Ma. Elizabeth n. Daos

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    UPHSD-LP BSN GRADUATES ATTRIBUTES AND CURRICULAREVALUATION TOWARD FRAMEWORK DEVELOPMENT

    A ThesisPresented to

    The Faculty of Graduate School of EducationUniversity of Perpetual Help

    Las Pias City

    In Partial Fulfillmentof the Requirements for the Degree

    Master of Arts in NursingMajor in Nursing Administration

    MA. ELIZABETH N. DAOS

    October 2012

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    APPROVAL SHEET

    This thesis entitled, UPHSD-LP BSN GRADUATESATTRIBUTES AND CURRICULAR EVALUATION TOWARDFRAMEWORK DEVELOPMENT prepared and submitted by MA.ELIZABETH N. DAOS in partial fulfillment of the requirements for thedegree ofMaster of Arts in Nursing Major in Nursing Administration,has been examined and recommended for acceptance and approval fororal examination.

    HAZEL N. VILLAGRACIA, MAN, EdDAdviser

    ORAL EXAMINATION COMMITTEE

    Approved by the Oral Examination Committee with a grade of_________.

    FRANCISCO B. SOSA, JR., MAN ATTY. IRINEO F. MARTINEZ, JR., PhDMember Member

    YOLANDA T. CANARIA, PhDChairman

    Accepted and approved in partial fulfillment of the requirementsfor the degree of Master of Arts in Nursing Major in Nursing

    Administration.

    ATTY. IRINEO F. MARTINEZ, JR., PhDDean, Graduate School

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    ACKNOWLEDGEMENT

    The researcher would like to thank the following persons who

    helped in the completion of her thesis:

    DR. YOLANDA T. CANARIA, Chairman of the Panel of

    Examinees, for assisting the researcher by providing invaluable

    materials for her study.

    DR. HAZEL N. VILLAGRACIA, her thesis adviser, for the gems of

    guidance.

    ATTY. IRINEO F. MARTINEZ, JR., Dean of the University of

    Perpetual Help System DALTA (UPHSD) Graduate School and MR.

    FRANCISCO B. SOSA, JR., members of the Panel of Examinees, for

    providing important recommendations that have enriched the current

    work.

    DR. ALBERTO P. MENDOZA, DR. IMELDA O. JAVIER, and DR.

    FLORENCIA C. MARFIL, for validating the research instrument.

    MS. CARMEL A. VILLEGAS, Dean of Southville International

    School and Colleges (SISC) Nursing and MR. RENE E. ALIGONERO of

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    the alumni office of SISC, for providing the researcher data necessary for

    the pilot testing of the study.

    DR. JESUS B. GOLLAYAN, for lending his expertise in dealing

    with the statistical requirements of this current work.

    MS. EDNA LIQUE from the UPHSD-LP College of Nursing and

    DR. ALBERT S. ALDAY, UPHSD University Registrar, for providing

    initial data with regard to the respondents of this study.

    MS. JASMIN L. VITA, UPHSD Graduate School Secretary, for

    the selfless assistance extended throughout the research period.

    The researchers family, especially her son, AIDAN, her mother

    NORA, herTITA SHELLANE, and TITO SONNY, as well as the rest of

    her family, for being an inspiration to finish her thesis.

    Lastly, to ourDEAR LORD and GOD, for answering her prayers

    for guidance to enable her to finish her thesis.

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    ABSTRACT

    Name of Institution: University of Perpetual Help System DALTA

    Address: Pamplona, Las Pias City

    Title: UPHSD-LP BSN Graduates Attributes and

    Curricular Evaluation toward Framework

    Development

    Author: Ma. Elizabeth N. Daos

    Degree: Master of Arts in Nursing

    Major: Nursing Administration

    Date of Completion: October 2012

    STATEMENT OF THE PROBLEM:

    The study answered the following questions:

    1. What are the UPHSD-LP BSN Graduates Attributes in terms of:

    1.1. Personal

    1.1.1. Age;

    1.1.2. Gender;

    1.1.3. Civil Status;

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    1.2. PNLE Rating;

    1.3. Employability;

    1.3.1. Number of Graduates Employed;

    1.3.2. Position in Current Employment;

    1.3.3. Time Spent to Get First Employment after

    Graduation; and

    1.3.4. Predominant Activities in the Present Job?

    2. What is the assessment of respondents in relation to identified

    aspects of the UPHSD-LP BSN Curriculum:

    2.1. Related Learning Experience (RLE);

    2.2. Major Subjects;

    2.3. Study Provisions and Conditions Experienced in College; and

    2.4. Application of the Course after Graduation?

    3. Is there a significant difference in the assessment of respondents

    in relation to identified aspects of the UPHSD-LP BSN Curriculum when

    grouped according to profile variables?

    3.1. Personal Attributes vs. Curricular Evaluation

    3.1.1. Age vs. Curricular Evaluation

    3.1.2. Gender vs. Curricular Evaluation

    3.1.3. Civil Status vs. Curricular Evaluation

    3.2. PNLE Rating vs. Curricular Evaluation

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    3.3. Employability vs. Curricular Evaluation

    3.3.1. Number of Graduates Employed vs. Curricular

    Evaluation

    3.3.2. Position in Current Employment vs. Curricular

    Evaluation

    3.3.3. Time Spent to Get First Employment after

    Graduation vs. Curricular Evaluation

    4. What framework can be developed based on the findings of the

    study?

    METHODOLOGY

    This study used the Quantitative Descriptive Survey Method of

    research. The subjects of the study were UPHSD-LP BSN graduates

    from Academic Years 1999-2009. There were 100 respondents in this

    study. They answered a self-made type of survey questionnaire. Part I

    of the questionnaire covered the UPHSD-LP BSN graduates attributes

    which include Part I.A. Personal (age, gender, and civil status); Part I.B.

    PNLE rating; and Part I.C. Employability. Part II comprised the curricular

    evaluation of the respondents. Adequacy of their responses was

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    measured by a 5-point Rating Scale: 5 Very Adequate, 4 Adequate,

    3 Fairly Adequate, 2 Minimally Adequate, and 1 Inadequate.

    Frequency, Percentage, Mean and Rank distributions, t-test, and

    ANOVA were used for the statistical tests.

    In the course of the study, the hypothesis was examined as to

    whether there was no significant difference in the assessment of

    respondents in relation to identified aspects of the UPHSD-LP BSN

    Curriculum when grouped according to profile variables.

    SUMMARY OF FINDINGS

    The following findings were presented in this section:

    1. The UPHSD-LP BSN Attributes in terms of:

    1.1. Personal

    1.1.1. Age;

    In age profile, Out of the 100 respondents, majority

    were in the 20-29 age bracket, which had 81 or 81% of the

    respondents, and the least had 1 or 1% of the respondents

    in the 40-49 age group.

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    1.1.2. Gender;

    Out of the 100 respondents, majority of them are

    female. There were 68 or 68% of the female respondents,

    while 32 or 32% respondents are male.

    1.1.3. Civil Status;

    Out of 100 respondents, most of them are single. 83

    or 83% of the respondents fall in that category, while the

    remaining 17 or 17% of the respondents are married.

    1.2. PNLE Rating

    A large part of the respondents had a rating of 75 to

    79% in the PNLE. Out of 100 respondents, there were 78

    or 78% which belong to that category. Meanwhile, 2 or 2%

    of the respondents had 85 to 89% PNLE ratings. The

    foregoing shows that the respondents belong to the

    average or below average level; nevertheless, there were 2

    respondents who got 85-89% PNLE ratings.

    1.3. Employability

    1.3.1. Number of Graduates Employed;

    Out of 100 respondents, majority were employed in

    private institutions, that is, 79 or 79% of the respondents.

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    On the other hand, there are 7 or 7% of the same who

    were employed in government institutions.

    1.3.2. Position in Current Employment;

    Out of 100 respondents, majority of the

    respondents, that is, 40 or 40% of the nurses were

    employed locally, whereas, of said respondents, 14 or 14%

    were unemployed

    1.3.3. Time Spent to Get First Employment after

    Graduation;

    Out of 100 respondents, majority of them got a job

    one month to a year after graduation, that is, 68 or 68% of

    the same, while quite a few got their job before graduation,

    that is, 2 or 2% of the respondents.

    1.3.4. Predominant Activities in the Present Job

    Out of 100 respondents, a majority of them were

    with a regular job; there were 61 or 61% respondents in

    that category. Only a few of the respondents, that is, 3 or

    3% of them had more than one job at the same time.

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    2. The assessment of respondents in relation to identified aspects of

    the UPHSD-LP BSN Curriculum:

    2.1. Related Learning Experience (RLE);

    2.2. Major Subjects;

    2.3. Study Provisions and Conditions Experienced in College; and

    2.4. Application of the Course after Graduation

    The category that ranked the highest was RLE with a mean

    of 3.65, while the lowest ranked was the Application of the

    Course after Graduation aspect which had a mean of 3.53. Mean

    ratings in all 4 categories had an interpretation of Adequate.

    Total mean was 3.60 with an interpretation ofAdequate.

    Detailed mean and rank distributions on UPHSD-LP BSN

    curriculum is shown in Appendix D. In RLE, Nursing graduates

    had most exposures in Community, Operating, and Delivery

    areas, and had least exposures in Orthopedic and Hemodialysis

    areas. In major nursing subjects, least ranked was the Reliability

    of the Methodology in Preparation for the PNLE aspect. In Study

    Provisions and Conditions Experienced in College, least ranked

    was Chances to Participate in Activities; in Application of the

    Course after Graduation, least ranked was For the Economic

    Development of the Country.

