This study examined the relationship of predictors like age, weight, treatment adherence, social support and educational level on the QOL scores: Physical Composite Score (PCS), Mental Composite Score (MCS), & Kidney Disease Component Summary (KDCS). The respondents, adult CKD patients on hemodialysis in a private tertiary hospital in the Philippines were chosen through convenience sampling. A validated Filipino version of Kidney Disease Quality of Life Short Form Version 1.3 was utilized. Bivariate correlation and multiple linear regression were then used in data analysis. It is concluded that PCS might be predicted by treatment adherence while social support and educational level could be predictors to MCS. It was found out that rare treatment adherence can seemingly have a positive effect with MCS. For KDCS, treatment adherence and social support showed positive correlation, while age shown inverse relationship, unlike with previous studies. Nurses and other healthcare providers should consider the impact of these significant predictors when rendering care for adult HD patients in order to improve their quality of life. 

Human ; Male ; Female ; Quality Of Life ; Tertiary Care Centers ; Renal Dialysis ; Social Support ; Health Personnel ; Renal Insufficiency, Chronic

The global prevalence of diabetes by 2030 estimated an increase in number of people with diabetes. People who are 64 years of age will be 82 million in developing countries and 48 million in developed countries. The study aimed to assess the health care needs of older persons' physical, cognitive, functional and self-care abilities and determine relationship of these to their profiles. These assessments are the bases in designing modules for Diabetes Self-Management Education training module for Diabetes Educators. A descriptive correlational design was utilized to assess the health care needs of 100 young older persons. The Filipino Activities of Daily Living (Fil-ADL) and the Filipino Instrumental Activities of Daily living were utilized to assess the functional status of the older persons. The Montreal Cognitive Assessment (MOCA-P) and cognitive function exams were used to assess cognitive status while Mini- Nutritional Assessment (MNA) was used to assess nutritional status of the older persons. The Self-Care Inventory Revised (Sci-R) was used to assess self-care behaviors of older persons to diabetes management. Frequency and percentage were used to describe the health care needs of older persons, while mean and standard deviation were used in assessing knowledge and self-care abilities. Chisquare test for Association was utilized to determine relationship of the health care needs and the profile of the respondents. Study shows that most of the older persons are female, 66-70 years old, married and had primary education. The older persons' knowledge in diabetes is satisfactory, had a normal nutritional status, was functional in daily living activities (ADL), was functional in their instrumental activities of daily living (IADL), was normal of their cognitive status, and sometimes perform self-care abilities to diabetes management. There is significant relationship between knowledge, civil status and history of diabetes. Nutrition and cognitive status had significant relationship to their civil status, education and history of diabetes. The functional status of the older persons has significant relationship with history of diabetes. It is necessary to include the culture-based health care needs of older persons and to consider demography such as education and history of diabetes in designing the training module for diabetes educators.

Human ; Male ; Female ; Aged ; Middle Aged ; Activities Of Daily Living ; Self Care ; Developing Countries ; Nutritional Status ; Nutrition Assessment ; Cognition ; Diabetes Mellitus ; Marriage

Nurses are often engaged in providing care for patients who are diagnosed with terminal illness and are faced with the process of dying. Working with these patients and families can be emotionally demanding and challenging. Nurses ought to meet the challenge of developing and rendering effective interventions for cancer patients, focusing predominantly on health promotion, end-of-life care, and above all, the four domains of health-related quality of life: physical, psychological, emotional and spiritual functioning. Health-related Quality of Life (HRQoL) interventions can empower patients to practice health behaviors and facilitate them to be self-directed in their care; thereby contributing substantially to their quality of life. This study aimed to describe and understand the 'lived' experiences of oncology nurses in providing health-related quality of life interventions among cancer patients. The study was conducted using descriptive phenomenological method and data was generated through one-on-one audio-recorded interview with ten oncology nurses Colaizzi's (1978) procedural interpretation of the phenomenological method of inquiry was used for data coding and identifying themes. Methods to ensure trustworthiness of the findings were implemented. Three themes with 14 sub-themes were identified. Results of the study showed that health-related quality of life interventions were essential in nursing care among cancer patients. It was suggested that the manner in which cancer patients' quality of life improves through HRQoL interventions should be further studied. In addition, it may be of value for nursing leaders to provide specified training programs for oncology nurses working on issues relevant to the HRQoL intervention skills. 

