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Doctoral Nursing Researches


Family Social Support, Acceptance of Diabetes and Self-care Behavior as Influences on Glycemic Control and Quality of Life Among Adults with Type 2 Diabetes Mellitus in Region 10

posted Apr 14, 2018, 4:09 PM by BND Admin

Family Social Support, Acceptance of Diabetes and Self-care Behavior as Influences on Glycemic Control and Quality of Life Among Adults with Type 2 Diabetes Mellitus in Region 10

Annie Paclar Jacalan
Silliman University

Abstract

This study sought to find out among adults with Type 2 diabetes mellitus their extent of family social support, level of acceptance of diabetes, and degree of self-care behavior and how these variables influenced their extent of glycemic control, and level of quality of life. 
Descriptive and exploratory methods of research design were employed to examine the correlations between selected pairs of variables utilizing eighty seven diabetes patients from seven cities in Region 10 as the respondents of the study.  There were four standard survey questionnaires used: the Diabetes Quality of Life (DQOL); the Diabetes Social Support Questionnaire-Family Version (DSSQ-Family); the Self Care Inventory Revised Version (SCI-R); and Ideas About Diabetes Revisited (IAD-R).
Parametric test statistics for comparisons and relationships such as t-test, analysis of variance (ANOVA), the Pearson’s product moment correlation coefficient and multiple regression analysis were employed to treat the variables.
Data analysis yielded the following conclusions: diabetic patients had a moderately good quality of life in spite of poor glycemic control; regardless of only fair family social support and self-care behavior, diabetic patients still had a moderately good quality of life; diabetic type 2 patients had a fairly good quality of life as determined by their ethnic origin and type of treatment received ; the type of treatment received had significant bearing on glycemic control and acceptance of diabetes; family social support was only fairly given to the diabetic patients so they performed self care sometimes only; and diabetic patients in certain types of occupation who were experiencing health complications and undergoing certain types of treatment  needed more family social support.  
The findings and conclusions of this study have drawn these recommendations: Implications for nursing- practice. Nurses must be able to provide nursing health education to address the basic components of self care in diabetes treatment regimen; education- the implementation of the diabetes nursing health education in the curriculum must be strictly followed by students in their related learning experience; a similar study to this present one be conducted in another setting to generate other factors that may influence the quality of life of diabetic clients.

Accreditation and its Relationship to the Performance in the Nurse Licensure Examination of Higher Education Institutions in the Philippines

posted Apr 12, 2018, 9:05 PM by BND Admin   [ updated Apr 12, 2018, 9:11 PM ]

Accreditation and its Relationship to the Performance in the Nurse Licensure Examination of Higher Education Institutions in the Philippines


Wireen Leila Tanggawohn Dator
St. Paul University Tuguegarao


 Abstract


 Background: The quality of nursing education in the Philippines was observed to be declining based on the decreasing national passing rate in the Nurse Licensure Examination. Quality assurance in the nursing programs offered by Higher Education Institutions in the Philippines is legitimately done through accreditation by government-recognized accrediting agencies.

 Objectives: This study determined the relationship between accreditation and performance in the Nurse Licensure Examination. It looked into the significant relationship between level of accreditation and performance in the Nurse Licensure Examination, and it also determined the difference between the performance in the Nurse Licensure Examination of Higher Education Institutions with accredited and non-accredited Nursing Programs 

Methods: This is a descriptive correlation study that included 174 higher educational institutions with nursing programs in the Philippines categorized from outstanding, high, average, low, and very low performing schools. Results: The results showed that Accredited Nursing Programs are located almost equally in the different regions except in Region Eight where there are not any accredited Nursing Programs. A majority of the 59 accredited Nursing Programs are level 2 and mostly accredited by the Philippine Association of Colleges and Universities Commission on Accreditation (PACUCOA). A Kendal r value of 0.314 probability level of 0.006 shows that performance in the Nurse Licensure Examination is dependent on the level of accreditation. The higher the level of accreditation, the higher is the performance in the Nurse Licensure Examination. With a Kendal r- value of 33.236 at probability level 0.001, showed that accrediting agency is independent to the performance in the Nurse Licensure Examination. Furthermore, with a Kendal value of 40.962 at probability level 0.000, it showed that performance in the Nurse Licensure Examination is significantly dependent on
 Accreditation. 

