Faculty of Management and Development Studies

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Browsing Faculty of Management and Development Studies by Subject "Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing"
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    An Assessment of Nurse-Patient Communication in a Tertiary Hospital in the Kingdom of Bahrain
    ( 2018) Rodriguez, Smitha Shalet
    Title: An Assessment of the Nurse-Patient Communication in a Tertiary Hospital in the Kingdom of Bahrain Introduction: An integral part of nursing care is effective communication. It improves the relationship between the nurse and the patient, and it results in better treatment and improved quality of care (Tay, Ang, & Hegney, 2012). Every aspect of communication is influenced by the differences in culture. Cultural competence gives an opportunity for the healthcare professionals to know the different cultural beliefs related to health and to incorporate awareness into diagnosis and treatment planning. Data Collection: The descriptive correlational study was conducted in medical and surgical in-patient units of King Hamad University Hospital, Kingdom of Bahrain in 2018. The questionnaire consists of two parts: a demographic profile and the Self-Administered Communication Survey. The factors affecting nurse patient communication were categorized into Common barriers, Nurse-related barriers, Patient-related barriers and Environmental barriers. A total of 78 nurses and 75 patients took part in the study. Results: The main barriers to the nurse-patient communication from the nurses’ point of view were cultural differences between nurse and patient, differences between the language of the nurse and the patient, nurses’ lack of time and opportunity to communicate well with the patients, patients’ negative attitude towards the nurse, presence of patient’s companion, and presence of a very sick patient in the department. The main barriers to nurse-patient communication from the patient’s perspective were age difference between nurse and patient, interference of the patient’s companions, busy environment of the unit, and inappropriate environmental conditions (lack of proper ventilation, fluctuating temperature, inadequate lighting, unpleasant odor, etc.). Conclusion: Analysis of the factors influencing the communication is the basic step in resolving communications issues between nurses and patients. A good solution to be communication problems cannot be established without taking into consideration both the patients’ and nurses’ views of communication. Understanding and accepting the Islamic values and beliefs are essential in communicating and delivering care for Muslim patients. Development of broader knowledge of Arabic culture is important for all health care professionals who deliver care in the Middle Eastern on Arabic region. Recommendations: The study recommends development of effective nurse-patient communication protocols and policies in the hospital and establishment of Arabic language and communication skills training for nurses.
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    Anxiety, Depression and Coping Strategies Among Adult Post Myocardial Infarction Patients
    ( 2014) Tamon, Ma. Siony B.
    This study was conducted to determine the level of anxiety and depression in patients with cardiovascular problems. This study was conducted (1) to determine the level of anxiety and depression in patients with myocardial infarction (2) to determine relationship of anxiety on age, sex, gender, civil status, educational attainment and perceived social support (3) to determine relationship of depression on age, gender, civil status, educational attainment and perceived social support and (4) to determine the coping strategies information seeking or problem seeking among cardiac patients. This study utilized a descriptive correlational design. This was conducted at the Out Patient Department (OPD) of Philippine General Hospital over a 12 week or 3 month period. There was a total of 121 respondents (M= 51.02, SD= 8.52) for this study. Majority is from age groups of middle to late adult (35.5, 34.7). Both males and females have the same proportion (49.6, 50.4) and married predominated (80, 60.1) in this study. Less than a half (57, 47.1) were high school graduates. The perceived social support has a mean of 66.55 (SD= 3.43). The findings of this study showed that there is no significant relationship between anxiety on the following variables: age (r= - -0.10, p>.05 and perceived social support (MSS) (r= o.16, p>.05), civil status (x2=2.44,p>.05), educational attainment ((x2=1.65,p>.05) and perceived social support (r= 0.16, p>.05). Patients commonly incorporate venting of feelings and denial as their coping strategies. Adult post myocardial infarction patients had high level of anxiety which corresponded to previous literatures but the depression level was low among patients.
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    Assessing the Spiritual Well-Being of Filipino Cancer Patients: A Nursing Perspective
    ( 2018) Tupas, Alyssa Jenny E.
