FMDS Theses and Dissertations

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Theses and dissertations by graduate students from the Faculty of Management and Development Studies.

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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.
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.
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.
Caring Processes and Level of Engagement among Informal Caregivers of Older Persons in a Tertiary Hospital in Metro Manila, Philippines

(Maria Victoria T. Ramos, 2023-05-04) Ramos, Maria Victoria T.

Informal caregiver care is a critical aspect that is involved among hospitalized older persons. The study aims to identify the association between the caring processes and the level of informal caregiver engagement. The Caring process among informal caregivers of older persons was identified using a Likert style questionnaire. It is composed of five determinants, namely Knowing, Being With, Doing for, Enabling, and Maintaining Belief. The first phase of Knowing involved being overall aware of the condition of the informal caregivers admitted older person. Being with is the second caring process in which the informal caregiver was physically and emotionally with the patient. Doing for is the third phase in which care was rendered with dignity, as if the older person were doing it for himself. The fourth process is enabling, in which the transition of care was facilitated towards self-care. Lastly, maintaining belief focused on maintaining the older person¶s hope and faith-filled attitude as he or she continued with his or her life. The level of informal caregiver engagement was identified following the principles of caregiver engagement with a Likert scale questionnaire. This involved three categories namely Policy and structure, Culture and Mindset, and Procedures. The study is a correlational quantitative study that involved informal caregivers answering printed questionnaires within 30 minutes. The results involved obtaining the frequency and percentage among informal caregivers' age, gender, and relationship with the patient. The dominant relationship in informal caregiving was spouse, the gender for informal caregiving was female and the result of age range was 48-58 years old. The descriptive statistics for the mean and standard deviation of the caring process determinants and level of informal caregiver engagement were then obtained. Finally, the mean and standard deviation of the caring process and the level of informal caregiver engagement were correlated using the IBM SPSS statistics software for identification of association. Results showed a positive correlation between the caring processes and the following: Policy and Structure, Culture and Mindset, and Procedures
Communication Competency And Empathy Among Nurses In The Intensive Care Unit Of Tertiary Hospitals In Saudi Arabia

( 2023-08-30) Solis, Rhodora Mae O.

Intensive Care Unit (ICU) is a highly stressful and unique environment. Caring for a diverse client population requires nurses effective communication and empathy. These traits, in turn, help to improve patient care and outcomes, increase the level of patient satisfaction, and decrease adverse events. These also promote effective decision making, problem-solving, and encourage good collaboration with fellow health workers. The purpose of the present study is to determine the relationship between Communication Competence and Empathy among Nurses in the Intensive Care Unit of Tertiary Hospital in Saudi Arabia. The respondents consisted of 243 ICU nurses, and the tools used were a Self -Perceived Communication Competence Scale and Toronto Empathy Questionnaire. Descriptive correlational statistics were used to analyze the data. Results revealed that the Self-Perceived Communication Competence among nurses in the ICU is High in contexts such as in public and in group with strangers, friends and acquaintances; and the nurses have high level of empathy. It was also revealed in the results that level of communication competence and level of empathy have no significant relationship. However, the level of communication competence is significantly linked to educational attainment of nurses; while the level of empathy is significantly correlated to age , nationality and length of experience of the nurses
Concept of Shared Governance Among Nurses in a Tertiary Hospital in the United Arab Emirates: A Mixed-Methods Study

( 2024) Garcia, Ser Eldrin D.

