Primary Health Care Journal (Northeastern Edition)

Editorial Board

2026-01-31T22:32:16+07:00

STRATEGIES FOR ENHANCING WORK MOTIVATION OF GENERATION Z NURSE: NURSING LEADERSHIP ROLE

2025-09-22T18:45:21+07:00

Professional nurses constitute a vital segment of the healthcare workforce, accounting for approximately 78.0% of all public health personnel. As frontline providers of direct patient care, their performance significantly influences service quality, organizational success, and survival. Currently, the healthcare system is welcoming a new wave of professionals known as Generation Z nurses (born since 1997). Raised in an era of rapid technological advancement, this cohort faces unique challenges regarding adaptation, heavy workloads, and the need for resilience to achieve professional goals. Therefore, formulating effective motivation strategies is crucial. This academic article aims to analyze strategies for enhancing the motivation of Generation Z nurses, grounded in Maslow’s Hierarchy of Needs and leadership concepts. Based on a review of the literature, this paper proposes practical strategies that integrate Maslow’s theory with the role of nursing leaders. These insights serve as a guideline for nursing administration to effectively manage personnel and foster a motivated workforce within healthcare organizations.

NURSING ROLE MANAGEMENT IN PREPARING ACUTE ISCHEMIC STROKE PATIENTS AND FAMILIES FOR EMERGENCY THROMBOLYTIC THERAPY

2025-11-06T11:36:51+07:00

This article analyzes and proposes management guidelines for nursing roles in preparing acute ischemic stroke patients and their relatives for intravenous thrombolysis, specifically within the context of the Golden Jubilee Medical Center, Mahidol University. As a facility that has developed a fast-track system for patient care, nurses play a pivotal role as primary coordinators. In the pre-administration phase, nursing responsibilities focus on screening, initial assessment, and coordinating with the multidisciplinary team to ensure timely drug administration. During the intra-administration phase, the nurse’s role is critical in monitoring for complications-such as intracranial hemorrhage-tracking vital signs and performing continuous neurological assessments. In the post-administration phase, the emphasis shifts to psychosocial preparation for patients and relatives to support long-term rehabilitation. The proposed framework encompasses neurological assessment, time management, and safety monitoring. The analysis indicates that clearly defined nursing roles enhance coordination efficiency, minimize delays in service access, and promote understanding among relatives, thereby ensuring patient safety throughout the emergency care process. Consequently, this article serves as a valuable resource for establishing nursing standards and developing health service system policies.

EFFECTIVENESS OF THE VILLAGE HEALTH STATION POLICY IN SCREENING FOR NEW DIABETES PATIENTS, PRATHAI DISTRICT, NAKHON RATCHASIMA PROVINCE

2025-09-21T22:23:00+07:00

The prevalence of diabetes in Thailand has been continuously increasing. Active community screening is a crucial strategy for identifying new cases and reducing the long-term disease burden. Prathai District implemented a policy to establish village health stations to enhance access to diabetes screening services for at-risk populations. This quasi-experimental research aimed to evaluate the effectiveness of the village health station establishment policy on screening for new diabetes patients in 2022 in Prathai District, Nakhon Ratchasima Province. Data were analyzed using segmented linear regression analysis based on secondary data from the Health Data Center (HDC) database regarding the number of newly screened diabetes patients in Prathai District over a 10-year period (Fiscal Years 2015–2024). The intervention point was set in 2022, marking the implementation of the policy. The results revealed that prior to policy implementation (2015–2021), the trend of new diabetes patient screening increased significantly (β1 = 1,062.14, p = 0.021). In the first year of implementation (immediate level change), the number of screenings decreased by 1,299.03 cases, but this decline was not statistically significant (β2 = -1,299.03, p = 0.49). Regarding the long-term trend after implementation (trend change), the growth rate decreased compared to the pre-intervention period (β3 = -713.91, p = 0.17). However, the overall post-intervention trend remained statistically significant with an upward trajectory of 348.20 cases per year (β1 + β3 = 348.20, p = 0.047). In conclusion, although the village health station policy did not demonstrate an immediate positive effect (short-term effect), it was effective in the long term in maintaining a significantly increasing trend in screening access. Relevant agencies should focus on standardizing health station operations and enhancing personnel capacity to ensure the efficient and sustainable identification of new diabetes patients.