Professional Documents
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An Undergraduate Thesis
Presented to
In Partial Fulfillment
by
February 2010
CHAPTER 1
Introduction
The nursing education is an exigent and moving pursuit that taxes its students’
time and energy. Nursing is a profession that aims to promote the integrity and
Nursing students are faced with all sorts of pressure. From the time they bear
the title of a student nurse to the time they carry with their name the initials, R.N., they
Considering the fact that the nursing profession is at most like the medical
profession, nurses find it difficult to cope with the devouring stress they experience.
Nursing, as it is spoken of, safeguards the dignity of man by preserving life. Nurses are
trained and programmed to avoid the slightest mistakes, for one could accidentally take
academic performance of nursing students. Take for an example the third year of the
nursing course. During this time, students are confronted with troubles that are
absolutely foreign to their mind and novel to their knowledge. With these things, it is
performance of any student. It can bring about either a positive or negative outcome.
option but to draw back and withdraw from everything. On the contrary, it can result to a
more driven and pursuant outlook5, which will definitely work out on the part of the
student.
Besides the consuming pressure coming from the curriculum itself, there are still
a lot of factors contributing to the decline and blossoming performance of the students.
Self-determined expectations, as well those from the encircling society, supply the
It is essential for nursing students to delineate the factors that continuously and
directly affect their academic performance. Knowing what to improve on is just the first
Porter / Lawler’s Theory on Extrinsic and Intrinsic Rewards, and Malhi’s Empowering
Cycle of High Self-Esteem. All theories seek to explain, one way or the other, the
through the transformation of experience6.” The four-stage learning cycle shows how
experience is translated through reflection into concepts, which in turn are used as
guides for active experimentation and the choice of new experiences. The first
stage, concrete experience, is where the learner actively experiences an activity such as
a lab session or field work. The second stage, reflective observation, is when the learner
consciously reflects back on that experience. The third stage, abstract conceptualization,
The fourth stage, active experimentation, is where the learner is trying to plan how to
goals. According to Locke, “Having a goal that is too easy is not a motivating force7.”
Certainly, hard goals are more motivating than easy ones, because it is much more of an
accomplishment to achieve something that you have to work for. Just imagine telling
someone "Try hard" or "Do your best" and "Try to get more than 80% correct" or
"Concentrate on beating your best time." Which would you think is more effective? Less
effective?
Locke also outlined the five principles of goal setting – clarity, challenge,
stimulate a more focused and sustained effort. This effort is constantly affected by
factors like intrinsic and extrinsic rewards. Porter and Lawler believe that “The effort
expended to accomplish a task is determined by the perceived value of rewards that will
result from finishing the task and the probability that those rewards will materialize 8.” If
you think you will be well compensated, or otherwise rewarded for achieving a
challenging goal, it will boost your enthusiasm and your drive to get it done. Extrinsic
rewards include material incentives while intrinsic ones include a sense of self or a
the need or urgency and importance of a task to be done affects his performance.
Consequently, stress factors also play a compelling role. Also, contributory to producing
a more focused and sustained effort are the opportunities presented, abilities held, and
Expectancy is the belief that increased effort will lead to increased performance.
Instrumentality is the belief that if you perform well that a valued outcome will be
received. Valence is the importance that the individual places upon the expected
outcome.
The deemed effort can yield a two-fold upshot. It can lead to peak performance,
otherwise, failure. On a note where Malhi quoted, “The relationship between self-
Self-esteem and academic achievement directly influence each other11.” High self-
From failure, the cycle goes back to Kolb’s fourth stage, active experimentation.
This enables the person to weigh options and test for new grounds to perfect the same
The study will try to determine the factors affecting the academic performance
among third year nursing students enrolled in Centro Escolar University Makati during
1.1 Age
1.2 Gender
1.3 Section
2. What were the final grades of the students in the following minor subjects:
2.1 English 15
2.3 Nutrition
3. What are the current grades of the students in the following minor subjects:
3.1 English 16
3.3 Computer 2C
4. What were the final grades of the students in the following major subjects:
4.3 Pharmacology
4.4 Community Health Development
5. What is the current grade of the students in the following major subject:
6.1 Self-concept
6.6 Motivation
The research study “The Factors affecting the Level III Nursing students’
Performance in School” may aid in the identification of the students about their strengths
and weaknesses when it comes to school matters. One will be able to assess the
school. They will be able to identify which aspect they have overlooked and lacked. This
will help the students to focus more on these aspects, thus failure in a particular subject
This study will be beneficial in the improvement of the students’ performance and
grades. This will benefit not just the current Level III Nursing students but also the
incoming ones.