Conclusion: The quality of and excellence in Nursing Education is reflected by the performance in the Nurse Licensure Examination; therefore, with the declining national passing rate in the Nurse Licensure Examination, the quality of Nursing Education in the Philippines is declining. Accreditation should be strengthened to improve quality of nursing
education in the Philippines.


 


Also published in the International Journal of Evidence-Based Healthcare  

Transformation of Depressed Elderly Patients Towards Attaining Biological Joy

posted Apr 12, 2018, 9:03 PM by BND Admin   [ updated Apr 12, 2018, 9:13 PM ]

Transformation of Depressed Elderly Patients Towards Attaining Biological Joy 

Marylou B. Ong
Cebu Normal University



Abstract

The study determined the manifestations of depression among the elderly group according to gender category, the cause of depression among them, and the support systems provided for the elderly who were institutionalized in three homes for the aged in the year 2010. Serving as guidelines for conducting this study were the sub-problems which sought to determine the profile of the elderly who were institutionalized in three homes for the aged in terms of gender, age, civil status, educational status, and health status, the extent to which the elderly men and women manifest emotional and
physical symptoms of depression; the extent to which biological, psychological, and social factors caused
depression, among the elderly men and women; the functionality of the family, the institution, and social contacts as support systems for minimizing the adverse effects of depression among elderly men and women; the differences in the manifestation of depression, causes of depression, and support systems of minimizing depression among men and women; the extent to which biological joy was influenced by age, gender, civil status, educational status and health status; the variables that predicted biological joy, and the extent to which the elderly persons manifest biological joy.

The process involved was descriptive-correlational; two null hypotheses were formulated; that there were no significant differences between the elderly men’s and women’s manifestation of depression, cause of depression, and the support systems for minimizing depression and there was no significant influence of age , gender, civil status, educational status, and health status among the elderly.

On the profile of the elderly male gender category of the elderly is the majority; age profile ranges of 71 – 75 years; civil status; married elderly residents got the highest number; mostly elementary level in terms of educational status and 40 percent were in good health condition. On the extent of manifestation of depression both elderly men and women findings shows that they manifested emotional and physical manifestations of depression caused by biological, psychological and social factors. On the functionality of support systems family was moderately functional, institution was a
functional and social systems were less functional.

On the test of differences there were no significant differences between men’s and women’s manifestations of depression. On the factors influencing biological joy only the educational status and health status significantly influence biological joy the study presented a paradigm for the transformation of depression among the elderly into biological joy through a well-organized team.

In the light of the findings of the study, the investigator was able to formulate her theory on MBO’s Biological Joy which assumes that depression can still be transform into biological joy within the bounds of contentment, peace of mind, physiological wellness, and freedom from mental disturbance and anguish. A paradigm for transformation of depression among the elderly into biological joy be adopted for implementation in the homes for the aged.

The Lived Experience of Male Sex Workers in Negros Oriental, Philippines

posted Apr 5, 2018, 1:49 AM by BND Admin   [ updated Apr 12, 2018, 9:10 PM ]

The Lived Experience of Male Sex Workers in Negros Oriental, Philippines

Evalyn E. Abalos 
Silliman University


Abstract

This study is a descriptive phenomenological inquiry that utilized the Husserlian methodology and Colaizzi’s method of data analysis to explore and describe the lived experience of male commercial sex workers (Csws) engaged in direct sexual contact with clients and practiced unsafe sex in the province of Negros oriental, Philippines.

Seven participants, aged 18-28 years, were purposively selected to be part of the study. the unstructured in-depth interviews were guided by the main question: “Puede ko nimo istoryahan kun unsa para nimo ang kahulugan sa imong sitwasyon karon?” (“Can you please tell me the meaning of the situation in which you are in?”). Four central themes were revealed namely: struggle, realization, approval, and invulnerability.