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    3. Significant difference in the assessment of respondents in relation

    to identified aspects of the UPHSD-LP BSN Curriculum when

    grouped according to profile variables

    3.1. Personal Attributes vs. Curricular Evaluation

    3.1.1. Age vs. Curricular Evaluation

    The mean ratings of the 20-29 and the 30 and

    above age brackets were 3.69 and 3.54 respectively in

    RLE; 3.69 and 3.49 in Major Nursing Subjects were

    registered; 3.60 and 3.40 in Study Provisions and

    Conditions Experienced in College; and 3.23 and 3.61

    were registered in Application of the Course after

    Graduation.

    Analysis shows that difference in mean ratings on

    Age were found Not Significant in RLE, Major Nursing

    Subjects and Study Provisions and Conditions

    Experienced in College because their computed t-value, of

    1.080, 1.517, and 1.451 are lower than the critical value of

    1.984. Thus, the null hypothesis is Not Rejected.

    However, analysis shows that the difference in

    mean ratings on Age was found Significant in

    Application of the Course after Graduation since their

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    computed t-value of -2.178 is higher than the critical value

    of 1.984. Therefore, the null hypothesis is Rejected.

    3.1.2. Gender vs. Curricular Evaluation

    . The mean ratings of male and female group were

    3.56 and 3.70, respectively on RLE; 3.64 and 3.66 on

    Major Nursing Subjects; 3.49 and 3.60 on Study

    Provisions and Conditions Experienced in College; and

    3.29 and 3.31 on Application of the Course after

    Graduation.

    Analysis shows that the difference in mean ratings

    on gender were found Not Significant in all four

    categories in curricular evaluation since the computed t-

    value of -1.232 on RLE; -0.235 on Major Nursing

    Subjects; -0.940 on Study Provisions and Conditions

    Experienced in College; and -0.160 on Application of the

    Course after Graduation were all lower than the critical

    value of 1.984 in all categories, therefore, the null

    hypothesis is Not Rejected.

    3.1.3. Civil Status vs. Curricular Evaluation

    The mean ratings of single and married groups were

    3.71 and 3.42, respectively in RLE; 3.69 and 3.47 on

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    Major Nursing Subjects; 3.60 and 3.36 on Study

    Provisions and Conditions Experienced in College; and

    3.29 and 3.40 on Application of the Course after

    Graduation.

    Analysis shows that difference in mean ratings on

    Civil Status was found Significant in RLE due to the

    fact that the computed t-value of 2.106 is higher than the

    critical value of 1.984; hence, the null hypothesis is

    Rejected.

    Analysis shows that the difference in mean ratings

    on Civil Status was found Not Significant on Major

    Nursing Subjects, Study Provisions and Conditions

    Experienced in College, and on Application of the Course

    after Graduation as evidenced by their computed t-value

    of 1.600 Major Nursing Subjects; 1.657 on Study

    Provisions and Conditions Experienced in College; and

    -0.610 on Application of the Course after Graduation- all

    lower than the critical value of 1.984. Consequently, the

    null hypothesis is Not Rejected.

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    3.2. PNLE vs. Curricular Evaluation

    The mean ratings of 75-79% and 80% and above in the

    PNLE were 3.62 and 3.79 respectively, on RLE; 3.58 and 3.91

    on Major Nursing Subjects; 3.48 and 3.85 on Study Provisions

    and Conditions Experienced in College; and 3.21 and 3.65 on

    Application of the Course after Graduation.

    Analysis on the difference regarding PNLE ratings was

    deemed Significant in Major Nursing Subjects, Study

    Provisions and Conditions Experienced in College, and on

    Application of the Course after Graduation for their computed t-

    value is -2.688 on Major Nursing Subjects; -2.869 on Study

    Provisions and Conditions Experienced in College; and -2.764 on

    Application of the Course after Graduation which exceeded the

    critical value of 1.984. Thus, the null hypothesis is Rejected.

    The analysis in the difference on PNLE ratings was found

    Not Significant in RLE since the computed t-value of -1.357 is

    lower than the critical value of 1.984. Therefore, the null

    hypothesis is Not Rejected.

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    3.3. Employability vs. Curricular Evaluation

    3.3.1. Number Employed vs. Curricular Evaluation

    The mean ratings on Government, Private and

    Not Employed categories were 3.53, 3.68, and 3.59 in

    RLE; 3.19, 3.73, and 3.48 in Major Nursing Subjects;

    3.29, 3.65, and 3.23 in Study Provisions and Conditions

    Experienced in College; and 3.21, 3.38, and 2.95 in

    Application of the Course after Graduation.

    An analysis on difference in employment status was

    found Not Significant in RLE and Application of the

    Course after Graduation since the computed F-value is

    0.410 and 2.519 lower than the computed critical value of

    3.090. Therefore, the null hypothesis is Not Rejected.

    However, analyses on difference in employment

    status were found significant on Major Nursing Subjects

    and Study Provisions and Conditions Experienced in

    College since the computed F-value are 4.655 and 4.816,

    respectively, which are higher than the computed critical

    value of 3.090. Thus, the null hypothesis is Rejected.

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    3.3.2. Position in Current Employment vs. Curricular

    Evaluation

    Mean ratings on Nurse, OFW, Others, and Not

    Employed categories are 3.62, 3.67, 3.85 and 3.47,

    respectively, on RLE; 3.69, 3.56, 3.83, and 3.45,

    respectively, on Major Nursing Subjects; 3.64, 3.49, 3.73,

    and 3.23, respectively, on Study Provisions and

    Conditions Experienced in College; and 3.48, 3.57, 2.94,

    and 2.88, respectively, on Application of the Course after

    Graduation.

    Analysis on difference in position in current

    employment is Significant in Study Provisions and

    Conditions Experienced in College and Application of the

    Course after Graduation since the computed F-value of

    3.020 and 7.159 are higher than the critical value of 2.699.

    Therefore, the null hypothesis is Rejected.

    On the other hand, analysis on difference in position

    in current employment is Not Significant in RLE and

    Major Nursing Subjects since the computed F-value of

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    1.553 and 1.843 are lower than the critical value of 2.699.

    So, the null hypothesis is Not Rejected.

    3.3.3. Time Spent to Get First Employment after

    Graduation vs. Curricular Evaluation.

    Mean ratings in categories Before Graduation, 1

    Month 1 Year After Graduation, More Than 1 Year after

    Graduation, and No Job Search are 3.72, 3.69, 3.51, and

    3.88, respectively, in RLE; 3.50, 3.68, 3.62, and 3.56,

    respectively, in Major Nursing Subjects; 3.40, 3.64, 3.42,

    and 3.13, respectively, in Study Provisions and Conditions

    Experienced in College; and 3.00, 3.44, 2.92, and 3.33,

    respectively, in Application of the Course after

    Graduation.

    Analysis on difference in Time Spent to Get First

    Employment after Graduation is Not Significant in RLE,

    Major Nursing Subjects, and Study Provisions and

    Conditions Experienced in College since the computed F-

    value of 0.971, 0.175, and 1.802 are lower than the critical

    value of 2.699. Therefore, the null hypothesis is Not

    Rejected.

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    In spite of this, analysis on difference in Time Spent

    to Get First Employment after Graduation is Significant in

    Application of the Course after Graduation because the

    computed F-value of 4.205 is higher than the critical value

    of 2.699. As a result, the null hypothesis is Rejected.

    3.3.4. Predominant Activities in the Present Job vs.

    Curricular Evaluation.

    The mean ratings in categories I Have Spent Most

    of my Time on the Regular Job, I Had Mainly Various

    Temporary Jobs, I Had Mainly More Than One Job at the

    Same Time, and Others are 3.69, 3.62, 3.62, and 3.58

    respectively, on RLE; 3.73, 3.53, 3.56, and 3.52,

    respectively, on Major Nursing Subjects; 3.65, 3.51, 3.67,

    and 3.18, respectively, on Study Provisions and

    Conditions Experienced in College; and 3.54, 2.84, 3.67,

    and 2.95 on Application of the Course after Graduation.

    Analysis of the difference on predominant activities

    in the present job is Not Significant in RLE, Major

    Nursing Subjects, and Study Provisions and Conditions

    Experienced in College since the computed F-value of

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    0.217, 1.209, and 2.493, respectively, are lower than the

    critical value of 2.699. Therefore, the null hypothesis is Not

    Rejected.

    On the other hand, analysis in the difference of

    Predominant Activities in the Present Job is Significant

    in Application of the Course after Graduation since the

    computed F-value of 9.567 is higher than the critical value

    of 2.699. Thus, the null hypothesis is Rejected.

    4. Framework development based on the findings of the study

    A framework is developed based on the findings on Curricular

    Evaluation, PNLE Rating, and Employability. These three were the

    vital roles used in this study for framework development on the BSN

    program at the UPHSD-LP.

    Conclusions

    Based on the findings of the study, the following conclusions were

    made:

    1. In UPHSD-LP BSN Graduates Attributes, nurses were

    predominantly 20-29 years old. They were characterized as the female

    domain wherein most of them are single. Majority of the board passers

    obtained ratings from 75-79%. In Employability, a majority was

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    employed in private institution, employed locally as nurses, got a job one

    month to a year after graduation, and spent most of the time in a regular

    job.

