An Undergraduate Thesis Presented to the Faculty of the College of Nursing UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA Alabang-Zapote Road, Pamplona, Las Pias City
In Partial Fulfillment of the Requirement In Nursing Research I
ALONZO, ALYZZA RACHEL M. CABALUNA, AERON PAUL R. CAUILAN, KIMBERLEY KRYSTEL D. DELA CRUZ, JENNIFER V. GABATA, MARIA VICTORIA R. LITAN, DIANA MARIE C. MASDO, ANGELICA JOYCE H. NAVARRETE, CARLEEN U. SANTOS, ALFONSO S.
March 2014 APPROVAL SHEET This research proposal entitled Noise and Its Effect to Patients Comfort in the JONELTA Ward, University of Perpetual Help DALTA Medical Center prepared and submitted by Alyzza Rachel Alonzo, Aeron Paul Cabaluna, Kimberley Krystel Cauilan, Jennifer DelaCruz, Maria Victoria Gabata, Diana Marie Litan, Angelica Joyce Masdo, Carleen Navarrete, and Alfonso Santos, in partial fulfillment of the requirements for the subject Nursing Research has been examined and recommended for acceptance and approval for pre oral defense. GRACILA U. DECENA, RN, MAN Research Adviser
ORAL EXAMINATION COMMITTEE Approval by the Oral Examination Committee with grade of
Member Member
Chairman Accepted in partial fulfillment of the requirements of the Course Nursing Research. MA. IMELDA O. JAVIER, RN, MAN Dean College of Nursing ii ACKNOWLEDGEMENT The researchers sincerely acknowledge and express their gratitude to valuable assistance, encouragement and support of the following that extended a helping hand for the completion of this research work. First and foremost, the HEAVENLY FATHER for sending His Spirit of knowledge and wisdom for without Him this study will be impossible; MS. GRACILA U. DECENA, the research adviser, whose help and guidance will be infinitely a great part of this study; , the panelist for their valuable suggestions that truly help in the accomplishment of the paper; MRS. YOLANDA T. CANARIA, Level I, II and III Coordinator for the constant motivation and support in doing the study; DEAN IMELDA O. JAVIER, College of Nursing of the University of Perpetual Help System DALTA- Las Pias, for the guidance and sharing their expertise; The RESEARCHERS FAMILIES, who gave support in every possible way. For their fraternal encouragement and benevolent who inspired so much; The RESEARCHERS FRIENDS, whose support, encouragement, and concern brought joy to the hearts of the researchers.
iii TABLE OF CONTENTS PAGE TITLE PAGE i APPROVAL SHEET ii ACKNOWLEDGEMENT iii TABLE OF CONTENTS iv LIST OF TABLES vi LIST OF FIGURES vii CHAPTER 1. THE PROBLEM AND REVIEW OF RELATED LITERATURE AND STUDIES Introduction 1 Review of Related Literature 4 Synthesis 18 Theoretical Framework 20 Research Paradigm 24 Statement of the Problem 25 Hypothesis 25 Significance of the Study 26 Scope and Delimitation of the Study 27 iv Definition of Terms 27
2. METHODOLOGY Research Design 29 Population Sampling 29 Respondents of the Study 30 Research Instrument 30 Validation of Instruments 32 Data Gathering Procedure 33 Statistical Treatment of Data 33 REFERENCES 35 APPENDICES A. Survey Questionnaire 40 B. Letter of Validation 44 C. Letter for Permission for Pilot Study 45 D. Letter for Permission for Data Gathering 46 CURRICULUM VITAE 47
v LIST OF TABLES TABLE PAGE 1 Statistical Limits and Interpretation of the Respondents 31 Response 2 Statistical Limits and Interpretation of the Respondents 32 Response
vi LIST OF FIGURES FIGURE PAGE 1. Theoretical Framework 20
2. Research Paradigm 24
vii Appendix A SURVEY QUESTIONNAIRE Dear Respondents, Greetings! We, the Level III Nursing Students of University of Perpetual Help System DALTA, Las Pias Campus, would like to seek your cooperation in accomplishing the questionnaire of our study, Noise and Its Effect to Patients Comfort in the JONELTA Ward, UPHDMC. Please answer all the questions honestly without leaving any items unanswered. Rest assured that your responses will be treated with utmost confidentiality. Thank you very much for your cooperation. Sincerely, The Researchers I. Types of Noise (External and Internal) Direction: Please put a check on the answer of your choice in the space provided. How often do you experience different types of noises (listed below) during your stay in the JONELTA Ward? SCALE RESPONSE 5 4 3 2 1 Always (A) Often (O) Sometimes (So) Seldom (Se) Never (N)
