FMDS Theses and Dissertations
Permanent URI for this collection
Theses and dissertations by graduate students from the Faculty of Management and Development Studies.
Browse
Recent Submissions
1 - 5 of 151
-
ItemHealth Literacy and Health Promoting Behaviors Among Adults at Risk for Diabetes in A Rural Setting( 2020)Due to the lack of baseline data assessing the health literacy and health behaviors of adults in a remotely located upland barangay, which employs vigorous statistical sampling, that could support the existing relationship between health literacy and health promoting behaviors among adults at risk for diabetes, this study came into fruition. This descriptive correlational research design study generally aimed to determine the existing correlation between the health literacy and health promoting behaviors of adults at high risk for diabetes. A total of 400 adults in Barangay Vizcaya, President Roxas, Capiz, aged 18-59 years old, were included in the final sample after they were were randomly selected utilizing a proportionate stratified sampling technique by age and sex. Data were collected through face-to-face interview using the Health Literacy and Health Promoting Behavior Questionnaires. Both adults at high and low risk for diabetes were found out to have limited health literacy and negative health promoting behaviors, with disease prevention and physical activity as having the worst health literacy and health behavior subscale scores, respectively. A statistically and practically significant difference exists between the health literacy of adults with high and low risk for diabetes, but no significant difference exists between their health promoting behaviors. Furthermore, there is a moderately positive correlation between the health literacy and health promoting behaviors of adults at high risk for diabetes. Thus, healthcare workers need to focus on increasing the health literacy of adults, especially those who are at high risk for diabetes, to facilitate development of health promoting behaviors. An all population-based inclusion should still be implemented when conducting health information campaigns, so as to reach the greater percentage of the adults who have lower levels of health literacy.
-
ItemNurse-Patient Interaction and Rehospitalization Among Older Persons with Heart Failure in a Skilled Nursing Facility in New York, USA( 2020)Background: There has been a gap in the literature about the prevalence of heart failure (HF) among older adults in the skilled nursing facility (SNF). Also, the evaluation of interventions to manage symptoms of heart failure is limited. Nurses' role in the promotion, prevention, and management of heart failure is significant. The study aimed to evaluate the outcomes of a Nurse-led interdisciplinary Heart Failure Team NLI-HFTP Program (NLI-HFTP) on the nurse-patient interaction and rehospitalization rate among older adults in a SNF. Methods: This study was a post-test one-group design, descriptive, and correlational study. The three main variables were NLI-HFTP, nurse-patient interaction, and 30-day rehospitalization rate. A descriptive and correlational analysis was performed. Results: In this study, 46 participants were mostly young-old age approximately 65–74 elderly group of African American, Non-Hispanic women. Clinical characteristics of older adults with heart failure in the SNF include a primary diagnosis of heart failure which was not unspecified (70%; n=32), had a Class I Mild symptoms NYHA classification (61%; n=28), and a primary heart failure with reduced ejection fraction (46%; n=21). The associated comorbidities were hypertension (89%; n=41), coronary heart disease (72%; n=33), and arrhythmia (46%; n=21). Primarily line of treatment used includes beta-blockers and diuretics. Nurse-patient interaction median is 8.4. Based on the median score, the participants reported a high level of nurse-patient interaction based on a scale of 1-10. The participants reported that their interaction with the nurses makes them feel good. Nurses asking how they are doing made a difference in their reports of nurse-patient interaction. Also, respondents believe that their interaction with nurses is very important for them to thrive. There was a significant decrease in the 30-day rehospitalization rate among patients with heart failure in this facility after implementing the program. Correlational analyses reported a significant and a very strong association between NYHA classification and the 30-day rehospitalization. No significant association between nurse-patient interaction and 30-day rehospitalization was found in this study. Conclusion: The findings are congruent with the theoretical assumptions based on the Quality Care Model that caring relationships are linked through a professional encounter of the nurse and patient. The study reported a high level of nurse-patient interaction between the patient and the heart failure team. This encounter can make a significant difference and contribution to the health outcomes of older adults with heart failure. Furthermore, this result provided evidence that a nurse-caring model can organize patient care delivery. Also, the study showed that teamwork and collaboration among healthcare providers is a way to engage and relate to provide the best care for the patient. Finally, this study demonstrated that the NLI-HFTP is a feasible intervention that can be implemented by skilled nursing facilities that can reduce the 30-day rehospitalization rate decreasing heart failure exacerbation incidence among the older adults in the SNF.
