REVISITING THE STRESS MANAGEMENT OF NURSING STUDENTS IN THE CLINICAL SETTING

An Undergraduate Thesis

Presented to the Faculty of the School of Nursing Mindanao Sanitarium and Hospital College Brgy. San Miguel !ligan City

!n Partial Fulfillment of the "e#uirements for the $egree BACH%&'" 'F SC!%NC% !N NU"S!N(

P"%C!'US $. C'&!TA C"!ST!NA &. )A*S'N

May +,-. APPROVAL SHEET This thesis entitled REVISITING THE STRESS MANAGEMENT OF NURSING STUDENTS prepared and su/mitted /y Precious $. Colita and Cristina &. )ayson in partial fulfillment of the re#uirements for the degree of BACH%&'" 'F SC!%NC% !N NU"S!N( has /een e0amined and is here/y endorsed. MERLIN M. ESPINOSA, DM, MAN, RN Ad1iser PANEL OF EXAMINERS Appro1ed /y the Committee on 'ral %0amination 2ith a grade of PASSED. LEILAH R. DEMOL, Ed.D, MM, RND Chairman 33333333333333333 $ate Signed JUNGE G. GUILLENA, MS Statistician 33333333333333333 $ate Signed $ate of Proposal Hearing $ate of 'ral %0amination MERLIN M. ESPINOSA, DM, MAN, RN Ad1iser 33333333333333333 $ate Signed

4 'cto/er -- +,-. 4 May 5 +,-.

ROSELYN S. PACARDO, MAN, MM, RN, RM $ean School of Nursing

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33333333333333333 $ate Signed DEDICATION 6e the researchers 2ould li7e to solemnly dedicate this fruit of our la/or4 To our parents 2ho made us /elie1e in e1erything ga1e us strength to face e1ery o/stacle that hindered our 2ays and for their long 8 lasting lo1e and care9 To our friends 2ho helped us accomplish this study and supported us all the 2ay9 To our thesis ad1iser for her lo1e and patience in ma7ing this paper accomplished. and To (od 2ho is our main inspiration to ma7e this underta7ing a reality.

Precious Cristina

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ACKNOWLEDGMENT The researchers 2ish to e0press their appreciation and gratitude to the special persons friends students and relati1es 2ho ga1e their support for the reali:ation of the study. %0pression of than7s and gratitude are due to the follo2ing4 Merlin M. %spinosa $M MAN "N Ad1iser and "esearch

Coordinator for her /rilliant suggestion that made this study possi/le9 for her patience and understanding that despite the last minute pressure she still sees to it that e1erything is in place9 &eilah ". $emol "N8$ MA MM Chairman of the Panel for her o/;ecti1e criticisms and deep concern for the success of this study. Her inspiration and support had /een priceless9 )unge B. (uillena MS Statistician for his 1alued time analy:ing and interpreting the gathered data9 $esiderio A. Pagdato )r. BS%$ MA%&S %ditor for sharing his e0pertise in correcting this paper9 "oselyn S. Pacardo MAN MM "N "M /elo1ed dean of MSH College for /eing a mother and a mentor and for allo2ing the researchers to conduct the study at Mindanao Sanitarium and Hospital College9

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The "esearchers< friends Samantha M. &a/a;o and Su:anne Mae (. Magsayo for the untiring support and moti1ation they ha1e imparted9 Belo1ed parents for their unending financial support unconditional lo1e and encouragement9 The "espondents 2ho 2illingly participated in the study9 for 2ithout them this study 2ould not /e possi/le9 And a/o1e all the &'"$ A&M!(HT* for the lo1e 2isdom and grace that has made this study a reality.

ABSTRACT Title "esearchers School $egree Ad1iser $ate of $efense 4 REVISITING THE STRESS MANAGEMENT OF NURSING STUDENTS IN THE CLINICAL SETTING 4 Pr !"#$% D. C#&"'( Cr"%'")( L. J(*%#) 4 M")d()(# S()"'(r"$+ ()d H#%,"'(& C#&& 4 B(!. &#r #/ S!" )! ") N$r%")4 M r&") M. E%,")#%(, DM, MAN, RN 4 M(* 01, 2034

This study aims to determine the stressors and the different stress management among the fourth year nursing students of Mindanao Sanitarium and Hospital College particularly in the clinical setting. Specifically it sought to ans2er the follo2ing #uestions 4 =-> 6hat is the profile of the respondent in terms of age and gender9 =+> 6hat are the different stressors encountered /y the respondents 2ith their clinical duties9 =.> 6hat are the different stress management performed /y the respondents 2ith regard to their clinical duties9 =?> !s there a significant relationship /et2een the respondents< profile and the different stress management 2hen grouped according to age and gender9 =@> !s there a significant relationship /et2een the respondents< stressors and the different stress management performed /y the

respondents.

