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_e _e _aMagno-Mandal, Arlene. _d _b4 _u _c0 _q16 |
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_a _aSafety practices and quality patient care of military and civilian nurses in Armed Forces treatment facilities for an enhanced quality instructional program / _d _b _n _cArlene Magno-Mandal. _h6 _p |
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_3 _3 _a _d _b _c46 |
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_e _e _c28 cm. _aix, 160 pages _b |
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_b _atext _2rdacontent |
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_3 _30 _b _aunmediated _2rdamedia |
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_3 _30 _b _avolume _2rdacarrier |
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_a _aThesis (Ph.D.) -- Pamantasan ng Lungsod ng Maynila, 2016.;A dissertation presented to the faculty of Graduate School of Arts, Sciences and Education in partial fulfillment of the requirements for the degree Doctor of Education major in Educational Administration. _d _b _c56 |
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_b _b _c _aThis study is a descriptive type of research which was conducted to determine the level of safety practices and quality patient care between military and civilian nurse-respondents. Likewise, it determined the differences on the safety practices of the nurse-respondents on the five (5) dimensions namely: environmental, patient education, medication, ethico-morale, and documentation and on the four (4) dimensions of quality patient care namely exhibiting caring attitude towards the patient, meeting the personal need, and giving personalized services to the patient. The study utilized a researcher constructed instrument that was subjected to validity and reliability tests. A total of 177 nurse-respondents from the three (3) premier Military Treatment Facilities (MTFs) in the Armed Forces of the Philippines (AFP) participated in the study. Ten (10) patients participated during the Focus-Group Discussion. The data gathered from the survey were processed using excel spread sheet and Statistical Package for Social Sciences (SPSS) software while the data from the interview were processed on a manual basis. The statistical tools used in the study were: descriptive statistics mean, this was used to assess the nurse-respondents level of safety practices and quality patient care and a parametric t-test to test the difference of the two (2) groups on the level of safety practices and quality patient care. Findings revealed that most of the respondents belonged to a relatively young age group; dominated by females; majority are holding staff nurse position; possessed minimum educational qualification; minimal clinical experience; and a fewer military nurses than civilian nurses; and that both the military and civilian nurses have excellent ratings on the five (5) factors of safety practices and four (4_ aspects of quality patient care. Further, the following conclusions were drawn: 1) that Civilian have higher performance ratings on 14 indicators of safety practices while the military nurses were better in 11 indicators. On the other hand, military nurses performed better in quality patient care as compared to the civilian nurses. Military nurses have higher performance ratings on 12 indicators while the civilian nurses were better in eight (8) indicators. The varying competencies of the nurse-respondents are associated with their clinical experiences when caring for the patients acquired either in the hospital and or during deployment in the far-flung areas of the archipelago; 2) that nurses need to undergo continuing education and must be recognized as a fundamental requirement for career growth and advancement in order to keep pace with the rapidly changing therapeutic milieu, enhance the practice of Nursing and most of all, promote safe and quality patient care; and 3) to develop an enhance quality instructional program to strengthen the weaknesses for the nurses from the three (3) premier MTFs of the Army, Navy, and Air Force. Similarly, the study recommends the following: 1) to sustain an adequate pool of competent nurses that will take care of the patients based on the levels of care, nurse-patient ratio, and actual bed occupancy rate; to send nurses both military and civilian to attend invitational seminars, trainings, nursing updates, and other forms of educational endeavors at least quarterly to keep them abreast with the new trends in bedside care and other matters relating to nursing care, and that they should be supported financially in these undertakings; and to develop an instructional program designed to enhanced the competencies of nurses in order to deliver safe and quality patient care. The training must be conducted as mandatory requirement before deployment in the different wards and specialty areas thereby novice nurses will be able to competently perform their mandated duties and responsibilities. _u |
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