Teaching is a complex act that requires the integration of many skills. Clinical teaching is even more complex than traditional didactic instruction. Clinical instructors need to organize clinical experience but they also facilitate learning.
Teaching is a complex act that requires the integration of many skills. Clinical teaching is even more complex than traditional didactic instruction. Clinical instructors need to organize clinical experience but they also facilitate learning.
Teaching is a complex act that requires the integration of many skills. Clinical teaching is even more complex than traditional didactic instruction. Clinical instructors need to organize clinical experience but they also facilitate learning.
A Thesis Presented to the Faculty of Graduate School Golden Gate Colleges, Batangas City
In Partial fulfillment Of the Requirements for the Degree MASTER OF ARTS IN NURSING
Maria Isabel A. Andal
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CHAPTER 1 THE PROBLEM: ITS BACKGROUND AND RATIONALE Introduction Teaching is a complex act that requires the integration of many skills. When educating nursing students, a balance is needed between the knowledge obtained in theory class and application of that knowledge in the clinical setting (Zabat Kan & Stabler- Haas, 2009). Clinical teaching is even more complex than traditional didactic instruction because of the increased responsibility for patient safety as well as student learning. Unlike traditional teaching, learning does not happen in the classroom, but instead happens in a health care facility. A variety of skills are required that may or may not be ensured by competence in a clinical specialization area. Although many new faculty members have expertise in their clinical area of practice , they may not initially have the ability to convey that proficiency to their students. The reasons are two fold. Generally, they do not have formal training and supervision in teaching (Beres, 2006; National League for Nursing, 2006), and they are thrown into unplanned activities where there is limited control over the factors that affect student learning (Benner, Sutphen, Leonard & Day (2010)To create a positive learning environment for nursing students, a lot of hard work goes into the development and practice of clinical teaching. Not only do clinical instructors need to organize clinical experience~ but they also facilitate learning. Clinical teaching is considered a facilitative activity that is shared between the student, the clinical instructor, and the nursing . staff much of the teaching occurs while the students is giving direct patient care. Faculty interactions occur with individuals and small groups 3
of students. Learning moments like these cannot be constructed, scripted, or even predicted. Instead, they arise spontaneously and are short-lived. Faculty must make the most of these opportunities and be prepared to take advantage of them (Benner et al., 2010). Clinical instructors also need to spend time orienting to the clinical facility, developing clinical rotations and assignments, and must orient students to the facility, the electronic charting system, and to the equipment that may be used. They also travel to and from the clinical site, plan and facilitate clinical pre and post conferences, review written care plans and data packets for accuracy and to assess student understanding. In addition, they evaluate and provide feedback on student performance and problem solving techniques in the clinical agency, serve as a professional role model, and monitor students who are in jeopardy of giving un safe care. The clinical instructor will also intervene if a patient's condition deteriorates un-expectedly or if the student encounters problems that are beyond their expertise (Beres, 2006; NLN, 2005b; Oer mann, 2008). Purpose and significance of the study The researcher believes the study will benefit the following sectors: Clinical teaching. is an important aspect of the nursing education. Through clinical teaching that students learn how to apply the abstract concepts of nursing into situation that are specific and concrete to acquire the characteristics and values that are needed in this professional role. Clinical Instructors.To have a better understanding and appreciation of their legitimate roles in teaching students and in reducing the gap between research and practice as they develop their students competencies. 4
Nursing Students. They are exposed to an environment that is unfamiliar where there are variety of patients with different diagnoses and care regimens, for which the students may or may not have sufficient knowledge. therefore it is of utmost importance to use best practices in orienting newly hired clinical faculty. Future researcher. To conduct more action researches based from the findings of this study other variables can be tested such as nursing students or nursing educator and other health team members in dessiminating health information to patients requiring home care. Research Impediments/ constraints Generalization is limited by small sample size and limited geographic area only in Batangas Province. Student participation is voluntary; therefore, there is the potential for only those with either positive or negative clinical teaching experiences who may volunteer. Also this time decrease the enrollees of nursing students so possible the respondents must be little compare to my expectation of my respondents.
