1. ABSTRACT<br />Title:“Staff nurses’ involvement and beliefs towards providing spiritual care to medical and surgical patients at the selected tertiary government hospital in Dagupan City : an assessment” <br />Author:Datuin, Alicia Lamboy RN<br />Adviser:Henry g. Robeniol, RN., MAN., L.L.B.<br />Degree:Master of Arts in Nursing<br />Institution:Dr. Carlos S. Lanting College Graduate School<br />Year:2008<br />The Problem and its Background<br />1. The study focused on the assessment of spiritual level of staff nurse's in providing spiritual care to patients at Region 1 Medical center as perceived by them and their patients. Specially, this study seeks answer to the following questions:<br />What is the demographic profile of the respondents (staff nurse's and patients) at Region 1 Medical Center belonging to medical ward and surgical ward in terms of:<br />Age<br />Gender <br />Civil Status<br />Highest Educational Attainment<br />Area of Assignment / Ward Accommodation<br />Length Of Service / Length of Confinement<br />Religion<br />2. What is the spiritual care assessment of the medical and surgical ward respondent in terms of:<br />Person's belief about God<br />Person's involvement in a religion<br />Person's spiritual resources<br />Person's opportunity to accept spiritual care<br />3. Is there a significant difference between the assessments of the two groups in terms of spiritual care rendered by the staff nurses? <br />4. What are the problems encountered by staff nurses during the implementation of program for spiritual nursing care in Region 1 Medical center?<br />5. What are the suggested solutions to improve the delivery of spiritual care rendered by staff nurses to patients for early recovery and healing?<br /> <br />To achieve the objectives of this study, the researcher made use of the descriptive method with the application of the questionnaire checklist. The researcher made use of convenience sampling method in this study. This is the type of non-probability sampling method in which the researcher picked out respondents in the most convenient and fastest way in the hospital. Only those nurses on duty during the destination of questionnaire were taken as samples and only those patients confined admitted in the study.<br />The researcher study made use of self administered questionnaire. Incorporating the ideas of the various spiritual care assessment tools, made by Daisy Aida Valdez (2006) Judith Allen Shelly (2004) and Hatch Burg, Naberhaus, and Hellmich (1998). However,some of the questions were rephrased and changed by the researchers for better understanding the respondents. There will be three (3) questions per assessment statement. Two sets of questionnaire were prepared, one for the staff nurse and another one for the patients. The 5 point scale was used in rating the level of spirituality of the respondents.<br />Summary of Findings<br />1. Profile of Respondents (Medical Ward)<br />In terms of Age: Out of 20 medical nurse, 6 belong to 31-35 years old group, 6 belong to the youngest group, 5 belong to 36-40 years old group, 3 belong to the 41-45 years olds group, majority of the respondents are on their early thirties and forties respondents belong to the youngest group of 25-30 year old and the oldest belong to 61 year old and above.<br />In terms of Gender: There are more female than male nurses in the medical ward. There are more female than male patients, in general, there are more female (both nurses and patients) respondents in the medical ward.<br />In terms of Civil Status: Out of 20 medical nurse respondents, 13 are married and 7 are single. There are 12 married patients, 3 are single, and 5 widow/widowers in the medical ward.<br />In terms of Highest Educational Attainment: There are 14 out of 20 nurse respondents 14 are BSN graduates and 6 are with MAN units. There are 12 out of 20 patients are college graduates, 5 are high school graduates and 3 are elementary graduates.<br />In terms of Length of Service/Length of Confinement: Out of 20 medical nurse respondents, 9 had served 11-15 years, 5 had served from 6-10, 3 are new in service and 3 with 1-5 years in service. Out of 20 respondents, 9 have stayed in the hospital from 21-30 days, 8 have stayed from 11-20 days and 3 have stayed in the hospital from 1-10 days. <br /> <br />The majority of patients have stayed in the hospital and under medications from 2 to 4 weeks.<br />In terms of Religion: Out of 20 medical nurse respondents, 18 are Roman Catholic, and 2 are Iglesia Ni Cristo, There are 18 out of 20 patients respondents are Roman Catholic.1 respondents belong to Iglesia Ni Cristo and anther 1 is Jehovah's Witness follower. It implies that Roman Catholic members outnumbered other religion members.<br />2. Profile of Respondents (Surgical Ward)<br />In terms of Age: The youngest surgical nurse respondents belong to 25-30 year old group and the oldest is 46 year old. There are 3 out of 20 surgical respondents belong to the youngest group of 25-30 year old and 3 belong to the oldest group of 61 years old and above.<br />In terms of Gender: Out of 20 surgical nurse respondents, 12 are male and 18 are female. There are more female than male respondent’s patients in the surgical ward.<br />In terms of Civil Status: Majority of nurses are married, 2 are single, 1 is widow are 1 is separated. Most of surgical patient-respondents are married, 4 are single, and 1 is widow.<br />In terms of Length of Service/Length of Confinement: 7 nurse respondents from the surgical ward had served 6-10 years, 6 had served 11-15 years, 2 are new in the service and 2 are old in the service with 21-25 years with the hospital. Some respondents stayed in the hospital for weeks and some stayed for months.