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Journal of Boromarajonani College of Nursing, Bangkok
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  This is an Open Access Journal Open Access journal
ISSN (Print) 0857-7927
Published by Boromarajonani College of Nursing Homepage  [5 journals]
  • editor

    • Authors: journal manager group bcnbangkok
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • editorial

    • Authors: journal manager group bcnbangkok
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Nursing Care of Patients with Chronic Kidney Disease Infected with
           COVID-19 in Critically ill Condition

    • Authors: Nudchaporn Doommai, Chantira Chiaranai
      Pages: 1 - 12
      Abstract: Introduction: The coronavirus disease 2019 (COVID-19) pandemic situation is an international public health emergency because it rapidly spreads and causes many consequences to patients, especially, its impact on health conditions of patients with chronic kidney disease (CKD). When these patients are infected with COVID-19, it leads to complex health problems and life-threatening critical illnesses. Objectives: This article aimed to present nursing care for patients with CKD infected with COVID-19 regarding 4 issues as follows: 1) pathology of COVID-19, 2) COVID-19 induced kidney function and CKD, 3) treatment for patients with CKD infected with COVID-19 in a critical phase, and 4) role of nurses in the care of patients with CKD infected with COVID-19 in a critical phase. Key issues: CKD is a major risk factor that results in people being infected with COVID-19 suffering from severe illness due to inflammation which causes severe infection leading to acute kidney injury. If CKD patients who are infected with COVID-19 do not receive the proper treatments, the severe complication can be a leading cause of death in a short period of time. Caring principle for these patients requires conservative treatments to maintain their kidney function as well as renal replacement therapy, particularly in patients whose kidneys can no longer function. Nurses therefore play an important role in holistically care of this patient group. . Conclusion: Nurses are responsible for assessing, monitoring symptoms, maintaining physical and psychosocial aspects, as well as, preventing and controlling infection to decrease the mortality rate and to ensure that patients with CKD infected with COVID-19 are safe and free from adverse effects. Implication: The proposed knowledge can be used to develop clinical practice guidelines and/or conduct studies related to patients with CKD infected with COVID-19. Since knowledge of COVID-19 is constantly changing, healthcare providers should therefore keep up-to-date knowledge continually.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Transcultural Care by Aging Center in Camillo Foundation of Thailand

    • Authors: Phagapun Boontem, Jaruwan Phaitrakul, Preeda Wiengchai
      Pages: 13 - 23
      Abstract: Abstract Introduction: Older population has grown rapidly because of the progressive and medical technological advancements. It can mostly affect the growing of the aging care centers. Among these centers, the Camillian social center in the Saint Camillus Foundation of Thailand is the center caring for the miserable aging in every religion, according to the purpose of the Camillus which provide caring for people with love and serve. Objective: To analyze the caring for aging Key Issues: From the analysis of sunrise model (Leininger) along with caring of this center, the result revealed that caring for aging in this center was the holistic care (physical, mental, social, spiritual and spiritual). The physical care focused on physical activity and nutrition, care, and cure by caregivers who took turn in 24 hours to care for the elderly according to elderly’s need. In term of mental health, there was a caregiver to nicely communicate with the elderly. Regarding social activity, there was a recreational activities for the elderly once a week. Regarding spiritual care, the activities would be provided according to each religion such as offering alms to monks, the morning ceremony of thanksgiving (missa), and the activity of each religion according to elderly’s need. When elderly people had the severe illness and had been admitted in the hospital or stayed at the center with nurses who care for them, they would receive the pray from the priest which is the belief of the Camillus. This caring pattern was relevant to the concept of transcultural nursing care. Conclusion: The transcultural care of this center concerns about the diverse cultures and supports the principle of holistic care leading to transcultural care. Implications: The transcultural care is relevant to need of caring in aging.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Research and Innovation Mechanisms: The Case Study for Moving Health
           Promotion Toward Nursing Profession in Northern Thailand

    • Authors: Somjai Sirakamon, Wipada Kunaviktikul
      Pages: 24 - 37
      Abstract: Abstract Introduction: The Moving Health Promotion (HP) Towards Nursing Profession in Northern Thailand project was important. It was driven using research and innovation. This project aimed to improve HP competencies among nurses working in health care agencies in Northern Thailand using the Ottawa Charter for HP as the framework. The project was developed using several mechanisms. Objective: This article aims to present only two important approaches for moving HP towards nursing profession in Northern Thailand, namely research and innovation. Key issues: Research project highlighted reliable new methods for improving HP competencies of nurses and reliable evaluation. Simultaneously, several innovation projects resulted in best practices which serve as role models and new potential learning sources for HP roles for nurses. Conclusion: Project evaluation yielded many positive outcomes. However, some challenges were identified and all stakeholders involved need to prioritize and help improve the nurses’ health promotion competencies and roles continually. Implication: Nursing education institutes or other agencies involved in improving HP competencies in nurses can apply both research and innovation to enhance improving HP competencies among nurses.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Effect of Breast Milk Oral Care on Breast-Feeding Performance in Preterm
           Infants

    • Authors: Kannika Hongsiri, Jariya Wittayasooporn, Tipawan Daramas
      Pages: 38 - 48
      Abstract: Abstract Introduction: Oral care using breast milk helps preterm infants to stimulate sensory of odor and taste of breast milk resulting in better sucking and swallowing performance. Research objectives: To compare the breast-feeding performance, including breastfeeding behaviour, breast milk consumption, and transition time between preterm infants those receiving breast milk oral care and those receiving conventional care. Research methodology: This quasi-experimental study employed two groups post-test design. A purposive sampling method was used to recruit 43 participants (22 in the control group, and 21 in the experimental group) into the study. Inclusion criteria were: (a) infants with gestational age 28-34 weeks assessed using Ballard score; and (b) admitted at Udonthani hospital from May to September 2020. The preterm infants in the control group received a conventional care. The preterm infants in the experimental group received breast milk oral care. Once the neonatologist allowed both groups to oral breastfeeding, the breast-feeding performances (breastfeeding behaviour, breast milk consumption, and transition time) were assessed. Instruments were breast milk oral care procedure, and the Preterm Infant Breastfeeding Behavior Scale. Data were analyzed using Chi-square test, and Independent t-test Results: At post-test, between-group statistically significant differences of breast-feeding performances were found on breastfeeding behaviour, and breast milk consumption (p<.05). However, the transition time was not statistically significantly different (p>.05). Conclusions: Breast milk oral care affects the breast-feeding performances in preterm infants, including breastfeeding behaviour, and breast milk consumption. Implications: Nurses should be encouraged to apply breast milk oral care to preterm infants to promote better breast-feeding performances.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Predicting Factors of Sexual Communication between Parents and Adolescent
           Mothers Regarding Repeat Pregnancy Prevention

