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ItemDate rape เจ็บ(ไม่)จบ เพศสัมพันธ์เป็นเรื่องธรรมชาติแต่ถ้าฝ่ายใดฝ่ายหนึ่งถูก "บังคับ" แม้จะมี "ความรัก" เป็นที่ตั้งก็ยังเข้าข่าย "ข่มขืน" ได้อยู่ดีปัญหาการถูกคนรักคุกคามทางเพศเป็นปัญหาใหญ่ในประเทศไทยซึ่งสอดคล้องกับผลงานวิจัยของ ผศ.ดร.นันทพันธ์ ชินล้ำประเสริฐ คณบดีคณะพยาบาลศาสตร์ มหาวิทยาลัยอัสสัมชัญ ที่ระบุว่า ปัญหาการข่มขืนระหว่างคู่เดทเป็นปัญหาที่รุนแรงเกินกว่าบุคคลทั่วไปจะตระหนักถึง เนื่องจากเป็นปัญหาที่ซ่อนเร้น ปกปิด และมีเหยื่อจำนวนน้อยมากที่จะกล้าแจ้งความหรือเปิดเผยให้ผู้ปกครองทราบ
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ItemPersuasion of International Migration Perceived by Thai NursesThe purpose of this qualitative study was to understand the motivation of international migration of Thai nurses.The data were collected from 2 groups: 1) a group of 14 nurses who had experiences working abroad were recruited for in-depth interviews, and 2) a group of 16 nurses who were processing to work abroad, 14 of them were recruited to participate in focus group interviews and 2 of them were willing for the in-depth interviews. The participants were purposively selected using snowball technique. The semi-structured interview guidelines asking about motivation of international migration were used. The data were collected during December 2011 – August, 2012. The interview were recorded and transcribed verbatim for content analysis by coding, ordering, and comparing. The results revealed that the factors that motivate Thai nurses for international migration were varied according to the individual context. The motivation that pull them to migrate expressed by both groups of nurses emerged similarly in five themes: 1) obtaining better payment; 2) seeking new experiences; 3) building better future for the family; 4) improving the quality of life; and 5) gaining opportunity for further study. The better payment was the most attractive motivation expressed by both groups of nurses. Moreover, both groups of nurses expressed similar motivations that push them for international migration. Three themes were emerged including: 1) unsatisfied working system and environment; 2) poor promotion and limited nursing career path; and 3) low payment compared to work load. The study suggests the policy implication for maintaining Thai nurses in the health system. Efforts should be made on improvement of staffing management and supportive working environment by proposing various hiring system, enhancing the opportunity for professional growth and nursing career path, including increasing salary.
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ItemPsychometric Properties of the Thai Version of Copenhagen Burnout Inventory (T-CBI) in Thai Nurses( 2016) Patra PhuekphanBackground: Burnout has consistently been an influential predictor of intention to leave nursing profession. Assessing nurses’ burnout is highly crucial in retaining qualified nurses and alleviating nursing shortage. The Copenhagen Burnout Inventory was originally developed in English and has been modified and translated into Thai. Psychometric properties of the Thai version of Copenhagen Burnout Inventory has not been investigated. Methods: The purpose of study was to examine psychometric properties of the Thai version of Copenhagen Burnout Inventory (T-CBI). The T-CBI is a self-reported questionnaire that consists of 19 items with five response categories. It contains three dimensions: personal burnout, work-related burnout, client-related burnout. The 207 registered nurses working in governmental hospitals of Bangkok Metropolitan in Thailand were recruited using random sampling approach. Statistical analyses included confirmatory factor analysis and measures of descriptive statistics, item analysis, criterion validity, internal consistency, and test-retest reliability. Results: The T-CBI demonstrated good reliability and validity. Cronbach’s alpha coefficient was 0.96. Corrected item-total correlations for the total scale were positive (range from 0.33 to 0.82). Construct validity was supported by confirmatory factor analysis. Results indicated that criterion related validity was well correlated with a previously validated measurement. Conclusion: The test results indicated the T-CBI scale appear to be a reliable and valid instrument. It has potential benefit for assessing burnout among Thai nurses. The current findings should be of benefit for nurse administrators and policy makers, to assess burnout among nurses that could develop strategies in retention and prevent qualified nurses from leaving the profession.