This study will lay down a good foundation for the progress in the passing rate of
the Nursing Board Examination, thus raising the credibility of future registered nurses.
In addition, the teachers and clinical instructors will be facilitated to improve their
appropriate for conducive learning. They will also be able to assess if their current
The advantage of this study for the school is to help develop not only the
academic performances of level III BSN students but as well as all the students in other
courses, mentors, and overall educational facilities of the institution that will encourage
It will aid parents to determine appropriate study habits and present a good
motivation for their children to excel in academics. They may set an environment that will
be conducive for the students’ willingness to learn. Also, it can give an insight for guiding
For future researchers, this study gives additional knowledge and would
persuade them to have replication or extend the study for further information.
This study covers the factors affecting the Level III BSN students’ academic
pressure, parental and societal expectations, motivation, previous training / rearing and
content.
It focuses more on the personal habits and environmental issues that may
contribute and affect a third year nursing student’s academic grades. It aims to pinpoint
the areas of less concern of most third year nursing students; on how to improve these
This study, however, will not discuss the ways on how a third year nursing
student can adapt with the lessons in school. This study will only involve third year
Definition of Terms
Listed below are some of the terminologies used by the researchers throughout
superiority; a rivalry. 13
strength or energy. 14
Goal. This refers to a point toward which effort or movement is directed or the
from an institution. 16
Nurse. This pertains to a person who cares for the sick, wounded or enfeebled,
physical health. 19
NOTES
1
Barbara Kozier et al., Fundamentals of Nursing, 7th ed. (New Jersey: Pearson
Education Inc., 2004), 7-8.
2
Kozier et al., 57-61.
3
Suzanne C. Smeltzer et al., Brunner and Suddarth’s Textbook of Medical-
Surgical Nursing, Vol. 1, 11th ed. (USA: Lippincott Williams and Wilkins, 2008), 92.
4
Smeltzer et al., 94
5
Smeltzer et al., 94
6
David A. Kolb, Experiential Learning: Experience as the Source of Learning and
Development (New Jersey: Prentice Hall Inc., 1984), n.pag.
7
Edwin A. Locke and Gary P. Latham, “Building a Practically Useful Theory of
Goal Setting and Task Motivation: A 35-Year Odyssey,” American Psychologist (Sept
2002): 705-714
8
Cary L. Cooper, Classics in Management Thought, Vol. 1 (USA: Edward Elgar
Publishing, 2000), 385-392
9
Robert G. Isaac, Wilfred J. Zerbe, and Douglas C. Pitt, “Leadership and
Motivation: The Effective Application of Expectancy Theory,” Journal of Managerial
Issues (Summer 2001): 212-224
10
Leon Reinharth and Mahmoud A. Wahba, “Expectancy Theory as a Predictor of
Work Motivation, Effort Expenditure and Job Performance,” The Academy of
Management Journal (Sept 1975): 520-537
11
Reda Abouserie, “Self-esteem and achievement motivation as determinants of
students' approaches to studying,” Studies in Higher Education (Mar 1995): 19-26
12
“Academics,” The International Webster’s Comprehensive Dictionary of the
English Language.
13
“Competition,” The International Webster’s Comprehensive Dictionary of the
English Language.
14
“Exhaustion,” The International Webster’s Comprehensive Dictionary of the
English Language.
15
“Goal,” The International Webster’s Comprehensive Dictionary of the English
Language.
16
“Learning,” The International Webster’s Comprehensive Dictionary of the
English Language.
17
“Nurse,” The International Webster’s Comprehensive Dictionary of the English
Language.
18
“Self-esteem,” The International Webster’s Comprehensive Dictionary of the
English Language.
19
“Stress,” The International Webster’s Comprehensive Dictionary of the English
Language.