40 1.1 External Noise A (5) O (4) So (3) Se (2) N (1) 1. Telephone rings 2. Alarms 3. Staff nurses, physicians talking
4. Rubbish bins or trolley noises 5. Children running along the corridor
1.2 Internal Noise A (5) O (4) So (3) Se (2) N (1) 1. Suctioning machine 2. Electrical Appliances (Radio, Television)
3. Fellow patients and visitors talking
4. Ventilator noise 5. Nebulizer
41 II. Effects of Noise to Patients Comfort Direction: Please put a check on the answer of your choice in the space provided. How often do you experience different effects of noises (listed below) during your stay in the JONELTA Ward? SCALE RESPONSE 5 4 3 2 1 Regularly (Re) Frequently (F) Occasionally (O) Rarely (Ra) Not at all (N)
2.1 Physical Context I am experiencing the effects of noise such as: Re (5) F (4) O (3) Ra (2) N (1) 1. Headache 2. Difficulty of sleeping 3. Limited movement 4. Chest pain 5. Elevated blood pressure
42 2.2 Psycho-spiritual Context I am experiencing the effects of noise such as: Re (5) F (4) O (3) Ra (2) N (1) 1. Anxiety 2. Frustration 3. Easily angered 4. Feeling of uneasiness 5. Impatience
2.3 Socio-cultural Context I am experiencing the effects of noise such as: Re (5) F (4) O (3) Ra (2) N (1) 1. Feeling of withdrawal 2. Annoyance 3. Difficulty in communication 4. Misunderstandings 5. Distraction
43 Appendix B LETTER OF VALIDATION University of Perpetual Help System DALTA Alabang-Zapote Rd, Pamplona, Las Pias City
Dear Sir/Madam,
We, the Level III student nurses are currently enrolled in Nursing Research I at University of Perpetual Help System DALTA, Las Pias Campus. An essential part of undertaking research is the validation of the instrument for gathering necessary information and data. Our research topic is entitled, Noise and Its Effect to Patients Comfort in the JONELTA Ward, UPHDMC. In this regard, the undersigned would like to submit to you the attached instrument for the purpose of the study, thus adhering to the process of validating said instrument. The undersigned acknowledge your expertise in this particular endeavor. Thank you for any favorable action regarding this request.
Sincerely,
Angelica Joyce H. Masdo Group Leader
Noted by: Approved by:
MRS. GRACILA U. DECENA, RN, MAN MRS. YOLANDA T. CANARIA, RN, PHD Research Adviser Level I, II, III Coordinator
44 Appendix C LETTER OF PERMISSION FOR PILOT STUDY University of Perpetual Help System-DALTA Alabang-Zapote Road, Las Pias City
MRS. AMELIA MENDOZA, RN, MAN Nursing Director UPHDMC-Las Pias
Dear Mrs. Mendoza,
We, the Level III student nurses of University of Perpetual Help System DALTA, Las Pias Campus, are undertaking the research study entitled, Noise and Its Effect to Patients Comfort in the JONELTA Ward, UPHDMC.
We would like to ask permission to conduct a pilot study at Doctors Wing that will be participated with 15 patients. It will serve as our basis for trial data gathering and to enable us to know if our self-made questionnaire has been understood well enough by our respondents.
Thank you very much for your approval of this request.
Sincerely,
Angelica Joyce H. Masdo Group Leader
Noted by:
MRS. GRACILA U. DECENA, RN, MAN Research Adviser
MRS. YOLANDA T. CANARIA, RN, PHD Coordinator, Level I, II, III
Approved by: MRS. IMELDA O. JAVIER, RN, MAN Dean of College of Nursing
45 Appendix D LETTER OF PERMISSION FOR DATA GATHERING University of Perpetual System DALTA Alabang-Zapote Rd, Las Pias City
MRS. AMELIA MENDOZA, RN, MAN Nursing Director of UPHDMC-Las Pias
Dear Mrs. Mendoza,
We, the Level III student nurses of University of Perpetual Help System DALTA, Las Pias Campus, are undertaking the research study entitled, Noise and Its Effect to Patients Comfort in the JONELTA Ward, UPHDMC.
In line with the thrust of the study, we would like to seek your assistance that we will be allowed to conduct a survey to the patients confined in the JONELTA Ward. Your favorable response will help us finish this study at the soonest time possible. Thank you.
Sincerely, Angelica Joyce H. Masdo Group Leader
Noted by:
MRS. GRACILA U. DECENA, RN, MAN Research Adviser
MRS. YOLANDA T. CANARIA, RN, PHD Coordinator, Level I, II, III
Approved by: MRS. IMELDA O. JAVIER, RN, MAN Dean of College of Nursing