    Cancer is a leading cause of morbidity and mortality in the Philippines. It is a serious disease that can result in not just physical and psychosocial difficulties but also spiritual distress. Knowing Filipinos have a high reverence to God, this can affect their health-related behavior and responses to illness like cancer. This study aimed to assess the spiritual well-being of Filipino adult cancer patients ages nineteen (19) to sixty (60) years old in a tertiary hospital. The objectives were: to determine the spiritual well-being of the patients (as measured by the Ideal and Personal states of Spiritual well-being and presence of Spiritual Dissonance); to determine the relationship between the spiritual well-being of the patients and the patient factors, and to describe the spiritual well-being experiences of the patients. A descriptive correlational research was used. The results showed that the patients had the highest spiritual well-being in the Transcendental Domain which describes one’s relationship with God. Seven (7) out of the ninety (90) participants had spiritual dissonance which made them at possible risk for spiritual distress. Age, the type of cancer, and the treatment received had significant relationship with the patient’s spiritual well-being. Triangulation of qualitative data based on the patients’ response of the HOPE Questions was also done. Themes identified were “love of God, family, and friends”, “community affinity”, “fidelity to prayer”, “test of Faith”, and “empathy”. In conclusion, Filipino adult cancer patients have high spiritual well-being despite the cancer burden. Havin this illness was a test of faith in which time had been an important component. At first, the patients experienced doubts their spiritual beliefs but eventually, with the acceptance of the illness comes a stronger faith in God. God, family, and friends had been their main source of strength, motivation, and hope. The religious community of the patients also helped develop the patient’s spiritual well-being through prayer and other spiritual acts, and by providing support to the patients. In the presence of cancer where the body and mind go weak, the cancer patients rely on the spirit to pull him or her through. This is where nursing plays an important role. The therapeutic interpersonal process between a nurse and a patient can help the patient develop aspects of life that he or she deems important in his or her spiritual health. Nurses can provide spiritual care to the cancer patients by identifying their spiritual needs, praying with them, allowing them to practice their spiritual beliefs, and by empathizing with them.
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    Educational – Spiritual Care Intervention (ESCI) and Self Care of Community Dwelling Senior Citizens with Type 2 DM
    ( 2013) Rodulfa, Ester R.
    The purpose of this study is to generate knowledge on how educational-spiritual care intervention (ESCI) affect diabetes self-care activities of community dwelling senior citizens with type 2 diabetes, and to gain insight on the qualities of the intervention that lead to treatment satisfaction. The study utilized a quasi-experimental one group pretest posttest design for the quantitative part and focus group discussion of the qualitative part. It was participated by 33 senior citizens with type 2 diabetes who were seeking consultation at a primary health care center. Findings suggest that after the intervention, significant improvement in self-care activities and spiritual health of senior citizens were observed. Finding further suggests variables such as family support. Having concordant, comorbidities. The number of years diagnosed with diabetes, however, was not associated with any self-care activity. The participants described the qualities of the intervention that gave them treatment satisfaction in themes as being humane, being accessible, being educational, effective, and on that provides social connectedness. Diabetes knowledge and spiritual health leads to improvement in self-care practices. Family support that allows seniors to shift role from caregiver to care receiver enhances self-care. Increased clinic visits enable physicians to prescribe blood glucose monitoring and therefore increase the practice of this self-care activity. Comorbidities that are concordant with diabetes have similar diet regimen can increase the chances of practicing this self-care activity. It is not the number of years of diagnosis that affect the practice of self-care, but the type of symptoms felt. When symptoms are uncomfortable, patients are more likely to practice self-care. Analysis revealed that the qualities of the intervention that result to treatment satisfaction are mostly influenced by good nurse-patient interaction since it is the factor that establishes the kind and the manner of how care is delivered. Educational-spiritual care intervention (ESCI) therefore provides a holistic nursing care which improves the practice of diabetes self-care activities, spiritual health and treatment satisfaction of community dwelling senior citizens with type 2 diabetes.
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    Effect of Intensive Wound Care Education on the Incidence of Wound Issues among Operative Orthopedic Patients in the Kingdom of Bahrain
    ( 2019) Raval, Arlyn Tambong
    Surgical site infection contributed to a major cause of mortality and morbidity of many patients that threatens most of their lives. Unexpected change of dressings also caused increase cost expenditure and exhaustive effort for most of the patients. The aim of the present study was to identify the effect of intensive wound care education among operative orthopedic patients posted for major surgery in eradicating wound issues and in identifying the relationship of risk factors in acquiring wound infections such as age, sex, diabetes, obesity and diet. A quasi-experimental one group only posttest repeated measure design had been used among a total of 100 inpatients with major operations. Patients’ demographic data had been collected and the respondents were immersed in learning wound care before surgery and after surgery before discharge using presentation, pamphlets, and videos. The Bates Jensen Wound Assessment Tool was used to evaluate the wound status in three-time evaluation and scored accordingly to quantify wound issues. ANOVA and Chi Square coefficient as a statistical tool had been used for analysis and to determine relationship of the identified risk factors in acquiring wound infection and unexpected change of dressings. There was a zero incidence of surgical site infection among the 100 inpatients who were being educated intensively about wound care. Moreover, there was a decrease in the incidence of unexpected change of dressing during the implementation of proper care of the patients’ surgical sites. In regards with risk factors, there was no relationship between incidences of wound infection and age, sex, obesity, diabetes, and diet. However, in the case of unexpected change of dressing, only diabetes had a significant association with unanticipated change of dressings. Overall, in depth wound care education was effective to prevent wound issues and lead the wound into its healing phase. Therefore, the role of health care providers as health educators is a paramount responsibility to pave way for a successful recovery of orthopedic patients.