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CHAPTER II THE RESEARCH QUESTION Related literature The Process of Preparing Clinicians for the Role of a Clinical Instructor To better understand the process of preparing for a clinical instructor role,review Of the literature was performed. According to Tanner (2006), clinical education has, for the most, remained unchanged for the past 40 years. In the Carnegie Report of 2010,Benner et aI. States that the reason for this is that the focus has been on. developing nursing research and not on preparing future faculty for teaching in the complex practice of nursing. The report goes on to say that there should be major emphasis on bringing classroom and clinical closer together. Therefore, it is time for change, but the change needs to be centered on best practices in teaching and learning that combine the knowledge obtained in theory class and the practical application of that knowledge in the clinical setting (Benner et ai, 2010). Knowing that change is necessary, it is interesting to note that the literature review found that limited research exists concerning the process of educating clinicians for the role of a clinical nurse instructor. Zabat Kan and Stabler-Haas (2009) state that what is missing in the literature is a hands-on real-world guide that assists faculty in the transition from staff nursing to clinical educator. Even though there is limited research about how clinical instructors prepared,there were three themes that emerged from the data, exploring the new role ,embracing the novice and the mentoring process.
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Exploring the New Role While exploring the new role of a clinical nurse instructor, a common theme throughout the literature was the belief that if one has clinical expertise in their practice,they can move easily into the role of nurse educator and that teaching should come naturally (Beres, 2006; Cangelosi, Crocker & Sorrell., 2009; Sawatzky & Enns, 2009) When nurses change their area of practice where they have already gained expertise into a new area, they no longer have the expertise they once had. Once again they become novices and need to acquire a new skill set (Benner et al., 2010). Benner et ale (2010) goes on to say that novices learn best when they are in a structured learning environment, and need to incorporate new strategies as they learn the new skills that are needed for a clinical nurse educator. Unfortunately, many who were trying to make the transition from an area of clinical expertise to nurse educator only had a vague idea of the educator role, all that it will entail, and the time commitment needed to be successful (Cangelosi et aI., 2009; Zabat Kan & Stabler-Haas, 2009). As a result, these nurses felt like they were leaving their comfort zone and forging ahead somewhat blindly because of their love for teaching and their desire to share what they love. When the new role of clinical educator is clarified, and training and guidance are provided,the transition is easier (Cangelosi et al., 2009; Zabat Kan & Stabler-Haas, 2009). Embracing the Novice 7
In order for these expert clinical nurses to move effectively into the role of nurse educator, they must embrace the novice within. It should not be seen as a phase that is to be endured, but rather as a journey from which "to learn from and return to" (Cangelosi et aI., 2009, p. 369), and should encompass a lifetime. As one embraces the novice role it allows the freedom of not knowing everything and affords the opportunity to learn from the job itself and from others. The Mentoring Process 8
When creating a self-care plan one resource that can be utilized is mentoring. The literature reports that many new clinical instructors experienced fear, anxiety and tension, and had no perception that they received any mentoring from their employer or peers (Cangelosi et aI., 2009). Being a novice did not create the frustration, rather the uncertainty of the process and how to go about obtaining the expertise needed as a clinical nurse educator. It may, therefore, be necessary for others to aid new instructors in the preparation of their new roles and responsibilities of teaching. Watson's theory of caring is a good link in caring for the new clinical instructor. Watson (1988) indicated that caring represents the moral ideal and is the central core ofnursing and nursing education. Therefore, the educative experience requires caring faculty. One tool that is that is used to aid new faculty with the transition process is mentoring. Mentoring is an essential element that can provide new clinical instructors with a solid foundation. According to the NLN (2006), mentorship is important for role socialization and should be a part of the continuum as it plays a key factor in retaining faculty. Sometimes a faculty member with more experience is assigned to guide new clinical instructors for a few weeks so as to provide a venue for inquiries and support (NLN, 2006). Individual needs vary greatly and some educators require more extensive orientation and/or mentoring. However, Cangelosi et a1. (2009) stated that often there is not an organized process that helps new faculty learn their new role as educator. As a result, many new instructors are left to explore their own avenues for professional development. Beres (2006) addressed the issue directly when she stated that, "Many novice instructors are not provided with any substantial orientation or mentoring and are expected to immediately undertake a full teaching load and 'hit the ground running' " (p. 143). 9
