Research Snapshots

Factors predicting safety culture among nurses in tertiary care hospitals, Thailand

Safety is unarguably a consideration of paramount importance in hospitals, impacting nurses and other hospital staff as well as patients and their families. Faculty of Nursing doctoral candidate Pakamas Boonyaphisompan led this predictive study which used multiple research instruments to investigate factors related to safety culture at university hospitals in Thailand. Feedback and communication about errors made were reported as strong factors by participants, while some areas requiring improvement included error-reporting frequency, staffing, and non-punitive handling of errors. Pacific Rim International Journal of Nursing Research

https://cmu.to/yzQoL

Breastfeeding self-efficacy, social support, and breastfeeding among Chinese mothers with late preterm infants

This study, designed by doctoral student Jinjin He, took place in China, and aimed to show the relationships between breastfeeding self-efficacy, support, and breastfeeding of late pre-term (LPT) infants. Some context for this study includes the increase in cases of LPT infants worldwide and the inherent benefits of breastfeeding, especially for LPT infants. The results confirmed a close relationship between the above factors and breastfeeding and can provide supporting data for nurses and midwives to assist their awareness and to encourage exclusive breastfeeding for mothers with LPT infants. Journal of Neonatal Nursing

https://cmu.to/enXB9

Relationships between Thai fathers’ self-efficacy to support breastfeeding and exclusive breastfeeding duration

In another study exploring breastfeeding support, the focus here is on Thai fathers’ roles in supporting mothers to exclusively breastfeed. Preeyakamon Krikitrat, a Faculty of Nursing lecturer and current graduate student at the University of Illinois, initiated the first study done in a Thai context which explores fathers’ self-efficacy in giving support to their partners who are breastfeeding. This study concluded that promoting and developing fathers’ ability to give support for breastfeeding is yet another area in which Thai nurses and midwives can generate awareness and support. Midwifery

https://cmu.to/xgURg

Integrated behavioral healthcare in Thailand: A case study from Chiang Mai

Associate Professor Dr. Patraporn Bhatarasakoon and Associate Professor Dr. Decha Tamdee joined a team of researchers from several institutions in the United States to collaborate on this case study on primary care clinics in Chiang Mai. With many people suffering from non-communicable diseases, the ability to provide treatment to improve patients’ health and lifestyle choices is important. The results of this study showed that there is a high amount of integration, but that this varies significantly across the clinics surveyed. Patients’ health risks also varied, with some problems considered serious and others less so. The study concluded that there remains a need for development of integrated behavioral health into the health care system in Thailand, particularly in the case of the chronically ill. Psychosomatic Medical Research

https://cmu.to/h5Rp1

Assoc. Prof. Dr. Decha Tamdee Assoc. Prof. Dr.Patraporn Bhatarasakoon

Family caregivers’ perceptions regarding stroke prevention for family members at risk

In this study, led by PhD candidate Jatupong Panwilai and advised by members of the Faculty of Nursing, the situations of people at risk of stroke and those of their caregivers were explored. Being a qualitative study, semi-structured interviews were conducted with caregivers who had been living with family members who were at a risk of stroke for at least one year. Five themes resulted from the data analysis, including the caregivers’ difficulty in modifying behaviors, their lack of stroke prevention knowledge and of knowledge of how to be caregivers, as well as the constraints which exist for caregivers. The findings demonstrate the need for interventions which can support and develop family caregivers, enabling their participation and collaboration in their care of at-risk family members. Pacific Rim International Journal of Nursing Research

https://cmu.to/zkekc

Perception of benefits and barriers associated with dementia prevention behaviors among people with diabetes

Type 2 diabetes mellitus is a health danger on its own, yet it also puts sufferers at risk for future complications from dementia. This study, undertaken by Dr. Noppamas Pipatpiboon, sought to explore the relationships between perception and behaviors regarding dementia prevention. The results showed that participants with a high level of perception of both the benefits of and barriers to behaviors related to dementia prevention also had high levels of this type of behavior, and consequently, could assist in the development of dementia prevention behavior programs. Nursing and Health Sciences

https://cmu.to/xHTYW

Neutrophil-Lymphocyte Ratio (NLR) is positively associated with impaired cognitive performance in patients with metabolic syndrome

