FMDS Theses and Dissertations

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https://repository.upou.edu.ph/handle/20.500.13073/7
Theses and dissertations by graduate students from the Faculty of Management and Development Studies.

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Browsing FMDS Theses and Dissertations by Subject "Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Health and medical services in society"
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    An Ode to Unheralded Heroism: The Volunteer Nurses’ Experiences in the Aftermath of Typhoon Haiyan
    ( 2016) Ballecer, Jasper Joseph C.
    Disaster events are extraordinary healthcare practice settings. Healthcare provision in these scenarios require extensive competencies and adaptability from healthcare workers. Involvement in these efforts have increased, as supranational initiatives in disaster response has caused the influx of volunteer disaster healthcare workers. The purpose of this study was to explore the experiences of volunteer disaster nurses in the aftermath of typhoon Haiyan using Colaizzi's (1978) Model to gain an understanding on the experience. Nine volunteer nurses who served immediately after the typhoon hit the central Philippines in late 2013. with each representing specific fields of specialty within nursing practice, were selected purposively as participants. The study's findings yielded five themes: Motivation, Realities of the Volunteer Disaster Nurse Experience, Coping while Caring, Leaving a Mark, and A Journey towards Self-discovery. Motivation was the source of the decision to help. It was also the driving force for volunteers to go through the obstacles and cope effectively. Once this has been successfully achieved, the nurses gained learnings and reflections both as human beings and as health professionals which in turn, renewed their altruism. These findings can be used by healthcare workers. educators, and health policy-makers on the practical side to promote the well-being of disaster healthcare workers by being more cognizant to their problems, challenges, and motivations. The study's findings can also be a jumping point for more in-depth inquiries and/or investigations in other disaster settings.
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    Health Service Satisfaction of Animal Bite Victims in Siniloan, Laguna, Philippines: A Retrospective Study
    ( 2018) De Lima, Sherlyn S.
    Patient satisfaction is an important indicator of quality of care, providing useful insights for delivering efficient health care which meets the needs of the patients. What influences a person's health is the encounter between health care customer/patient and provider; therefore it is critical that this encounter be pleasant. This retrospective study of health service satisfaction of animal bite victims in Siniloan, Laguna from January to December 2015 was done to evaluate effectiveness of the health services of the rural health unit, measured using both quantitative (surveys) and qualitative (interviews) data. There were 244 survey respondents among the recorded 450 animal bite victims. The study showed that 15-year-old and below female students were the most common victims, the majority of which were bitten by dogs. Results revealed that the extent of knowledge and practices of animal bite victims ranges from excellent to very good with a mean range of 3.47-3.64, SD = 0.657-0.703. Animal bite victims generally are satisfied in terms of level of client satisfaction ranges from 3.33-3.52, SD= 0.624-0.766. Overall, Animal Bite victims were satisfied in terms of information, dissemination about rabies elimination program and extent of impact of human rabies elimination program with overall mean range of 3.30-3.45, SD= 0.621-0.759. Almost all variables had a very weak association in terms of association of socio-demographic profile (age, sex highest educational attainment and type of who bit the bite victims to the knowledge of rabies, practices on the prevention and control of rabies, client satisfaction, information dissemination about rabies elimination program and extent of impact of human rabies elimination program. It is recommended in this study the improvement of the control through health promotion campaign must be done to further strengthen the rabies control program. The study also recommended that in order to understand further the associate of the variables tested a higher statistical analysis should be done such as a regression modeling.
