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_aT Fil RT85.2
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_aCristobal, Cristina E.
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_aCognitive, affective, and psychomotor aspects of spiritual care of nurses to terminal cancer patients in selected hospitals in Metro Manila :
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_cCristina E. Cristobal
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_axv, 105 pages
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_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.
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_aABSTRACT. Statement of the Purpose: This descriptive study is primarily designed to determine the spiritual care of nurses to terminal cancer patients using three domains, namely: Cognitive, Affective, and Psychomotor aspects. Specifically, the study would answer the following questions: 1. What is the personal profile of nurses involved in terminal cancer patients as to the following: a. gender b. age c. civil status d. spiritual affiliation, and e. length of service? 2. To what extent do nurses perform spiritual care to terminal cancer patients as to the following aspects: a. Cognitive, b. Affective, and c. Psychomotor? 3. Is there a significant difference in the spiritual care performance of nurses with respect to their personal profile? 4. On what spiritual care aspect ( cognitive, affective, and psychomotor) the nurses significantly differ with respect to the five variables? Hypothesis: It was hypothesized that 1. There is no significant differences in the spiritual care performance of nurses with respect to their: a. gender b. age c. civil status, d. spiritual affiliation, and e. length of service. Methodology: Descriptive method was used in the study. A total of 103 nurses from four selected hospitals in Metro Manila qualified in the study. They were selected through purposive sampling. The responses of the respondents were solicited through questionnaire personally distributed to and retrieved from the head nurses and chief nurses. Findings: It has been found that nurse-respondents are mostly female, within the age bracket of 21-25, who are single, and have worked for six months to three years. Majority belongs to the Roman Catholic Faith. There is a high level of performance on spiritual care among nurses to terminal cancer patients. The spiritual care of nurses differed significantly with respect to their age. The spiritual care of nurses did not differ significantly with respect to their gender, civil status, spiritual affiliation, and length of service. Conclusions: Based on the findings of this study, it was concluded that: 1. There is a significant differences in the spiritual care performance of nurses with respect to their age. Younger nurses have lower mean scores on their spiritual care performance than older nurses. This implies that new staff nurses may not have enough preparation in rendering spiritual care to dying cancer patients and need to attend continuing education programs/workshops to provide then with an in depth awareness of the importance of responding to patient's spiritual needs. 2. In age, spiritual care performance of nurses differ significantly in the psychomotor aspect. 3. There is no significant difference in the spiritual care performance of nurses to terminal cancer patients with respect to their gender, civil status, spiritual affiliation, and length of service. 4. Nurses tend to consider spiritual care as a need of terminal cancer patient. This implies that nurses consider terminal cancer patient to be in crisis and their spiritual support may be a significant resource for coping with it. 5. The performance of spiritual care of nurses to terminal cancer patient is qualitatively high. 6. The knowledge of nurses on the spiritual needs of terminal cancer patients ( spiritual care concepts) and the nurses' means to acquire information to enhance spiritual care are high. 7. The attitude of nurses towards spiritual care to terminal cancer patients is highly positive. 8. The practice of spiritual care to terminal cancer patients by nurse are often actualized. Recommendations: In the light of the conclusions made, the researcher offers two sets of significant recommendations inferred from the findings of this study, one pertinent to action programs, and the other one to future researches. Pertinent to Action Programs: 1. Effective support system in the form of self-awareness programs and debriefing sessions can be given to nurses to allow them to express, analyze, and share their problems, feelings and struggles so that they will not succumb to the frustrations and feelings of helplessness that lead to burnout. 2. Nursing Directors and Chief Nurses are to evaluate the manpower, staff scheduling and rotation, and climate at work. Staff-patient ratio should be kept low to give nurses more time to attend to each patient and render spiritual support to them. Nurses should be provided with some relief from prolonged and direct patient contract through shorter work shifts or rotating work responsibilities. 3. Continuing education programs on spiritual care should be organized to better equip nurses in handling terminal care. Pertinent to future researches: 1. Other studies on the relationship between spiritual care and other variables such as types of hospital setting , and educational attainment be conducted to find out its impact on spiritual care to terminal cancer patients. 2. The perception of the patients on spiritual care performance of the nurses can be sought. 3. Future research along this line may be conducted in a larger setting in order to come up with more comprehensive results.
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