College of Nursinghttps://hdl.handle.net/20.500.12852/1532024-03-29T00:12:54Z2024-03-29T00:12:54ZAntimicrobial stewardship program: An institutional assessment of core elements and perceived barriers in private hospitals in Iloilo CityJimena, Jennima Joy D.https://hdl.handle.net/20.500.12852/25202023-03-07T04:00:17Z2022-01-01T00:00:00ZAntimicrobial stewardship program: An institutional assessment of core elements and perceived barriers in private hospitals in Iloilo City
Jimena, Jennima Joy D.
Infectious diseases kill millions of people around the globe and the discovery of antimicrobial agents revolutionizes the ability to treat infectious diseases. However, over the past years, the use and misuse of antimicrobials have caused emergence of antimicrobial-resistant (AMR) pathogens that threaten the effectiveness of antimicrobial agents in the cure of infectious diseases (File, 2014). To address the increasing concern on AMR, this study was conducted to have an in-depth picture of the Antimicrobial Stewardship (AMS) Program, including their perceived barriers, in the lens of healthcare professionals in participating private hospitals in Iloilo City. The study utilized the Case Study approach, which is a qualitative research, designed to explore and deepen the understanding on how people experience a certain topic (Creswell 2013). A purposive sampling technique was used to intentionally select a group of people that can provide in-depth information regarding the phenomenon of interest which is the AMS program. A total of seven (7) participants agreed to be interviewed for the study. Out of them, only three (3) participants agreed to be observed in their place of work. The participants consisted of Infection Control Nurses and Pharmacists. Data were collected using multiple sources of information which includes interviews, direct observations, and checklist review. Frequency Count, Percentage, and Mean were used to describe the quantitative data in the study, and Content Analysis was used to describe the qualitative data in the study. Findings of the study showed that healthcare professionals attending the AMS program are mostly young professionals. Pharmacists and infection control nurses involved in antimicrobial stewardship is not primarily dominated by one sex. Instead, there is an almost equal distribution between the sexes. Furthermore, most of the participants have more than a year of experience in their respective professions. Analyzing the quantitative data in a holistic perspective, AMS program implementation is very good in the education core element. Despite some hospitals lagging in the policy, guidelines and clinical aspect, the consolidated information showed that this is the second highest implemented core element. Third to fifth in the hierarchy is the leadership support, surveillance of AMU / AMR and action. Most of the participants verbalized lack of financial support, limited IT-capability and non-compliant healthcare professionals as barriers in the implementation of the AMS program. Narratives, direct observations and checklist review of both pharmacists and infection control nurses showed similarities in their perception of the AMS program. This implies that hospitals do not vary significantly in their perception, instead they do share the same experiences and challenges when implementing the program protocols. With this knowledge, we can already identify the issues that need to be addressed to strengthen and enhance an AMS program which will benefit and improve the healthcare system in our locality.
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2022-01-01T00:00:00ZLeadership orientation of nurse managers: Its influence to nurses level of empowerment and perceived patient outcomes in selected private hospitals in Iloilo CityPilla, Grant Ireneo L.https://hdl.handle.net/20.500.12852/24002022-12-02T07:00:20Z2022-06-01T00:00:00ZLeadership orientation of nurse managers: Its influence to nurses level of empowerment and perceived patient outcomes in selected private hospitals in Iloilo City
Pilla, Grant Ireneo L.
This study investigated the leadership orientation of nurse manager and its influence to nurses’ level of empowerment and perceived patient outcomes in selected private hospital in Iloilo City. A descriptive-correlational research design was utilized to analyze the data study. A total of 153 staff nurses from selected private hospitals in Iloilo City consented and completed the adopted questionnaires namely: multifactor- leadership questionnaire, a 12-item psychological empowerment tool, and a researcher-made questionnaire for perceived patient outcomes. Permission from the author to use the adopted standardized research instruments for the study was secured. Moreover, the researcher made questionnaire underwent validation and reliability testing. The data gathered were analyzed using statistical package for the social sciences (SPSS). To present descriptive measures, frequency distribution, percentages, and mean were used, while Cramer’s V and phi were used to test the relationship of leadership orientation of their nurse managers to staff nurses’ level of empowerment and perceived patient outcomes.
More than half of staff nurses considered their nurse manager as transformational. Additionally, a higher proportion of staff nurses had a moderate level of empowerment and had a favorable attitude towards perceived patient outcomes.
Moreover, Cramer’s V test revealed a very weak relationship between nurse managers' leadership orientation and staff nurses' level of empowerment. Consequently, there is weak relationship between leadership orientation of nurse managers and the staff nurses’ perception toward perceived patient outcomes.
Lastly, employing the Cramer's v statistical analysis, a moderate association between staff nurses' level of empowerment and their perceived patient outcomes was observed.