The following implications and recommendations were made in the areas of nursing practice, education, research, and health care policy: use of tele-consultation (use of phone or text messaging) to address queries of male CSWs in a con dential manner; the creation of a multidisciplinary team composed of a nurse, doctor, spiritual adviser, social worker, and a psychologist to address their concerns; information dissemination using lea ets, brochures, and educational  lms on sexually transmitted diseases in schools; inclusion of ‘knowing persons as caring’ in the nursing undergraduate and master’s curricula and use of this study as an example in the discussion; conduct of follow- up/replication studies; use of the study in the development of a middle range-theory related to the care of Csws; and formulation of policies related to the creation of health and livelihood programs and policies on mandatory health education in private and public schools that include sex education with emphasis on safe sex practices and disease prevention.

Keywords: male sex work, commercial sex work, prostitution, male prostitution, phenomenology

(Originally published on Silliman University (SU) Journal)

Nursing Care Plan Based on Nursing Students’ Clinical Experience

posted Apr 4, 2018, 8:39 PM by BND Admin

Nursing Care Plan Based on Nursing Students’ Clinical Experience

Patalagsa, Joel Gonzales, RN, PhD

University of St. La Salle

Bacolod City, Philippines

 

Background

Clinical training is an important component in nursing education. Changes in population characteristics and health needs necessitate updating and enhancing frameworks in training nursing students. Using nursing care plan in training nursing students in assessing client’s condition or needs, formulating clinical judgment by identifying the appropriate nursing diagnosis, planning outcomes, implementing interventions, and evaluating patient’s condition based on the care plan remained an important clinical training tool.

 

Aims:

1.      Assessed nursing students understanding of the nursing process

2.      Analyzed nursing care plans formulated by nursing students

3.      Assessed difficulties in formulating nursing care plan

4.      Introduced educational enhancements to improve students’ written nursing care plan

5.      Evaluated nursing students’ application of educational enhancements

 

Methods

Descriptive analysis was used in this study

Data collection

Data analysis

One-on-one interview

Thematic analysis

Pre-intervention Nursing Care Plan

Content analysis

One-on-one interview

Thematic analysis

Post-intervention Nursing Care Plan

Content analysis

Focus group discussion

Thematic analysis

 

RESULTS

Objective 1: Students’ understanding of nursing process

·         Students were able to explain the components of nursing process based on their understanding appropriately

·         Students identified nursing process as guide in formulating plan of care for their patients

 

Objective 2: Pre-test nursing care plan content analysis

·         Content mismatches and inconsistencies were observed between

·         assessment findings and nursing diagnosis

·         assessment findings and plan

·         assessment findings and nursing interventions

Objective 3: Difficulties encountered in formulating nursing care plan

·         Matching assessment findings with nursing diagnosis

·         Matching assessment findings with care plan outcomes criteria

·         Matching assessment findings with nursing interventions

·         Most of nursing interventions identified did not match assessment findings

 

Objective 4:

 Intervention 1

·         Review of nursing process

·         Aligning subjective and objective assessment findings

·         Providing measurable description of signs and symptoms (quantitative or qualitative)

·         Appropriately identifying excesses or deficits in signs and symptoms or needs

·         Aligning care outcomes criteria with assessment findings

·         Identifying interventions that will help improve signs/symptoms or needs

 

Intervention 2

·         Introduction of modified wellness-illness continuum



 

Intervention 3

·         Introduction of integrated intervention matrix

 

RESULTS

Objective 5a: Application of educational interventions (nursing care plan content analysis)

·         Subjective and objective assessment findings were aligned using the modified wellness-illness model as guide

·         Nursing diagnosis matched with assessment findings

·         Planned outcomes were appropriately stated and aligned with assessment findings

·         Interventions were appropriate, relevant, and complete using the integrated intervention matrix as model

 

Objective 5b: Application of educational interventions as new knowledge (FGD)

·         Expressed satisfaction with the application of new knowledge

·         Demonstrated confidence in nurse-patient interaction especially when gathering information (history taking)

·         Expressed appreciation of the importance of assessment

·         New knowledge provided practical guide in formulating appropriate and workable patient-centered nursing care plan

 

Conclusion

·         The educational interventions apparently contributed in improving how nursing students approached assessment of their patients and the way they formulated their nursing care plans.