    • Authors: Kultida Subsomboon, Wanna Phahuwatanakorn, Thiwarphorn Chalermpichai, Dittakarn Boriboonhirunsarn
      Pages: 49 - 60
      Abstract: Abstract Introduction: Sexual communication has the positive effect of decreasing sexual risk behaviors among adolescents. However, repeat pregnancy continues to be a persistent problem among adolescents, meanwhile discussions about sexual issues are rare in Thai families. This study used the theory of Planned Behavior as the conceptual framework. Research Objective: To examine factors related to and ability to predict sexual communication behaviors between parents and adolescent mothers regarding repeat pregnancy prevention. Research Methodology: This study employed a predictive correlational design. Participants were parents of adolescent mothers who attended the postpartum care unit in tertiary hospitals. ; And 130 parents were recruited using a convenience sampling method. Data were collected using questionnaires. Data were analyzed using descriptive statistics and multiple linear regression (enter method). Results: Significant predictors of sexual communication behaviors regarding repeat pregnancy prevention were parents living with daughters, attitude towards sexual communication, following subjective norms, and perceived behavioral control (b = .17, .24, .17, .39, p < .05, respectively). Together, the above mentioned factors statistically and significantly predicted sexual communication by 38.3% of variance (p < .05). Conclusion: Living with daughters, attitude towards sexual communication, subjective norms, and perceived behavioral control were essential in promoting parents’ sexual communication behavior regarding repeat pregnancy prevention. Implications: Nurses should promote parents’ perceptions of attitude, following of subjective norms, and perceived sexual communication ability of parents by developing activities and media to bring about parents’ sexual communications for repeat pregnancy prevention among adolescent mothers.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Selected Factors Related to Stroke in Ban Dung District, Udonthani
           Province

    • Authors: Chanyawee Chaiwong, Yupaporn Tirapaiwong, Wirakan Sumethanurakkhakun
      Pages: 61 - 72
      Abstract: Abstract Introduction: Stroke is a public health problem. It is a leading cause of death and chronic illness among Thai people. A study of factors related to stroke is useful for health care providers to more effectively prevent diseases or complication in patients. Research objective: This study aimed to assess selected factors associated with stroke among hypertensive patients in Ban Dung district, Udonthani province. Research methodology: This descriptive study was conducted using an assessment of cardiovascular risks questionnaire (7 items) and a stress questionnaire (ST-5) (5 items). Data were analyzed using descriptive statistics and inferential statistics using binary logistic regression. A significant level was set at p<0.05. Results: There were 225 participants including 75 hypertensive patients with stroke and 150 hypertensive patients without stroke. Five selected factors related to stoke were 1) heart disease (OR=10.57, p <.05); 2) family member having health problems with stroke, ischemic heart disease or paralysis (OR=4.14, p =.001); 3) hyperlipidemia (OR =0.09, p<.001); 4) alcohol consumption (OR=0.02, p=001); and 5) stress (OR=0.79, p<.05). Conclusions: Selected factors related to stroke were 1) heart disease, 2) family member having health problems with stroke, ischemic heart disease or paralysis, 3) hyperlipidemia, 4) alcohol consumption, and 5) stress. Implication for practice: These findings suggest that health care providers should develop a program to prevent stroke for patients, especially in patients with heart disease or those who have a family member with stroke or heart disease. The program should aim to change their health behaviors such as healthy diet, physical activities, abstaining from alcoholic beverages, and stress management.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors Influencing Falls Prevention Behavior Among the Elderly in
           Thapthan District, Uthaithani Province

    • Authors: Nutchaya Poungthong, Orawan Keeratisiroj
      Pages: 73 - 85
      Abstract: Abstract Introduction: Good fall prevention behavior among the elderly is essential in preventing and reducing the risk factors of both internal and external falls and these help to promote the quality of life for the elderly. Research objectives: This cross-sectional descriptive study aimed to investigate fall prevention behavior in older adults. Also, the influencing factors of falls prevention behavior among older people living in Thap Than District, Uthai Thani Province were examined. Research methodology: A sample consisted of 349 older adults aged 60 years and over. Data were collected using interviews. The instruments consisted of a set of questionnaires, including personal data, fall assessment tool, health beliefs questionnaire, questionnaires of factors leading to the practice, house environmental questionnaire, and fall prevention behavior questionnaire. Data were analyzed using descriptive statistics. Binary logistic regression analysis was used to assess factors influencing fall prevention behavior. Results: About 89.7% of participants reported that they had a good level of fall prevention behaviors (= 53.32, SD = 4.20). Age (Adj. OR = 5.90, 95%CI = 1.50-23.40, p = 0.012), employment (Adj. OR = 3.14, 95%CI = 1.15-8.62, p = 0.026), perception severity (Adj. OR = 6.40, 95%CI = 2.10-19.63, p = 0.001), perception barriers (Adj. OR = 11.27, 95%CI = 1.18-107.89, p = 0.036), access to information (Adjusted OR=5.31, 95%CI = 2.06-13.71, p = 0.001), and safety of a residential environment, both internal and external (Adjusted OR=9.51, 95%CI = 3.15 - 26.58, p = 0.001) were statistically significant factors influencing fall prevention behavior of the elderly. Conclusions: age, occupation, perceived severity of falls, perceived barriers to practice of fall prevention behavior, information exposure, and safety of housing were factors influencing fall prevention behavior in the elderly. Implications for practice: Healthcare organization should promote and prepare for a pre-aging period and elderly to solve health problems and health services in accordance with elderly need. Precedence to the correct behavior and the daily life of the elderly should be given.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Effects of Promoting an Individual and Family Self-Management Program
           on the Control of Sugar level Behavior and Accumulated Blood Sugar Levels
           among Type 2 Diabetic Patients

