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

Fri, 01 May 2026 00:00:00 +0700

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, Utthawit Jansiri — Fri, 01 May 2026 00:00:00 +0700

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, Shutiwan Purinthrapibal , Sasithorn Laimek — Fri, 01 May 2026 00:00:00 +0700

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, Neeranute Wontaisong — Fri, 01 May 2026 00:00:00 +0700

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

Mon, 25 May 2026 00:00:00 +0700

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

Wed, 27 May 2026 00:00:00 +0700

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, Weerawut Naebpetch, Patomporn Photaworn — Sun, 31 May 2026 00:00:00 +0700

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.

Development of a Breastfeeding Promotion Program in the Community through Health Network Collaboration

Paesah Samea, Sasikarn Kala, Benyapa Thitimapong — Mon, 15 Jun 2026 00:00:00 +0700

Background and Objectives The exclusive breastfeeding rate in the community has not yet met the target, due to the lack of systematic support and follow-up in the community. This research aimed to develop a breastfeeding promotion program in the community through health network collaboration.

Methods The development of a program was conducted in three phases: 1) designing the program, which involved assessing community problems and needs; 2) validation of the quality; and 3) evaluation through a pilot implementation of the program with participants, including 4 registered nurses, 24 village health volunteers, and 5 postpartum mothers. The research instruments included the Breastfeeding Promotion Program in the Community, a Breastfeeding Knowledge Assessment Form, a Breastfeeding Skills Observation Form, an Infant Feeding Record and Monitoring Form, and an Exclusive Breastfeeding Interview Form. Data were analyzed using content analysis and descriptive statistics.

Results The Breastfeeding Promotion Program in the Community through health network collaboration consisted of two main components: 1) program procedures, divided into: a health network preparation phase to enhance breastfeeding knowledge and skills, and an implementation phase for community-based breastfeeding promotion. This phase involved home visits during weeks 1, 2, and 6 postpartum, together with postpartum support provided via a LINE group, and 2) program instruments, comprised: intervention instruments, and data collection instruments.

The quality assessment indicated that: the program procedures and the four intervention instruments—namely, the health network preparation plan, the community breastfeeding manual, the LINE-based postpartum support plan, and the postpartum home visit plan—each had a CVI of 1.00; and the data collection instruments, including the Breastfeeding Knowledge Assessment Form, the Breastfeeding Skills Observation Form, the Infant Feeding Record and Monitoring Form, and the Exclusive Breastfeeding Interview Form, met standard criteria for content validity and reliability.

The evaluation of the pilot implementation showed that breastfeeding knowledge scores among village health volunteers increased from 16.33 (S.D. = 0.66) to 18.46 (S.D. = 0.25), while those of registered nurses increased from 19.75 (S.D. = 0.25) to 20.00 (S.D. = 0.00). Both groups achieved 100% competency across all breastfeeding skills. When implemented with postpartum mothers during the first six weeks, the exclusive breastfeeding rate at six weeks reached the predefined criterion of 80 %, with a mean duration of 37.40 days (S.D. = 10.28).

Conclusion and Recommendations The Breastfeeding Promotion Program in the Community enhanced the knowledge and skills of both village health volunteers and registered nurses. Postpartum mothers who received care through the program achieved an 80 % exclusive breastfeeding rate and maintained continuous breastfeeding throughout the study period. It is recommended that the program be implemented in communities with similar contexts, and followed up longitudinally in larger samples.

Development of Caring Model for Pregnant Women with Iron Deficiency Anemia at Public Hospital in District Nathawi , Songkhla

Thanwarat Channuan, Thidarat Singsri, Kittiporn Nawsuwan — Thu, 18 Jun 2026 00:00:00 +0700

Background and Objectives Maternal iron-deficiency anemia arising from physiological changes, combined with inappropriate self-care behaviors among pregnant women, adversely affects both mother and fetus. This study aims to examine the situation and problems, identify success factors, develop a model, and evaluate the effectiveness of a care model for pregnant women with iron-deficiency anemia in public health service facilities in Na Thawi District, Songkhla Province.

Methods This is a research and development (R&D) study conducted in three phases: Phase 1: Situation and problem analysis and success factors. Document analysis and qualitative data collection from 18 practicing nurses. Phase 2: Model development, validated by 3 experts (content validity index, CVI = 1.00). Phase 3: Evaluation of the model’s effectiveness using a one-group pretest–posttest quasi-experimental design with 18 practicing nurses and 33 pregnant women. Data were analyzed using descriptive statistics and a paired (dependent) t-test.