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    Effects of Newborn Care Health Education Program to the Maternal Role Competence of Filipino First Time Mothers
    ( 2013) Rodriguez, Ma. Antoniette D.
    Background: Most women look forward to their new role as mother, despite knowing that it will change their lives dramatically. Successful adjustment leads to satisfaction in the mothering role that can be expressed through self-confidence, self-esteem, competence and mastery of their new role that can be expresses through self-confidence, self-esteem, competence and mastery of their new role. The benefits of a Newborn Care Health Education Program for first time mothers on the maternal role competence have implication for a further development and advancement to minimize the risk of Neonatal morbidity and mortality. Low-cost, effective newborn health interventions can save millions of lives. Objectives: To determine the effectiveness of a structured Newborn Care Health Education Program on the Maternal Role Competency of Filipino time mothers in terms of their efficacy and satisfaction. Design: A pretest – posttest, control group quasi experimental design was used. Setting: The study was conducted in the national tertiary maternity hospital in Metro Manila. Participants: A sample of 243 Filipino first time mothers on their 32 to 36 weeks AOG was gathered from July 2012 to January 2013. Purposing sampling was done. Inclusion criteria were primiparous women who are caring for the newborn child for the first time. They may also be women who have given birth to stillborn children and had miscarriage in their first pregnancy. Methods: The intervention was a complete and structure Newborn Health Education Program for Filipino First time Mothers. The study group (n=128) received the NCHEP while the comparison group (n=115) received the routine childbirth education. Outcomes were measured by the Parenting Sens of Competency Scale tool pre- and post-test. Results: Filipino first-time mothers who receive the NCHEP have low efficacy compared to the high efficacy of the comparison group in the pretest but both study and comparison group have high satisfaction in the pretest. However, both groups have low satisfaction in the post test. There is a significant difference between the pretest and posttest of the study group according to their efficacy while there is a significant difference between the pretest and the posttest of the study group according to their satisfaction. There is a significant difference between the pretest and posttest of the study group according to their efficacy the while there is a significant difference between the pretest and the posttest according to their satisfaction. There is a significant difference between the pretest and posttest of the study group according to their efficacy and there is a significant difference between the pretest and the posttest of the comparison group according to their satisfaction. There is no significant difference between the posttest of both groups according to their efficacy. There is no significant difference between the posttest of both groups according to their satisfaction.
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    Effects of Reiki Therapy On Stress And Biophysical Measures Among Adults With Hypertension in Laguna, Philippines
    ( 2019) Cutay, Rose Ann B.
    Elevated blood pressure or hypertension is a well-known main risk factor of cardiovascular morbidity and mortality among adult population and it affects more than a billion of people worldwide. It is therefore necessary to develop management to control hypertension. Complementary therapy with its holistic dimension can be effective tool for dealing with this challenge, to the degree that they aid in preserving homeostasis throughout life. Reiki, a universal vital energy, intends to support in restoring the energetic system of the body by stimulating natural healing processes of the body. These processes can be utilized to generate relaxation and heal health problems. The main objective of this study is to determine the effects of Reiki therapy on the biophysical measures (blood pressure and heart rate) and stress level of individuals with essential hypertension. The study utilized a one-group pretest-posttest quasi-experimental design and selection of study participants was through non probability purposive sampling. Of the 217 screened individuals, 125 individuals excluded from the study and only 92 met the eligibility criteria. Barangay Health Workers (BHWs) were recruited and trained by the principal investigator to be Reiki practitioner who implemented Reiki treatment to study participants. Reiki practitioners followed Reiki protocol which involved 19 different hand positions and placement on study participant’s body that lasted for 2 minutes. One day prior to Reiki therapy, baseline data were taken. Biophysical measures such as the blood pressure and heart rate were measured using OMRON HEM 7120 digital BP monitor and Perceived Stress Scale (PSS) was utilized to measure the level of stress. One week after the last Reiki therapy session, biophysical measures and stress level were once again measured. This study reported that the level of stress among adult patients with essential hypertension before and after Reiki intervention was within the moderate stress scores. Moreover, this study reported that the level of biophysical measures (blood pressure and heart rate) among adult patients with essential hypertension before and after Reiki intervention was considered stage 2 hypertension. Using paired sample t-test, the study results showed that there are no significant differences in the level of stress and biophysical measures (blood pressure and heart rate) after Reiki therapy. Lastly, the correlation coefficient results did not report relationship between the level of stress and biophysical measures. The correlations were weak and not statistically significant, between heart rate and stress level, between heart rate and systolic BP, between heart rate and diastolic and between systolic BP and stress level.