<br />In terms of Religion: There are 17 out of 20 surgical nurse respondents are Roman Catholic, and 2 are Born Again Christian and 1 is Iglesia ni Cristo. Majority of surgical respondents are Roman Catholic, however, there is 1 Born Again Christian member and 1 is Iglesia Ni Cristo follower.<br />2-A. Medical Ward<br />In terms of Spiritual Aspect Rendered to understand a person's belief about God, the respondents agree that spiritual aspect is rendered to patients to understand them about their belief. (wm=4.43). Respondents agree that spiritual aspect is rendered to determine the person's involvement in a religion (wm=3.95). Respondents agree that spiritual aspect is rendered to asses a person's spiritual resources (wm-4.42).<br />2-B. Surgical Ward<br />2-B1. Respondents agree that spiritual aspect is rendered to understand a person's belief<br /> about God. (wm=4.4).<br />2-B2. Respondents agree that spiritual aspect is rendered to determine the person's <br /> involvement in a religion (wm=3.78).<br />2-B3. Respondents agree that spiritual aspect is rendered to assess a person's spiritual <br /> resources (wm=4.42).<br />2-B4. Respondents agree that spiritual aspect is rendered to offer the person's an <br />opportunity to accept spiritual care (wm=4.02).<br />3-A.Significant difference in the spiritual care assessment of the medical and surgical <br />respondents. The study reveals that there is no significant difference between the <br />responses of the surgical and medical respondents in terms of:<br />3-A1. Spiritual aspect is rendered to understand a person's belief about God. (t=0.41288)<br />3-A2Spiritual aspect is rendered to to determine the person's involvement in a religion<br />(t=0.69729).<br />3-A3. Spiritual aspect is rendered to offer the person an opportunity to accept spiritual <br />care (t=09969).<br />There is a significant difference between the assessments of the two groups of respondents in terms of:<br />3-A4.Spiritual aspect is rendered to assess a person's spiritual resources (t=652663).<br />3-B.There is no significant difference between the assessment of medical and surgical<br />nurses in terms of:<br />3-B1.Spiritual aspect rendered to understand a person's belief about God. (t=.42598)<br />3-B2. Spiritual aspect rendered to determine the person's involvement in a religion<br />(t=0.91945).<br />3-B3.Spiritual aspect rendered to assess the person's spiritual resources (t=1.4938).<br />3-B4.Spiritual aspect rendered to offer the person's an opportunity to accept spiritual<br />care (t=1.43156).<br />3. On problems in rendering spiritual care to a person, the following are the findings:<br /> <br />A. The medical ward respondents agree that there are problems in rendering spiritual care (wm=4.27). The surgical respondents agree that there are problems in rendering spiritual care to a person (wm=4.18).<br />B. The medical and surgical nurses agree that there are problems in rendering spiritual care.<br />Conclusion<br />Based on the findings, the researcher drew the following conclusions:<br />1-A. Profile of surgical and medical patients. The youngest respondents belong to 25-30 year old group and the oldest is 61 year old but 40 respondents, 27 are female and 13 are males. Out of 40 respondents 27 are married, 7 are single and 6 are widow. In terms of educational attainment, 14 are high school graduates, 20 are college graduates and 6 are elementary graduates. In terms of length of confinement, majority were confined from 3 to 4 weeks. In terms of religion majority are Roman Catholic.<br />1-B. Profile of medical and surgical nurses. In the terms of age, the youngest nurse belongs to the 25-30 year old group and the oldest belong to the 46-50 year old group. In terms of gender, 60 percent of the respondents are female and 40 percent are male. In terms of civil status, majority or 72.5 percent are married and 22.5 percent are single. In terms of Education attainment, majority are BSN graduate, while 22.5 percent have earned in MAN. In terms of area of respondents had serve from 6 to 15 years. In terms of religion 87.50 percent are Roman Catholic.<br />2. The assessment of the surgical and medical patients as to the spiritual care rendered by nurses is the same in terms of: <br />2.1. Spiritual aspect rendered to understand a person's belief in God.<br />2.2. Spiritual aspect rendered to determine the person's involvement in a religion.<br />2.3. Spiritual aspect rendered to assess a person's spiritual resources.<br />2.4. Spiritual aspect rendered to offer the person an opportunity to accept spiritual care.<br />3. There is no significant difference between the assessment of the surgical and medical patients regarding the spiritual care rendered by the staff nurse. This means that both staff nurses and patients assess similarly the level of spiritual care rendered by staff nurses.<br /> <br />3-A. There is no significant difference between the assessment of the surgical and medical nurse in terms of spiritual care rendered to the patients. This means that both staff nurses and their patients assess similarly the level of spiritual care rendered to the patients.<br />4. There are problems in rendering spiritual care to the patients.<br />Recommendations<br />Based on the conclusions drawn, the researcher drew the following recommendations:<br />A follow-up study be made using wider population from both public and private hospitals.<br />Differences in religion should not be a reason for not rendering spiritual care<br />Staff nurses should bear in mind that spiritual care rendered to patients greatly contribute to their early recovery and healing.<br />Hospital training program should focus on holistic care of patients. Nurses should rendered not only physical care, but also include emotion and spiritual care.<br />DCLC Library Property<br />