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2022-06-01T00:00:00ZEmotional intelligence and job performance of nurses in the third district of IloiloPallaza, Daphnee Medelyn E.https://hdl.handle.net/20.500.12852/23992022-12-02T06:00:17Z2022-05-01T00:00:00ZEmotional intelligence and job performance of nurses in the third district of Iloilo
Pallaza, Daphnee Medelyn E.
Emotional intelligence has the power to better explain people’s workplace performance. As attributed to the influence of emotional intelligence on each aspect of individuals’ work-life, the high-level possessed emotional intelligence employees are considered as “star performers”. The job performance of nurses may differ from one hospital to another. For instance, there are nurses that are highly competent in all aspect of patient care while there are those nurses perform their job satisfactorily.
This descriptive correlational study was conducted to describe the emotional intelligence and job performance of nurses as well as to determine the relationship between variables. There were 120 regular staff nurses in plantilla position that were all working in the hospitals located in the third district of Iloilo for the calendar year 2019-2021. The nurses were asked to answer the research instrument through a Google form that was sent to their verified social media account. Frequency counts, mean score, and percentage were utilized to describe the data while for the relationship of variables: Cramer’s V, Gamma and Pearson’s r were used.
The results of this study revealed that majority of the nurses were young adults, average of 34 years old and mostly baccalaureate degree holders. Moreover, the results of this study showed that nursing is still a female-dominated profession, and females are assigned mostly in general ward. A higher percentage of the nurses need to enhance further their emotional intelligence and majority of the nurses have satisfactory job performance.
Hypothesis testing showed that there was a relationship between area of assignment and self-confidence, and area of assignment and job performance. The influence of the assigned area of the nurses on their emotional intelligence was evident where their self-confidence increases as they are practicing the skills they have learned. For the job performance, it is observed that when the nurse experiences a good, conducive working environment, s/he is motivated to perform better.
Chief nurses, nursing supervisors, and other nursing administrators are encouraged to develop a learning environment to improve their nurses’ emotional intelligence as well as to continue the outstanding performance of their nurses so as to enhance further their other related skills. For staff nurses, it is suggested to have collaborative efforts to comprehend the competence of emotional intelligence that would help one another develop a pattern of behavior in harmony with their colleagues. In essence, it is advocated to have a holistic approach on how to maintain excellent performance and assist everyone in areas that need a much greater improvement.
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2022-05-01T00:00:00ZLived experiences of mothers having children with Attention Deficit Hyperactivity Disorder (ADHD)Secherita, Ana Mae A.https://hdl.handle.net/20.500.12852/23792022-11-11T02:00:19Z2022-01-01T00:00:00ZLived experiences of mothers having children with Attention Deficit Hyperactivity Disorder (ADHD)
Secherita, Ana Mae A.
This study was conducted to explore the lived experiences of mothers having children with attention deficit hyperactivity disorder (ADHD). This study answered the question “What were the lived experiences of mothers having children with attention deficit hyperactivity disorder (ADHD)? Employing descriptive phenomenology, the following steps were used in the study: bracketing, intuiting, analyzing and describing. The results then helped the researcher in understanding the lived experiences of mothers in caring for a child with ADHD. This study used qualitative research guided by a descriptive phenomenological approach which involved the utilization of unstructured interview as the main data gathering method. The study utilized the Colaizzi’s method of data analysis to describe and explore the lived experiences of mothers having children with ADHD and was done in schools and homes of children with ADHD depending on the preference of the participants.
The study included mothers who were the primary caregiver of children with Attention Deficit Hyperactivity Disorder (ADHD) in Iloilo City who were selected using purposive sampling. The study concentrated on the different lived experiences of these mothers in having children with ADHD. The study was limited only to the number of participants that were based on the data saturation.
The findings of the study showed that mothers had their challenging experiences because of the behavior of their child with ADHD, which included avoidance of cognitive tasks, difficulty in managing emotions, hyperactivity and trouble waiting their turn, inattention and lack of focus, power struggle and strengths and passion. It also showed how they responded to the challenges of raising a child with ADHD, managing their tantrums, establishing a routine and creating structure, limiting distractions and acceptance. It was found out that mothers also found that they had to keep a balance when it comes to discipline, whether it be strict or lax and whether the father’s discipline style is more effective. Finally, mothers found themselves struggling as they care for children with ADHD and thus, they have moments of impatience and outbursts, having guilt feelings and being exasperated and having breakdowns.
Children with ADHD have behavioral problems which are challenging and mothers caring for them have to deal with the accompanying challenges. These problems are cognitive and behavioral in nature that it takes a lot of patience to deal with. Raising a child with ADHD requires much time and effort from their caregivers especially their mothers. Because of the child’s ADHD condition, mothers need to strike a balance in their discipline styles. Moreover, mothers struggle as they respond to the challenges of raising a child diagnosed with ADHD.
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