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    Effects of Wellness Program on the Biophysiologic Measures, Wellbeing and Happiness of Employees in the Workplace
    ( 2016) Santos, Nica-Ann G.
    This study aimed to determine the effect of a wellness program on the biophysiologic measures (weight, blood pressure, pulse pressure, and heart rate) wellbeing (health and functioning, social and economic, psychological and spiritual subscales), and happiness of the employees in their workplace. There were 56 participants, 5 of which are dropouts, who underwent a 6-week wellness program- thrice a week, 2 hours per session, at the chosen setting, a medium-sized enterprise engage in wholesale and retail trade industry (hardware) in General Santos City. The wellness program was focused on the areas of Nutrition, Physical Fitness, Smoking Cessation, and Stress Management delivered through modalities of health education and physical activity intervention. The variables measured were observed at several points in time- at the baseline (1st week), after the intervention (6th week), on the 7th week, and on the 8th week. The findings of the study show that the wellness program was effective in managing weight and heart rate, but not with the blood pressure and pulse pressure as compared to the baseline biophysiologic measurements. Furthermore, findings reveal that the wellness program had significant effects to the wellbeing of the respondents: health and functioning, social and economic, psychological and spiritual, and the overall quality of life index. Furthermore, findings revealed that the wellness program enhanced the wellbeing and happiness of the respondents on the 7th and 8th week. The correlation between post intervention wellbeing and happiness and the biophysiologic measures taken before and after the wellness program reveal that heart rate has significant correlation with health and functioning subscale.
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    Factors Affecting Compliance of Nurses to FUTURE Ventilator-Associated Pneumonia (VAP) Bundle of Care
    ( 2014) Morales, Paolo Antonio M.
    This research study sought to determine the compliance of nurses in the adult ICUs to the FUTURE VAP bundle of care. This study employed a quantitative, descriptive, correlational study. The study was conducted in the medical-surgical intensive care unit and cardiovascular-neurological intensive care unit of Asian Hospital and Medical Center. The sample was comprised of all the 26 adult intensive care unit nurses employed in the said units. The researcher developed an observational checklist which was patterned from the checklist provided by Patient Safety First (2008) and a 34-item questionnaire to measure the respondents’ perception of factors affecting the compliance and their knowledge on the FUTURE VAP bundle of care. Results indicated that the compliance to the FUTURE VAP bundle of care is high. Significant factors affecting compliance to FUTURE VAP bundle of care include level of experience and perceived barriers to FUTURE VAP bundle of care. Experience gained over time contributes to increased compliance. The higher the perceived barriers the FUTURE VAP bundle of care, the lower the compliance to the FUTURE VAP bundle of care. No significant relationships were found between compliance and the following factors: knowledge of FUTURE VAP bundle of care, perceive self-efficacy on FUTURE VAP bundle of care, perceived outcome expectance on FUTURE VAP bundle of care and perceived facilitators to FUTURE VAP bundle of care. Review of supporting literature on these findings point out that behavior change is needed for the desired behavior, which is compliance, to be translated into practice. The does must be motivated toward behavior change for them to act out the standards of practice.
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    Holistic Needs and Coping Among Preoperative Patients in a Government Teriary Hospital in Metro Manila, Philippines
    ( 2019) Onglengco, Myrna M.