Nurses have always borne the burden of increased workload and challenging practice environment brought upon by the rising nursing shortage and growing complexity of patient care needs. The increasing regulations, tight organizational protocols, and authoritative management style have also contributed to nurses' job dissatisfaction and intent to leave. Nurses have become more powerless and frustrated with their professional practice environment. This is further exacerbated by their inability to make decisions regarding issues that affect their own professional practice which results in nurses leaving in search of better job satisfaction. In response, hospitals are becoming more innovative in their strategies to improve the work environment and retain nurses within their organizations. One of which is through Shared Governance wherein frontline healthcare workers are active and empowered participants in the institutional decision-making process. This explanatory sequential mixed-methods with triangulation study have assessed the current state of shared governance in a large tertiary hospital in Abu Dhabi, UAE. The first phase of the study utilized the Index of Professional Nursing Governance (IPNG) tool to obtain a baseline measurement of shared governance. In the second phase, Delphi, interview, and Focus Group Discussion (FGD) were conducted to further explain and understand the quantitative results. The results of the survey showed an overall governance score that is indicative of the presence of a first-level shared governance wherein the management and administration primarily make the decisions in the organization with some staff input. Traditional governance was also found under the Control over Personnel subscale and was consistently described in all three qualitative data collection methods. Results of Delphi generally described nurses' limited access to information as well as minimal control over resources and professional practice while the broad themes that emerged from the interview generally described nurses' lack of administrative committee, limited involvement in goal setting and conflict resolution, and the challenges in shared governance participation. Key results from FGD included the possession of functional shared governance, dissatisfaction, and lack of adequate management support. In general, the minimal sharing of overall governance power, the lack of involvement of nurses in some governance activities, and having a centralized form of management as described by the qualitative findings were all explanatory of the achieved IPNG scores. Overall, opportunities exist in the organization to increase shared decision-making, especially in terms of Control over Personnel, and to improve participation in shared governance by addressing the challenges identified in the interview and group discussion respectively.
Cultural Competence and Caring Behavior Among Inpatient Staff Nurses in Al Wakra Hospital, Qatar

( 2021-06-03) Moratillo, Mary Grace P.

Providing culturally competent and high-quality nursing care is a nurse's professional and moral responsibility and is one of the essential nursing attributes. Qatar has multicultural residents and a healthcare workforce. This highly multicultural society poses a challenge to modern healthcare to meet multicultural patient needs. However, a study correlating nurses' cultural competence and caring behavior lacks the current setting and literature that could help address this challenge. This descriptive correlational study understands the relationship between nurses' cultural competence and caring behavior. It also examines the influence of socio- demographic characteristics on nurses' cultural competence and caring behavior. A total of 239 nurses, recruited via stratified random sampling, participated among the adult inpatient nurses of Al Wakra Hospital in Al Wakra, Qatar. Cultural Capacity Scale (CCS) and Caring Behavior Inventory-24 (CBI-24) were used to collect the data. Data were analyzed using IBM SPSS Statistics 20.0 software. Majority of the nurses were from the 30 to 39 age group, Filipino, Christians, had a bachelor’s degree, and 6 – 10 years of nursing experience. Female nurses outnumbered the male nurses assigned in the Medical and Surgical Inpatient and Critical Care Unit. The result indicated a significant relationship but weak correlation between nurses' cultural competence and caring behavior (rs = 0.207, p=0.001). This finding suggests the higher the level of cultural competence, the higher the nurses' quality of caring attitude. It also revealed no salient relationship between the nurses' socio-demographic characteristics and cultural competency and caring attributes (p>0.05). The healthcare facility is recommended to establish cultural competency program/s to equip the nurses further in providing culturally sensitive and high-quality care.
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.
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.
Effectivenes Of Reorientation Program On Hourly Rounding On The Knowledge And Prcatice Among Nurses In A Tertiary Hospital In Riyadh, Saudi Arabia

( 2021-05-13) Benson, Liza

Meaningful and compassionate engagements with patients by caregivers is a core part of nursing as it enables nurses to assess physiological and emotional well-being and intervene if and when appropriate; this would be possible through a systematic proactive way of nursing intervention i.e., hourly rounding where patients are visited hourly and regularly to assess and anticipatedly assist them on their needs. Nurses' education is essential to ensure that patient rounding is purposely understood, routinely, and properly performed. Using a quasi-experiment with pre- and post-onegroup design the study will determine the effectiveness of the reorientation program of hourly rounding on the knowledge and practices of 56 OPD nurses of SFH. In determining the level of knowledge before and after the reorientation of hourly rounding, a standard questionnaire from the research study of Lyons (2010) was modified and utilized while Studor’s Hourly Rounding Competency Skills Checklist was used to determine the nursing practice on hourly rounding. For knowledge assessment, a t-value of -7.92 with a significant p-value between the nurses’ knowledge on hourly rounding before and after the reorientation program was garnered, thus supporting that the program was effective. The nursing practice based on self–assessment had a significant average t-value of -10.472. Comparing the nurses’ extent of practices before and after the reorientation program based on the evaluator’s assessment, it revealed that there is a significant difference (t=-15.769). The relationship between knowledge and practice is inversely proportional, but it is insignificant, therefore congruent with the study done by Dowell (2015) whose findings showed a weak correlation between knowledge and practices.
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.
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.
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.
Emotional Intelligence and Psychological Well-Being Among Nurses In A Psychiatric Hospital In Kuwait