The problem of substantial orientation and mentoring was again brought to light through thier personal experiences and informal personal interviews conducted over the past two years with current clinical instructors from a variety of nursing programs. Many new clinical instructors felt that because of the lack of orientation and mentoring it was very difficult to maintain consistency in teaching and in grading paperwork, which led to different interpretations of student competencies and grading. Part of the problem arises from clinical staff turn over and trying to find adequate instructors at the last minute which does not allow for proper training before clinical rotations start. Even though the applicant may have a master's degree, they are not necessarily adequately prepared to teach. The issue, however, is not just a matter of having short notice. More importantly, it is an issue of funding and time which would allow for adequate orientation, mentoring, and guidance in their teaching endeavor. In order to help students learn the behaviors and skills that are necessary in the increasingly complex and multifaceted nursing roles to meet the health care needs of a diverse multicultural society, well-educated and well-trained nursing instructors are needed. When new clinical faculty are provided a caring environment (Watson, 1988) through mentoring and modeling (Erikson et al., 1983), faculty can consistently model the desired attitudes and behaviors that are integral components of the nursing education that help students to develop the maturity needed in their learning and cognitive abilities
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Related Studies Patricia Benner conducted three studies using the dreyfus model of skill Acquisition over a period of twenty-one years. Nurses with an image of experience and reported skillfulness were interviewed, Each study used nurses narrative accounts of actual clinical situation. A sub-sample of participant were observed and interviewed at work. Theses extend the understanding of the dreyfus model to complex, undetermined, and fast-paced practices. The skill of involvement and the development of moral agency are linked with the development of the expertise, and change as the practitioner become more skillfull. Nurses who had some difficulty with understanding the ends of practice and difficulty with their skills of interpersonal, and problems engagement did not progress to the level of expertise. Then together, these studies demonstrate the usefulness of the dreyfus model for understanding the learning needs and styles of learning at different level of skill acquisition. The study of Kathy Casey (2004) was about the experience of graduate nurse. Graduate nurse experience stress transitioning from student to practicing professional nurse, moving from a familiar educational; environment into workforce, where expectations are too rapidly as a competent nurse. This study, identifies the stresses and challenges experienced by cohorts of graduate nurses working in 6 acute care hospitals, during specific timed data periods, to better understand factors that may influence graduate nurses do not fell skilled, comfortable, and confident for as long as 1 11
year after being hired , highlighting the need for health care organizations to provide extended orientation and support programs to facilitate successful entry to practice. As cited in the study of Ireneo (2010) Benner and Tanner demonstrated how nurses use intuition in expert clinical judgments. Six key aspects of intuitive judgment were identified and discussed in a study that included 21 nurses who were identified by their colleagues as experts. Nurses demonstrated their ability to make judgment by using their intuitive expertise to recognizing patterns of relationships in situations similarities between situations through common-sense understanding, by knowing how in a way that is not definable in common scientific terms, by having a sense of silience ( that is recognizing priorities), and by using deliberate rationally ( shifting perspectives for better understanding). The validity of the novice-to-expert model in describing actual clinical practice has been supported by research (Benner, et al. 1996; Tabak, Bar- Tal, & Cohen-Mansfield, 1996). Studies have shown that although prevailing conception of clinical judgment in nursing is the diagnosis-r / Treatment model, which relies on explicit identification of patients deficits and deliberation on and selection of treatment options., with experience nurses become more involved, rather than more detached; they grasp the meaning of the situation directly, rather than through analytic thinking (Benner, et all). The study of Linda Andrews (2007) focused on the discussion of nursing shortages and how new nurses make their journey from novice to expert. The paper discusses how the transition from graduate to professional nurses is difficult and stressful. The paper analyzes how new graduate nurses at a high risk for leaving the profession. The paper 12
examines how the hospitals or organization that employs nurses must support learning programs with funding, expertise, and encouragement. The writer proposes that orientation rp0ograms need to be longer and specially geared to the problems of new nurses. The writer further argues that when LOCAL STUDIES. According to the study of Potter (2005), nurses should be knowledgeable enough with the proper use of different machines and equipments. All devices should be properly tested prior to use to prevent any possible harm to patient. Much time can be saved and nursing actions can be done efficiently when all equipments and supplies are prepared on hand prior to the start of nursing intervention. On the other hand, according to kozier in fundamental of Nursing, Redman (2000), health teaching is an essential nursing role. The earliest nursing leaders recognized the importance of health teaching and through the years, it has grown in significance so that today, health teaching is a pre-eminent part of nursing. Theoretical Framework The theoretical framework for this study was Albert Banduras social learning theory. The social perspective of learning theorizes that human function occurs in a reciprocal relationship with the environment in which there is interplay between ones personal factors, the environment, and their behavior (Bandura, 1977). Learning is an internal process that does not necessarily result in an immediate change in behavior. Learners experience the environment and interpret it according to unique, internal, personal 13