CHAPTER 2
These articles and studies have been found by the researchers to be useful and
Local Literature
Allan Bernardo, Maria Guadalupe Salanga, and Karla Marie Aguas, in their
described a Filipino novel entitled America is in the Heart: A Personal History by Carlos
Bulosan. The excerpts from this semiautobiographical Filipino novel describe the
sacrifices that the family went through to send their son to school. The circumstances
described in this narrative are not atypical among Filipino families. It is within such
contexts that Filipino students who are fortunate enough to attend school define their
goals while studying. In recent decades, several goal theories that reflect a socio-
cognitive model of motivation have become very popular in the education psychology
research literature. Perhaps, the most popular of these are the various goal orientation
theories. These theories described in Western education context define the important
categories of goals and goal orientation and how such categories are related to different
Students who define their goals while studying are more motivated and perform
better in school than those who do not form their goals. If a student experiences family
or financial problems, chances are that student may do better academically because he
may look at it as a challenge and for him to be able to achieve success in the future, or
he may not do better in school because he may think of it as a stress and it may be a
pointing out that the main cause of these problems is a big amount of stress during their
life as a student. Nursing students, actually in a broad sense, all of the students’ faces
some series of challenges and stressors. But more likely, the nursing students are the
one who are in the center of experiencing stress. The stress maybe came from their
competition.2
behaviors which are characterized by reduction in their performance. And just like the
domino effect, everything else follows. The students are destined to feel slight health
failure, physical illness and emotional stress. There is also physical and psychological
symptoms of stress that are present in every nursing students that suffered pressure
aches, palpitations, lack of appetite and others. But actually, not all the case of a nursing
student finds a negative response on the stress factor. There is the existence of the
The early development of the concern among the nursing students should not
perish in their minds to defeat the stress that they are facing. A nursing student who is
specifically in a third year of education faces a trouble that maybe foreign to their mind
and new to their knowledge. But the serious case that arises in some observation is that,
the focus they have in the first years of their study is not that intense. Therefore, the
students must make their way to create a new passage to accelerate in their subject
matter.
Foreign Literature
Roger Yao Klomegah, in his article from College Student Journal, 3 discussed the
studies about factors associated with academic performance have identified contextual
and social characteristics of students as important factors. These factors include family,
peers, school, and community. Among family factors are low socioeconomic status,
factors include lack of friends and involvement with peers with negative attitudes.
Examples of school factors are school climate, size of school, lack of counselling for at-
terms of community factors, lack of community resources and low socioeconomic status
He also mentioned that previous studies have also documented two psychosocial
performance of college students.4 Locus of control is the personal belief about the extent
judgment about one's ability to perform requisite actions in order to achieve specific
Alicia Potolsky, Jayne Cohen, and Coleen Saylor, in their article from Nursing
7
Education Perspectives, mentioned that Brennan, Best, and Small tracked the
nursing school. They found that students who fell behind in the first two years of nursing
school had significantly lower mean high school and prerequisite course grades. These
Local Studies
An undergraduate thesis by Giselle Ann Aguas, et. al. stated that the study habits
indicated academic performance especially in tests. A good study habits and having
good attitude will you a lot to learn more. Study habits can be impacted by the teachers,
the student alone, or both. The involvement of teacher and student will imply the
atmosphere for the educational environment and development. The more cohesive the
relationship between any teacher and any student, the greater the ability of the teacher
to encourage academic motivation in the student and to obtain the student’s compliance
the academic performance of students. They are able to determine their priorities in
order to obtain an organized learning strategy, and to provide focus to the students to
excel in school. Furthermore, teachers also affect on how the students are motivated to
study and on how they acquire discussions and demonstrations in a simple manner.
Students are learners and they are committed to achieving an educational goal and have
a desire to learn. They are receptive to the teachings and guidance of the mentor. Active
performances.
The study conducted by Dela Cruz, et. al. mentioned that the students who feel
about themselves and their abilities positively are the ones who are most likely to
succeed. Conversely, it appeared that to those who see themselves and their abilities in
a negative fashion usually fail to achieve good grades. Academic success and failures
Also, the researchers believed that using self – report inventories, sex
differences do seem to influence the relationship between the self and achievement
primarily in the area of underachievement. Male underachievers tend to have more self-
development and use of her or his aptitudes is bound to influence that person’s
In relation to the present study, it determines the factors that can affect academic
performance of the students and as above stated, gender difference is one factor. Every
individual has its own learning strategy that needs to be improved to lessen incidence of
failure especially on nursing students. Through identifying the factors, the students are
evaluated on how they deal with these reasons and their way of coping.
