About the Conference
T
he 3rd International Conference of Nurses (ICONs) pioneered by the Cebu Normal University- College of Nursing dynamically sets the trend of strengthening the nursing research education landscape as it responds to the challenges in the 21st Century. This year’s conference promotes the ASEAN 2015 vision and the Roadmap of Philippine Higher Education to innovate/ create new knowledge and enhance research collaborations for global development. Grounded on these perspectives, the Cebu Normal University- College of Nursing in partnership with the Nightingale Student Council and the Federation of Cebu Normal University Alumni Associations, Inc, pave the way for the 3rd ICONs on the 22nd of November 2013 at Marco Polo Plaza, Lahug, Cebu City, Philippines with the theme, “Responding to the 21st Century Challenges in Nursing through Research”.
CONTENTS About the Conference Messages Governor of Cebu Province Mayor of Cebu City CHED Chairperson University President Research Director Dean Convenor Co-convenors Program Keynote Speech Plenary Speech Podium Presentations Poster Presentations Working Committees Sponsors
Republic of the Philippines Province of Cebu Office of the Governor
In behalf of the Provincial Government of Cebu I welcome the delegates to the International Conference of Nurses, hosted by the Cebu Normal University - College of Nursing.
May your theme, “Responding to the 21st Century Challenges in Nursing through Research� serve as an inspiration to all Nurses to continuously strive to advance their knowledge and skill in their line of profession. May it encourage new ideas that will allow our Nurses to reach out to more of our brethren who are in need of their care and attention, and promote the level and quality of service above and beyond the highest of standards. I hope for the success of your conference, and may you all have an enjoyable and meaningful stay in our beloved Cebu.
HILARIO P. DAVIDE III Governor
Republic of the Philippines City Mayor Office of the Mayor My warmest greetings to the Cebu Normal University—College of Nursing, the Nightingale Students Council and the Federation of Cebu Normal University Alumni Association, as you hold the International Conference of Nurses, with the Theme: “Responding to the 21st Century Challenges in Nursing through Research”. Health Care is a priority agenda for all the people and is one of the crucial components in our efforts to empower our citizenry. We find your initiative to expand your knowledge and proficiency in your chosen expertise. It has been and will likely always be the defining event that almost all the practicing nurses and those still in training look forward to every year to enrich not only clinical abilities but also more especially our social cultural ties. The Cebu Normal University College of Nursing has continued to train Nursing students and professionals and inculcate in them the value of service excellence. Again, my warmest greetings and congratulations to one and all!
MICHAEL L. RAMA Cebu City Mayor
Republic of the Philippines Office of the President Commission on Higher Education Warm greetings to the Cebu Normal University, the Nightingale Student Council, and the Federation of Cebu Normal University Alumni Association, Incorporated, as they hold The International Conference of Nurses on November 22, 2013.
Health care is an important institution in any society. The nurse is given the task of helping promote and maintain health, prevent illness and alleviate pain and suffering. Aware of its mission, the nursing profession has continued to marshall all its available resources in order to improve the people’s quality of life and thus invest in the future. For decades, the Cebu Normal University – College of Nursing has been true to its mission to provide relevant and globally competitive professional nursing education that guarantees care using knowledge and compassion. In March 2011, the BSN and MSN programs were granted Level IV accredited status by the AACCUP and on on January 28, 2009, the Commission on Higher Education declared the nursing program Center of Excellence in Nursing Education.
This year’s conference theme is “Responding to the 21st Century Challenges Through Research” which stresses the key role played by research in the discover and utilization of relevant knowledge to enable those in the profession to deal with the health care needs of the people more efficiently and with greater efficacy. This conference also seeks to promote the ASEAN 2015 vision and the Roadmap of Philippine Higher Education to innovate and create pertinent knowledge and enhance research collaboration, especially in these times of increasing globalization that has impacted various spheres of life. The Commission on Higher Education congratulates the Cebu Normal College – College of Nursing, the nursing students and alumni for spearheading an important conference envisioned to further develop the nursing profession and assist in national development. Mabuhay!
PATRICIA B. LICUANAN, Ph.D. Chairperson
Cebu Normal University Office of the President Together with the members of the CNU community, we welcome all the participants to the Third International Conference of Nurses (ICoNs) which tackles the matter of responding to the 21st century challenges in nursing through research. Being a Center of Excellence in Nursing Education in the Philippines, our College of Nursing endeavors to provide excellent instruction, research and extension services. This year’s ICoNs, an annual discussion forum, should yield dynamic and fruitful ideas on proactive response to the demands of the current century that will impact on learning and community development. Cebu Normal University remains steadfast to its task of preparing nurse practitioners and academics as valued members of society who are responsive to the development needs of the nation and the world. We look forward to a mutually beneficial conference, this year.
MARCELO T. LOPEZ, RN, EdD, DPA SUC President III
Republic of the Philippines Cebu Normal University Center for Research and Development
My warmest congratulations to the College of Nursing for continuing the culture of excellence through the ICONs 2013!
This year’s theme is a clear indication the Cebu Normal University College of Nursing is ready to face the challenges of ASEAN 2015. It is indeed inspiring to note that CNU has gone through major milestones and nursing has contributed too much on this. To the CNU CN Family, you made our university proud and blessed.
To our conference delegates, enjoy your stay in the Queen City of the South!
DAISY R. PALOMPON, RN, MAN, PhD Director, Center for Research & Development
Republic of the Philippines Cebu Normal University COLLEGE OF NURSING Center of Excellence in Nursing Education Level IV Accredited Status My warmest greetings to all the participants of this year’s International Conference of Nurses (ICoNs)!
Tracing the history of ICoNS in 2011, the Nightingale Student Council (NSC) had its vision of an international collaboration of nursing student researchers throughout the globe and it was when ICONs had its freshest beginnings. Back then, we were at starting point zero with absolutely the vaguest idea of organizing an international conference. With the support of the entire administration, nursing faculty and students, the first ever ICONs was realized which brings us to the new ICONs of today. We have reformatted ICONs to include nursing professionals in addition to the number of nursing student researchers for a bigger scope and area of knowledge in various areas and levels of research. We have taken a step higher together with our theme “Responding to the 21st Century Challenges in Nursing through Research”. Through this conference, we aim to promote the advocacy of nurses not only in the quality of care for clients but also more importantly for the advancement of nursing knowledge and practices and in addressing the current trends and challenges for the improvement of quality nursing practice that is relevant to the 21st Century nurse. If we look hard enough, it is quite evident that the success of ICoNS has been the result of how we accumulated and applied research in the nursing framework. Look at the developed nations and you will see the pervasiveness of research in almost every field of knowledge including the field of nursing. And that is what the direction we are heading to be! With this, I commend all the participants for taking step higher for building a better nursing community- one in collaboration and a leader in innovation. God bless us all! DOMINO B. PUSON, RN, MN OIC Dean, College of Nursing
Republic of the Philippines Cebu Normal University COLLEGE OF NURSING Center of Excellence in Nursing Education Level IV Accredited Status My warmest welcome to all the nurses around the globe who responded to our call to gather for the International Conference of Nurses!
In our relentless pursuit for excellence in the nursing profession, we once again convene nurse researchers to share their views on how nurses can respond to the current challenges our profession is facing. Together, we can help achieve the goal of spreading new knowledge and enhancing research collaborations for global development. In behalf of the organizers, I wish you all a fruitful experience in Cebu. Welcome to ICoNs 2013! Welcome to the Queen City of the South!
LAURENCE L. GARCIA, RN, MN Conference Convenor
Republic of the Philippines Cebu Normal University College of Nursing NIGHTINGALE STUDENT COUNCIL
Greetings to all the ICoNs participants!
Two years ago, the Nightingale Student Council (NSC) came up with a brilliant idea to organize researchers from in and out of the country and with this, the International Conference of Nursing Students (ICoNS) was born. However, we aim to expand the scope of the community of nurses here and abroad that is why we have invited nursing professionals who are also geared towards excellence in the field of research, thus the name International Conference of Nurses (ICoNs) was coined.
As a student nurse and leader, I speak in behalf of the youth and indeed I believe conferences such as these help mold us into young professionals who someday will become future innovators in the field of nursing practice, coupled with the skills that we gain through this research conference. May this event also be an opportunity for us soon-to-be young professionals to improve our knowledge, to expand our connections, and to gain insights and experience to improve in specializing Nursing care. To all the participants, let me share with you the words from Saint Augustine: “If you would attain to what you are not yet, you must always be displeased by what you are. For where you are pleased with yourself there you have remained. Keep adding, keep walking, keep advancing�.
God bless and kudos to everyone!
RAY ANNE G. LABRA Governor, Nightingale Student Council Conference Co-convenor
PROGRAMME 7:00 – 9:00 AM Registration 9:00 – 10:30 AM Doxology CNU Chorale Philippine National Anthem CNU Chorale Presentation of Delegates Mr. Laurence L. Garcia Conference Convenor Words of Welcome Commission of Higher Education Dr. Amelia A. Biglete Director, CHEd Region VII Cebu Normal University Dr. Marcelo T. Lopez SUC President III
Federation of Cebu Normal University Alumni Assoc., Inc
Dr. Recaredo O. Borgonia President
Rationale of the Conference Dr. Daisy R. Palompon Director, Center for Research and Development Introduction of the Mr. Domino B. Puson Keynote Speaker Dean, College of Nursing Keynote Speech “Having the Caring, Commitment,
Dedication, Passion and Patience for Nursing Research can Move Miami, Mountains of Improved Patient Care”
Dr. Patricia Ruth Messmer Consultant, Nursing Education and Research Miami Dade College, Florida, USA
10: 30 – 10: 50 AM Coffee Break Opening of Poster Exhibit Intermission Number Eve Karen Poblete Louise Phillina Paz
10: 50 – 11: 50 AM Plenary Session Dr. Fely Marilyn Lorenzo Member, Technical Committee in
Nursing Education, Commission on Higher Education
11: 50 – 01: 00 PM Lunch Break 01: 00 – 02: 30 PM Concurrent Podium Presentation Professional Category Concurrent Session 1 Techno-intelligent Nursing Care Concurrent Session 2 Emerging Trends in Nursing Care Concurrent Session 3 Innovations in the Nursing Academe 02 : 30 – 03: 00 PM Coffee Break 03: 00 – 04: 30 PM Concurrent Podium Presentation Student Category Concurrent Session 1 Techno-intelligent Nursing Care Concurrent Session 2 Emerging Trends in Nursing Care Concurrent Session 3 Innovations in the Nursing Academe 04: 30 – 05: 00 PM Awarding of Winners Closing Ceremony
Mr. Eric Remoroza Master of Ceremony
Session A1 (Professional Category) Techno-Intelligent Nursing Care/ Emerging Trends in Nursing Care TITLE PRESENTER 1 National Dengue Prevention and Control Program: Rochelle Heruela A Policy Impact Study Cebu Normal University
2 Foley Catheter Care Knowledge and Practice among Vincent Tabil Staff Nurses in Iligan City Mindanao State University –Iligan Institute of Technology 3 Handover as Enhancement Efforts of Patient Safety in Cecep Triwibowo Hospital Mahardika College of Health Sciences 4 Knowledge, Perception and Practices of Institutional Health Workers on Infection Control Measures in Selected Hospitals in Iligan City
5 Predictors in the Commission of Errors in the Ward among Students and Nurses of Butuan City
Vincent Tabil
Mindanao State University –Iligan Institute of Technology
Lovelyn Garcia
Cebu Normal University
6 The Health Promoting Behaviors of a Client with Severe Sheila Mae Diano Preeclampsia Cebu Normal University
7 Kolcaba’s Comfort Theory in the Care of a Patient with Vincent Pananganan Tuberculous Arthritis Cebu Normal University 8 Hand Reflexology: Effect on Level of Pain among Renante Dante Tan Postpartum Mothers Far Eastern University Session A2 (Professional Category) Emerging Trends in Nursing Care TITLE PRESENTER 1 Stress and Resilience among Family Caregivers of Mentally Jay Ablog Challenged Children Saint Louis University 2 A Teenage Father’s Journey: How One Father Deals with having his Child Legally Adopted by his Parents
Ma. Luvimae Amihan
4 Quality of Life of Children with Cerebral Palsy who use Wheelchairs in Yogyakarta
Hikmi Muharromah Pratiwi
3 Sexual Beliefs and Sexual Risks Behaviors among Masseurs and Masseuses: A Hidden Risk Group
5 Relations between Pelvic Rocking Exercise using Prenatal Ball with Duration of Second Stage Labor on Primiparous at Rumah Bersalin Rinjani Cilacap
Far Eastern University
Ronnie Gonzalve Jr.
University of San Jose-Recoletos Jenderal Soedirman University
Ima Rismawati
Cebu Normal University
6 Effect of Calf Stretching Exercise on Restless Legs Syndrome Severity Scale of Hemodialysis Patients
Anggriyana Tri Widianti
8 Perceptions On Illness Among Terminally Ill Clients In Vicente Sotto Memorial Medical Center: A Nursing Intervention
Resty Picardo
7 Talambanon Mothers’ Stand On Responsible Parenthood And Reproductive Health Law: A Phenomenology
Mahardika Cerebon Institute of Health Sciences
Resty Picardo
University of the Visayas University of the Visayas
Session A3 (Professional Category) Innovations in the Nursing Academe/Emerging Trends in Nursing Care TITLE PRESENTER 1 Voice Problems among Faculty in Cebu Institute Jessica Simporios of Technology -University Cebu Institute of Technology - University 2 Effects of Synergy among Clinical Instructors’ Competence, Jocelyn May Flor Cadena Nursing Students’ Characteristics, and the Resources on University of St. La Salle Nursing Education
3 Structured Management Framework for the Accreditation Analita Gonzales of the Nursing Program Virgen Milagrosa University Foundation 4 Analysis of the Teaching Competencies of the Clinical Instructors: Basis for In-Service Training Modules 5 Antimicrobial Assay of Gotu Kola (Centella asiatica) Leaves Ethanolic Crude Extracts
Ceryl Sagun
Centro Escolar University
Beaven Andrew Atienza
Mindanao State University –Iligan Institute of Technology
6 Participation of Chronically Ill Diabetic Patients in Caring for Cherylina Dalilis Themselves Saint Louis University 7 Created a Man, Born a Woman: The Lived Experience of Male-to-Female Transsexuals
Kathyrine Cabatingan Velez College
8 Confession of gay sex workers: A phenomenological Tonette M. Villanueva approach University of San Jose - Recoletos Session A4 (Student Category) Emerging Trends in Nursing Care TITLE PRESENTER 1 The Living Dead: A Phenomenological Study of the Lived Experience of Penile Cancer Patients who had Undergone Penectomy
Maria Regina Barrios Centro Escolar University
2 Life After a Year of Surviving Stroke: A Phenomenological Sheena Grace Diamante Inquiry University of St. La Salle
3 Formulation and Evaluation of Holy Basil (Ocimum sanctum) Kimberly Llanes as Anti-Head Lice Shampoo Bicol University Polangui Campus 4 Natural Colors as Means of Visual-Perceptual Cognition to Hazel Marie Echavez Foster Memory Retention among Selected Children Cebu Doctors’ University with Autistic Disorder in P.R.I.M.E. Center Foundation: Basis for Learning Enhancement Program 5 The Effectiveness of Watermelon Extract among Gerdine Mula Prehypertensive Middle-Aged Adults Far Eastern University 6 Hanging, Clinging, Connecting: The Lived Experience of Annaliza Macarilay Bisexual Individual with HIV Positive Centro Escolar University 7 A sibling’s voice behind the shadow of psychosis Merv Alawas Saint Louis University
8 Nonverbal Pain Assessment Tools for the Cognitively Kaybee de Ocampo Impaired: A Systematic Review Saint Louis University
Session B1 (Student Category) Techno-Intelligent Nursing Care/ Emerging Trends in Nursing Care TITLE PRESENTER 1 The Essence of Caring: Voices of Pediatric Oncology Nurses Felicidad Ann Galang Centro Escolar University 2 Expectations of Clients on Family Planning Service Delivery and Extent to which these Expectations were met in Selected Barangays in Angeles City: A Gap Analysis
Angela Panlilio
Angeles University Foundation
3 Exploring the Professional Relationship between Nurses and Carlo Tongol Physicians from the Former’s Perspective in Selected Angeles University Foundation Hospitals in Pampanga 4 Music Therapy for the Relief of Postoperative Pain Janica Esperanza Southwestern University 5 Filipino Student Nurses’ Preferences when Dealing with Medication Errors: A Conjoint Analysis
Ramon Javellana
7 Knowledge, Attitude and Use of Contraception in the Highlands: Focus on Women of Reproductive Age in Baguio City
Joshua Basibas
6 The Potential Hypnotherapy to Reduce Frequency of Enuresis in Children Preschool on Baturraden
University of Santo Tomas
Salfiyah Salfiyah
Jenderal Soedirman University Saint Louis University
Session B2 (Student Category) Emerging Trends in Nursing Care TITLE PRESENTER 1 Examining the structural relationship of chronic illness, Josette Beverly Jurado physical function, life satisfaction, and social support in University of Santo Tomas the development of depression in Filipino elderly in 2 Environmental Sanitation and the Prevalence Rate of Rey Hinunangan Dengue in Barangay Tejero Southwestern University 3 Efficacy of Guyabano Leaves Tea in Lowering Derome Antido Blood Pressure Far Eastern University
4 Red Cross Volunteer Nurses’ Experiences in Caring for Charmaine Chel Barongan Dying Patients Virgen Milagrosa University Foundation 5 Effect of Sweet Potato (Ipomoea Batatas) in Lowering Blood Glucose Level among Type II Diabetic Patients
Princess Abegail Surio
7 Ditch That Itch: The Effectiveness of Onion Skin and Madre de Cacao Decoctions against Scabies
Kara Belarmino
6 Effectiveness of Custard Apple (Annona squamosa) Seed Extract in Treating Pediculous Capitis
Saint Louis University
Jellemer Benitez
Cebu Normal University Cebu Normal University
Session B3 (Student Category) Innovations in the Nursing Academe TITLE PRESENTER 1 The Comparative Study of Delivery Room Related Learning Experiences of Student Nurses
Kristine Joy Pacete
3 A Conjoint Analysis on the Career Path Preferences of a Select Group of Filipino Nursing Students
Jillan Lorraine Jugo
University of St. La Salle
2 Nurse Educator’s Affective Teaching Strategies Kimberlyn Salazar Lyceum of the Philippines University – Batangas 4 Explicating Filipino Nursing Students’ Preferences of Clinical Learning Experience Delivery Structure: A Conjoint Analysis
University of Santo Tomas
Mary Joyce Junio
University of Santo Tomas
5 A Journey Towards Better Adaptation: Perceived Social Jamssen Dee Lumanta Self-Efficacy and Academic Performance of Far Eastern University International Student Nurses 6 Computer Gaming and its Implications on Academic Ronnel Villaflor Performance on Nursing Students Cebu Normal University
7 Orientation Learning Needs of Student Nurses in the Princess Dianne Rabino Clinical Placement Saint Louis University Session B4 (Student Category) Emerging Trends in Nursing Care TITLE PRESENTER 1 A Structural Equation on the Factors Affecting Intolerance of Uncertainty and Worry among a Select Group of Filipino Elderly
2 “It Took the Life I Gave”: The Lived Experience of Mothers who have Lost a Child to Dengue Fever
Rose Ann Lacao
University of Santo Tomas
Elizabeth Alyanna Wagas Veleze College
3 Cardiac Standstill and Patient Demise: Lived Experience of Vizmarc Santos ER Nurses Bicol University Polangui Campus 4 Raising a Child with Attention Deficit Hyperactivity Diana Louise Agustin Disorder: A Mother’s Perspective Far Eastern University
5 Present Behavior of Young Adults vis-à-vis the Use of Patricia Joy Martinez Corporal Punishment: Connecting the Past and the Cebu Normal University Present 6 Lived Experiences of Abused Cebuano Elderly: Deanne Miles Requina The Untold Story Cebu Normal University
7 “Oileifera: Dolor No More” Effectivity of Malunggay (Moringa Axl Rose Arnejo oleifera) Seeds Oil Extract Topical Application as Cebu Normal University Palliative Therapy for Arthritic Pain
KEYNOTE SPEECH Having the Caring, Commitment, Dedication, Passion and Patience for Nursing Research can Move Mountains of Improved Patient Care Dr. Patricia Ruth Messmer
Consultant, Nursing Education and Research Miami Dade College, Miami, Florida, USA
T
his presentation will focus on how nursing research studies can influence patient care and how a nurse researcher building on the findings of previous studies can address the questions and problems that arise from the clinical or academic setting. The goal of Nursing Research is to improve nursing practice and/ or nursing education. This can be achieved by providing a scientific and ethical basis for practice and education. The gaps in knowledge and the challenges confronted by a nursing research team conducting nursing research studies in both the clinical and academic setting will be discussed. Case studies from the clinical and academic setting will be presented.
PLENARY SPEECH Alitio. Itaectotatem audaepel id eatesto discimp elitiatus, omnimus acima simi, ipsum eriosandi dolores equaeceptat volor sinctius doloraeris et Dr. Fely Marilyn Lorenzo
Member, Technical Committee in Nursing Education Commission on Higher Education
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PODIUM presentation PROFESSIONAL CATEGORY
Techno-Intelligent Nursing Care
National Dengue Prevention and Control Program: A Policy Impact Study Rochelle Huruela
Cebu Normal University
The evaluation study determined the impact of National Dengue Prevention and Control Program in Cebu City from AY 1993 to 2010. Data collected in interviews on the current practices of the residents and barangays health worker in response to the program implementation, the current status of services provided for dengue, the identified gaps of the program and data gathered on dengue cases from the Region VII, Department of Health and Cebu City Health Department were submitted for analysis. Significant difference on dengue cases in terms of morbidity and mortality rates five years prior and five years during the implementation of the program was computed utilizing Paired T-test at 0.05 level of significance, using minitab software. Lack of supplies, funding, human resource and weak cooperation of the residents affected the current practices in reducing the risks and incidence of dengue and in detecting and containing the epidemics. Treated mosquitoe nets and larvicides are lacking. Trained health workers are not enough to conduct epidemiological and entomological investigations. Services provided for dengue in terms of laboratory and hospital facilities need increased capability to accommodate all the dengue patients. Lack of manpower resources, need for training of health personnel, need for the residents to develop a health seeking behavior, weak surveillance system, and a need for the improvement of the dengue contingency plan confirmed the gaps of the program. There is significant increase in dengue morbidity and mortality rates during program implementation. The National Dengue Prevention and Control Program in Cebu City have not attained its goals.
Foley Catheter Care Knowledge and Practice among Staff Nurses in Iligan City
Vincent G. Tabil, RN, MAN, Kevin Bryan M. Dy, RN, Sheena Mae B. Prete, RN Yvette Kimberly G. Suan, RN, Gloria Shiela E. Coyoca, RN, MAN, Beaven Andrew Atienza, RN, MAN Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines
About 40% of all hospital-acquired infections are associated to the use of Foley catheter which constitutes a high incidence of catheter-associated urinary tract infections (CAUTI). To reduce the risk of the said nosocomial infection, clients with Foley catheters require regular catheter care by the nurses. Performing such procedure should be provided by nurses who are equipped with the adequate knowledge and skills. This study evaluated the level of knowledge and practice of the nurses in performing Foley catheter care. These variables were correlated to the respondents’ age, gender, type of institution, years of service, assigned area, and shift. This study used the descriptive-correlational research design using self-structured questionnaires which was validated through Cronbach’s alpha (α= 0.937 and α=0.968) suggesting that the items have relatively high internal consistency. Seventy three staff nurses and 104 patients in both private and public hospitals in Iligan City were selected through purposive sampling technique. Data generated by the questionnaires were analyzed using weighted mean, percentage, frequency distribution, Chi square, and Pearson R. Findings of this study include; Demographic profile (respondents’ age, gender, type of institution, years of service, assigned area, and shift doesn’t affect their Knowledge on Foley Catheter care, however, assigned area has bearing on the respondent’s practice of Foley Catheter care. In addition, Knowledge doesn’t have an effect on the Practice of Foley Catheter care. In conclusion, nurses do have excellent knowledge, but have poor practice in implementing Foley catheter care. The result of this study will serve as a hallmark in providing awareness on Foley catheter care as an unattended nursing procedure and will encourage the development of programs and interventions to promote better practice. Keywords: Assigned area, Foley Catheter Care, Knowledge, Nosocomial Infection, Practice
Handover as Enhancement Efforts of Patient Safety in Hospital Cecep Triwibowo, Sulhah Yuliawati, Nur Amri Husna
Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines
The primary cause of adverse event and the incidence of injury almost (near miss) in the hospital is inaccurate information. To prevent it is necessary to accurate information about the state of the patient at every shift change by nurses (handover). The aimed of this study was to determine the relationship of the handover implementation and patient safety. This study used quantitative and qualitative studies. Sample size in this study are 62 nurses in inpatient rooms pulmonary hospital West Java Province Indonesia with the technique of total sampling. Collecting data used questionnaires and in-depth interviews. In the quantitative study, data analysis used chi square test and spearmen rho. In the qualitative study, used interactive of analysis of model to data analysis. In the quantitative study of the results obtained 46.8% of nurses implemented handover properly and 51.6% categorized as good patient safety, with the p value of 0.04 (α = 0.05) and correlation coefficient obtained is 0.267, which means the better of implementation handover, the higher of the patient safety. In the qualitative study of the results obtained majority of nurses not yet implemented handover very well although patient safety become a priority in nursing care. The conclusion of this study is handover can improve patient safety in hospitals. Keywords: Handover, Patient Safety, Nurse
PODIUM presentation PROFESSIONAL CATEGORY
Techno-Intelligent Nursing Care
Knowledge, Perception and Practices of Institutional Health Workers on Infection Control Measures in Selected Hospitals in Iligan City
Vincent G. Tabil, Mary Gold D. Elevera, RN, Rhea Vanissa M.Tibor, RN, Michael Jade L. Tibor, RN, Gloria Shiela E. Coyoca, RN, MAN, Charles Bien L.Nebres, RN, MAN Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines
Institutional Workers (IW) locally, are a key part of the Health care team. As part of the health care team, they should adhere to the imposed infection control measures. These measures are a key component in any hospital setting and noncompliance to it may lead to disastrous consequences. This study assessed Institutional Workers perception, knowledge and practice of infection control measures. Moreover, this study evaluated relationships between the respondents’ demographic profile (age, gender, educational status, religion, and civil status), work related factors (type of hospitals, assigned area, duty shift, length of service, and availability of resources) to the aforementioned variables. Descriptive-Correlational Research Design was utilized. Self – structured questionnaires were given to 10 respondents for pilot study. Validated questionnaires were then distributed to 64 respondents selected through random sampling. The data gathered were analyzed using Descriptive Analysis and Pearson Correlation Coefficient. Results showed that 25% of the population belongs to 36 – 43 years old age, 74% are married, 50% are high school graduates, 72% are working in private hospitals, and 31.3% of the total population has worked in their respective hospitals for only a year and below. Sixty two respondents reported that gloves and masks are more readily available than any other infection control resources. Sixty percent of the population has received the Hepatitis B vaccination. In general, only the type of hospital and resources (gloves and masks) had been found out to affect infection control measure practice. In addition, significant relationship has been found out between respondents’ perception and knowledge to their practice of infection control measures. Hence, it is essential to conduct programs that enhance the perception and knowledge of the institutional health workers to further improve their practice of infection control measures Keywords: Infection Control Measures, Institutional Workers, Knowledge, Perception, Practice
Predictors in the Commission of Errors in the Ward among Students and Nurses of Butuan City Lovelyn Garcia MAN,RN Cebu Normal University
The study sought to determine the predictors in the commission of errors in the ward among students and nurses of Butuan City. It used the descriptive-correlational research design. The student respondents were selected through the non-probability sampling design employing the convenience sampling while complete enumeration was utilized in the selection of clinical instructors and staff nurses. The findings revealed that the respondents often have the sufficient knowledge, demonstrated skills and manifested favorable attitudes that are important in the application of nursing procedures so that errors in the ward be less committed. The respondents often demonstrated the necessary skills in the performance of the administration of procedures but always provided with the necessary provisions during the nursing rounds. It also revealed a significant relationship between the commission of errors and the identified predictors of knowledge, skills, and attitude. The results further show that there was a significant difference in the ratings of the respondents in terms of admission procedures due to their different levels of education, experience and expectations. There was no significant difference in the ratings of the respondents in terms of routinary procedures since the respondents were used to the details of performing the different procedures. Therefore the more the students and nurses have the sufficient knowledge and mastery of skills and at the same time have the favorable attitudes in the performance of the admission and the routinary procedures in the ward, the less likely the commission of errors will occur.
