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Turale S, Kunaviktikul W, Mesukko J. Giving undergraduate nursing students international experiences: Issues and strategies. Nurs Health Sci 2020; 22:830-836. [DOI: 10.1111/nhs.12722] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 02/29/2020] [Accepted: 04/06/2020] [Indexed: 01/08/2023]
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Nantsupawat A, Wichaikhum O, Abhicharttibutra K, Kunaviktikul W, Nurumal MSB, Poghosyan L. Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study. Nurs Health Sci 2020; 22:577-585. [DOI: 10.1111/nhs.12698] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 02/06/2020] [Accepted: 02/20/2020] [Indexed: 01/14/2023]
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Xu J, Kunaviktikul W, Akkadechanunt T, Nantsupawat A, Stark AT. A contemporary understanding of nurses' workplace social capital: A response to the rapid changes in the nursing workforce. J Nurs Manag 2020; 28:247-258. [PMID: 31793081 PMCID: PMC7328727 DOI: 10.1111/jonm.12914] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 11/24/2019] [Accepted: 11/29/2019] [Indexed: 11/30/2022]
Abstract
AIM To provide an updated definition of the concept of nurses' workplace social capital that addresses changes in the contemporary nursing workforce. BACKGROUND Social capital explains the components of a constructive work environment. Advancements in psychology of workplace and changes in the demographic structure of nursing workforce call for a revised version of nurses' workplace social capital. METHOD Walker and Avant's approach was implemented. Data were compiled from 'Medline' and 'CINAHL', 'Google' search engine, book chapters and expertise of nursing academicians. RESULTS Nurses' workplace social capital is a relational network that is configured by interactions among healthcare professionals. Although, various attributes influence these interactions, Relational Network, Trust, Shared Understanding, Reciprocity and Social Cohesion are considered as the major attributes. A healthy relational network creates a healthy workplace which can be further fortified by effective communication, active group engagements and a supportive leadership. CONCLUSIONS Results of our concept analysis should establish a theoretical groundwork for nurse leaders to better build and more effectively lead the contemporary nursing workforce. IMPLICATION FOR NURSING MANAGEMENT Leaders' dedication to workplace social capital is the tenet of a constructive workplace, which in return can support nurses to flourish in their clinical and the other professional responsibilities.
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Turale S, Kunaviktikul W. The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship. Int Nurs Rev 2020; 66:302-304. [PMID: 31429074 DOI: 10.1111/inr.12550] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
At this crucial stage in nursing's development, key organizations around the world are voicing the need for nurses to become more involved in leadership, advocacy and policymaking. The importance of leadership and health policy training cannot be overemphasized. However, the widespread education and training of nurses about policy is yet to be realized. Moving nurses from being the recipients and implementers of health policy decisions to being leaders with a strong voice in the development or reform of policy will take concerted, strategic effort into the future. We argue that for nurses around the world to take their place at decision-making tables and to be rightfully engaged in policy, health reform and advocacy, nurse leaders need to provide them with access to well-thought-out policy training programmes. This access needs to be wide-ranging, from exposure to policy knowledge in undergraduate education to more specialized graduate programs focused in every specialization on some aspects of policy, through to a variety of continuing educational opportunities.
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Stone TE, Jia Y, Kunaviktikul W. Mobile apps: An effective, inclusive and equitable way of delivering patient and nurse education? NURSE EDUCATION TODAY 2020; 85:104308. [PMID: 31785570 DOI: 10.1016/j.nedt.2019.104308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 10/04/2019] [Accepted: 11/18/2019] [Indexed: 06/10/2023]
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Kunaviktikul W, Turale S. Internationalizing nursing curricula in a rapidly globalizing world. Nurse Educ Pract 2020; 43:102704. [PMID: 31991380 DOI: 10.1016/j.nepr.2020.102704] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 10/13/2019] [Accepted: 01/17/2020] [Indexed: 11/23/2022]
Abstract
Rapid transformations in our globalizing world means there is an urgency for nurse educators to revitalize curricula to prepare nurses better for practice and the emphasis on achieving global health for all has never been greater. Nurses are being urged to collaborate across borders to achieve the United Nations' Sustainable Development Goals, through research, practice, policy and education. Thus, nurse educators and leaders need to consider the critical importance of internationalizing nurses' education at all levels, as well being committed to their roles in curricula reform and using innovative technology. There are challenges to internationalization, but the benefits include helping nurses to grow cultural competence, developing strength in nursing voices globally, capacity building in global health, health policy and advocacy, growing scholarship in nursing across borders, developing the skills and knowledge of nurses from low-income countries, and forming partnerships to work together to achieve global health.