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ItemWomen’s Involvement in Decision Making: Episiotomy Procedure( 2017) Phat Prapawichar ; Patcharee JuntaruksaBackground: Involving patient in decision making for their care can enhance satisfaction and promote health outcomes in particular in the nursing fields. As The World Health Organization Principles of Perinatal Care has recommended that care should involve women in decision making. This principle strongly endorses for improving effective perinatal care. Decision making regard to treatment options is a concept that has increased widespread appeals to healthcare providers and users in recent year. Evidently, patient involvement in decision making has not always been implemented in clinical practice in particular during intrapartum period. Objective: The aim of this study was to investigate the involvement of women in decision making on episiotomy procedure during labor. Methods: A descriptive quantitative approach was conducted using selfadministered survey questionnaires in two government hospitals, Bangkok, Thailand. Participating hospitals were identified by convenience and remained anonymous. The Participant, eligible women included those who have reached 37 to 42 weeks of gestation, experienced vaginal birth, have a live baby, and admitted in the postpartum units. An appropriate sample size was assigned based on a 95 percent confidence level. A sample size was drawn from two hospitals based on a binomial probability distribution. There were 400 postpartum women participated in this study. Anonymous patient’s data were analyzed using frequencies and percentages. Results: The results revealed that 80% of all women experienced episiotomy. The finding demonstrated that decision making on having this procedure made by health care providers and relatives 73.8%, 3.2%, respectively. 23% of them had a chance to make a decision on having episiotomy. There were 23.8% of women received information about risks and benefits of episiotomy procedure and 76.2% did not get information. Conclusion: The findings of this study demonstrated that women have less opportunity to make a decision on having episiotomy during labor and received less information about this procedure. Therefore, health care providers should be clearly discussed about risks and benefits of episiotomy before performing the procedure. The factors influencing patient involvement in decision making should be investigated to promote good experiences of women during delivery and increase satisfaction toward their care.
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ItemHealth Behaviors, Health workplace and Happy Life among Healthcare Providers in the 21st CenturyHealth problems in the 21st century is related to the modern lifestyles and new technology that cause people, particularly health care providers to have sedentary lifestyles which leads them to have health problems, non-communicable disease. This challenges healthcare providers to be the good role model to others by performing healthy lifestyles; having healthy eating habit, doing exercise, taking enough rest, reducing stress, and living and working in the good environment.
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ItemLong-term Group and Premature Drop out Groups in Psychotherapy: Yalom's 'Here and Now' Techniques( 2016) Boonyawee SenaboonyaritThe Yalom’s ‘here-and–now’ techniques-activation and illumination is worked particularly in each session of long-term group psychotherapy. Both activation and illumination help therapist interpret, reflect, and clarify individual’s behaviors. In the premature, dropping out of group, the therapist also used both in order to do following benefits: reduce the clients’ psychological distress, increase individual’s self-esteem, and foster client’s hope in group session as well as maintain positive outcome of long-term group psychotherapy. The volunteers in long-term group psychotherapy of the Thai Psychotherapist Association was observed and recorded the ‘here-and-now’ techniques by an observer when the premature drop out presented in the group process. The result of this study showed that most of Yalom’s ‘here-and-now’ activation was demonstrated in premature drop out group.
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ItemEffects of individualized environmental modification program on neurobehavioral organizations of very low birth weight infants effects of individualized environmental modification program on neurobehavioral organizations of very low birth weight infantsThis study was aim to evaluate the effects of individualized environmental modification (IEM) program on neurobehavioral organizations of VLBW infants who admitted in neonatal unit. Twenty-five preterm infants weighing less than 1500 g. and born before 37 weeks’ gestation were studied. All infants were served as their own control which received conventional nursing care during control period. IEM program was provided during experimental period which consists of day-night lighting, classical music and lavender scent. The activities were adjusted to the appropriate level of intensity and duration based on each infant’s responses. Naturalistic Observation of Newborn Behavior (NONB) was used to observe infants’ neurobehavioral organization at baseline, control period and experimental period. Descriptive statistic was used to analyze infants’ demographic data. Repeated measures ANOVA was used to compare mean different of neurobehavioral outcomes of infants between control period and experimental period.The research results showed that infants in experimental period had significantly showed better positive autonomic responses, positive motoric behaviors and positive attention behaviors comparing to control period. Additionally, infants in the experiment period sleep longer and spent fewer times in transitional and arousal states than in the control period.In conclusion, VLBW infants were benefited from IEM program in term of neurobehavioral organization. Promotion of VLBW infants’ neurobehavioral organization admitted in a sick newborn unit can be implemented by integrated the IEM program in a routine nursing care for VLBW infants.
