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Journal of Boromarajonani College of Nursing, Surin
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  This is an Open Access Journal Open Access journal
ISSN (Print) 1906-6813
Published by Boromarajonani College of Nursing Homepage  [5 journals]
  • A Development of a Community-based Learning Model in the Geriatric Nursing
           and Adult and Geriatric Nursing Practice I to Promote 21st Century Nursing
           Students’ Learning

    • Authors: Ratchanee Piwpong, Narongkorn Chaiwong, Poempool Bunmee, Yiam Khongruangrat, Nongnuch Hormneam, Sunisa Sonwicha
      Pages: 16 - 31
      Abstract: This classroom action research was aimed at the development of a community-based learning model in Geriatric Nursing and Adult and Geriatric Nursing Practice I and the study of the effects of the community-based learning model. The sample consisted of 57 second-year and third-year nursing students and 32 elderly persons and their families. The research instruments consisted of an evaluation form on 21st Century learning and identity of the students of the Faculty of Nursing Science, Buriram Rajabhat University, with reliability at 0.96, and a community-based learning model satisfaction evaluation form, with reliability at 0.89. The research and data collection occurred from December 2020 to February 2021. Data analysis was performed by using descriptive statistics and by using content analysis. The research findings revealed that the results of the community-based learning outcomes, the sample students had highest perceived 21st Century learning proficiency in all areas, with service-mindedness being the highest in all aspects. The top 3 areas with the highest average scores were cooperation skills, Teamwork and Leadership (M = 4.58, SD = 0.48) followed by Ethics and Responsibility (M = 4.53, SD =0.38) and Psychomotor (M = 4.43, SD = 0.47). In addition, the satisfaction toward the community-based learning model of students, patents, families and networks was highest. Based on the findings, the researcher has the following recommendations: The community-based learning model should be used to provide learning in other subjects in the curriculum, and research should be conducted with groups for comparison and assessment of performance in geriatric care by students, with assessments involving the participation of peers or supervising instructors.
      PubDate: 2022-04-16
      Issue No: Vol. 12, No. 1 (2022)
  • Factors Relating to Quality of Life among Older Adult in the Region Sixth

    • Authors: Jutamast Wongjan, Suwanna Vudhironarit, Ladda Leungratanamart
      Pages: 32 - 49
      Abstract: The aims of this descriptive study were the related factors among quality of life in elderly, who were in the 6th Health Region. The questionnaires were sent to 437 sample elderlies such as the personal information and quality of life (WHOQOL-BREF-THAI). The data were collected and analyzed with descriptive statistics and Fisher’s Exact test. The result showed that the total score of the quality of life among the elderly people was a high score (M = 96.38, SD = 15.85). However, there were only four factors related with the quality of life among the elderly as monthly income sufficiency and health Insurance (p< 0.001), caregiver (p< 0.013), and alcohol (p< 0.019), but gender, marital status, smoking, and fall experience was no significant. However, the result of factors relating to the quality of life among each level old people would like to manage health promotion programs for elderly, promote perceiving, and the sufficiency of monthly income.
      PubDate: 2022-04-16
      Issue No: Vol. 12, No. 1 (2022)
  • Practicing Level of Patients with Diabetic Type 2 in Mancha Khiri
           Hospital, Khon Kaen Province

    • Authors: Sutida Lalert, Klaphachoen Shokebumroong
      Pages: 50 - 61
      Abstract: This descriptive research aimed to study level of practicing behaviors among type 2 diabetes patients in Mancha Khiri hospital, Khon Kaen province. The sample consisted of 431 type 2 diabetes mellitus patients who treated at Mancha Khiri hospital. Data were collected between March 2021 to April 2021and then analyzing by statistics; frequency, percentage, mean, standard deviation. The results revealed that; 1) Most of the samples (77.49%) were overall practicing level at high level, 2) Most of the samples (64.3) practiced on food management at moderate level, 3) Most of the samples (89.8%) practiced on drug management at high level, 4) Most of the samples (83.3%) practiced on stress management at moderate level, 5) Most of the samples (60.2%) practiced on reducing energy residue at moderate level, and 6) Most of the samples (97.7%) practiced on treatment monitoring at high level. Recommendations, nurses should emphasize patients’ self-care to prevent complications and promote practicing behaviors especially at the moderate level such as food management, stress management, and reducing residual energy. Nurses should develop teaching innovation and using alternative approaches to promote health with community participation.
      PubDate: 2022-05-06
      Issue No: Vol. 12, No. 1 (2022)
  • Evaluation of Strategic Plan Performance by CIPP Model based on “Being
           the Excellent Higher Educational Institute in ASEAN” Vision