Pasao researched about being the self as a composite of thoughts and feelings
which constitute a person’s awareness of his individual existence, his conception of who
and what he is. The self includes the constant nature of the individual plus all the
Foreign Studies
Today's college students are less prepared for college-level work than their
predecessors. Once they get to college, they tend to spend fewer hours studying while
spending more hours working, some even full time.11 In this study, the authors examined
the effect of both time spent studying and time spent working on academic performance.
The authors further evaluated the interaction of motivation and ability with study time and
its effect on academic performance. The results suggested that non-ability variables like
motivation and study time significantly interact with ability to influence academic
performance. Contrary to popular belief, the amount of time spent studying or at work
This research is related to our present study because one of the purposes of our
study is to assess the relationship of students’ attitude towards time management and its
Glen I. Earthman, in her study on the “School Facility Conditions and Student
components have been proven to have a measurable influence upon student learning.
Among the influential features and components are those impacting temperature,
lighting, acoustics and age. Researcher has found a negative impact upon student’s
Ethnographic and perception studies indicate that poor school facilities negatively
impact teacher’s effectiveness and performance, and therefore have a negative impact
on student performance.13
These studies are related to our present research in a way that their findings
proved that school facility conditions had an effect to the academic performance of
students. Their findings may also be one of the factors that may affect the academic
Empowerment for Instructional Practice and Student Academic Performance.” This study
investigates teacher empowerment in schools that have at least four years of experience
school organization for instruction and pedagogical quality. The data we use to examine
empowerment are drawn from a sample of 24 restructuring elementary, middle, and high
schools—8 schools at each grade level. Most of the schools are urban, representing 16
states and 22 school districts. Data sources include teacher surveys, ratings of
linear modelling (HLM). The results suggest: (1) Overall, empowerment appears to be an
important but not sufficient condition of obtaining real changes in teachers’ ways of
working and their instructional practices; (2) The effects of empowerment on classroom
practice vary depending on the domain in which teacher influence is focused; (3)
Previous study is related to our current study in such a way that students’ attitude
towards the teaching strategies of professors is one of the factors that we assume may
and trouble for teens and their friends were: relationships with friends and family; the
pressure of expectations from self and others; pressure at school from teachers,
coaches, grades and homework; financial pressures; and tragedy in the lives of family
and friends.
Most teenagers respond to stressful events in their lives by doing something
relaxing, trying positive and self-reliant problem solving or seeking friendship and
support from others. Common examples include listening to music, trying to make their
watching television and being close to people they care about. These behaviours are
appropriate for adolescents who are trying to become independent, take responsibility
The implication of the study to the present research is that adolescence use
coping strategies in order to deal with stress. The stressors are those factors that affect
the academic performance of students. The activities done depend on the learner on
how it affects them; it may either be a positive or negative approach. Relaxing is one of
Can Learn From the East (Chapter 8 Filipino Adolescent Students’ Conceptions of
academic-performance-of-third-year-nursing-students-of-the-laguna-college.html
3
Roger Yao Klomegah, “Predictors of Academic Performance of University
Students: An Application of the Goal Efficacy Model,” College Student Journal (June 1,
2007): 27.
4
Findley & Cooper, 1983; Kernis, 1984; Zimmerman & Bandura, 1994; Niemiec,
Sikorski, & Walberg, 1996; Cook, 1997; Wiest, 2001; and North Central Regional
Ability and Academic Performance of Grade Three Pupils of Queen of Angels Learning
2000), 12-13.