As metabolic syndrome (MetS) is increasingly a health problem worldwide, and cognitive impairment can also result from this syndrome, this study intended to investigate the factors which might be signifiers of the relationship between these two conditions. An effective sample was drawn from a population made up of online survey respondents. The most significant factor which was able to predict lowered cognitive performance in patients with metabolic syndrome was higher neutrophil- lymphocyte ratios (NLR). Chiang Mai University Journal of Natural Sciences https://cmu.to/blMcA

Dr. Noppamas Pipatpiboon

Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: A multi-national study

This timely study explored nursing students and faculty members’ educational experiences during the COVID-19 pandemic. FON’s Associate Professor Dr. Apiradee Nantsupawat collaborated on this extensive inquiry led by current FON visiting scholar Assistant Professor Dr. Shefaly Shorey. A wide array of factors was assessed through this quantitative study, including satisfaction, stress, confidence, and psycho-social wellbeing. Although participants reported good levels of psycho-social health, a strong sense of coherence was related to better psychosocial health and lower stress. Considering this, nursing educators could aim at developing interventions which encourage the sense of coherence for students and staff. Nurse Education Today

https://cmu.to/f1UbI

Assoc. Prof. Dr.Apiradee Nantsupawat

Perceptions and experiences of mothers on parenting to promote executive functions in preschool children

Executive function describes a range of abilities which, when properly promoted by caregivers, culminates in the ability of children to employ abstract thinking and planning skills. Doctoral candidate Pradchayaporn Thisara led this study, advised by Associate Professor Dr. Jutamas Chotibang, Professor Dr. Warunee Fongkaew, and Assistant Professor Dr. Usanee Jintrawet. Multiple findings can assist nurses in understanding how mothers can promote executive functions in their children, and subsequently, develop strategies to facilitate this promotion. Pacific Rim International Journal of Nursing Research

https://cmu.to/gc-az

Contamination of antimicrobial-resist ant bacteria on toothbrushes used with mechanically ventilated patients: A cross sectional study

Patients in hospitals can be on ventilators for multiple reasons. Therefore, oral hygiene is as important as ever due to the complications that can arise from antimicrobialresistant bacteria on toothbrushes. Professor Dr. Akeau Unahalekhaka led this study with colleagues from Chiang Mai University and Nakorn Ping Hospital. Antimicrobial-resistant bacteria were widely detected on used toothbrush samples prompting recommendations for reconsideration of toothbrush care for mechanically ventilated patients. Intensive and Critical Care Nursing

https://cmu.to/jyJJY

Comparing effectiveness of online and in-class learning in a nursing course during COVID-19

This study, led by Associate Professor Dr. Nuttamon Vuttanon, intended to investigate achievement in and satisfaction with online learning compared with traditional learning. As a result of the obstacles to learning in person propagated by the COVID-19 pandemic, students across the world have been required to engage in online learning, often for extended periods. While learning achievement showed no significant difference between the two learning modes, it was found that students were less satisfied with online learning. The findings imply that ongoing development of course design is necessary in order to provide online learners with the same efficacy and satisfaction as those in face-to-face classrooms. International Journal of Nursing Education

https://cmu.to/GDVkX

Assoc. Prof. Dr. Nuttamon Vuttanon

Feasibility of sleep extension and its effect on cardiometabolic parameters in free-living settings: A systematic review and meta-analysis of experimental studies

Systematic reviews are essential tools for summarizing and critiquing existing bodies of literature, as well as highlighting potential areas for further research. Assistant Professor Dr. Jindarat Chaiard contributed to this review which searched five databases and focused on experimental studies involving adults with no sleep disorders. Although there were some inconsistent and insignificant results, the review did identify a 24-hour reduction in systolic and diastolic blood pressure as a result of sleep extension. The authors recommended further large-scale research to examine the long-term effects of sleep extension more deeply. European Journal of Cardiovascular Nursing

Asst. Prof. Dr. Jindarat Chaiard