This quasi-experimental study aimed to evaluate the effects of e-learning midwifery preparedness program on nursing students’ decision-making skills and achievement of comprehensive examinations. The subjects were undergraduate nursing students at the Faculty of Nursing, Prince of Songkla University. The samples were purposively selected of 64 fourth-year nursing students in the academic year 2010 enrolled the course of practicum in obstetrics and randomly divided into the control (n = 32) and intervention group (n = 32) using even and odd numbers. The intervention group used the e-learning midwifery preparedness program as a 10 weeks supplement course for self-directed learning through electronic media while the control group didn’t use that program. An educator acted as facilitator in the program. Data were collected using a clinical decision-making skills created by researcher and proved by 3 experts. In addition, an outcome of comprehensive examination among nursing organized by the Faculty of Nursing was gathered. Data were analyzed using frequency, percentage, mean, standard deviation, t-test, and Chi-square test. The result of this study revealed that the intervention group had significantly higher clinical decision-making after learning through the program than prior (p < 0.001). Comparison of clinical decision-making and comprehensive examination between the two groups showed no statistically significant difference at .05 level. According to the finding of the study, the e-learning midwifery preparedness program are able to use as a supplement course in order to develop clinical decision-making among nursing students prior to work in a profession. However, the effective of e-learning on learning outcomes were not showed the difference between the control and intervention group. Further study should provide appropriate strategy to increase students’ collaboration in the process of learning through e-learning environment.
This quasi-experimental research aimed to evaluate effectiveness of practice guideline using yogic-based health promotion for pregnant women on discomfort during pregnancy by using concepts of health promotion practice for pregnant women and Patanjali’s Yoga Sutra. The subjects consisted of 83 pregnant women and were divided into 2 strata: 40 women in experimental group and 43 women in control group. Research instruments consisted of (1) the collecting data instruments: the demographic and the discomfort during pregnancy questionnaire (2) experimental instruments: handbooks of yogic-base health promotion for nurses, handbooks and VDO of yogic-base health promotion for pregnant women. The content validity index of the guideline verified by three experts was 0.82. Perceived discomfort of symptoms was compared between experimental and control groups in the two strata, normal and high-risk pregnant women, using Chi-Square. The results of the study showed that the pregnant women in the experimental group experienced a lower discomfort level than the control group. The normal pregnant women in the experimental group experienced a lower discomfort level of three symptoms than the control group ( p < .05), Moreover, the high-risk pregnant women in the experimental group experienced a lower discomfort level of ten symptoms than the control group ( p < .05). The yogic-based health promotion practice guideline was found to be more beneficial to pregnant women. Therefore, it should be used continually in normal and high-risk pregnant women.
This developmental research aimed to develop the practice guideline using yogic health promotion for pregnant women. Researchers applied the concepts for developing clinical practice guidelines of the National Health and Medical Council Australia (National Health and Medical Research Council: NHMRC, 1998). This was divided into 2 phases. The first phase, development practice phase, consisted of 5 steps. The second phase, periodically check the practice phase, consisted of 2 steps: content validity by 3 experts and evaluate its performance in use with 10 nurses in antenatal care unit. and nurses responsibilities of maternal and child of Health Promotion Hospital. The results showed that the practice guideline using yogic health promotion for pregnant women composed of 1) practice guideline using yogic health promotion for normal pregnant women including 1.1) assessment of pregnant women and, 1.2) suggestion of using yogic health promotion for pregnant women in the first trimester, the second trimester, and the third trimester, 2) practice guideline using yogic health promotion for high risk pregnant women is divided into 2.1) assessment of high risk pregnant women and 2.2) suggestion of using yogic health promotion for high risk pregnant women (pregnancy induced hypertension and gestational diabetes mellitus ). The detection of highly qualified content validity index from experts was 0.82. The effectiveness of application of this practice guideline was evaluated by comparison of the planning percentage health promotion activities with yoga to pregnant women and practicing to pregnant women at a high level (100 percent). The results of this research showed that the developed practice guideline could be used to promote healthy pregnancy with yoga. However, on outcome evaluation for testing the effectiveness of the practice guideline using yogic health promotion for pregnant women is recommended with normal and high-risk pregnant women.