Results Data from fiscal years 2022–2023 show an increasing trend of anemia among pregnant women, with issues including delayed prenatal care, non-adherence to iron supplements, and low participation in self-care. Key success factors identified were knowledge and awareness, dietary behavior, and community involvement. The developed model, named the NAVIE Model, comprises: N: Nursing roles A: Aims of individual pregnant women V: Village health volunteers’ buddy (Aso Ministry volunteer buddy) I: Information technology E: Engaged family. After implementing the NAVIE model, pregnant women showed a statistically significant increase in hemoglobin concentration (Hb) and knowledge (p < .001). Satisfaction levels of both professional nurses and pregnant women were very high (Mean = 4.83, SD = 0.38 for nurses; Mean = 4.82, SD = 0.39 for pregnant women).

Conclusion and Recommendations The NAVIE model should be expanded to non-communicable diseases and child development promotion activities. Additionally, the capacity of professional nurses in caring for pregnant women should be enhanced, with strengthened interprofessional collaboration.

Effect of Insulin Injection Coaching Program on Self-Efficacy in Insulin Injection of Uncontrolled Diabetes Mellitus in Patients with Type 2 Diabetes

Nualjan Phetpan, Siriphan Siriphan, Thaparat Rakpanusit — Thu, 18 Jun 2026 00:00:00 +0700

Background and Objective Type 2 diabetes mellitus (T2DM) represents a chronic metabolic disease manifested by sustained hyperglycemia, primarily driven by impaired insulin sensitivity and action. These include acute complications such as infections, and long-term complications affecting various body systems. To prevent or delay the onset of these complications, insulin coaching and self-administered insulin therapy are crucial for diabetic patients. This quasi-experimental study aimed to investigate the effects of an insulin injection coaching program on the ability of patients with uncontrolled type 2 diabetes mellitus to self-administer insulin.

Methods The sample consisted of 52 patients with type 2 diabetes mellitus, divided into an experimental group and a control group, with 26 participants in each group. The research instruments included an insulin injection coaching program for type 2 diabetes patients with uncontrolled blood sugar levels. The data collection tools consisted of a general information questionnaire, a health information questionnaire, and an insulin injection capability assessment, with a Cronbach’s alpha reliability coefficient of 0.81. Data were analyzed using descriptive statistics, paired t-test, independent t-test, and Chi-square test.

Results The results of the study revealed that the experimental group had a higher mean score for insulin injection ability after receiving the insulin injection coaching program (x̄ = 68.73, S.D. = 4.39) than before the experiment (x̄ = 54.96, S.D. = 2.97), with statistical significance at the .05 (t = 13.721, p < .05).

Conclusion and Recommendations The findings of this study showed that this program can be used to promote and enhance insulin injection skills and ability more effectively.

Impact of a Clinical Decision Support System (CDSS) on the Stewardship of Meropenem and Tigecycline in a Tertiary Hospital

korawan pudpong, Praphatsorn Chaphakdee, Tipanong Gatechan, Nidtaya dowwongyat — Thu, 18 Jun 2026 00:00:00 +0700

Background and Objectives Antimicrobial resistance (AMR) is a global health crisis that compromises clinical outcomes and increases healthcare costs, particularly concerning broad-spectrum antibiotics like Meropenem and Tigecycline. This study aimed to evaluate the impact of a computer-assisted Clinical Decision Support System (CDSS) on prescribing appropriateness, antibiotic consumption, and the efficiency of Antimicrobial Stewardship (AMS) programs.

Methods A pre-post intervention study was conducted at a 1,188-bed tertiary care hospital, comparing a 12-month pre-intervention period (Jan–Dec 2022) with a 6-month post-intervention period (Jan–Jun 2023). The intervention involved an integrated CDSS within the Hospital Information System. Key outcomes included prescribing appropriateness, antibiotic consumption trends (DDD/100 patient-days) analyzed via Interrupted Time Series (ITS), and physician acceptance rates. clinical outcomes included clinical improvement during treatment, defined as documented improvement in clinical status, such as normalization of body temperature, hemodynamic stability, or no need for escalation or modification of antimicrobial therapy due to clinical deterioration.