    This study seeks to understand the holistic needs of the preoperative patients in terms of informational, physical, psychological, social, spiritual, level of independence and environment and their relationships to the coping level of the preoperative patients as an aspect of holistic nursing. It also examines the profile of the patient participants as it relates to their coping level. The study runs on the conceptual framework that the holistic needs are related to the coping needs of the preoperative patients. In the same manner, the framework is also applied in looking into the demographic profile of the patients and its relationship to coping. The level of coping serves as an indicator as to the wholeness of the person yielding better patient recovery and outcome. The study utilized the descriptive correlational design done in the medical, surgical, and gynecology wards of a government tertiary hospital located in Metro Manila, Philippines. The researcher considered 43 preoperative patients who underwent operation in a few days following the survey in the given wards. The survey among the preoperative patients were based using the following tools, namely, The Amsterdam Preoperative Anxiety and Informational Scale (APAIS), Quality of Life Tool (QOLT) and Brief COPE. Where applicable, the necessary permissions on the use of the said tools were sought from the authors. The results of the study show that the level of independence is the top priority need of the patient undergoing surgery. This is followed by the spiritual need showing that spirituality is a vital factor in the quality of life of the respondents. The physical need comes in next which is undoubtedly an important aspect when one is under the challenges of an illness. Meanwhile, preoperative patients greatly need to know the information about anesthesia more than about the surgical procedure. Consequently, they worried more on the anesthesia than on the procedure but think less about these. In terms of coping, physical, social relationship and spirituality coping were the top means used by the patients. The results also show that among the holistic needs of the preoperative patients and the existing coping mechanisms for the specific holistic need, only social relationship need has significant correlation with social coping mechanism. The correlation is negative, that is as the coping level increases, the holistic needs decreases. As for the demographic profile of the respondents, the results show significant relationships between the eight groups of demographic profile and the six categories of coping mechanism with varying dependencies among profile. Spiritual, environment and level of independence coping mechanisms show as the common top three coping mechanisms with highest association except for the category of income where the third significant association is with social coping mechanism. Based on the foregoing, the study concludes that there exist significant relationships between the holistic needs and coping among preoperative patients. Moreover, significant relationships exist in terms of the presented demographic profile and coping mechanisms. Knowing the importance of the holistic needs of the patients during this situation is a great leap among the healthcare providers, patients and their family members in choosing the type of care and arriving at the most appropriate approach needed to hurdle the health situation. This study contributes to the nursing literature in the Philippines on holistic nursing and coping responses during surgical procedures.
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    Nurse Work Attitude and Personal Organizational Commitment in a Quaternary Hospital in Makkah, Saudi Arabia
    ( 2019) Erie, Ariene V.
    Nursing leaders and administrators are persistently facing issues on high turnover rate, retention, absenteeism, and poor work performance which are all related to organizational commitment. There is scarce and less comprehensive evidence on the understanding of the significant relationship between work attitude and personal organizational commitment among nurses. This is a descriptive correlational research study that aims to determine the relationship between work attitude and personal organizational commitment among staff nurses in King Abdullah Medical City in Makkah, Saudi Arabia. The consenting participants were selected through non-probability convenience sampling technique. Approval from KAMC Institutional Review Board was sought prior to the commencement of online survey. 298 staff nurses participated in the study, however only 275 were eligible and completed the online survey. The Practice Environment Scale-Nursing Work Index was utilized to measure nurses' work attitude while the Revised Three Component Model Employee Commitment Survey Tool was used to assess their organizational commitment levels, both tools were on a 5-point Likert scale for scoring. Descriptive statistics showing frequencies, means and standard deviations demonstrated work attitude and personal organizational commitment profiles of the respondents. Pearson R-values shown correlations between independent variable work attitude and dependent variable personal organizational commitment. Corresponding p-values were indicated to express significance of the correlations. SPSS version 21 was utilized for statistical data analysis. This study has shown significant positive correlation between work attitude and personal organizational commitment among staff nurses in KAMC, with R-value of 0.393; having high statistical significance with p-value of 0.00 at 0.05 significance level. The highest correlation was between work attitude and normative commitment. Work attitude can positively influence the development of personal organizational commitment in terms of affective, normative and continuance commitment. The more positive the work attitude, the greater the chance of developing higher personal organizational commitment. Thus, work attitude could be a basis whether staff nurses will continue to work at certain organization for a given period of time and therefore influence retention. Further, the study demonstrated how work environment can be a good measure of work attitude among staff nurses in KAMC.
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    Nurse-Managed Supportive Cancer Care and Psychosocial Adaptation Among Patients with Breast Cancer
    ( 2011) San Juan-Gaspar, Charity Leene
    This study sought to develop a nurse-managed supportive cancer care intervention focusing on the informational, psycho-emotional and social support needs of patients with breast cancer and determined its effects on their psychosocial adaptation. This study employed a quasi-experimental study and utilized a pre-test post-test design to examine the effects of the nurse-managed interventions. The study was conducted in a small support group facility based in Davao City. Philippines. The sample was comprised of filly (SO) patients purposively recruited. The researcher utilized a survey questionnaire to gather information about the demographic profile, disease-related characteristics and psychosocial adaptation of these patients. The measurement of psychosocial adaptation was based on the standard tool Psychosocial Adjustment to Illness Scale - Self Report (PATS-SR), a structured and validated survey questionnaire to measure the study participants' level of psychosocial adaptation. Results indicated that there were psychosocial adaptation differences (p>0.05) among breast cancer patients before and after the nurse-managed interventions. Chief differences were noted on the following six domains: health care orientation, vocational environment, domestic environment. extended family relationships, social environment and psychological distress. However, results indicated that there was no psychosocial adaptation difference in the domain of sexual relationships. Comparison between Study and control group after nurse-managed difference (p>0.05) on the level of psychosocial adaptation between two groups on the following psychosocial domains: health care orientation. vocation environment, domestic environment and psychological distress. On the other hand, no significant differences were obtained for three domains. sexual relationship, extended family relationship and social environment. There was no existing significant difference fP,0.051 among patients between study group and control group when analyzed by their age, civil status, income, educational attainment, disease phase and type of treatment. Therefore, it was found that both the study and control groups were statistically comparable. During the counselling sessions, a dominant theme emerged from the verbal accounts of the participants which was resentment. This was generally negative and critical attitudes to oneself, to family and to their faith. Lastly, during the group support sessions, coping functioning and understanding among patients and their families apparently was not obtained. Thus, family dynamics and support relationships should be incorporated to enhance coping in these areas. Moreover, the researcher of this study, has found that the participants when reporting accounts of their cancer experience during the counselling and group support sessions, were less more concealing and were more direct into answering questions. The researcher understood that the resentment stemmed from how cancer evolved as a disease process. Although etiology and duration of illness is a long term process, the diagnosis and the impact of the illness to them was sudden and unexpected. Recommendations were made after the relevant findings of this study.
