Levels of anxiety and competencies of nurses in providing quality care to terminally ill patients / (Record no. 30598)

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-- Levels of anxiety and competencies of nurses in providing quality care to terminally ill patients /
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-- Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 2002.;A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing.
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Summary, etc. ABSTRACT. Statement of the Problem: The study dealt with the Levels of Anxiety and Competencies of Nurses in providing quality care to the terminally ill patients in selected hospital in Makati City. Specifically, this study answer the following questions: 1. What is the demographic profile of nurses in selected hospitals in Makati City in terms of; a. Age b. Gender c. Civil status d. Educational attainment e. Length of service f. Area of assignment g. Frequency of exposure to death and dying patient h. Economic status 2. What is the level of nurses' anxiety towards the terminally ill patients? 3. Is there a significant relationship on the level of nurses' anxiety towards terminally ill patients with the respondent's profile? 4. What are the levels of competencies of nurses in providing high quality care for death and dying client with respect to the following dimensions. a. Intellectual b. Emotional c. Social d. Spiritual e. Occupational 5. Is there a significant relationship between nurses' level of anxiety and the competencies of nurses in providing care to terminally ill patients? Hypotheses: The null hypotheses are tested at the .05 level of significance. Ho1. There is no significant relationship between the levels of nurse anxiety towards the terminally ill patients with the respondents profile. H02. There is no significant relationship between the level of nurses anxiety and the competencies of nurses in providing quality care to terminally ill patients. Methodology: The descriptive research was employed in this study utilizing descriptive and correlation techniques in looking into the relationship of each variable. A total of 165 nurses from the three selected hospital in Makati City, which comprised of 82.5% of the total population (200 nurses), were all considered as respondents of the study. The major data gathering tool used is the questionnaire the data gathered were entered into matrix for statistical treatment using the computer Statistical Program for Social Sciences. For the descriptive presentation of data, the frequency and percentage were used particularly with the following variable age, sex, civil status and years of experience, area of assignment, frequency of exposure to death and dying, economic status and level of anxiety. To determine the relationship of profile variables on the level of anxiety Pearson Product Moment of Correlation formula used. To determine the relationship of level of anxiety and competencies of nurses in providing quality care toward the terminally ill, Pearson Product Moment of Correlation was also used. Findings: The significant findings of the study are: 1. Profile of Nurses Majority of the nurses is young adult with age ranges from 23 to 32 years old female (82%) has dominated the male (18%) in nursing profession. Most of the nurses are single(70%) and with the degree of Bachelor of Science in Nursing without MA units(84.2%). Almost all of the nurses are young in their experience(54%) and assigned in General nursing unit (88%). Majority of nurses are exposed death and dying (100%). Most of the nurses have an above average monthly income (32.1%) and some of them have below average income (31%). 2. Level of nurses Anxiety The result revealed that ninety nine percent(99%) of the nurses' are extremely anxious. 3. Relationship of level of nurses' anxiety with the respondent's profile. Variable age, sex, and area of assignment have a significant relationship with the nurses' level of anxiety. Their value is below the significance level assigned. Nonetheless, profile variable such as civil status, educational attainment, length of service, frequency of exposure to death and dying and the economic status are not related to the level of nurses anxiety their value exceed the assigned level of significance 4. Level of competencies of nurses in providing quality care to death and dying is average. They are average competent in intellectual dimension (X=2.93), Emotional (X=3.02) Social (X=3.11), Spiritual ( X=3.12) and Occupational (X=3.10). 5. Relationship between nurses' level of anxiety and competencies in providing quality care for terminally ill. There is a significant relationship between the level of nurses' anxiety and competencies. Intellectual, emotional, and social competencies show a relationship that is less than the assigned level of significance. Nevertheless, Spiritual and occupational competencies have no relationship with the level of nurses' anxiety. Their value exceeds the level of significance. Conclusions: The findings lead to the following conclusions: 1. There is no significant relationship between the level of nurses' anxiety towards the terminally ill patients and with the following profile of nurses such as; a. Civil status b. Length of service c. Educational attainment d. Frequency of exposure to death and dying e. Economic status There is a significant relationship between the level of nurses' anxiety towards the terminally ill patients and with the following profile of nurses such as: a. Age b. Gender c. Area of assignment 2. There is a significant relationship between the level of anxiety and the intellectual, emotional, and social competencies of nurses. 3. There is no significant relationship between the level of anxiety and spiritual and occupational competencies of nurses. 4. The level of nurses' anxiety towards the terminally ill is extremely anxious. 5. The competencies of nurses in providing quality care to the terminally ill patients are average. They need some development in each respective domain. Recommendations: The study's finding and conclusions lead to the following recommendations. 1. Focus on stress management for the caregivers. 2 Hospitals must provide a special room for the terminally ill patients. 3. Create a program for the caregivers and relatives who will take care of the terminally ill patients.
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