Collaboration between psychiatric nurses and family members is considered an important part of caring for people with schizophrenia either in hospital or at home after discharge. Studies have demonstrated family involvement in terms of caring for patients who have been discharged early from hospital. An extensive review of the literature and related studies regarding nursing interventions have been done, but there have been limited studies on what psychiatric nurses actually do when working with the families of people with schizophrenia in Thailand. The purpose of the present study was to explore relationships between Thai psychiatric nurses and families in terms of administering nursing care to patients. Grounded theory methodology was used to examine the processes through which psychiatric nurses work with families. Data were collected by 16 psychiatric nurses through in-depth interviews, observations, and field notes. Data were analyzed using constant and comparative methods of other studies, which revealed the process by which nurses can create a new whole between families, patients, and Thai psychiatric nurses. The process consists of four major stages: establishing trust, strengthening connections, promoting readiness to care, and supporting family.
Nineteen young Thai women were purposively selected from networks of nongovernmental organizations involving children and youths in Bangkok. Our grounded theory findings indicated that these young women used the basic social process they called "waiting for the right time" in order to maintain heterosexual abstinence. Waiting for the right time involved one overarching condition, honoring parental love, and included three overlapping properties: learning rules, planning life path, and ways of preserving virginity. The findings provide information that may lead to the development of culturally competent interventions for middle-class Thai youths to remain healthy and avoid pregnancy.
The purpose of this study was to develop a Medication Adherence Scale for Persons with Coronary Artery Disease (MAS-CAD) based on a nursing perspective. This study was guided by scale development procedures, which consisted of 7 steps: 1) clarifying and determining the concept, 2) generating an item pool, 3) determining the format for measurement, 4) reviewing the initial item pool by 7 professional experts, 5) conducting preliminary item pilot study with 30 Thais with CAD, 6) conducting field-testing for psychometric property testing among 457 Thais with CAD who attended heart clinics of 7 tertiary hospitals in Thailand, and 7) developing scoring and interpretation of the scale scores. Data were analyzed by using descriptive statistics, content validity index, Cronbach’s alpha coefficient, confirmatory factor analysis by LISREL, and Pearson product moment correlation. The results showed that the MAS-CAD is a self-report instrument, comprised of 5 rating Likert-scale categorical format, composed of 25 items covering 4 constructs; proper knowledge of prescribed medication (7 items), storing medication appropriately (3 items), self-regulating medication administration correctly and continuously (11 items), and participating in the medication treatment plan (4 items). Psychometric property testing demonstrated satisfactory internal consistency with Cronbach’s alpha coefficient of 0.81, and test-retest reliability was acceptable (r = .62, p < .01). Construct validity was supported by confirmatory factor analysis. In conclusion, the MAS-CAD is a reliable and valid instrument. Nurses can use this scale as a tool for assessing medication adherence for persons with CAD.
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