Human ; Male ; Female ; Middle Aged ; Adult ; Quality Of Life ; Terminal Care ; Health Behavior ; Health Promotion ; Research

Dyspnea is a subjective, multidimensional experience of breathing discomfort, influenced by physiological, psychological, social, and environmental factors, which includes secondary psychological and behavioral responses and cannot be defined only by physical objective abnormalities. It has been found to create barriers in daily life among patients with advanced lung cancer which interferes with physical activities such as walking, work, and psychological activities such as disposition, taking pleasure in life, relationship with others, and sleep. This paper aims to identify current theoretical and operational definitions of dyspnea and to identify and describe defining attributes of dyspnea. The method of inquiry was guided by Walker and Avant's (2011) approach to concept analysis. From this analysis, a conceptual model of dyspnea experience within the core of patients with advanced lung cancer may include attributes of dyspnea occurrence and distress as not only the physiological, psychological, and environmental, but also the situational existential meaning or perception of individual suffering from dyspnea. Dyspnea is a symptom that is usually under-diagnosed and inadequately managed due to lack of recognition or availability of interventions. The impact of dyspnea management on the quality of life in advanced lung cancer patients requires more recognition and better quality of care. Despite the frequency and complexity of this symptom, little research has been conducted to specifically identify effective treatment in patients with advanced lung cancer. Further investigations are needed in this area to assert the total dyspnea experience that could be influential in regards to the impact of dyspnea management on the quality of life in patients with advanced lung cancer. 

Human ; Male ; Aged ; Walking ; Pleasure ; Quality Of Life ; Dyspnea ; Lung ; Existentialism ; Stress, Psychological ; Lung Neoplasms ; Quality Of Health Care

Authors suggest efforts are needed to further explore the usefulness and utilization of psychoeducation at the community and professional levels as applied to various settings and populations. In addition, if developed and implemented carefully, psychoeducational interventions have promising application on other life challenges across levels of the public health, social, and educational systems. This quasiexperimental three group pre-test post-test study aims to investigate the effect of psychoeducation on the self-esteem and self-efficacy of college students. A total of 105 college students (35 subjects per group) who were enrolled at Saint Louis University, Baguio City, Philippines were included as sample. Sampling technique was purposive. The Rosenberg's Self-esteem Scale and Schwarzer's General Selfefficacy Scale were used as data gathering tools. A self-made psychoeducational module that was validated by experts in mental health and psychiatric nursing was utilized as intervention. SPSS version 20 was used for the statistical analysis. The results on the post-test scores of both treatment arms (informational and comprehensive model) were significantly higher compared to control group after eight sessions of psychoeducation. The researchers therefore conclude that both psychoeducation models (informational and comprehensive) showed evidence of effectiveness in increasing the self-esteem and self-efficacy levels of college students. 

Human ; Male ; Female ; Self Efficacy ; Universities ; Mental Health ; Psychiatric Nursing ; Public Health ; Saints ; Self Concept ; Students ; Life ; Nursing ; Students

This study aimed to assess the level of readiness of student nurses for self-directed learning and their learning styles. It also determined the relationship between the two factors and the relationship of each factor to the respondents' demographic profile. This descriptive- correlational study utilized the Autonomous Learner Index of Abu- Moghli, Khalaf, Halabi & Wardam (2005) to assess the students' level of readiness in self-directed learning, and the Learning Style Inventory of Kolb & Kolb (2005) to assess their learning style type. No sampling technique was used because total population was included covering all 103 regular nursing students of Centro Escolar University for First semester of academic year 2016-2017. The study underwent Ethics Review Board Approval before it was implemented. Results of the study revealed that most of the nursing students were independent learners (52%). There were no dependent learners but since there were several respondents who were uncertain (48%), it is the role of nurse educators to develop their independence in learning. Moreover, all the four types of learning styles namely: Accommodative, Convergent, Assimilative and Divergent; were present showing the variation in learning styles of nursing students. But it was found out that they mostly prefer the Convergent learning style, especially the junior and senior students. The study concluded that there was no relationship between the variables: demographic profile, self-directed learning readiness and learning style. However, the scores of convergent learning style were higher than that of divergent and accommodative in their self-directed learning readiness.