PODIUM presentation PROFESSIONAL CATEGORY
Emerging Trends Nursing Care
Stress and Resilience among Family Caregivers of Mentally Challenged Children
Ablog, Jay A. BSN-RN, MN, Balisalisa, Mark B., Catugas, Jerico Myco B., Langato, Neil O., Pastor, Cris Dominic A., Romero, Shaun Michael S., Balagso, Crecia Joyce S., Botengan, Joan D., Dumawat, Jayne B., Nacatab, Camille Brooklyn S., Stanley, Bren T., Tavas, Samantha Claire V. Saint Louis University-School of Nursing-Baguio City
Caring for mentally challenged children is a challenging role. To date, little research has examined the level and relationship of stress and resilience among family caregivers of children with Autism Spectrum Disorder (ASD) and Down’s syndrome (DS). There is dearth of literature on this topic here in our locale and the number of children diagnosed with ASD and DS is increasing. There are also conflicting and mixed findings as to the effect of ASD and DS on the overall family functioning. The aim of this study is to determine the level of stress and resilience of family caregivers of children with ASD and DS and to find out if these are affected by the relationship to the child, duration, nature of caregiving, and diagnosis. It also explored the link between stress and resilience in a sample of 218 family caregivers of children between the ages of 6 and 12. Respondents were gathered in different SPED schools in Baguio City; La Trinidad, Benguet; Dagupan City, Pangasinan, La Union; Cauayan City, and Metro Manila. The Modified Parenting Stress Index-Short Form (MPSI-SF) and Modified Family Resilience Assesment Scale (MFRAS) were used as tools. A quantitative correlational design was utilized. Descriptive and Inferential statistics were used to treat the data. A significant number of family caregivers are suffering from moderate to high level of stress. Majority of the family caregivers have high level of resilience. The stress level is not affected by the relationship to the child, nature of caregiving, duration of care giving, and diagnosis of the child. Level of resilience is not affected by the relationship and child’s diagnosis however duration and nature of caregiving affect the level of resilience. The relationship between stress and resilience is not significant. Furthermore there is almost negligible to slight negative correlation between stress and resilience. This study concludes that the level of stress and resilience among family caregivers of children with ASD and DS varies. Filipino family caregivers are highly resilient. An almost negligible to slight correlation may signify the presence of other variables that may be correlated to either resilience or stress. Family caregivers possess a high degree of resilience which slightly affects the level of stress. It is not the sole protective factor in preventing stress among family caregivers. The level of stress is influenced by other factors.The study recommends psychosocial screening to families in the community with children with ASD and DS as well as provision of interventions that will target healthy family functioning. Health care workers should focus on designing health promotion activities that would enhance family caregivers’ abilities to readjust coping strategies as well as initiate interventions that would promote stress management, stress reduction, and enhancement of key processes of family resilience. The formation of an institutional mental health program or facility that would cater to these family caregivers is also important. The researchers also recommend to explore other variables and to focus on other children with chronic disabilities. Keywords: Stress, Resilience, Mentally Challenged Children, Family Caregiver, Autism Spectrum Disorder, Down’s syndrome
A Teenage Father’s Journey: How One Father Deals with having his Child Legally Adopted by his Parents
Alamani, Jollybenson A., Alberto, Jamela Mer D., Alcantara, Jaycel M., Alfonso, Lester E., Amihan, Ma.Luvimae N., Bernardo, Naomi F., Busog, Rica Daniece M., Cabezon, Ruby Ira Gene C., Cadsawan, Mei Jellyn R., Cahucom, Romina Anna J., Calangi, Camille B., Carmona, Hanz Deihl B. Far Eastern University
Several studies have been conducted regarding teenage pregnancy. It primarily emphasizes on pregnant women, teenage mothers and their children thus giving least importance to adolescent fathers. As a result, they are being ignored and disregarded. With the father being overlooked, one cannot entirely understand their sentiments concerning the situation. To delve into the experiences occurring in a teenage father whose child acknowledges him as his brother, to provide a more comprehensive analysis of a situation which may uncover interesting information about the situation and to help teenage fathers express their feelings. The researchers used semi-structured interview to assess the insights of the participant. A video and a voice recorder were used in order to document the whole process of interview. The participant was purposively selected but it eventually became snowball sampling. The researchers applied investigative triangulation. They used multiple sources in transcribing the recorded conversation. Afterwards, the researchers analyzed the data using the Giorgi’s method and started grouping the data into themes and categories. In this study, there were themes and categories that were developed. The experiences were relationship to others judgment and reaction of the community paternal dysfunction. The insights were attitudes concerning parental decision, concealed emotions, future plans, and hindrances. The coping were coping strategies, presence of the new family, realizations about his past actions, and effects on education.
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Emerging Trends Nursing Care
Sexual Beliefs and Sexual Risks Behaviors among Masseurs and Masseuses: A Hidden Risk Group Ronnie B. Gonzalve Jr.
University of San Jose-Recoletos, Philippines
The influx of tourism in the Philippines, influence the mushrooming of Massage parlors, who serves as an indirect avenue for sexual services. It breeds a neglected subgroup with alarming health risk conditions. I investigated the sexual beliefs and risks behaviors among masseurs and masseuse in Cebu, City. This study anchored on Kegels’s Health Belief Model, utilized Descriptive-correlational design wherein 34 respondents were purposively taken. Data were analyzed using: Simple percentage, Weighted mean, Chi-square, and Pearson-R. Most of them were: (a) 20 to 30 years old; (b) female; (c) high school level; (d) single; (e) work for 5 years and above; and (f) full time worker. Sexual beliefs were: autoeroticism (2.51) and perceived massage as commercial sex (2.88). Sexual risk behaviors observed: sexual activity (2.31), and nature & pattern of sexual negotiation (2.67). Sexual risk profile includes: (a)1-5 clients, (b) money as mode of payment, and (c) negative sexually transmitted infections (STI) claims. Furthermore, a positive relationship between; (a) homosexuality vis-à-vis with educational attainment, and work experience, as well as (b) sexual beliefs and risk behaviors. They are aware of STI yet persistently demonstrated discrepant behaviors. A health risk prevention program was formulated to intervene on this endearing need.
Quality of Life of Children with Cerebral Palsy Who Use Wheelchairs in Yogyakarta Hikmi Muharromah Pratiwi, Sri Hartini, Elsi Dwi Hapsari
Nursing Departement, Faculty of Medicine and Health Sciences, Jenderal Soedirman University
Cerebral palsy causes activity limitations and has impacts on the child’s quality of life. There were many interventions that could be given to improve the quality of life of children with cerebral palsy, one of them was assistive devices such as wheelchairs. This research aimed to describe quality of life of children with cerebral palsy who use wheelchairs in the Yogyakarta. This research was a descriptive study with using cross sectional design. It was conducted on 24th November to 29th December 2010 to 37 parents or relatives of children with cerebral palsy aged 3-18 years old by accidental sampling. Children’s quality of life was assessed for each the difficulties level of 7 subscales such as daily activities, school activities, movement and balance, pain and hurt, fatigue, feeding activity, speech and communication by parent reports version of PEDSQL-CP Module Version 3.0 questionnaire for 2-4 years old, 5-7 years old, 8-12 years old and 13-18 yeas old. The difficulties in pain and fatigue subscale had lower score than other 5 subscales. Whereas, the difficulties in daily activities subscale had the highest score of all quality of life subscales. Based on the use of therapy or not, there were significant differences in quality of life in the movement and balance subscale (p=0.043) and daily activities subscale (p=0.042). Based on diagnosed time of cerebral palsy, there was a significant difference in quality of life in daily activities subscale (p=0.012). The lowest quality of life of children with cerebral palsy was found in daily activities subscale and the highest quality of life of children with cerebral palsy was found in the pain and fatigue subscale.
Relations between Pelvic Rocking Exercise using Prenatal Ball with Duration of Second Stage Labor on Primiparous at Rumah Bersalin Rinjani Cilacap Ima Rismawati, Wahyu Ikka Setyarini, Dian Ramawati Jenderal Soedirman University
Prolonged labor cause serious complications for the mother and fetus, because of the disruption of uterine contractions, fetal malposition, macrosomia, CPD, and perineal tears. Pelvic Rocking Exercise (PRE) with prenatal ball helps fetal head station, changing fetal head position to occipitoanterior, strengthening abdominal and pelvic muscle. Exercises on primiparous make the vagina and perineum relax. To determine the relations between PRE using prenatal ball with duration of second stage labor Observational analytical with cohort prospective. Study participants were 42 primiparous with ≥36 weeks’ gestation. Twenty one primiparous were included to the intervention group (PRE using prenatal ball at least 30 minutes, twice a day), and 21 to the control group (no PRE using prenatal ball). Sampling using a total sampling. Bivariate analysis using Chi-Square test. Duration of second stage labor on primiparous: 18 (85,7%) in the intervention group had a shorter second stage labor than 10 (47,6%) in the control group. The average length of second stage labor who do PRE with prenatal ball was 43 minutes. Chi-Square test results between PRE with prenatal ball and duration of second stage labor showed p=0,02<α=0,05 (RR=1,8, 95% CI 1,112-2,913. r=0,375). Pelvic Rocking Exercise (PRE) with prenatal ball from 36 weeks’ gestation to the onset of labor had significant relations with the duration of second stage labor. Keywords: Pelvic rocking exercise, fetal head station, duration of second stage labor
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Emerging Trends Nursing Care
Effect of Calf Stretching Exercise on Restless Legs Syndrome Severity Scale of Hemodialysis Patients Anggriyana Tri Widianti , Eko Winarto , Sobihin Mahardika Cirebon Institute of Health Science
The complication of hemodialysis is restless legs syndrome (RLS) and make worse hemodialysis patient’s condition. Primary treatment for RLS is farmacological, but is not effective for RLS. A physical optimalization of hemodialysis patients is calf stretching exercises effective for treat neurological disorders such as restless legs syndrome. The study used pre-experimental design with pre-post test without control group design. The concecutive sampling technique was employed in this study with 20 hemodialysis patiens in Hemodialysis Unit Banyumas Hospital. Data was collected by observation sheet. The instrument on this study to measure the restless legs syndrome severity scale is Restless Legs Syndrome Rating Scale. Before intervention, patients were measured the restless legs syndrome severity scale. Then patients did the calf stretching exercise for 30 seconds. After 14 days of treatment, measured RLS severity scale. Statistical analyze use the Wilcoxon statistical test .The result of this study showed average respondent have age 46,15 years, young age 27 years and old 62 years. Men 55% and women 45%. Respondents has no the family history genetic of RLS 85%. The ureum average 96,05 mg/dL. The - hemoglobin average 8,9 mg%. The average of restless legs syndrome severity scale pre test 17,65 and post test average 16,50. The result of statistic test with Wilcoxon was got p value=0,02 and α=0,05 and the decrease average of restless legs syndrome severity scale are 1,15. There was significant in effect of calf stretching exercise on restless legs syndrome severity scale of hemodialisys patient’s in unit hemodialisys of RSUD Banyumas. Keywords: Hemodialysis, Calf stretching exercise, Restless legs syndrome,
Confession of gay sex workers: A phenomenological approach Tonette M. Villanueva, Brian A. Vasquez, Bienvenida S. Samson University of San Jose - Recoletos
Although claimed to have dominion in religious conviction, Cebu City boarded prostitution. Tagged as the eight fastest growing City in Asia, prostitution might discreetly upsurge tourism. The increase of foreign visitors lead to the growing number of HIV/AIDS cases in the city, which placed second to Metro Manila. A number of studies had covered male and female sex workers, but none to few engaged in exploring the phenomenon among gay prostitutes. This study explored the lived experiences of Gay Professional Prostitutes (GPP) of the red light districts of Cebu City. Utilizing Heideggerian phenomenology, 8 informants were purposively chosen. Data were analyzed using interpretative phenomenological analysis (IPA). GPPs age ranged from 14 to 45 years old. Services are an amalgamation of nonsexual to sexual forms. Patrons were: (1)18-60 y.o (2) locals and foreign; and (3) meager to opulent. The emerging themes identified are: pleasure, danger, friendship and companionship, peer pressure, discrimination, poverty, stealing, deception, an alternative choice, mixed emotions, satisfaction, competition, and bloated self esteem. These groups are vulnerable to STIs albeit their awareness of the possibility of acquiring them. Call for regulation and suggestion for policy making is inevitable. This paper arrived in drafting a care plan for nursing decision and action.
Talambanon Mothers’ Stand On Responsible Parenthood And Reproductive Health Law: A Phenomenology Resty L. Picardo, Ma. Carmila I. Rama, Michelle Bathan-Yu University of the Visayas
The study made use of Husserlian transcendental (descriptive) qualitative design to determine Talambanon mothers’ perceptions about the Responsible Parenthood and Reproductive Health Law. The research was conducted in Cebu City particularly in Cebu North, Barangay Talamban. The study gathered information from eight (8) purposively chosen Talambanon mothers that purely lived in Cebu City for the last six to ten years representing different sectors who are college graduates, high school graduates, and those who are into different church organizations. A semi-structured interview was used to gather data. All information that was gathered from the informants was recorded. In order to analyze the data in this study, Colaizzi’s methodological approach to phenomenological inquiry was used. After finalizing and transcribing the data gathered from the informants, the researchers deleted or destroyed all the recordings. Based on the interviews of the informants the following themes on the Responsible Parenthood and Reproductive Health Law were derived: pros and cons of Responsible Parenthood and Reproductive Health Law which talks about the Responsible Parenthood and Reproductive Health Law: A Positive Thing and Responsible Parenthood and Reproductive Health Law: A Negative Thing. Other themes of the study include Responsible Parenthood and Reproductive Health Law being a population regulator, a forerunner of birth control methods and as a birth spacer. Sub-themes were also identified such as the Responsible Parenthood and Reproductive Health Law a promoter of artificial birth control and a birth spacer. Other themes of the study included the following: Responsible Parenthood and Reproductive Health Law a solution to unwanted pregnancy and abortion, against the divine law, and a solution to poverty. Based on the findings of the study it is concluded that perceptions of individuals really vary from one another. Culture and religion play a pivotal role in a person’s perception. Keywords: Husserlian transcendental (descriptive) qualitative design; Talambanon mothers, Responsible Parenthood and Reproductive Health Law
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Emerging Trends Nursing Care
Perceptions On Illness Among Terminally Ill Clients In Vicente Sotto Memorial Medical Center: A Nursing Intervention Resty L. Picardo, Evelyn Base University of the Visayas
The study utilized a correlational design. It was conducted in the Hemodialysis Center and Cancer Center of Vicente Sotto Memorial Medical Center. A total of 40 terminally ill clients were the respondents of the study selected through a purposive sampling. The data from a paper and pen questionnaire were statistically treated using the simple percentage, chi-square, and Cramer’s V. Demographic profile and the perceptions of the terminally ill clients towards their illness were correlated. The study revealed that majority of the respondents were in the middle and older adulthood mostly female and have finished the elementary level. Majority of the respondents’ source of income are from being agriculture, animal husbandry, forestry worker and fisherman. Majority of the respondents were interpreted as partially positive. This means that the respondents were hopeful that things may improve though it will never be the same as it was before. On the other hand, only one of the respondents perceived it as negative while another one also viewed it as positive. Generally the patients have positive perception about their illness which implies that despite the terminal experienced by the respondents, they are still positive about their perceptions on their illness. The younger patients are more positive than the older ones on feeling that they are the same person as they were before their illness and on feeling that their illness experience has made them a better or stronger person. All the other areas of concerned reveal that whether young or old there is no difference. Gender reveals no bearing on being negative or positive about being terminally ill. Patients with less educational attainment are more positive about their illness. The service worker, shop and market sales worker have more positive outlook on their illness over the other types of occupation. Terminally ill patients who have been suffering for over 60 months feel more positive about their illness compared to those with shorter experience. Patients with medical diagnosis of colon cancer reveal more positive perceptions as compared to all the other terminal illness cases..The partially positive perceptions among terminally ill clients which emerged in the study strongly affirms the Symbolic Interactionism Theory. The profiles among these terminally ill clients had greatly affect their perception on illness. Keywords: Perception; Terminal illness; Cancer; End stage renal disease; Terminally Ill Clients; Symbolic Interactionism Theory; Constructed Meaning Scale; and Measuring Adaptation to Serious Illness.
The Health Promoting Behaviors of a Client with Severe Preeclampsia Sheila Mae Diano
Cebu Normal University
Prevention is better than cure, thus, health promotion is valued much. And since, nurses are always interacting with clients one could do more by using their caring touch, and health teachings whether in clinical & community health care settings. This study aimed to utilize Nola J. Pender’s Health Promotion Model of Nursing Practice in the care of a client with severe preeclampsia. It utilized the qualitative research method through a case study. This study was conducted at Ward I (Obstetrics Ward) of Vicente Sotto Memorial Medical Center (VSMMC) in Cebu City. The data collection methods that were used in this study were interview and providing care for the client while observing for her responses, as supported by the client’s records and charts. The data gathering tools that were utilized were the researcher-made nursing assessment –Health Promotion Model Approach, health history and physical assessment guide utilizing Gordon’s functional health pattern assessment were integrated as part of the researcher-made nursing assessment tool. The researcher’s intensive clinical practicum consisted of a five-day clinical exposure rendering a total of 50 hours. The assessment revealed that the client possessed behaviors that went against the principles of Pender’s Health Promotion Model, particularly within the biological aspects. With this study, her previous beliefs and practices were put to test and then, numerous misconceptions were corrected and properly addressed. Based on the in-depth study, the researcher concluded that Nola J. Pender’s theory in Health Promotion is highly useful in the care of a client with severe preeclampsia. The application of Pender’s theory on Health Promotion guided the researcher to develop and implement nursing care plans to improve the client’s behavior towards her health.
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Emerging Trends Nursing Care
Kolcabas Comfort Theory in the care of a patient with Tuberculous Arthritis Vincent Pananganan Cebu Normal University
All human beings have the basic aspiration for comfort. Comfort has been an integral need of human life and is challenged during the illness state of an individual. It has been observed that patients who are in a state of comfort recover well from illness and disease as compared to those who are not. This study aimed to utilize Kolcaba’s Theory of Comfort in the care of a patient with Tuberculous Arthritis with the aim of assessing the comfort needs created by the effects of the disease and provision of necessary comfort measures. When comfort of the patients is achieved, the patient would attain health seeking behaviours that would lead to recovery from the disease. This study utilized the case study approach and was conducted in Vicente Sotto Memorial Medical Center. The researcher utilized both subjective and objective observation with Gordon‘s functional health assessment as a tool in identifying the comfort needs of the client. The study revealed that a child with tuberculous arthritis has several comfort needs. The provision of age-appropriate comfort measures enhanced the patients’ health seeking behaviours. This results in an increased participation of the patient to the plan of care and made the patient ready for health related learning.
Hand Reflexology: Effect on level of pain among postpartum mothers Renante Dante Tan Far Eastern University
In every 10 seconds, there is a woman who is giving birth around the globe and what binds them is the pain that goes through with the birthing process. This study makes use of an experimental pretest and posttest control group design with a qualitative data on the experience of pain obtained through interview as a means to triangulate quantitative result. Respondents were randomly selected wherein experimental groups (n=10) received a 10 minute hand reflexology massage while the control group (n=10) received no intervention. Pain level was measured using a numeric pain scale rating. Hand Reflexology decreases pain (2.9 mean difference) significantly in the experimental group (df= 9; p-value of .0000893 at 0.05 level of significance) as compared to those control group whose pain level decreases only by 0.5 (df = 9; p-value of 0.21 @ 0.05 level of significance). No significant difference was also noted on the demographic profile in terms of age (p-value of 0.304902), parity (0.361310), income (0.653095), and work status (0.605577) between the experimental and control group. Qualitatively, a linear transition emerges as themes from experiencing discomfort to comfort. There is an empirical evidence to show that ten (10) minute hand reflexology massage is effective in reducing postpartum pain. Variability of the respondents profile was controlled thus reducing extraneous variables to affect study result. Qualitatively, respondents are satisfied with hand reflexology as an intervention . Keywords: Level of Pain, Hand Reflexology, Postpartum Mothers, Birthing process, Massage
Created a Man, Born a Woman: The Lived Experience of Male-to-Female Transsexuals Kathyrine G. Cabatingan, RN, MN, Dana Angela L. Vicente, Lordelynn Kaye C. De Asis, Keeshia Rose A. Gillana, Ralph Anthony Y. Ventura Velez College
Transsexualism is a condition in which a person’s gender identity – the sense of being a man or a woman – contradicts their bodily sex characteristics. In the Philippines, being a transsexual is mostly regarded as a taboo. There are anecdotal reports that many of these individuals are experiencing prejudice, discrimination and marginalization. This study explored the lived experience of male-to-female (MTF) transsexuals as they underwent sex reassignment surgery (SRS) or popularly called, “sex change”. Martin Heidegger’s philosophy in hermeneutic (interpretive) phenomenology was utilized in elucidating the phenomenon. Individual unstructured interviews with a snowball sample of four (4) informants started with the grand tour question: “Take me to the time when you felt the need to have a sex change”. Interviews were audiotape recorded, transcribed and were analyzed guided by Max Van Manen’s four lifeworlds. After a series of reflections and interpretations, four (4) major themes emerged. The desire of the informants (1) “On Becoming a Perfect Woman” was based on their past experiences demonstrating (a) “Little Girl’s Play”, their degree of (b) “Obsession” and (c) “The Sex Games” they had been into. (2) “Love and Money: The Keys to Achieving the Lifelong Dream” made the surgery possible which transformed them (3) “From Penis to Happiness”. They underwent psychological (a) “Counseling”, asked for signs from God which defined them as (b) “Faithful Beings”, which led them to their (c) “Post-Surgical Euphoria”. Lastly, after everything that they have encountered, (4) “The Now: The Results of my Decision” elucidated the different journeys that they have encountered (a) “In the Eyes of Others” and the things that they have gone through which proved that (b) “It can be Anybody’s Story”. Findings indicated that an accepting society would make them feel more worthy and fulfilled individuals. They hope for acceptance and respect in the society and want to diminish the discrimination against them.
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Emerging Trends Nursing Care
Antimicrobial Assay of Gotu Kola (Centella asiatica) Leaves Ethanolic Crude Extracts
Beaven Andrew A. Atienza, RN , Anthony John R. Abadies, Rohaida T. Macaayao, Roselle Ruby Bravo, Chedelle Grace Abenis, Mark Anthony Jose, , Gloria Shiela, E. Coyoca, RN, MAN, Jan Igor T. Galinato RN MSU - Iligan Institute of Technology
As prices of essential commodities rise, the community resorts to cost efficient means of countering illness. In this regard, the researchers gained interest in pursuing a study on alternative medication- Gotu kola: a wonder plant, abundant in the Philippines, that has been used to aid in the treatment of different kinds of ailments and diseases. This study focuses on identifying the bioactive components Gotu kola leaves extract and determining its efficacy as an antimicrobial agent. This Quasi experimental study utilizes phytochemical screening to ascertain the bioactive components of Gotu kola leaves crude extract. Disc diffusion assay was used to determine its antibacterial and antifungal efficacy. The extracts were prepared simultaneously in varied concentrations by adding ethanol to the pure Gotu kola extracts. Zone of inhibition was then determined through measuring the cleared zones in the plates using a vernier caliper. The data gathered were analysed using ANOVA. Results showed that Gotu kola leaves extract contain bioactive components such as saponins, steroids flavonoids, tannins and alkaloids. Zones of inhibition were present on all the sample plates. The largest Gotu kola zone of inhibition in antimicrobial assay and antifungal assay measures 11.42mm and 13.33mm respectively. The positive control (chloramphenicol) has lesser zone of inhibition- only 10.14mm. Aside from containing bioactive components, the Gotu kola leaves extract evidently showed effectiveness as antimicrobial agent. The results yielded in this study can significantly impact our community by providing cost-effective alternative medication. Keywords: Gotu kola, Disc Diffusion Assay, Antibacterial Assay, Antifugal Assay.
Participation of Chronically Ill Diabetic Patients in Caring for Themselves
Agliam, Lester; Abeleda, Geramie; Abuan, Marnelie; Carantes. Kaype; Castillo, Alyssa Joy; Dalilis, Cherylina, RN, MN; Dela Cruz, WIllbourne; Guerrero, Joanner; Lamorena, Michelle Joy; Lebii, Mary- France; Mangaoang, Julie; Saringan, Roselle; Senolos, Rospil; Tadifa, Keithlene Saint Louis University
Diabetes is a chronic disease (WHO, 2011). It is a lifestyle related disease which entails modifications related to exercise, diet, proper medication and self- care (Lynch, 2012). If not given attention, diabetes may lead to other disease such as gangrene, heart diseases, cataract, and sudden death syndrome (Kamal 2004). The study aimed to know the extent of participation of the chronically ill diabetic patients in caring for themselves in terms of physical care and to know if there is a significant difference in the extent of participation of the chronically ill diabetic patients in caring for themselves in terms of the age, gender, and educational attainment. It was done in Baguio City using Quantitative Descriptive Analysis. There were 207 respondents. They were chronically ill diabetic patients who were diagnosed of diabetes for at least a year; either male or female with ages 20- 65 and who are taking care of themselves and are residing in Baguio City for the last 6 months from the data gathering. A self- designed questionnaire was utilized. Diabetic patients completely participate in taking their medications without fail. However, they do not completely participate in the other aspects of self-care like exercise and diet. There is no significant difference with regards to age, gender and educational attainment of diabetic patients. That a study be conducted to know the reasons why chronically ill diabetic patients give emphasis to medications. Results highlighted what aspects of physical care do nurses need to emphasize to chronically ill diabetic patients.