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Wichaikhum O, Abhicharttibutra K, Nantsupawat A, Kowitlawakul Y, Kunaviktikul W. Developing a strategic model of participation in policy development for nurses. Int Nurs Rev 2019; 67:11-18. [DOI: 10.1111/inr.12571] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 10/17/2019] [Accepted: 10/31/2019] [Indexed: 12/01/2022]
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Kunaviktikul W, Turale S, Petrini MA, Tungpunkom P, Avant KC. Experiences from Southeast Asia on nursing education, practice, mobility and influencing policy. Int Nurs Rev 2019; 66:474-481. [PMID: 31606912 DOI: 10.1111/inr.12556] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network meetings, and with nursing and other leaders, an examination of literature and policy documents, and member surveys. We reviewed the region's regulatory statutes which all support diversity in the nursing workforce. The Southeast Asian Nursing Education and Research Network was established in 2015 to support policy development around the upgrading of nurse education, clinical competencies and research capacity, in hospital and primary health care; and facilitating the movement of nurses across national boundaries. Most countries have tried to address policy gaps and their efforts to implement changes are seen in policy expansion and development at the national level. We focus on two policies from the Association of Southeast Asian Nations from 2006 and 2012, that cover nurse mobility, information exchange, nurse capacity building and education and mutual professional recognition of nurses' credentials. However, we found significant variances in education, regulatory policies and clinical competencies that have restricted, and continue to restrict policy implementation. Nursing in South-East Asia has made significant progress in upgrading standards for education by increasing bachelor degree bridging programs, master and doctoral degrees. Participating countries have passed legislation on licensure, competencies and credentialing of internationally qualified nurses wishing to practice in various contexts. However, much work remains to be done. IMPLICATIONS FOR NURSING POLICY, EDUCATION AND PRACTICE: Governing bodies determine entry into practice law which requires dialogue to enhance policies for domestic and international practitioners for mutual exchange and recognition. Nursing practice and education are under government regulatory bodies but require new policies and laws to ensure adequate educational requirements for safe quality practice.
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Du S, Cao Y, Zhou T, Setiawan A, Thandar M, Koy V, Nurumal MSB, Anh H, Kunaviktikul W, Hu Y. The knowledge, ability, and skills of primary health care providers in SEANERN countries: a multi-national cross-sectional study. BMC Health Serv Res 2019; 19:602. [PMID: 31455377 PMCID: PMC6712608 DOI: 10.1186/s12913-019-4402-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 08/05/2019] [Indexed: 12/14/2022] Open
Abstract
Background Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have assessed the knowledge, ability, and skills (capacity) of PHC providers in delivering care. This study aimed to identify the capacity of PHC providers in countries of the Southeast and East Asian Nursing Education and Research Network (SEANERN). Methods A multi-national cross-sectional survey was performed among SEANERN countries. A 1–5 Likert scale was used to measure eight components of knowledge, ability, and skill of PHC providers. Descriptive statistics were employed, and radar charts were used to depict the levels of the three dimensions (knowledge, skill and ability) and eight components. Results Totally, 606 valid questionnaires from PHC providers were returned from seven countries of SEANERN (China, Myanmar, Indonesia, Thailand, Vietnam, Cambodia, and Malaysia), with a responsive rate of 97.6% (606/621). For the three dimensions the ranges of total mean scores were distributed as follows: knowledge dimension: 2.78~3.11; skill dimension: 2.66~3.16; ability dimension: 2.67~3.06. Furthermore, radar charts revealed that the transition of PHC provider’s knowledge into skill and from skill into ability decreased gradually. Their competencies in four areas, including safe water and sanitation, nutritional promotion, endemic diseases prevention, and essential provision of drugs, were especially low. Conclusions The general capacity perceived by PHC providers themselves seems relatively low and imbalanced. To address the problem, SEANERN, through the collaboration of the members, can facilitate the appropriate education and training of PHC providers by developing feasible, practical and culturally appropriate training plans. Electronic supplementary material The online version of this article (10.1186/s12913-019-4402-9) contains supplementary material, which is available to authorized users.