Results Following CDSS implementation, the overall appropriateness of antibiotic prescribing increased significantly from 56.33 % to 94.08 %, with 100% data completeness in drug requisitions. Tigecycline consumption showed a significant downward trend (p=0.0067), with a reduction of -512.545 DDD/100 patient-days per month. Redundant AMS interventions dropped from 43.67% to 5.92%, while the physician acceptance rate for CDSS and pharmacist recommendations reached 100%. Clinical improvement was observed in 54.10% of patients in the post-intervention group.

Conclusions and Recommendations The integrated CDSS effectively optimized the use of restricted antibiotics, reduced overall drug consumption, and streamlined AMS workflows. These findings suggest that digital CDSS interventions are scalable models for improving rational drug use. Future initiatives should expand the application to other restricted antimicrobials and further develop medication systems to ensure real-time rational drug use across various levels of healthcare facilities.

Development of a Nursing Administration Model for Enhancing the Efficiency of Patient Referrals within the Satun Hospital Network

Thu, 18 Jun 2026 00:00:00 +0700

Background and objectives The referral system is a crucial component of the healthcare system, ensuring equitable and accessible health services throughout Thailand. Its primary goals are to ensure patient safety and provide standardized care. This study aimed to develop a nursing management model to enhance the efficiency of patient referrals within Satun Hospital’s network, ensuring quality, safety, and user satisfaction.

Methodology This study employed a research and development design, grounded in Transition Theory as the conceptual framework. The study was conducted in three phases:
1) exploration of problems, situations, and referral practices with 12 participants; 2) development of a nursing administration model for effective patient referral; and 3) evaluation of the model’s effectiveness. The sample in phase three consisted of three groups: professional nurses from community hospitals in Satun Province, nurses from the referral coordination center of Satun Hospital, and relatives of referred patients, with 60 participants in each group.

Research instruments included: an interview guide for model development; a questionnaire assessing opinions on the patient referral process (Cronbach’s alpha = 0.97); an evaluation form for emergency medical dispatch center operations (Cronbach’s alpha = 0.97); and a satisfaction questionnaire for patient relatives (Cronbach’s alpha = 0.92). Data were analyzed using descriptive statistics, paired t-test, and content analysis.

Results

The study on problems, situations, and referral practices among network community hospitals of Satun Hospital identified four major issues: 1) communication problems, 2) insufficient competency of healthcare personnel in patient referral, 3) excessive workload, and 4) inadequate and unavailable equipment.
A nursing administration model was developed to enhance the efficiency of patient referrals within the Satun Hospital network by creating a comprehensive referral manual. The manual includes referral procedures, patient assessment, and nursing guidelines aligned with Transition Theory, covering the phases before and during patient transfer, communication processes, and the preparation of emergency vehicles, medications, equipment, and medical devices required for patient referral.
The effectiveness evaluation of the nursing administration model for enhancing the efficiency of patient referrals within the Satun Hospital network revealed that nurses’ perceptions regarding the use of the nursing administration model significantly improved after implementation
(t = 3.20, p < .05). Nurses’ perceptions of the operational performance of the dispatch center also significantly increased following implementation of the model (t = 7.52, p = .001). In addition, relatives’ satisfaction with the patient referral process significantly improved after the implementation of the nursing administration model (t = 4.18, p = .001)

Conclusion and Recommendations The developed nursing administration model for improving patient referral efficiency within the Satun Hospital network is practical and beneficial for both service recipients and healthcare providers. It is recommended that this model be implemented in similar healthcare settings to enhance the quality and standardization of patient referral systems.

Factors Affecting the Health Behaviors of Individuals Undergoing Colonoscopy for Colorectal Cancer Screening in Phrae Province

Rattana Dokaew, Natthawut Suriya — Mon, 22 Jun 2026 00:00:00 +0700

Background and Objective The cross-sectional analytical research aimed to study the factors affecting the health behaviors of individuals undergoing colonoscopy for colorectal cancer screening in Den Chai District, Phrae Province.

Methods A sample group of 142 people was randomly selected using a table of digits. Data was collected through a questionnaire consisting of three parts: 1) personal factors, 2) health literacy, and 3) health behaviors for undergoing colonoscopy for colorectal cancer screening. The content validity ranged from 0.67 to 1.00. The reliability of the health literacy questionnaire was examined across six dimensions, yielding a Kuder-Richardson 20 coefficient of .94 for cognitive and coefficients of .86, .84, .88, .92, and .86 for access, communication skill, self-management, media literacy, and decision-making, respectively.