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Innovations in the Nursing Academe
Voice Problems Among Faculty In Cebu Institute of Technology Fe A. Batucan, Jessica Simporios, Katrina Gelaga Cebu Institute of Technology - University
Voice problems are considered to be one of the major occupational hazards associated with school teaching. This paper will provide an overview of the voice problems encountered by the faculty teaching in the elementary, high school and the six colleges of Cebu Institute of Technology â&#x20AC;&#x201C;University as well as the relationship of age, gender, years of employment, whether handling lecture or laboratory class, the hours spent per day and the number of students/pupils in a class to voice problems. Voice problems experienced by the faculty during classroom sessions were identified and other job-related respiratory problems. A descriptive correlational design was utilized in the study. The researchers utilized a modified questionnaire adopted from the study conducted by Angelillo, Di Maio, Costa and Baillari on the prevalence of occupational voice disorders in teachers at the University of Naples, Italy. Weighted mean, percentage and chi-square were employed to treat the data gathered. It was found that voice problems are related to the profile of the respondent namely age, gender, years of employment, number of hours of lecture class, and class size. The populations studied were mostly female, within the age range of 21 to 50 years old. Those who participated in the study have worked in the department/college as early as one year to more than twenty years. Majority of the respondents handles lecture/ discussion and spend at least 2 to 6 hours in teaching. The size of the class would range from 40 to 50 students. The common symptoms of voice problems encountered by the faculty are increased effort to talk, voice tiredness and hoarseness of the voice, which is basically related to a vocally demanding teaching schedule. Sinusitis was the leading respiratory problem experienced by the respondents during the performance of the job, which might indicate that allergy was a contributing factor because of exposure to dirt and chalk dust. However, this could not be further validated if sinusitis is directly related to environmental factors because the respondents could have already a pre-existing condition prior to the study. Among the departments/colleges it was found out that respondents from the elementary and high school departments manifested more of the voice problems than the six colleges. The College of Engineering and Architecture, College of Computer Studies and College of Education have been found to be not significant to voice problems. These results imply the need for a preventive voice care program for teachers. Keywords: voice problems, profile, respiratory problems, and manifestation
Structured Management Framework for the Accreditation of the Nursing Program Analita G. Gonzales, RM, RN, MPH, MAN, PhDNed. Virgen Milagrosa University Foundation
Accreditation is a process for assessing and upgrading the educational quality of higher education programs through self-evaluation and peer judgment, and leads to the grant of accredited status by an accrediting agency, thus providing public recognition and information on educational quality. It is in this context that various efforts at establishing accreditation for quality have evolved and the desire of the researcher to assist the Deans of the Colleges of Nursing in managing accreditation process. This study was undertaken to develop a Structured Management Framework for the accreditation of the Nursing Program. The following questions were answered in the study: (1) What are the perceived necessary competencies of Deans in the management of accreditation of the Nursing program in terms of: Knowledge, Skills, and Attitude?; (2) What management strategies are useful in the accreditation of the College of Nursing program are perceived by the Deans along the management functions: Planning, Organizing, Leading and Controlling; (3) What perceived areas of accreditation of the Nursing Program need to be strengthened?; and (4) What Structured Management Framework for the accreditation of the Nursing Program may be proposed, considering the Management functions and the areas of accreditation? The study made use of mixed methods to incorporate components of quantitative and qualitative research to achieve a comprehensive understanding of the study. The respondents totaled to 85 Deans of the different Nursing schools in the Philippines which were chosen using purposive and convenience sampling. The findings revealed that: needed competencies in Knowledge has a mean of 3.77; Skills has 3.58; and Attitude has 3.68; all interpreted as â&#x20AC;&#x153;Very Necessaryâ&#x20AC;?. The over-all mean for the three competencies was 3.68 as Very necessary. Further, there were 15 strategies which were all identified as very useful and with an average weighted mean of 3.81. There were also areas identified that need to be strengthened according to Knowledge, Skills and Attitude competencies. Towards the end of the study, a Structured Management Framework for managing accreditation for the Deans was proposed. In conclusion, the knowledge of the institutional and departmental vision, mission and philosophy plays a very significant role in the preparation and management of the accreditation process. It serves as a basis towards which all activities are drawn and focused; Skills in both oral and written communication are needed by the Deans to ensure effective translation of the vision, mission, and philosophy of the institution and department; the attitude competencies necessary include professionalism and professional behaviors which must be manifested at all times; and living out and articulating the vision, mission of the institution and the department is the best strategy in the management of the accreditation process. Finally, the study forwarded the following recommendations: In preparation for accreditation, the quality officer or designated quality team should consider strengthening knowledge on social and political aspects of the Deans, skills in identification of individual learning for improvement, and involvement of Deans in professional organizations. The Administrative and Management Development Program of the institution should include the development or strengthening of oral and written communication skills of Deans and other program heads. The association of Deans of Philippine Colleges of Nursing (ADPCN) through its training arm, the Philippine Nurses Education Academy (PNEA) may use the structured management framework as an input to develop a training program to prepare the deans to hurdle the challenges of the accreditation process. Workshops using the proposed structured management framework for empirical rigor can be organized and may be put to test for theory development
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Innovations in the Nursing Academe
Effects of Synergy among Clinical Instructors’ Competence, Nursing Students’ Characteristics and the Resources on Nursing Education Jocelyn May Flor Cadena University of St. La Salle
This study aimed to determine the effects of synergy among Clinical Instructors’ (CI’s) competence, nursing students’ characteristics, and the resources on nursing education as basis in improving students’ competency level. Using a descriptive, quasi-experimental pretest-posttest research design, the subjects of this study were grouped as control and experimental. From each group, participants were purposively selected for the focus group discussion. Students’ resiliency, anxiety level and cognitive level were assessed before and after the implementation of the Synergy Module. Moreover, the psychomotor levels of students were rated during the return-demonstration activity. The three CI’s supervising the students in NCM-100-RLE-Skills Laboratory self-evaluated the six competencies: clinical judgment/clinical reasoning, clinical inquiry, systems thinking, facilitate learning, response to diversity, and collaboration. The synergy among the CI’s, students, and resources was also observed during the lecture - demonstration and return-demonstration activity. Findings revealed that students with High Resource Index and Low Vulnerability in the control group have a higher percentage decrease (-21.74%) than the students in the experimental group (-8.69%). On the other hand, students with Low Resource Index and High Vulnerability in the control group have a higher percentage increase (13.04%) than the students in the experimental group (4.34%). The percentage of participants rated to be Good in the psychomotor level is higher in the experimental group (87.5%) than that in the control group (75%). The three (3) CI’s were consistently evaluated as competent for their clinical competence ranging from being Proficient to Expert before, during, and after the implementation of the module in the experimental group and control groups. Finally, specific recommendations were provided such as a Resiliency Program for Nursing Students, Remediation Program for students with deficiency on cognitive and skill acquisition and a teaching/instructional “synergy” module was developed.
Analysis of the Teaching Competencies of the Clinical Instructors: Basis for In-service Training Modules Ceryl Sagun
Centro Escolar University
A study was conducted to analyze the teaching competencies of the Clinical Instructors of Centro Escolar University which served as basis of the proposed in-service training modules. The study used the descriptive method of research. Three sets of questionnaires were distributed for the administrators, clinical instructors and students. Results showed that most of the clinical instructors have the mandated degree qualification for tertiary teaching. Forty two out of the 92 respondents have obtained 0-2 years of professional experience prior to becoming part of the Academic Institution. Thirty eight of the respondents have been in the academe for 0-2 years. Twenty eight have attended 3-5 in-service training. The administrators positively evaluated the teaching competencies of the clinical instructors, they regarded the clinical instructors’ involvement in research need improvement (mean= 3.44). The student respondents analyze the Clinical Instructors as highly competent in all 4 domains namely: learning environment, diversity of learners, curriculum, assessing and reporting. Results of the t-test showed no significant difference between the mean and standard deviation values given by the administrator-student respondent’s analysis on the teaching competencies of the clinical instructors. The highest educational attainment, years of teaching experience and no. of in-service trainings attended by the clinical instructors have no significant relationship with their teaching competencies. The relationship of teaching competencies and highest educational attainment and professional experience of the clinical instructors as evaluated by the administrators, university/community involvement activities are found to be significant. In conclusion, CEU Clinical Instructors are competent in all four domains of teaching competencies, students consider the years of professional experience as very significant to the teaching competencies of the clinical instructors. An in-service training module is recommended to help clinical instructors strengthen and improve the teaching competencies as well as to enhance the present training program of the CEU College of Nursing.
Fractal Analysis on the School Performance of Philippine Nurses’ Licensure Examination: Strategic Basis for Top Performing Nursing Schools Melvin R. de Castro, Tonnnette M. Villanueva University of San Jose - Recoletos
The study compares the fractal dimensions of the board examination percentage scores for nursing graduates in June 2012 and December 2012. The purpose of such a comparison is to assess the ruggedness or roughness of the scores over the two assessment periods. The more rugged set of scores viz. higher fractal dimensions implies either the test is more difficult than the other test or the range of scores in that set is higher than in the other set. Results revealed that the June, 2012 test scores have higher fractal dimension than the December, 2012 test scores. The paper concludes that the June, 2012 PNLE was more difficult that December, 2012 PNLE causing the huge and rugged test scores in the latter board exam. Keywords: fractal analysis, school performance, below and above national passing percentage, Philippine Nurses’ Licensure Examination (PNLE)
PODIUM presentation STUDENT CATEGORY
Techno-Intelligent Nursing Care
The Essence of Caring: Voices of Pediatric Oncology Nurses Galang, Felicidad Ann; Garcia, Karissa Iresh May;Ramos, Judee Aura; Tumbagahan, Maria Angelica; Sofia Magdalena N. Robles, RN, MAN Centro Escolar University
The care for pediatric cancer patients rendered by oncology nurses is demanding, challenging and tough. Their experiences make them strong to face all the challenges as an oncology nurse. Their stories are significant endeavor in promoting quality care to pediatric cancer patients. The study aims to know the voices of oncology nurses in caring for pediatric cancer patient. This is a qualitative study under phenomenology design. Purposive sampling was done with the criteria of nurses working in oncology ward and with six months of experience. Five oncology nurses caring for pediatric cancer took part in the study as participants where unstructured interview was done. The study uses Colaizzi‘s process for data analysis. The data analysis yielded three themes: “attachment vs. detachment”, “compassionate heart vs. callous heart” and “self- fulfillment vs. health threat”. The rigor of trustworthiness was done though member checking and triangulation. Oncology nurses are emotionally attached to patients but they need to detach to render the needed care of patients. The essence of compassion in giving quality nursing care is until the last breath of life but because it becomes a routine work, the compassionate heart became a callous one where it is not affected anymore when patient dies. Fulfillment at the end of the day keeps the oncology nurses continue in giving care despite of all health threat due to exposure to chemicals and lack of protective equipments. Despite of the odds, still the essence of care is unconditionally rendered. The implication of this study can help in giving the utmost quality care to cancer patient. A further in-depth research regarding understanding of oncology nurses experiences in caring for pediatric cancer patients. Keywords: Caring, Essence, Oncology Nurses, Pediatric, Voices
Expectations of Clients on Family Planning Service Delivery and Extent to which these Expectations were Met in Selected Barangays in Angeles City: A Gap Analysis Panlilio, Angela ; Gomez, Leinnel; Pineda, Justin; Trinidad, Karen; Pangilinan, Joyce; Dizon, Marthia Angeles University Foundation
The Philippine Family Planning Program is an essential health service that has been implemented long before to promote the welfare of Filipino families and reduce the health risks of women. Optimum health outcomes can be better achieved if service delivery is sufficient and efficient in meeting the needs and concerns of its clientele. Thus, the present study aimed to identify gaps between expectations of participants on family planning service delivery and the extent to which these expectations were met. The study utilized a quantitative, descriptive, comparative research design. An structured interview schedule (using a modified, standardized questionnaire) was administered to women (ages 15 to 49) who have received family planning services for the first time (new acceptors) from the months of May to June 2013. Respondents were selected purposively based on the said criteria. The tool administered consists of perceptions on family planning service delivery and the extent to which expectations were met which were separately measured using a 4-point likert scale. Comparison was established using the resulting p-values to determine significant differences using non-parametric, Wilcoxon’s Signed-Rank Test. Results reveal a significant gap between expectations of clients on family planning service delivery and extent to which expectations were met in all six areas, namely, accessibility/availability, acceptability and appropriateness, information about available family planning services and contraceptive methods, interpersonal skills the nurse demonstrates, choice of contraceptive methods, and mechanisms that ensure follow-up and continuity of care (p-values<0.05). Respondents have consistently high expectations in all six areas evaluated in the study. However, expectations were not fully met during the actual service delivery. There is a perceived dissatisfaction in the quality of family planning services provided in terms of accessibility/availability, acceptability and appropriateness, information about available family planning services and contraceptive methods, interpersonal skills the nurse demonstrates, choice of contraceptive methods, and mechanisms that ensure follow-up and continuity of care.
Exploring the Professional Relationship between Nurses and Physicians from the Former’s Perspective in Selected Hospitals in Pampanga
Tongol, Carlo R.; Mann, Daniel Joseph L.; Ofracio, Lady Anne B.; Primne, Jenalyn L.; Sanchez, Ann Justine C. Centro Escolar University
Nurse – physician professional relationship has been identified as a cornerstone of safe, quality patient care, and an important driver of the health care system. Nurses and physicians share common goals of preserving optimal health for all, and in order to attain such goal, a sound professional relationship should be established. This study was pursued to describe and explore the contextual richness of the nurses’ professional relationship with physicians. To search for answers on the main problem, a Sequential Mixed Methodology design, with a Qualitative core component followed by a Quantitative supplemental component, where a phenomenological inquiry was done with 9 Co – Researchers anchored with the methodological procedures of Clark Moustakas modification of Van Kaam’s Descriptive Phenomenology. The emerging horizons of the phenomenon were later quantitized, and drifted in a form of a reflective questionnaire among the qualified respondents. The results collected were loaded to Statistical Package for Social Sciences (SPSS) version 17 for statistical measurement. An Exploratory Factorial Analysis was used to identify statements from the questionnaire, which were closely linked together to identify key features essential in classifying a cluster of items. Eigen values were generated statistically, determining the number of components. Varimax Rotation was later employed, denoting statements with high or low loading values. Finally, the commonalities among grouped statements were considered for that specific factor, yielding 6 major invariant constituents. The 6 invariant constituents, describing the rich contextual uniqueness of the experience were, Perception of a Superior – Subordinate Status; Cooperation and Collaboration; Observance of Respect; Maintenance of Professional Conduct; Open Communication; and Establishment of a Harmonious Relationship – the richness of the phenomenon. The study was able to convey the story of the nurses’ perspective towards their professional relationship with physicians, emphasizing its implication to nursing practice, and as a basis for improved collaborative patient care.
PODIUM presentation STUDENT CATEGORY
Techno-Intelligent Nursing Care
Music Therapy for the Relief of Postoperative Pain
Janica Crizel M. Esperanza, Bonifacio N. Fanilag, Jumyla O. Garciano, Christine Hazel L. Maghanoy Southwestern University
The study determined the level of effectiveness of music therapy in the relief of postoperative pain. The following were the areas of concern: profile of the respondent as to age, gender, civil status, educational attainment, occupation, length of stay, postoperative diagnosis, surgical procedure performed and pain score; the level of effectiveness of music therapy; determines whether there is difference in the mean pain scores before and after music therapy administration; and determines whether there is significant difference in the mean pain scores before and after the administration of music therapy. The experimental method was used in the study. The questionnaire will be the primary source of data and secondary sources include books, journals, magazines and unpublished materials. The following were the important findings of the study: The profile of the respondents’ revealed majority of the respondents are in the age bracket of 19-34 years old adult, females, married, reached high school level, most are housewives, has a length of stay for 2 days, diagnosed with appendicitis and underwent appendectomy and has a pain score of 6. The level of effectiveness of music therapy as perceived by the patients is very effective. There is a change in the mean pain score before and after administration of music therapy. There is a significant difference in the mean pain score of music therapy before and after the administration of music therapy. It is concluded that the level of effectiveness of music therapy is very effective as perceived by the postoperative patients. Music therapy is effective in a way that it helps reduces the pain felt by the patient. It also helps reduces anxiety and stress during hospitalization. It promotes wellness and increases the coping mechanisms of the postoperative patients. It improves communications and interpersonal relationships among other patients and the staffs in the hospital and it deepens the nurse-client relationships. It relaxes the mood and soothes the mind that enables the patients to be more comfortable of his environment. Music therapy in general improves the quality of life of the people as it helps in developing the physical, psychological, intellectual and social functioning of a person, ill or aren’t ill. On the other hand, music therapy is ineffective if it was given by an untrained person and it can even be a source of increased stress and anxiety to the patient. The study recommends that application of music therapy to address postoperative pain. Further study to be conducted focusing on improving the overall content of the study. Further, health education must be conducted on surgical wards regarding music therapy. Lastly, health practitioners such as the staff nurses need to be trained in administrating music therapy to help them fulfill their role better in relieving postoperative pain in the wards.
Filipino student nurses’ preferences when dealing with medication errors: A conjoint analysis Allan B. de Guzman , Sarah May S. Janas, Ramon B. Javellana Jr. University of Santo Tomas
Medication administration is a fundamental nursing responsibility in the clinical area. While efforts have been done to investigate the dynamics of medication errors, studies on student nurse medication errors remains scarce hence this conjoint analysis paper. The overall aim of this study is to determine student nurses’ preferences when dealing with medication errors A total of 340 purposively chosen nursing students from a comprehensive university in the Philippines were recruited to participate in this conjoint analysis study via orthogonal cards. Data were treated using SPSS version 18. The most important factor nursing students consider when faced with medication error is their relationship with the health care team followed by the number of patients to handle. Of smaller importance is the preference of what area needs to be addressed, while the manner of how the instructor addresses medication error turned out to be the least important attribute. Results suggest that several factors affect the preferences of student nurses in dealing with medication error and the relationship with the health care team is deemed most important. Said identified preferences are valuable inputs in structuring a student-centered safe medication administration system within the Nursing curriculum. Keywords: Filipino; Nursing students; Preferences; Medication administration; Medication errors
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
The Essence of Caring: Voices of Pediatric Oncology Nurses Galang, Felicidad Ann; Garcia, Karissa Iresh May;Ramos, Judee Aura; Tumbagahan, Maria Angelica; Sofia Magdalena N. Robles, RN, MAN Centro Escolar University
The care for pediatric cancer patients rendered by oncology nurses is demanding, challenging and tough. Their experiences make them strong to face all the challenges as an oncology nurse. Their stories are significant endeavor in promoting quality care to pediatric cancer patients. The study aims to know the voices of oncology nurses in caring for pediatric cancer patient. This is a qualitative study under phenomenology design. Purposive sampling was done with the criteria of nurses working in oncology ward and with six months of experience. Five oncology nurses caring for pediatric cancer took part in the study as participants where unstructured interview was done. The study uses Colaizzi‘s process for data analysis. The data analysis yielded three themes: “attachment vs. detachment”, “compassionate heart vs. callous heart” and “self- fulfillment vs. health threat”. The rigor of trustworthiness was done though member checking and triangulation. Oncology nurses are emotionally attached to patients but they need to detach to render the needed care of patients. The essence of compassion in giving quality nursing care is until the last breath of life but because it becomes a routine work, the compassionate heart became a callous one where it is not affected anymore when patient dies. Fulfillment at the end of the day keeps the oncology nurses continue in giving care despite of all health threat due to exposure to chemicals and lack of protective equipments. Despite of the odds, still the essence of care is unconditionally rendered. The implication of this study can help in giving the utmost quality care to cancer patient. A further in-depth research regarding understanding of oncology nurses experiences in caring for pediatric cancer patients. Keywords: Caring, Essence, Oncology Nurses, Pediatric, Voices
The Living Dead: A Phenomenological Study of the Lived Experience of Penile Cancer Patients who had Undergone Penectomy
Agbayani, Kim Bernadeth, Barrios, Maria Regina, De Lara, Alyanna Pauline, Jang Se Eun, May P. Mendinueto, RN, MAN Centro Escolar University
A rare type of cancer called penile cancer has been reported to affect men. To manage this condition, penectomy, surgical removal of the penis is being done. Life changing consequences happen as the disease progresses and after losing the anatomical part that represents MAN, his power and being. This study will give light to the story behind the experiences of penile cancer patients who had undergone penectomy. This study aims to know the life experiences of penile cancer patients who had undergone penectomy. A qualitative design specifically descriptive interpretative phenomenological study was used. The researchers interviewed the three co-researchers chosen through purposive sampling in their own residences using the grand tour question, “What are the life experiences of penile cancer patients who had undergone penectomy?” Three master themes were formulated: MAN NO MORE, THE FALLEN TEMPLE and END OF THE LINE. Results shows that post penectomy penile cancer patients continue to live only because they are still breathing. The motivation to live is no longer present. Penile cancer and penectomy did not only bring physical changes to affected individuals. They did not only lose a part of their body but more than that they lost their sense of being. The findings of this study suggest that the feeling of being capable both as the head of the family and a husband to his wife is as important as life to a man. Without which, life is no longer worth living. To have a deeper understanding on the pains and sufferings of penile cancer patients and to discover means to uplift their ego and self-esteem, conducting a study involving their families is recommended. Another recommendation is that men who will be subjected to penectomy be brought to a psychiatrist first in order to prepare them for whatever consequences that may arise. Key Terms: penile cancer, penectomy, the living dead
PODIUM presentation STUDENT CATEGORY
Techno-Intelligent Nursing Care
Formulation and Evaluation of Holy Basil (Ocimum sanctum) as Anti-Head Lice Shampoo Cañeta, Edshel Mae B., Cenita, Danilyn R., Llanes, Kimberly D., Relleve, Aljen G., Salceda, Arlene C. Bicol University Polangui Campus
Hygiene has a major impact in an individual’s personality and physical appearance. And as part of hygiene, one of the common problems among human is the infestation of head lice which is a common parasite found in human hair. Head lice infestation is a health concern, thus, requires to be addressed and intervention to control this is needed. Being health care providers, this study utilizes herbal plant with the aid of the advancement in technology to contribute in controlling the head lice infestation. Holy Basil (Ocimum sanctum) or Kamangkau in the local term is an endemic plant in the Philippines. The leaves of Holy Basil are reported to possess anti-bacterial properties and acts as an insecticide. Holy Basil contains essential oil which is a good component in the control of head lice infestation. This research aims to develop an anti-head lice shampoo using the Holy Basil leaves which will contribute in the development of traditional and alternative nursing care. It is also aimed to evaluate the formulated anti-head lice shampoo from the Holy Basil leaf extract to a commercial anti-head lice shampoo. There will be a comparison between the essential oil, which is gathered through steam distillation, crude extract, gathered through boiling and will be formulated into shampoo with varying percentage of concentration and will be compared to a commercial shampoo according to mortality rate and speed of reaction. Moreover, it is also aimed to determine the appropriate formulation of Holy Basil to be used as a shampoo to control head lice infestation. The study utilized randomized experiment to establish the cause and effect relationship - the efficacy of Holy Basil extract as anti- head lice shampoo. There are three formulations made using the gathered crude extract and essential oil with the other ingredients of the formulated shampoo. The three percentages of concentrations varied in 50% of crude extract or essential oil with 50% liquid form, 60% of crude extract or essential oil with 40% liquid form and 70% of crude extract or essential oil with 30% liquid form with total of 10 ml each formulation and was tested to compare to a commercial shampoo to determine the efficacy of Holy Basil leaf extract as an anti-head lice shampoo. The study utilized t-test statistical treatment to compare the efficacy of the formulated shampoo against commercial anti-head lice shampoo. The result showed under the speed of reaction that 50% essential oil or 50% crude extract and 50% liquid form showed that there is no significant difference between the speed of reaction of the formulated shampoo. The computed value of -0.12 which is less than the critical value of -1.68 indicate that the effect of these on lice does not differ significantly. The researchers can conclude that the effect of formulated shampoo is comparable to that of commercial shampoo. On the other hand, there is significant difference for formulated shampoo with crude extract and crude extract with commercial shampoo. Thus, crude extract may not be a substitute anti-head lice control compared with the commercial shampoo and formulated shampoo using essential oil. With 60% essential oil or 60% crude extract and 40% liquid form, all the comparisons have significant differences based on the speed of reaction. There is a significant difference between the formulated shampoo and crude extract at 60%-40% solution while commercial shampoo surpassed the other two. The 70% essential oil or 70% crude extract and 30% liquid form showed significant difference compared with the crude extract and commercial shampoo and it indicates that formulated shampoo has better result in terms of speed of reaction compared with commercial shampoo and with crude extract. The result with the determination of the mortality rate, 50% essential oil or 50% crude extract and 50% liquid form revealed that there is no significant difference in the number of louse killed by formulated shampoo and crude extract. But the commercial shampoo is more effective compared to the other two to kill the lice sample. With 60% essential oil or 60% crude extract and 40% liquid form, it showed that commercial shampoo is more efficient compared to the other two. The formulated shampoo made a promising non-significance result when compared to the existing commercial shampoo. The formulated shampoo is comparable to the commercial shampoo in terms of mortality rate. Guided by the findings, the following conclusions were derived: the formulation of anti-head lice shampoo with 70% essential oil with 30% liquid form is the most effective among all the formulations to be used as anti-head lice shampoo and is effective as the commercial shampoo. This formulation showed the fastest speed of reaction and high mortality rate as high as the commercial shampoo does. The researchers suggested that advance studies should be made to determine the potency of Holy Basil essential oil. In this study, the production of the anti-head lice shampoo also showed to be more readily available in the community since the Holy Basil plant is an endemic plant in the Philippines.