    2. In assessment of identified aspects in UPHSD-LP BSN Curriculum,

    nursing graduates had the most exposures in the Community, Operating

    and Delivery areas, and had least exposures in Orthopedic and

    Hemodialysis areas. Least ranked in Major Nursing Subjects was the

    Reliability of the Methodology in Preparation for the PNLE. In Study

    Provisions and Conditions Experienced in College, least ranked was

    Chances to Participate in Activities; and in Application of the Course

    after Graduation, least ranked was For the Economic Development of

    the Country.

    3. The significant difference in Attributes vs. Curricular Evaluation were

    in Application of the Course after Graduation in Age; RLE in Civil

    Status; Major Nursing Subjects, Study Provisions and Conditions

    During College, and Application of the Course after Graduation in

    PNLE Ratings; Major Nursing Subjects and Study Provisions and

    Conditions in Employment Status; Study Provisions and Conditions

    and Application of the Course after Graduation in Position in Current

    Employment, Application of the Course after Graduation in Time

    Spent to Get Job and in Predominant Activities in Job.

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    4. A framework was developed based on the findings on Curricular

    Evaluation, PNLE Rating and Employability. These three were the

    vital roles used in the study for framework development for the BSN

    program in UPHSD-LP.

    Recommendations

    Based on the foregoing findings and conclusions, the following

    recommendations are submitted:

    1. For the UPHSD-LP BSN program, to consider this study and apply the

    framework developed herein.

    2. For the UPHSD-LP institution, to support this undertaking to

    strengthen and implement the framework developed herein.

    3. For future researchers, to undertake a similar study for the continuous

    development of the BSN program at the UPHSD-LP.

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    TABLE OF CONTENTS

    PAGE

    TITLE PAGE i

    APPROVAL SHEET ii

    ACKNOWLEDGEMENT iii

    ABSTRACT v

    TABLE OF CONTENTS xxiiiLIST OF TABLES xxvi

    LIST OF FIGURES xxviii

    CHAPTER

    1 THE PROBLEM AND ITS BACKGROUND

    Introduction 1

    Theoretical Framework 3

    Conceptual Framework 5

    Statement of the Problem 6

    Hypothesis 8

    Scope and Delimitation 8

    Significance of the Study 9

    Definition of Terms 10

    2 REVIEW OF RELATED LITERATURE AND STUDIES

    Related Literature 12

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    Related Studies 17

    Synthesis 20

    3 METHODOLOGY AND SOURCES OF DATA

    The Research Design 22

    Population and Sampling 23

    Respondents of the Study 23

    The Research Instrument 24Validation of Instrument 24

    Data Gathering Procedure 26

    Statistical Treatment of Data 26

    4 PRESENTATION, ANALYSIS, AND INTERPRETATION

    OF DATA

    Problem 1 30

    Problem 2 40

    Problem 3 43

    Problem 4 62

    5 SUMMARY OF FINDINGS, CONCLUSIONS, AND

    RECOMMENDATIONS

    Summary of Findings 69

    Conclusions 80

    Recommendations 82

    REFERENCES 83

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    APPENDICES

    A. CHED Memorandum Order No. 18, s. 2011 86

    B. Number of UPHSD-LP BSN Graduates from 1999-2009 92

    C. Survey Questionnaire 93

    D. Detailed Assessment of Respondents in Relation to 98

    Identified Aspects of the UPHSD-LP BSN Curriculum

    E. Request Letters for Validation of the Questionnaire 100F. Request Letters for Pilot Study 103

    G. Request Letters for Data Gathering 105

    H. Certification of Statistical Treatment 107

    I. Certification of Editing 108

    CURRICULUM VITAE 109

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    LIST OF TABLES

    TABLE PAGE

    1 Distribution of Respondents per Year from 2001-2009 23

    2 Frequency and Percentage Distribution of Respondents 30Personal Attributes

    3 Frequency and Percentage Distribution of Respondents 33PNLE Rating

    4 Frequency Distribution of Respondents Current 35Employment Status

    5 Frequency Distribution of Respondents Position in 36Current Employment

    6 Frequency Distribution of Respondents Time Spent to 38Get First Employment after Graduation

    7 Frequency Distribution of Respondents Predominant 39Activities in the Present Job

    8 Mean Assessment of Respondents in Relation to 40Identified Aspects of BSN Curriculum

    9 Comparative Analysis on UPHSD-LP BSN Curricular 43Evaluation of Respondents When Grouped

    According to Age

    10 Comparative Analysis on UPHSD-LP BSN Curricular 45Evaluation of Respondents When Grouped

    According to Gender

    11 Comparative Analysis on UPHSD-LP BSN Curricular 47Evaluation of Respondents When Grouped

    According to Civil Status

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    LIST OF TABLES

    TABLE PAGE

    12 Comparative Analysis on UPHSD-LP BSN Curricular 49Evaluation of Respondents When Grouped

    According to PNLE Rating

    13 Comparative Analysis on UPHSD-LP BSN Curricular 52Evaluation of Respondents When Grouped

    According to Employment Status

    14 Comparative Analysis on UPHSD-LP BSN Curricular 54Evaluation of Respondents When Grouped Accordingto Position in Current Employment

    15 Comparative Analysis on UPHSD-LP BSN Curricular 57Evaluation of Respondents When Grouped According toTime Spent to Get First Employment after Graduation

    16 Comparative Analysis on UPHSD-LP BSN Curricular 60Evaluation of Respondents When Grouped According toPredominant Activities in the Present Job

    17 Mean and Rank Distributions of Ratings on RLE 98

    18 Mean and Rank Distributions of Ratings on 98Major Nursing Subjects

    19 Mean and Rank Distributions of Ratings on Provisions 99and Conditions Experienced in College

    20 Mean and Rank Distributions of Ratings on Application 99of the Course After Graduation

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    LIST OF FIGURES

    FIGURE PAGE

    1 Conceptual Paradigm of the Study 5

    2 Framework Development 62

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    Chapter 1

    THE PROBLEM AND ITS BACKGROUND

    Introduction

    The University of Perpetual Help System DALTA believes and invokes

    divine guidance in the betterment of the quality of life through nationaldevelopment and transformation, which are predicated upon the quality

    of education of its people. Towards this end, the institution is committedto the ideas of teaching community service, and research as it nurtures

    the value ofHelpers of Godwith Character Building as Nation Building

    as its guiding principlesUPHSD Philosophy

    From 2004 to 2009, the Bachelor of Science in Nursing (BSN)

    degree program was in demand in the Philippines due to the global

    nursing shortage. A large number of students took up BSN with most, if

    not all, wanting to work abroad due to the fact that our country has been

    one of the top countries that provide the world with nurses who have

    received quality education and are armed with excellent work ethic. The

    number of nursing schools in the Philippines grew bigger and bigger and,

    by 2009, there were as much as 460 nursing schools in the country. It

    doubled as compared to the 231 nursing schools in 2003 (Barawid,

    2011).

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    Economic development requires people to have the knowledge,

    skills, and attitude that reflect what they have learned in school. In more

    recent times, this necessity has taken a backseat and the country has

    focused itself more on riding the wave of this shortage so as to improve

    the quality of living of these health practitioners families, among others.

    A total of 94,462 have taken the November 2009 Philippine

    Nursing Licensure Examination (PNLE), but only 37,527 have passed.

    This is less than half of the entire number of examinees. There were too

    many nursing graduates but most of them were either unemployed or

    underemployed. This resulted to an overpopulation of nurses in the

    country. The Commission on Higher Education (CHED) has warned 152

    nursing schools in the country to improve their respective passing rates

    in the Philippine Nursing Licensure Examination (PNLE) or face closure

    of their nursing program. Hence, the CHED issued CMO No. 18, series

    of 2011, and Amendments to Article XI- Sanctions of CMO. No. 14 s.

    2009 on Policies and Standards for the Bachelor of Science in Nursing

    (BSN) Program on July 29, 2011. CMO #18 s. 2011 stipulates the

    conduct of monitoring and evaluation of Higher Education Institutions

    (HEIs) offering the Bachelor of Science in Nursing program, the bases

    for retention and /or phasing out of nursing programs, and corresponding

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    sanctions to be imposed, adopted, and promulgated by the Commission.

    (see Appendix A)

    From 1999-2009, Bachelor of Science in Nursing (BSN)

    graduates in UPHSD-LP started to increase. (Academic Years 2005-

    2009 as shown in Appendix B). However, PNLE ratings started to

    decline. In 2005, out of 125 PNLE examinees, there were 100 or 80%

    passers, but in 2009, examinees reached up to 2,852, but only 1,002 or

    35% passed the PNLE.

    As a graduate in UPHSD-LP and a nurse by profession for 3

    years, my desire to practice the profession outside the country is not only

    for a better future but also for self fulfillment in terms of goal

    achievement. It is for this reason that development of a framework to

    contribute for the continuing expansion on the institution by analyzing the

    graduates attributes and curricular evaluation. Graduates attributes

    includes a profile of age, gender and civil status, PNLE rating and

    employability. Curricular evaluation includes RLE, major nursing

    subjects, study provisions and conditions experienced in college and

    application of the course after graduation.

    Theoretical Framework

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    The basis of this research is the Self-Care Deficit Model of

    Dorothea E. Orem. Here, when the client incurs an insult that renders

    him or her incapable of fully functioning, there is a self-care deficit which

    makes nursing intervention necessary. The object of Orems theory is to

    restore the clients self-care capability to enable him or her to sustain

    structural reliability, performance, and growth through purposeful nursing

    intervention. The aim of such intervention is to help the client cope with

    unmet care needs by acquiring the maximum level of function. This

    would be to either regain previous function or maximize available

    function present after the insult, hence restoring a sense of well-being

    (Cherry and Jacob, 2005).

