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.