Human ; Male ; Female ; Students, Nursing ; Universities ; Faculty, Nursing ; Learning ; Conditioning, Classical ; Demography

Fellowship programs serve as alternative means to bridge the gap between undergraduate education and nursing practice. The purpose of the study was to develop a framework for a Clinical Nursing Research (CNR) Fellowship Program in the Philippines. A sequential non-dominant mixed method design was used. It comprised the following: identifying the competencies needed by clinical nurses in research and EBP; the training needs of clinical nurses in research and EBP; the core competencies, functional competencies and tasks of CNR fellows; and describing potential fellows' reactions and preferred ways of learning. Categorical analyses were done to analyze qualitative data. Descriptive statistics was used to analyze training needs and consensus agreement of experts. There were nine core competencies and 70 tasks of a CNR fellow that were distributed to the Beginner, Intermediate and Advanced Levels. Potential fellows prefer learning that is active, reflective, sequential, cooperative, guided by experts, personalized and involves use of technology. After learning the basics, they would need to learn more intensively on competencies that would help them become more capable of contributing to clinical practice. The CNR Fellowship Program framework seemed to contain contextually-relevant core competencies in clinical nursing research that are needed to augment basic nursing research education and to benefit clinical nursing practice.

Human ; Male ; Female ; Adult ; Fellowships And Scholarships ; Clinical Nursing Research ; Consensus ; Nursing Education Research ; Learning ; Technology ; Research

This paper centers on the staff nurses' level of competency and patients' level of satisfaction. Descriptive comparative design was utilized covering 32 staff nurses and 37 maternity patients from an accredited government maternity hospital. Purposive sampling was used to select the respondents. The questionnaires that were employed came from the Department of Health's Philippine Nurse Certification Program Self Assessment Tool for Level 3 Certification in Maternal and Child Nursing. The profile of staff nurses includes gender, length of experience, and educational attainment. On the other hand, gravidity, parity, and age are the patients' profile. Informed consent was given to all respondents. Statistical tools that were used includes: frequency and percentage, mean, standard deviation, independent sample t-Test, one way analysis of variance, and Pearson's correlation. The result concluded that there was no significant difference in the staff nurses' level of competency and patients' level of satisfaction when their profiles were considered. Moreover, it can be elucidated that there was no significant relationship between the level of competency and level of satisfaction. It can be interpreted that staff nurses are highly competent and patients are highly satisfied in terms of Client Care, Management and Leadership, and Research. However, there were statements with moderately competent results namely assess degree of laceration and actively participates in the collection of data research process to improve Maternal and Child Nursing practice in work setting with a mean of 2.50 and 2.28 respectively. The researcher suggests enhancement program in the form of the following trainings: internal external suturing in coordination with Association of Nursing Service Administrators of the Philippines and Research Process in coordination with Philippine Nursing Research Society.

Human ; Male ; Female ; Adult ; Leadership ; Self-assessment ; Gravidity ; Parity ; Personal Satisfaction ; Hospitals, Maternity ; Lacerations ; Societies, Nursing ; Nursing Research

There have been increasing demands for innovative learning and teaching approaches in higher education. Many educators in various fields of study have been teaching their students using deliberate and careful combination of face to face and online leaning processes or blended learning. However, in the field of public health, the use of the blended learning seems to be fewer. For public health educators and trainers to maximize the potential of this approach, it could be significant to consider the broad and increasingly expanding scope of public health. Furthemore, studies should be done to identify the factors that drive the achievement of educational outcomes in this field.

Health Educators ; Public Health ; Health Education ; Learning

This study was conducted to: (1) determine the profile of nurses in various work settings based on available databases; (2) describe the current nursing education and programs in the Philippines; and (3) identify national key issues affecting the nursing workforce. The study utilized descriptive, cross-sectional research design; and employed institutional survey, Delphi survey, and round table discussions. Results showed that the Department of Health has the current number of nurses working in hospitals and communities in the different regions, including information on age and sex distribution, employment characteristics, and type of hospital affiliations. The Professional Regulations Commission Board of Nursing has the results of the national licensure examinations. Commission on Higher Education has information on BSN curriculum and schools. Priority key issues identified are: (1) nursing leadership and nursing role clarity, (2) workplace safety and violence, and (3) shortage of nurses, (4) unjust compensation, and (5) skills mix and geographic maldistribution. PNA is thought to have a big role in helping address these key issues. 

Human ; Male ; Female ; Aged (a Person 65 Through 79 Years Of Age) ; Middle Aged (a Person 45-64 Years Of Age) ; Canada