    • Authors: Songkrot Saringkarn, Mayuree Nirattharadorn, Pregamol Rutchanagul
      Pages: 89 - 96
      Abstract: Abstract Introduction: Diabetes is a chronic disease that requires ongoing care. If diabetic patients are unable to control their accumulated blood sugar level in a normal level, it can lead to complications which effect both diabetic patients themselves and their families. Research objectives: To examine the effects of promoting an individual and family self-management program on the sugar-level-control behavior and accumulated blood sugar levels among type 2 diabetic patients. Research methodology: This study employed a two-group pretest and posttest quasi-experimental design. Sixty adolescents living with type 2 diabetes and their families participated in this study. To be eligible for the study, the participant had to meet the following criteria: (a) have a diagnosis of type 2 diabetes mellitus (DM); (b) report accumulated blood sugar level of 7 and higher; (c) 30-59 years of age; (d) receive healthcare services at the chronic diseases clinic, primary care unit of a private hospital in Bangkok area; and (e) consent to participate. They were randomly assigned to the experimental and control groups, with 30 participants in each group. The experimental group received the individual and family self-management program, while the control group received a conventional care. Data was collected using the following instruments: (1) a general information questionnaire; (2) a questionnaire of a sugar level control behavior, and 3) HbA1c level tester. Data were analyzed using mean, percentage, standard deviation, dependent t-test, and independent t-test. Results: the study found that significant improvement by experimental group participants between baseline and follow-up was found for sugar level control behavior (p < .05). At follow-up, between-group significant difference of sugar level control behavior was found (p < .05). Moreover, among the participants in the intervention group, an accumulated blood sugar level at follow-up was found to be significantly lower than baseline (p < .05). At follow-up, between-group significant difference was also found on an accumulated blood sugar level (p < .05). Conclusion: Individual and family self-management program has an impact on diabetic patients and their families, especially on the enhancement of self-management behavior to control accumulated blood sugar levels which resulting in lower accumulated blood sugar levels Implications for practice: Healthcare providers should promote family management and self-care management to diabetic patients to control accumulated blood sugar levels.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Desirable Characteristics among Graduate Nurses of Rajabhat University in
           the A.D. 2020s

    • Authors: Thinnakorn Buachu, Prapaporn Muangkaew
      Pages: 97 - 108
      Abstract: Abstract Introduction The challenges of globalization towards Thai higher education has affected the production of professional nurses with academic and professional abilities according to the identity of Rajabhat University for local development. Therefore, this study aimed to examine the composition and desirable characteristics of Rajabhat nursing graduates to respond to social change, labor market, and expectations of service clients and graduate users. Research Objectives This study aimed to examine desirable characteristics among graduate nurses of Rajabhat University in the A.D. 2020s (A.D.2020-2030). Research Methodology The study was future research using the Delphi Technique and collecting data from the opinions of 20 administrators and nursing instructors. All were knowledgeable and experienced in educational management of nursing curriculum. The participants included 4 nursing education administrators, 5 nursing instructors from Rajabhat University, 5 nursing instructors from a government university, 3 nursing instructors from a private university, and 3 nursing instructors from the Police Nursing College. The study consisted of three steps: Step 1: conduct semi-structured interviews with experts; Step 2: analyze the essence of the data and create a questionnaire to allow the experts to comment on the level of importance of desirable sub-graduate attributes in each component, and Step 3: use expert opinion to calculate the median and interquartile range to summarize research results. Results Results showed that desirable characteristics of Rajabhat nursing graduates in the 2020s (2020-2030) consisted of 6 elements and 58 sub-elements: 1) attitude towards the profession 11 items; 2) personal characteristics 10 items; 3) institution identity 7 items; 4) knowledge and competence 16 items; 5) digital technology skills 5 items; and 6) professional skills 9 items. All items were found to have a median value of 4.00 and above. And a group of experts had consistent opinions. The interquartile range was not more than 1.00, and the data were found to change by 6.63%. Conclusion This study reflects the desirable characteristics of future Rajabhat nursing graduates to further develop nursing students to have such characteristics. Implications for practice The administrators of the Rajabhat University Institute of Nursing can use the results of this study to formulate policies for developing nursing students to have desirable graduate characteristics of Rajabhat University.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors Related to Skin Whitening Product Consumption Behavior Among
           Undergraduate Students in Bangkok Metropolis

    • Authors: Thanyalak Nakharin, Malinee Sompopcharoen
      Pages: 109 - 121
      Abstract: Abstract Introduction: Undergraduate students preferred whitening skin. However, currently, it was found that illegal skin-whitening products were smuggled by the illegal cosmetics importers without permission. Also, showing inappropriate cosmetic labels, fake licenses, and deceiving manufacturers’ names were illegal issues. Besides, illegal skin- whitening products contain banned ingredient substances with harmful side effects such as mercury, and hydroquinone leading to high-risk health problems. Research objectives: This study aimed to examine factors related to skin-whitening products consumption behavior among the undergraduate students in the university, Bangkok. Research methodology: This study used a descriptive cross-sectional design. Participants were 352 undergraduate students. Data were collected using a set of self-administered questionnaires. Content validity and reliability were tested. Data were analyzed using descriptive statistics (percentage, mean, standard deviation), and Chi-Square test. Significance level was set at p<0.05. Results: Results showed that half of the participants (50%) used the skin-whitening product absorbed through the skin, followed by oral consumption (38.64%), and injection (11.36%). Factors related to skin-whitening products consumption behavior were age, person that the participants lived with, attitude towards using skin-whitening products, perceived risk and severity of skin-whitening product behavior, peer influence, family influence, influence of favorite person, influence of healthcare workers, influence of salespersons, and influence of all reinforcing factors. Implications: The results of this study would be used as a guideline for involved stakeholders, both governmental and non-governmental organizations, to promote public education regarding harmful ingredients in skin-whitening products. In term of policy implementation, the regulations related to skin-whitening products should be launched to protect the consumers and keep up with current situation.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Health Care for Monks in a Muang District, Nakon Ratchasrima: What are the
           Health Needs of Monks'

