The COVID-19 pandemic has a severe and immediate impact on unemployment and reduced household income, resulting in global food insecurity. Women play a major role as household food providers who manage food insecurity in Thai community. In this qualitative study researchers aimed to understand how communities engage in management of food insecurity resulting from COVID-19. Participants included 12 female food providers who were community volunteers, four community leaders, and four health providers. Focus group interviews were conducted. Data were analyzed using content analysis. We explain community engagement to manage food insecurity through strategies including connecting through empathy, community empowerment, and engaging for sustainability. We present findings to illustrate how women's groups may work through a public-private partnership to achieve sustainable food security.
This study aims to describe the needs of nursing for NCDs as described by patients with NCDs, healthcare providers (HP) and hospital accreditation (HA) surveyors in primary care settings. MATERIALS AND METHODS: This descriptive study was conducted in five Thai Health Promoting Hospitals (THPH). Participants included 385 patients with NCDs, 21 HP, and 10 HA surveyors. Data were collected using questionnaires and medical records were then analyzed using descriptive statistics. RESULTS: Mean age of patients, HP, and HA surveyors were 63.9 ± 10.7, 39.3 ± 12.5, and 49.9 ± 12.2 years, respectively. Most of the patients were female (72.2%) and had at least 2 diseases (73.4%). More than half of the patients were overweight or obese, had excessive waist circumference and an average systolic blood pressure higher than normal. The highest need of nursing as described by patients was emergency care, similarly to all HP's needs, while the highest need of nursing as described by HA surveyors was human resources. The patients' need of emergency care includes contact with HP, knowledge of emergency complications, basic emergency response skills, and follow up health status, while the HP's needs include referral system in emergency care, basic emergency response skills, and knowledge and skill of emergency management. In addition, the human resources include knowledge and skills for NCDs in primary care and in the community, and an assessment of medical equipment. CONCLUSION: Results suggested that HP, including nurses, should increase knowledge and skills in emergency care for patients with NCDs in primary care settings.
A Blended lesson evaluation is used to assess blended lessons preparing the nursing students for clinical practice. The objectives of this study were to develop a blended learning for nursing clinical practice (BNCP) instrument and test its psychometric properties. This study makes use of a mixed-method sequential explanatory design. Twenty-two items were developed from the review literature. The BNCP instrument was examined by five experts in terms of content validity. A quantitative study was conducted using exploratory factor analysis and confirmatory factor analysis (CFA). The sample consisted of 220 nursing students. The results showed that BNCP was composed of three factors, namely the learning process, convenience in terms of learning and ability to perform. The indicators had a range of communality, i.e., from 0.274 to 0.752. Three factors accounted for 60.29% of the variance. The remaining 16 items were analysed by CFA in secondary order in another group. The measurement model fitted the empirical data (p > 0.05). The most important indicator revealed by the BCNP model was ‘ability to perform’. Finally, the instrument retained 3 subscales of 15 items that had construct validity. BNCP has good construct validity and reliability. BNCP is a tool that can be used to assess the learning of nursing students. Keywords: Blended learning; nursing clinical practice tool; psychometric test
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