    This work endeavored to know what can be done to enhance the

    quality of nursing graduates in UPHSD-LP thru an assessment on what

    they have learned in identified aspects on their curriculum, attributes in

    terms of personal aspects as to age, gender, civil status, PNLE rating,

    and their employability as a whole.

    Comparative analysis was done between identified aspects of

    curricular evaluation and attributes to realize framework development for

    the UPHSD-LP BSN institution.

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    Conceptual Framework

    The paradigm of the study is presented in Figure below. It shows

    that the study revolved around the UPHSD-LP BSN graduates attributes

    and curricular evaluation, thus:

    Input Process Output

    Figure 1 Conceptual Paradigm of the Study

    The foregoing diagram is an adaption the Input, Process, Output/

    IPO Model of Schultz (1976).The Input contains the assessment of

    Comparative

    analysis

    between theidentified

    aspects of

    UPHSD-LP BSN

    graduates

    curricular

    evaluation and

    attributes

    Assessment ofUPHSD LP BSNGraduates:

    1. Attributes

    1.1. Personal1.1.1. Age1.1.2. Gender1.1.3. Civil

    Status1.2. PNLE rating1.3. Employability

    2. CurricularEvaluation

    Framework

    Development for

    the UPHSD-LP

    BSN institution

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    UPHSD-LP BSN Graduates attributes according toPersonal

    ,

    PNLE

    Rating, and Employability; and Curricular Evaluation. The Process

    involved a comparative analysis between the identified aspects of BSN

    curricular evaluation and attributes, while the Output dealt with

    framework development for the UPHSD-LP BSN institution.

    Statement of the Problem

    This work sought to assess the UPHSD-LP BSN graduates

    attributes and curricular evaluation.

    This study answered the following questions:

    1. What are the UPHSD-LP BSN graduates attributes in terms of:

    1.1. Personal

    1.1.1. Age;

    1.1.2. Gender; and

    1.1.3. Civil Status;

    1.2. PNLE Rating

    1.3. Employability

    1.3.1. Number of Graduates Employed;

    1.3.2. Position in Current Employment;

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    1.3.3. Time Spent to Get First Employment after

    Graduation; and

    1.3.4. Predominant Activities in the Present Job?

    2. What is the assessment of respondents in relation to identified

    aspects of the UPHSD-LP BSN Curriculum:

    2.1. Related Learning Experience (RLE);

    2.2. Major Subjects;

    2.3. Study Provisions and Conditions Experienced in College; and

    2.4. Application of the Course after Graduation?

    3. Is there a significant difference in the assessment of respondents

    in relation to identified aspects of the UPHSD-LP BSN Curriculum when

    grouped according to profile variables

    3.1. Personal Attributes vs. Curricular Evaluation

    3.1.1. Age vs. Curricular Evaluation

    3.1.2. Gender vs. Curricular Evaluation

    3.1.3. Civil Status vs. Curricular Evaluation

    3.2. PNLE Rating vs. Curricular Evaluation

    3.3. Employability vs. Curricular Evaluation

    3.3.1. Number of Graduates Employed vs. Curricular

    Evaluation

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    3.3.2. Position in Current Employment vs. Curricular

    Evaluation

    3.3.3. Time Spent to Get First Employment after

    Graduation vs. Curricular Evaluation?

    4. What framework can be developed based on the findings of the

    study?

    Null Hypothesis

    There is no significant difference in the assessment of

    respondents in relation to identified aspects of the UPHSD-LP BSN

    Curriculum when grouped according to profile variables

    Scope and Limitations

    The study assessed the UPHSD-LP BSN graduates attributes

    and identified aspects of curricular evaluation to develop a framework

    development for the said institution. The study was limited to 100

    UPHSD-LP BSN graduates from Academic Years 2001-2009. Numbers

    of respondents per year were based on the number of survey

    questionnaires sent back by the respondents. The survey questionnaire

    had two parts. Part 1 includes the profile in terms of 1.A. Personal, that

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    is, onAge

    ,

    Gender

    , and

    Civil Status

    ; 1.B. PNLE Rating; and 1.C.

    Employability. Part 2 contains the identified Curricular Evaluation, that

    is, limited to RLE, Major Nursing Subjects, Study Provisions and

    Conditions Experienced in College; and Application of the Course after

    Graduation.

    Significance of the Study

    The study would benefit the following groups:

    Nurses. This study would serve as a reference by the nurses and

    future nurses about the evolution of nursing profession in UPHSD-LP.

    They may be able to evaluate the market demand and supply of nurses.

    Nursing Administrators. This study would serve as a

    contribution to nursing administrators on the responses of respondents in

    curricular evaluation for the improvement of their facultys teaching

    abilities.

    Hospital Administrators. This study may be able to serve as a

    guide for the hospital administrators for the improvement on the quality

    of their service to enhance the demand and supply of nurses.

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    Definition of Terms

    For purposes of this research, the following terms mean:

    Attributes. This refers to UPHSD-LP BSN graduates profile in

    terms of 1. Personal which includes name (optional), age, gender, civil

    status; 2. Philippine National Licensure Examination (PNLE) rating; and

    3. Employability.

    Philippine Nursing Licensure Examination (PNLE). This

    refers to the licensure examination given by the Professional Regulation

    Commissions Board of Nursing to Bachelor of Science in Nursing (BSN)

    graduates.

    Employability. This refers to employment status or

    employment background from the time the respondents graduated from

    UPHSD-LP.

    Curricular evaluation. This refers to the evaluation of Nursing

    Education in UPHSD-LP in terms of Related Learning Experience (RLE);

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    Major Nursing Subjects; Study Provisions and Conditions Experienced in

    College; and Application of the Course after Graduation. The evaluation

    is measured through a 5-point Rating Scale, 5 Very Adequate, 4

    Adequate, 3 Fairly Adequate, 2 Minimally Adequate, 1- Inadequate

    UPHSD-LP Nurses. They are those Bachelor of Science in

    Nursing (BSN) graduates of UPHSD-LP covering Academic Years 2001-

    2009.

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    Chapter 2

    REVIEW OF RELATED LITERATURE AND STUDIES

    The literature and studies reviewed focused on attributes and curricular

    evaluation of nurses. Verily, this part of the work provides essential details,

    statistics, and information. The Related literature include on-line articles and

    related studies taken from thesis and work papers.

    Related Literature

    In UPHSD-LP, the frequency and percentage distributions of UPHSD-

    LPs overall PNLE examinees and passers from 1999 to 2009 show that a total

    of 7,893 graduates had taken the PNLE exam from 1999 to 2009. Less than

    half of the examinees passed the board exam, that is, 3,464 or 44% of the

    students passed the exam. In 2001, out of nine students who took the exam,

    eight or 89% of them passed the exam which shows that the year 2001 had the

    lowest number of examinees but had the highest number of passers. In 2009,

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    out of the 2,852 examinees, 1,002 or 35% of the examinees passed. This year

    registered the highest number of examinees but had the lowest number of

    passers (UPHSD-LP Deans Office of the College of Nursing).

    Employability

    As of 2003, registered nurses, taking into account deaths and

    retirement, was 332,206, according to the Professional Regulation Commission

    (Lorenzo et al. 2005). Of these, it is estimated that only 58% were employed as

    nurses in the Philippines or abroad. No data is available to explain why the

    remainder left the profession. Thus, a majority of our nurses were working

    abroad. Among the 15.25 percent employed in the Philippines, most were

    employed by government agencies, while the rest worked in the private sector

    or in nursing education institutions (Corcega et al., 2000).

    In the major thrusts of both the Department of Labor and Employment

    (DOLE) and Commission on Higher Education (CHEd), it may seem that the

    CHEd prioritizes courses wherein there is a great demand for workers. Toward

    this end, collaboration among the DOLE, CHEd, and the PRCC is extensively

    being done.

    Alarmed by the growing mismatch between the skills of graduates and

    the needs of the job market, the CHEd bared the priority courses in tertiary

    education that it would prefer college students to take by academic year 2011.

    In accordance with the pertinent provisions of the Higher Education Act of 1994

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955369/#b8http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955369/#b4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955369/#b4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955369/#b8
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    (RA 7722), based on the national development plans, manpower demands for

    School Years 2011-2015, DOLEs Jobs Fit 2020 Vision, and CHEds En Banc

    resolution dated March 14, 2011, the following are the priority courses that shall

    be followed within the next five years, or from School Years 2011-2012 to 2015-

    2016 where the incoming grantees of the Student Financial Assistance

    Program (StuFAP) will be directed to enroll; Thus, Ched chairperson Dr.

    Licuanan said that 10% of the enrollees should go to Information Technology

    (IT) courses, Science, and Math; 15% each in Agriculture, Teacher Education

    and Health Sciences; 20% in Engineering; and 5% each in Arts and

    Humanities, Atmospheric Science, and Environmental Science. Licuanan

    averred that they are also coordinating with colleges, universities, and other

    stakeholders to ensure the quality of the degree programs they are offering. In

    1999-2010, enrollment in medical and allied courses, which includes nursing,

    went from 150,634 to 654,611. Coupled with the increase in enrolment in the

    oversubscribed courses was the decline in the performance level across all

    programs in licensure examinations administered by the Professional

    Regulatory Commission from 38% in 2006 to 36.50 last year (Sunstar.com,

    2011).