    • Authors: Pakatip Singkham, Pornruedee Nitirat
      Pages: 122 - 135
      Abstract: Abstract Introduction: Monks are a population at risk of health problems. Sustainable health enhancement in monks requires well-rounded perspectives from stakeholders. However, those perspectives are unclear. Objectives: 1) to examine monks’ needs based on predisposing, enabling, and reinforcing factors; 2) to propose policy recommendations for monk’s health care in Muang District, Nakon Ratchasrima province. Methodology: The study design was QUAN-QUAL mdel (Triangulation Mixed Design). Samples in a quantitative study were 379 monks in Muang District, Nakon Ratchasrima province, and the participants in a qualitative study were 30 stakeholders. Data were collected using a questionnaire, in-depth and focus-group interview guides, and an observation form. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using content analysis. Results: The study revealed that 1) monks had health knowledge in a middle level and requested for health education which periodically provided at their temple; 2) monks reported an overall good health behaviors, except for smoking, and consuming foods which contained high sugar and fat; 3) temple environment could help to promote monks’ health, however, animal carriers elimination and elderly restrooms were needed; 4) monks still had limitations in health information access; 5) Buddhist folds mainly help monks only with food preparation; and 6) monks satisfied with public health services in a middle level and they asked for specific improvement concerning on monastic disciplines. These findings could generate policy recommendations in 4 aspects: monks, healthcare providers, Buddhists, and health system management. Conclusion: The enhancement of monk’s healthcare in Muang District, Nakon Ratchasrima province needs to emphasize problematic predisposing, enabling, and reinforcing factors. Implication: Those responsible for monks’ health should employ the findings from this study to improve monk-related healthcare in their areas with area-context adjustment.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Model Development for Health-Care Services in Response to the Needs of the
           Patient Family Members in the ICU of Surat Thani Hospital

    • Authors: Pornpimon Paimuang, Boonthip Siritarungsri, Rachanee Nanjuntra, Johnphajong Phengjard
      Pages: 136 - 146
      Abstract: Abstract providing health-care services in Intensive Care Unit (ICU) must also be extended to the patient's family members to provide holistic care to all of them. . Research objectives: This mixed methods study aimed to: 1) analyze the situations and expectations for health-care services of patient’s family members in the ICU of Surat Thani hospital; 2) develop a model for health-care services in response to the needs of patient’s family members, and 3) evaluate the appropriateness of the developed model. Research methodology: Sample were recruited using purposive sampling technique and consisted of two groups. The first group was for analyzing the situation and expectations for health care services of patient’s family members in the ICU. This group consisted of 52 participants (32 for quantitative data, and 20 for qualitative data). The second group was to evaluate the appropriateness of the developed model. This group consisted of 4 experts. Two sets of questionnaires were used: 1) questionnaires and an in depth-interview form for analyzing the situation and expectations of health care services of patient’s family members in the ICU. Nancy C. Molter and Jane Stover Leske (1983) gave us a permission to translate this tool into Thai and then this tool was used in this study; and 2) an evaluation form to evaluate the appropriateness of the developed model. The content validity of these tools were verified by 4 experts, and it was 0.78. Qualitative data were analyzed using content analysis, and descriptive statistics were used to analyze quantitative data. Results: Research findings were as follows. 1) The patient’s family members in the ICU rated the situation and their expectations for health care services overall at the high level; in order from high to low expectation: assurance, information, support, and comfort, respectively. 2) The developed model consisted of seven components including: (1) communication of clear, true, and continuous information; (2) information about the necessity and benefits of the medical instruments used; (3) patient family members’ participation in decision making and taking care of patients; (4) psychological care and therapy for patient’s family members; (5) knowledge about rights and benefits associated with medical treatment, and coordination with relevant divisions; (6) a suitable environment and services to meet the needs of patient’s family members; and (7) fast medical services with modern equipment. Finally, 3) the developed model for health care services of patient’s family members in the ICU of Surat Thani hospital was evaluated as suitable (88.88%). Conclusions: This study reflected that patient's family members are the important clients which significantly lead nurses to provide holistic care, and also to improve the quality of nursing care in the ICU. Implications for practice: The developed model can be used to provide health-care services to meet the needs of patient’s family members in ICU. However, it may take into account that the needs of the family members might be different and it depends on the context of each hospital.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Effective of Knowledge Pregnancy Examination Skills of Student Nurse
           by Using Simulation Pregnancy Model According to the Objective-Structured
           Clinical Examination: OSCE

    • Authors: Waralya Sangpithak, Rodjarin Rattanasoontron, Kesorn Suvithayasiri, Soopussara Pumek
      Pages: 147 - 157
      Abstract: Abstract Introduction: Nursing innovations are essential to develop nursing skills in the New Normal society which reduce the clients’ exposure to risk and enhance nursing confidence of nursing students. Research objective: This study aimed to evaluate knowledge pregnancy examination skills using the Simulation Pregnancy Model compared to 70% of the benchmark according to the Objective Structured Clinical Examination (OSCE). Research methodology: This study used a quasi-experimental design (one group pretest – posttest design). Sample consisted of 44 nursing students who were in the 3rd and 4th year of the undergraduate program during the 2020-2021 academic year. I Instruments were the Simulation Pregnancy Model, knowledge test, and Pregnancy examination skills with OSCE. Based on IOC content, content validity was 0.84 and the KR -20 knowledge test was 0.628. According to the OSCE, reliability of Pregnancy examination skills was tested using Cronbach,s alpha coefficient (0.770). Data were analyzed using descriptive statistics, paired t-test, and independent t-test. Results: 1) Post-test mean scores of the knowledge were significant higher than pre-test scores (t(43)= -21.536, p<.001). 2) At follow-up, there were statistically significant difference (t(42)= -19.065, p<.001) between the Pregnancy examination skills with OSCE from the Simulation Pregnancy Model and the 70% benchmark of Nursing Practicum. Conclusions: Findings of this study shows that the Simulation Pregnancy Model is effective in improving knowledge and the pregnancy examination skills of nursing students. Implications: Nursing innovations should be promoted to improve nursing skills for students. The nurse refresher course should be provided specifically for registered nurses in need of an update in nursing skills.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Effects of Buddhist Psychology Program on Contemplative of Nurses