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    Occupational Health Safety Culture Among Cadet Seafarers in the Philippines
    ( 2017) Rosete, Oscar Cristitio DL
    The maritime workplace remained to be one of the world's high risk occupations (Nielsen et al, 2013). Maritime standards, competencies. and health and safety policies and practices were proven to be inadequate in preventing work related injuries and accidents on board seafaring vessels. It was in this light that safety culture was adopted ill the shipping industry. The study aimed to compare the tanker and bulk shipboard safety cultures among cadet seafarers using cross sectional design. A total of 116 respondents participated in the study (101 PMMA cadet seafarers, 2 maritime educators, 7 maritime officers, 5 seafarers and 1 maritime administrator). The study conducted a survey adopting the Shipboard Safety Culture Questionnaire (American Bureau of Shipping, Inc.), key informant interviews and a focus group discussion. Data gathered from KII and FGD were classified by themes. Computed chi square scores revealed no significant difference between the tanker and bulk shipboard safety cultures in all eight safety factors. In conclusion, tanker and bulk shipboard safety cultures yielded no significant difference, despite more reported unsafe work conditions/ acts and on board health injuries/ accidents in bulk vessel types. The study recommended coordinating with the International Maritime Organization in identifying and accrediting regional maritime groups to monitor health and safety practices on board; and to actively involve maritime schools, maritime training centers and shipping companies in revitalizing safety culture promotion and heightening safety practices in the work place.
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    Patient Safety Culture Among Healthcare Provide RS in Ambulatory Healthcare Centers in a High-Income Arab Country
    ( 2017) Austria, Richmond DL
    Safety culture is one of the crucial cornerstones of healthcare quality and patient safety management worldwide. We conducted a patient safety culture survey in June 2016 among the healthcare providers in 38 ambulatory care centers in a high-income Arab country such as the United Arab Emirates particularly in the emirate of Abu Dhabi. Among the patient safety culture dimensions, the Nonpunitive Response to Error received the lowest rating (M=2.78) followed by Staffing (M=3.09) suggesting that these are priority areas for improvement. The organization had a high perception scores on Teamwork within Units (M=4.08), Organizational Learning—Continuous Improvement (M=3.98) and Management Support for Patient Safety (M=3.93) suggesting a strong potential towards improving the baseline of patient safety culture. The study shows that there were statistically significant differences of patient safety culture according to professional experience, tenure in the center and in the type of profession in the Island Region, Middle Region and Eastern Region. There was statistically significant difference of patient safety culture according to the nature of patient contact in the Middle and Eastern Region ambulatory care centers. Also, patient safety grade and number of incidents reported showed significant difference according to region of ambulatory care centers. The study suggests that there is punitive culture across all regional locations such that this may have resulted to low number of incident reporting or underreporting. However, there is a potential to improve the patient safety culture in the network of ambulatory care centers due to the high level of positive response in the teamwork within units, organizational learning and management supports as well as optimism shown in the patient safety grade ratings. This could be derived from the experiences of healthcare providers in international accreditation. These areas for improvement can be used to develop the structures and processes toward better patient safety outcomes.
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    Work Preferences in Rural Health Job Posting Among Medical Interns in the Philippines
    ( 2018) Migriño, Julius R.
    Timely empirical evidence is important in the success of health systems, and in health human resources in the Philippines, such evidence is necessary for informed policy making to address imbalances in the health workforce. This study provides qualitative and quantitative information on the preferences of newly graduated medical doctors regarding rural job postings. Key informant interviews and focus group discussions identified the roles of wages, equipment status, and presence of supervision as important factors in considering a rural job post. Discrete choice experiment results verified the relative value of supervision, location of family from the work area, and availability of career opportunities in the respondents' preferences to work in rural areas: respondents are willing to sacrifice significant salary for better levels of supervision, family location, and career opportunities, and uptake rates for job postings with these incentives also tend to significantly increase recruitment in rural job posts. Combinations of wage and high-impact non-wage incentives tend to produce the highest increases in uptake rates. Age, sex, and economic status do not appear to factor in the respondents' preferences, but those with rural backgrounds tend to value supervision and career opportunities more than their urban counterparts. Young graduates who came from rural backgrounds also tend to consider rural practice soon after graduation, suggesting rural job posting policies may focus on this specific cohort of medical graduates.