    • Authors: ์Nongnaphat Rungnoei, Duanghathai Yodthong, Penkhae Dittabunjong, Jintipa Sirikunwiwat
      Pages: 62 - 77
      Abstract: This descriptive research aimed to evaluate the strategic plan performance of Prachomklao College of Nursing Phetchaburi province based on “Being the excellent higher educational institute in ASEAN” vision, the problems and barriers and improvement guideline were surveyed. The CIPP Model of was used to guide for evaluating this performance in contexts, input factors, process, and outcomes. Sample consisted of 17 administrators and 43 staffs. The research instruments consisted of the questionnaire about the strategic plan performance evaluation with the reliability 0.98, and opened end questionnaire. Data was analyzed by descriptive statistics (frequency, percentage, mean, standard deviation) and content analysis. The results revealed that the highest score of strategic plan performance scores was at the “good” level (M = 4.17, SD = .45). The lowest score was “input factors” (M = 3.96, SD = .51). 85.71% of strategic plan implementation achieved their goals. The problems and barriers to take action were lack of staffs, knowledge and critical skills. inflexible management system, inefficient information technology systems, staffs and students were not ready to enter the ASEAN Community. Improvement guideline consisted of: analyze the personnel's manpower and workload, develop high efficiency of management system and technology, improve potential of personnel and students on knowledge, thinking skills, operational skills English and ASEAN language skills, as well as develop curriculum, systems and mechanisms for educational quality assurance according to the ASEAN Community.
      PubDate: 2022-06-09
      Issue No: Vol. 12, No. 1 (2022)
  • The Perception of Learning Outcomes under the Qualification Framework for
           Higher Education among Graduates of Nursing Science in academic year 2020
           at Boromarajonani College of Nursing Buddhachinaraj

    • Authors: Rungtiwa Wangruangsatid, Anchalee Kaewsasri
      Pages: 78 - 93
      Abstract: This survey research was conducted to evaluate the perception of learning outcomes under the qualification framework for higher education among graduates of Bachelor Degree of Nursing Science in academic year 2020, Boromarajonani College of Nursing Buddhachinaraj. The population and samples were 142 graduated nurses in 2020 academic year. The research instrument was the perception questionnaire which focused on the learning outcomes under the qualification framework for higher education, Bachelor Degree of Nursing Science. The questionnaire was content validated by three experts. The reliability was 0.97. Data analyzed were frequency, percentage, mean, and standard deviation. The study showed that the overall samples’ perception on the learning outcomes under the qualification framework for higher education, Bachelor Degree of Nursing Science mean scores were at high (M = 4.33, SD =0.36). All domains were at high. The highest mean score was the ethics and moral (M = 4.54, S.D = 0.39). The mean scores of interpersonal and responsibility skill domain, cognitive skills domain, numerical analysis, communication and information technology skills domain, professional practice skills domain and knowledge domain were 4.34 (SD =0.50), 4.28 (SD = 0.48), 4.28, (S.D = 0.49), 4.27 (SD = 0.47), 4.19 (SD = 0.42), respectively. The suggestions for instructors are they can apply these results for developing learning and teaching methods as well as extra curriculum activities so they are knowledgeable and possess professional practical skills. Moreover, they should study the effects of new teaching methodology on the learning outcomes under the qualification framework for higher education.
      PubDate: 2022-06-14
      Issue No: Vol. 12, No. 1 (2022)
  • A Comparative Study of Perceived Self-competencies in Application of the
           Nursing Process and Self-directed Learning among Nursing Students

    • Authors: Wannachart Talerd, Rujisan Surathaworn
      Pages: 94 - 108
      Abstract: This descriptive research aimed to 1) study perceived self-competencies in the application of the nursing process. 2) study the level of self-directed learning. And 3) compare the perceived self-competencies in the application of the nursing process and self-directed learning among nursing students there are 3 patterns of practical teaching and learning during the COVID-19 outbreak. The sample included 99second-year nursing students, in the academic year 2021. The collecting of data had been done in August 2021. The research instruments including 1) self–competencies in the application of the nursing process questionnaires and 2) self-directed learning questionnaires and retested for reliability using Cronbach’s alpha coefficient yielding 0.90 and 0.96 respectively. Data were analyzed by using mean, standard deviation, and One Way ANOVA. The result of this research found that 1) The average score of the perceived self- competencies in the application of the nursing process among nursing students were at high level (mean = 4.01, SD = 0.49) 2) The average score of the self-directed learning among nursing students was at a high level (mean = 4.11, SD = 0.43) 3) The comparison of the perceived self–competencies in the application of the nursing process among nursing students was significant difference at 0.05 level (F=7.723, p=.001) and 4) The comparison of the self-directed learning among nursing students was significant difference at 0.05level (F=3.518, p=.034). Recommendations, Instructor nurse use the information to plan for teaching and learning practice that promotes perceived self-competencies in application of the nursing process and self-directed learning among nursing students.
      PubDate: 2022-06-19
      Issue No: Vol. 12, No. 1 (2022)
  • Relationship between Patients’ Practicing and Lung Capacity among COPD
           Patients in Maharat Nakhon Ratchasima Hospital