    • Authors: Varithta Charuchinda, Tanavan Sriamonruttanakul, Ampun Pornmesri, Rawee Chaemchuen, Somporn Jitruttanaporn, Pimprapa Tosongkram
      Pages: 158 - 171
      Abstract: Abstract Introduction: Contemplative is an important skill for nursing practice resulting in a conscious and intelligent life with love and compassion for patients and colleagues and leads to good behavior towards one another in society. Research objectives: Aimed to examine effects of Buddhist Psychology program to create Contemplative in nursing. Research methodology: This was a quasi-experiment study. Participants were 45 nurses and they were randomly selected and allocated to two groups (20 in an experiment group and 25 in a control group). Instruments used in the study were a Buddhist Psychology program consisting of 3 steps (13 activities). Data were collected using a questionnaire of contemplative in nursing including a mental awareness, an understanding of the truth of life, a power of compassion, and a kindness, with the reliability of .96, .88, .85, and .92, respectively. Data were analyzed using frequency, percentage, mean, standard deviation, Paired t- test, and Independent t-test Results: Findings showed that at follow-up, the experiment group had statistically significant higher understanding of the truth of life, the power of compassion, and the kindness scores than those at baseline (p< .05). However, the average score of mental awareness was not significantly different. Conclusions: Findings demonstrated that the Buddhist Psychology program can be used in developing the understanding of the truth of life, the power of compassion, and the kindness in nursing. Implications: The Buddhist Psychology program can be used in developing contemplative in nursing.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Knowledge and Self-Care Behavior among Patients with Heart Failure in The
           50th Anniversary Mahavajiralongkorn Hospital Ubon Ratchathani Province

    • Authors: Waiyaporn Promwong, Jaroonsree Meenongwah, Sangduan Ginggeaw , Rungthip Charoensri
      Pages: 172 - 185
      Abstract: Abstract Introduction: Self-care knowledge and self-care behavior among patients with heart failure (HF) play a significant role in decreasing hospital readmission and mortality rates. Research objectives: To examine self-care knowledge and self-care behavior among patients with HF in a medical ward in the 50th Anniversary Mahavajiralongkorn Hospital, Ubon Ratchathani Province. Research methodology: A cross-sectional descriptive design was used. Sample were fifty patients who have been diagnosed with HF, and being older than eighteen years old with a level 1-2 activity tolerance assessed using the New York Heart Association Functional Class: NYHA FC I-II). Data were collected using a set of questionnaires including a personal information questionnaire, a self-care knowledge questionnaire, and a self-care behavior of HF patient questionnaire which contained 3 domains (self-care maintenance, self-care management, and self-care confidence). Data were analyzed using descriptive statistics. Results: Results showed that most of the participants were women (54 percent). An average age was 58.18 years, with an age range between 32-89 years. All of them had stage C of HF, the majority of the participants had NYHA FC II (80 percent). A duration diagnosed with HF was one month - five years with an average of 2 years (SD.=2.13). Mean score of self-care knowledge was at moderate level (mean=15.14, SD. =2.17) and mean scores of three-domains of self-care behavior were at fair level. Conclusions: Findings of the study suggested that most of HF patients need to be well-equipped with self-care knowledge and self-care behaviors before sending home. Implications: A multidisciplinary program aimed to promote self-care behaviors for HF patients should be tailored and implemented to enhance not only their knowledge, but also their behaviors. Doing so would help HF patients and family to be able to care for themselves confidently and able to manage the care to maintain their health status in the long run.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Effects of Maneevej Exercise on Quality of Life and Blood Pressure in
           Older Persons

    • Authors: Sarinrat Jitjum, Kanyatorn Yincharoen, Wasan Hayeeyahya, Jinsinee Wannapong
      Pages: 186 - 196
      Abstract: Abstract Introduction: Nowadays, Thai society steps into the aging society. The elderly have a change in physical deterioration and illness resulting in decreased quality of life (QOL). Therefore, health care profession should turn to health care with exercises such as Maneevej to reduce such problems. Research objectives: The objectives of the study aimed to examine the effects of the Maneevej body exercise on QOL in the elderly, and to investigate the changes in blood pressure after completing the Maneevej body exercise among the elderly. Research methodology: This was a quasi-experimental study using one group pretest – posttest design. Participants were 20 elderly people. Practicing Maneevej exercise with 8 breath assignments takes approximately 20-30 minutes. Practice twice a day, morning and evening for 12 weeks. Data were collected using a World Health Organization's QOL assessment form [Brief in Thai language], and blood pressure monitor. Data were analyzed using a Paired samples t-test. Results: Results showed that most of the participants were female. Participants were between the ages of 60 and 64). After completing the program, the average scores of QOL significantly increased in the physical domain, mental domain, overall QOL (p<.05), and environmental domain (p=0.04). As for the QOL in society, the average score slightly increased with no significant difference (p=0.09). The average systolic and diastolic blood pressure significantly decreased (p<.05). Conclusions: The Maneevej exercise combined with using breath determination has increased QOL and reduced blood pressure among elderly participants. Implications: The Maneevej exercise is an alternative exercise. Older persons or those interested in can practice the Maneevej exercise combined with using breath determination for better health.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Development of Management Model in Community at Tha Hat Yao
           Sub-District Phon Sai District Roi-Et Province