factors then display behavior in response (Bandura, 1977). The resulting behavior then has an effect on the environment and the cycle repeats. Therefore, it is important for teachers to ascertain what learners perceive about the environment and how they interpret it (Braungart & Braungart, 2008). The aspects of social learning theory that are particularly germane to this study are reciprocal determination, modeling, and self- efficacy. This study is anchored on the theory of Benners Stages of clinical competence (1984) as cited in the book of Patricia Benner From Novice to Expert : Excellence and Power in Clinical Nursing Practice 3 rd edition (2006). This theory provides a framework that when developed into clinical practice or career promotion ladder, facilities personal staff development by building on the skills set and experience of each practitioner. Benner identified five levels of competency in clinical nursing practice such as: novice, advanced beginner, competent, proficient and expert. These different levels reflect changes in three general aspects of skilled performance. A. one is a movement from reliance on abstract principles to the use of past concrete experience as paradigms; b. a change in the learners perception of the demand situation, in which the situation is seen less and less as a compilation of equally relevant bits and more and more as a complete whole in which only certain parts are relevant and c. a passage from detached observation to involved performer. The performer no longer stands outside the situation but is now engaged in the situation. Novice have had no experience of the situations in which they areexpected to perform. Novices are thought rules to help them perform . The rules are context free and independent of specific cases; hence the rules tend to be applied universally. The 14
rule- governed behavior typical of the novice is extremely limited and inflexible. As such ,novices have no life experience in the application of rules. Just tell me what I need to do and Ill do it. They have insufficient planning which based on theoretical and critical study of the problem, having no recurring (frequent or habitual) meaning situations which they can apply in similar cases to facilitate immediate intervention. They just perceives situations as chopped up parts or aspect of care rather than as wholes scenario or as holistic view and have little situational observation, hence basic learning from school tends to be applied. Advanced Beginners. Are those who can demonstrate marginally acceptable performance, those who have coped with enough real situation to note or to have pointed out to them by a mentor, the recurring meaningful situational components. These components require prior experience in actual situations for recognition. Principles to guide actions begin to be formulated. The principles are based on experience. Competence. Typified by the nurse who has been on the job in the same or similar situations two or three years, develops when the nurse begins to see his or her actions in terms of long-range goals or plans of which one is consciously aware. For the competent nurse, a plan establishes a perspective, and plan is based on considerable conscious, abstract, analytic contemplation of the problem. The conscious deliberate planning that is characteristics of this skill level helps achieve efficiency and organization. The competent nurse lacks the speed and flexibility of the proficient nurse but does have a feeling of mastery and the ability to cope with and manage the many contingencies of clinical nursing. The competent person does not yet have enough 15
experience to recognize a situation in terms of an overall picture or in terms of which aspects are most salient, most important. Proficient Performer. Perceives situations as wholes rather than in terms of chopped up parts or aspects, and performance is guided by maxims. Proficient nurses understand a situation as a whole because they perceive its meaning in terms of long term goals. The proficient nurse learns from experience what typical events to expect in a given situation and how plans need to be modified in response to these events. The proficient nurse can now recognize when the expected normal picture does not materialize. This holistics understandings improves the proficient nurses decision making; it becomes less labored because the nurse now has a perspective on which of the many existing attributes and aspects in the present situation are the important ones. The proficient nurses maxims as guides which reflect what would appear to the competent or novice performer as unintelligible nuances of the situation; they can mean one thing at one time and quite another thing later.Once one has a deep understanding of the situation overall, however, the maxim provides direction as to what must be taken into account. Maxims reflect nuances of the situation. Expert Performer no longer relies on analytic principle (rule, guideline, maxim) to connect her or his understanding of the situation to an appropriate action. The expert nurse, with an enormous background of experience, now has an intuitive grasp of each situation and zeroes in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions. The expert operates from a deep understanding of the total situation. The chess master, for instance, when asked why he or she made a particularly masterful move, will just say. 16