Life After A Year of Surviving Stroke: A Phenomenological Inquiry
Sheena Grace P. Diamante, Paolo Martin G. Cuaycong, Shaira P. Espinosa, Iza Mae B. Esponilla, Karl John N. Fernandez, Ma. Corazon J. Gavilanes University of St. La Salle
The aim of this qualitative research phenomenological study was to unveil the kind of life experienced by the stroke survivors after a year of surviving stroke. A qualitative phenomenological design was used, using semi-structured, in-depth face-to-face interviews to elicit accounts of stroke survivors. There were two participants chosen purposively and six others were chosen using the snow-ball sampling method. Data analysis was obtained using Colaizzi (1978) framework for phenomenological data.Also,data triangulation was used to check and establish validity of this study by analyzing a research question from multiple perspectives. The findings were outlined by extracting the significant statements coming from each of the participant’s responses, formulating the general re-statements, and creation of main thematic insight and themes. There is one main thematic insight: Dependent and Frustrated yet Driven to survive and move forward to live life meaningfully despite of disabilities; and eight themes that emerged; (a) Dependent yet driven to survive and move forward in life despite disabilities; (b) Frustrated yet undergoes transformation to regain self –esteem; (c) Experienced diet modification and gained awareness of their condition and opted for a healthy diet; (d) Experienced change in temperament yet strived for emotional control to accord family relationships; (e) Changed usual habits yet habituated themselves into changes caused by their disabilities; (f) Experienced hindrance in activity yet defiant in gaining independence despite of their condition; and (g) Forgetful yet realized the worth of valuing every memory they could hold on. It is but just bare to the eyes of the people who were with them that along the course and in one year after making it through the stroke attack, the survivors’ lives have changed. The participants have been once self-determined but the condition has stolen away the confidence they always have had, the ability to function for themselves and to provide for their family. Now, they are living the life they never imagined of living but they try to live it to the fullest. The study is recommended to health care providers, significant others of stroke survivors, student nurses, and future researchers. This study could make them aware of how the stroke survivors can be given quality care considering the survivor’s attitudes and perceptions towards life, as theirs’ was changed.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Natural Colors as Means of Visual-Perceptual Cognition to Foster Memory Retention among Selected Children with Autistic Disorder in P.R.I.M.E. Center Foundation: Basis for Learning Enhancement Program Alas, R., Avendula, K., Echavez, H., Fernandez, E., Gabronino, C., Linao, J., Pascual, R., Pimentel, A., and Tapayan, C Cebu Doctor’s University
This study aimed to determine the effect of natural colors as means of visual-perceptual cognition to foster memory retention among selected children with Autistic disorder. This study utilized the prospective-observational two groups trial design. This study was primarily conducted in P.R.I.M.E. Center Foundation, located at R. Colina St., Estancia, Ibabao, Mandaue City, Cebu. Twenty four (24) children with autistic disorder enrolled in P.R.I.M.E. Center Foundation, ages ranging from 6 to 12 years old, and selected through a developed inclusion and exclusion criteria. The respondents were randomly divided into two groups namely, Group 1, exposed to natural colors and Group 2, exposed to black and white. They were then individually tested with the Visual-Perceptual Memory Test under the supervision of the SPED teachers. In this, each respondent was handed first with a 12 –item observation sheet, containing pictures which they had to observe and remember for 45 seconds. After 45 seconds, each respondent was handed again with another paper, the 25-item answer sheet, still containing pictures. They were given 2 minutes to encircle as many pictures as they could remember from the 12-item observation sheet. All pictures used were identical and were presented in either natural colors or in black and white, given accordingly to each respondent depending on what group they belong to; Groups 1 and 2 respectively. This study utilized the Visual-Perceptual Memory Test, which consists of two sets. One set, the 12 –item observation sheet containing 12 pictures and the other set, the 25-item answer sheet containing 12 identical pictures as the observation sheet, along with another 13 pictures to serve as distraction. The test was presented either in natural colors or in black and white, with all the pictures used, seen as identical. The results revealed that for the comparison between groups, the mean memory retention score of the 12 respondents exposed to natural colors, Group 1, was 10.83, which falls under superior level of memory retention. On the other hand, the mean memory retention score of the 12 respondents exposed to black and white, Group 2 was 7.00, which falls under average level of memory retention, both of which are based from the scoring system tool adopted from Cohen. Thus, Group 1 markedly had higher level of memory retention than Group 2. In the in-depth analysis, the moderator variable, educational level placement has no effect on the memory retention of Groups 1 and 2, as the results based on Fundamental Skills and Inclusion Preparatory levels fall on the same level of memory retention. Likewise, other moderator variables, age and gender have no effect. Therefore, natural colors had a positive effect on the level of memory retention among children with Autistic disorder in P.R.I.M.E. Center Foundation and the resulting level of memory retention is not likely influenced by educational level placement, age and gender.
The Effectiveness of Watermelon Extract among Prehypertensive Middle-Aged Adults
Cootauco, Pracel Patrick A., Espinosa, Shamira Yessa L., Fontanilla, Jenny Rose P., Inocencio, Julie Anne Marie P., Kho, Camille Louisse A., Laguerta, Marlene Harty C., Miguel, Zarina Anne M., Mula, Gerdine M., Teo, Krystel Joy F. Far Eastern University
This study aims to determine the effectiveness of watermelon extracts in the blood pressure among prehypertensive middle-aged adult respondents. Prehypertension is a state where the systolic blood pressure ranges from 120–139 mmHg and with diastolic blood pressure of 80–89 mmHg. If remains undetected, the risk of developing cardiovascular disease increases. In the Philippines, several herbal medicines were already approved by Department of Health (DOH) as an alternative treatment for hypertension. One modality that needs to be looked into is watermelon. It contains an amino acid called l-citrulline which will be converted into l-argininine, which will then stimulate the production of nitric oxide. Physiologically, nitric oxide has vasodilatory effect to blood vessel. The study utilized quasi-experimental method as its research design specifically nonequivalent control group pretest-posttest deisign. Subjects were chosen through a purposive sampling (n=24) that passed the inclusion criteria (a) male or female of 40-65 years of age (b) diagnosed by the physician to be prehypertensive without maintenance medication (c) BP between 120-139/80-89 mmHg (d) willing to participate. Researchers used a calibrated manual blood pressure apparatus to accurately measure the blood pressure of the respondents. Watermelon extract (500ml) was given to each respondent daily for a 4-week period. The researchers found an average of 5 mmHg decreased in the systolic blood pressure and an average of 4 mmHg decreased in the diastolic blood pressure of the 12 respondents on the experimental group upon the intake of watermelon extract (500 ml). The data reveals significant difference on both the systolic and diastolic blood pressure before and after the intervention in the experimental group; hence there is a perfect relationship of the variables, watermelon and blood pressure. Therefore, watermelon extracts is effective in lowering both the systolic and diastolic blood pressure of the prehypertensive middle aged adults.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Hanging, Clinging, Connecting: The Lived Experience of Bisexual Individual with HIV Positive Benedicto, Noriel; Macarilay, Annaliza; Mahinay, Mauris,; Song,,Manman; Robles Sofia Magdalena, RN, MAN Centro Escolar University
Bisexual individual diagnosed with HIV positive undergoes challenges in life yet the courage and struggle to continue life is very evident. Each one has their own stories in coping up with their difficulties in life from the revelation of results that they are positive to the present day of living. This study is significant because of increasing population with HIV. The study aims to explore the experiences of bisexual individual diagnosed with HIV positive. This is a Qualitative study under Phenomenology Design. Purposive sampling was done with the criteria: male, adult, bisexual, diagnosed with HIV positive and under the care of Positive Action Foundation Philippines, Inc. Unstructured interview and observation was done to six participants to gather the data. Van Manen process was used for data analysis and interpretation in developing the themes and meaning. Five themes are developed: “Being with shattered dreams”, “Being drowned with self-isolation”, “Being haunted by the past”, “Being distressed in disclosure” and “Being blessed with support”. Trustworthiness was established through triangulation, member checking and confirmability. The study concludes the experiences of the participants as “Hanging, Clinging and Connecting” where participants underwent depression, isolation, distressed in disclosure but being connected with support system gives hope to continue life. Though life is hanging because of the truth but they continue to cling to the support being offered of the present. The implication of the study in nursing profession can aid in understanding and caring of HIV patient. The researches recommend another study on the experiences of HIV full blown individual.
Nonverbal Pain Assessment Tools For The Cognitively Impaired: A Systematic Review
De Ocampo, Kaybee F. RN.; Alabanza, Ana Bianca C.; Batnag, Aissa D.; Bautista, Kyleen Clue I.; Coloma, Keneth Lance Zachary P.; Estioco, Marienette S., Fajardo, Jymalyne V.; Macapanas, Innah Kaye Richelle P.; Munar, Czar Albert O.; Nuñez, Lindsay P.; Pablo, Elijah Karl B.; Razote, Kelly Leigh A.; Santiago, Jem A. Saint Louis University
Pain is a vital health indicator that affects millions each year, it is under detected among the cognitively impaired and it leads to an overall decline in quality of life. There is no established standard in assessing pain for the cognitively impaired as there is a vast number of nonverbal pain assessment tool (NVPAT). Therefore a systematic review that will contrast and compare such tools is valuable. The pain determinants in the tools can be categorized into three dimensions – somatophysiologic, behavioral, and psychosocial. Five tools: DisDAT, DBS, DoloPlus-2, PACSLAC, and Pain Assessment Tool for the Cognitively Impaired assess all three dimensions. Eight NVPATs identified cognitive impairment as their target recipient and only five, namely Abbey, Doloplus-2, NOPPAIN, PACSLAC and PAINAD explicitly noted the specific type of cognitive impairment to which the tool is best utilized that is dementia and Alzheimer’s disease. Observation, proxy rating and self report were the methods of pain determination of the NVPATs. In terms of scoring, four of thirteen NVPATs do not have a scoring procedure, they are: DisDAT, DBS, Pain Assessment Tool for The Cognitively Impaired and PPQ. Six of the nine nonverbal pain assessment tools with scoring procedure, Abbey, Doloplus-2, MOBID, NOPPAIN, PAINAD, PBOICIE, used a rating scale as its scoring procedure and the rest is simply checklist type in nature to come up with a pain inventory. In terms of presence of instructions, among the nine tools with scoring procedure, PBOICIE is the only tool which has not indicated the instructions for scoring the tool. In terms of interpretation, seven out of thirteen tools have an interpretation of pain score determined. Administration time ranges from less than 1 minute (PAINAD) to twelve minutes (Doloplus-2). In terms of extent of target user, Doloplus-2 has the most number of possible users which includes registered nurses, nursing assistants, licensed practical nurses, physicians, family members and persons at home. Skill level needed to utilize the NVPATs vary but generally does not require advanced skills, Doloplus-2, NOPPAIN, PAINAD, and MOBID require 15 minutes to 2 hours of training. In terms of reliability and validity, reliability scores range from 0.44 (Abbey Pain Scale) to 0.97 (PAINAD); on the other hand, validity scores range from 0.38 (MOBID) to 0.95 (PAINDAD). The NVPATs help to completely and comprehensively assess pain in the cognitively impaired adults. In the absence of a standardized nonverbal pain assessment tool for the cognitively impaired, the listed pain determinants can be used as a guide for comprehensive assessment. Researches may be done to validate the appropriateness of such tools to the elderly Filipino.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
A Sibling’s Voice Behind the Shadow of Psychosis
Delson, Geraldine D., RN, MAEd , Alawas, Merv K., Laguatan, Fredirick D., Licyayo, Jarvis John C., Pang-Ay, Denver Lloyd F., Pias, Mark Cloyd Constantine Q., Bangisan, Giezelle Kate A., Bautista, Ma. Danica Anne A., Catadman, Bernadine Debra G., Gasmena, Rassi Neysa F., Lazona, An-ann L., Manahan, Blossom Almont T., Mandado, Elaine E., Vitug, Dayanara Mae B. Saint Louis University
The aim of the study is to understand and develop insights from the lived experiences of individuals with mentally ill siblings. The study utilized Phenomenological research design with 8 participants who were named after precious stones. Participants who were selected through non-probability sampling specifically purposive sampling are living in Baguio and Benguet who come from varied cultures. The siblings’ experiences yielded both positive and negative effects in various aspects of life. Some participants reported to have experienced positive impacts in the family relationship such as closer bonding, respect, and understanding. Others revealed negative impacts like family feud, anger, time and financial constraints, feeling of helplessness, burn-out and limited patience. Participants also claim to have experienced crossroad of emotions brought about by the condition. Acceptance and happiness were felt however feeling of worthlessness, shame, guilt, pity, pain, disappointment and regret were also reported. In the course of the study, it is found that there are siblings who are parentified and are given responsibilities despite of their ignorance regarding the health condition. To overcome the crisis, well siblings use coping/defense mechanisms such as faith healing, spiritual clinging, avoidance and help-seeking. The study recommends that the national and local governments should work hand in hand to maximize the implementation of programs on mental health to promote the wellbeing of the mentally ill and their families. The local government, in collaboration with the health care providers, would establish organizations for the purpose of providing support systems and discussion groups for well siblings who are under constant stress due to their sibling’s condition. Regular mental health education should be done in the Barangay level by health workers. Formation of community counseling for healthy siblings to go when under stress is important. Formation of support groups that will address the psychological problems of the siblings of mentally ill is also recommended.
Knowledge, Attitude and Use of Contraception in the Highlands: Focus on Women of Reproductive Age in Baguio City
Annabel E. Adag, Recel B. Banae, Joshua B. Basibas, Sheena Kaye C. Besa, Petralyn Daphne L. Caguioa,Rina M. Costales, Lei-Nel V. Daquioag, Darryl Jan R. De Guzman, Mary Grace C. Lacanaria, RN, PhD, Charivel S. Naval, Rosemarie C. Pachao, RN, Carla Lyn I. Valenzuela, Jovelyn S. Viado, Ronaldo S. Zabala Saint Louis University
The increasing population and decreasing number of contraceptive users, accompanied by prevailing high mortality rate of mothers and children, and the economic condition of Filipinos highlight a critical need to continuously address the need for family planning. The health workers therefore have a critical role to play. The high percentage of unmet needs and the serious ill-effects of unplanned families on the well-being of mothers, children and other members of the family underscore the need to continually assess the effectiveness of the government’s family planning program. This study involved selected 400 respondents from two districts of Baguio City namely, City Camp and Pacdal. Data were gathered through interviews. Results showed that respondents had moderate level of knowledge of the objectives, benefits, side effects and effectiveness of contraception. Health workers were the most common source of information. No significant difference was found in terms of knowledge of contraception when respondents were grouped according to marital status. However there was a significant difference when grouped according to use of contraception. Reasons for contraception included maintaining family size within the financial capability and the belief that contraception provides therapeutic effects. Reasons for not using contraceptives included the following: they do not have sexual partner yet, prohibited by religion, lack of knowledge and fear of side effects. Those who used but stopped contraception said that they did so due to their desire to have a child and inability to bear the side effects of contraceptives including headache, profuse vaginal bleeding, and increase of weight. General criteria for the choice of contraception by the respondents were effectiveness, safety, convenience and compatibility with health status. Results of this study suggest in campaigns for contraception, the effectiveness of the method be highlighted. It is also suggested that these campaigns be also targeted to non-married couples. Keywords: Family planning, population management, contraception use, population education
Examining the structural relationship of chronic illness, physical function, life satisfaction, and social support in the development of depression in Filipino elderly in institutionalized care settings Allan B. de Guzman , Josette Beverly Jurado, Anne Josephine Juson University of Santo Tomas
Considering the increasing prevalence of chronic illness in the Filipino elderly, this study seeks to test a model that describes the relationship between chronic illness and depression and how this link might interact with physical functioning, life satisfaction, and social support. Structural equation modeling (SEM) was used to examine the causalities among these variables. With the participation of 151 respondents, data were gathered using a five-part instrument consisting of the robotfoto, Katz Index of Independence in Activities of Daily Living, Life Satisfaction Checklist, Social Support Scale, and Geriatric Depression Scale. Data were analyzed using AMOS version 19. Results showed that the duration and number of present chronic illness will not lead to an increase in social support although it proved to have a negative effect on physical functioning and life satisfaction. Social support from the family also showed to have a direct impact on life satisfaction while social support from the caregivers revealed a negative effect on physical functioning. Life satisfaction had a negative influence on depression while other suggested variables have no impact to depression at all. Through this model examining the variables relating to depression, holistic care must be provided to manage not only the medical conditions of the elderly but also their physical, social, and psychological well-being. Keywords: Filipino, elderly, chronic illness, physical function, social support, life satisfaction, depression, structural equation modelling (SEM)
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Environmental Sanitation and the Prevalence Rate of Dengue in Barangay Tejero
Rey Jayvee Hinunangan, Francis John Semense, Karizza Nezz Hazel Panares, Jethro Potoy, Charmine Sagarino Southwestern University
This research aspired to determine the effects of environmental sanitation and how it relates to the prevalence of dengue cases in Barangay Tejero, Cebu City. Specifically, this study sought the following: profile, level of environmental sanitation, and the prevalence rate of dengue cases. The study was conducted at Barangay Tejero, Cebu City. The researchers covered the two sitios of the barangay, namely Sitio Silangan and Sitio Villagonzalo for the comparison of its level of environmental sanitation and prevalence rate of dengue cases. The relationship between the profile of the residents of the two sitios in terms of age, gender, civil status, occupation, educational attainment and combined monthly income towards their level of environmental sanitation was also determined. The results of this study served as bases for a health promotion and dengue prevention guide. The findings showed that most of the residents of Sitio Silangan belong to the age bracket of 40 - 49 years old while those from Sitio Villagonzalo are in the 20 â&#x20AC;&#x201C; 29 age bracket. Both Sitios share same demographic characteristics: female, married, housewives, high school graduates, and a monthly income of less than P1000.The level of environmental sanitation of the residents of Sitio Villagonzalo, Brgy Tejero, Cebu City is generally very high compared to that of Sitio Silingan which is generally low as rated based on the given research survey to the residents. In Sitio Villagonzalo, there is no significant relationship between the level of environmental sanitation and the profile of the residents in terms of age, gender, occupation and educational attainment but there is a significant relationship in terms of civil status and combined monthly income. On the other hand in Sitio Silangan, there is no significant relationship between the level of environmental sanitation and residentâ&#x20AC;&#x2122;s profile in terms of age, gender, and educational attainment but there is a significant relationship in terms of the occupation of the residents. The prevalence rate of dengue in both Sitios, as expected are in the opposite ends of a spectrum. In Sitio Villagonzalo, the prevalence rate is lower compared to Sitio Silangan. From the results obtained and facts presented in the study, we concluded that the level of environmental sanitation is affected and varies according to some of the profile of the residents and that the prevalence of dengue cases is highly affected by the level of the environmental sanitation of the barangay. Based on the findings, a recommendation on ways to prevent or minimize cases of dengue focusing on the environmental sanitation is proposed and shall be used as a guide for the community in improving their environment to create a favorable place to live in, free from disease-bearing mosquitoes and other illnesses.
Efficacy Of Guyabano Leaves Tea in Lowering Blood Pressure Derome Antido
Far Eastern University
This study aims to determine the efficacy of Guyabano leaves tea in lowering blood pressure among people with cases of pre-hypertension. Guyabano is believed to possess medicinal properties which can prevent, treat and stabilize certain medical conditions. Guyabano Leaves Tea has Polyphenols which have the ability to lower down blood pressure. A cup of guyabano leaves tea generally contains about 50-100mg of tea polyphenols. The study utilized Quasi-experimental basic pretest-posttest design. Subjects were chosen through purposive sampling that passed the criteria set by the researchers. Subjects were divided into 2 groups; the experimental group and control group. The experimental group were asked to drink Guyabano leaves tea while those in the control group did not receive any intervention. The blood pressures were taken before and after 30 minutes of intervention for 3 consecutive days. Data shows that the blood pressure of the experimental group significantly decreased 30 minutes after drinking the Guyabano leaves tea, both in breakfast and dinner which signifies that Guyabano leaves tea has the capacity in lowering blood pressure. Although, it is seen in the results that there is a significant difference on the blood pressure of the experimental group and control group, not all blood pressure of the respondents decreased to normal range. There is empirical evidence to say that Guyabano Leaves Tea has the ability to lower down blood pressure among men and women ages 35 to 65 years old diagnosed of hypertension.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Effect of Sweet Potato (Ipomoea batatas) in Lowering Blood Glucose Level among Type II Diabetic Patients
Lacanaria, Mary Grace C., Julian, Sherwin Paul N., Santos, Joanes Paulus A., Tambic, Renato C., Wayan, Alexis Adrian B., Baroma, Maria Glynies B., Crispino, Princess Jazmine G., Galleta, Sarrah Jane L., Laguna, Princess Kathleen B., Lomioan, Vishna Grace N., Sotelo, Charmaigne Mae P., Surio, Princess Abegail E. Saint Louis University
Approximately 346 million individuals have diabetes globally and in the Philippines, there were 3.5 million Filipinos who have diabetes. The number of non-compliant diabetic patients to their medication is also increasing, thus, the need to discover other hypoglycemic agents. The research intended to determine the effect of two (2) varieties of sweet potato (white skinned – orange flesh and violet skinned- white flesh) in lowering blood glucose level among type 2 diabetic patients, as well as, the trend of blood glucose level after 3 weeks and 6 weeks intake of sweet potato. The study also determined significant difference in the blood glucose level between the control group and the two experimental groups. Quasi-experimental pretest-posttest design was utilized in this 6-week study. A total of 46 subjects were selected through purposive referral sampling. There were 16 type II diabetic patients subjects for the control group who regularly took Metformin 500mg twice a day; another 15 subjects for the experimental Group A, who ate white skinned-orange flesh boiled sweet potato (200 grams), and there were 15 subjects for experimental Group B who ate violet skinned-white flesh sweet potato (200 grams) every day for 6 weeks. The subjects in the experimental groups are diagnosed Type II diabetic patients who are non-compliant to their hypoglycemic medication for at least a month. Hemoglucotesting was done before treatment, after 3 and 6 weeks to all subjects. Food diaries were given to all subjects to document the 24 hour intake for 6 weeks and instructional guide was provided for ready reference. Related T-test and F-test were used. Findings revealed that both white skinned orange flesh sweet potato and violet skinned white flesh sweet potato yielded maximum effect in decreasing the blood glucose level of the type 2 diabetic subjects and its optimal effect was best achieved after 6 weeks treatment. Likewise, the decrease in the blood glucose level of the two experimental groups is significantly higher than those in the control group. The two varieties of sweet potato tested has evident hypoglycemic effect. Sweet potatoes may be considered as an alternative management for non-compliant type 2 diabetic client. It is recommended that the nurses and other health workers may teach the non-compliant type II diabetic patients to include sweet potato in their diet accompanied by proper exercise as an alternative management. Also, further researches may be done on other medicinal plants with potential anti-diabetic property and with longer period of treatment with sweet potato is also recommended. Keywords: sweet potato, blood glucose level, type II diabetes mellitus, hypoglycemic effect
Red Cross Volunteer Nurses’ Experiences in Caring for Dying Patients Charmaine Chel Barongan
Virgen Milagrosa University Foundation
Red Cross volunteer nurses often do things without doctor’s order and are equipped with knowledge and skills in rendering care for dying patients during emergencies, accidents and disaster. Therefore, this study was conducted to discover and analyze the lived experiences of volunteer nurses in caring for dying patients, to uncover their experiences when they’re still students and still not part of Red Cross Association. The experiences of these Red Cross Volunteer Nurses becomes hands on in saving and caring lives. This phenomenological study was conducted in the Red Cross Region 1 Chapter in Dagupan City. The inclusion criteria for the informants include: must be a Red Cross Volunteer nurse for more than 1 year; must be active in disaster preparedness activities, must be involved in the rescue operations during disaster and other activities in Red Cross. Interview process was utilized to explore the experiences of the informants. Moreover, an audiotape was utilized to have an accurate recording of the conversation or interview to facilitate a more accurate analysis of the data. Non-verbal response were also noted and interpreted. To uncover the experiences of these red cross volunteer nurses, Colaizzi’s phenomenological method was used. The following themes and subthemes emerged: the first theme: Notion of Life, derived from this theme are three subthemes which are: a.) Essential b.) Interminable process, and c.) Ephemeral. The second theme is Tenderfoot’s Perspicacity with a subthemes of a.) Slighter Onus of an observant and b.) Pedagogue’s Auspices. The third theme is Life Saver on Feat with the subthemes of a.) Vehicular Catastrophe and b.) Medical Condition. The fourth theme that emerged is Building capacity of a life saver with two subthemes which are: Interpersonal factor and Intrapersonal: self-readiness. The fifth theme is An ordeal of a life saver, there are three subthemes from this theme which includes: a.) Obtruder , b.)Inadequate Stuff, and c.)Milestone of oneself and lastly, Patient’s Impinge with the following subthemes: a.) Inundated pride b.) Dreary Conclusion. Findings revealed that saving lives and caring for the dying patients are what made these red cross volunteer nurses’ chosen career to be worth sacrificing. Their experiences when they were still student nurses vary deeply with that of today since they’re already hands on in saving peoples’ lives during disasters and other activities in Red Cross. Moreover, various seminars and trainings were attended by these nurses to fully prepare themselves to be exposed in the different settings during disasters, accidents and other catastrophe.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Effectiveness of Custard Apple (Annona squamosa) Seed Extract in Treating Pediculosis Capitis Benitez, Jellemer M., Cimafranca, Chelsea V., Gimenez, Louisse Phillina Paz V. Cebu Normal University
Pediculosis capitis infestation, commonly known as head lice, a worldwide public health concern affecting individuals of all age groups, and prevalence in the general population can be as high as 40 percent. The main task attained in the study was the determination of the pediculicidal effects of Annona squamosa seed extract of different concentrations. Methodology utilized a true experimental design done in 3 trials; 10 live head lice were observed under each concentration of 25%, 50%, 75% atis seeds extract for the experimentation and 75% permethrin concentration as controlled group. In vitro testing was used and the subjects were placed in prepared petri dishes for experimentation. Data results found out that there is p-value of 0.067 at α = 0.05 for mean time elapsed (secs) for 100% head lice mortality. Significant p-level of 0.002 for pediculicidal activity for the first 5 minutes has been noted. The researchers derived up with a conclusion that Custard Apple (Annona squamosa) seed extract in 75%, 50% and 25% concentration is as effective as Commercial Pediculicide (Permethrin) in killing pediculosis Capitis. 50% concentration has comparable results to Permethrin and is the most effective due to its earlier onset of pediculicidal activity. Keywords: Pediculosis capitis, Annona squamosa, permethrin, pediculicide, extract
Ditch That Itch: The Effectiveness of Onion Skin and Madre de Cacao Decoctions against Scabies Aira Mae M. Abrenica, Kara G. Belarmino, Jacques C. Abella Cebu Normal University
Scabies is a major health problem in developing countries and is linked to overcrowding, poor water supply and sanitation. Currently, numerous medical treatments are available for scabies. However, it is considered to be expensive, especially to the lower socio economic class- the population group most vulnerable to Scabies. The proponents aim to identify an effective yet easily available alternative therapy for scabies through a quasi-experimental study utilizing a double-blind randomized trial. This compares the effectiveness of Onion (Allium cepa) Skin Decoction and Madre de Cacao (Gliricidia sepium) Leaf Decoction against Scabies among the pediatric residents of Barangay Calamba, Cebu City. The study identifies the Clinical Grading Score (CGS) one and two weeks post treatment. The percent reduction is determined at the end of the study. The application of Onion Skin and Madre de Cacao decoction reveals that there is a significant difference between the pre-treatment scores after 1 week in decreasing the number of scabies lesions with p value of 0.000 and 0.001 respectively. A similar difference was also noted in the post-treatment score after two weeks with p value of 0.001 and 0.000 respectively. There is no significant difference between the applications of both decoctions, although both are noted to be effective against Scabies. Keywords: Gliricidia sepium, Allium cepa, Scabies
A Structural Equation Modelling on the factors affecting Intolerance of Uncertainty and Worry among a select group of Filipino elderly Relief Allan B. de Guzman, Rose Ann Lacao, Czarina Larracas University of Santo Tomas
Across the literature, the interest in the phenomenon of intolerance of uncertainty (IU) and worry has increased exponentially. However, limited empirical studies exist about the factors that affect IU and worry among older people. The purpose of the study was to examine the impact of spirituality, self-efficacy and knowledge about aging on IU and worry. A total of 219 Filipino elderly were recruited from institutionalized and hospital care settings. A multi-aspect questionnaire was utilized to measure spirituality, self-efficacy, knowledge, intolerance uncertainty and worry. Exploratory factor analysis (EFA) was used to explore the dimensions of IU and worry. Moreover, structural equation modelling was used to test the hypothesized model. Results of EFA identified four factor dimensions of uncertainty, namely: perfection-driven uncertainty, apprehension-driven uncertainty, avoidance-driven uncertainty, negativism-driven uncertainty. Further, three factor dimensions of worry were also distinguished; constant worriers, obsessive-compulsive worriers, happy-go-lucky worriers. Moreover, results of SEM showed interaction among the variables presented. Additionally, spirituality showed a positive effect on self-efficacy. However, self-efficacy does not have an effect on IU and worry. Nevertheless, an emerging path between knowledge and IU supported the claim of Nuevo et. al (2009). The study was able to determine the positive effect of spirituality to self-efficacy and its existing correlation with knowledge about aging in relation to elderly’s IU and worry. The emerging model can serve as a reference for nurses to address the socio-psychological needs of the geriatric clients employing spirituality and psychiatric nursing. Keywords: Filipino, Elderly, Intolerance of uncertainty, worry, spirituality, self-efficacy, knowledge, aging process
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
“It Took the Life I Gave”: The Lived Experience of Mothers who have Lost a Child to Dengue Fever Wagas, Elizabeth Alyanna, Gloria, Trina Mae I., Ong, Dave Christian Y., Saplad, Allyson Gaile N. Velez College
Mothers share a profound bond with their children, which may start even prior to their birth, a bond so strong that not even death can fully sever. Due to the prevalence of Dengue fever in the Philippines, the study aims to improve nursing care by exploring the lived experience of mothers who lost a child to Dengue fever. In this qualitative study, a mother is any female who cared for the child, while a child may be of any gender and is less than 12 years of age. Grounded on Gadamerian Hermeneutics and guided by van Manen’s components of phenomenology, this phenomenological study yielded six themes. The first theme is “Never Truly Gone”, which centers on the mothers’ clinging to the memory of their lost children and includes two subthemes: Ghost of a Memory and Cherished Memories. “A Hole in the Family” is the second theme, which refers to the formation of a significant gap within the family brought about by the loss of cherished family member. The third theme is “Pointing Finger” which talks about the mother questioning why, blaming the death on someone, on the healthcare team or on herself, and the regrets she had, as seen in the subthemes Unable to Understand, Blaming Others and Blaming Myself. “Gaining Strength” is the fourth theme, which focuses on the mother being able to move on and let go, which is seen in the subthemes Avoiding Places, Avoiding Others, Fondly Remembering, Silent Tears, Grieving with God, and Family Ties. The fifth theme “The Moment of Death” delves into the mother’s feelings, thoughts and actions prior to and at the moment of the death of the child as shown in three subthemes: Chasing Hope, Imminent Death and Lost in a Blink of an Eye. The final theme “Looking for a Miracle” looks into the mothers questioning God and doubting His plan, and blaming Him for taking away their child. The study findings provide directions for improving nursing care in the hospital and community setting.