    • Authors: Sirawit Srikhampha, Sutteeporn Moolsart, Kitsanaporn Tipkanjanaraykha
      Pages: 197 - 212
      Abstract: Abstract Introduction: Chronic obstructive pulmonary disease (COPD) management is important for exploring the problems and needs of COPD patients, risk group prevention, and care for effective exacerbation control of COPD patients. Research objectives: The purposes of this research and development (R&D) were: (a) to investigate problems and needs of care among patients with COPD in the community; (b) to develop a COPD management model in the community; and (c) to evaluate the developed COPD management model in the community. Research methodology: Participants were classified according to the study phases. Phase I: to investigate problems and needs of care, participants included 15 COPD patients and caregivers at Tha Had Yao Sub-district, Phon Sai District, Roi-Et Province. Phase II: for model development, 15 healthcare providers, village health leaders, and sand dredging entrepreneurs were included. Phase III: for the evaluation of model effectiveness, participants were: (a) 243 people aged 40 years and over selected by using stratified random sampling method; and (b) 30 COPD risk persons and 15 COPD patients selected by using simple random sampling method. Instruments included focus group guideline, brainstorming guideline, COPD prevention behavior questionnaire, and self-management behavior questionnaire. Content validity indexes of the questionnaires were .83, and .97; and Cronbach alpha coefficients were .81, and .88, respectively. Quantitative data were analyzed using descriptive statistics, t-test, and Wilcoxon signed rank test. Content analysis was used to analyze qualitative data. Results: Findings are as follows. The problems of COPD patients were cough, dyspnea, stress, and sensitivity over family members misunderstanding the illness. The needs were inhaled medicines, caregivers, emergency vehicles, and environmental problem-solving. The COPD management model comprised of: (1) people aged over 40 years who should be screened, knowledge improvement, and modified risk behavior; (2) COPD high-risk group should be enrolled in workshops; and (3) COPD patients should be enrolled in workshops and having home visits by multidisciplinary teams. The COPD management model could improve knowledge, COPD preventive behaviors, self-management behaviors, and lung function in the participants (p=.05). Conclusions: COPD management model in the community leads to chronic disease management in the community in 3 groups: people aged 40 years and over, people at risk for COPD, and COPD patients. The COPD management model was proved and revealed successful and good outcomes for participants. Implications: COPD management model in the community could be implemented for developing the COPD management model in similar context areas. It also could be a guide to develop COPD prevention and control programs in the studied area.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Telling the Truth of the Illness: Perspectives of older persons who
           experienced with caring the end-of-life person

    • Authors: Sirilak Somanusorn, Kanlaya Paikoh, Marayart Sujaritwarakul
      Pages: 213 - 226
      Abstract: Abstract Introduction: Telling the truth regarding the illness is crucial for healthcare professionals and end-of-life patients. Research objective: To describe perspectives on meaning and need of telling the truth regarding the illness among older persons who experienced with caring at end-of-life care. Research methodology: This was a qualitative study. The informants were fifteen older persons selected by using purposive and snowball sampling. Data were collected using in-depth interviews. Content analysis were used to analyze data. Research findings: Meanings of telling the truth regarding illness were identified in three themes as follows: 1) telling data with no hiding; 2) giving data that can help patients to prepare their life; and 3) telling frustrated data but need to be accepted. It was found that most informants preferred someone to tell them the truth with no hiding for two reasons, including 1) preparing for acceptance; and 2) planning their lives and doing what they want to do. The characteristics of telling the truth were: 1) informing with understanding and encouraging; 2) focusing mainly on patient's condition; 3) informing directly; 4) informing indirectly and gradually; 5) informing the fact to those who were ready; and 6) informing periodically, not at the last moment. Some informants did not want the truth regarding the illness to be told due to two reasons as follows: 1) fearing of knowing the truth, and 2) knowing can cause suffering. Conclusions: Telling the truth regarding the illness to the end-of-life older person is very important. It affects the acceptance and the plan of the older person’s end of life. Recommendations: Healthcare professionals who involve in telling the truth regarding the illness to the older persons should have good communication techniques, focusing on their needs, and understanding the aging changes, both physically and mentally, at their end of lives.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • The Influence of Protective Factors on Mental Health Among
           Community-Dwelling Older Adults

    • Authors: Sukanya Kanngooluem, Pornpat Hengudomsub, Jinjutha Chaisena Dallas
      Pages: 227 - 240
      Abstract: Abstract Introduction: Mental health is associated with humans’ potential and quality of life across life span, including elderly. Protective factors serve as positive factors that help promote mental health among these seniors. Research objectives: This study aimed to describe mental health and its protective factors among older adults residing in Muang District, Nakhon Ratchasima Province. Research methodology: This was a predictive correlational study which collected data with 115 older adults who met the inclusion criteria. Research instruments were: personal information, mental health, health literacy, perceived self-care efficacy, optimism, religious commitment and practices, and multi-dimensional social support. Cronbach’s alphas of the instruments were .88, .90, .94, .75, .88, and .91, respectively. Descriptive statistics, Pearson’s correlation coefficients, and stepwise multiple regression analysis were employed for data analysis. Results: Results revealed that the sample rated their overall mental health as normal (Mean=48.64, SD=4.50). The protective factors which significantly predicted mental health included health literacy (ß = .334, p < .001), multi-dimensional social support (ß = .279, p < .01), and optimism (ß = .189, p < .05). These factors together explained 32.04% of the variance in mental health (R2 = .320, p < .001). Conclusion: The protective factors which significanly predicted mental health included health literacy, multi-dimensional social support, and optimism. Implications: Nurses and healthcare providers should develop programs or activities using health literacy, optimism, and multi-dimensional social support. These are significant protective factors for mental health among the older adults.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Effects of Information, Motivation and Behavioral Skills Model with
           Video-Observed Therapy program among New Pulmonary Tuberculosis Patients
           in Nonthaburi Province