Because it felt right; his or her performance becomes fluid and flexible and highly proficient. This is not to say that the expert never uses analytic tools. Highly skilled analytic ability is necessary for those situations with which the nurse has had no previous experience. Analytic tools are also necessary for those times when the expert gets a grasp of the situation and then finds that events and behaviors are not accuring as expected . When alternative perspectives are not available to the clinician, the only way out of a wrong grasp of the problem is by using analytic problem solving. In 1986, Hubert and Stuart dreyfus proposed a model of skill acquisition that posited five progressive stages of development: Novice, Advance beginner, competent, Proficient and expert. According to this model, as individuals begin learning a skill, they first master the rules governing the situation and then how and when to apply them. As their level of skill improves, they tend to rely less and less on these rules, and can handle more complex situations with facility. At the higher levels of skills development, actions stem more from intuition than simply applying rules and accepted standards. At these levels, individuals perceive patterns in the situations they encounter and reflexively know what actions arte appropriate. An important assumption of the Dreyfus model as noted by (Benner 1984) is that with experience and master skill is transformed. As a result of this transformation one brings improved skill to their performance. Dreyfus point out that formal structural models and decision models cannot account for actual observable clinical performance in practice. Benner (1984) emphasizes that an interpretative approach of describing nursing practice is inherent about clinical practice in holistic, rapid decision making captured in the context of the clinical setting. 17
Research Questionaire The study aims to determine characteristics of novice nurse educator and then effects on the learning process of level 3 student Specifically, this study will answer the following questions: 1.Demographic profile of nurse educators a.Age b.Gender c.Civil Status d.Monthly Income e.Educational Background 2.To what extent do nurse educator performed the following teaching characteristics? a. knowledge b. skills c. professional value 3. Is there a difference between nurse educators and nursing students perception of characteristics of educators that affect student learning outcomes? 4. Is there a relationship in the teaching characteristics of nurse educators when grouped according to demographic profile. 18
Hypothesis HO. 1There is no significant differences between the novice nurse educator and nursing students perception of characteristics of educators that affect students learning outcomes. HO.2 There is no significant relationship between in the teaching characteristics of nurse educators when according to demographic profile. Research Paradigm
Figure 1. Relationship of demographic profile, effective characteristics of nurses educator to the learning outcomes for nursing students. Profile of the respondents Age Gender Civil status Monthly income Educational background
effectiveness of the following characteristics of the novice nurse educator a. Knowledge b. Skills c. values Learning outcomes for nursing students 19
The paradigm explain how the demographic profile and characteristic of nurse educator affect to the learning for nursing students. In the study of demographic profile of the respondents was identified how they are affected to the characteristics of nurse educator according to their age, gender, civil status, educational background, and monthly income when it comes in learning of the students. Assumption Respondents will answer the questions in an honest manner. DEFINITION OF TERMS For deeper meaning and clearer understanding of this research it is conceptually and operationally define the context of a whole investigation. Clinical experience. An planned situation in which students interact with patients to apply the nursing process. The clinical experience is inclusive of simulation and must involve variables that are unknown to students during preparation activities, eg. a case study in which all information is available would not be considered clinical experience. Clinical learning. A process that is able to be known to learners and allows students to use what has been learned in a clinical experience in subsequent experience. Clinical teaching. Actions, activities, and verbalizations of the clinical instructor which facilitate student learning in the clinical setting (OShea & Parsons, 1979, p. 411). Clinical Instructor. A registered nurse who has been delegated responsibility for planning, conducting, and evaluating clinical experiences with nursing students. This term is used interchangeably with teacher by the nursing profession. Learning . A new experience (which) alters some unobservable mental processes than 20
may or may not be manifested by a change in behavior or performance (Billings & Halstead,2009,p.190).
CHAPTER III
RESEARCH METHODOLOGY Research Design This study used the descriptive correlational type of research to determine the nurse educator teaching characteristics among nursing students.Correlational research examine the extent of relationship in the teaching characteristics of nurse educators when grouped according to demographic profile. Descriptive correlational design serves as framework for exploring relationship for exploring relationships for clinical research studies because many of the phenomena of clinical interest are beyond the researchers ability to manipulate, controland ramdomized(Tan 2011).
