การพัฒนาคู่มือการสื่อสารเชิงบวกในบริการสุขภาพ

Wee Mekwilai; Passana Gunadhivadhana; Burin Suraaroonsamrit

Authors

Wee Mekwilai DATAPSY Learning Center
Passana Gunadhivadhana -
Burin Suraaroonsamrit -

Keywords:

de-escalation, healthcare violence, positive communication, practice guidebook

Abstract

This study developed a positive communication guidebook to prevent healthcare violence using a five-phase Research and Development approach with one-group pretest-posttest design. Needs analysis from two hospitals revealed 33 violence incidents during 2023-2024, predominantly verbal/physical (30.3%), with emergency departments at highest risk. The 46-page guidebook features seven sections emphasizing positive communication skills and five culturally-adapted de-escalation techniques for Thai context. Expert validation yielded IOC = 0.88. Pilot testing with 15 healthcare personnel demonstrated significant improvements (p<0.01): skills (24.7%), knowledge (21.9%), and attitudes (18.8%), with moderate to moderate-large effect sizes (0.58-0.72). Overall satisfaction was 4.1 (high level) with 93.3% implementation intention. Results show promise for culturally-adapted communication training, though randomized controlled trials and long-term follow-up are needed for sustainability evaluation.

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