( 2021-04-12) Cabudlay, Jayson

Emotional intelligence is the ability of an individual to recognize his or her own feelings, rationalize among those feelings as well as incorporate such feelings into thinking and actions. Psychological well-being is recognized as the capability to actively participate in work and to create important relationships with others, and to establish positive emotions. In today’s practice, patients’ care is not only confined to the physical ailment but also to the psychological and emotional needs of the patients, hence, the role of emotional intelligence and psychological well-being must be taken seriously, as nurses are confronted not only by the patients’ emotions but also by their own. This study aims to gain insight into the level of emotional intelligence and psychological well-being among nurses in a psychiatric hospital in Kuwait and to determine the significant relationship between the levels of emotional intelligence, psychological well-being and the profile of mental health nurses focusing on the field of caring. Quantitative non-experimental descriptive correlational design was used, and the standardized questionnaires namely: Schutte Self-Report Emotional Test (SSRET) and Psychological Well-being Scale (PWBS) were used to gather data from 150 respondents. Results shows most of the surveyed respondents are male (58.7%), belongs to generation Y (23 – 38 years old) or the millennial age (65.3%). Mostly are married (90%), obtained a baccalaureate degree in nursing (74.7%). Majority are Indian national (66%) having 1 – 5 years of work experience (30%). Pearson Product-Moment Correlation and chi square test were used to analyze the data. The results showed a high level of emotional intelligence of mental health nurses’ and low score in almost all the subscale of PWB with a low overall mean score of 141.40 (SD = 20.80). The correlation results also showed that there is no significant positive correlation between emotional intelligence and psychological well-being. Further, the result of the chi-squared test showed that there is no statistically significant correlation between demographic profile and psychological well-being and emotional intelligence of mental health nurses in Kuwait.
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.
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.
Job Satisfaction and Motivation among Filipino Nurses in the United Arab Emirates

( 2023-10-19) Pacamana, Meridein S.