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    Nurses’ and Patients’ Perceptions on Nurses Caring Behaviors in Long-Term Care Facilities in Qatar
    ( 2019) Pulpulaan, Riza Rosarito M.
    Caring has been acknowledged as the essence of nursing (Nelson & Watson, 2011); however, it is being feared to lose its worth from the effects of advancing technology and increasing attention to more concrete healthcare issues such as workload and patient acuity (Adams, 2016). Long-term care facilities (LTCFs), which are being expanded in Qatar, are common places for highly dependent people in need of care for over an extended period of time. As care demands in LTCFs are foreseen to constantly escalate over the years, it is only timely that caring behaviors, which directly impact the patients’ conditions, are carefully understood among nurses working in a setting wherein patients may be passively involved in their care and caring for long-staying patients in a consistent and holistic manner may be challenged. This study was conducted to determine the nurse caring behavior perceptions of nurses and patients in long-term care facilities in Qatar, specifically (1) to determine the nurses’ and patients’ perceptions on nurse caring behaviors, (2) to determine if there is a significant difference between nurses’ and patients’ perceptions on nurse caring behaviors, (3) to determine if there is a significant relationship between nurses’ perceptions on caring behaviors and socio-demographic variables of age, gender, nationality, education, primary license origin, years of work as a nurse, and years of experience in long term care, and (4) to determine if there is a significant relationship between patients’ perceptions on nurse caring behaviors and socio-demographic variables of age, gender, marital status, nationality, primary diagnosis, education, and length of stay in the long-term care facility. This study employed a cross-sectional descriptive design in two of the long-term care facility sites operated by Rumailah Hospital in Doha, Qatar over a span of eight months. There were 80 nurses and 21 patients who completed questionnaires on demographic survey and Caring Behaviors Inventory (CBI)-24 (Nurse and Patient version). Descriptive and inferential statistics of socio-demographic profile and caring behavior perceptions of nurses and patients were analyzed for differences and correlations. All P values <0.05 were considered as statistically significant. Nurses reported higher mean scores of perceived caring behaviors in all CBI-24 items of each subscale and in the total scale than patients did. Knowledge and skill was highest for nurses, whereas assurance of human presence was highest for patients. Mean scores for positive connectedness was, however, lowest for both nurses and patients. Significant differences were found between nurses’ and patients’ perceptions on total CBI (U=561.000, p=.019) and on the subscales of knowledge and skill (U=422.000, p=.000) and respectful deference to others (U=587.500, p=.033). A significant relationship also existed between patients’ perception on CBI knowledge-skill and educational attainment (X2=16.500, p=.036). No caring behavior items were found to be treated as equally important by nurses and patients in this study. Discrepancies in the order of importance of nurse caring behaviors suggest inconsistencies in caring perceptions and reciprocity of care.
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    Occupational Stress and Job Satisfaction Among Intensive Care Unit Nurses in a Tertiary Hospital in Riyadh, Saudi Arabia
    ( 2019) Panopio, Reynaldo H. Jr.
    Occupational well-being of intensive care unit nurses is an indispensable element in carrying out their roles and function in any healthcare institution. Thus, identifying their level of stress and job satisfaction is essential in addressing this phenomenon. The study aimed to determine the relationship between occupational stress and job satisfaction specific to intensive care unit staff nurses of Prince Mohammed binAbdulaziz Hospital (PMAH)- Riyadh. This study utilized theExpanded Nurses Stress Scale and Minnesota Job Satisfaction Questionnaire. A descriptive, correlational design was used in this study. Intensive care nursing practice is stressful as it poses multiple demands from patients, recipients of care, patients’ families and professional groups working and dedicated to each patient. The support from nursing administrator on staff nurses’ roles and responsibilities provide job satisfaction. Study findings will serve as a baseline data that will guide nursing leaders on where to give focus and what strategies needed to improve the wellbeing of staff nurses and create an evidenced based staff retention plan. Addressing the well- being of staff nurses is not a one-time project it needs to be continuously monitored and evaluated periodically.