    • Authors: Suchanwat Somsorn, Panan Pichayapinyo, Sunee Lagampan
      Pages: 241 - 253
      Abstract: Abstract Introduction: Pulmonary tuberculosis (TB) is still one of the major health problems in Thailand. Knowledge and self-care behavior among these TB patients, especially in new cases, are important to help patients recover from the disease. And these can effectively prevent the spread of disease. Research objectives: This quasi-experimental study aimed to evaluate an effect of the information, motivation, and behavioral skills model with video-observed therapy (VOT) program in new patients with pulmonary TB. Sixty-six patients were randomly assigned into an experimental group (n=33) and a comparison group (n = 33).) Inclusion criteria were patients: (a) aged 20 to 60 years old with Acid-Fast Bacilli (AFB) positive result; and (b) who registered in a TB clinic located in Nonthaburi province. The experimental group received a routine care combined with 8-week intervention educational session, including infection control, drug adherence, and side-effect management. Also, they were provided with VOT and weekly sending info graphic message. The comparison group received only a routine care. Data were collected using a set of self-administered questionnaires such as individual knowledge of TB, self-care behavior, and sputum test result. Data were analyzed using Chi-square test, Repeated Measure ANOVA, and independent t-test. Results: Findings revealed that among the participants in the experimental group, TB knowledge, and self-care behaviour were found to be significantly improved between baseline and follow-up (8- and 12-week) (p < .05). At follow-up, between-group significant differences were also found on TB knowledge, and self-care behaviour (p < .05). At follow-up, the sputum test among the participants in the experimental group at 8- and 12-week were more significantly improved than those at baseline (p<.05). However, there was not significantly different on testing result between groups at the end of the study. Conclusion: At follow-up, Information, motivation, and behavioral skills model with VOT program mutually increased more TB knowledge, and self-care behaviour of the experimental group than at baseline. When conducted between-group analyses with follow-up data, we found that the experimental group showed more significant improvements on TB knowledge, and self-care behaviour than the comparison group. At follow-up the experimental group also reported the better sputum test results than at baseline. Nonetheless, the sputum test results of the experimental group were not significantly different from the comparison group. Implications for practice: Instead of using DOT, healthcare workers should use VOT in pulmonary TB patients during the COVID-19 outbreak. It can prevent the spread of COVID-19 and reduce the medical care cost of TB.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors Related to Health Literacy in Diabetes Mellitus among Health
           Volunteers in Bangkok

    • Authors: Nongkran Chooin, Sunee Lagampan, Kwanjai Amnatsatsue
      Pages: 254 - 267
      Abstract: Abstract Introduction: Diabetes Mellitus (DM) is the second most common disease among Bangkokians and the mortality rate is likely to increase. Public health volunteers are the main mechanism for strengthening government personnel to tackle with diabetes problems in the community. Hence, DM patients can take care of themselves and prevent complications. Research objectives: This study aimed to examine health literacy regarding DM , factors related to, and factors influencing health literacy regarding DM among public health volunteers in Bangkok. Research methodology: This study employed a descriptive cross-sectional design using the ecological model as the conceptual framework. The studied factors consisted of personal factors, interpersonal process factors, institutional factors, and community factors. A multistage random sampling technique was used to recruit 287 participants in this study. The inclusion criteria included male and female public health volunteers in Bangkok who were: (a) 18 years of age and older, (b) having at least one year of work experience, and (c) training on knowledge about DM from public health officials. Data were collected using questionnaires to interview. Validity of the questionnaires were .80 and above. Cronbach,s alpha coefficients of the questionnaires were .70 and higher. Data were analyzed using Pearson’s Product Moment Correlation. Predictive power was tested using multivariable linear regression analyses. Results: Findings showed that most public health volunteers had sufficient health literacy regarding DM (56.1%). Personal factors (education, income, health status, and experience in caring for patients with DM), interpersonal factors (officials education methods, exchange of news and information with public health volunteer colleagues), institutional factors (media/equipment support from institutions), and community factors (community roles) were statistically significantly associated with health literacy regarding DM (p < .05). Results of multivariable linear regression analyses revealed that personal factors (income), interpersonal factors (exchange of news and information with public health volunteer colleagues), institutional factors (media/equipment support from institutions), and community factors (community roles) together statistically significantly explained 57.9% (R2= 0.579, F = 77.33, p <.05) of the variance in health literacy regarding DM. Conclusion: Most of the public health volunteers in Bangkok had a fair level of health literacy regarding DM. Implications: The results of this study suggest that health literacy regarding DM among public health volunteers should be improved. In addition to providing media and equipment easily to read and understand, the activities/interventions to enhance health literacy and focus on interactions to exchange knowledge and experience should be promoted. So, most of health volunteers might meet the criteria of health literacy regarding DM.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors relating Stress and Stress Coping Caregivers of People with
           Schizophrenia in Urban Family

    • Authors: Susaree Prakhinkit, Nutamon Boonlom, Lunchana Phimphanchaiyaboon, Naruemol Angsirisak, Suparun Phasuk, Rosaya Yuwapornpanit
      Pages: 268 - 279
      Abstract: Abstract Introduction: Schizophrenia is a common chronic psychiatric disorder affecting many people in the community. It affects family, especially caregivers who are constantly exposed to changing symptoms of the patient causing stress Research objectives: The study aimed to investigate factors related to stress and coping strategies among caregivers of people with schizophreniain urban family. Research methodology: This study used a descriptive design. By using Yamane’s formula of sample size with a confidence coefficient of 95% and population of 120, the sample size required for this study needed to be 93 caregivers. Data collection lasted for three months. I Instruments were a socio-demographic description of the family, the clinical status of the patient, the Suanprung Stress Test-20, and the Jalowiec Coping Scale. Data were analyzed using descriptive statistics, and correlation was analyzed using the Pearson's Correlation Coefficient. Results: Results showed that the stress level of caregivers was at moderate level (59.6%). Problem alleviation coping strategies were used; most of them were for coping with stress (62.8%). Regarding patient factors, the clinical status of patient changes had positively significant associated with stress and problem alleviation coping strategies (p=.05). However, socio-demographic description of caregiver factors was not associated with stress. Age, and relationship with the patient were positively significantly associated with problem confrontation and problem alleviation coping strategies (p=.05). Conclusions: The clinical status of patient changes was positively correlated to stress and coping strategies of caregivers. Implications: Mental healthcare of caregivers of schizophrenia patients should be individually promoted using coping skills with appropriate stress. Support and assistance should be provided according to caregivers’ needs.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors Related to HIV Prevention Behaviors among Men Who Have Sex with
           Men, Ratchaburi Province

