Browsing by Author "Worapant Kriengsoontornkij"

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    A study of attitudes relating to home health visit among applied Thai traditional medical students
    (Mahidol University. Mahidol University Library and Knowledge Center, 2024) Athippat Tantiwongsekunakorn; Suprapath Sonjaipanich; Worapant Kriengsoontornkij
    The aims of this research were to study the attitudes relating to home health visits before and after professional practice experience of applied Thai traditional medical students who studied Bachelor of Applied Thai Traditional Medicine Programme in academic year 2018 at the Faculty of Medicine Siriraj Hospital, Mahidol University, to study the patients' satisfaction relating to home health visits using a questionnaire which was assessed by three experts for its validity and reliability, and to study the relationship between students' attitudes and patients' satisfaction relating to home health visits by using Pearson's correlation. The results found that attitudes relating to the relationship with patients and patients' relatives had the highest mean difference. The mean difference of attitudes relating to work with the multidisciplinary team and attitudes relating to the role of applied Thai traditional medical practitioners were higher and statistically significant at p < 0.001. Attitudes relating to practice in home health visits had the least mean difference and were not statistically significant. Patients who received home health visits had a good level of satisfaction. Of all the categories, patients' satisfaction relating to general satisfaction had the highest mean. Students' attitudes after professional experience practice were associated with a positive relationship with the patients' satisfaction. (p < 0.001). Instructors and supervisors should select the appropriate teaching methods to enhance some aspects of attitudes of applied Thai traditional medical students by motivating the students to be able to empathize with people, and be conscious of the elderly care. These can effectively assist the students to increase the level of attitudes and eventually increase the patients' satisfaction level from their performance as well as from health care providers
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    Accuracy of pediatric triage at Siriraj Hospital, Bangkok, Thailand
    (2010-01-01) Worapant Kriengsoontornkij; Busaba Homcheon; Chulathida Chomchai; Wipapen Neamsomboon; Mahidol University
    Background: Siriraj Hospital is a busy 2,500-bed hospital located in Bangkok, Thailand. It has over 1.7 million outpatients, including 120,000 emergency room visits a year, 20,000 of which are pediatric patients. The Pediatric Triage (Pedtriage) system has been in used since the year 2001, but the factors that affect the performance of triage nurse have not been evaluated. Objective: To compare the performance non-pediatric nurses who are responsible for pediatric patients in the emergency room before and after pediatric triage training at Siriraj Hospital. Material and Method: Pediatric Triage Training was set up for emergency room and outpatient department nurses between June and October 2006. The training consisted of 5 hours of didactic sessions on the concepts of pediatric triage and 4-5 hour sessions where the nurses were allowed to triage actual pediatric patients under the supervision of a triage-training nurse. A pre-test and post-test examination was administered. The outcome of triage performance was categorized into under-triage if the patient had an urgent or emergent condition and was triaged as non-urgent, over-triage if a patient had a non-urgent condition and was triaged as urgent or emergent. Statistical description included percent, averages, and standard deviation where appropriate. A standard 4x4 contingency table was used to calculate the sensitivity and specificity. For comparison of performance, a post-hoc analysis was done where the nurses were divided into two groups, those with work experience of less than or equal to 5 years (group 1) and more than 5 years (group 2). An independent samples t-test was used to determine the difference in performance between the two groups. Results: Overall, performance on pre-test - post-test differed significantly before and after training. The nurses in Group 1 had higher pre-test scores (Group 1 mean = 62.35%, Group 2 mean = 52.41%, p-value = 0.001), were less likely to overtriage (Group 1 mean = 4.11%, Group 2 mean = 6.46%, p-value = 0.021) and had higher specificity of triage than Group 2 (Group 1 mean = 95.61, Group 2 = 92.39, p-value = 0.019). However, the nurses in Group 2 had more improvement in their post-test scores (percent of improvement from pre-test: Group 1 mean = 8.56%, Group 2 = 34.69%, p-value = 0.005). Conclusion: Work experience is an important consideration in the triage knowledge and performance of non-pediatric nurses during triage training.
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    Fever of unknown origin
    (2012-03-29) Worapant Kriengsoontornkij; Vincent J. Wang; Mahidol University; Faculty of Medicine, Siriraj Hospital, Mahidol University; University of Southern California; Children's Hospital Los Angeles