APHEIT Journal of Nursing and Health

Simulation-Based Learning

ณัฐพล ยุวนิช — 2025-08-28

Currently, nursing education institutions have embraced the teaching and learning methodologies that incorporate simulation-based learning. This approach empowers learners to engage in nursing practice that closely mirrors real-world clinical scenarios, thereby facilitating experiential learning. Following the scenario’s completion, a debriefing session enables learners to engage in reflective analysis of the events, including the rationale behind their decision to practice and their emotional responses during the scenario practice. This approach facilitates a visual recognition of the situation, providing a hands-on experience that promotes more enduring knowledge retention compared to passive listening to lectures, demonstrations, and the subsequent reverting of demonstrations further enhances this learning process. This approach is advantageous for nursing students as it enables them to acquire practical experience, fostering the development of proficient clinical decision-making skills. Furthermore, it enhances their critical thinking abilities and instills confidence in their capacity to provide effective nursing care to patients. Despite its merits, this teaching method necessitates the instructor to adhere to a series of steps, including selecting suitable simulators that correspond to the scenario and course objectives. Consequently, nursing educators and institutions face the challenge of achieving optimal effectiveness in their capacity to educate learners. Therefore, the purpose of this article is to disseminate information and knowledge regarding the application of simulation-based learning in nursing education and other relevant disciplines. The objective is to maximize the efficiency and effectiveness of learning experiences for students.

Factors Influencing Inhaled Bronchodilators Adherence in Patients with Chronic Obstructive Pulmonary Disease

ศรีสมร ไตรสุนทร — 2025-08-27

This predictive study aimed to examine factors influencing inhaled bronchodilator adherence among patients with chronic obstructive pulmonary disease (COPD). A purposive sample of 222 COPD patients was recruited. Data were collected using validated questionnaires measuring medication adherence, medication concerns, perceived medication necessity, medication readiness, and social support. All instruments underwent expert validation and pilot testing with acceptable psychometric properties. Data were analyzed using descriptive statistics and binary logistic regression.

The results revealed that 94.14% of participants were adherent to their medication regime. Medication concerns and medication readiness were significantly associated with medication adherence (p .046 and p < .001, respectively). Medication readiness emerged as the sole significant predictor of adherence, accounting for 32.6% of the variance (Nagelkerke R² = .326, p < .001). Patients in the maintenance stage of readiness were 32.64 times more likely to be adherent compared to those in the action stage (OR = 32.64, 95% CI = 8.35-127.54, p < .001). It is therefore recommended that nurses assess patients' medication readiness as a strategy to enhance effective medication adherence.

The Effectiveness of Educational and Counseling Program Delivered through Family Meetings on Stress and Acceptance among Caregivers of End-of-Life Patients at Lang Suan Hospital

กัญญาภัทร ศึกวัฒนา — 2025-08-28

This quasi-experimental one-group pretest-posttest study aimed to compare stress and acceptance levels among caregivers of end-of-life patients before and after participating in an educational and counseling program delivered through family meetings. Thirty caregivers of end-of-life patients participated in the program, which was developed based on the concepts of family meetings and communication in palliative care. The research instruments consisted of three questionnaire sections: 1) general information, 2) caregiver stress assessment, and 3) caregiver acceptance assessment. The content validity indices for the stress and acceptance assessments were 0.82 and 0.96, respectively; and the Cronbach’s alpha coefficients were 0.86 and 0.91, respectively. Data were analyzed using descriptive statistics and paired t-test.

The research findings revealed that after participating in the program, caregivers reported significantly lower stress levels and higher acceptance levels compared to before the intervention, with statistical significance at the 0.05 level (t = 16.56 and 12.93, respectively).

This study suggests that the educational and counseling program delivered through family meetings is effective in reducing caregiver stress and enhancing acceptance of the terminal illness, potentially improving the quality of life for both patients and caregivers.

Satisfaction of Simulation-Based Learning in Palliative Care Nursing among Nursing Students in Private University, Bangkok

มิตรา เกิดอินทร์ — 2025-08-29

This descriptive study aimed to investigate nursing students' satisfaction with simulation-based learning in palliative care nursing, applying Herzberg's two-factor theory to analyze motivator factors (content and learner aspects) and hygiene factors (instructor, teaching management, and learning support aspects). The sample consisted of 48 fourth-year nursing students from a private university in Bangkok. Research instruments included a demographic questionnaire and a satisfaction assessment form with a reliability coefficient of .91. Data were analyzed using descriptive statistics.

The findings revealed that students' overall satisfaction was at the highest level (M = 4.50, SD = .13). All aspects of motivator factors were rated at the highest level, with content aspect having the highest mean score (M = 4.58, SD = .34), followed by learner aspect (M = 4.55, SD = .22). For hygiene factors, satisfaction with teaching and learning management was at the highest level, with the highest mean score (M = 4.53, SD = .25), whereas satisfaction with learning support and instructor aspects were at a high level, with mean scores of M = 4.41 (SD = .32) and M = 4.40 (SD = .25), respectively. These findings reflect that simulation-based learning effectively enhances nursing skills, confidence in practice, and clinical decision-making among nursing students.

The Development and Evaluation of Clinical Nursing Practice Guidelines for Preventing Unplanned Extubation in Critically Ill Patients

พนาวรรณ บุญพิมล — 2025-08-31

This study employed a research and development design to develop and evaluate nursing practice guidelines for the prevention of unplanned extubation (UE). The sample was purposively selected and consisted of 12 registered nurses and 110 intubated patients admitted to the medical intensive care units. The patients were divided into three groups: the pre-intervention group (n=40), the post-intervention group (n=40), and the post-adjustment group (n=30), in which adjustments were made to the practice guidelines regarding the assessment of movement behavior. The research instruments included: the evidence-based nursing practice guideline, a knowledge assessment tool for UE prevention, and a nurse satisfaction questionnaire regarding the practice guidelines, with content validity indices of 0.98, 0.76, and 0.93, respectively. The reliability coefficients demonstrated 0.85 for the knowledge assessment using KR-20 and 0.84 for the satisfaction questionnaire using Cronbach’s alpha. Data were analyzed by descriptive statistics, Fisher’s exact test, and repeated measures ANOVA.

The results showed that the incidence of UE among patients in the post-intervention and the post-adjustment groups was significantly lower than in the pre-intervention group (p = .01). Nurses’ knowledge scores significantly increased (F (2,22) = 16.84, p = .001). Pairwise comparisons indicated that knowledge scores of the post-intervention were significantly higher than the pre-intervention (p = .031), post-adjustment scores were significantly higher than the pre-intervention scores (p = .001), and the post-adjustment scores (p = .021). Nurses’ satisfaction with the practice guideline was at a high level, accounting for 100%.