Public Health Innovation Research and Development - การวิจัยและพัฒนานวัตกรรมสาธารณสุข

The Development of a Discharge Planning Model for End-Stage Lung Cancer Patients Wishing to Die at Home

panu odklun — Tue, 30 Apr 2024 00:00:00 +0700

ABSTRACT

Background: Cancer is currently one of the major public health problems in the world. The most common problem is caring for cancer patients, where patients and their relatives often lack the readiness to face the end-stage changes of the disease and a handful of patients wish to die at home.

Aim: to develop a discharge planning model for end-stage lung cancer patients wishing to die at home.

Methods: 30 persons used purposive sampling. The instrument was a questionnaire that the researcher created, the validity (IOC) equals 0.67-1.00, and the reliability equals 0.75; the data were analyzed using percentage frequency and content analysis.

Results: The discharge planning model takes 3-5 days. There are 3 topics, 1) Advance planning consists of an Advance Care Plan, Family meeting, and Discharge Planning. 2) Inpatient Care consists of Nursing care according to circumstances, Symptom Management, Counseling process, and Health Education. 3) Continuing care consists of home visits, Counseling patients and relatives over the phone, and Bereavement Care. Patients and caregivers had the highest satisfaction with the patient discharge planning model in terms of 1) advance planning (57.78%) 2) hospital care (65.56%), and 3) continuing care (60%).

Conclusion: Planning helps prepare to serve patients effectively. Taking care of patients throughout their time in the hospital helps patients recover faster. Providing continuous services to patients and their families helps patients to be as self-reliant as possible.

Keywords: Discharge planning model, End-stage lung cancer, End-Stage Lung Cancer Patients Wishing to Die at Home

Analytical of Canonical Correlation between Cognitive in health and Health Behavior of People in Khao Kho District, Phetchabun Province

Sureeporn Masrichan — Fri, 03 May 2024 00:00:00 +0700

Objective Burnout syndrome can significantly reduce the performance of health workers. Although many factors have been identified as antecedents of burnout, few studies have investigated the role of organisational commitment in its development. The purpose of the present study was to examine the relationships between subdimensions of burnout syndrome (emotional exhaustion, depersonalisation and personal accomplishment) and subdimensions of organisational commitment (affective commitment, continuance commitment and normative commitment).

Methods The present study was a cross-sectional survey of physicians and other healthcare employees working in the Ministry of Health Ordu University Education and Research Hospital. The sample consisted of 486 healthcare workers. Data were collected using the Maslach Burnout Inventory and the Organisation Commitment Scale, and were analysed using the canonical correlation approach.

Results The first of three canonical correlation coefficients between pairs of canonical variables (U_i , burnout syndrome and V_i, organisational commitment) was found to be statistically significant. Emotional exhaustion was found to contribute most towards the explanatory capacity of canonical variables estimated from the subdimensions of burnout syndrome, whereas affective commitment provided the largest contribution towards the explanatory capacity of canonical variables estimated from the subdimensions of organisational commitment.

Conclusions The results of the present study indicate that affective commitment is the primary determinant of burnout syndrome in healthcare professionals.

Results of an Emergency Medical Services Systems Development Model at the Scene of Wangthong Hospital in Phitsanulok Province

Wannaporn Boonda — Tue, 30 Apr 2024 00:00:00 +0700

Abstract

Background: Management and service organization of the emergency medical services systems at the scene are critical to the survival and quality of life of people with chronic illnesses. It is important to evaluate and analyze the situation of the service system in order to know the problems and obstacles and to find solutions to develop an effective emergency medical service system.

Aimed: The aim of this study was to develop a emergency medical service systems at the scene of Wangthong Hospital in Phitsanulok Province under the Malcolm Baldrige National Quality Award (MBNQA). The emergency medical service plan was put into the practical by applying to develop systems. The efficiency of the plan was investigated with regard to quality tools i.e., Why-Why Analysis, Critical-to-Quality and Service Quality Model.

Methodology: This study was research and development and was conducted in four stages. The samples in this study research were people who have been injured in emergency medical services at the scene of the accident of the Wangthong Hospital in Phitsanulok Province during 1 September, 2017 to 31 January, 2018. The instruments used for data collection were emergency medical service plan, skill test, and satisfaction interviews. Descriptive statistics such as means, standard deviations were computed, and t-test dependent was used to compare post-test and criteria means.