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ItemStressors and coping strategies among AU nursing studentNowadays academic stress among undergraduate students is a topic of interest for educational administrator because high level of stress is believed to affect students’ health and academic performance.Stress in nursing students comes from many sources especially academic aspect which is highly stressful for students and may lead to drop out of study program. Students cannot avoid stress but their ability to cope with these stressors is important in achieving success in the academic performance. So managing stress effectively and seeking coping strategy in an appropriate way is very important for preventing the negative effects of stress. This descriptive study was performed to explore sources of stress and coping strategies among AU nursing students. Data were collected from 154 nursing students who enrolled in year one to four in academic year 2008. Two measurements, including Student Stress Survey and Adolescent Coping Orientation for Problem Experiences Inventory, were modified and employed. Descriptive statistics were applied for data analysis by using SPSS version 15.0. Results revealed that finding new friends and work with the unfamiliar people were ranked as the main sources contributing interpersonal stress; intrapersonal sources of stress represented by outstanding personal achievement and speaking in the public; academic stressors, the highly reported stressor were associated with using second language and increasing new responsibilities; and placed in unusual situation was environmental stressor. Furthermore, coping strategies that students always used to overcome stress composed of developing self-reliance and being humorous.
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ItemUse of oral rehydration therapy for management of children under five years with Diarrhea Ratchaburi Province, ThailandCross-sectional study aimed to determine the prevalence of oral rehydration therapy (ORT) use by caregivers for children under five years with diarrhea before seeking care at public hospitals and its associated factors.254 caregivers who brought their children under five years with diarrhea seeking care at four main general hospitals in Ratchaburi Province, Thailand were interviewed using a structured questionnaire. The prevalence of ORT use for children under five years with diarrhea was performed. Bivariate analysis was performed for 12 variables and associated factors for ORT use.The prevalence of ORT use for children under five years with diarrhea was 47.2%. Bivariate analysis revealed 12 variables were significantly associated with ORT use: caregivers with high school and above education, being government employee/others occupation, having average family income ≥8,000 baht/ month, knowing that diarrhea can be transmitted by drinking spoiled milk, unboiled water, no hand washing, dry lips in signs of dehydration, continuing breast feeding while the child got diarrhea, high perceived susceptibility, severity, low perceived barriers of ORT and having heard about ORT information. Continued interventions to increasing caregivers’ proper knowledge of diarrhea and use of ORT among poor and low educated caregivers are needed.
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ItemPerception of future parenthood among university students in ThailandTo determine how university students perceived themselves to be responsible in future parenting with mediating factors such as knowledge, attitude, and self-efficacy in one international university, Bangkok. A cross-sectional survey with a self-administered questionnaire was applied in this study. 354 students were selected using the systematic random sampling method. The data were collected from 1st February to 28th February 2008. Simple descriptive statistics and the Chi-square test were used to analyze the data. The students had a moderate level of knowledge of parenthood (Mean=14.53, SD=3.67). Significant relationship were found between Sex of the students and perception of future parenthood (p=<.001), knowledge and perception of future parenthood (p=<.001), attitude and perception of future parenthood (p=<.001) and self-efficacy and perception of future parenthood. This survey result also shows that knowledge is not the only factor giving rise to perception of future good parenting; therefore further study could be useful to explore those factors in the interplay between knowledge, attitude, self-efficacy and perception of future parenthood, which can modify the students’ good perception of parenthood in the future.
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ItemExclusive breastfeeding practice among mothers with children aged 6-24 Months Ratchaburi ProvinceBreast milk provides all the energy and nutrients that the infant needs for the first months of life, and it continues to provide up to half or more of a child’s nutritional needs during the second half of the first year, and up to one-third during the second year of life. Exclusive breastfeeding helps for a quicker recovery during illness. Duration of exclusive breastfeeding is important for maternal and child health. Baby who are non-exclusively breastfed are twofold increased than exclusive breastfed for risk of dying from diarrhea and pneumonia. This study aims to determine the prevalence and factors related to exclusive breastfeeding up to 6 months of infant age among mothers of children aged 6-24 months by using of the Social Cognitive Theory and Self-Efficacy Belief. Hence, these results will be beneficial for identifying the potential interventions to increase the exclusive breastfeeding rate. As the result, child mortality and morbidity can be significantly reduced. Results showed that 94.5% of infants had been ever breastfed, but only 42.6% had initiated breastfeeding within the first hour of birth. 39.5% of infants were exclusively breastfed up to 6 months. Multiple logistic regression analysis revealed two variables were independently associated with exclusive breastfeeding: mother’s high breastfeeding self-efficacy and having lactation problems. From this study, it was concluded that mothers’ class attaining husbands’ support for breastfeeding should apply a role model techniques for improving the mothers’ breastfeeding self-efficacy by a method of peer education to sustain and increase the prevalence of exclusive breastfeeding.
