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Acknowledgement

We would like to express our deepest heartfelt gratitude and appreciation to the persons behind the success on making this proposed project for their remarkable generosity and kindness at a number of times. First, to our beloved parents who rendered and give us their invaluable and undying love, financial support guidance and understanding throughout the success and reality of this project. To Mr. Karlou Rios Borja, RN, MN, our instructor in this Research Paper, our very own adviser in fourth year, and the, thank you very much sir for the knowledge you parted on us, to your keen and constructive suggestions to broaden and sharpen our knowledge and to enhance our hidden skills and talents and to our valuable advises.We owe to you sir the success of our proposed project. I thank you so much sir for sharing it with us. Program Coordinator to Mrs. Joy Bongabong for her connections that allow us to do the study in Zamboanga del Sur Medical Center; To Mr. Kent Anthony and Mr.Labadlabad, who parted his knowledge on accounting and helping us to make our financial study. Thank you so much for your ideas and immesuarable effort. To our two engineering students to Ms. Chem Reganion and Mr. Rogelio Jarmin, for sharing with us their knowledge, skills and expertise by giving us the insights about our technical study.

To our project proponent, Mr. Roberto Y. Uy,for his genuine support on making this project proposal possible. To our dear friends, classmates and schoolmates for their remarkable criticisms and suggestions, consistent prayers and understanding, you deserve our deepest thanks. Above all, to our heavenly almighty God the Father, the omnipotent and source of our all goodness, strength and guidance, we offer you all the glory and honor.

ABSTRACT

Name of Intructor: JH Cerilles State College Address:Balangasan District Pagadian City Title: Effectiveness of Coping Mechanism used by Licensed Nurses in Zamboanga Del Sur Medical Center. Type of Documents: Thesis Objectives of the Study: A.General Objectives This study was conducted to determine the effectiveness of Quick Calm and Deep Breathing Technique accompanied by Progressive Muscle relaxation Technique as a Coping Mechanism in reducing stress for nurses in Medical Ward which is the experimental group. Through the used of pre test and Post-test, utilizing the T-test for independence; Pearson r in correlating the relationship. B.Specific Objectives Specifically, this study answers the following questions, 1.What is the level of stress of the nurses in the control group (surgical) and experimental group (medical) as revealed by the Pre-test result? 2.Is there a significant difference in the Pre-test result between the stress of the nurses in the control group (Surgical) and experimental group (medical)?

3.what is the level of stress of the nurses in the control group (surgical) and experimental group (medical) as revealed by the Post-test result? 4.Is there a significant difference in the Post-test result between the stress of the nurses in the control group (surgical) and the experimental group (medical)? 5.What is the level of stress coping mechanism of the nurses in the control group (surgical) and experimental group (medical) as revealde by the Pre-test result? 6.Is there a significant difference in the pre-tes result between stress coping mechanism of the nurses in the control group (surgical) and experimental group medical? 7.What is the level of stress coping mechanism of the nurses in the control group (surgical) and experimental group (medical) as revealde by the post-test result? 8.Is there a significant difference in the post-test result between the stress coping mechanism of the nurses in control group (surgical) and experimental group (medical)? 9.Is there a significant correlation between the nurses scores in the control group (surgical) and experimental group (medical), as revealed by the average of the pretest and post-test results?

Methodology

Reseach Design This study utilized the qualitative experimental research design; two groups via cross-over selsection and utilizing Quasi-experimental research design, where there is manipulation of experimental group (dichotomous variable). Quasiexperimental research design was selscted for the reason that randomization is not possible due to bias may occur to whom stress is not perceived. The dichotomous variable means having one group with two reatments being intervened data collected in prospective type. The study was conducted in Zamboanga del Sur Medical Center, Pagadian City a secondary level hospital with 100 bed capacity, Specifically in medical and surgical ward. The group of nurses in medical and surgical ward will be the subject of the study. The researhers chose the purposive sampling non-probability sampling

method. For the purpose of this study, the level of significance was set at p <0.05.

Background of the study Nursing is a profession that is demanding, both mentally and physically. Health professionals are exposed to n umerous psycho-social, physical, bilogical, reproductive and chemical hazards. Nursing is recognized as an occupation that ranks near the top in terms of high stress. Physical demands also lead to frequent injuries in nursing. Registered Nurses (RNs) and Licensed Practical (LPNs) report higher than expected numbers of back injuries which are more serious than those reported from other professions. Nurse workloads have increased as s result of patient acuity levels being higher, and earlier discharges being mandated. At the same time , nurses are struggling to maintain the same high quality of patient care. However, they need to learn to direct of some their energies to maintaining their personal health and well-being mentally and physically healthy employees are more productive. In the hospital setting, this means in part that quality of patient care is then better. Successful and unsuccessful coping strategies of staff members need to be identified together with interventions that could be implemented by both the individual and institution to improve workplace conditions and lifestyle factors. Awareness of health promotion behaviors is a necessary initial step in encouraging people to take action. Employees must be made more aware they share a role in improving staff wellness. (Lethbridge, 1999).