APHEIT Journal of Nursing and Health

Psychological Safety Environment in Nursing Simulation-Based Learning

2026-04-29T17:12:20SE Asia Daylight Time

The purpose of this academic paper is to present the concept and importance of psychological safety in simulation-based learning (SBL) in nursing education. Although this form of teaching and learning is an effective strategy for developing clinical competencies and clinical judgement, the pressure of evaluation and the fear of making errors frequently induce anxiety, which serves as a significant impediment to the learning process. The content of the article covers the cultivation of psychological safety in three phases of simulation-based instruction: 1) pre-briefing phase, through creating fiction contracts and permission to fail; 2) simulation phase, by using scaffolding techniques, managing observer roles, and timeout/freeze frame; and 3) debriefing phase, emphasizing explicit and implicit strategies.

Learning management grounded in psychological safety can help turn fear into curiosity. Encourage learners to dare to reflect on real experiences and develop both hard skills and soft skills to their full potential. As a result, they are ready for the nursing practicum, work effectively with a multidisciplinary team, and provide safe, efficient patient care in real-world settings.

Factors Associated with Cardiovascular Disease Prevention Behaviors among Rangsit University Staff with Prehypertension

2026-04-29T17:12:20SE Asia Daylight Time

This descriptive correlational study aimed to examine factors associated with cardiovascular disease prevention behaviors among 100 university staff with prehypertension. The study employed Pender's Health Promotion Model as the conceptual framework. Data were collected using eight questionnaires covering demographic information, perceived benefits, perceived barriers, perceived self-efficacy, commitment to a plan of action, social support, situational influences, and cardiovascular disease prevention behaviors. Data were analyzed using descriptive statistics and Pearson's product-moment correlation coefficient.

The findings revealed that overall cardiovascular disease prevention behaviors were at a moderate level. Factors demonstrating significant positive correlations with health behaviors included situational influences (r = .629, p < .001), perceived self-efficacy (r = .430, p < .001), social support (r = .393, p < .001), commitment to a plan of action (r = .361, p < .001), and perceived benefits (r = .266, p < .01), whereas perceived barriers showed a significant negative correlation (r = -.370, p < .001). The findings indicate that cardiovascular disease prevention behaviors among university staff are associated with multiple factors. Therefore, organizations should prioritize creating supportive environments, enhancing self-efficacy, fostering social support networks, and reducing barriers to the adoption of health promoting behaviors among university staff.

The Relationship between Guardians’ Knowledge, Nutritional Caregiving Behaviors, and Nutritional Status of Primary School Students in Chonburi Province

2026-04-29T17:12:21SE Asia Daylight Time

Nutritional status anong school-aged children is an important factor influencing growth and development. Guardians play a major role in promoting children’s nutrition. This descriptive correlational study aimed to examine the relationship between guardians’ nutritional knowledge regarding school-aged children and their nutritional caregiving behaviors. The sample comprised 262 guardians of school-aged children and their children enrolled in a primary school under the Office of Basic Education Commission (OBEC) in Chonburi province. Data were collected between January and February 2026. The research instruments included: (1) a questionnaire for guardians covering demograhic characteristics, nutritional knowledge regarding school-aged children, and nutritional caregiving behaviors; and (2) a nutritional status of school-aged children record form. Content validity of the guardian’s questionnaires on nutritional knowledge and nurtritional caregiving behaviors was evaluated by five experts, yielding the equal value of 0.99. The reliability of the two instruments was assessed, demonstrating a KR-20 coefficient of 0.72 and a Cronbach's alpha coefficient of 0.70, respectively. Data were analyzed using descriptive statistics and the Chi-square test.

The findings showed that guardians’ nutritional knowledge regarding school-aged children was significantly associated with the nutritional status of school-aged children (χ2= 3.869, p < 0.5). Guardians’ nutritional caregiving behaviors were not associated with the nutritional status of school-aged children (χ2=0.070, p > 0.05). The findings can serve as baseline information for providing nutritional education and guiding improvement of guardians’ nutritional caregiving behaviors, with the aim of promoting and sustaining age-appropriate nutrition status among school-aged children.

Development and Psychometric Evaluation of a Health Literacy Instrument for Pregnant Women at Nopparat Rajathanee Hospital

2026-04-30T12:13:53SE Asia Daylight Time

This methodological study aimed to develop and evaluate the psychometric properties of a health literacy instrument for pregnant women. The study was conducted in three stages: 1) instrument development guided by Nutbeam’s health literacy framework and a literature review; 2) assessment of the instrument’s quality; and 3) confirmatory factor analysis. The sample consisted of 220 pregnant women selected through systematic sampling at Nopparat Rajathanee Hospital between April and May 2025.

The findings revealed that the final instrument comprised 48 items (from an initial 54), using a five-point Likert scale. The content validity index (IOC) was 0.97. The overall reliability was 0.98, with component reliability ranged from 0.89 to 0.94. Exploratory factor analysis identified six components: health knowledge and understanding, access to health information and services, health communication, self-management, media literacy, and decision-making. Factor loadings ranged from .437 to .848, explaining 72.51% of the total variance. Confirmatory factor analysis showed a good fit with the empirical data (χ² = 9.07, df = 6, χ²/df = 1.51, GFI = .98, AGFI = .95, CFI = .99, RMSEA = .04). In conclusion, the instrument demonstrates high quality and can be applied in clinical practice to assess the health literacy of pregnant women.