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ItemThe effect of sponging using friction and non-friction on body temperature reduction among febrile children( 2009) Pimsiri BhusiriThis Quasi-Experimental study aimed to compare the effect of sponging and oral antipyretic therapy using friction and non-friction techniques on temperature reduction among febrile children. Participants were 249 febrile children with medical diagnoses of respiratory diseases (78.3%), gastrointestinal tract diseases (13.3%), urinary tract infection (0.8%), and others (7.5%) at Child Health Clinic in the hospital located in Bangkok. Informed consent was obtained from parents prior to the intervention. Randomized match pair technique was used to assign the participants in each intervention. Room temperature, humidity, water temperature, and sponging materials were controlled. The intervention consisted of body temperature measurement before sponging, administering paracetamol, and measuring body temperature right after sponging at 15 and 30 minutes later. Inferential statistics was used to compare the body temperature after intervention. The resual reveald that after 15 minutes of sponging with friction, the body temperature significantly decreased, in contrast to non-friction sponging technique. It was statistically different at P(0.005) level of significance. The friction sponging technique which is combined with oral antipyretic medication was proven to be useful and appropriate in terms of application in any setting of the febrile child.
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ItemPerceived self-efficacy, knowledge, and breast self-examination practice among Assumption University female studentsThe population of this study consisted of 9,684 Assumption University students. The sample size was calculated by using Yamane’s Formula, and 100 students were randomized to be the sample. The instrument was divided into 4 parts: personal data, knowledge, perceived self efficacy, and breast self-examination behavior. Content validity was examined by experts and reliability was obtained by mean of Cronbach’s coefficient alpha. The reliability of the perceived self-efficacy questionnaire was 0.987. Descriptive data analysis was used. The results revealed that knowledge and perceived self-efficacy were in the moderate level (mean 6 from 10, and 51 from 100). 51% of students performed (breast self- examination ( BSE), but almost of them performed once a year. It had no correlation between knowledge and BSE practice (r=0.00, P=0.998). The relationship between perceived self-efficacy and BSE practice was marginally significant (P=0.01). The findings showed that most of the samples did not have enough knowledge about BSE, had low self-efficacy, and inadequate practice. Those who had low self-efficacy should examine their breast occasionally. Therefore, the enhancing self-efficacy perception among female students should be a concern of health promoting faculty program.
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ItemThe nurses of community training model for community health system development: the community participation approachThe National Health Care Reform in Thailand reflects the increasing demand of nurses in the community health care settings. To secure the availability of manpower, local young people are targeted to be trained to serve their own community after graduation. This research aimed to develop training model for nurses of community (NOC), and to study the potential of local administration and community hospital in cooperating with nursing school to produce nurses who can work collaboratively and effectively with community people. Quantitative and qualitative research methods were applied. Data were initially collected using NOC survey form with staffs of 35 local administrations and nurses in the primary care unit of three provinces in central region. Three local administrations were randomly selected for in-depth interview with key informants. Manpower policy, existing practice and potential in community health system development were explored. The results revealed three significant exemplars which include environmental health, chronic illness in aged people, and Dengue Hemorrhagic Fever. The findings were used as an input for designing training program which include six main systems: admission, curriculum management, local administration champion, school-hospital-community collaboration, competency development, and employment. The current nursing curriculum was tailored to meet the special requirement of this initiative and community context. Teaching and learning activities in community including the student mentoring system and instructor preparation were incorporated. The findings will be beneficial to the implementation step in NOC project and be a model for future development of nursing education that collaboratively tailored by community participation. The University IRB protocol was approved to ensure voluntary participation, privacy, basic human right and dignity including risk and benefits of the participants in this study.