    • Authors: Orawan Wangluk, Patcharaporn Kerdmongkol, Arpaporn Powwattana, Kwanjai Amnatsatsue, Pratana Satitvipawee
      Pages: 280 - 292
      Abstract: Abstract Introduction: Human Immunodeficiency Virus (HIV) is a global public health problem. Men who have sex with men (MSM) were more likely to be at risk of HIV infection 22 times than the average person. Research objectives: The study aimed to investigate factors relating to HIV prevention behaviors among MSM in Ratchaburi province. Research methodology: This study used a descriptive cross-sectional design. A snowball sampling technique was employed to recruit 255 participants. Data were collected using a self-answer questionnaire method. A set of questionnaires were used to collect data including: 1) personal characteristics, 2) lifestyle, 3) AIDS knowledge and HIV prevention, 4) the perception of HIV risk behavior , 5) obtaining information on antiretroviral drugs (ARV) to prevent HIV infection, 6) ease of access to condoms and ARV to prevent HIV infection, 7) influence of sexual partners, and 8) HIV prevention behaviors. Their reliabilities using Cronbach's alpha for questionnaires number 3-8 were: .71, .87, .94, .89, .82, and .92, respectively. Descriptive statistics, Chi-Square test, and Ordinal Logistic Regression Analysis were used for analysis. Results: The results showed that about half of the participants (50.6%) had low levels of HIV prevention behavior. Factors significantly related to HIV prevention behavior included age, education level, occupation, income, HIV screening, sexually transmitted infection (STI) screening, healthy lifestyle, AIDS knowledge and HIV prevention, the perception of HIV risk behavior, obtaining information on ARV to prevent HIV infection, and ease of access to condoms and ARV to prevent HIV infection. Moreover, the influence of sexual partners was the significant strongest predictor of HIV prevention behaviors (OR = 25, p <.001). Conclusions: The influence of sexual partners was the significant strongest factor influencing HIV prevention behaviors among MSM. Implications for practice: Knowledge of HIV prevention should be encouraged. Furthermore, an improvement of access to public health services is very important because it can support MSM to access HIV prevention devices. Consequently, it will support them to continuously keep conducting HIV prevention behaviors.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Factors Influencing Depression among Late Adolescents

    • Authors: Anyamanee Maneenil, Duangjai Vatanasin, Pornpat Hengudomsub
      Pages: 293 - 307
      Abstract: Abstract Introduction: Late adolescents are at risk for depression due to various factors, with some linked to their life stage. Research objectives: The purpose of this predictive-correlational study was to examine depression and its influencing factors among late adolescents in high schools in Muang District, Chanthaburi Province. Stratified random sampling method was employed to recruit sample (n = 160). Research methodology: Data were collected using seven questionnaires: a Personal Information Form, the Center for Epidemiological Studies-Depression Scale, the Social Intelligence Scale, the Family Connectedness Scale, the Friendship Intimacy Scale, the Perception of Cyberbullying Victim Scale, and the Coping with Cyberbullying Scale. These scales yielded Cronbach’s alpha coefficients of .87, .82, .90, .82, .91, and .95, respectively. Data were analyzed using descriptive statistics, and stepwise multiple regression analysis. Results: Findings revealed that there was depression among the sample (51.25%). Among these, 25% had mild to moderate depression, and 26.25% had severe depression. Stepwise multiple regression analysis revealed that family connectedness (ß = -.39, p < .001), and social Intelligence (ß = -.15, p < .05) had statistically significant predicted the depression. Together, these factors significantly explained 22.30% (R2 = .223, p < .05) of the variance in depression among these late adolescents. Conclusions: The results suggest that healthcare providers should be aware of late-adolescent depression as an important mental health concern. Implication: Mental health programs or activities to prevent or decrease depression among late adolescents should be developed by enhancing family connectedness and social intelligence.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
  • Effect of Simulation-Based Learning on Knowledge, Perceived Self- Efficacy
           and Nursing Skills for Patients with Diabetes Mellitus Nursing Care among
           the 2nd Year Nursing Students

    • Authors: Ubol Suttineam, Samerchan Teerawatskul, Jintana Rungsa
      Pages: 308 - 320
      Abstract: Abstract Introduction: Simulation-based learning is important to help nursing students develop knowledge, perceived self-efficacy, and nursing skills. Research objective: To examine the effect of simulation-based learning (SBL) on knowledge, perceived self-efficacy, nursing skills for patients with diabetes mellitus (DM) nursing care. Research methodology: This quasi-experimental study employed a two-groups pretest-posttest design. The participants were 69 second year nursing students practicing in the adult and elderly nursing practicum I course. A simple random sampling technique was used to allocate the participants into a SBL (36 students) and conventional learning (33 students) groups. . Knowledge related to DM Nursing Scale, Self-efficacy to DM Nursing Scale, and DM Nursing Skill Checklist were used for data collection. Data were analyzed using descriptive statistics and t-test. Results: At post-test, a mean score of knowledge in the SBL group was statistically significant higher than the conventional learning group (p<.01). At post-test, mean scores of perceived self-efficacy, and nursing skills in the SBL group were statistically significant higher than the conventional learning group (p<.001). Conclusion: The SBL plays a major role in an improvement of knowledge, perceived self-efficacy, and nursing skills among nursing students who provided nursing care for patients with DM. Nursing students have opportunities to practice through realistic clinical scenarios. They have knowledge and experiences and apply them in real-life situations to having advanced knowledge, perceived self-efficacy, and nursing skills. Implications: Nursing education programs should increase the use of SBL in nursing students prior to nursing practice in clinical settings. Moreover, SBL would be useful when nursing students are unable to practice in hospitals during challenging times.
      PubDate: 2022-04-01
      Issue No: Vol. 38, No. 1 (2022)
       
 
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