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Kunaviktikul W, Guptarak M. Networking for local and global change: The Southeast and East Asian Nursing Education and Research Network. Nurs Health Sci 2019; 21:1-3. [PMID: 30821417 DOI: 10.1111/nhs.12592] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Revised: 11/20/2018] [Accepted: 11/22/2018] [Indexed: 11/28/2022]
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Gaalan K, Kunaviktikul W, Akkadechanunt T, Wichaikhum O, Turale S. Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia. Int Nurs Rev 2019; 66:176-182. [DOI: 10.1111/inr.12502] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kunaviktikul W, Turale S, Stone TE. Developing leadership and capacity building: Reflections of a nurse leader. Nurs Health Sci 2018; 20:411-414. [PMID: 30525296 DOI: 10.1111/nhs.12579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 09/19/2018] [Accepted: 09/22/2018] [Indexed: 11/29/2022]
Abstract
Globally, leadership in nursing and healthcare is vital to develop professional skills and knowledge to improve both practice and population health. Much can be learned from the leadership experiences of others, such as Professor Wipada Kunaviktikul from Thailand, a well-known nursing leader. Among her many life achievements, she is a founding member of the Editorial Board of Nursing & Health Sciences and was invited to share her life story with readers. Her life story includes experiences of leadership and capacity building in health, administration and education, across many organizations nationally and internationally. She describes how her early experiences contributed to her later achievements, such as working to establish international relationships, networks and collaborating centers, and English-language nursing degrees and training courses for Thai and international students. Nurses and other health professionals can reflect on how her values and commitment to nursing excellence have shaped her leadership style to the present time. The importance of role models and mentors in capacity building for leadership is emphasized in her personal leadership development and in the development of other leaders. In conclusion, leadership suggestions are given for future and present nursing leaders.
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Boonpracom R, Kunaviktikul W, Thungjaroenkul P, Wichaikhum O. A causal model for the quality of nursing care in Thailand. Int Nurs Rev 2018; 66:130-138. [DOI: 10.1111/inr.12474] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Makabe S, Kowitlawakul Y, Nurumal MS, Takagai J, Wichaikhum OA, Wangmo N, Yap SF, Kunaviktikul W, Komatsu J, Shirakawa H, Kimura Y, Asanuma Y. Investigation of the key determinants of Asian nurses' quality of life. INDUSTRIAL HEALTH 2018; 56:212-219. [PMID: 29491251 PMCID: PMC5985460 DOI: 10.2486/indhealth.2017-0066] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Accepted: 12/14/2017] [Indexed: 06/08/2023]
Abstract
The study aimed to compare nurses' quality of life and investigate key determinants among Asian countries with different economic status. A cross-sectional survey was conducted across five Asian countries (Japan, Singapore, Malaysia, Thailand, and Bhutan). Quality of life (WHOQOL-BREF), job stress (National Institute of Occupational Safety and Health questionnaire), and demographic data were assessed. Stepwise multivariate linear regression analysis was performed to identify the key determinants of quality of life. Participants were 3,829 nurses (response rate: 82%) with a mean age of 33 ± 10 yr and majority were women (92%). Regarding quality of life, Bhutan yielded the highest scores, followed by Malaysia, Thailand, Singapore, and Japan, and these results were statistically significant. The key determinants that were significantly related to quality of life were "stress coping ability," "life satisfaction," "Japan," "social support," "job stress," and "Singapore" (adjusted R2=0.46). In conclusion, nurses' quality of life differs across Asian countries and is not linked to the country's economic development. To maintain a good quality of life for nurses, an international exchange program like international nursing conferences for work environment and staff coping strategies is recommended to broaden institution' minds and share experiences and exchange views to be able to realize their own problems and discover global solutions to them.
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Abhicharttibutra K, Wichaikhum OA, Kunaviktikul W, Nantsupawat A, Nantsupawat R. Occupancy rate and adverse patient outcomes in general hospitals in Thailand: A predictive study. Nurs Health Sci 2018; 20:387-393. [PMID: 29607583 DOI: 10.1111/nhs.12420] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Revised: 01/30/2018] [Accepted: 02/09/2018] [Indexed: 01/09/2023]
Abstract
Patient outcomes are important indicators of the quality of care. Occupancy rate is one factor that significantly affects adverse patient outcomes. The aim of the present study was to determine factors associated with adverse patient outcomes in Thailand. A retrospective study was conducted with 146 inpatient units from 16 general hospitals. Hospital characteristics and adverse patient outcomes were recorded, and data were analyzed by using frequency, percentage, and binomial logistic regression. The results revealed that the average number of beds per hospital was 430.5 (standard deviation [SD] = 108.6), the average number of beds per unit was 27.9 (SD = 8.9), and the average occupancy rate was 81.1% (SD = 20.6, range = 28.8-133.1%). Data were adjusted for hospital size, unit type, and number of beds in each unit; a 1% increase in occupancy rate increased the likelihood of pressure ulcers by 4.3% (P = 0.001), of hospital-acquired pneumonia by 2.4% (P = 0.032), and of hospital-acquired urinary tract infections by 2.1% (P = 0.033). The findings suggest that a higher level of occupancy rates predicted a greater likelihood of adverse patient outcomes.
