation consisted of a half-body female childbirth simulator, a realistic placental delivery device set, a placental model, and a male newborn model. Professional nurses evaluated the simulator quality at a very high level overall (M = 4.75, S.D. = 0.34). Effectiveness testing showed that nursing students achieved significantly higher mean scores in placental delivery skills using the developed simulator (M = 5.87, S.D. = 0.34) compared with the conventional model (M = 0.26, S.D. = 0.44), with statistical significance at p < .001. Overall satisfaction with the simulator among nursing students was rated at the highest level (M = 4.70, S.D. = 0.20).
Conclusion and Recommendations The developed simulator was easy and convenient to use and provided realistic training experiences for normal labor and placental delivery skills. The simulator effectively enhanced learning experiences and practical skill development. Future development should improve the placental delivery mechanism to enable more natural placental expulsion, closely simulating real childbirth conditions.