Results: The findings were as follows: 1) the developed emergency medical service systems at the scene of Wangthong Hospital consisted of nine components; 1) get notified, 2) inquiries for information 3) assess the situation to work out. 4) Reporting command center5) operations of ALS Team 6) operations of FR team and others, 7) assess the situation at the scene. And ask for help 8) first aid and transport of injured persons according to severity level, and 9) Report the situation to the emergency room. 2) The quality of the systems checked by experts was good. 3) The results of the experiment showed that the emergency medical service systems following the stage were smooth. The emergency medical service team’ service in 9 steps after the intervention was significantly higher than criteria at 0.01. 4) The level of satisfaction towards the emergency medical service of emergency medical service team and the injured were at a high level.

Discussion and conclusion: It can be confidently concluded that the emergency medical service systems at the scene development procedure outlined here in is suitable and can be applied successfully. The model developed by this work can be applied to other service units to increase the efficiency of the service.

Keywords: Emergency medical service systems at the scene, Malcolm baldrige national quality award

Development of a Learning Course of the Transferring Tumbon Health Promoting Hospital to the Provincial Administration Organization for Public Health Personnel

Anuruk Srijai — Wed, 10 Aug 2022 00:00:00 +0700

Background: The Chiang Rai pilot study found that 61.8% of public health officials were at the level of uncertainty. Almost all require enough information to make a decision. Therefore, there should be a preparation of learning for personnel about transferring to staff first.

Aim: To develop Learning courses for public health personnel transferring Tumbon Health Promoting Hospital to Provincial Administration Organization.

Methods: This research and development have three steps include 1) to study the decision-making situation of the public health personnel; 2) to design a Learning course; 3) to study the effectiveness of the Learning courses.

Results: The Learning courses for public health personnel transferring from Tumbon Health Promoting Hospital to Provincial Administration Organization should have three aspects: Law, Organization, and Personnel have a total of 14 components. The effectiveness of the preparation mode between the experimental and control groups found that the proportion was not sure to decrease significantly (p= 0.021). The mean scores, knowledge, attitudes, and personnel opinion on readiness increased significantly (p=0.001, 0.003, 0.03, respectively).

Conclusions: Learning courses for transferring sub-district health-promoting hospitals to the Provincial Administrative Organization for public health personnel cloud be applied to a larger population.

The Effectiveness of an Oral Health Promotion Program on Oral Health Behavior among 12-Year-old Students

Areerat Thano1*; Monsinee Onthong1, Wilaiporn Saibuntang1 — Tue, 30 Apr 2024 00:00:00 +0700

Background: Dental caries and oral health problems dental problems are still at every level up to the world level. The relevant personnel tried to solve problems in many ways but only partially.

Aim: The research aimed to evaluate the effectiveness of an oral health promotion program on oral health behavior among 12-year-old students. The research methodology was conducted into three steps of research and development: (1) create and justification of program; and (2) implementation and dissemination of results. (3) study satisfaction towards using the developed model.

Methods: This is quasi-experimental. Two schools in Watbot District, Phitsanulok Province with similar features were selected by purposive sampling as the study groups (choose 30 students aged 12 who are studying in Elementary School, Grade 5-6). The experimental group received an oral health promotion program on oral health behavior. The controlled group received routine oral health instruction. Data were collected twice at the beginning and the end of the program using tests, questionnaires, and plaque records and analyzed with percentage, mean score, standard deviation, independent t-test, and paired sample t-test.

Results: 1) the program consisted of 5 components: principles, objectives, contents, competency development procedures, assessment and evaluation and the quality of the model assessed by experts was good 2) the results revealed that after receiving the program, the experimental group had significantly higher mean scores for oral health care knowledge, oral health care attitude, and behavioral performance of oral health care and significantly lower plaque score than before receiving the program and control group at the 0.05 level. 3) The level of satisfaction towards the program was at a high level.

Conclusions: The findings of this research have shown that an oral health promotion program could improve the mean score of oral health care knowledge, oral health care attitude, and behavioral performance of oral health care. It could also reduce plaque scores among 12-year-old students.