-
ItemEffect of Educational Program on Knowledge and Attitude in Heart Failure Among Staff Nurses in a Tertiary Hospital in Makati City( 2020)Patients diagnosed with heart failure requires wide array of health needs that a nurse who exemplifies competency be able manage these patients holistically during the pursuit of care. In order to improve nursing competencies, one must initially care for oneself in order to be teachable that will reach mastery particularly in disease management and later on undergo continuous modeling through trainings and seminars, which all described in Albert Bandura’s Self-Efficacy Theory. With this, the cross-sectional, quasi experimental study was focused on measuring the knowledge and attitude of nurses caring for patients with heart failure before and after attending an educational program. With the 30 nurses who were identified from Intensive Care Unit, Medicine Ward, Geriatric Ward in Ospital ng Makati, a tertiary hospital, invitation to attend a 60-minute educational program regarding the principles of heart failure management as stipulated in nursing process, Assessment, Diagnosis, Planning, Intervention and Evaluation was undertaken. Significant improvement on scores (μ=2-3 points) in the 40-item knowledge scale was noted post-teaching phase. With p<0.05, there was a significant relation between nurses’ level of experience in the area and level of knowledge (p=0.03), as well as no. of heart failure patients cared in 4-week duration and level of attitude (p=0.004). Meanwhile, there was no significant relationship between the level of knowledge and attitude of nurses towards heart failure management (p=0.27).
-
ItemProfessional Quality of Life and Resilience Among Nurses in a Maternal and Child Hospital in Metro Manila, Philippines( 2020)International and local studies had shown prevalence of Compassion Fatigue (Burnout and Secondary Traumatic Stress), and Compassion satisfaction (Described as Professional Quality of Life) in differenthealth care setting. These are considered positive and negative effects of caring which can be experienced by nurses in their workplaces. However, there are limited data on the status of Professional Quality of life of Maternal and Child nurses in the Philippines, and the role of resilience in this population which is globally known for this attribute. This study explored the level and correlation of Professional Quality of Life and resilience of Filipino nurses assigned in maternal and child locale, which is considered as one of the busiest subspecialties. A correlation research design was chosen and two hundred fifteen (215) registered nurses were sampled using a demographic questionnaire, Resilience scale questionnaire developed by Wagnild and Young (2010) and Professional Quality of Life (ProQOL version 5) developed by Stamm (2010). Results showed that despite high resilience, and high compassion satisfaction, there is high prevalence of burnout and moderate STS in this population suggesting that these positive and negative effects of caring can co-exist. High resilience and high compassion satisfaction do not diminished Burnout but may have correlation with the level of STS. Therefore, hospitals should not only focus on building resilience alone to combat Compassion Fatigue, but also to identify the root cause of Burn-out and address accordingly.
-
ItemNursing Performance and Job Satisfaction Among Nurses in A Secondary Hospital in Riyadh, Saudi Arabia( 2020)A rapid change brought by technology and the complexity of the diseases shaped the healthcare services around the globe. At the frontlines of these changes are nurses and their required expertise and high standard of nursing performance. In the institution where the study was conducted numerous accounts were raised concerning the performances of nurses. An increased rate of safety events concerning medication error, falls rate, several pressure ulcers developed, and needle stick injuries and a significantlyhigh turnover rate among clinical nurses were recorded. This impelled the researcher to explore the relationship between nursing performance and job satisfaction among nurses in a secondary hospital in Riyadh Saudi Arabia. A descriptive correlational design was utilized in this study. The six dimensions of the nursing performance (Schwirian, 1978) and nursing workplace satisfaction tool (Fairbrother et al., 2010) was used to gather the information from n=168 respondents who completed the survey. Data analysis were conducted using SPSS, Statistical Package for the Social Sciences, version 22.0. Descriptive statistics such as percentages, frequencies, means, and standard deviations was utilized describing participants’ demographic data. Pearson-moment correlation and Chi-square were used to test the relationships between study variables. Generally, nurses in a secondary hospital in Riyadh Saudi Arabia have higher nursing performance and job satisfaction. This is evident by the high scores in each of the tested subscales of nursing performance (leadership, critical care, teaching/collaboration, interrelation/communications, planning and evaluation, and professional development) and domains of job satisfaction (intrinsic, extrinsic, and relational). The perceived relationship of nursing performance and the sociodemographic and the perceived job satisfaction and sociodemographic showedno relationship. However, sex or gender has a positive relationship with the relational factor of job satisfaction. There is evidence to conclude that there is no statistically significant correlation between overall job satisfaction and leadership (.059) p value=.445, critical care (.059) p value=.447, teaching (.044) p value= .573, planning & evaluation (070) p value= .367 and communications (.106) p value= .173 of nurses. However, there is sufficient evidence to conclude that there is a statistically significant correlation between overall job satisfaction and professional development (.208) p=.007.