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Im EO, Broome ME, Inouye J, Kunaviktikul W, Oh EG, Sakashita R, Yi M, Huang LH, Tsai HM, Wang HH. An Emerging Integrated Middle-Range Theory on Asian Women's Leadership in Nursing. J Transcult Nurs 2018; 29:318-325. [PMID: 29478380 DOI: 10.1177/1043659618760397] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Asian cultures reflect patriarchal cultural values and attitudes, which likely have influenced women leaders in their countries differently from women in Western cultures. However, virtually no leadership theories have been developed to reflect the experiences and development of nursing leaders from Asian cultures. The purpose of this article is to present an emerging integrated middle-range theory on Asian women's leadership in nursing. METHODOLOGY Using an integrative approach, the theory was developed based on three major sources: the leadership frames of Bolman and Deal, literature reviews, and exemplars/cases from five different countries. RESULTS The theory includes two main domains (leadership frames and leadership contexts). The domain of leadership frames includes human resources/networks, structure/organization, national/international politics, and symbols. The domain of leadership contexts includes cultural contexts, sociopolitical contexts, and gendered contexts. DISCUSSION This theory will help understand nursing leadership in Asian cultures and provide directions for future nurse leaders in this ever-changing globalized world.
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Cai D, Kunaviktikul W, Klunklin A, Sripusanapan A, Avant P. Developing a cultural competence inventory for nurses in China. Int Nurs Rev 2017; 64:205-214. [DOI: 10.1111/inr.12350] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum OA, Thienthong H, Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int Nurs Rev 2016; 64:91-98. [PMID: 27882573 DOI: 10.1111/inr.12342] [Citation(s) in RCA: 185] [Impact Index Per Article: 23.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The nursing shortage is a critical issue in many countries. High turnover rates among nurses is contributing to the shortage, and job dissatisfaction, intention to leave, and burnout have been identified as some of the predictors of nurse turnover. A well-established body of evidence demonstrates that the work environment for nurses influences nurse job dissatisfaction, intention to leave, and burnout, but there never has been a study undertaken in Thailand to investigate this relationship. OBJECTIVES To investigate how work environment affects job dissatisfaction, burnout, and intention to leave among nurses in Thailand. METHODS The study used a cross-sectional survey to collect data from 1351 nurses working in 43 inpatient units in five university hospitals across Thailand. The participants completed the Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and measures of job dissatisfaction and intention to leave. Logistical regression models assessed the association between work environment and nurse-reported job dissatisfaction, burnout, and intent to leave. RESULTS Nurses working in university hospitals with better work environments had significantly less job dissatisfaction, intention to leave, and burnout. CONCLUSION The nurse work environment is a significant feature contributing to nurse retention in Thai university hospitals. IMPLICATIONS FOR NURSING AND HEALTH POLICY Improving the work environment for nurses may lead to lower levels of job dissatisfaction, intention to leave, and burnout. Focusing on these nurse outcomes can be used as a strategy to retain nurses in the healthcare system. Addressing the challenges of poor work environments requires coordinated action from policymakers and health managers.
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Kunaviktikul W. Positive policy responses in challenging times: The Thai experience. Nurs Health Sci 2016; 18:273-4. [DOI: 10.1111/nhs.12256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 09/23/2015] [Accepted: 09/25/2015] [Indexed: 11/30/2022]
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Cai D, Kunaviktikul W, Klunklin A, Sripusanapan A, Avant PK. Identifying the essential components of cultural competence in a Chinese nursing context: A qualitative study. Nurs Health Sci 2016; 19:157-162. [DOI: 10.1111/nhs.12308] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 06/30/2016] [Accepted: 07/21/2016] [Indexed: 11/28/2022]
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Abstract
This article presents the derivation of moral competence in nursing practice by identifying its attributes founded on Thai culture. In this process moral competence is formed and based on the Thai nursing value system, including personal, social and professional values. It is then defined and its three dimensions (moral perception, judgment and behavior) are also identified. Additionally, eight attributes as indicators of moral competence are identified and selected from three basic values. The eight attributes are loving kindness, compassion, sympathetic joy, equanimity, responsibility, discipline, honesty, and respect for human values, dignity and rights. All attributes are discussed by addressing the three moral dimensions in order to present how to deal with ethical issues in nursing practice. As a summary, a model of moral competence is presented to demonstrate moral competence in nursing practice in Thailand.
