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Orpilla, Dymphna T. |
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Nursing care of surgical patients in the obstetrical services ward in selected hospitals in Metro Manila / |
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prepared by Dymphna T. Orpilla. |
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xvii, 139 pages. |
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Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 1991.;A thesis presented to the Graduate Program in Arts, Sciences, Education, and Nursing in partial fulfillment of the requirements for the degree of Master of Arts in Nursing. |
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ABSTRACT. Problem. The study attempted to find out the nursing care perceptions of surgical patients in the Obstetrical Services Ward in selected government and private hospitals in Metro Manila, year 1991. Furthermore, the study sought to describe the background characteristics of the patients in terms of age, educational level, and occupation. It also described the nursing care perceptions of the patients during the pre-operative and post-operative phases. Differences of nursing care perceptions of the patients in government and private hospitals were also looked into. Hypothesis. The hypothesis of the study: There is no significant difference between the nursing perception of the Obstetrical Surgical patients in the Obstetrical Services Ward in government and private hospitals in terms of the following: Pre-operative, Post-operative. Methodology. The descriptive method of research was used in the study. A questionnaire was designed to elicit the pre-operative and post-operative nursing care perceptions of the Obstetrical Surgical patients. Observations and interviews were also conducted in order to reinforce the data gathered from the questionnaire. Records of patients were also examined. A total of 30 actual patients was sampled out of 54 confined patients during the period of study in six (6) hospitals; 15 patients each from the government and private hospitals. Five patients were sampled from each hospital based on a set of criteria. Data Analysis. Frequency tallies with their corresponding percentage were computed to describe the socio-demographic characteristics of the patients. The weighted means were also computed to describe the pre-operative and post-operative nursing care perceptions of the patients along the three areas of needs, namely: the physical, psychological and spiritual aspects. Furthermore, the t-test of independent samples was used to compare the pre-operative as well as the post-operative nursing care perceptions of patients in the government and private hospitals. Findings. The findings of the study are as follows: 1. On the Socio-demographic Characteristics of Patients. Most of the patients involved in the study were practically housewives whose ages fell within the range of 26 to 35 years, and with elementary education background. 2. On the Pre-operative and Post-Operative. Nursing Care Perceptions of Patients in the Government Hospital. 2.1 The patient's pre-operative nursing care perceptions in the government hospitals on the physical and psychological aspects were perceived to be very satisfactory. However, the spiritual aspect of the nursing care was perceived to be satisfactory. 2.2 The patients' post-operative nursing care perceptions in the government hospital on the physical and psychological aspects were also perceived to be very satisfactory. However, the spiritual aspect of the nursing care experiences was also perceived to be satisfactory. 3. On the Pre-Operative and Post-Operative. Nursing Care Perceptions of Patients in the Private Hospital. 3.1 In general, the patients' pre-operative nursing care perceptions in the private hospital on the physical and psychological aspects were similar with those in the government hospital. They found these experiences to be very satisfactory. However, the spiritual aspect of the nursing care was perceived to be satisfactory which was similar as the nurses' perceptions in the government hospital. 3.2 The patients' post-operative nursing care perceptions in the private hospital on the physical and psychological aspects were similar with those in the government hospital. They also found these experiences to be very satisfactory. However, the spiritual aspect of the nursing care was perceived to be satisfactory which was similar as the nurses' perceptions in the private hospital. 4. On the Differences of Pre-Operative and Post-Operative Nursing Care Perceptions in Government and Private Hospitals. 4.1 There was no significant difference between the perceived pre-operative nursing care of patients in government and private hospitals along the three aspects: physical, psychological and spiritual. 4.2 There was no significant difference between the perceived post-operative nursing care of patients in government and private hospitals along the three aspects: physical, psychological and spiritual. Conclusion. This study is the first of among the researches conducted in the Philippines, specifically in Metro Manila, which covered the patients' obstetrical surgical nursing care experiences on the pre-operative and post-operative stages in selected government and private hospitals. With the similarity of perceptions of patients' nursing care experiences in both hospitals during the pre-operative and post-operative stages, shows that the hospitals under study observe the obstetrical surgical standard procedures in dealing with their patients. this is evidenced by the perceptions of the patients on the physical and psychological aspects of nursing care experiences during the pre-operative and post-operative stages found to be very satisfactory. In a way, this also confirms the hospitals' commitment to public service, a demonstration of their wellness program. The description of the nursing care experiences of the patient somehow reinforce the verification of the Diamond's theory of Behavioral Kinesiology and Krieger's theory of Therapeutic Touch. It is possible that the nursing care delivered made the patient respond by participating in their care and in taking responsibility for their recovery. However, in terms of the spiritual aspect of nursing care, the patients in both hospitals shared the same perceptions found to be satisfactory. this implies that among the three aspects of patients' nursing care experiences, the hospitals have emphasized their delivery on the physical and psychological needs. the delivery of the spiritual aspect of nursing care likewise needs an equal attention just like the other aspects in order to deliver an efficient and effective wellness program among obstetrical surgical patients. Recommendations. Based on the findings of the study, the following recommendations are presented: 1. that the hospitals should improve the delivery of the spiritual aspect of nursing care in order to be holistic in the approach of patient care. 2. that a re-training program be designed for nurses in order to reinforce their nursing care experiences. 3. that the hospital should provide more financial allotment for the procurement of materials in order to meet the demands of patients. 4. that future researches be conducted on a wider scope with the inclusion of other variables. 5. Nurses together with the Clinical Instructors should work hand in hand with students in order to bolster the morale of the patient. |
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| International Standard Serial Number |
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| 787 ## - OTHER RELATIONSHIP ENTRY |
|---|
| International Standard Serial Number |
|
| -- |
|
| Place, publisher, and date of publication |
|
| Related parts |
|
| Relationship information |
|
| Title |
|
| Record control number |
|
| 800 ## - SERIES ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
|
| -- |
|
| Dates associated with a name |
|
| Language of a work |
|
| Date of a work |
|
| Title of a work |
0 |
| Fuller form of name |
|
| Volume/sequential designation |
|
| 810 ## - SERIES ADDED ENTRY--CORPORATE NAME |
|---|
| Corporate name or jurisdiction name as entry element |
|
| -- |
|
| Subordinate unit |
|
| Date of a work |
|
| Title of a work |
|
| -- |
|
| Volume/sequential designation |
|
| 830 ## - SERIES ADDED ENTRY--UNIFORM TITLE |
|---|
| International Standard Serial Number |
|
| -- |
|
| Uniform title |
|
| Name of part/section of a work |
|
| Number of part/section of a work |
|
| Language of a work |
0 |
| Volume/sequential designation |
|
| 942 ## - ADDED ENTRY ELEMENTS |
|---|
| Institution code [OBSOLETE] |
|
| -- |
lcc |
| Item type |
Book |