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    Parental Relationship and Parental Influence on Teenage Pregnancy Among Adolescent Mothers in Polillo, Quezon
    ( 2019) Queddeng-Quesea, Ethel
    This study aimed to determine the level of parental relationship among adolescent mothers in 5 different domains: doing things together, communication, understanding, love and respect and conflict and its correlation to early pregnancy. Degree of parental influence was also determined and its correlation to parental relationship and to the occurence of early pregnancy. The respondents were the 134 adolescent mothers aged 13-19 years old of Polillo, Quezon, Philippines, chosen purposively based on the needed qualifications. Using descriptive method, the level of parental relationship was obtained by using a modified PRCSS (Parent-child relationship schema scale) while for the degree of parental influence a self-developed questionnaire was utilized. It was measurable by 5 point Likert scale, (5) often - (1) never, and qualitatively interpreted as poor, fair and good parental relationship whereas Parental influence as (5) strongly agree to (1) strongly disagree and interpreted as no parental influence at all, weak and strong parental influence. It was revealed that parental influence on engaging behavior that leads adolescent mothers of Polillo, Quezon to teenage pregnancy is stronger among older adolescents living in rural barangays and whose sexual awareness comes from friends/peers, TV, and movies. It found out that the adolescent mothers of Polillo, Quezon have a good relationship with their parents but have a fair relationship in terms of conflicting behaviors. Using spearman rank, the correlation between the parental relationship and parental influence on engaging behavior revealed that the better the parental relationship, the weaker the parental influence on engaging behavior to adolescent pregnancy. Conversely, this research concluded that the stronger the conflict in parent-child relationship, the stronger parental influence on engaging behavior to adolescent pregnancy may happen. The researcher proposes that stricter parental guidance advisory to movies and TV shows should be implemented. This study also proposed to have seminars and motivational lectures on health issues and healthy parent-child relationship to all parents and children of 20 barangays of Polillo, Quezon.
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    Practice Environment of Nurses in Tertiary Public and Private Hospitals in La Union
    ( 2019) Aguinaldo, Alexis N.
    Global perspectives of nursing practice are ever-changing and perhaps shaped by the environment where the nurses’ work. The nurses’ practice environment (NPE) was defined as the organizational characteristics of a work setting that facilitate or constrain professional nursing practice (Lake, 2002). NPE along with factors and outcomes were assessed in different countries and regions with studies proving that a favorable NPE enhances quality of healthcare and positive outcomes for the nurses, the hospital and the patients. Based on the assumptions of Florence Nightingale’s Environmental Theory, beyond the physical atmosphere, the nurses also must also have an environment that support their professional practice and development. Bringing focus on NPE is equivalent to the path of promoting nurses’ welfare regardless of the type of facility; however, there is a scarcity on the assessment of the practice environment of nurses between public and private hospitals including the factors that could significantly influence such. Therefore, this study aims to describe and compare the practice environment of nurses in tertiary public and private hospitals in La Union with an analysis of factors associated to and influences NPE. This cross-sectional study used descriptive, comparative and correlational designs. Ethical clearance was observed accordingly. A total of 540 nurses participated with from the four (4) tertiary hospitals particularly two from each public and private. Data were gathered systematically using a demographic questionnaire and the Practice Environment Scale of the Nurse Work Index (PES-NWI) of Lake (2002) that has a Likert scale for each indicator. SPSS v. 21 was used to examine the descriptive and inferential statistics of the study at a preset level of significance of p < 0.05.
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    Roy’s Adaptation Model Derived Step-Down Protocol (RAMSP) and Relocation Stress Syndrome among ICU Patients
    ( 2016) Pangda, Andres
    Relocation stress syndrome (RSS) has been common to Intensive Care Unit (ICU) patients who were for transfer to a regular room. They experience anxiety, depression and loneliness at some point. This study examined the effectiveness of Roy’s Adaptation Model Step-down Protocol (RAMSP) in alleviating RSS. The protocol was composed of evidenced-based interventions that prevent the known problem. ICU patients (n=62) were tested having one hospital as the study group, where RAMSP was introduced, and the other hospital with its generic protocol as a control group. Results have shown that significant difference was noted on the pre-test and post-test upon the introduction of the said protocol with a p value of 0.001 for anxiety, 0.002 for depression, and 0.002 for loneliness. The study found out that RAMSP has been successful in decreasing the levels of anxiety depression, and loneliness as compared to a generic transfer protocol. However, anxiety was considered to give more impact to relocation stress syndrome which calls for more an immediate effort to suppress it.