    Most of the nursing graduates, even those who passed the board

    examinations, have remained unemployed due to the decreasing demand for

    the profession. The majority of the nursing graduates fail to find employment in

    their preferred profession and finding the opportunity to have jobs related to

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    their chosen career has become part of their efforts to survive after graduation

    (mb.com.ph, 2012).

    LPG Marketers' Association (LPG-MA) Representative Arnel Ty has

    been pushing for new legislation that would establish a special local jobs plan

    for the growing number of unemployed Filipino nurses, estimated at more than

    200,000 by the Department of Health as of March 31. As proposed by Ty in

    House Bill 4582, the jobs plan would be an expanded version of the Nurses

    Assigned in Rural Service, the short-lived Philippine government project that

    enlisted nurses to improve healthcare in the 1,000 poorest towns in 2009. The

    bill seeks to install a Special Program for the Employment of Nurses in Urban

    and Rural Services (NURSE) which hopes to mobilize a total of 10,000

    practitioners every year. Here, they would each serve a six-month tour of duty,

    and get a monthly stipend not lower than the amount commensurate to Salary

    Grade 15, the higher starting pay for public nurses mandated by a 2002 law.

    To qualify, nurses must not be over 35 years old and must have a valid license.

    Meanwhile, Ty cited the need for the Philippine government to push for the

    opening of new foreign labor markets for Filipino nurses. The lawmaker said

    that we can no longer count on the US labor market for jobs. On the supply

    side, America has been internally generating a large number of nurses. In

    2010 alone, US colleges produced a total of 167,597 nursing graduates. As to

    the demand side, American hospitals and nursing homes continue to reel from

    subsidy cutbacks at the federal, state, and municipal levels (mb.com.ph, 2011).

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    In the Nursing Roadmap by 2030, the Philippines shall be the lead in

    promoting Professional Nursing in the Asia Pacific Region. Its mission is for the

    Filipino nurses to be committed to provide society with professional Nursing

    service through innovations in education and training research and

    management that will improve the well-being and quality of life (Arguelles,

    2009).

    The construct of work orientations is used to consider a range of

    aspects that influence how employees relate to their work, the tasks they are

    expected to perform and the learning involved. It provides a framework for

    considering aspects like employees role performance, attitudes toward

    learning, occupational choices, and career plans, but also work motivation,

    levels of identification with work and commitment. Re-skilling or up-skilling

    could be achieved through self-directed learning, formal retraining or a return to

    education, but individuals also respond by switching to part-time work.

    Balancing work and private life is one of the key concerns when people need or

    seek to adjust their individual careers and having more balanced life is often the

    main driver for people making adjustments in their work lives (Kirpal, 2010).

    Related Studies

    Attributes Age, Gender, Civil Status

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    A study entitled The Younger, the Better? Age-Related

    Differences in Academic Performance at University stated that the importance

    of age-related differences in education attainments has been documented by

    several studies: within a given cohort or class, relatively younger individuals

    have a different performance with respect to relatively older individuals. More

    specifically, the oldest pupils in a given class or cohort typically outperform their

    youngest mates in a wide array of cognitive and academic outcomes. Contrary

    to most of the existing evidence, it was found that at the undergraduate level,

    the youngest students within a cohort perform better than their oldest peers,

    particularly in the most technical subjects.

    The first explanation is a combination of early learning and progression

    over the age profile of cognitive development. Although there still is some

    controversy on this issue, several studies (Fredriksson and Ockert 2005;

    Goodman and Sianesi 2005; Skirbekk 2005; Skirbekk et al., 2004) have shown

    that going to school earlier improves later outcomes. At the same time, the

    medical and psychological literature documents that, just like physical strength,

    cognitive abilities first develop and then deplete with age, with the turning point

    for the average person being probably in the early twenties (Jones 2010 and

    Salthouse., et al 2004). Hence, in the early stages of childhood development

    the effect of older students being more mature probably dominates the benefits

    of early learning. Later, such an advantage fades out and possibly reverses,

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    thus leading to the observed better performance of the youngest students in the

    cohort.

    Hence, we also explore a second possible explanation. Several

    psychological studies (Thompson et al., 2004 and Dhuey and Lipscomb, 2006)

    document the important role of relative age differences in the development of

    personality traits that favor the oldest pupils in a group. According to these

    studies, the youngest students in a cohort, who have likely been the smallest

    kids in their reference groups at early ages, should be less socially active and,

    hence, spend more time on studying, as predicted by a simple model of optimal

    time allocation. Relatively older students exert less effort and perform worse.

    Interpretation in this particular effect emerges only at university and it is

    irrelevant at younger ages because it is only in college that one gets full control

    of ones time (Pellizari and Billari, 2011).

    A study entitled A Tracer Study of Batch 2006 Graduates of the College

    of Nursing University of Perpetual Help System DALTA-Molino Campus. Out of

    59 respondents, majority of them or 50.85% were 26-30 years old, 69.59% are

    single, and 75% are female (Basilio et al.,2008)

    A study entitled Job Satisfaction and Acculturation Among Filipino

    Registered Nurses dealt with Filipino Nurses working in the US. Generally, the

    demographic profile of the sample was comparable to the overall profile of RNs

    in the US (U.S. Department of Health and Human Services [USDHHS], 2004).

    Similar to the national profile of RNs who are predominantly women (94.3%),

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    majority of Filipino RNs sampled were also women (88.5%). Other areas of

    similarities included age (mean age of sample was 43.72 compared to the

    national average of 46.8), area of clinical practice (63.5% of sample worked in

    acute care setting versus 56.2% of all U.S. RNs), and marital status (65.6% of

    sample were married compared to 70.5% of U.S. RNs; USDHHS, 2004).

    Noticeable differences were in areas of basic nursing education (96.9% of

    Filipino RNs were baccalaureate-prepared compared to 30.5% of U.S. RNs)

    and highest educational attainment (baccalaureate degree was the highest

    education for 79.2% of this sample compared to 34.2% of all U.S.RNs;

    USDHHS, 2004). This result however, was not surprising because the

    minimum entry-level requirement needed to practice nursing in the Philippines

    is a baccalaureate degree. Furthermore, the participants average length of

    U.S. residency was 15.5 years which was almost identical to the average length

    of respondents nursing practice in the US (15 years). The majority (n=70,

    72.9%) of the participants reported individual gross earnings of more than

    $60,000 per year (Ea et al., 2008).

    Philippine Nursing Licensure Examination (PNLE)

    A study entitled, Market Demand and Supply of Filipino Nurses from

    1998-2002: A Trend Analysis reflect statistically among others, the number of

    PNLE passers, that is, 29,359 or 59.29% of the 57,242. It was 55.80% or 9,541

    out of 17,101 in 1998; 49.86% or 6,558 out of 13,152 in 1999; 49.64% or 4,602

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    out of 9,271 in 2000; 53.57% or 4,430 out of 8,269 in 2001; and 44.74% or

    4,228 out of 9,449 in 2002 (Daplas, 2004).

    Synthesis

    The literatures and studies reviewed supported the present study.

    The same strengthened the views of this study.

    Corcega, Arguelles, Kirpal, and news from sunstar.com and

    mb.com dealt with employability of nurses as to employment status,

    position in current employment, and provisions made by the government

    to enhance the nursing profession in the Philippines.

    The studies of Pellizari and Billiari, Basilio, Ea, and Daplas

    provided nurses statistics on age, gender, civil status, and PNLE

    reviews which helped the researcher understand pertinent factors in the

    nursing profession.

    Becoming deeply aware of what is happening in the nursing

    profession is indeed, one vital role of this work.

    To be sure, the related studies and literatures were invaluable in

    developing a framework for the BSN institution in UPHSD-LP.

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    Chapter 3

    METHODOLOGY

    This section discusses the following significant components of the

    study: the Research Design; Population and Sampling; Respondents of the

    Study; Research Instrument; Validation of Instrument; Data Gathering

    Procedure; and Statistical Treatment of Data.

    Research Design

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    The study used the Quantitative Descriptive Survey Method of research.

    Quantitative Research uses statistics to analyze and interpret the data.

    According to Manuel and Medici, descriptive research describes what is. It

    involves the description, recording, analysis, and interpretation of the present

    nature, composition, and process of phenomena. Descriptive Survey Method is

    usually used by graduate students to attempt to analyze, interpret, and report

    the present status of their subject matter or problem (Ariola, 2006).

    In this study, UPHSD-LP BSN graduates attributes and curricular

    evaluation were described through survey questionnaires; the same were

    thereafter analyzed and interpreted to come up a framework for development.

    Population and Sampling

    UPHSD-LP BSN Graduates who passed the PNLE Board Examination

    from Academic Years 2001-2009 served as the population for this undertaking.

    Convenience sampling was used in this study. In convenience or

    accidental sampling, it uses the most conveniently available people as

    participants (Polit et al., 2006). Data sample came from the UPHSD-LPs

    College of Nursing.

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    Respondents/ Participants of the Study

    Respondents of the study were UPHSD-LP BSN graduates who passed

    the board exam from 2001-2009.

    Table 1

    Distribution of Respondents per year from 2001-2009

    SCHOOL YEAR FREQUENCY

    __________________________________________________________

    2009 37

    2008 9

    2007 13

    2006 11

    2005 17

    2001-2004 13

    Total 100

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    Table 1 presents the distribution of respondents per year from 2001 to

    2009. There were 100 respondents in this study: 37 for 2009; 17 in 2005; 13 in

    2007; 13 for 2001-2004; 11 in 2006; and nine in 2008.