ABSTRACT The influx of Filipino nurses into the United Arab Emirates (UAE) has notably transformed the healthcare landscape, with these dedicated cadre of professionals constituting a significant portion of the nursing workforce. Filipino nurses have been a substantial and indispensable element, contributing significantly to the efficient functioning of the UAE's healthcare system. The Filipino diaspora in healthcare settings worldwide is marked by its resilience, adaptability, and unwavering dedication to patient care. These dedicated healthcare professionals contribute significantly to the country's healthcare infrastructure. However, their job satisfaction and motivation have remained relatively underexplored despite their pivotal role, creating a conspicuous void in existing research within the domain of nursing workforce management. The existing body of research on nursing in the UAE predominantly centers on clinical practices, healthcare management, and patient outcomes. However, the psychosocial dimensions of job satisfaction and motivation among Filipino nurses in this unique context have been left conspicuously understudied. This gap in the literature presents an urgent call for investigation and this conspicuous lacuna in the literature necessitates a dedicated investigation into the job satisfaction and motivation levels of Filipino nurses in the UAE. Understanding the determinants that influence job satisfaction and motivation is not only academically pertinent but also imperative for healthcare practitioners, policymakers, and administrators. By exploring the unique experiences, challenges, and factors that influence the job satisfaction and motivation of Filipino nurses, this research seeks to contribute substantially to the ongoing intellectual discourse surrounding the healthcare labor force, not only for Filipino Nursing Expatriates around the world but moreover, those who are based in the Philippines, thereby underscoring its significance to scholars, educators, students, and practitioners alike. Conducting the type of study for the first time among Kabayan Nurses in the Middle East, this quantitative research investigated the correlation of job satisfaction and motivation of 117 Filipino nursing participants employed across the seven states of the United Arab Emirates (UAE). All research participants were licensed nurses and certified members of the Philippine Nursing Association in the UAE, reflecting a homogeneous and well-defined sample. The research received full support from the Philippine Embassy in Abu Dhabi, emphasizing its significance. Data for this study were collected using structured questionnaires distributed through an online survey platform, specifically Google Forms. The study employed a descriptive correlational research design, utilizing statistical measures such as mode, percentage, and mean to provide an overview of key aspects within the collected data. Furthermore, inferential statistics, including Pearson's correlation coefficient and Chi-square analysis, were utilized to draw conclusions based on the sample data, enabling an exploration of the relationship between job satisfaction and motivation. As a result, the research yielded significant insights, as the Filipino Nurses who took part in the study exhibited positive levels of job satisfaction and motivation. Their responses underscored a consensus across various dimensions of their work environment, including aspects like salary, job security, working conditions, responsibility, cooperation, technical supervision qualities, and interpersonal relationships. Significantly, the research established a strong positive correlation between job satisfaction and motivation among Filipino nurses in the United Arab Emirates. This implies that as job satisfaction levels increase, motivation levels also tend to rise, underscoring the importance of enhancing job satisfaction to boost motivation among this demographic. This finding has profound implications for healthcare organizations and policymakers in the UAE, suggesting that improving job satisfaction can be an effective strategy for enhancing nurses' work motivation. Interestingly, the study revealed that job satisfaction and motivation remained unaffected by the demographic and professional profiles of Filipino nurses in the UAE. This highlights the complexity of these constructs, suggesting that factors beyond traditional profiling have a more significant impact on job satisfaction and motivation. This underscores the need for healthcare organizations and policymakers to adopt a broader and more comprehensive approach to address nurses' well-being and job satisfaction. This pedagogical research contributed significantly to the body of knowledge as it illuminated the relationship between job satisfaction and motivation among Filipino nurses in the UAE. The findings provided valuable insights for healthcare organizations and policymakers in the Emirates, underscoring the significance of prioritizing job satisfaction as a means to enhance nurses' motivation. As a result, it was recommended that healthcare organizations in the country should have focused on creating work environments conducive to job satisfaction. This would have included fair compensation, job security, and nurturing positive interpersonal relationships, all of which were believed to have the potential to increase motivation levels among their Filipino nursing workforces. Furthermore, this study calls for further research into the complex dynamics of job satisfaction and motivation in nursing, with the aim of offering a more comprehensive understanding of these critical factors within healthcare settings.
Nurse Competency and Caring Efficacy Among Primary Health Care Nurses of a Medical Services Department in Qatar

( 2020-06-02) Asuncion, Atenogenes Potito

Caring is the fundamental core component in the nursing profession and nurse-patient interaction. Competency is the integration of skills, values, knowledge, and attitudes to specific, contextual practice situations. In the Middle East, particularly in Qatar, the health care sector depends greatly on expatriates. The link between nurse competency and caring efficacy has not been directly investigated thoroughly in a different clinical setting. Professional nursing practice is the vital role of nurses towards patient-centered care, teamwork, and collaboration, evidence-based practice, quality improvement, safety, and informatics. Professional caring behaviors include developing good relationships with patients and other staff; working in a self-directed manner; making clinical decisions and the management of practice. This descriptive correlational research design aims to examine the relationship between nurse competency and caring efficacy among primary health care nurses. A total of 102 nurses of the medical services department from different health care facilities of the Ministry of Interior, Doha, Qatar were included in the final sample using purposive sampling. The average age of nurses was 37 years old, most were Filipino nurses, married and had a baccalaureate degree. The average of the length of nursing experience was 3 years and the mean average of the length of the nursing service was 2 years. Data were collected using Nurse Quality and Safety Inventory scale and Caring Efficacy Scale. The study showed that there was a significant relationship between nurse competency and caring efficacy. Specifically, nurse competency had a significant, positive, and direct but weak relationship to caring efficacy. Furthermore, this suggests that nurse competency increases with increasing caring efficacy. Nurse competency is a vital element in the provision of nursing care. It is a synthesis of skills, knowledge, attitudes, values, and abilities in providing safe, effective, and quality care to individuals, families, and communities. Thus, having professional nurse competency leads to professional caring behavior that directly affects safe and quality health care delivery. It also increases patient satisfaction, helps promote nursing as a profession, and improves nursing education and clinical nursing practice.
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.
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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