The results

The sample group demonstrated health literacy, with most individuals having an adequate level of health literacy and occasionally practicing health behaviors correctly (M = 72.86,
S.D. = 10.44), while their overall health behavior was rated at a good level.
Factors affecting the health behaviors of individuals undergoing colonoscopy for colorectal cancer screening included age (Beta= .060, p-value<.030), income sufficiency (Beta= .012, p-value<.049), education level (Beta= .057, p-value < .046), and health literacy. These factors can predict 21.70% of the health behavior in preparing for colonoscopy for colorectal cancer screening.

Conclusion and Recommendation Therefore, public health personnel or relevant organizations can use the findings of this study to promote and support the preparation for colonoscopy screening for colorectal cancer, particularly by enhancing health literacy regarding the prevention of colorectal cancer. This will help in promoting and preventing the occurrence of cancer.

The Competence of Nurses in Performing Maternal and Child Health Care Practices According to Islamic Principles: A Case Study in the Three Southern Border Provinces

Malinee Yama, Pattaya Kaewsan — Mon, 22 Jun 2026 00:00:00 +0700

Background and Objectives The implementation of maternal and child health services in the three southern border provinces is complex due to the multicultural context and religious beliefs. This study aimed to examine the competencies of professional nurses that align with maternal and child health care practices according to Islamic principles to ensure that health services were in harmony with the lifestyle and effectively meet the needs of the local population.

Methods This study was qualitative descriptive research. Key informants were purposefully selected, totaling 14 participants, including: 1) Eight professional nurses and public health administrators, each with more than 10 years of experience in maternal and child health care in the area, were included in the study. 2) One provincial religious leader, 3) Two traditional midwives with more than 10 years of experience, and 4) Three people from a group of service users. The research tool used was a semi-structured in-depth interview guide, with the researcher as the primary data collector. Data were analyzed using content analysis, and their reliability was verified through triangulation.

Results The study on the competencies of nurses in maternal and child health care practices in the three southern border provinces according to Islamic principles, conducted through qualitative research using content analysis, found that the most important competency was the integration of professional nursing skills with services that respond to the cultural and Islamic religious context (transcultural care). These competencies included communication in local dialects, utilizing networks of religious and community leaders to foster understanding, respecting the beliefs and rights of service users, and involving families in health care decision-making. However, nurses also faced several significant challenges, including delays in the referral care system, vaccine refusal due to misunderstandings, and accumulated stress from workload and intensive indicators, resulting in the development of nursing competencies in this area. Balancing clinical excellence and cultural leadership was needed to create a service system that is accessible, safe, and sustainable in accordance with the lifestyle of the Muslim community.

Conclusion and Recommendations To develop nursing competencies in the three southern border provinces, it is essential to integrate professional standards with the local context of beliefs, religion, and the specific situation. The research recommends that educational institutions and public health agencies incorporate Islamic healthcare practices and crisis communication skills as specialized competencies to create a culturally sensitive and highly effective nursing service system for the population.

The Development and Effectiveness of the Innovation “4 in 1 Infant Manikin” Intradermal Injection in Infants

Wed, 24 Jun 2026 00:00:00 +0700

Background and Objectives Practicing with simulation mannequins is critical to building the skills and confidence of nursing students, enabling them to perform procedures on real patients accurately and safely. This research aimed to develop an innovative mannequin for practicing intradermal injection skills in infants and to study the effectiveness of this innovative mannequin for practicing intradermal injection skills in infants.

Methods This research was a research and development (R&D) process with a sample of 81 third-year nursing students, selected through simple random sampling. The instruments used included the innovative mannequin and equipment, as well as an effectiveness assessment form, which had an item-objective congruence (IOC) value ranging from 0.67 to 1.00 and reliability values of 0.78 and 0.89, respectively. Data were analyzed using mean, standard deviation, frequency, and percentage.

Results

The innovative mannequin had an exterior part made from natural latex, coated with a mixture of latex and acrylic paint to give the skin and arm shape a realistic appearance. The inside part contained a hollow silicone bag with a diameter of 0.5 cm that held air (simulating the injected fluid) and included a valve to release air after skill practice.
The effectiveness of the innovative mannequin found that 78 students had practical injection skills at a good level (96.30%) and had the highest level of overall satisfaction with the innovation (M = 4.72, SD = 0.36).

Conclusion and Recommendations This innovative mannequin can be used to support learning in pediatric and adolescent nursing courses, allowing learners to practice independently until they achieve proficiency before performing on actual patients. A recommendation for further development is to enhance the structural accuracy according to anatomical principles.