    Research Instrument

    The instrument that was used is a self-made type of survey

    questionnaire. It was designed to draw attributes and curricular evaluation of

    nurses. The questions were answered by UPHSD-LP nurse graduates from

    Academic Years 2001-2009.

    Part I of the questionnaire covered UPHSD-LP BSN graduates

    attributes which include Part I.A. Personal (age, gender, and civil status); Part

    I.B. PNLE rating; and Part I.C. Employability.

    Part II dealt with the curricular evaluation of the respondents. Adequacy

    of their responses was measured utilizing a 5-point rating scale: 5 Very

    Adequate, 4 - Adequate, 3 Fairly Adequate, 2 Minimally Adequate, and 1

    Inadequate.

    Validation of Instrument

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    The instrument was validated by the following experts: (1) Ma. Imelda

    Javier, MAN, Dean of the UPHSD-LP College of Nursing; (2) Florencia Marfil,

    PhD, Dean of the UPHSD-LP College of Education; and (3) Alberto Mendoza,

    EdD, Professor at the UPHSD-LP Graduate School of Education. Truly, their

    comments and suggestions formed the backbone for the improvement of the

    research instrument.

    To test the reliability of the instrument, a pilot study was conducted to 10

    nursing students at the Southville International School and Colleges. The Dean

    of Nursing, Dean Carmel Villegas, and Student Service Coordinator, Mr. Rene

    Aligonero, provided needed data to perform the said pilot testing.

    The Pilot study was analyzed by Dr. Jesus B. Gollayan. The set of

    gathered data was analyzed using the Split half method for reliability coefficient

    with the application of Pearson Product Moment of Coefficient of Correlation.

    Based on data obtained from odd-even items, the computed r- value of 0.862

    being higher than the critical r- value of 0.632, at five percent level of

    significance, revealed a significant high reliability of the instrument.

    Ma. Imelda Javier, the Dean of the UPSHD-LP College of Nursing and

    Mr. Albert S. Alday, UPHSD-LP Registrar provided data needed regarding

    UPHSD-LP nurse graduates.

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    Data Gathering Procedure

    The following were done to gather data needed for this study:

    1. The researcher wrote a letter of request addressed to the UPHSD-LP

    College of Nursing Deans Office and the UPHSD-LP Registrar. The

    letter was then reviewed for approval.

    2. The UPHSD-LP College of Nursing and the UPHSD Registrar were

    given details on the objective of the study.

    3. Survey Questionnaires were given to the respondents at the UPHSD-LP

    Medical Center and through social networking websites such as Face

    book and Linked In.

    4. Data gathered were verified to confirm that every question was

    answered.

    5. Subsequently, assessment and analysis of the data were done.

    Statistical Treatment of Data

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    The data were gathered and evaluated using the following statistical

    tests; thus:

    Frequency and percentage distribution. Frequency distributions are

    methods of imposing order on numeric data. Frequency Distribution is a

    systematic arrangement of numeric values from the lowest to the highest,

    together with a count/ percentage of the number of times each value was

    obtained (Polit et al., 2006).

    Percentage distributions refer to the number of parts divided by 100.

    Frequency and Percentage always go together for a certain number or

    characteristics to be fully described. These two measures both appear in

    presenting and analyzing tabular data or in the discussion of the information

    found in pertinent tables. The simplest way to calculate percentage is to divide

    the given amount by the total amount then multiplying the answer by 100 to get

    the percentage of the given amount with respect to the total amount (Parahoo,

    2006).

    This answered sub-problem number 1 on the UPHSD-LP BSN

    graduates Profile in terms of 1.1. Personal; 1.2. PNLE rating; and 1.3.

    Employability according to 1.3.1. Number Employed, 1.3.2. Position in Current

    Employment, 1.3.3. Time Spent to Get First Employment after Graduation, and

    1.3.4. Predominant Activities in the Present Job.

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    Ranking. In this study, ranking is applied for assigning the relative

    positions of items or categories using numbers in ascending order based on

    average ratings.

    Weighted mean. Weighted mean refers to the average rating obtained

    from multiplying the number of cases by the equivalent weights (scaled rating)

    divided by the total number of cases (Parahoo, 2006).

    Weighted mean and Ranking answered sub-problem number 2 on

    assessment of respondents in relation to identified aspects of the Nursing

    Curriculum in terms of Related Learning Experience (RLE), Major Nursing

    Subjects, Provision and Conditions Experienced in College and Application of

    the Course after Graduation.

    t-test. This is a test of whether a sample of observations comes from a

    larger sample with a normal distribution of statistical properties (Bloomsbury,

    2005).

    t-test answered sub-problem 3.1. in Significant Difference between

    personal attributes and Curricular Evaluation in terms of 3.1.1. Age versus

    Curricular Evaluation, 3.1.2. Gender versus Curricular Evaluation, and 3.1.3.

    Civil Status versus Curricular Evaluation. It also answered sub-problem 3.2. in

    Significant Difference between PNLE Ratings and Curricular Evaluation.

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    Analysis of Variance (ANOVA). This test refers broadly to a collection

    of experimental situations and statistical procedures for the analysis of

    quantitative responses from experimental units (Devore, 2008).

    ANOVA answered sub-problem 3.3. in Significant Difference between

    Respondents Employability and Curricular Evaluation in terms of 3.3.1.

    Employment Status versus Curricular Evaluation, 3.3.2. Position in Current

    Employment versus Curricular Evaluation, 3.3.3. Time Spent to Get First

    Employment after Graduation versus Curricular Evaluation, and 3.3.4.

    Predominant Activities in the Present Job versus Curricular Evaluation.

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    Chapter 4

    PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA

    This chapter provides answers to the problems posed for this study.

    The results were supported with appropriate statistical tools, such as

    Frequency, Percentage, Mean Distributions, t- test, and ANOVA. Profile

    categories were grouped to meet necessary and sufficient frequency for

    statistical analysis. These were discussed thoroughly in this chapter.

    Problem 1. The UPHSD-LP BSN Attributes in terms of:

    1.1. Personal

    Table 2Frequency and Percentage Distribution of Respondents Personal Attributes

    SCHOOL YEAR

    PROFILE 2001-2004 2005 2006 2007 2008 2009 TOTAL

    AGE

    20 - 29 (%) 0 13(76) 11(100) 13(100) 9(100) 35(94) 81

    30 - 39 (%) 13(100) 4(24) 0 0 0 1(3) 18

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    lix40 - 49 (%) 0 0 0 0 0 1(3) 1

    TOTAL 13 17 11 13 9 37 100

    GENDER

    MALE(%) 3(23) 4(24) 4(36) 3(23) 2(22) 16(43) 32

    FEMALE(%) 10(77) 13(76) 7(64) 10(77) 7(78) 21(57) 68

    TOTAL 13 17 11 13 9 37 100

    CIVIL STATUS

    SINGLE(%) 4(31) 10(59) 11(100) 13(100) 9(100) 36(97) 83

    MARRIED(%) 9(69) 7(41) 0 0 0 1(3) 17

    TOTAL 13 17 11 13 9 37 100

    1.1.1. Age. Out of the 100 respondents, majority were in the 20-29 age

    bracket, that is, 81 or 81%, and the least had 1 or 1% in the 40-49 age group.

    This showed that majority of the graduates were young since they

    belonged to the 20-29 age bracket. Predominantly, the profession is open to all

    where UPHSDs admission and graduation requirements posted no

    discrimination in terms of age.

    A study entitled A Tracer Study of Batch 2006 Graduates of the College

    of Nursing University of Perpetual Help System DALTA Molino Campus

    stated that, out of 59 respondents, majority of them or 50.85% were from 26-30

    years old (Basilio et al., 2008).

    This article supported the study because the majority of the respondents

    were included in 20-29 age bracket.

    1.1.2. Gender. Out of the 100 respondents, majority of them are female.

    There are 68 female respondents, while 32 respondents are male.

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    An article entitled Job Satisfaction and Acculturation among Filipino

    Registered Nurses dealt with Filipino Nurses working in the US. Similar to the

    national profile of RNs who were predominantly women (94.3%), majority of

    Filipino RNs sampled were also women (88.5%) (Ea et al., 2008).

    Another study entitled A Tracer Study of Batch 2006 Graduates of the

    College of Nursing in University of Perpetual Help System DALTA Molino

    Campus stated that majority of the 59 respondents, that is, 75% are female

    (Basilio et al., 2008).

    Although nursing remains a predominantly female profession, more

    male nurses are preferred by hospitals in terms of capacity to lift patients

    especially in the emergency and intensive care units, as observed by the

    researcher. Likewise, preference in recruit can be posited to have a balance of

    male and female counterparts in the wards catering medical and surgical

    cases.

    1.1.3. Civil Status. Out of 100 respondents, most of them are single. 83

    or 83% respondents fall in that category while the remaining 17 or 17% are

    married.

    This means that most of the respondents opt to remain single. It can

    then be said that nurses are career-driven individuals so much so that having a

    family of their own is just a second priority. The demand for nurses abroad and

    the overwhelming perks of remuneration they can get in practicing the

    profession in other countries or working locally are their main concerns.

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    A study entitled A Tracer Study of Batch 2006 Graduates of the College

    of Nursing University of Perpetual Help System DALTA Molino Campus

    stated that majority of the 59 respondents, or 69.59% are single (Basilio et al.,

    2008).