Cardiac Standstill and Patient Demise: Lived Experience of ER Nurses
Vizmarc V. Santos, Janice S. Nanoy, Jose Luis B. Diago, Jhona Baith G. Gemuta, Kriza Lenelle Itao, Roxanne S. Moralde, Joana Marie B. Naraja, Zyra A. Natad, Jenalyn S. Orano, Charmaine P. Paran, Gretchen P. Polio, Charmen D. Salgados, Jessica Belle Serrano, Jerame B. Sasan, Kenneth B. Yap University of San Jose – Recoletos
Emergency Room nurses are often faced by variety of stressors including patient’s death. They tend to go through the grieving process as they encounter this difficult situation, yet they might not be aware of it. Somehow they tend to be frantic and to the extent on having torturous and harrowing experience. Based on this assertion, it was conceptualized in this endeavour to understand and interpret the lived experiences of emergency room nurses on patient death. This study utilized interpretive-phenomenology, informants were selected using purposive sampling technique based on selection criteria. Date were gathered through focus group discussion. Eight (8) themes were identified as: “Code of Chances”, “Call of Duty”, “Collaboration in Service”, “Curtailed Gratification”, “Through the Fire”, “Reminiscing Relations”, “Compensating Performances”, and “Customary Practice”. In line with this, the constitutive pattern “Journeying through Experiential Resiliency” was constructed to show the connectedness among these themes. Conclusively, informants were able to cope effectively with the stress, moreover this bring them to ease out their distressing experiences. The study provided a significant opportunity to ventilate their surmounting emotions among ER nurses. A compassion threshold enrichment program was formulated to reduce level of death anxiety among health care professionals.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
Raising a Child with Attention Deficit Hyperactivity Disorder: A Mother’s Perspective
Diana Louise M. Agustin, Jasmin E. Albano, Allyzza Fe M. Amboni, Ana Marie B. Antenor, Dilorah Mae L. Aquiatan, Alfred Jhay A. Bacarra, Shielalene Gem V. Barcelos, Karen Kaye P. Chan, Paolo S. De Guzman, Ma. Sharleen Anne M. Feril, Immanuel M. Nogrado, Renante Dante G. Tan RN, MAN Far Eastern University
Trajectory data shows that children with Attention Deficit Hyperactivity Disorder (ADHD) are escalating as of 2007, approximately 9.5% of children 4-17 years of age (5.4 million) have been diagnosed with ADHD in the United States (Centers for Disease Control and Prevention). The ADHD worldwide-pooled prevalence rate was 5.29% (Polanczyk et.al, 2007). The burden for caring a child with disability was primarily borne out by mothers however scarcity of related literature in understanding how mother raises their special child needs further exploration. This study aims to explore the lived experience of Filipino mothers in raising a child diagnosed with ADHD focusing on the parenting techniques of mothers and their mother-child relationship experiences. A descriptive phenomenological approach was utilized with purposive criterion as its sampling method. Open-ended semi-structured interviews was used for six (6) key informants through audio-taped recorder, and then labeled for subsequent verbatim transcription. The study used time and space triangulation to enhance trustworthiness of findings. It was conducted in three educational institutions in Quezon City which cater students with ADHD. Transcripts were analyzed using Collaizi’s methodology. Six themes emerged on the parenting technique and mother-child relationship of mothers raising a child with ADHD: (1) Overprotective nurturing; (2) Bridling nurturing; (3) Focused-driven nurturing; (4) Educational task-oriented mentoring; (5) Solicited nurturing; (6) Reaping reciprocal love. The findings show that mothers create a special caring-protecting-nurturing environment in raising a child with ADHD. Although the experience is long and arduous, mothers still finds joy in the extraordinary bond that existed between the two of them. Further exploration on how mother raises adult ADHD is high recommended.
Present Behavior of Young Adults vis-à-vis the Use of Corporal Punishment: Connecting the Past and the Present Labra, Ray Anne G., Martinez, Patricia Joy V., Muñoz, Cris Pauline C., Regis, Cypress Dianne P. Cebu Normal University
Research has shown that there is a relationship between aggressive behaviour and the use of corporal punishment mostly in children, however, there have been no studies regarding the relationship of corporal punishment between three specific behaviours, namely aggressiveness, passiveness and assertiveness especially in the early adulthood stage. This study aims to identify if any relationship exists between corporal punishment and the three (3) types of behaviour present in young adulthood. It utilized the Descriptive-Correlational design to determine the degree and direction of relationship between the two (2) variables. The research was conducted at Cebu City wherein five barangays were randomly chosen through Simple Random Sampling. A total of eighty (80) respondents who did or did not experience corporal punishment were gathered. To determine what behaviour was dominant for each respondent, a standardized tool called the Self-Assessment Questionnaire by McGraw Hill Education (2013) was used. The proponents used the Chi Square Test to determine whether there was a significant relationship between the use of corporal punishment to present adult behaviour. Results presented that there is a positive correlation between the use of Corporal Punishment and the three behaviours, namely, Aggressiveness, Assertiveness and Passiveness. Assertive behaviour gained the highest percentage among the respondents who experienced corporal punishment while Aggressive behaviour yielded the least percentage. This implicates that the use of corporal punishment is more likely related to developing an assertive behaviour among young adults with less possibility of developing an aggressive behaviour. Keywords: Corporal Punishment, discipline, behaviour, aggressiveness, passiveness, assertiveness
Lived Experiences of Abused Elderly Cebuano Women: The Untold Story Shannon D. Rañin, Eve Karen B. Poblete, Deanne Miles M. Requina, Lean Ross A. Panuncia Cebu Normal University
High respect for the elderly has always been the highlight of Asian countries especially in the Philippines. However, significant concerns of the elderly have not been given serious consideration. This study aims to describe the elderly Cebuano women’s lived experiences of abuse in any form. A total of four informants under the basis of the inclusion criteria sheltered from two elderly institutions through the use of purposive sampling technique and were interviewed using a researcher-made interview guide. All accounts of elder abuse were examined through transcribing and analyzing data gathered using Husserl’s Phenomenological Approach and Colaizzi’s Phenomenological Analysis. Three clustered themes were extracted, namely: Three clustered themes were extracted, namely: Powerlessness (with three subthemes “Dependency”, “Suffering” and “Distress”; Taking Step (with three subthemes “Fight or Flight, “Call for Help” and “Help Arrives”; and Introspection (with two subthemes “Role of Faith”, and “Change”. Findings were then presented to the informants as a final validating step. It is recommended that consideration will be given to the establishments of support groups for older persons so that their needs will be met and thrive in concordance with their environment.
PODIUM presentation STUDENT CATEGORY
Emerging Trends Nursing Care
“Oileifera: Dolor No More” Effectivity of Malunggay (Moringa Oleifera) Seeds Oil Extract Topical Application as Palliative Therapy for Arthritic Pain Karen T. Celetaria, Axl Rose R. Arnejo University of Santo Tomas
According to Grand Total by Age group & Sex / Cities & Provinces Morbidity 2011 of Department of Health, Region VII, the total number of morbidity for Arthritis in Cebu is 1,242 while the total morbidity is 1,375. Age group of 65 years and above has the highest morbidity. Despite the fluctuations in number of reported cases, arthritis had been a rampant cause of pain to the elderly. However, treatment for this disease is considerably expensive; thus, the researchers utilized Moringa Oleifera seeds oil extract topical application as an adjunct therapy in providing relief of arthritic pain. Manual oil press was used to extract oil. The researchers conducted three trials with four assessments in various time intervals for 30 randomized samples for each group in Barangays Hipodromo, Kalunasan and Bacayan, utilizing the true-experimental design, Pretest-Posttest. One Way Repeated Measures (ANOVA) showed p-value of 0.909 and 0.000 for Control and Experimental groups respectively. Paired T-test revealed p-value of 0.000 for Experimental group’s pre-test and post-tests. T-test of independent samples however showed significant decrease in pain level only on 30 minutes and one hour after application. These results suggested highly significant decrease of pain perceived by subjects who received the adjunct therapy. Keywords: Moringa Oleifera, Malunggay, arthritis, pain, adjunct therapy
The Potential Hypnotherapy to Reduce Frequency of Enuresis in Children Preschool on Baturraden Salfiyah, Sri Aprina Siregar, Puspita Aninda Atyanti Isworo Jenderal Soedirman University
The anal phase is the phase where children learn together with the environment and family about toilet training. Enuresis is a common problem in children that not being able to control the habit bedwetting although it has passed the anal phase. The solution’s problem of enuresis in children is hypnotherapy. Hypnotherapy is an order to create new thinking by controlling stressor that there is a after knowing the nature and thoughts to create common habit (healthy mind) a new one. The purpose of this research is to prove that hypnotherapy can reduce the frequency of enuresis in children preschool and can give the right applications hypnotherapy to children preschool on Baturaden. This study has a quasi-experimental research design. The intervention group is 16 respondents that consisted of Pertiwi 1 and Pertiwi 2 Kindergarten Rempoah, Baturraden, Purwokerto. Techniques of data collection in this study were to interview and fill enuresis frequency tables were filled out by parent respondents. An interview frequency of enuresis conducted in early research. While the table frequency of enuresis filled by parent respondents during the research. The results of the study showed that the average frequency of enuresis in before being given therapy is 3.31 and after being given therapy is 1.94. Statistical analysis using a paired t-test and P value of this study is 0.009. There are significant differences between the frequency of enuresis before and after hypnotherapy in Children Preschool on Baturraden. Keywords: Frequency of Enuresis; Enuresis; Bedwetting;Hypnotherapy for Children.
PODIUM presentation STUDENT CATEGORY
Innovations in the Nursing Academe
The Comparative Study of Delivery Room Related Learning Experiences of Student Nurses Kristine Joy G. Pacete, Steffi L. Nepomuceno, Princess A. Omane, Mylyn Ines M. Providencia, Joy Mee T. Rabanal University of St. La Salle
The aim of this study is to assess the related learning experience of third year student nurses officially enrolled for the summer of 2013 in the University of St. La Salle – Bacolod who have been exposed in the delivery rooms of Corazon Locsin Montelibano Memorial Regional Hospital and Bacolod Our Lady of Mercy Specialty Hospital. The data for this descriptive-comparative research was obtained through purposive sampling of the 78 respondents who were chosen based on qualities stated in the purpose of the study. The research instrument was a self-made survey form constructed in accordance to the nature of the problem and was subjected to validation and reliability testing. Construction of the survey form was based on the BSN Curriculum of CMO No. 14 Series of 2009. The results of the study showed that although concepts and procedures are applicable in the delivery rooms of both CLMMRH and BOLMSH, several concepts and procedures such as monitoring progress of labor, perineal care, Ritgen’s maneuver, and delivery of baby & placenta are more applicable in CLMMRH. Concepts and procedures more applicable in BOLMSH are handwashing, gloving and gowning, Leopold’s maneuver and management of resources, environment and aftercare of equipments.. It also showed that the most common difficulties experienced by the respondents in CLMMRH are (1) Availability of equipment, (2) Available facilities, (3) Relationship with staff on duty, (4) Application of procedures, and (5) Compliance with agency policies. The most common difficulties experienced in BOLMSH are (1) Availability of cases, (2) Relationship with doctors/physicians, (3) Conduciveness of learning environment, (4) Compliance with agency policies, and (5) Application of procedures. Both institutions have its advantages and disadvantages. What one cannot learn and perform in one institution, can be learned and performed in the other. Therefore, both institutions are complementary to each other. The respondents may have learned from their related learning experiences that there is no perfect delivery set up where one can apply all concepts learned and perform all procedures ideally. However, as La Sallian student nurses, the respondents are taught and equipped with the knowledge, skills and attitudes that will help them perform competently and apply their various learnings based on their client’s needs.The study is recommended to the health institutions (both private and public hospitals), college of nursing administrators, faculty and nursing service administrators, clinical instructors, student nurses, clients and future researchers. Based on the findings of the research, the learning environment provided by a health institution must be assessed so that it may provide a related learning experience that can complement the concepts and theories taught in the classroom. Student nurses are recommended to have adequate preparation before going to the clinical area and to learn to adapt to the environment in the hospital so as to obtain a quality learning experience during their exposure to the delivery room .
Nurse Educator’s Affective Teaching Strategies
Myra C. Britiller, RN, MAN, PhD; Lovelyn Q. Ramirez; Frances Margott C. Ramos; Darryl Marvin C. Reyes; Kimberlyn D. Salazar; Joyce Ann M. Sandoval Lyceum of the Philippines University – Batangas
The purpose of this study is to determine nurse educators’ affective teaching strategies. This study used descriptive research design. The respondents of the study were the nursing students and clinical instructors of Lyceum of the Philippines University – Batangas. The respondents were chosen through stratified random sampling. Moreover, there were 10 clinical instructors who took part in the conduct of the study. They were chosen based on the number of times they handled the students both in lecture and clinical area. The instruments were self-made and standardized questionnaire and interview guide to obtain the data needed for the study. The self made questionnaire identified the Nurse Educator’s Affective Teaching Strategies. On the other hand, the standardized questionnaire focused on the values of student nurses in terms of God-centeredness, Leadership, Integrity and Nationalism. The use of interview supported the gathered data from the questionnaire. The data gathered are compiled, organized and tabulated for statistical treatment. Weighted mean was utilized to compute the quantitative data whereas the interview was used to form the qualitative analysis. Role modelling is the most common strategy of nurse educators to enhance the affective domain of student nurses. Teachers have an integral role in honing the abilities of the students. Their actions are consciously and unconsciously affecting the attitude of the students. The values of the student nurses that were identified are all correlated to institutional core values, hence confidence needs most attention in developing affective domain as it produce change in other values presented in the study. The proposed teaching strategies will enhance the affective domain of nursing students in line with the institutional core values .
PODIUM presentation STUDENT CATEGORY
Innovations in the Nursing Academe
A Conjoint Analysis on the Career Path Preferences of a Select Group of Filipino Nursing Students Allan B. de Guzman , Marianne Camylle A. Isnani, Jillan Lorraine V. Jugo University of Santo Tomas
Over the past decades, researchers have sought to explore the nature of career choice and determine the influences on career decision-making. However, there is paucity of research on the development of career path preferences in young adults in the field of nursing. This study aims to discover the career path preferences of a select group of Filipino nursing students in relation to job location, job placement, and continuing education. To assess the preferences for career path, a conjoint analysis survey of 271 Filipino nursing students was conducted from April to May 2013 using the balanced incomplete block design. Results: The most important attribute nursing students considered in terms of career decision-making was continuing education. Students preferred to head straight to nursing practice in the clinical setting after passing the licensure examinations. Results prove that the career path preferences of Filipino nursing students in terms of job location, continuing education, and career placement were as follows: to be employed in a more industrialized work setting; to practice nursing after passing the nursing licensure examinations; and to work in the clinical area. These findings, if integrated into the current practice and curriculum, will give way for the development of new policies with regard to nursing education in terms of career path referencing. Keywords: nursing students, nursing education, Filipino, conjoint analysis, career path, preferences
Explicating Filipino Nursing Students’ Preferences of Clinical Learning Experience Delivery Structure: A Conjoint Analysis Mary Joyce Junio
University of Santo Tomas
Clinical learning experience is the most vital aspect of nursing programme by which students are immersed in the clinical area to assume professional role, gain professional values, and consolidate theoretical knowledge and practical skills. Studies that examine the overall effectiveness and efficiency of clinical learning experience delivery structures based on the degree of student nurses’ preferences remain a blind spot in nursing literatures. The objective of this study is to explicate Filipino nursing students’ preferences of clinical learning experience delivery structures. A conjoint analysis survey of 322 Filipino nursing students was conducted from April 29, 2013 to May 31, 2013 to measure the clinical learning experience delivery structure preferences via orthogonal cards. The most relevant attribute for nursing students is the kind of CI’s supervision. They prefer to have their CLE in private hospitals during the course semester for a span of 6 weeks having a group-based learning strategy under an authoritative clinical instructor. On the whole, clinical learning experience attributes as the kind of supervision deemed as the most important preference promote new provisions in the nursing curriculum that may positively affect the outcomes of nursing practice and quality of care. Keywords: Clinical Learning Experience, Filipino, nursing students, conjoint analysis
A Journey Towards Better Adaptation: Perceived Social Self-Efficacy and Academic Performance of International Student Nurses Lumanta, J. D., Mojica, A., Pasion, M. G., Esmael, E. G., Marco, K. M., Gargoles, K.R. Junio, N. M., Liberato, N., Campos, A., Lim, C.V., Filoteo, J.,RN,MPH. University of Santo Tomas
Self-efficacy has an impact on migrant students’ success in their university studies (Mak and Tran, 2001). Self-efficacy is said to be a useful indicator of socio-cultural adjustment, leading students to perform better academically. The purpose of the study was to examine the relationship between the Perceived Social Self-Efficacy and Academic Performance of International Student Nurses, taking into account also the effects of gender, familiarity with the English language, nationality and length of stay in the Philippines. A sequential, quantitative –dominant (QUAN-qual) Explanatory Design, using the identical sampling method was used. Phase 1 involved the collection of self-report data about the Perceived Social Self-Efficacy and the students’ Academic Performance through their General Weighted Average (GWA) from 11 International Student Nurses. Perceived Social Self-Efficacy was measured using the Cross-cultural Social-Efficacy Scale for Students. In Phase II, an identical sample of 6 students was recruited for in-depth interviews. It probed into their socio-cultural adjustment experiences and how it affected their performance in school. Phase I data was analyzed using both descriptive and inferential statistics. The first phase of the study revealed that there is no relationship between Perceived Social Self-Efficacy and Academic Performance. Findings opposed results of past researches on the said variables. This key finding led the researchers to explore further the experiences of these students in terms of their experiences in socio-cultural adjustment as an important consideration in their Academic Performance. In the analysis of the qualitative data using Moustaka’s method, the researchers identified five themes that shed light if indeed problems were encountered in terms of socio-cultural adjustment and on the evidence-based explanation behind it. The themes are as follows; Language as an Important Element of Communication and Learning, Ambivalence with the Filipino Cultural Traits, Going through Adaptation, Social Relationship, Antiphon to a New milieu. The integrated findings will be useful in improving the existing program and planning out new strategies that will facilitate adjustment.
PODIUM presentation STUDENT CATEGORY
Innovations in the Nursing Academe
Computer Gaming and its Implications on Academic Performance on Nursing Students Villaflor, Ronnel D.; Sison, Cheynee J.; Sabate, Jae Kamille Cebu Normal Univeristy
In the 21st Century, computer gaming is highly popular worldwide wherein students are top users of this gaming scheme and about fifty percent of these gamers are usually below the age of 20. This study aims to determine whether there is a significant relationship with computer gaming and how it affects academic performance of nursing students. The researchers utilized NonExperimental Descriptive Comparative Design. The respondents comprise of 168 level IV nursing students from three institutions in Cebu City taken by randomized systematic sampling. During the data gathering procedure, the respondents were given a researcher-made assessment tool as the main tool in collecting data. After the data gathering phase, results of the test were collected and tabulated. The statistical treatments used were 2 paired t-test and Analysis of Co-Variance (ANCOVA) to determine if there is a significant difference between the gaming and non-gaming group in terms of academic performance, and analysis of the identified co-variables in the study, respectively. Results showed that there is no significant difference between the two groups and the factors influencing their academic performance reveals no significant relationship.
Orientation Learning Needs of Student Nurses in the Clinical Placement
Jefferson S. Galanza ;Raiza C. Abelardo;Alyssa V. Aboc Runa J A. Acosta; Marlon V. Balmes;Juan Paulo M. Diaz; Erica Joy D. Doctor; Denise Maxeen R. Estibar; Glenice Faith T. Fegcan; Kacelyn Adette R. Francisco; Colleen Joyce A. Pulido; Princess Dianne C. Rabino;Kashmirr Clair A. Takayeng;Jenifer B. Uy Saint Louis University
Student Nurses recognize clinical placement as one of substantial context for acquiring knowledge and skills. This study examined the orientation learning needs of student nurses in the clinical placement and determined its significant difference when grouped according to sex and year level. Participants included 314 randomly selected Saint Louis University School of Nursing students from different year levels, who have been exposed in clinical placements prior to data gathering. This quantitative, descriptive research utilized a self-made questionnaire in gathering data, where Chi-square was used for statistical analysis. Results revealed that all the 25 items included in the questionnaire were considered as learning needs, with the lowest ranked item having 72% of the respondents recognizing the item still as an orientation learning need. Included in the top ranked items are the following: identification of what they need to know for the rotation, equipment available in the unit, clinical requirements, documentation guidelines, special skills, objectives of the rotation, and unit policy and procedures. The study concludes that there is no significant difference in the orientation learning needs of student nurses in the clinical placement when grouped according to year level and sex. Future research is needed to evaluate the outcome if recommendation to establish an orientation manual and guidelines will be implemented and to determine whether the students have acquired the knowledge and skills needed to enhance their competencies and improved learning outcomes. Keywords: Orientation, Learning Need, Clinical placement, Student Nurses
POSTER presentation PROFESSIONAL CATEGORY Care Practices for Elderly Patients in Selected Nursing Homes in Cebu Maria Elizabeth Mendoza University of Cebu - Banilad
This study determined the care practices for elderly patients rendered by healthcare providers in selected nursing homes in Cebu. Specifically, it determined the healthcare provider’s profile and the frequency of care practices for elderly patients rendered by the healthcare providers in the aspects of body, mind, and soul. The descriptive method of research was utilized using the researcher-made questionnaire specifically in gathering of data to determine the profile and the frequency of care practices by the healthcare providers. This study was conducted in three (3) selected nursing homes in Cebu: Hospicio de San Jose de Barili, Seven Sisters Elderly Homes, and St. Camillus Home-for-the-Aged. There were a total of 28 respondents from the selected nursing homes in Cebu. There are ten (10) healthcare providers from Hospicio de San Jose de Barili. Whereas, Seven Sisters Elderly Homes has seven (7) respondents. Lastly, St. Camillus has eleven (11) respondents. Based on the findings, inferences were drawn according to the category. In reference to the body, the healthcare providers apply often practiced to always practiced concerning the safety and the therapeutic communication skills to the elderly. In reference to the mind and soul, the healthcare provider applies often practiced. The length of experience in elderly care had significant impact on the frequency of care practices by healthcare providers. Based on the findings of the study as inferences were drawn according to the category. the researcher recommends the following: 1. The nursing homes’ administrators must implement the proposed action plan., 2. The healthcare providers must shift paradigm from often practiced to always practice concomitantly with the care practices. ,3. Further studies analogous to this research must be conducted including all nursing homes in Cebu and/or the Philippines; to compare and contrast the results of this study to that of the future research studies.
The Effect of Physical Exercise on Decrease Blood Pressure in Patients with Type II Diabetes Mellitus Yulia Fauziyah, Faisalado Candra Widyanto, Ikha Fitriyana, Evita Dian Permata Sari Mahardika Cerebon Institute of Health Sciences
Diabetes mellitus is a disease with prevalence that keep on higher and spread wider. Patients with type II Diabetes Mellitus can experience increase blood preasure caused by endothelial dysfunction. Physical exercise is alternative treatment process to decrease blood preasure. The objective of this study was to determine the effect of physical exercise to decrease blood preasure in patients with type II Diabetes Mellitus. The study used pre experimental design with one group pre-post test design approach. The population is all patients with type II Diabetes Mellitus in Karangreja’s village work area of Suranenggala’s Primary Health Centre Regency. The samples were 22 people recrited by total sampling. The intervention was given in 30 minute in 3 times meeting with interval about 1 week. The data was analized by using paired t-test with significant level α < 0.05. The result show that the average of systole and diastole blood preasure in patients with type II Diabetes Mellitus after physical exercise decreased majority. Statistical analysis using paired t test showed p value = 0.000. This result means that there are significant effects of physical exercise on decrease blood preasure in patients with type II Diabtes Mellitus. Keywords: Diabetes Mellitus, blood pressure, physical exercise
Perception Of Patients On Contemporary Nursing Care Based On Watson’s Theory Resty L. Picardo, Salina Loquellano University of the Visayas
The study utilized a descriptive, correlational design. It was conducted in Vicente Sotto Memorial Medical Center and Vicente Gullas Memorial Hospital were 100 respondents who have been recently hospitalized and were admitted for two weeks and more from 12 years old and above were utilized. A purposive criterion sampling was employed using a paper and pen questionnaire based on the theory by Jean Watson on her ten carative factors. The study attempted to answer the level of care rendered by the nurses towards their patients and if there was a noteworthy association among the level of care rendered by the nurses and the patient’s demographic profile (age and gender) and nurse’s profile (gender; and hospital classification). Statistical treatments used in the study were frequency distribution and simple percentage. Cronbach’s value for the reliability testing was at .83. Weighted mean was also used to determine the perceptions and functional ability of the respondents. Chi Square, test of independence was used to determine the association among the client and nurse’s profile as against the level of nursing care received by the patients. Cramer’s V was used to test the strength of correlations. Majority of the respondents belong to the young adult group while the minorities were coming from the adolescence group. There were 51 females and 49 males. There were 59 female nurses who took care of the respondents while there were 41 male nurses who attended the patients. The number shows out that there were more female nurses employed to different hospitals than the male nurses. The government hospital had 65 respondents while private hospital had 35 respondents. As to the Level of Care Rendered by the Nurses Towards their Patients, the computed mean reveal an interpretation of very good. Patient’s profile and the level of care did not yield a significant relationship. There was a noteworthy association among the level of care and nurse’s gender (p = 0.012) on the area where the nurse practices loving kindness and composure inside framework of caring awareness towards patients. The level of care and the hospital classification findings revealed significant relationship on two items (p = 0.020 and .048). The level of care in terms of the nurse assisting with basic needs, with an intentional caring consciousness, administering “human care essentials”, which potentiate alignment of mind, body, spirit, wholeness, and unity of being in all aspects of care; tending to both the embodied spirit and evolving spiritual emergence are better experienced by patients in government hospitals. Based on the findings Cebuano nurses were very good in their nursing care towards their patients. Keywords: Perception; contemporary nursing care; Jean Watson; Theory of Human Caring; carative factors; level of care.