 

Recommendations

·         Clinical instructors need to consistently guide nursing students with the application and use of nursing process when writing their care plans

·         Clinical instructors need to conduct pre- and post-clinical training feedback sessions

·         Faculty lecturers and clinical instructors need to align theory with practice

 

Key words: Nursing care plan, wellness-illness continuum, assessment, intervention

Implementation of Mentorship Program in the Emergency Department

posted Apr 3, 2018, 5:50 PM by BND Admin   [ updated Apr 3, 2018, 6:51 PM ]

Implementation of Mentorship Program in the Emergency Department

Zarah Borines, DNP, RN
Touro University


Abstract

This DNP project will discuss mentorship program in the Emergency Department (ED). It was identified that transitioning registered nurses (TRNs) to the ED were having hard time coping with their new role as an emergency nurse. The purpose of the project is to help the TRNs in rapidly adjusting to their new role through a mentorship program. The mentorship program utilized Patricia Benner’s theory “The novice to expert” model. The project design was based on quality improvement which followed the focus, analyze, develop, execute, and evaluate (FADE) methodology. The goal of the project was to measure the intent to stay and the confidence levels of the TRNs through Hackman and Oldham Intent to Stay/Leave Job Diagnostic Survey. 

The effectiveness of the mentors was also measured using Mentoring Competency Assessment (MCA) tool. Wilcoxon Signed Rank Test revealed that there were no statistically significant results. However, based on the verbal and written feedback from the participants, the mentorship program created a positive impact on the performance of the TRNs. The confidence level of the TRNs has improved as well as the intent to stay. Thus, the mentorship program was a powerful tool to boost morale and lead to fortifying the nursing practice within the ED

Role of Authentic Leadership and Authentic Followership to Self-Efficacy, Work Engagement and Organizational Commitment Among Nurses

posted Mar 21, 2018, 2:49 PM by BND Admin

Role of Authentic Leadership and Authentic Followership to Self-Efficacy, Work Engagement and Organizational Commitment Among Nurses 

Lucila O. Sunga, RN. MPA. MAN., PhDN.
Tarlac State University/ Holy Angel University
 

Rationale of the Study:  Authentic leadership and authentic followership are a growing interest of study in leadership in nursing practice. . Hence this study was a response to that interest as it aimed to examine the extent of relationship between authentic leadership and authentic followership and their effect to self-efficacy, work engagement and organizational commitment of nurses. It seeks to address the gap in the extant authentic leadership literatures that arises from a failure to consider the follower’s influence in the assumed positive outcomes of authentic leadership. 

Problem Statement: 

This study was conducted to establish the relationship between authentic leadership and authentic followership, and examine their role towards self-efficacy, work engagement, and organizational commitment among nurses.  
Specifically, the study sought answers to the following research questions:
To what extent do nurse leaders perceive their authentic leadership in terms of self-awareness, internalized moral perspective, balanced processing and relational transparency?  
What is the extent of nurse leader’s authentic behaviour as perceived by their followers?
What is the extent of the relationship between nurse leaders’ authentic leadership and nurses’ authentic followership?
Do the core components of authentic leadership contribute to follower’s self –efficacy, work engagement, and organizational commitment?
Do the core components of authentic followership contribute to leaders’ self –efficacy, work engagement, and organizational commitment?

Methods: 

The study utilized a descriptive correlational research design.. The 106 nurse leaders and 397 nurse followers were consecutively sampled from different institutions in Tarlac. Participants were asked to accomplish the questionnaires on Authentic Leadership, Self-Report Authenticity Inventory, Work Self-Efficacy Scale, Utrecht Work Engagement Scale-9, and Organizational Commitment.  Data were analyzed using descriptive statistics, Pearson’s r, Multiple Regression Analysis using Statistical Program for Social Sciences (SPSS version 20) and Partial Least Square Structural Equation Modelling.  

Findings/Results:   

 Analysis of the data using Pearson r correlation with an alpha level of .05, revealed that mostly of the components of authentic leadership and authentic followership were significantly correlated and are both significant predictors to self-efficacy, work engagement, and organizational commitment of nurses. The results of Structural Equation Modelling indicates that three core components of   authentic leadership found to have significant relationship with follower’s self-efficacy:  leader’s self- awareness, leader’s balanced processing, and leader’s relational transparency. All the core components of authentic followership were found to have significant contribution on leader’s organizational commitment. Path analysis through SEM, showed that leader’s self-awareness (LSA), leader’s balance processing (LBP), and leader’s relational transparency (LRT) are the three components which has direct contribution to nurse follower’s self- efficacy, work engagement, and organizational commitment, and on the other hand, all the core components of authentic followership has a direct contribution to nurse leader’s self- efficacy, work engagement and organizational commitment  Extent of authenticity in the behavior of the nurse leaders was high in relational transparency and low at internalized moral perspectives. 