    1.2. PNLE Rating

    Table 3

    Frequency and Percentage Distribution of Respondents PNLE Rating

    PNLE 2001-2004 2005 2006 2007 2008 2009 TOTAL

    75 - 79(%) 9(69) 16(94) 10(91) 8(62) 8(89) 27(73) 78

    80 - 84(%) 4(31) 1(6) 1(9) 5(38) 1(11) 8 (22) 20

    85 - 89(%) 0 0 0 0 0 2(5) 2____

    TOTAL 13 17 11 13 9 37 100

    A large part of the respondents had a rating of 75 to 79% in the PNLE.

    Out of 100 respondents, there were 78 or 78% in that category. The least had 2

    or 2% respondents with an 85 to 89% PNLE rating. This showed that the

    respondents belonged to the average or below average level; however, there

    were 2 respondents who got 85-89% PNLE rating.

    In almost a decade, UPHSD remained in the status quo board

    performance as shown in the data ranging from 75-79%, 80-84%, and 85-89%.

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    Out of 37 examinees in School Year 2009, only 2 or 5% registered improved

    PNLE ratings ranging from 85-89%. On the other hand, there was no

    improvement in PNLE ratings in terms of the national passing percentage. It is

    noteworthy that the same reflects the efforts of academicians, nursing leaders,

    and educators in trying to realize better performance in the PNLE. Verily,

    administrative efforts should also be taken into consideration to continuously

    work for the improvement of board performance.

    A study entitled Market Demand and Supply of Filipino Nurses from

    1998-2002: A Trend Analysis showed that, in 2004, out of 57,242 examinees,

    overall number of PNLE passers were 29,359 or 59.29%; in 1998, out of

    17,101, passers were 9,541 or 55.80%, In 2002, out of 9,449, only 4,228 or

    44.74% passed which showed a decline in ratings (Daplas, 2004).

    In UPHSD-LP, PNLE results from 1999-2009 showed that, as the

    number of PNLE examinees increased, the number of PNLE passers

    decreased (UPHSD-LP PNLE Examinees and Passers).

    Coupled with the increase in enrolment in the oversubscribed courses

    was the decline in the performance level across all programs in licensure

    examinations administered by the Professional Regulation Commission from

    38% in 2006 to 36.50% last year (Sunstar.com, 2011).

    Alterations in quality of learning due to overpopulation might be one of

    the reasons as to why there was a decline or low passing rates in the PNLE.

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    1.3. Employability

    1.3.1. Number of Graduates Employed

    Table 4

    Frequency Distribution of Respondents Current Employment Status

    CURRENT EMPLOYMENT STATUS FREQUENCY_____________________________________________________________________

    Government 7

    Private 79

    Not Employed 14_____________________________________________________________________

    TOTAL 100

    Out of 100 respondents, a majority of them were employed in private

    institutions, that is, 79 or 79%. The lowest numbers of respondents were 7 or

    7% who were employed in government institutions.

    If a student has graduated from a private institution, he or she is

    expected to land a job in private employment too. As observed by the

    researcher, majority (79) of the graduates had difficulty getting employed in

    government and that most of the jobs available are in private institutions.

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    A journal study entitled Nurse Supply and Demand in the Philippines

    stated that most of the nurses were employed in government agencies, while

    the rest worked in the private sector or in nursing education institutions

    (Corcega, 2000).

    According to the Department of Health, it is estimated that more than

    200,000 Filipino nurses were unemployed as of March 2011 (mb.com.ph,

    2011).

    Lack of respondents might be the cause; that is why the results of this

    study contradicted the related study.

    1.3.2. Position in Current Employment

    Table 5

    Frequency Distribution of Respondents Position in Current Employment*

    POSITION FREQUENCY_____________________________________________________________________

    Nurse 40

    Overseas Filipino Worker 25

    Others* 21

    Not employed 14

    _____________________________________________________________________

    TOTAL 100

    * Others include: Call center agent/ team leader

    Medical representative

    Cabin Crew, Wedding film maker, Broker, Pharmacist, Fast food service crew

    Out of 100 respondents, majority of the respondents were 40 or 40% of

    the nurses were employed locally, while 14 or 14% were unemployed.

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    Only 40% of the graduates were practicing their profession in the

    country, while the rest were employed in health-related or even non-health

    related professions.

    A Study on Nurse Supply and Demand in the Philippines points out

    that in 2003, 58% of the total supply of nurses was employed either in the

    Philippines or internationally. The majority of employed nurses were employed

    abroad and in the Philippines; most were employed by government agencies,

    while the rest worked in the private sector or in nursing education institutions

    (Corcega et al., 2000).

    In the major thrusts of both the Department of Labor and Employment

    (DOLE) and Commission on Higher Education (CHEd), it may seem that the

    CHEd prioritizes courses wherein there is a great demand for workers. Toward

    this end, collaboration among the DOLE, CHEd, and the PRCC is extensively

    being done.

    Alarmed by the growing mismatch between the skills of graduates and

    the needs of the job market, the CHEd bared the priority courses in tertiary

    education that it would prefer college students to take by academic year 2011

    (Sunstar.com, 2010).

    In the Nursing Roadmap by 2030, the Philippines shall be the lead in

    promoting Professional Nursing in the Asia Pacific Region. Its mission is for the

    Filipino nurses to be committed to provide society with professional Nursing

    service through innovations in education and training research and

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    management that will improve the well-being and quality of life (Arguelles,

    2009).

    1.3.3. Time Spent to Get First Employment after Graduation

    Table 6

    Frequency Distribution of Respondents Time Spent to Get First Employment

    After Graduation

    TIME SPENT FREQUENCY

    Before graduation 2

    One month- a year after graduation 68

    More than 1 year after graduation 27

    No job search at all 3

    TOTAL 100

    Out of 100 respondents, majority of them got a job one month to a year

    after graduation, that is, 68 or 68% of the respondents, while a few of them

    were employed before graduation, that is, 2 or 2%.

    It is noteworthy that the UPSHD graduates are employable as

    evidenced by the fact that 68% of them landed a job one month to a year after

    graduation. Although a handful, that is, 27% still waited more than a year after

    graduation.

    Most of the nursing graduates, even those who passed the board

    examinations, have remained unemployed due to the decreasing demand for

    the profession. The majority of the nursing graduates fail to find employment intheir preferred profession and finding the opportunity to have jobs related to

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    their chosen career has become part of their efforts to survive after graduation

    (mb.com.ph, 2012).

    This article contradicted the data gathered from the respondents due to

    lack of respondents.

    1.3.4. Predominant Activities in the Present Job

    Table 7

    Frequency Distribution of Respondents Predominant Activities in the Present

    Job

    PREDOMINANT ACTIVITIES FREQUENCY

    I have spent most of the time on a regular job 61

    I had mainly various temporary jobs 25

    I had mainly more than one job at the same time 3

    Others* 11

    TOTAL 100

    *Others include: I was most of the time unemployedI mainly embarked on further study

    I was predominantly engaged in child rearing or family matters

    Out of 100 respondents, majority of them have spent most of their time

    in a regular job. There were 61 or 61% respondents in that category. A few of

    them, that is, 3 or 3% which had more than one job at the same time.

    Corollary to the job placement after graduation, these graduates were

    able to attain regularly statuses. It is also notable that although a limited

    number of graduates intend to pursue higher studies, continuing education

    remains to be a part and parcel of these individuals lives.

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    The construct of work orientations is used to consider a range of

    aspects that influence how employees relate to their work and the tasks they

    are expected to perform and the learning involved. It provides a framework for

    considering aspects like employees role performance, attitudes toward

    learning, occupational choices and career plans, work motivation, and levels of

    identification with work and commitment. (Kirpal, 2011).

    Problem 2 The Assessment of Respondents in Relation to

    Identified Aspects of the UPHSD-LP BSN Curriculum

    Table 8

    Mean Assessment of Respondents in Relation to Identified Aspects of BSN

    Curriculum*

    CATEGORIES WEIGHTED MEAN INTERPRETATION

    RLE 3.65 Adequate

    Major Nursing Subjects 3.64 Adequate

    Study Provisions and

    Conditions Experience in College 3.56 Adequate

    Application of the Course after Graduation 3.53 Adequate

    MEAN 3.60 Adequate

    * Detailed Assessment on identified aspects of BSN Curriculum is shown in the Appendix D.

    The category that had the highest mean was RLE (3.65) and the

    lowest mean was in Application of the Course after Graduation (3.53),

    nevertheless, all categories have an interpretation of Adequate. Total mean

    was 3.60 with an interpretation of Adequate.

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    Detailed mean and rank distributions on UPHSD-LP BSN curriculum is

    shown in Appendix D. In RLE, nursing graduates had most exposures in

    Community, Operating and Delivery areas and had least exposures in

    Orthopedic and Hemodialysis areas. In Major Nursing Subjects, least ranked

    was the Reliability of the Methodology in Preparation for the PNLE. In Study

    Provisions and Conditions Experienced in College, least ranked was Chances

    to Participate in Activities; and in Application of the Course after Graduation,

    least ranked was For the Economic Development of the Country.

    It is a fact that the graduates have not fully applied what they have

    learned in the undergraduate program, as evidenced by Table 5 that; there,

    only a few (40% excluding the OFWs) were able to practice the profession. In

    Adequacy of the Program in terms of RLE (WM=3.65); Major Nursing

    Subjects (WM=3.64), Study Provisions and Conditions Experienced in

    College (WM=3.56), the graduates were educated utilizing the appropriate

    curriculum but need to focus on the ready market after graduation. Hence, a

    response of Adequate still needs to be realized by the institution.