    • Authors: Panyada Kaewrat, Klaphachoen Chokebumroong
      Pages: 109 - 121
      Abstract: This descriptive research aimed to study (1) level of patients’ practicing and level of lung function capacity and (2) relationship between patients’ practicing and lung capacity of persons with chronic obstructive pulmonary disease who treated at outpatient unit, Maharat Nakhon Ratchasima Hospital. Samples, 193 patients, were recruited by using inclusion criteria. Data were collected by using patients’ practicing questionnaire and recording form of lung capacity during March-April 2021. The level of practicing was analyzed by assigning three levels by using mean and standard deviation as cut point values. The lung capacity was benchmarked with 2017 gold standard of lung capacity. The relationship between patients’ practicing and lung capacity was analyzed by using Pearson's correlation coefficient. Results revealed that most of patients had had practicing at good level and at moderate level of lung capacity. Patients’ practicing was not positively significant correlation at .05 level with lung capacity. The researcher has suggestions as follows: physicians and nurses should find a way to keep the patient's lung capacity from deteriorating more than it is and study factors associated with impaired patient's lung capacity and those associated with lung maintenance should be investigated.
      PubDate: 2022-06-20
      Issue No: Vol. 12, No. 1 (2022)
  • Effectiveness between Online and Regular Educational Programs on Knowledge
           and Self-care on Primigravida

    • Authors: Tawarat Prommate, Orawan Juntem, Kittiporn Nawsuwan, Noppcha Singweratham
      Pages: 122 - 135
      Abstract: A two-group quasi-experimental study measured results were measured before and after the experiment. The objective was to compare knowledge and self-care between before and after online teaching. and to compare the before and after difference of knowledge and self-care scores between online and conventional education among pregnant women up to 20 weeks of gestation at first antenatal care at the antenatal care department. Narathiwat Rajanagarindra Hospital until 32 weeks, 30 people Specific sample selection and Simple random sampling was randomized into 15 experimental groups and 15 control groups. and the control group used normal teaching. The research instruments consisted of a knowledge scale with a KR20 value of 0.71 and a self-care questionnaire with a Cronbach alpha coefficient of 0.73. Data were analyzed by descriptive statistics, Wilcoxon sign ranks test and Mann Whitney U test. The results were found. That after online teaching Pregnant women had higher knowledge and self-care behaviors than before educating. They were statistically significant at the .001 and .05 levels, respectively. There were no differences between the groups that were taught online and that of traditional teaching. It can be seen that using the method of teaching parents online schools It can encourage pregnant women to increase their knowledge just like studying in a normal parent's school classroom. Therefore, teaching methods through social media should be used in teaching parents' schools. This will reduce the workload of officials. Make the parents' school activities complete according to the criteria and pregnant women have easier access to parent school activities get more convenient But there should be staff to give advice during the first time entering the program. There is an agreement to limit the time of contacting information via the online system appropriately.
      PubDate: 2022-06-20
      Issue No: Vol. 12, No. 1 (2022)
  • Effects of Using Video Media before Colonoscopy on Practice Behavior Bowel