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The study 2as conducted through a purposi1e sampling techni#ue. There 2ere A, respondents from the three sections and in each section composed +, nursing students 2ere pro1ided 2ith #uestionnaire. The data 2ere presented in ta/ular form and analy:ed using Fre#uency and Percentage and 2eighted mean. The findings 2ere as follo2s4 Ma;ority of the respondents fall in the range of -B 8 +, years old. !t is also reflected that most of the respondents 2ere female composed of ?- or AC..D and -5 or .-.BD 2ere male respondents. "esults re1ealed that the relationship /et2een the respondentsE profile and the different stress management is not significant. $ata further indicated that Change is significant 2ith 'rgani:ation and Facing Challenges /ut not significantly related to Adaptation and Commitment. 6or7load is significant 2ith Facing Challenges /ut not significantly related to Adaptation 'rgani:ation and Commitment. "elationship as a stressor is not significant 2ith Adaptation 'rgani:ation Commitment and Facing Challenges. Based on the findings of the study the researchers conclude that the fourth year nursing students at Mindanao Sanitarium and Hospital College are often stressed during their clinical duties. Stressors 2ere determined and it 2as found that in the clinical setting most of the respondents often

e0perienced stress 2ith regards to the changes of en1ironmental setting hea1y 2or7load and struggles 2ith the relationship /et2een their clinical

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instructors. !n addition the outcomes indicate that the stressors and the stress management among the respondents are interrelated. Meaning 2hen the stress management of the respondents 2ere inappropriate a high le1el of stress is present. Stressors 2ith regards to changes in the clinical setting are found to ha1e a significant relationship 2ith managing stress through 'rgani:ation and Facing Challenges. 6or7load as a stressor also sho2s to /e significant 2ith Facing Challenges. The researchers 2ould li7e to offer the follo2ing recommendations4 The Nursing Students must /e a2are of the possi/le stressors they 2ill encounter in the clinical setting and must stri1e to ac#uire positi1e and effecti1e coping mechanism to deal 2ith stress. They must also /e a2are of their preference area of assignment for them to adapt properly. The Clinical !nstructors should ha1e /etter teaching techni#ues that 2ill lessen the stress e0perienced /y the students especially during clinical duties. They should also a1oid /eing too strict to the students instead they should moti1ate and inspire the students to do their 2or7 efficiently in the clinical area. The School Administrators should pro1ide good course arrangement for easy access of the students identify stressors during clinical duties and pro1ide pleasant en1ironment among students. The Future "esearchers should e0tract data and ideas from this study to help them come up 2ith similar study regarding stress management among nursing students in the clinical setting.

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TABLE OF CONTENTS P(T!T&% PA(% APP"'FA& SH%%T ACGN'6&%$(M%NT $%$!CAT!'N ABST"ACT TAB&% 'F C'NT%NTS &!ST 'F TAB&%S &!ST 'F F!(U"%S C.(,' r 3 THE PROBLEM AND ITS SCOPE !ntroduction Theoretical Frame2or7 Conceptual Frame2or7 Statement of the Pro/lem Null Hypotheses Significance of the Study Scope and $elimitation $efinition of Terms 2 REVIEW OF RELATED LITERATURE AND STUDIES "elated &iterature "elated Studies 4 RESEARCH METHODOLOGY "esearch $esign "esearch &ocale "espondents of the Study Sampling $esign "esearch !nstrument Scoring of !nstrument $ata (athering Procedure Statistical Tools +C +C +5 +5 ., ., ., .-A +? ? B -+ -+ -. -? -? i ii iii 1 1i i0 0i 0ii

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PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA SUMMARY, FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS Summary Findings Conclusions "ecommendations

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?B ?C ?5 @, @-

B!B&!'("APH* APP%N$!C%S Huestionnaire &etter CU""!CU&UM F!TA%

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LIST OF TABLES

T(7& + . ? $istri/ution of the "espondents in Terms of Age $istri/ution of the "espondents in Terms of (ender $istri/ution of the $ifferent Stressors %ncountered /y the "espondents 2ith their Clinical $uties in Terms of Change $istri/ution of the $ifferent Stressors %ncountered /y the "espondents 2ith their Clinical $uties in Terms of 6or7load $istri/ution of the $ifferent Stressors %ncountered /y the "espondents 2ith their Clinical $uties in Terms of "elationship $istri/ution of the $ifferent Stress Management Performed /y the "espondents 2ith "egard to their Clinical $uties in Terms of Adaptation $istri/ution of the $ifferent Stress Management Performed /y the "espondents 2ith "egard to their Clinical $uties in Terms of 'rgani:ation $istri/ution of the $ifferent Stress Management Performed /y the "espondents 2ith "egard to their Clinical $uties in Terms of Commitment $istri/ution of the $ifferent Stress Management Performed /y the "espondents 2ith "egard to their Clinical $uties in Terms of Facing Challenges "elationship /et2een the "espondents< Profile and the $ifferent Stress Management "elationship /et2een the "espondents< $ifferent Stress Management Stressors and

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LIST OF FIGURES

F"-$r The Paradigm of the Study Sho2ing the !nterplay of $ependent and !ndependent Faria/les

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