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    Satisfaction of Nursing Care in Interventional Radiology Procedure Among Patients at a Health Care Facility in Qatar
    ( 2019) Ali, Zuraida M.
    This study aimed to determine patient satisfaction with domains of nursing care quality in terms of Picker’s eight principles of patient centered-care, as patient centered care was the model adopted for nursing care in radiology setting, and the correlation between patient satisfaction and patient demographic characteristics, including sex, age, civil status, educational attainment, employment status, times patient had undergone interventional radiology in the past 2 years, and perceived health status, among patients undergoing interventional radiology procedures. It was important to determine patient satisfaction with quality of nursing care as well as analyze patient demographic characteristics which could impact satisfaction when there were increasing verbal complaints about the expanded service to cater more interventional radiology procedures in a practical but not standard way of scheduling. A correlational study was conducted at ASPETAR, a hospital in Qatar specialized in the management of sports related injury. 195 were included in the sample from the study population targeting patients of radiology department who underwent interventional radiology procedures from November 2019 to April 2020 who were at least 18 years old through purposive non-probability sampling. Data were collected using a modified PSNCQQ, also translated to Arabic, tested for face validity, and handed to those who met the inclusion criteria. A percentage frequency distribution table was used to organize patient demographics, while mean and standard deviation were computed to determine patient satisfaction, and that Chi-square test for independence was utilized to determine correlation between satisfaction and demographics. The study showed that the patients were satisfied with the quality of nursing care in interventional radiology procedure with a mean satisfaction score of 4.24 among 195 respondents. All domains of nursing care quality were with scores 3 and above, indicating satisfaction. Moreover, there was no significant relationship between patient satisfaction and patients’ sex, age, civil status, educational attainment, employment status, times patient had undergone interventional radiology in the past 2 years, and perceived health status. This study revealed that patients were very satisfied with the quality of nursing care provided in interventional radiology procedures. “Physical comfort” was the domain of care quality having the highest mark and could be related to nurses in radiology always maintaining patient privacy and keeping peace and quiet. On the other hand, “continuity and transition” domain was with the item for which satisfaction scores were lowest and that it was recommended that hospital administration expand hospital services making them more available and accessible for higher satisfaction rating. Moreover, this study concluded that there was no significant correlation between patients’ satisfaction on the quality of nursing care provided in interventional radiology procedures and patients’ demographic characteristics, and that intervention could focus on the improvement of patient satisfaction with quality of nursing care regardless of patient characteristics. Finally, it was also recommended to further the study beyond the nursing scope, since as far as the domains of nursing care quality were concerned, patients were satisfied with the quality of care.
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    Work Environment and Workload of Staff Nurses in Selected Secondary Hospitals in Cavite, Philippines
    ( 2019) Javier, Wilfred
    One of the greatest healthcare challenges for today’s generation is the improvement of nursing work environment. Despite the challenges brought by poor working environment and high workload demand, Filipino nurses stood up high in maintaining professionalism towards their work. This study aims to determine the relationship between work environment and workload of staff nurses in level-2 hospitals at Cavite. Specifically, to identify their level of work environment using the Practice Environment Scale of the Nursing Work Index (PES-NWI), and level of workload using the NASA Task Load Index (NASA-TLX). Quantitative non-experimental descriptive correlational design was used, and the standardized questionnaires namely: PES-NWI and NASA TLX were used to gather data from 70 respondents. Results shows majority were female, belong to Millennial age (23-38 years old), had baccalaureate degree in Nursing, have a gross monthly salary of Php 15,000.00-19,999.00, being in the institution for more than 6 months to 5 years, and have an average nurse to patient ratio of 11.30. Their level of work environment was favourable in all subscale with composite score of 3.13 (SD= 0.570). For their perceived workload, they seem to have high workload with an average of 71.24 (SD= 12.78). Likewise, nurse to patient ratio had a significant relationship with nurse manager ability, leadership, and support of nurses (X2= 94.26, p= <.001) and staffing and resource adequacy (X2= 75.06, p= 0.002). Moreover, significant relationships among the variables of age and physical demand (p= .004), length of institutional experience and physical demand (p <0.001), educational attainment and performance (p= .018), educational attainment and effort (p= .005), and length of institutional experience and effort (p= .001).Last, there is no statistically significant correlation between overall work environment and overall workload of nurses (r= -.084, p= .491). These findings underscore the importance of measures aimed at enhancing the work environment and workload of staff nurses to prevent further challenges among them.