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Lambert VA, Lambert CE, Daly J, Davidson PM, Kunaviktikul W, Shin KR. Nursing Education on Women’s Health Care in Australia, Japan, South Korea, and Thailand. J Transcult Nurs 2016; 15:44-53. [PMID: 14768415 DOI: 10.1177/1043659603259973] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Only within the last 3 decades have a select number of countries addressed issues surrounding the all-inclusive health and well-being of women. This factor has had a major influence on nursing education within these countries and the subsequent development of curricula. Because the preparation of nurses is pivotal in shaping a society’s health care agenda, this article compares and contrasts demographic characteristics, curricular frameworks, the role of the nurse, quality control of nursing curricula, and the focus of nursing courses related to women’s health care among the countries of Australia, Japan, South Korea, and Thailand. Recommendations based on infant mortality rates, life expectancy, leading causes of death, and country-based health care issues are provided to inform and guide the future focus of nursing education courses on women’s healthcare within these countries.
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MESH Headings
- Australia/epidemiology
- Birth Rate
- Cause of Death
- Cross-Cultural Comparison
- Curriculum
- Education, Nursing, Associate/organization & administration
- Education, Nursing, Baccalaureate/organization & administration
- Education, Nursing, Diploma Programs/organization & administration
- Education, Nursing, Graduate/organization & administration
- Female
- Health Priorities
- Humans
- Infant Mortality
- Infant, Newborn
- Japan/epidemiology
- Korea/epidemiology
- Life Expectancy
- Models, Educational
- Needs Assessment
- Nurse's Role
- Nursing Education Research
- Population Density
- Thailand/epidemiology
- Women's Health
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Abhicharttibutra K, Kunaviktikul W, Turale S, Wichaikhum OA, Srisuphan W. Analysis of a government policy to address nursing shortage and nursing education quality. Int Nurs Rev 2016; 64:22-32. [PMID: 27046433 DOI: 10.1111/inr.12257] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND A well-educated, sufficient nursing workforce improves population health and standards of nursing care. Analysing workforce policies assists nurses to learn from the past and develop better future policies. AIM Describe policy-making processes in the first Thai government plan to increase nursing capacity and improve nursing education quality. DESIGN A qualitative study employing Longest's model to examine policy-making processes. METHODS Data were obtained from 28 in-depth interviews with key informants, who had been committee members and former deans of nursing involved with the policy processes in the 1990s. Both qualitative and quantitative data were extracted from relevant documents, and content analysis employed with all data. FINDINGS Three policy phases were identified. Policy formulation, where three streams of problems, politics and policy resulted in identification of nursing shortage, changes of government incumbents and needing to increase nurse production; Policy implementation included creating methods of implementation, appointing responsible people and committees, creating operational plans, producing more nurses and faculty development projects and Policy modification which incorporated implementing the first Thai international doctoral degree in English, a collaborative programme between universities. STUDY LIMITATIONS Not all key informants could be accessed due to the passage of time. Findings are unique to Thailand but inform internationally of nurses' abilities and need to be involved in policy. CONCLUSION Nurses were involved in all policy phases. While the policy produced positive developments in growing nursing capacity and education in the past, nursing shortages remained and are now acute in Thailand. IMPLICATIONS FOR NURSING/HEALTH POLICY Lessons learned from this policy analysis help explain why the nursing education and nursing shortage policy was legislated through the government agenda, and the active involvement of Thai nurses in this process. Nurses globally need to be at the policy-making table to try to reduce nursing shortages, and enhance practice and education environments.
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Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L. Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. J Nurs Scholarsh 2015; 48:83-90. [DOI: 10.1111/jnu.12187] [Citation(s) in RCA: 91] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2015] [Indexed: 11/29/2022]
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Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, Roongruangsri S, Nantachaipan P, Supamanee T, Chitpakdee B, Akkadechanunt T, Sirakamon S. Nurses' extended work hours: Patient, nurse and organizational outcomes. Int Nurs Rev 2015; 62:386-93. [DOI: 10.1111/inr.12195] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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