    In UPHSD-LP, PNLE results from 1999-2009 showed that as the

    number of PNLE examinees increased, the number of PNLE passers

    decreased (UPHSD-LP PNLE Examinees and Passers).

    The overall PNLE rating in UPHSD-LP started to decline; this might be

    the cause why least-ranked was the Reliability of Methodology in Preparation

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    for the PNLE. Also, the increase in number of students resulted to inability to

    participate in every activity.

    In 1999-2010, enrollment in medical and allied courses, which includes

    nursing, rose from 150,634 to 654,611. Coupled with the increase in enrolment

    in the oversubscribed courses was the decline in the performance level across

    all programs in licensure examinations administered by the Professional

    Regulation Commission from 38% in 2006 to 36.50 last year (Sunstar.com,

    2011).

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    Problem 3 Significant difference in the Assessment of

    Respondents in Relation to Identified Aspects of the UPHSD-LP BSN

    Curriculum when grouped according to profile variables.

    3.1. Significant difference: Personal Attributes vs. Curricular

    Evaluation

    3.1.1. Age vs. Curricular Evaluation

    Table 9

    Comparative Analysis on UPHSD - LP BSN Curricular Evaluation ofRespondents When Grouped According to Age

    ASPECT MEAN COMPUTED CRITICAL* INTERTPRETATION DECISION

    RLE

    20 29 3.69

    30 ABOVE 3.54

    t -value 1.080 1.984 Not Significant Ho: Not Rejected

    MAJOR NURSING SUBJECTS

    20 29 3.69

    30 ABOVE 3 49

    t -value 1.517 1.984 Not Significant Ho: Not Rejected

    STUDY PROVISIONS AND CONDITIONS EXPERIENCED IN COLLEGE

    20 29 3.60

    30 ABOVE 3.40

    t -value 1.451 1.984 Not Significant Ho: Not Rejected

    APPLICATION OF THE COURSE AFTER GRADUATION

    20 29 3.23

    30 ABOVE 3.61

    t -value -2.178 1.984 Significant Ho: Rejected

    * = 0.05, 2 tailed, & 98 df

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    The mean rating of the 20-29 and the 30 and above age brackets were

    3.69 and 3.54, respectively, in RLE; 3.69 and 3.49 in Major Nursing

    Subjects; 3.60 and 3.40 in Study Provisions and Conditions Experienced in

    College; and 3.23 and 3.61 in Application of the Course after G raduation.

    Analysis show that difference in mean ratings on age were found not

    significant in RLE, Major Nursing Subjects and Study Provisions and

    Conditions Experienced in College because their computed t -value of 1.080,

    1.517, and 1.451 are lower than the critical value of 1.984. Thus, the null

    hypothesis is Not Rejected.

    However, analysis shows that difference in mean ratings on age was

    found significant in application of the course after graduation since their

    computed t-value of -2.178 is higher than the critical value of 1.984. Therefore,

    the null hypothesis is rejected.

    Age had an effect on application of the course after graduation. Those

    who were younger might be able to recall or apply what they have learned

    better than those who were older.

    A study entitled The Younger, the Better? Age-Related Differences in

    Academic Performance at University maintained that the importance of age-

    related differences in education attainments has been documented by several

    studies: within a given cohort or class, relatively younger individuals have a

    different performance with respect to relatively older individuals. More

    specifically, the oldest pupils in a given class or cohort typically outperform their

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    youngest mates in a wide array of cognitive and academic outcomes. Contrary

    to most of the existing evidence, it was found that, at the undergraduate level,

    the youngest students within a cohort perform better than their oldest peers,

    particularly in the most technical subjects (Pellizari and Billari, 2011).

    3.1.2. Gender vs. Curricular Evaluation

    Table 10

    Comparative Analysis on UPHSD LP BSN Curricular Evaluation of

    Respondents When Grouped According to Gender

    ASPECT MEAN COMPUTED CRITICAL* INTERTPRETATION DECISION

    RLE

    MALE 3.56

    FEMALE 3.70

    t -value -1.232 1.984 Not Significant Ho: Not Rejected

    MAJOR NURSING SUBJECTS

    MALE 3.64

    FEMALE 3.66

    t -value -0.235 1.984 Not Significant Ho: Not RejectedSTUDY PROVISIONS AND CONDITIONS EXPERIENCED IN COLLEGE

    MALE 3.49

    FEMALE 3.60

    t -value -0.940 1.984 Not Significant Ho: Not Rejected

    APPLICATION OF THE COURSE AFTER GRADUATION

    MALE 3.29

    FEMALE 3.31

    t -value -0.160 1.984 Not Significant Ho: Not Rejected

    * = 0.05, 2 tailed, & 98 df

    The mean ratings of male and female groups were 3.56 and 3.70,

    respectively, in RLE; 3.64 and 3.66, respectively, in Major Nursing Subjects;

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    3.49 and 3.60 in Study Provisions and Conditions Experienced in College;

    and 3.29 and 3.31 in Application of the Course after Graduation.

    Analysis shows that the difference in mean ratings on Gender were

    found Not Significant in all fourcategories in Curricular Evaluation since the

    computed t-value of -1.232 in RLE; -0.235 in Major Nursing Subjects; -0.940

    in Study Provisions and Conditions Experienced in College; and -0.160 in

    Application of the Course after Graduation were all lower than the critical

    value of 1.984 in all categories; therefore, the null hypothesis is Not Rejected.

    This shows that gender difference had no effect on curricular evaluation.

    3.1.3. Civil Status vs. Curricular Evaluation

    Table 11

    Comparative Analysis on UPHSDLP BSN Curricular Evaluation of

    Respondents When Grouped According to Civil Status

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    ASPECT MEAN COMPUTED CRITICAL* INTERTPRETATION DECISION

    RLE

    SINGLE 3.71

    MARRIED 3.42

    t -value 2.106 1.984 Significant Ho: Not Rejected

    MAJOR NURSING SUBJECTS

    SINGLE 3.69

    MARRIED 3.47

    t -value 1.600 1.984 Not Significant Ho: Not Rejected

    STUDY PROVISIONS AND CONDITIONS EXPERIENCED IN COLLEGE

    SINGLE 3.60

    MARRIED 3.36

    t -value 1.657 1.984 Not Significant Ho: Not Rejected

    APPLICATION OF THE COURSE AFTER GRADUATION

    SINGLE 3.29

    MARRIED 3.40

    t -value -0.610 1.984 Not Significant Ho: Not Rejected

    * = 0.05, 2 tailed, & 98 df

    The mean ratings of single and married groups were 3.71 and 3.42,

    respectively in RLE; 3.69 and 3.47, respectively, in Major Nursing Subjects;

    3.60 and 3.36, respectively, in Study Provisions and Conditions Experienced in

    College; and 3.29 and 3.40, respectively, in Application of the Course after

    Graduation.

    Analysis shows that difference in mean ratings on Civil Status was

    found Significant in RLE for the reason that the computed t-value of 2.106 is

    higher than the critical value of 1.984; hence, the null hypothesis is Rejected.

    Analysis shows that the difference in mean ratings in Civil Status was

    found Not Significant in Major Nursing Subjects, Study Provisions and

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    Conditions Experienced in College, and in Application of the Course after

    Graduation as evidenced by their computed t-value of 1.600 in Major Nursing

    Subjects; 1.657 in Study Provisions and Conditions Experienced in College;

    and -0.610 in Application of the Course after Graduation, all lower than the

    critical value of 1.984. Consequently, the null hypothesis is Not Rejected.

    According to a study entitled An Examination of the Relationship of

    Gender, Marital Status and Prior Educational Attainment and Learner

    Autonomy, One aspect of this dimension (self-directed learning) is the

    personal attributes and characteristics of the individual learner (Derrick et al.,

    2007).

    This shows that marital status had no effect on curricular evaluation

    except on RLE. Single students devoted more time on theirRLE than those

    who were married.

    3.2. Significant Difference: PNLE vs. Curricular Evaluation

    Table 12

    Comparative Analysis on UPHSDLP BSN Curricular Evaluation of

    Respondents When Grouped According to PNLE Rating

    ASPECT MEAN COMPUTED CRITICAL* INTERTPRETATION DECISION

    RLE

    75 -79 3.62

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    lxxvii80 ABOVE 3.79

    t -value -1.357 1.984 Not Significant Ho: Not Rejected

    MAJOR NURSING SUBJECTS

    75 -79 3.58

    80 ABOVE 3.91

    t -value -2.688 1.984 Significant Ho: Rejected

    STUDY PROVISIONS AND CONDITIONS EXPERIENCED IN COLLEGE

    75 -79 3.48

    80 ABOVE 3.85

    t -value -2.869 1.984 Significant Ho: Rejected

    APPLICATION OF THE COURSE AFTER GRADUATION

    75 -79 3.21

    80 ABOVE 3.65

    t -value -2.764 1.984 Significant Ho: Rejected

    * = 0.05, 2 tailed, & 98 df

    The mean ratings of 75-79% and 80 and above PNLE ratings were 3.62

    and 3.79, respectively, in RLE; 3.58 and 3.91, respectively, in Major Nursing

    Subjects; 3.48 and 3.85, respectively, in Study Provisions and Conditions

    Experienced in College; and 3.21 and 3.65, respectively, in Application of the

    Course after Graduation.

    Analysis on the difference on PNLE ratings were found Significant in

    Major Nursing Subjects, Study Provisions and Conditions Experienced in

    College, and in Application of the Course after Graduation since their

    computed t-value are -2.688 in Major Nursing Subjects; -2.869 in Study

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    Provisions