Conclusion:

The findings supported the hypothesized model of authentic leadership and followership as predictors to self-efficacy, work engagement and organizational commitment through the use of Partial Least Equation Modelling.

Recommendations:

Promotion of authentic leadership is highly suggested based on the proven significant relationship between authentic leadership and authentic followership, and its significant effect towards self-efficacy, work engagement and organizational commitment.   The statistically supported model may serve as a working model for leadership and staff development initiatives.


Keywords: Authentic Leadership, Authentic Followership, Self-Efficacy, Work Engagement, Organizational Commitment

Generation of the Late Life Success Theory

posted Mar 21, 2018, 1:12 PM by BND Admin   [ updated Mar 21, 2018, 1:14 PM ]

Generation of the Late Life Success Theory

Dr. Laurence Garcia DScN,MAN,RN
Cebu Normal University



Abstract
 
The impact of the lives of successful people is ineffaceable. Their influence is passed on from generation to generation even after their death. The way they managed to face life’s challenges serves as benchmark for people who want to approach late life the way they did. This study aims to develop a model that would guide older adults to achieving a satisfactory late life through certain accomplishments at different stages of life. A deductive approach to theory development was utilized to create a theory that would explain the occurrence of the phenomenon that was observed which is the distinct stages a person goes through prior to reaching a satisfying old age. Secondary analysis was used to analyze the data which were collected from available research studies and literatures. The generation of the theory was built on the readings and discussion about the process of growing old. Axioms were generated to be able to come up with the following propositions: People go through a process of development that highlights the different ages; success is perceived individually and is equated with development; and, interaction with individuals and the environment influence the way humans perceive the stages of life. From the propositions, it was concluded that human life is highlighted with individualized milestones considered as success achieved within specific ages, influenced by individuals and the environment, as people continuously go through the process of development

Keywords: life stages, milestones, highlights, human development, influences

Theory on Attaining Self-Actualization Among Older Adults

posted Mar 20, 2018, 4:16 PM by BND Admin   [ updated Mar 21, 2018, 1:13 PM ]

Theory on Attaining Self-Actualization Among Older Adults

Dr. Melinda C. Pausanos DScN,MAN,RN.RM.
University of Bohol, Tagbilaran City


Self-actualization involves an ongoing and evolving development of a person’s full potential. Thus,
moving towards healthy ageing is a continuous process to attain and maintain self – actualization.
Certain predictors were already assumed to have contributed to the elderly individuals’ attainment
of self – actualization. These include emotional intelligence, spirituality, and life satisfaction. To
validate the assumptions of the theory on Self-actualization on its influence on spirituality, life
–satisfaction and emotional intelligence on the attainment of self-actualization among older adults.
The study employed a descriptive – correlational research design employing a multi – stage
sampling technique. A total of 180 older adults, with ages 60 – 75 years old, participated in the
study. A 5 – part instrument package was utilized to describe the respondents’ demographic profile
and obtain measures for their emotional intelligence, spirituality, life satisfaction, and self –
actualization. Data gathered were analyzed using percentage for profiling the respondents; while
Pearson product moment of correlation and multiple regression analysis were used to determine
the relationship between variables. Results show that there most of the respondents are married,
reached elementary level of education, currently not working but with subsidy, and living with their
children. Furthermore Pearson r analysis indicated that the emotional intelligence [r(180)=.232,
p=.004], spirituality [r(180)=.295, p=.019], and life satisfaction [r(180)=.530, p=.000] of the older
adults correlate positively with self – actualization. The multiple regression analysis further
indicated that the three variables significantly predict self – actualization (p=.000). For older adults
to achieve self-actualization, they should possess high level of emotional intelligence, a stronger
sense of spirituality and better life satisfaction. The three predictors of the theory on Attaining Self-
actualization among Older Adults are thus validated.

Key terms: Older adult, family, life satisfaction, spirituality, emotional intelligence.

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