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Subject of the Study and Sampling Procedures The respondents of the study are the level III and IV nursing students and nurse educators who will be the key to know the teaching characteristics and learning process of nurse educator in College of Nursing, Private school in Batangas City. A 100% sampling was used in making this study. This sampling design was used since the population was small. All clinical instructors employed by the college of nursing,private school,participated in the study. Setting of the Study The setting for this study was in College of Nursing, Private School.located in Batangas City. Instrumentation The research instrument was taken from several literature and studies and from authorities. In order together information and data which are essential in the analysis and interpretation of the study. The researcher used self made questionnaire as the major data gathering tool. The questionnaire was in a form of checklist. There are two sets of questionnaire for nurse educator and for nursing students. The first part contained in the question was regarding in the demographic profile of the respondents (nurse educator) such us age, sex, civil status,mothly income and educational background. The second part of the questionnaire was as nurse educator perception themselves and for students evaluation for their teacher. 22
Validation of Instrumentation Research instruments were best assessed for their validity and reliability by means of pre test or dry run before the actually study. It is the trial of study (Tan,2011). In the study a pretesting of instruments was done and administered to five instructors and 10 nursing students level III and IV from other college who were not part of the actual study participants. The results pretest were used to modify or revised the final draft of the questionnaire. Results of the pretest were excluded from the data processing. Pre testing was deemed necessary to ensure the correct language and to check the comprehensibility and readability of the instruments. The researcher also consulted experts in research to validate the questionnaire. Data Gathering Procedure A formal letter was forwarded to all private school, college of nursing in Batangas City requesting the permission to conduct the study. After the approval the questionnaire was administered personally by the researcher among selected respondents. Along with the administration of the survey, interview and observations of key informants was also conducted to supplement the data gathered. Retrieval of the self accomplished questionnaires followed. Result was tabulated and computed with the assistance of the statistician. Ethical Consideration Ethical considerations for the participants used in this study were maintained using several processes including right to self-determination, right to full disclosure, principle 23
of respect, right to fair treatment, right to privacy and informed consent. A discussion of how each of these rights was conducted follows. The researchers intention was to promote a trustful relationship with all participants to gain precise, rich information without negative impact on the interviewees. The research process involved the recruitment of volunteers or participants for the study and the participants were notified of the studys purpose (Bloomberg & Volpe, 2008). Although it was likely that no serious ethical threats were posed to any of the participants or to their well-being, this researcher employed a variety of safeguards to ensure the protection and rights of each participant. To ensure full disclosure, the researcher either contacted the potential participant by email, phone or in person to describe the nature and purpose of the study, their right to refuse participation, the researcher responsibilities and likely risks and benefits of participating in the study. During this time, the researcher clarified the participants right to ask questions, refuse to give information, to ask for clarification and to terminate their participation in the study at any time. The manner in which the researcher presented the information to the participant was accomplished in order to ensure lack of coercion. A written, informed consent was obtained from each participant prior to their participation in the study. The researcher requested a signature to verify each participants understanding. This document assured that participation of the interviewees was entirely voluntary and proper names of the participants would not be revealed. Participants were also informed that they could refuse to answer any question or withdraw from the interview at any time. All data collected became the property of the researcher, and excerpts from the interviews were part of the final research study. 24
A formal letter was forwarded to the College of Nursing in Batangas City,requesting a permission to conduct the study, after the approval, the questionnaire was administered personally by the researcher among selected respondents. Along with the administration of the survey, interview and observation of key informants was also conducted to supplement the data gathered .retrieval of the self accomplished questionnaires followed. Results was tabulated and computed with the assistance of the statistician. Data analysis plan The studycollected from selected respondents were organized and summarized into numerical data by means of descriptive statistics and inferential techniques. Furthermore statistical techniques used in the solution to the problem raised were percentage distribution, weighted mean, and ranking. To test the hypothesis chi square was used. 1. Percentage distribution was used to determine the relationship between the frequency rate of respondents according to age, sex, civil status, monthly income,length of service and educational attainment in form of percentage rate. Formula is: Percentage (%)=____F_____ x 100 N Where: F= frequency of each indicator N= total number of respondents 25
100= constant multiplier to come up with the percentage 2. Ranking-was used to determine the order of decreasing or increasing magnitude of variables. The largest frequency is ranked as 1, the second as 2 and so on. 3. Weighted mean refers to overall average of the responses of the respondents in the study. This was computed by giving different weights to choices in order to have a clear and better interpretation of data. Formula: WM={fw N { = summative sign F = frequency of response per unit weight N = total number of respondents W = weight assigned Unit weight weighted mean verbal interpretation 4 3.51 4.50 always 3 2.51 - 3.50 sometimes 2 1.51 2.50 seldom 1 0.50 1.50 never 4. Chi square was used to test the hypothesis Formula Where Oi is the observed frequency for bin I and Ei is the expected frequency for bin i.The expected fre