10
Myrna M. Pasao, “Self-Concept: A Conceptual and Methodological Study in the
This chapter discusses the methodology of the study that will be used in the
determination of factors affecting the academic performance of Level III nursing students
Research Methodology
The researchers will use the intervention method in presenting the data that will
be gathered from 156 respondents or 75% of the Level III nursing students of Centro
influence one or more outcomes. This method will be used to assess the factors
The subjects of the study will be the BSN Level III students of Centro Escolar
University Makati campus Batch 2011, both men and women. The Level III Batch 2011
currently has 6 sections and a total population of 208 students. Only 26 students per
selected out of the 208 Level III students. The chosen respondents comprise 75% of the
Sampling Technique
The researchers will use the purposive type of sampling and will employ the
Sloven’s Formula, taking 156 students, 26 respondents per section, or 75% of the
population for the study. Using the indicated sample population, the researchers find
The researchers will use the questionnaire in gathering data from the
respondents. They will divide the questionnaire into three parts: Part I which aims to
obtain the profile of the respondents regarding name (optional), age, gender, section,
type of high school graduated from, previous general weighted average, parent’s
educational attainment, and socioeconomic status; Part II which aims to determine the
final and current grades of students in their minor and major subjects; Part III which aims
to determine the attitude of students regarding study habits, time management, peer
instructional content.
fifty six (156) selected respondents, third year BSN students studying at Centro Escolar
University, Makati. Accomplished copies shall be retrieved, at most thirty (30) minutes
year BSN students studying at Centro Escolar University, Makati who shall not be
gathering.
N = N / 1 + Ne2
Where:
n = sample size
N = total population
with each score value in a set of data that is quantitative in nature. Frequency
distributions make it easy to see trends in data, particularly when two different data sets
set of data. Presenting data in a frequency distribution makes inspection of the data set
much more manageable than presenting the entire set of raw data. A frequency
distribution was used to describe the profile of the respondents in terms of age, gender,
computation is:
f
% = ____ x 100
Where:
%= Percentage
f = frequency
N= number of respondents
Weighted mean is an average that takes into account the proportional relevance
of each component, rather than treating each component equally. It was applied since
the options to the items of the questionnaire were assigned points; the weighted mean
was viewed as the best measure of central tendency, which is solved by the formula:
ΣW1X1
Xw = -----------------
ΣW1
Where:
Xw = weighted mean
X = class mark
w= weight value
Σ = summation
Four-point scale was used for further interpretation of data in order to guide
Grade Interpretation
1.00 Excellent
1.25-1.50 Superior
5.00 Unsatisfactory
3 2.51-3.50 Often
2 1.51-2.50 Sometimes
1 1.00-1.50 Never
ga kahulugan ng foster parent na nasa Web sa wikang Ingles:
• foster-parent: a person who acts as parent and guardian for a child in place of the
child's natural parents but without legally adopting the child
wordnetweb.princeton.edu/perl/webwn
• Foster care is the term used for a system in which a minor who has been made a
ward is placed in the private home of a state certified caregiver referred to as a
"foster parent".
en.wikipedia.org/wiki/Foster_parent
• An adult who cares for a child who has been placed in foster care
en.wiktionary.org/wiki/foster_parent
• Individual licensed to provide a home for orphaned, abused, neglected, delinquent
or disabled children, usually with the approval of the government or a social
service agency. May be a relative or a non-relative.
www.acf.hhs.gov/programs/cb/systems/ncands/ncands98/glossary/glossary.htm
• The adult member(s) of any family licensed to provide foster family care to
children unrelated by blood, marriage, or adoption. ...
www.dss.mo.gov/cd/info/cwmanual/section7/glossary/f.htm
• An adult who provides a home and manages and maintains a household which
may be used for placement of children.
www.dhhs.ne.gov/webhelp/NFOCUS/Manuals/nac479/nac479/1-
004__definition_of_terms.htm
MLA Style
"volunteers." Merriam-Webster Online Dictionary. 2010.
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Henderson defined nursing in functional terms: “The unique function of the nurse is to
assist the individual, sick or well, in the performance of those activities contributing to
health or its recovery (or to a peaceful death) that he would perform unaided if he had the
necessary strength, will or knowledge. And to do this in such a way as to help him gain
independence as rapidly as possible.”
http://www.jpsimbulan.net/researches/nursing-theories/definition-of-nursing-
according-to-virginia-avernal-henderson/
Definition of Nursing
Nursing encompasses autonomous and collaborative care of individuals of all
ages, families, groups and communities, sick or well and in all settings.
Nursing includes the promotion of health, prevention of illness, and the care
of ill, disabled and dying people. Advocacy, promotion of a safe environment,
research, participation in shaping health policy and in patient and health
systems management, and education are also key nursing roles.
Last Updated on Monday, 12 April 2010
http://www.icn.ch/about-icn/icn-definition-of-nursing/