Background: Many factors influence the expressions of pain in primiparous women aside from contractions of the uterus. Objective: This study aimed to describe the level labor pain, level of labor pain behaviors based on cultural pain behaviors at 3 - 4 cm of cervical dilation or the beginning of the active phase of labor among primiparous Muslim women in Indonesia. Methods: This was a study with 42 primiparous Muslim women who gave birth in the labor room at Bhinneka Bhakti Husada Hospital and Community Health Center Pamulang, Indonesia from June until January 2017. The women were asked to describe on a 100 mm Visual Analogue Scale the intensity of level of labor pain in their abdomen during the last contractions at 3 - 4 cm of cervical dilation, and Pain Behaviors Observation Scale to observe pain behaviors. Descriptive statistics were used to analyze the data. Results: The findings showed that the mean score of level of labor pain at 3 - 4 cm of cervical dilation was 86.38 (SD = 4.47) and most participants experienced high level of labor pain (97.6%). The expression of cultural labor pain behaviors including saying praises to Allah, Asma’aul husna, reciting the Qur’an, sholawat.
This quasai experimental research, one group pretest-posttest design, aimed nurses to compare nurses competencies in promoting, supporting, and protecting breastfeeding before and after received the competencies developing program. And to investigate problems and barriers in promoting, supporting, and protecting breastfeeding of the nurses. The samples were 30 nurses. The instruments were the competencies open-ended developing program for nurses. The competencies in promoting, supporting, and protecting breastfeeding questionnaire; qualitative and the guidelines for developing. All instruments were tested for content validity by 3 experts. Reliability of the competencies in promoting, supporting, and protecting breastfeeding questionnaire was tested for reliabity questionnaire (Validity = 0.90) Descriptive statistics, paired t-test, and content analysis were used for data analysis. The results showed that the mean score of the total nurses’ competencies in promoting, supporting, and protecting breastfeeding after nurses received the competencies developing program was non statistical significantly higher than before receiving the program (t = 1.908, p > 0.05). However, the mean score of nurses’ competencies in aspects (basic knowledge of breastfeeding policy and promoting breastfeeding during pregnancy period) received the was statistical significantly higher before nurses received the program (t = 2.225, p < 0.05 and t = 2.423, p < 0.05, respectively). The content analysis results on problems and barriers in promoting, supporting, and protecting breastfeeding were nurses’ work load, nurses’ attitude. This competencies developing program for nurses can be applied to promoting, supporting, and protecting breastfeeding among nurses. Suggestion to improve other aspects in this program in order to make it overcome the problems and barriers in promoting, supporting, and protecting breastfeeding are discussed.
This participatory action research aimed to develop an efficient, safe and fair service system for women with unplanned pregnancy with an emphasis on the participation of fifty four healthcare personnel of Rattaphum Hospital, including fifty professional nurses and four physicians, as well as five women who had experience of unplanned pregnancy and had visited to the service of Rattaphum Hospital. The process of the research included the steps of research and action. The data collection consisted of in-depth interview and focus group of the healthcare personnel and in-depth interview of the women. Data were analyzed using content analysis. The data revealed that the issues to be developed included of healthcare personnel, that is the training course for developing the concept based of sexual fairness and the counseling for potential enhancement for minimizing bias, listening, and not judging women with unplanned pregnancy. Moreover, of service which led to actions designed to create change in people and service systems. Actions for system development included the meeting to determine the primary responsibilities for counseling, practical guidelines for counselors, data collection system, and places for counseling, as well as develop the flow chart. After a 3-month trial of the new service system, it was found that healthcare personnel and women with unplanned pregnancy who came to the services in this period were satisfied with the services of healthcare personnel and the newly developed service system.