POSTER presentation PROFESSIONAL CATEGORY
Nutritional Management Practices Utilized By Mothers In Cebu City’s Poor Urban Communities Mae C. Reynes, MAN, May Claire L. Villegas, MAN University of Cebu - Banilad
This study determined the nutritional management practices utilized by mothers of undernourished children from 0-5 years old in Poor Urban Communities in Cebu City. The study adapted a descriptive-correlational design using a researcher – made questionnaire with 1000 respondents from the three critically identified areas in Cebu City with high incidence for undernourished children aging 0-5 years old. Purposive sampling design was utilized in the study. Data were treated through simple percentage, weighted mean, and Chi-square test of independence. There were three significant findings, viz.: (1) majority of the respondents were within the age bracket 28-38 years old, college level, unemployed and served as plain housewife with a family monthly income of 1,000 -6,999.00 pesos, (2) There were two nutritional management practices that were not utilized by the mothers of undernourished children namely; participating in Nutri-Asia Gabay Kalusugan Feeding program and the monitoring of the child’s body weight. On the other hand, there were six practices that were less practiced by the respondents such as: providing meals that are rich in protein for building muscles such as fish and meat; encouraging the child to eat variety of foods daily inn right amounts in combination of fruits and vegetables; participating in seminars provided in the community or health centers on breast feeding of babies; giving combination of grow, glow and go foods and monitoring the child’s height regularly.; and serving foods rich in anti-oxidants and, (3) significant relationships were found between the profile in terms of the occupation and the monthly income to the nutritional management practices utilized by the respondents. The following recommendations were formulated: (1) implementation of the proposed action plan geared towards information dissemination drive on the activities and benefits of the Nutri-Asia Nutritional Feeding Program in schools and Increasing public knowledge on the importance and benefits of monitoring the body weight of an undernourished child and, (2) further studies be made in line with public health particularly the vulnerable population: the children and the elderly.
Academic and Licensure Examination Performances of 23010-2012 BSN graduates: Basis for Curriculum Enhancement Josephine M. De Leon, RN, MAN Centro Escolar University
The study involved the correlation of the academic performance and licensure examination results of 2010-2012 BSN graduates, the results of which were used as bases for curriculum enhancement. A descriptive-correlational design was used to describe the academic performances and results of the licensure examination of graduates, the changes in the BSN curriculum, the perceptions of the faculty in the changes of the curriculum and relationship of the nursing graduates’ academic and NLE performances. CEU nursing graduates of 2010, 2011 and 2012 and Nursing faculty from the College of Nursing from CEU Manila, Makati and Malolos campuses were the respondents of the study. A four point Likert scale questionnaire were used as instruments of the study. Mean and SD were used to describe the academic performances of graduates and the perceptions of faculty in the changes of the curriculum while Pearson correlation and test for significance for Pearson r was used in determining the relationship of the academic and NLE performance in each of the 5 subjects in the NLE. The results showed that the academic performances of graduates are satisfactory in Nursing Care Management, CHD and Research subjects. The graduates Nursing Licensure performances are also satisfactory however graduates have difficulty passing the exams with Medical Surgical and Psychiatry Nursing concepts. The academic performances of graduates in nursing professional subjects are related to the nursing licensure performance. The changes in the curriculum brought additional NCM subjects contents, units, hours and placement in the BSN curriculum. The faculty of the college of nursing continues to implement the BSN curriculum based on the changes required by the CMO. Curriculum enhancement is necessary to improve academic and NLE performance of the nursing graduates.
POSTER presentation PROFESSIONAL CATEGORY Pre-Board Scores And Philippine Nursing Licensure Examination Among Student Nurses: The Relationship Resty L. Picardo, Mary Hazel B. Tanedo, Joel B. Serad University of the Visayas
The study utilized the correlational descriptive quantitative design in determining the significant relationship between pre-board scores and actual PNLE scores. The study was also archival in nature as it tried to gather data that have been stored. Tit was conducted in the University of the Visayas, Banilad Campus and a universal sampling design was used. Data were statistically treated using Chi-square and Cramer’s V. Findings of the study revealed that 5.61 (11 students) percent got a score above 75 percent while 52.55 percent (103 students) got a score between 70 percent to 74.99 percent. Second to the majority 76 students who got 65 to 69.99 scores while there were four students who got a rating of 60 to 64.99 percent. Lastly, 2 students got a pre-board score of below 55 percent. All of the students got a pre-board score of 75 above, passed in the actual PNLE while 52.55 percent (80 students) who obtained a rating of 70 percent to 74.99 percent passed. Of the 76 students who garnered a rating of 65 percent to 69.99 percent, there were 25 students or 38.78 percent who passed. In the same way as for those who earned a rating of 60 percent to 64.99 percent nobody passed and below 55 percent only one passed. Despite scoring below the passing rate, majority of the students still made it in actual PNLE implying that not passing in the pre-board examination is not a guarantee that a student will also fail in the actual PNLE, however, even if a student gets a failing grade in the pre-board examination, this does not automatically mean that he has no chance of passing the actual PNLE. The computed chi value (49.949) was greater that the critical value (9.49) which means that there was a significant relationship between the pre-board scores and the actual PNLE performance. Cramer’s V (.505) was interpreted as having a redundant significant relationship. The pre-board scores and PNLE performance are probably measuring the same concept which means that when pre-board scores increase, PNLE performance would also increase, in other words, the higher the pre-board score, the greater the chance of passing the PNLE. In the same way that when pre-board scores decreases, the chance of passing the PNLE also decreases. The mean score of 70.07 would imply that getting this pre-board score would most likely result to a positive result in the PNLE. The study was able to prove a redundant relationship between the two variables. In general, the greater the pre-board scores, the greater chance of achieving a passing rate in the actual PNLE. Also, as the pre-board score of a student decreases, the greater the chance of achieving success in the PNLE. Keywords: Pre-board scores; Philippine Nurses Licensure Examination; Nursing students; Correlation.
Weaving Life Experiences Among Breast Cancer Survivors: A Phenomenological Inquiry Sheilla Trajera
University of St. La Salle
The study aimed to have a deeper and more profound inquiry of the life experiences of the selected breast cancer survivors according to (a) profile, (b) impact of diagnosis, and (c) similarities and differences in the lived experiences. The study made use of qualitative research design using a phenomenological approach through descriptions and analyses. Purposive sampling was used in identifying the six participants of the study. An interview guide was used to achieve understanding of the experience of illness and related life experiences of the 6 breast cancer survivors. Participants were age-ranged from 42-71 years, majority with Stage II diagnoses, with surgery and chemotherapy as treatment, married, mostly with no children, at their menopausal stage, unemployed with family income ranging from Php 2,000-120,000. Impacts of diagnoses include importance of early detection, support system, spiritual growth, valuing hope, optimism and acceptance of condition. Similarities and differences range from physiologic, psychologic and cognitive indicators in breast cancer, realizing quality of life, a deeper devotion to God, cancer brought about by one’s lifestyle and genetic build-up as well as care from time of diagnosis and treatment. The phenomenon breast cancer has brought so much meaning to the way of life of the six women breast cancer survivors from appreciation of life to death. Further research will help determine ways to address concerns in improving care of breast cancer survivors specifically in Negros Occidental from which more cases are discovered each year in collaboration with breast cancer support groups e.g. FACES, Breast Care, and the DOH for a preventive health care education program on early case findings in the community to training of oncology nurses assigned to the different Oncology Units of hospitals in the promotion of a more specialized oncology nursing practice.
The Lived Experience of Children with Incarcerated Mothers Rayna Lynn R. De Castro, RN, MAN Saint Paul University Dumaguete
This phenomenological study aimed to investigate the lived experience of children with incarcerated mothers and coping strategies. There were nine informants of the said study who contributed on the findings that resulted into recurring themes as deduced from information gathered through interview for about 30 minutes to one hour as tape recorded and attained. The Husserlian phenomenological approach was utilized in order to analyze the data gathered that resulted into meaningful themes as interpreted by the researcher and validated by the informants. Based on the findings of the said study, the lived of experience of the children with incarcerated mothers— before incarceration of the mother the children perceived that there is a disruption of the mother and child relationship and during incarceration, a change happens, there is an enhanced mother and child relationship, as described by the children, their mothers are already more motherly and affectionate to them. And with the effects of incarceration there were six (6) identified recurring themes (1) spiritual distress, (2) economically challenged, (3) disunity among family members, (4) poor academic performance, (5) emotional instability and (6) social stigma and isolation). Also, adaptive strategies and maladaptive strategies were being developed as these children encountered the effects brought about by the incarceration of their mothers. Moreover, amidst the challenges that they encountered in life, as their mothers were being incarcerated they were still striving to grow and mature in all matters.
POSTER presentation PROFESSIONAL CATEGORY Fractal Analysis on the School Performance of Philippine Nurses’ Licensure Examination: Strategic Basis for Top Performing Nursing Schools Melvin R. de Castro, Tonnnette M. Villanueva University of San Jose-Recoletos
The study compares the fractal dimensions of the board examination percentage scores for nursing graduates in June 2012 and December 2012. The purpose of such a comparison is to assess the ruggedness or roughness of the scores over the two assessment periods. The more rugged set of scores viz. higher fractal dimensions implies either the test is more difficult than the other test or the range of scores in that set is higher than in the other set. Results revealed that the June, 2012 test scores have higher fractal dimension than the December, 2012 test scores. The paper concludes that the June, 2012 PNLE was more difficult that December, 2012 PNLE causing the huge and rugged test scores in the latter board exam. Keywords: fractal analysis, school performance, below and above national passing percentage, Philippine Nurses’ Licensure Examination (PNLE)
STUDENT CATEGORY Exploring The Lived Experiences of Women with Breast Cancer Who Underwent Mastectomy Elditha C. Alvarez, Ginne Nicole Alam, Louisa Joy Alegre, Nikki Marie Ban, Francis Philip Bernaldez University of St. La Salle
The specific focus of the research inquiry was to explore the in-depth lived experiences of women with breast cancer who underwent Mastectomy as to how they managed their day-to-day lives after the overwhelming encounter with cancer and eventually losing their breast/s; how Mastectomy affected their view of lives; their different coping strategies; and how they valued their experiences with the people who played key roles in helping them deal with the phenomenon. A qualitative phenomenological design was used, utilizing semi-structured and in-depth face-to-face interaction that allowed the participants to liberally express their thoughts and feelings, giving narration of their entire experience. A purposive sample of six women with breast cancer who underwent Mastectomy was used. Data analyses were obtained using Creswell (2008) framework for phenomenological data anchored on “Human Becoming Theory” of Rosemarie Parse in discovering the essence of the humanly lived experiences. The findings were patterned by extracting the significant statements coming from each of the participant’s responses, refinement of significant phrases found in each thought segments and creation of themes. Seven themes were discovered out of the lived experiences of women with breast cancer who underwent Mastectomy: (1) Positivism in life, (2) Valuing of relationship with others, (3) Expression of feelings and thoughts in relieving self of physical and emotional pain, (4) Valuing oneself through the recognition of freedom and restrictions as survivors, (5) Strong desire continue championing life’s struggles, (6) Mastectomy as catalyst of deeper Spiritual foundation to constant transformation. The researchers were able to articulate deeper understanding that beyond pain and sorrow is the birth of new hope and positive transformation. The narratives and reflections of the participants divulged that finding meaning and living in rhythmicity and transcendence were the essence of their lived experiences. The study recommends for nursing administrators, faculty members, and nurses both in hospital and community health nursing practice to work in a collaborative effort for the strengthening of instruction in Oncology Nursing so as to complement nursing education by bridging the gap between classroom lectures with Related Learning Experiences of students to benefit individual patients turned survivors following Mastectomy.
Chewing a Gum: Effect on Salivation, Passing Out of Flatus, Bowel Movement and Gastric Motility among Filipino
Buenaflor, M.J., Cordova, K.A., Dantes, J.R., Dicen, T.A., Fajardo, A.P., Fajardo, G.C., Hapa, C.J., Kabalican, D., Uy, R.L. Far Eastern University
This study aims to determine the effectiveness of chewing a gum on salivation, passing out of flatus, bowel movement and gastric motility among Filipino elderly. Gastric motility is one of the physiologic processes that is experienced by any individual, specific to this study-the elderly. The study utilized a quasi-experimental design. A non-probability purposive sampling was utilized in subjects (n=20) selection with inclusion criteria being: (a) Filipino elderly aged 60 years old and above (b) able to chew (c) not taking any laxatives (d) willing to participate. Purposive sampling method was used, divided the respondents into: experimental and control group. Experimental group consisted of 10 subjects while control group 10 subjects. Study was conducted consecutively three days. Lunch was served with a 10 minutes post-lunch rest. The experimental group was given three pellets of chewing gum followed by a rest period of ten minutes-time allotted for masseter muscle to relax. Respondent’s physiologic changes such as salivation, passing of flatus and bowel movement were observed, data documented. Second phase of gum chewing performed and same process followed. Data revealed that outcome of each elderly in relation to the three physiological processes varies. Salivation yielded a p-value of 0.045 (p value <0.05), passage of flatus obtained a p-value of 0.001 (p value <0.05) and bowel movement has p-value of 0.0429 (p value <0.05), which means there is significant difference between the chewing gum and the non-chewing gum in terms of these three variables. Conclusion: Chewing a gum is an effefctive intervention in enhancing gastric motility among Filipino elderly.
POSTER presentation STUDENT CATEGORY Exploring the Experiences of Pediatric Patients Undergoing Dialysis
Dizon, Mary Joy B.; Briones, Mariya Daniella Elizabeth N.; Deang, Andrea Krizia T.; Guanzon, Clarizze Joyce C.; Ramirez, Dr. Debbie Q. ; Sarmiento, Jenneth E. Angeles University Foundation
Children are regarded as vulnerable individuals because of the amount of experience in life, yet it is different in the persona of pediatric patients undergoing dialysis. The study aims to discover the diverse experiences of these children to gain knowledge about their emotional state as they allow dialysis to be part of their lives. Dialysis patients who are 18 years old and below regardless of sex, socio-economic status, educational background and religion are included in the study. Four (4) pediatric patients were chosen as participants through purposive and referral sampling take part in the study. The researchers underwent training by a psychologist before an interview was done with the participants. Semi-structured interview was utilized in the study to obtain the data from participants. Colaizzi Method was used to analyze the gathered data. After rigorous interviews, the phenomenon is described on the following themes: (1) The Battle: A Continuous Quest for Survival, (2) The Bloodline: Life Circulating into my Veins, (3) Hues of my Canvas: Painting the Perspective of the Journey I am In, (4) Unplugging the Bloodline: Struggle Between Life and Death, (5) Pillars: Building Walls against the Agony, (6) Spectators: Facing the Inevitable Voices of Other People and (7) Changing Lanes: A Glimpse of Reality. The themes of the study are mirrors of the lived experiences of dialysis patients in a very young age. It describes their perception and emotions and their current relationship to significant others in relation to dialysis as a major turning point in their lives. Reflecting upon these themes, the researchers concluded that these participants are not in an easy lane due to their disease especially with their ritualistic dialysis treatment and because of this they should be given proper attention and care to be able to improve their state of life holistically. Understanding their experience as a dialysis patient will help the health care team unravel another aspect of these patients’ experiences.
Effects of Brown Rice (Oryza Sativa) in the Dietary Management of Patients with Type 2 Diabetes Mellitus
Lopez, Pauline Mae B., Sabiniano, Leah D., Sison, Richelle DL., Manuel, Raymond G., Tabajonda, Raphael Adrian M. Centro Escolar University
Brown rice is a rich source of magnesium that acts as a co-factor for enzymes involved in the glucose-insulin secretion. It is also high in fiber that controls blood sugar levels. Currently, it is included in the Philippine National Unified Health Research Agenda for 2011-2016. The study will help patients with type 2 diabetes mellitus achieve optimal nutrition and prevent complications. To determine the effects of brown rice in the dietary management of patients with type 2 diabetes mellitus Using quasi-experimental design, subjects were purposively and randomly selected from Mandaluyong City (n=24). Subjects were divided into two groups. The experimental group received Harvester’s brown rice and were asked to take 1 cup of brown rice per meal daily for 8 weeks. The non-equivalent comparison group remained to eat white rice using the same measurement for the same period. Monitoring and compliance were assessed using scheduled and unscheduled visits of at least twice a week. Using measuring devices, laboratory test, and monitoring tools, the effects of brown rice in the five parameters were measured- FBS and RBS levels, BP, body weight and BMI. Devices were calibrated before the tests. The differences between the two groups were tested across all parameters using the Wilcoxon Signed Rank Z, Likelihood Chi- Square, and Paired Samples Student’s t- test. Those who were given brown rice showed statistically significant decrease in FBS, RBS, body weight and BMI from pre-test to week 3,5,7 and post-test (p-values < 0.05). The effects of brown rice is significant as early as week 3.Brown rice is an effective dietary management for patients with type 2 diabetes mellitus. Diabetic patients must be informed to include brown rice in their diet. These results provide basis for nurses in providing health education regarding positive effects of brown rice. Keywords: Diet, Brown Rice, Oryza Sativa, Diabetes Mellitus
Birth Control Methods among Married Women of Barangay Pawikan, Cabucgayan: A Basis for a Nursing Interventions Scheme Pearl Irish T. Velicaria, Aileen C. Garillo, Christine S. Javines & Mavelyn L. Supenia Naval State University
Unwanted pregnancies have become one of the crucial issues faced not only in our country but the whole world. The use of modern contraceptive methods has greatly reduced the incidence of unintended pregnancies. According to NDHS 2003, of all the currently married woman who used any form of contraception, 33.4% use ant modern contraception and 15.5% used traditional method of contraception. Hence, opted the researchers to conduct a study. The study used a descriptive – survey research design. A questionnaire and a follow up interview were tools used in gathering the data and quota sampling to identify the ninety (90) respondents of the study. The study aimed to determine the respondents’ profile, awareness on birth control methods, perceived effectiveness of the birth control methods, the birth control methods used and the sources of information of the birth control methods. Results showed that majority belonged to middle adult age which ranges from 36-46 years old, Roman Catholic, high school educational attainment, with two to four to five number of children, has a low family income of 1000-4999php .As to the awareness on the birth control methods, withdrawal, condom and pills were rated as fully aware while abstinence, condom, pills and calendar method were perceived as the most effective type of birth control method. Most of the respondents were using pills and the source of information about birth control methods are the respondents’ relatives. The researchers strongly recommend that health care providers especially the rural health workers must conduct massive information dissemination on birth control methods. This can be done through seminars and trainings so that the couple or married women will have gain appropriate knowledge on birth control methods and therefore, a higher of chances of preventing unwanted pregnancies.
POSTER presentation STUDENT CATEGORY The Effectiveness of Mangifera indica (Mango) Leaves Infusion in the Reduction of Mean Arterial Pressure Level among Hypertensive Clients in Selected Barangays in Cebu City: Basis for Information Dissemination Cavalida, K.C., Doble, H.K., Lumansoc, S., Mendolia, M., Ponteras, W.P., Quipanes, J., Torres, J.L.G., Torrizo, C.J., Ventula, M. Cebu Doctors’ University
This study aimed to determine the effect of Mangifera indica (Mango) leaves infusion as an adjunct therapy in reducing the mean arterial pressure among hypertensive clients in the selected barangays of Cebu City. The researchers utilized the experimental design. The study was conducted in 4 selected barangays in Cebu City which are Barangay Labangon, Barangay Punta Princesa, Barangay Tisa and Barangay Kamputhaw. The 30 respondents were selected through random sampling. The study included both male and female aging 35 – 65 years old. They must neither be diagnosed with hypertension nor had taken any antihypertensive medication. The researchers utilized record monitoring sheets to tabulate the mean arterial pressure level of both groups. The research tools were the sphygmomanometer and the stethoscope. Both were used to monitor the blood pressure of the respondents. Before the study was conducted, letters were addressed and forwarded to the following; Dean of College of Nursing and Cebu City Health Officer. The potential clients’ blood pressure level was monitored for four consecutive days at around 8:00-10:00 am. After which, they were sent to a medical expert for evaluation. Prescription of medication, Amlodipine (Aforbes) 5mg was given. The 30 clients were grouped into two; Group A (clients who took Amlodipine plus Mango leaves infusion) and Group B (clients who took Amlodipine only). In the preparation of the infusion for Group A, 25 grams of young Mangifera indica (Mango) leaves were steeped into 250 mL of hot water for 15 minutes, tightly covered in a glass jar. For three days, respondents of both groups had BP taken and after breakfast Group A (experimental group) took the medicine with mango leaves infusion, while Group B (control group) took the medicine only with water. On the third day, two hours after taking the medicines, BP of both groups were taken as post-test results. These data were tabulated on a record monitoring sheet which was statistically treated with paired t-test and independent t-test. The results of paired t-test revealed that there was a significant mean change in the mean arterial pressure after the intervention for both groups. The mean difference of Group A was 22.667 while for Group B it was 14.445. Group A showed a greater decrease of the MAP than Group B. This will further support the premise that the Amlodipine plus the Mangifera indica (Mango) leaves infusion showed to be a better intervention for hypertension than Amlodipine alone. Furthermore, the independent t-test showed that, the mean difference between Group A and Group B was 5.777, that is, there was a significant difference in the mean arterial pressure after the intervention between the two groups (p=0.01 < 0.05 α). The results of the study revealed that there is a marked decrease in the individual mean arterial pressure of the respondents after the intake of mango leaves infusion. The mango leaves truly lowers the blood pressure of individuals who were previously undiagnosed with hypertension. Therefore, the Mangifera indica (Mango) leaves infusion can be used as an adjunctive therapy to Amlodipine (Aforbes) for clients with hypertension.
Menstrual Hygienic Practices among Selected High School Students Francis Bryan Ruizo
University of Cebu - Banilad
This study determined the menstrual hygienic practices among selected high school students of University of Cebu – Main Campus, High School Department. The study adapted a descriptive – correlational design using a researcher – made questionnaire with 180 respondents from the total female population. Purposive sampling design was utilized in the study. Data were treated through simple percentage, weighted mean, and Chi-square test of independence.nThere were three significant findings, viz: (1) majority of the respondents were 15 years old, fourth year students, (2) There is menstrual hygienic practice that is less practiced by the students and that is “consulting a family physician regarding extreme irregularities before, during or after menstruation”. (3) Significant relationship was found between the age and menstrual hygienic practices however, there was no significant relationship between the year level and menstrual hygienic practices. The following recommendations were formulated; (1) implementation of the proposed action plan geared towards information dissemination drive on the activities and increasing the students’ knowledge on the importance of consulting a family physician regarding extreme irregularities before, during or after menstruation and (2) further studies be made in line with health needs of menstruating women and health needs of women.
Extent Of Knowledge And Barriers On Dash Diet In Baguio City
MKS Abaoag, RDB Aquino, JO Bungay, JC Copiling, MRF Dorotan, FL Lindaoan, KJT Martinez, ND Mayo, KD Miranda, WG Pido, FL Pulido RN, DC Rabut, KCB Solomon Saint Louis University
Hypertension (HTN) is a blood pressure reading of 140/90mmHg or more on 2 separate occasions. . In the Philippines, according to the 2005 statistics of the Department of Health, hypertension is one of the top 10 leading causes of morbidity and mortality. Due to the increasing prevalence, a diet management was created, Dietary Approaches to Stop Hypertension (DASH) diet. DASH is an eating plan that can help lower blood pressure. DASH diet features high intake of fruits, vegetables, legumes, and nuts; moderate amounts of low-fat dairy products; and low amounts of animal protein and sweets; and sodium reduction is now part of the diet. To determine the extent of knowledge and barriers of DASH diet in Baguio City. The study utilized a descriptive quantitative approach. 516 respondents from 129 barangays in Baguio City using non-random convenience quota sampling. Reponses were tallied and subjected to frequency and Chi-square. Weighted mean was utilized under the barrier. The significant difference lies at 0.05 level of significance. There were significant difference under sex and health status, but there was no significant difference under income. The physician, patient and health-care system barriers affect the extent of knowledge. Knowledge about DASH diet is affected by the barriers namely. Physician–related, Patient–related, and Health care–related barriers. Sex and health status are variables that affect the extent of knowledge of DASH diet in Baguio City. Keywords: Dietary Approaches to Stop Hypertension (DASH) diet, extent of knowledge, barriers, sex, income, health status
POSTER presentation STUDENT CATEGORY Level of Knowledge of Community Members on Pesticide Poisoning
Sahlee B. Florendo, RN, MN, Desiree P. Amansec, Tanya Joy D. Chaokas, Billy B. Gayados, Mary Anne R. Jaramilla, Farrah M. Manebpod, Khaeisha Yeleena M. Mariano, Vincent John A. Napiloy, Chantal Gayle M. Obaldo, Carla Marie D. Perez, Jenah Marie J. Ramos Saint Louis University
Pesticide poisoning happens when a large dose of chemicals are exposed to human beings. In 2007 pesticide poisoning was reported to be increasing in developing countries. Based from the record of Philippine National Control and Information Services, it shows that between April 2000 and May 2001, there were 273 reported cases. The study aimed to determine the level of knowledge of community members on pesticide poisoning along the following aspects a) signs & symptoms, b) preventive measures, c) first-aid measures. It aimed to determine if there’s a significant difference on the level of knowledge of community members when grouped according to age, educational attainment, work, years of stay in the barangay. Sources of knowledge of community members on pesticide poisoning were obtained. Quantitative descriptive was utilized. 400 community members served as respondents. The respondents were 18 years old and above, living within 30 meters near the areas. The study was conducted in Shilan, Alno, and Alapang, La Trinidad, Benguet. Average score was used to determine levels of knowledge on pesticide poisoning. Chi-Square was used to determine if there’s a significant difference on the level of knowledge according to age, educational attainment, work, years of stay in the barangay. Frequency was used to determine the sources of knowledge on pesticide poisoning. Based from the results of the study the findings were as follows; 1.The community members had moderate knowledge on pesticide poisoning, 2.There’s a significant difference on the level of knowledge according to educational attainment, work, years of stay in the barangay, 3.The results of the study revealed the highest source of information was obtained from family member. Based from the findings of the study, the community members have adequate knowledge on pesticide poisoning. Educational attainment, work, years of stay affect the level of knowledge on pesticide poisoning. The researchers therefore recommend; for public health workers, which includes nurses, doctors, and representatives of DOH and DOA, more health education on pesticide poisoning will be done for those who are elementary and high school graduate, who stayed in the area for 0-10 years. Keywords: Knowledge, Community Members, Pesticide Poisoning
Assessment of the Health Care Behaviors among Centro Escolar University Students: Basis for a Weight Reduction Program
Bautista, Ferdinand Jr. G., Corpuz, Arlene Jane R.,Gavina, Ydynn P., Tiwanag, Charlotte Britt M., Mejilla, Joylyn M. Centro Escolar University
Recent studies show that obesity among college students is markedly increasing and is threatening their health and posing critical challenges to their academic performance. The study aimed to assess the health care behaviors of CEU students with emphasis on physical activity, nutrition, rest and sleep, and stress management and to develop a specific weight reduction program. Descriptive correlational research design was utilized. Two hundred fifty-eight students of CEU-Manila were selected through stratified sampling. A 4-point likert scale instrument was developed and validated by experts and had excellent internal consistency, alpha = .90. Pearson correlational was used to determine the correlation between health care behaviors and weight. Majority of the respondents are overweight (mean of 27.11 kg/m2) and female has high Hip and Waist Ratio (mean of 0.86 cm). The respondent’s health care behavior in all areas is satisfactory (average weighted mean of 2.68). Stress management got the highest mean of 2.97 while Physical activity got the lowest mean of 2.54. Pearson correlation reveals that there is a very significant substantial negative relationship between physical activity and the BMI and HWR. Meanwhile, the nutrition, rest and sleep and stress management is found to have a negligible relationship with the BMI and HWR. Furthermore, this negligible relationship obtained is found to be not significant as shown by the p-value which is greater than the 0.05 level. Thus, this relationship can change using another set and more samples. A comprehensive school physical activity program for women will be proposed to address the rising incidence of obesity in CEU. “Enjoy Life! Be Active Program” will be launched. This will include daily conduct of moderate to vigorous exercise and dance activity, ”open gym days” use of school gym and pool for various sports and creation of clubs that will promote participation in lifetime physical activity.
