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100			_e _e _aJabon, Joseph I. _d _b4 _u _c0 _q16
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245		0	_a _aDr. Jose R. Reyes Memorial Hospital as a center of wellness : _d _ban analysis / _n _cJoseph I. Jabon _h6 _p
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300			_e _e _c _axiv, 138 pages _b
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336			_b _atext _2rdacontent
337			_3 _30 _b _aunmediated _2rdamedia
338			_3 _30 _b _avolume _2rdacarrier
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500			_a _aThesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 1999.;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. _d _b _c56
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520			_b _b _c _aABSTRACT. Statement of the Problem: The study seeks to analyze Dr. Jose R. Reyes Memorial Hospital as a Center of Wellness. Specifically, the study aims to answer the following: 1. What is the demographic profile of nurses in JRRMMC as to: 1.1 Demographic 1.1.1 Age 1.1.2 Sex 1.1.3 Length of service 1.2 Educational attainment 1.3 Professional Development 1.3.1 Seminars/Training 2. To what extent do nurses integrate the Comprehensive Primary Health Care concept in the implementation of Hospital as a Center Wellness Program in terms of: 2.1 Health Promotion 2.2 Illness Prevention 2.3 Curative 2.4 Rehabilitation 3. How do the following health supportive variables influence the implementation of Hospitals as Center Wellness Program? 3.1 Comprehensive Health Care Delivery 3.2 Competency/Hospital Management 3.3 Caring/Communicating Staff and Environment 3.4 Culture Friendly Health Services 3.5 Community Orientedness 3.6 Clean and Green Drives 4. Is there any significant difference between the integration of Comprehensive Primary Health Care in the Implementation of Hospital as Wellness Center and demographic data? 5. What are the problems encountered in the implementation of Hospital as Center of Wellness Programs? Research Methodology: The study analyzed the implementation of Dr. Jose R. Reyes Memorial Hospital as Wellness Center. The study made use of descriptive research using evaluative method. Respondents were composed mainly of 74 nurses among general Female/Male Medical and Surgical Wards; Out-Patient department; Emergency Complex; Obstetrics and Pediatric; Intensive Care Unit; floor supervisors and senior nurses. The instrument used was a checklist-questionnaire adapted and patterned by the researcher from evaluation checklist of Healthy Hospitals. Statistical Treatment: The researcher's intention of analyzing the data was made possible by the used of percentage distribution, weighted mean distribution, and chi-square treated by Yates correction formula. Summary of Findings: The following findings were based on the perception of the respondents on the implementation of wellness center at Jose Reyes Memorial Hospital. 1.1 Demographic Profile - majority of the respondents belongs to the young adult bracket from ages 20-30 years (79.72%). Most were female and 33.78 have provided services for institution for about 6.1 years and above. 1.2 Educational Attainment - Respondent's educational attainment revealed majority of sixty-three and (63.51%) have attained BS Nursing. 1.3 Professional Development - Data on seminars /training revealed that 40.54% attended seminars /training slightly above the CPE units. 2. Integration of Comprehensive Primary Health Care - Health Care Promotion activities (X = 3.82) and Curative (X = 3.69) were categorized as Very Satisfactory while Illness Prevention (X = 3.35) and Rehabilitation (X = 3.38) revealed evaluated as satisfactory. 3. Influences of Health Supportive Variables were viewed as satisfactory with X of 3.36. 4. Differences between integration of comprehensive primary health care and the demograhic profile of JRRMMC nurses. 4.1 Illness Prevention - There is significant difference among respondent's age, length of service, and educational attainment in their integration of comprehensive PHC in illness prevention. 4.2 Health Promotion - Has no significant differences except on the practices of conservative health care methods. 4.3 Curative - The result shows considerable variation in the extent of delivery in health services relevant to the respondents' educational attainment. 4.4 Rehabilitation - There is significant difference in the domain of educational attainment to the concept that deals with the provision of adequate rehabilitation services and in the maintenance of malnutrition ward. Also, seminars and training result to significant difference in delivery of facilitating adequate client's social support. 5. Problem Encountered in the Implementation of JRRMMC as HCWP - The respondents considered the number of health professional as inadequate to support the institution's vision, mission, and goal. Conclusions: 1. There is significant difference between the integration of Comprehensive PHC concept and the demographic profile of nurses at JRRMMC. 2. Large compositions of the respondents were female and were mostly at young adult stage of 20-30 year old age bracket. Respondents having 6.1 and above years of experience compromise the majority. Seminar/training attendance was attested slightly above the CPE required units. 3. The Comprehensive PHC concept has a very satisfactory extent of integration and acceptance in the implementation of Health Promotion, Illness Prevention, Curative and Rehabilitation. 4. Health Supportive Variables were signifying satisfactory influence in the JRRMMC implementation of HCWP. It was best characterized by Competent Hospital Management having a very satisfactory evaluation whereas the clean and green drive as the least characteristic with evaluation rating. 5. The major problem encountered in the implementation of the program was the shortage in the number of staff in proportion to the total bed capacity and services provided by the institution, serving as deterrent in the accomplishment of its Vision, Mission, and Goal as a key community health facility. Recommendations: In the light of the findings presented the following courses of action were recommended: 1. To re-orient employees of their roles and responsibilities to minimize the differences between the profile of nurses and extent of integration of PHC in the implementation of HCWP. This measure can facilitate the identification of individual value and contribution to the transformation of JRRMMC's traditional inculcation of concept. 2. To motivate rank and file employees to pursue graduate studies to uplift the present level of nursing care and practice founded on the belief of serving and maintain human worth and dignity. 3. To maintain a high level of enthusiasm and program participation by recognizing/ giving citation to an individual or department that contributes/develops innovative programs or approaches that will increase the benefits of HCWP. 4. To develop a unit that serve as a Wellness Ward model to show the benefits of the program thus, improving the present level of program performances through replication/imitation of positive health hospital services and functions. 5. To allocate measure/studies in coming up with long-term solutions for the gross shortage of health employees to suffice the Vision, Mission, and Goal of the institution like augmenting the full potentials of affiliating medical and paramedical schools to support the lack of manpower. 6. To orient watchers or program partners on what they contribute to the program by: a. Organizing support groups/organization composed of patient, staff, and watchers. b. Conducting regular meeting. c. Reviewing the program objective and delegate some responsibilities to the support groups e.g. managing the cleanliness and greening drive, and serving as a health educator to strengthen the institution's present weaknesses. 7. To develop the capabilities of staff and support groups for effective program participation in Health Education by: a. Inviting resource persons. b. Developing a feedback mechanism re: the significance of comprehension and significance of health education activities. c. Fair and effective means of selection of health educators and identification of training needs. 8. To train and sustain adequate number of HEPO's monitor progress and to develop activities of HCWP necessary for administrative decision making and allocations of both services and budget. 9. To replicate the study with all of the health professionals as the respondents to look for the difference between the integration of Comprehensive Health Care and the fields of discipline. _u
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