Introduction: Nursing care planning based on case studies develops students’ nursing ability and competence of knowing, understanding, applying, analyzing, and evaluating knowledge. The objectives this Quasi-Experimental research aimed to compare nursing students’ ability to create nursing care plans after receiving the development program focused on clinical nursing care planning through case study-based learning. Methods: The subjects included 70 third year nursing students, academic year 2019, Boromarajonani College of Nursing Nakhon Phanom, Nakhonphanom University. The data collection was conducted from January – December 2020 using a case study -based development program, data collection record form, knowledge test on critical nursing care and ability test in making nursing care plans. Finally, data were analyzed using wilcoxon matched pairs signed-ranks test. Results: The results revealed that the students had a higher level of knowledge of critical nursing care after program participation (p < .05) and the ability to create nursing plans also increased after the program participation (p=05). Conclusion: The findings indicate that this teaching and learning approach was found appropriate to be used in nursing clinical practicum.

Back pain and disability in patients with non-specific low back pain are chronic health problems and this continues to increase among Thai population. The current study was based on a prospective observational design, the objective of which was to identify factors predicting back pain and disability in patients with non-specific low back pain.The samples were patients diagnosed with non–specific low back pain, who were treated in an outpatient department at Nakhon Phanom Hospital. The 95 patients were enrolled in the study between May and December 2019. Data were collected through questionnaires. The research instruments used included the low back pain scale and the disability low back pain form. Finally, data were analyzed using binary logistic regression analysis method.There were 95 patients in the present study. According to the study, the farmers were at risk of low back pain up to 0.25 times more than those of non-farmers (AOR = 0.25, 95%CI:0.07 – 0.96, p<0.05). The subjects with high disability were 4.32 times more likely to be at risk of low back pain than those with normal and low disability (AOR=4.32, 95%CI: 1.46-12.78, p< 0.05). In addition, gender, body mass index, history of back pain treatment, and duration of current episode were not found to influence lower back pain. Given factors influencing the disability, males were 3.37 times more likely to be at risk of disability than females (AOR = 3.37, 95%CI: 1.03 – 11.09, p<0.05) and (AOR=0.26 95%CI=0.07-0.99, p<0.05). The study also revealed that occupation, body mass index, duration of current episode, and history of back pain did not influence disability.

Purpose: Early enteral nutrition (EN) can improve clinical outcomes in critically ill patients. This study aimed to evaluate the effects of this clinical nursing practice guideline (CNPG) of EN care on the duration of mechanical ventilator in critically ill patients to investigate whether it was able to improve clinical outcomes. Methods: This study compares a pretest-posttest design for the two groups, which was done before and after to determine the effects of a CNPG of EN care on the duration of a mechanical ventilator in critically ill patients. This study was performed on 44 critically ill patients admitted to the intensive care unit (ICU). The patients were divided into two groups according to EN. For the intervention group, CNPG started within the first 48 hours of admission to the ICU, and for the control group, they received standard nursing care. Results: After the implementation, it showed significant associations between the duration of mechanical ventilator in ICU. The intervention group who received the CNPG had significantly shorter starting time of EN and a reduced duration of mechanical ventilator than those in the control group (p < .001). Conclusion A CNPG for EN care reduced the duration of mechanical ventilator. This could possibly improve the delivery of target calories when compared with current standard practice and improve the outcome of critically ill patients.

Purpose: Early enteral nutrition (EN) can improve clinical outcomes in critically ill patients. This study aimed to evaluate the effects of this clinical nursing practice guideline (CNPG) of EN care on the duration of mechanical ventilator in critically ill patients to investigate whether it was able to improve clinical outcomes. Methods: This study compares a pretest-posttest design for the two groups, which was done before and after to determine the effects of a CNPG of EN care on the duration of a mechanical ventilator in critically ill patients. This study was performed on 44 critically ill patients admitted to the intensive care unit (ICU). The patients were divided into two groups according to EN. For the intervention group, CNPG started within the first 48 hours of admission to the ICU, and for the control group, they received standard nursing care. Results: After the implementation, it showed significant associations between the duration of mechanical ventilator in ICU. The intervention group who received the CNPG had significantly shorter starting time of EN and a reduced duration of mechanical ventilator than those in the control group (p < .001). Conclusion A CNPG for EN care reduced the duration of mechanical ventilator. This could possibly improve the delivery of target calories when compared with current standard practice and improve the outcome of critically ill patients.