POSTER presentation STUDENT CATEGORY Environmental Sanitation and Community Participation of Barangay Sambag 1 Residents Moturi John Kennedy, Tangub Saturn P., Reyes Jovel Alexandria, Samuya Eligel, Ramos Jerusha Mae I. Southwestern University
The study determined the environmental sanitation of barangay Sambag 1 residents. The following were the areas of concern: profile of the respondent as to age, gender, educational attainment, years of residency, combined monthly income and occupation; the environmental sanitation and community participation of the residents; and determines whether there is a significant relationship between profile and the environmental sanitation and community participation of the Sambag 1 residents. The study determined the extent of environmental sanitation and community participation of barangay sambag 1. The findings will serve as the basis of a proposed environmental sanitation practices. The following were the areas of concern: Profile of respondents as to age, gender, educational attainment, years of residency, monthly income and occupation; the extent of environmental sanitation of barangay sambag 1; determine whether there is a significant relationship between profile and extent of environmental sanitation of barangay sambag 1. The descriptive-correlational method was used in the study. The questionnaires will be the primary source of data and secondary sources include books, journals, magazines and unpublished materials. The profile of the respondents revealed that majority of the respondents belonged to the age bracket 19-34 years of age, females. The extent of participation of barangay sambag 1 residents revealed environmental sanitation is Good and Community participation is also good. There is significant relationship on the profile of age, gender, income and occupation. Proposed measures are envisioned in the enhancement of environmental sanitation and community participation. A conclusion is drawn that the higher the age, educational attained, years of residency the better it is in environmental sanitation and community participation. The following recommendations are offered: The proposed seminar to Barangay Sambag 1 residents must be implemented for the benefit of the people and distribution of handouts and other forms of discussion materials to the residents
Coping Strategies Utilized by Nurses in the Rural Health Unit under the RN Heals Program in Selected Areas of Cebu, 2013 Rina May Remonde
University of Cebu - Banilad
This study aims to determine the coping strategies utilized by the nurses in the Rural Health Unit under the RN HEALS program in selected areas of Cebu, 2013. Specifically this study determined the profile of the respondents in terms of age, gender, and civil status. This study also aims to determine the relationship between the profiles of the respondents and the extent of utilization of coping strategies. This research utilized the descriptive-correlational design. It determined the coping strategies utilized by the nurses under the RN HEALS program. There were 47 nurses under the RN HEALS program gathered from the selected areas of Cebu namely: Danao City, Mandaue City, Talisay City, Compostela, Liloan, Consolacion and Cordova as the respondents of the said study. It was found out that most of the nurses under the RN HEALS program are under the ages 19-23 years old followed by ages 24-28. Most of the respondents are females and in terms of civil status majority of the nurses are single. It was found out also that praying for guidance and strength is the coping strategies most utilized and it was followed by listening and cooperating with colleagues to increase confidence in the workplace. Furthermore, utilization of coping strategies had a significant relationship with the respondentâ&#x20AC;&#x2122;s profile. An action plan was made to help the respondents cope with their stress. The following recommendations were formulated: (1) Peer group formation for support system particularly for new nurses, (2) reinforce the need to balance oneâ&#x20AC;&#x2122;s time by setting priorities, (3) Further researches are made in line with the needs of RN HEALS nurses and Community Health Nurses, and (4) further studies be made in line with the coping strategies particularly with the nurses under the RN HEALS program.
Role of Healthcare Providers in Promoting Quality of Life
Dr. Bella P. Magnaye RN, MAN, Maranan, Jose Victor M., Marco, Carmela Dawn M., Masilam, Naser C., Mendoza, Georgia A., Montenegro, Kriszelle D. Lyceum of the Philippines University
This study aimed to promote the awareness of BatangueĂąos to the importance of the role of a healthcare provider in a community that will help them to be updated enough to the best treatment in a disease or illnesses. It also helps healthcare provider approaches with the community people to promote quality of life. In connection with this, the study also aimed to determine the extent of the role of healthcare providers in promoting the Quality of Life as perceived by Healthcare Providers and the community. Thus, it will determine if there is any significant difference between the perception of the healthcare providers and community. The study used descriptive comparative research to rule out the differences between the perceptions and the significance of the study. The subjects of the study were the community health nurses and community people among the selected barangays in Batangas City. A questionnaire using Likert Scale was used to assess the attitude of the respondents towards variables being investigated. The statistical tools that were used to reveal the results are weighted mean and ANOVA to ensure the adequacy of the data that was presented. Based on the finding of the study, it revealed that there are significant differences within the perception of the healthcare providers and community people in terms of the role of the healthcare provider in promoting quality of life. Keywords: Quality of Life, Role of Healthcare Provider, Physical Functioning, Physical Role Functioning, Social Role Functioning, Bodily Pain, Mental Health, General Health Perceptio
POSTER presentation STUDENT CATEGORY Compliance to Medical and Nursing Management among Adults with Diabetes Mellitus Renzelea C. Matibag, Shierra Valerie Vale, et. al. University of Cebu – Banilad
This study determined the compliance to medical and nursing management among adults with diabetes mellitus aged 40 and above in Vicente Sotto Memorial Medical Center in Cebu City. The study adapted a descriptive-correlational design using a researcher-made questionnaire with 100 respondents from the diabetes clinic in Vicente Sotto Memorial Medical Center, Cebu City. Convenient sampling design was utilized in the study. Data were treated through Pearson R and Cramer’s V. There were 2 significant findings: (1) majority of the respondents were in the age bracket 42-52 years old, female and with a family monthly income of Php 5000 to less than Php 10,000 a month and, (2) The medical management practice was highly complied by the adults with diabetes mellitus namely: taking medications as prescribed. On the other hand, there were 7 nursing management that were less complied by the respondents such as: doing vigorous exercises, maintaining a desired weight, carrying carbohydrate snacks, controls total caloric intake, drinking caffeinated drinks to correct hypoglycemia, minimizing the use of computers and mobile devices to promote physical activity and taking time to sleep hours a day. The following recommendations were formulated: (1) implementation of a proposed action plan pertaining to education drive for diabetic patients to reinforce compliance to medical and nursing management and, (2) further studies be conducted in line with lifestyle including BMI, job (past and present), family history of DM type 2, food preferences, smoking history and alcohol intake of patients with diabetes mellitus type 2.
Awareness, Perception and Barriers to Health Care Services of Higaunons in Brgy. Rogongon, Iligan City
Beaven Andrew A. Atienza, RN, Siena M. Dael, Charlie D. Estrellanes, Jr., Jel Vandolf Cloe V. Pancho , RN ,Michelle M. Sierras, Jan Igor Galinato, RN, Gloria Shiela E. Coyoca, RN, MAN Mindanao State University - Iligan Institute of Technology
The Department of Health created over sixty health programs and in 2012 the Philippine government allocated forty four million to provide accessible and affordable health services to the Filipinos. However, some of the indigenous people like the Higaunons could not avail easily with the free medical assistance from the government. In Republic Act No. 8371 the indigenous People’s Right Act of 1997 is an act to recognize, protect and promote their rights. The study evaluated the Higaunon’s awareness, perception and barriers to health care services provided by the government. According to the City Planning Development Office, there were no updated data in Barangay Rogongon concerning their health care. This ethnographic study utilizes qualitative methods to explore and narrate the awareness, perception and barriers to healthcare services of Higaunons descriptively. Pure Higaunon aging eighteen and above were selected as subjects. Validated questionnaires were then distributed to 43 respondents from 3 puroks through purposive sampling. The data gathered were analysed using descriptive analysis. Results showed that the respondents’ health center is inaccessible and is available only once or twice a month due to lack of financial support and medical practitioners. Thus, most of the respondents resorted to using herbal medicines. Therefore, this study recommends the following to be strengthened by the government: first, the availability of health services, sufficient budget and proper allotment for medical supplies. Secondly, the need for regular medical practitioners and health care providers to provide optimum care to patients. Lastly, the government should be culturally sensitive with regards to their traditions. Keywords: Higaunons, Awareness, Barriers, Health Care Service
Teenagers’ Ordeal: Lived Experiences of Teenage Mothers Karen F. Lomibao et al
Virgen Milagrosa University Foundation
This study sought to determine and explore the lived experiences of teenage mothers who were abandoned by the father of their child. This phenomenological study was conducted in San Carlos City, Pangasinan, Moreover, four key informants participated in the study which were selected through purposive sampling. Inclusion criteria of the informants includes: must be single, must have a child with the age of three years and above, and is not living with the father of the child. The informants were interviewed individually using semi-structured interview questionnaire guide and an audio tape recorder was also used along with field notes to have an accurate data recording. The data were interpreted and analyzed through Collaizi Method. The informants’ personal experiences unveiled significant themes which are as follows: the firs theme is 1.) Montage of Backgrounds: Understanding Their Life Before They Got Pregnant with the subthemes: “Educational disappointment” and “Life in a typical home setting”, 2.) Teenagers’ Reaction on Pregnancy with the subthemes: “Commingle Emotion and Unexpected Outcome” 3.) Bush-league with subthemes “Evanescence of pregnancy” and “cheesed off parents ” 4.) Coping With The Ordeal with subthemes “Support from Parents” and “Emotional Toughness”, and the last theme 5.) Realizations of Life with subthemes “Arduous motherhood” and “Educational magnitude”. The findings of the study show that the informants started to work early to support their family before they got pregnant. Because of the unexpected pregnancy, the father of the child being unprepared to have early family responsibilities propose abortion of the child in which the teenage mothers do not agree. Thus, leading to abandonment by the father of the child. Moreover, all of the informants’ parents felt angry as their initial reaction after knowing that their daughter is pregnant, but having an unconditional love to their daughter, soon accepted the informants’ situation. Moreover, the informants coped up with their situation with the support of their families. It was also determined that the teenage mothers had difficulty handling their responsibility at a very young age since they cannot provide all the needs of their child because of financial incapacity. Lastly, the informants emphasized the importance of education, making it the priority above all things, and if given a chance would choose to go back to school to finish College to give a better future for heir children. The findings of the research led to the recommendation of the following: 1.) the teenage mothers should join a support group in order to facilitate better coping with their situation, 2.) the Local Government Unit should create scholarship grants prioritizing the teenage mothers in order to help them achieve their dreams for themselves and for heir child/ children.
POSTER presentation STUDENT CATEGORY Challenges and Struggles of Student-Nurses with Overseas Filipino Workers (OFW) Mothers Kimmy Ann T. Rosario
Virgen Milagrosa University Foundation
The mother’s presence during a child’s journey makes a great impact on a child’s life. As a mother, it would be the hardest decision to work as an OFW because she is left with only two options: to become full-time mother or to provide better future for the children. The researchers explored the challenges and struggles experienced by student-nurses whose mothers are working abroad. Phenomenological method was used and purposive sampling was utilized to come up with qualified informants. Inclusion criteria includes: the informants must be a bonafide Level III or Level IV students of VMUF- College of Nursing whose mothers are working abroad as OFW for more than 3 years. Moreover, the researchers utilized interview method with tape recorder to explore the experiences of the informants. The data were interpreted and analyzed utilizing Collaizi Method. After interview with the informants, three (3) themes emerged which are: Life before the Struggles, Struggling to Survive and Winning over the Struggles. On the first theme, Life before the Struggles, two (2) subthemes were formulated which are Family Picture and Initial Reactions. Before their mothers decided to work as an OFW, the informants pictured their family as a complete and happy family. Upon finding out about their mother’s decision to leave, they felt the sadness. The second theme was Struggling to Survive. Three (3) subthemes were identified which are Challenges and Struggles as a Student, Challenges and Struggles as an Individual and Mother-Child Relationship. When their mothers worked as OFW, they felt alone and have to face the challenges in school and personal lives by themselves. They developed a greater sense of responsibility and independence as they were able to manage life in school and family without their mother’s presence. Somehow, their relationships with their mothers are not affected because of open communication. On the third theme, Winning over the Struggles, two (2) subthemes were also identified. These includes: Coping Mechanisms and Lessons Learned. The informants emphasized that their trust in God helped them surpass their challenges and struggles. They learned to have stronger faith in God and to be strong from within. The situation served as their motivation to study even harder because they believe that their diploma would be the best gift they can give to their mothers.
Factors Affecting Self-esteem among a Select Group of Elderly Filipinos Working beyond the Retirement Age: A Structural Equation Model (SEM ) Allan B. de Guzman, Diannesa April F. Golosinda, Cristine Porcia R. Gonzales University of Santo Tomas
Self-esteem has been explored in various fields, such as pediatrics and psychiatry but seldom in nursing research. Several factors could affect either the increase or decrease of it. However, its dynamics in the context involving elderly who are working beyond retirement remains a fertile area for nursing research exploration. Anchored on the Self-Determination Theory by Deci and Ryan (1995), this paper aims to develop a model to test the impact of social support, health promotion, activities of daily living and anxiety on the self-esteem of a select group of Filipino elderly working beyond the retirement age. Structural equation modeling (SEM) was used to study the relationship among all parameters. With the participation of 218 working elderly located in different parts of the National Capital Region and Greater Manila Area, data needed were gathered through a multi-aspect questionnaire. Data were analyzed using SPSS version 19 and AMOS version 19. Notably, social support, activities of daily living and health promotion were found to have an effect on self-esteem, thus supporting the hypotheses. A direct relationship between social support to activities of daily living and activities of daily living to anxiety were found whereas health promotion to anxiety and anxiety to self-esteem showed an inverse relationship.vThe emerged model in this study challenges the nurses to assist the elderly in accomplishing their developmental task of attaining their self-esteem. The researchers hope that the model be used as a basis in making different evidence-based interventions for geriatric patients in various settings. Key Words: Filipino, self-esteem, working elderly, retirement age, gerontology, nurses, structural equation modeling (SEM)
Explicating physical activity preferences of community-dwelling Filipino elderly in urban and rural settings: A conjoint analysis Allan B. de Guzman, Eric Harold M. Jatulan, Joyce Ann Camille A. Jimenez University of Santo Tomas
The elderly have special health needs and nutritional requirements that can be managed and compensated with the help of physical activity (PA). Despite the benefits accruing from physical activity in the literatures, a number of people still do not engage in physical activity. The need to know about physical activity preference of elderly still remains a research imperative, hence this conjoint analysis investigation. The objective of this study is to identify the physical activity preferences of a select group of community-dwelling Filipino elderly. With the use of conjoint analysis, a total of 300 respondents were chosen purposively. Data was gathered through orthogonal cards, which were then descriptively and inferentially analyzed with the use of SPSS Software version 18. The most important attribute in terms of physical activity is the type of PA. Elderly clients tend to perform light PA every day, at the outdoors, in the AM, for more than thirty minutes, and with a companion. Results suggest that there are related factors that may impede or promote PA in the elderly, of which are the age, duration, and chronic illness. These preferences, if integrated into formulating PA programs, can facilitate the promotion of the latter and meet the special health needs of the elderly. Keywords: Elderly, conjoint analysis, physical activity, preferences, Filipino, community
POSTER presentation STUDENT CATEGORY The Scar for Life : Understanding the Lived Experiences of Teenagers with Irreversible Motor Impairment
Ma. Nina C. Sarsalejo, Jarred May C. Suico, Charlene Claire B. Tingson, Siti Anairee Sheahan E. Usman Cebu Normal University
Imagine when a certain teenager had undergone this impairment, how catastrophic he/she will feel that in a snap of time, his/her life will change. What will be the future of this youngster? To answer this question, this study shall explore the lived experiences of teenagers with irreversible motor impairment currently admitted in Vicente Sotto Memorial Medical Center. A total of 5 teenagers were selected based on a predetermined criteria and were interviewed using a researcher-made interview guide. The research design used is Husserl’s phenomenological approach and data was analyzed employing Colaizzi’s phenomenological Analysis. Four major themes were selected, namely: The Inevitable Event (with two subthemes: “The Accident” & “First Reaction”), Life Upside down: Comparing Life Before and Now (with four subthemes: “Limitation”, “Family Bond”, “Inner Self: Emotional Stability” & “Recognizing the Divine Entity”), and Welcoming the Reality (with three subthemes: “Embracing the Impairment”, “The Life-Changing Reality”& “Hoping for a Better Reality”). The findings were then presented to the respondents as a final validating step. Teenagers with irreversible motor impairment, had difficulty coping up with the mishap they had. They were forced to accept the reality of the changes and perceive the accident as a challenge in life.
Efficacy of Moringa Kernels in Water Purification
Erika Mae Fernandez, Rochelle Anne Hermosada, Henry Nicholson Labajo Cebu Normal University
Every human living needs water for survival. Survival is even impossible with the fact that diseases from unsafe water and lack of basic sanitation kill more people every year than all forms of violence. Past researches done has proved that Moringa oleifera kernels have the ability to reduce E. coli contaminations in water and has a significant ability to reduce the suspended solids in extremely turbid waters. The purpose of the study is to know if there is a relationship between the increasing amounts of Moringa seeds to the quality of water being treated. Methodology utilized a three (3) group post-test only quasi-experimental quantitative design. Post-test only design administers a treatment to the two experimental groups and leaves the controlled group untouched; ten samples of 500ml of untreated water were placed in a control group, and two groups of water samples have undergone treatment of 0.2mg and 0.3mg of Moringa powder treating same amount of water. Scores obtained were: Coliform content: R-value= 0.314, P-value= 0.09; pH level: R-value= 0.577, P-value= 0.001; and Turbidity: R-value= 0.882, P-value= 0.000. Hence, there is no significant difference in the quality of water being treated when there are increasing amounts of Moringa oleifera powder being used.
A Revelation! Fathers In The Midst of Their Son’s Metamorphosis to Homosexual Transvestite Claire Princess Y. Quiñones, Kathleen Dea G. Velasco, Jianne Lerraine F. Pros, Leo Marvin A. Ramirez Cebu Normal University
This study explored the lived experiences of fathers with transvestite homosexual son. A total of six fathers of adult transvestite gays from Cebu, obtained through purposive sampling, were interviewed using a researcher-made interview guide. The data gathered were transcribed and analyzed employing Husserlian phenomenological approach and Colaizzi’s Phenomenological Analysis. Three themes emerged with their subthemes: (1) Facing Detonation, with six subthemes: (a) Disapproval (b) Anger (c) Blaming the influence of peers and relatives (d) Confrontation (e) Shameand (f)Desire for Change; (2) Going Through Exhaustion, with five subthemes: (a) Powerlessness (b) Depression (c) Impassiveness (d) Endurance (e) Pity(3) Bearing with Resolution, with two subthemes: (a) Acceptance and Respect and (b) Feeling of pride for the homosexual son. The fathers portray different feelings about their transvestite homosexual sons. The trait common to fathers of homosexuals seemed to be incapacity to summon the ability to correct the child’s sexual orientation. However, as time went by, their understanding has evolved in order to adapt to their son’s gender transition. The fathers themselves become increasingly desensitized to the issue.They were able to deal with the issue in a positive way in order to strengthen their relationship and create a firm foundation for the whole family. Keywords: homosexual, transvestite, lived experiences, phenomenology
POSTER presentation STUDENT CATEGORY Guarding the Unconscious: The Two-faced Experiences of the Significant Others Caring for Comatose Patients Rhea Nicole V. Arellano, Nikko P. Dajao, Honey Rose V. Anfone Cebu Normal University
As the patient goes into coma, significant others(SOs)are the the greatest source of support for the patient and these SOs may need to create adjustments in their activities of daily living while dealing with a great amount of anxiety and stress. The study explored the lived experiences of the significant others caring for the comatose patient. There were six informants who shared their experiences and insights, all were primary caregivers. Husserl’s phenomenology was used as research design, then data were analyzed through Colaizzi’s descriptive phenomenological method of data analysis. Three clustered themes emerged: (a) The Undesirable Cognizance, with two subthemes, When in Shockand Denial and The Challende of the Bigger Reality; (b) The Life-Changing Processes, with two subthemes, Interpersonal Ventures and Gains and The Neglected Needs; lastly, (c) The Bittersweet Realities, also with two subthemes, Accepting the SItuation and Tears and Prayers. The researchers then communicated with the informants to verify if the themes being described were the actual experiences they have undergone individually. Findings showed that the significant others caring for a comatose patient encountered diverse experiences in the hospital – from their initial reactions to their changes in personal life and living until they have discovered their own means of coping. Key words: significant others, comatose, lived experiences, phenomenology Key words: significant others, comatose, lived experiences
Examining the Structural Relationships of Physical Activity, Cognition, Fear of Falling and Mobility Limitation of Filipino Elderly Patients in Nursing Homes Allan B. de Guzman, Prince Edward U. Lacampuenga, Algem Paul V. Lagusand University of Santo Tomas
Mobility limitation is a major issue of care in the elderly and a typical characteristic of frailty in geriatric patients. The maintenance of mobility is thought to be fundamental to active aging, allowing older adults to continue to lead dynamic and independent lives. While previous studies have identified the different factors affecting mobility, the relationship between other factors such as fear of falling, physical activity, cognition, and mobility limitation has not been investigated, hence this structural equation model investigation. This study was conducted in various nursing homes located in the National Capital Region and Region IV of the Philippines. A five-part survey-questionnaire were given to 125 Filipino elderly in Nursing homes aged 60 years and above was conducted from May to August 2013. Results showed that high levels of fear about falling will lead to less physical activity and have a negative effect on cognition. Cognition levels also showed to have a direct impact on the physical activity. Lastly, physical activity has a direct effect on the mobility of elderly patients. Findings of the study can guide healthcare professionals in developing programs that would decrease the incidence of mobility limitation. The emerging model can serve as a tool that would evaluate the elderly to maximize their physical and mental functioning.
The Lived Experience of Unilateral Breastfeeding Mothers: A Revelation
Ang, Mark, Cardenas, Cyrus, Carizal, Carla, De Guzman, Jailon, Dela Cruz, Esther, Diego, Ernest, Ferrer, Sheena, Figueroa, John, Gacias, Jem, Galiza, Judelyn, Hernandez, Kris Far Eastern University
The usual scenario of breastfeeding is a mother who uses her two breasts alternately to feed her child. Women, who were saved by mastectomy, leaving them with single breast, are again challenged for a new one. That is to breastfeed their infants with the only breast remained, same with those mothers who have two breasts but cannot use one because of a certain condition. Their experience gives a picture of what is it like to be a unilateral breastfeeding mother. Data for this phenomenological study were collected through semi-structured interviews with 6 unilateral breastfeeding mothers from Manila and selected through criterion sampling. The interview was conducted at the respondent’s residence, was audiotaped and was recorded by a video. Respondents were also asked to select 3 over 10 colors and drew what symbolizes their experience. Transcribed interviews were analyzed using Diekelmann’s method and adopted Van Manen’s usage of artistic sources. Twelve (12) themes were revealed: Prioritizing Breastfeeding; A Mother’s Concern; Insecurity; Low Self-Esteem; Facing Social Criticism; Questionable Faith; Empowering Spirituality; Motivation from Family; Inner Strength; Learning Sense of Acceptance; Keeping the Sacrifices; and Development of Stronger Mother-Child Bonding. Being a unilateral breastfeeding mother is a challenge for mothers which make them prioritize their child’s needs first over theirs. Such action leads them to consequences that both affect the different aspects of their life but ultimately giving them significant lessons brought about their unique experience. The findings enhanced the understanding of unilateral breastfeeding mothers, showed new possibilities for research and provided implications for teaching-learning process, nursing practice and administration.
POSTER presentation STUDENT CATEGORY Experience of Violence Among Psychiatric Nurses: To Cope or Not To Cope
John Prime Philip V. Diza, Mary Jessica M. Estravez, Marjorie R. Hong, Aileen M. Lumbocan, Marc Rodney R. Malana, Zyrrah Kate M. Martos, Bryce Sherwin M., Medina, Kristine Escie D. Nicolas, Melissa Joie V. Oracion, Renante Dante, G. Tan, RN, MAN, Edel June B. Tugare, Samira Mennel Rosefel H. Uy Far Eastern University
Nowadays, workplace violence is one of the most problematic and significant issues in healthcare (Taylor & Rew, 2011). Statistics shows that 30% to 50% of nurses typically face assault at work (Campbell, 2010), and are thrice higher of being exposed to violence than any other professional group (Stathopoulou, 2007). Studies reveal that up to 70% of psychiatric personnel experience some kind of violence at work each year (Lawoko, Soares, & Nolan, 2004) that ranges from physical assault, to threat or verbal abuse (Carlsson, Dahlberg, & Drew, 2000). However, there is a dearth of related literature exploring nurses’ experiences and specific coping when they encounter such violence. The study would like to (1) determine the type of violence encountered by psychiatric nurses (2) explore and describe their lived experience and (3) their specific coping strategies on the type of violence first encounter with psychiatric patients. Qualitative phenomenology was used as the methodology. The study used space triangulation to enhance trustworthiness of findings. Ten (10) psychiatric nurses were purposively recruited from private and public institutions. They were interviewed through an in depth semi-structured instrument with the aid of audio recorder and note taking. Responses were transcribed verbatim and double checked by other members of the group to ensure accuracy. Collaizi’s method was used for data analysis. Several themes emerged from the lived experience and coping strategies of respondents: Violence encounter (physical, verbal and combination of both), Sense of motivation, Emotional burden, Realization on nature of profession, Direct-focused coping strategy, and Indirect-focused coping strategy. Finding shows that regardless of violence encounter (physical, verbal and combination of both), psychiatric nurse’s reactions and realizations led them to employ different coping strategies. Further research on how it affects their professional and personal life needs to be looked into.