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ItemBridging the gap between nursing service and education with learning experience on cultural careThailand has dramatic changed of health care services since government launched the policy to strengthen country to be the excellent Health Hub of Asia. So, the nursing curriculum has been revised appropriately which consisted of one subject related to cultural care diversity in order to prepare the graduated nurse to work harmoniously with the needs of clients. This research investigated nursing students for cultural care knowledge toward clients with different cultures before and after learning about Multiculturalism in Health Care. Learning module of cultural cares for six majority international clients who have received health services in Thai hospital including American, Western, Chinese, Japanese, Arab Muslim, and Asian people together with assignment about their folk cares were implemented for 77 sophomore nursing students as the intervention in this research. Focus group interview questions were tested by expert judgment and used for data collection among 12 volunteer participants before and after learning to evaluate their knowledge how to take care of clients from these various cultures. Generic method of content analysis was employed for qualitative data analysis. The results revealed that nurses who took care of multicultural clients needed to have clear understanding about beliefs of clients related to health including causes of illness, eating habits, color, space, and time. Moreover, folk care was the important factor influencing health care behaviors. In conclusion, participants gained more knowledge to take care of clients from six cultures after completing learning activities and positive attitude was reflected while providing nursing care to international clients. Research ethical consideration was concerned which participants had to sign consent form before participating in the data collection process and could withdraw if physical or psychological discomfort was presented.
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ItemSexual dating violence prevention strategies perceived by Thai community peopleSexual coercions in dating relationships among Thai adolescents are increasing. The actual extent of this behavior is unknown. This study aims to assess community awareness of sexual violence against women in dating relationships, develop a culturally sensitive training program through community participatory approach, pilot the training and evaluate the program. Participants were male and female key informants aged over 18 recruited from the qualified volunteers using snow ball technique from two communities in central Thailand. Data were collected using eight individual interviews and eight focus group discussions. Interview guidelines and date rape vignettes were used. Qualitative data analysis was done using Atlas-ti software. The results indicated that community people perceived sexual dating violence as "gang rape" that boy friend shares his date with friends against her will. Sexual relationships among dating partners were perceived as permissive behavior and not culturally accepted by community. Date rape situations were perceived as consensual sex. Victims blaming was perpetuated. Women were expected to prevent rape and sexual advantage taken by their dates. Effective prevention program was sexual education targeting male's sexual responsibility, conscientiousness and their attitudes in respecting women as mother symbol. The evaluation of prevention program indicated that the sustainability of program was a good strategy for early prevention. Public and target group education about healthy sexual relationships are necessary. The results of this study contribute to public awareness and policy initiation to eliminate the issue from Thai society.
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ItemThe effectiveness outcomes of student-centered approach integration in nursing leadership and management practicum: case study in Assumption University nursing studentsThis classroom action research aimed to explore the fourth year Assumption University nursing students’ ideas, synthesize the inquired knowledge and skill, and explore the greatest benefit gained toward the implementation of student-centered approach in Nursing Leadership and Management Practicum at two hospitals.The data derived from three types of document comprising daily activity report; job analysis of unit manager’s and charge nurse’ s responsibility reports; and incident case analysis report of forty students, focus group interview of twelve students and instructors’ observation. Generic method of content analysis technique was applied for data analysis. The results showed that nursing students prepared themselves before studying by reviewing contents following instruction guideline. Students gained benefits from this style of teaching by receiving more knowledge than instructors’ expectation, increasing management, analytical, problem-solving, and cooperative skills. But the most important benefit was they knew how to seek for knowledge and constructed it by themselves through CIPPA model which came from instructors changed their roles to be the encourager, facilitator, and coacher.
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ItemThe mental health service utilizing EMDR with Tsunami survivors in ThailandLife after Tsunami was difficult and the survivors have become traumatized due to the loss and the fear. Different techniques have been brought in to help people heal psychologically, and EMDR (Eye Movement Desensitization and Reprocessing) was one of them. This study reported the mental health service utilizing EMDR in Khao Lak under the Making Waves Project during February-December 2005. The participants were 415 Tsunami survivors who demonstrated psychological impact from the event. The Impact of Event Scales was used to identify the target survivors before EMDR therapy being provided by the trained EMDR therapists. The data were collected using EMDR session notes that indicated descriptive data and psychological conditions of the participants. The results revealed that 52.53% were recovered cases and 39.52% were current cases that needed subsequent follow-up sessions. Seventy-one percent of recovered participants demonstrated rapid recovery (n=218) after a single session. EMDR could be used with all ranges of age from young children <10 years old (5.30%) to the elderly > 60 years (3.83%). The majority of participants (12.05%) were in 26-45-age group. 67.71% were female. 76.14% received individual therapy and 23.85% involved in EMDR group therapy. This study suggested that EMDR was a significant outreach mental health service for people in the community. More EMDR trainings must be provided for mental health professionals in Thailand to serve speedier mental health service throughout the country.