    • Authors: Jongdee Pansuwan, Kittiporn Nawsuwan
      Pages: 136 - 148
      Abstract: This one group pretest and posttest quasi experimental research aimed to examine effects of video media use in practice on readiness before undergoing colonoscopy and rate of bowel cleanliness in high risk groups of colon cancer of Namom hospital. Sample were 45 patients. Research instruments consisted of video media of practice before undergoing colonoscopy, behavioral assessment questionnaire, anxiety assessment questionnaire and stool characteristic recording form. Instruments had Index of Item-Objective Congruence ranging from 0.67-1.00 whereas anxiety assessment questionnaire had Cronbach alpha coefficient reliability of .91 respectively. Data were analyzed using descriptive statistics and Wilcoxon Sign Rang Test. Research results revealed as follows; 1. Practice behavior of high risk groups of colon cancer of Namom hospital after using 4 items of video media was 100%. 2. After using video media, high risk groups of colon cancer of Namom hospital had 95.55 % of level 3 and higher of bowel cleanliness. 3. After using video media, high risk groups of colon cancer of Namom hospital had significantly lower anxiety about colon cancer than that of before (p=.003). Thus, video media should be used for practice advice before undergoing colonoscopy in high risk groups of colon cancer screening.
      PubDate: 2022-06-20
      Issue No: Vol. 12, No. 1 (2022)
  • Successful Weaning Ventilator:

    • Authors: Saranya Chularee, Chantira Chiaranai, Rangsima Krosungnoen
      Pages: 149 - 163
      Abstract: Mechanical ventilators (MV) are devices that support breathing in patients with respiratory failure. When the patient’s conditions have improved, and he/she is able to breathe by his/her own. The MV should be removed as early as possible in order to reduce such complications, decrease length of hospital stay, and decrease mortality rate. Nurses play an important role in helping the patients weaning from MV. The challenge started from assessment and monitoring the patient’s symptoms while weaning MV until the extubation period. There are several factors affecting the success of weaning MV such as weaning strategy, weaning protocol, physical activity and therapy, specialty unit that helps to wean MV, and patient’s readiness. There are 3 periods of the weaning protocol including pre-weaning period, intra-weaning period, and extubation period. This article compiles the credible weaning empirical evidence as well as the example of nursing care plan for patient weaning MV. Registered nurses can use it to guide their practice to promote patients' successful weaning MV.
      PubDate: 2022-06-20
      Issue No: Vol. 12, No. 1 (2022)
  • Nurse’ Role in Supporting Critically ill Patients’ Nutrition

    • Authors: Chantira Chiaranai, Traiphop Pidtanang, Nudchaporn Dummai
      Pages: 164 - 181
      Abstract: Nutrition support is an important aspect of the management of critically ill patients. Most critically ill patients are found to have malnutrition because of the pathology of the disease. As a result, patients do not receive adequate nutrition to meet the body’s requirements, affect patient outcomes such as increased length of hospital stay, unable to wean off the mechanical ventilation, increased risk of infection, and increased mortality rate. Therefore, malnutrition surveillance in critical condition is highly necessary. Malnutrition monitoring in critically ill patients helps prevent and reduce complications, restore health from illness, and helps patients recover from a crisis as soon as possible. This article aimed to provide critical care nutrition focuses on the pathophysiologic incorporating between critical illness and nutrition support for critically ill patients. This article will be useful for nurses who take care of critically ill patients, to acquire the ability to monitor the patients’ nutrition status as well as provide quality of care for patients to receive enough nutrients and energy to meet the needs of the body.
      PubDate: 2022-06-20
      Issue No: Vol. 12, No. 1 (2022)
  • Expected and Actual Entrustable Professional Activities in Nursing of
           Newly Graduated Nurses as Perceived by Nursing Instructors

    • Authors: Soiy Anusornteerakul, Suphaphak Hankha, Natthakul Buengmoom, Anchalee Ounkaen, Nattawan Chaimeekhieo, Woranuch Chaiwan
      Pages: 1 - 15
      Abstract: The objective of this descriptive study aimed to study the expected and actual entrustable professional activities in nursing of newly graduated nurses as perceived by nursing instructors. The samples consist of 15 nursing instructors with at least 10 years of teaching and supervisory experience. The instrument used is a questionnaire consisting of 147 nursing activities, EPAs scored on a 5-point Likert scale with provide actual and expected scores for each the EPAs. The Delphi technique was used to collect the data. Data analysis was conducted via median, and Chi-square. The results showed that the actual EPAs were most commonly perceived to be at a level 4 with 105 skills (71.43), followed by level 3 with 33 skills (22.45%) and level 5 with 9 skills (6.12%) respectively. The expected EPAs were level 4 with 19 skills (12.93%) to level 5 with 128 skills (87.07%). The proportion of expected levels of EPAs is higher than actual levels with a statistical significance at the level of 0.001. The expected EPAs was at level 4 or higher is accepted level, whereas the actual EPAs was also available at level 3, which is a nonprofessional unacceptable level. For the safety of clients, nurses measuring below an actual level 4 should receive more practice before graduation.
      PubDate: 2021-12-29
      Issue No: Vol. 12, No. 1 (2021)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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