Blood Glucose Lowering Capacity of Theobroma Cacao among Middle-Aged Filipino Adults
Abaloyan, Cristina A., Agapito, Christine Joyce M., Agduyeng, Rj M., Albano, Christian Dale C., Alcayde, Catherine Jane H., Anselmo, Kyrssel Jade L., Arenas, Yezelle Shanine R., Balilia, Lorelyn C., Balmeo, Samara Jasmine S., Bangay Regina Diana L. Far Eastern University
The incidence of diabetes is growing around the world affecting many nations including Philippines. One out of every five Filipinos has diabetes and it already rank 6th cause of death among Filipino. This study was done to determine the effectiveness of Theobroma Cacao in lowering blood Glucose level among middle-aged Filipino adults. The study utilized a non-equivalent time series quasi-experimental pretest-posttest design. Subjects were chosen through purposive sampling (n=10) who passed the inclusion criteria. Subjects were given a cup of cocoa drink and bowl of oatmeal for five days. Before the intervention, Blood glucose was taken and after 2h. Blood glucose level was rechecked using a glucometer during the 1st, 3rd and 5th day. Mean of the blood glucose of the experimental group before the intervention was 103.4 mg/dL while control group has a mean of 104.6 mg/dL. After intervention the mean of experimental group was less than the mean of control group (84.4 mg/dL < 108.6 mg/dL). After drinking cocoa on day 5, the results of the experimental group sample t-test indicated that it was significant (t=7.62, p<.001) while control group sample t-test result indicated that it was not significant (t=-0.90, p>.001), thus, rejecting the null hypothesis. With this result, Theobroma Cacao is effective on lowering blood glucose level among middle-aged Filipino adults. It may be accounted to the different components of the cocoa drink such as glycosides, triterpenes and tannins which act by breaking sugar part, enhancing insulin sensitivity, delaying glucose absorption and regulating the antioxidant environment of certain cells. Our findings demonstrated that Theobroma Cacao has significant effect on lowering blood glucose level of the middle-aged Filipino adults.
The Effectiveness of Topical Application of Kamias ( Averrhoa bilimbi Linn. ) Crude Leaf Extract Ointment on Wound Healing Among Sprague Dawley Rats
Baldevia, Jemima Angel, De Guzman, Chenie, Dy, Wilson Elibert, Mariano, Nelson II, Regidor, Alrey, Somera, Jeremiah, Tolete, Creselle Andrea, Topacio, Karen Mhay, Vento, Aiko Jane, Vergara, Christopher Nick, Versoza, Loraine Grace Far Eastern University
The study aims to determine the effectiveness of the topical application of A. bilimbi Linn. crude leaf extract ointment on wound healing among Sprague Dawley rats. The study utilized a true experimental pretest-posttest group design. Subjects chosen were 8-10 week old healthy female Sprague dawley rats weighing 180-220 grams. Groups received a 20mm incision wound on the dorsal aspect of the body, which received daily cleaning in the form of flushing with Plain normal saline solution (PNSS) for six days. The experimental group received A. bilimbi Linn. topical ointment after each cleaning. Researchers observed the wounds length, width, depth, color, and appearance for seven days. The results indicate that at a 95% confidence interval (p=0.011) a significant difference exists in the mean length of the wound between Sprague Dawley rats receiving the Averrhoa bilimbi Linn. crude leaf extract ointment and the control group. Results also show that at a 95% confidence interval (p=0.108), there is no statistical difference in the mean width of the wound between Sprague Dawley rats receiving the Averrhoa bilimbi Linn. crude leaf extract ointment and the control group. Results reveal that there are significant differences in the appearance, color and depth of the wound among rats with Averrhoa bilimbi Linn. crude leaf extract ointment in the experimental group compared to the control group.. The results of the study demonstrate that, Averrhoa bilimbi Linn. crude leaf extract ointment has a positive effect on wound healing among adult female Sprague Dawley rats in terms of length, depth, color and appearance.
POSTER presentation STUDENT CATEGORY Lived Experience of Filipino Elderly in Home Care Institutions
Bansil, Sarah Monnic M., Castellano, Kismet E., Corro III, Agustin B., Dionido, Anne Guillen M., Dumlao, Amilka Franciska B., Ebreo, Regin G., Espino, Harold Jude D., Guillermo, Aileen Grace M., Lumawig, Fred Eric, C., Medenilla, David John Joel R., Zamora, Viberly E. Far Eastern University
Together with the increase in population of elderly throughout the globe, the numbers of home care institutions also rises. Although the concept is widely known in western countries, little is known about it to Asian societies, which includes the Philippines who value close family ties. A qualitative study of 10 Filipino elderly in Marikina City and the province of Rizal, selected via criterion sampling was undertaken using the Giorgi phenomenological approach according to Makoe in 2007, source, method and analyst triangulation, and using semi-structured interviews to gather data. Findings of the study revealed 10 themes. These themes are: Having a grip on faith; Adjusting to new life; Desire to be useful; Loss of personal space; Dislike for confinement; Desire to be with the family; Day-to-day living; Keeping in touch; Encountering conflicts and, finding a new home. Analysis of findings affirmed that living inside a home care institution has some similarities and some marked differences from other studies done previously in other countries. The results however do not contradict them but in a sense complement the existing literature by articulating what the experience of an elderly living inside the home care institution. The life experiences of an elderly in home care institutions begun from their admission as a resident in the home wherein they went through period of being faced with the difficulties of living in an institution which was different from the life they had outside. They had to adjust to the people, new environment and the rules needed to be followed. The elderly adjusted to their new life until eventually felt comfortable and at ease there just like home. The elderly found the home care institution to be their new home.
Compliance to Discharge Health Teaching Instructions of Patients Discharged at Cadiz District Hospital (CDH), Cadiz City, Negros Occidental Guzman, Jenny D., Pasilan, Jonalyn M., Purisima, Ronelene B., Real, Charlene May C., Satiniaman, Rodelyn R., Solinap, Jane C., Tabangcora, Iris Dawn D. Northern Negros State College of Science and Technology
The main purpose of this study was to determine the extent of compliance to discharge health teaching instructions of patients discharged at Cadiz District Hospital (CDH), Cadiz City, Negros Occidental. Descriptive method of research was used in this study. The researchers used a self-made questionnaire as data-gathering instrument and utilized a purposive sampling. To measure the extent of compliance, mean was used. ANOVA and T-test were used to determine the significant relationship between the age, gender, educational attainment and monthly income. Findings showed that the extent of compliance of patients as a whole was very high. Among the five domains, medication has the highest mean of compliance. Furthermore, there were significant differences between the respondents’ age and educational attainment and their extent of compliance to discharge health teaching instructions. From the results of the study, the following recommendations were set forth: 1) Strategies on facilitating better understanding of discharge instructions such as repeating information, return demonstrations and giving of written copies; 2) Strong communication and relationship between hospitals and the community for facilitation of rehabilitative care; 3) Further studies of reasons or factors influencing readmission of patients; 4) Prospective studies using similar variables but in a private hospital or another level of health care system; and 5) A particular attention in the limitations of elderly patients should be acknowledged and be given alternatives (e.g. plan of care under careful supervision of the community health nurse, voice recording, etc.) for them to comply as there was a marked decrease in compliance as the age increases.
Attitudes and Practices of Nurses Towards Care of Terminally Ill Patients
Cummay Fesway Tad-awan, Rodego Lucas Luda-es, Marivic Guslab Masidong, Balence Kawi Patingan, Allyza Ottao Pong-et, Anabelle Lao-e Sangduyan, Georgina Patingan Maskay Mountain Province State Polytechnic College
Terminally Ill is a person who have illness that cannot be cured by modern medicine for various reasons. The person will be moving through the dying process in a very short period of time. It can be as short as few hours to more than six month. This is a descriptive research which involved 66 nurses grouped according to age, gender and length of service. The main data gathering tool used was a questionnaire. The results obtained had a descriptive equivalent to determine their attitudinal level and extent of practices. The statistical tools used were Freidman’s test. The study revealed that nurses of Bontoc General Hospital and Luis Hora Memorial Regional Hospital involved in the study agree on the attitudes. The care of terminally ill patients is generally much practiced by the nurses. Female nurses have greater extent in the care practices than male. Nurses with below 6 years’ experience much practice while nurses with above 6 years’ experience moderately practice the given specifications. On the factors given, when compared according to age, gender and length of service, they did not differ in the perception having great effect on the practices of nurses towards caring for terminally ill patients. A training seminar- workshop will be organized to address the nurses who are undecided on the matter that they would hope the terminally ill person they’re caring for dies when they’re not present. A copy of the results of the findings of the study will be presented to the institution for them to realize the attitudinal level and practices of the nurses employed and give due interventions.
POSTER presentation STUDENT CATEGORY Phenomenological Experiences of Filipino Kidney Donors
Krizzia Pauline B. Ausin, Mara Allyka C. Caporte, Celsie N. Corpuz, Dave Michael C. Geli Centro Escolar University
As nursing students many clinical conditions confound us. One of which is having one kidney as a result of kidney donation. Studies show that a kidney donor leads a higher tendency to gain accumulative effect of having one kidney. The Phenomenological method was used to describe the lived experiences of Filipino kidney donors. The aim of the study was to explore these experiences to better understand participants’ cognitive, affective, behavioral patterns and social interactions. Thus, enabling nurses to provide quality and holistic care to enhance participants’ physical and psychological well being. The participants were selected through purposive sampling consisting both male and female Filipino kidney donors from Baseco Compound in Tondo Manila. They were informed with the study and discussed with to sign the consent from. Unstructured interview was conducted through open-ended questions facilitated by guide questions geared towards the description of the phenomenon. Data were collected with the aid of field notes and simultaneous audio and video recording. These lasted for 30-60 minutes per participant. Participants were coded on the verbatim data transcriptions. Data was analyzed accordingly to the methods used by Colaizzi (1978). The organized “cluster of data” were given “formulated meanings”, and discussed with literature reviews. The cognitive theme that emerged was Realization. These were described by Negligence, Numbness and Completeness. The affective theme was Adjustment. The theme clusters derived were Limitations and Acceptance. The behavioral theme was Coping with both Constructive and Defensive coping behaviors. Constructive Coping was through Incentives. Defensive Coping was through indolence and rationalization. The conclusions derived were that Filipino kidney donors have no regrets about their donation. All of them perceived the donation as changing their life course and sees themselves unable to go back to their daily activities like they used to.
Spiritual Health Practices of Laylaya, Besao
Jeraldyn C. Allabag, May Anne M. Becyagen, Elizabeth J. Bacala, Caleb Zimran F. Filog, Carol D. Gumatay, Penniline L. Otingguey, Joanne P. Tulingan, Georgina P. Maskay,RN,MAN Mountain Province State Polytechnic College
Healing practice is a process through which the person is restored to physical, mental or spiritual health by what is believed to be the direct intervention of divine power. Quantitative method was used in the conduct of the study. Questionnaire checklist was used as the primary data gathering instrument with 96 respondents using purposive sampling. Findings of the study shows that spiritual health practices is being performed mostly by people of Laylaya which includes praying to God or prayer, religious beliefs, performance of rituals or “Sumang” to counteract what cause the illness, performance of rituals after not being cured for a long time in the hospital, and performance of a rituals if no clear diagnosis will be pronounced by a doctor to the sick person. Specific factors affecting their performance of their healing practices were distances to clinic or hospitals, affordability, and health worker and patient relationship. As to the extent of factors affecting the performance of their spiritual health practices, it varies significantly according to age. As to gender and educational status, findings revealed that there is no significant difference on extent of factors affecting the spiritual health practices. To update the residents of Laylaya, information drive should be conducted regarding the benefits of disease prevention practices. The Provincial Health Office could also assign RN-HEALS to visit Laylaya to monitor and follow-up the health status of the residents of the barangay. MPSPC Nursing Department will have their community immersion in Laylaya for the dissemination of issues and trends regarding health. Keywords: Spiritual, Health Practices, Laylaya, Besao
Level of Awareness of Cebu City Residents toward RH law: A Glimpse of the Truth
Baldevia, Jemima Angel, De Guzman, Chenie, Dy, Wilson Elibert, Mariano, Nelson II, Regidor, Alrey, Somera, Jeremiah, Tolete, Creselle Andrea, Topacio, Karen Mhay, Vento, Aiko Jane, Vergara, Christopher Nick, Versoza, Loraine Grace Far Eastern University
The issue of reproductive health law in the Philippines is controversial as seen in many articles and publications. The curiosity about the controversy motivated the researchers in seeking what is unknown and to justify the problem. For these reasons, the purpose of this study is to assess the level of awareness of Cebu City Residents regarding the RH law. A non-experimental design: descriptive normative design was used in this study. The weighted mean, t-test and ANOVA were used for the statistical treatment. The results showed that among the three age group, the middle adult group has significantly higher level awareness than the teenagers and young adult. Significant difference in the level of awareness existed between the monthly family income, family size and source of information. It is recommended that information drive shall be planned and implemented to improve the awareness of the people on the RH Law and its contents. Health care providers should promote health education regarding reproductive health and responsible parenthood to the clients. Keywords: Reproductive Health Law, Level of Awareness
POSTER presentation STUDENT CATEGORY Homeless Children: Survival Experiences
Almanoche, Marjie M., Baratbate, Helen Grace F., Bariquit, Cristina J., Caritero, Cecille C., Española, Zaria Lorette B., Irizari, Joanna B., Nocuenca, Ma. Danyelle B. University of the Visayas
The study aimed to explore the survival experiences of the homeless children confined at Balay sa Samaritano, Cebu City. The findings were the basis of proposed measures to deal with the problem of homelessness. Areas of concern included survival experiences of a homeless child and the measures envisioned to solve the problems of homelessness among the children. The researchers utilized the descriptive phenomenology knowing that the survival experiences of homeless of children in Cebu City will be taken into consideration. Descriptive phenomenology explores the intentional relationship between persons and situations and discloses the essences through the use of the interview technique. The following are the significant themes on the survival experiences of the informants which includes inadequate food, lack of decent clothing, no shelter, absence of love and care, threat to health, exposure to the use of drugs, vulnerable to all kinds of crimes, lack of education, security problems, and lack of sleep. Measures are envisioned to help these children cope with their experiences. The homeless children were derprived with the opportunities of a comfortable life such as adequate food, decent clothing, shelter, love and care, health and sleep. Balay Samaritano has contributed much in the improvement of their lives and giving them the needed comfort and education to promote their welfare. The following recommendations were proposed: Giving the needed assistance for the homeless children to cope with the situation; Providing an environment conducive for the homeless children; and Give the needed care and love. Keywords: Honeless children, Survival experiences, Phenomenology.
The Effects of Mandaluyong Sexy Boom Physical Fitness Program to Patients with DM Type 2 Karen Yvette L. Castro, Beverly Joy R. Belisario, Mary Jane B. Fran, Christine D. Martinez, Louis Gino C. Arao Centro Escolar University
This study investigated the effects of the Mandaluyong Physical Fitness Program to selected patients with DM type 2 in terms of the Fasting Blood Sugar, Body Mass Index, Blood Pressure and Hemoglucotest. Quasi-experimental method of research was used in the study. The researchers used the Non-probability sampling technique specifically the Purposive sampling wherein 30 DM type 2 patients, 40-65 years old, were selected and qualified based on the inclusion criteria. 15 of them were assigned as the control group who had the weekly consultation while the other 15 were the experimental group had the same weekly consultation and the Mandaluyong Sexy Boom Physical Fitness Program for four consecutive weeks. Pre and Post Intervention HGT and BP every session were done for the experimental group. Pre and Post Intervention of FBS and BMI were done for both groups. The findings showed that there was no significant difference in the Fasting Blood Sugar for the control group (p = 0.303) while there’s a significant difference in the experimental group (p = 0.004). In terms of the Body Mass Index there’s no significant difference in both groups: Control (p = 0.180) and Experimental (p = 0.146). There were variations in their Blood Pressure wherein majority decreased and normalizes. However, there were still some who had elevated blood pressure. The following were the results of Hemoglucotest for the four sessions: Week 1 (p = 0.410); Week 2 (p = 0.831); Week 3 (p = 0.636); Week 4 (p = 0.018). The researchers concluded that an improvement was seen in terms of the Fasting blood sugar of DM Type 2 patients after a four-week session. They recommend continuation of the weekly consultation and extension of the exercise program to different barangays in the community. Keywords: Physical Fitness Program, DM Type 2, Fasting Blood Sugar, Blood Pressure, Hemoglucotest, Body Mass Index
Level of Parental Attachment of High School Students
Cheryll M. Bandaay, RN, MAN; Elisa C. Ferrer, RN, MSN; Ariane Gay O. Balageo; Ronald Victor M. Bartolome; Niña Ma. Agnes B. Bello; Jemmanelle Kris A. Cadaeg; Rochelle Ivanna B. Dacayanan; Renalyn C. Kimayong; Julie H. Madarang; Carol C. Maglasang; Gleason Joy G. Mendones; Karla May E. Ofiaza; Jorwhel L. Padawang; Lalaine R. Pastrana; Patricia Anne E. Zamoranos Mountain Province State Polytechnic College
Parent-child relationships are one of the most fundamental aspects of life. Parental Attachment is the positive and negative affective/ cognitive dimension of parent-child relationship as perceived by the child. It also focuses on how well parents serve as sources of psychological safety to their children (Armsden and Greenberg, 2010). The study aimed to determine the level of Parental Attachment of High school students to their parents. Likewise, the study also sought to determine the significant difference of the level of parental attachment of high school students when they were grouped according to family structure, birth order, ethnicity, and gender. The study used a quantitative, descriptive survey method for its design. Data were gathered from 400 high school students from both private and public schools in Baguio City through purposive-convenience sampling method. The tool, Inventory of Parent and Peer Attachment Revised Version (IPPA-R) was used. Data were tabulated through frequency and percentage and Chisquare was used to determine the significant difference of the moderating variables. Findings revealed that there is a high level of parental attachment of high school students to their mother and moderate level of attachment to their father. Moreover, there is no significant difference in the parental attachment of high school students to their mother and father along family structure, birth order, ethnicity and gender. It is concluded that parental attachment of high schools students to their mother and father is influenced by factors on trust, communication and alienation. It is recommended that the level of parental attachment of high school students to their parents have to be further reinforced. Trust and Communication within the family should always be present and practised. Alienation should be prevented. Nurses should do counseling and facilitating family concerns on parental attachment. Secondary education should continue to provide seminars on values formation and importance of family relationships.
POSTER presentation STUDENT CATEGORY Utilization of Herbal Plants for Effective Cough Management
Rabilas, Joany S., Calunnag, Rainier D., Hipol, Voltaire M., Ludaes, Renyl Veran L., Magkachi, Elgin Jan A., Padilla, Mark Chris P., Quimado, Argel Joseph B., Bacarro, Jolete An R., Chulipa, Jenifferson P., Cong-o, Ma. Estefania D., De Jesus, Melody T., Dismaya, Ma. Rudina C., Dulnuan, Jurnalyn Aira G., Patungan, Jinky C. Saint Louis University
Cough is a common problem. Different management for cough includes the use of herbal plants. This study aims to quantify the number of users of herbal plants in Buguias, Benguet and Baguio City, Philippines and to know what plants are being used for effective cough management as well as how these are prepared for use.: As a descriptive research, triangulation method was used in data collection. Quantitative research was utilized to know the scope of population who use herbal plants. The variables for exploration that affect herbal plant utilization are the type of community (rural or urban), ethnicity (Cordilleran or non- Cordilleran) and family income. Qualitative discussion was used to explore the parts of herbal plants used, method of preparation, route of medication, dosage and frequency of usage. The study reveals 61.01% are herbal plant users for cough management. Type of community and family income does not affect utilization of herbal plants. However, type of ethnicity affects the utilization of herbal plants with more Cordilleran herbal plant users. There are 16 herbal plants used for cough management in which lagundi tops the list. The most commonly used part of plant is the leaves. Decoction is the main method of preparation where product is taken orally. The dosages and frequency of intake vary for both adults and children where latter usually receive a lower dosage. Reasons for continuously using herbal plants include effectiveness, safety and availability among others. On the contrary, the availability of modern medicine tops the reason for not using herbal plants for cough. Further studies must be conducted for herbal plant therapeutic dosages and safe frequency of use. The researchers will endorse the list of all herbal plants to the DOH for follow up study with an intention to augment the 10 Halamang Gamot.
Looking into the Family Member’s Experience on Cardiopulmonary Resuscitation: A Phenomenological Inquiry
Kheyla Jade Aguado, Ella Juliene Araneta, Elyza Lalyne Cabie, Clarren Faith Otadoy, Joan Rabe, Loui Gabriel Rillon, Mariefel Reed Salmon, Jane Michelle Santiago, Martin James Kenneth Sison, Dustine Paolo Tabuldan, Lara Gabrielle Villarama, Renante Dante Tan, RN, MAN Far Eastern University
Out of all dying hospitalized patients, an estimated 30-40% undergoes cardiopulmonary resuscitation. (Winslow et al., 2001).During such procedure, the argument of whether or not health care providers will allow the family to witness the resuscitation remains universally unresolved. Despite the advent of studies on family presence during resuscitation, few were cited regarding the understanding of a family member’s experience. This study aims to explore the lived experiences of family member who witness their loved one subjected to CPR. This study utilized a descriptive qualitative phenomenological design. Likewise, quantitative data was also collected through an Impact Event Scale by Steve B. Reed, 2007 to determine the amount of distress associated with witnessing CPR. Respondents were selected through purposive sampling with the criteria limited to an immediate family member who witnessed their loved one subjected to CPR from three selected public hospitals. Data were collected seven days after witnessing CPR. An interview was conducted through self-report using audio-tape recorder. Data saturation was determined after the sixth respondent. Data saturation was determined after the sixth respondent. Subsequently, data was transcribed, coded, then analyzed using Collaizi’s methodology. Quantitatively, data was tabulated, computed, and interpreted based on the IES scoring.Six themes were extracted from the lived experience of respondents: Sense of Loss, Holding-on, Denial, Guilt, Giving-up, and Realization. Quantitatively, finding shows that respondents experienced an alteration in the ability to function brought about by the severity of witnessing CPR.This study shows that family member who witnessed a loved one subjected to CPR undergoes a disturbing-distressing experience. Despite of this, they still suggest to witness the process of CPR to eliminate doubts and facilitate closure. The phenomenon that unfolds plays a defining role in the delivery of nursing care which needs much attention.
Acclimatization as Moderating Variable for Self-Care Management Among Filipino Elderly in Institutionalized Settings: A Multiple Regression Model Allan B. de Guzman, Claudine Keith P. Gelacio, Clare Gerisse R. Genabe University of Santo Tomas
While a number of studies have dwelt on the experiences of elderly in an institution, very few focus on their acclimatization, which can affect their self-care management. This study aims to shed light on how acclimatization as a moderating variable affects self-care management of a select group of Filipino institutionalized elderly. A total of 112 elderly respondents were purposively recruited from various nursing homes in the Philippines. Data were gathered using a three-part questionnaire consisting of a robotfoto, the UCLA Loneliness Scale, Geriatric Anxiety Inventory Scale, Perceived Stress Scale, Duke Social Support and Stress Scale, Barthel Index, Short Portable Mental Status Questionnaire and the researcher-made Acclimatization Tool and Environmental Rating Scale. Stepwise multiple regression analysis and Factor analysis were used to analyze the data using the Statistical Package for the Social Sciences (SPSS) Version 20. Among the factors identified, only loneliness and environment appeared to have a significant effect on acclimatization. Surprisingly, there was no relationship established between acclimatization and self-care management. Results of the study invite nurses to provide individualized care to institutionalized Filipino elderly based on their self-care management capability thereby focusing more on the areas where assistance is more needed. Keywords: Acclimatization, Filipino Elderly, Institutionalized, Self-Care Management, Nursing Home, Multiple Regression Analysis
POSTER presentation STUDENT CATEGORY
Explicating exercise preference among Filipino elderly in nursing homes and in the community: A conjoint analysis Allan B. de Guzman, Justin Derick C. Jara, Ellaine Ann S. Jaro University of Santo Tomas
While previous studies have identified the beneficial effects of exercise regimens on the overall health and functional capacity of the elderly vis-à-vis the barriers and motivators, ascertaining the preferences of the this vulnerable group via trade-off analysis promises a number of implications to geriatric nurses and allied health members. This study purports to explicate the exercise preferences of a select group of Filipino elderly in the nursing homes and in the community relative to the exercise intensity, time, frequency companion and duration. To measure the respondents’ exercise preferences, a conjoint analysis survey of 250 Filipino elderly aged 60 and above was conducted from May to August 2013 in two different loci via experimental vignettes. Said vignettes were generated via Sawtooth Software. Respondents were asked to sort and rank the cards based on their importance and utility. Descriptive and inferential statistics were carried out via SPSS version 18. As shown, the most important attribute in terms of exercise preferences is the intensity of exercise. The elderly from both institutionalized and community settings are more inclined to performing a once a week light exercise for a 30-minute duration and held every morning on their own. Additionally, significant differences were noted when grouped according to presence or absence of illness, gender and residential settings. Further, significant relationships exist between exercise preferences and age, duration, frequency and time. Considering the factors affecting the preferences of Filipino elderly in choosing their exercise regimen program, a more collaborative endeavour should be pursued by nurses, primary health professionals and nursing home administrators as they devise a more responsive and elderly-friendly exercise program plan thus promoting the quality of life of the elderly in various settings. Keywords: nursing homes, community, elderly, Filipino, exercise, preferences, conjoint analysis
The Golden Spice: The Efficacy of Turmeric (Curcuma longa) in Lowering Blood Pressure Gako, Elaine Mae; Lacsamana, Concepcion Isabel, Dosdos, Melissa Fatima ;Mañoza, Nestor Jr. Cebu Normal University
Hypertension is one of the leading lifestyle-related diseases in the Philippines and in the whole world as well. With this fact, many people would like to find cheap yet effective alternatives for the treatment of hypertension. For this reason, researchers would like to find the efficacy of drinking Turmeric capsule in lowering the blood pressure of selected subjects. Quasi- experimental design was used in the study. For data analysis, Paired T-test and one-way repeated measures ANOVA were utilized. Results revealed that there is an observable difference in pretest and posttest daily mean arterial pressure (MAP) in all treatment groups. Moreover, the average means for the various mean arterial pressure (MAP) was calculated and through the use of ANOVA, the significant difference between and within groups was shown. Results showed significant differences between means among all treatment groups. It is then concluded that there is a significant difference in the blood pressure change in the experimental group which implicates that the application of Turmeric capsules is found to be effective in lowering blood pressure.
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