St. Anthony College of Roxas City, Inc. College of Nursing BSN 2019

i
ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

COLLEGE OF NURSING 2019
PROFESSIONAL QUALITIES AND COMPETENCIES OF NURSES AS CORRELATES

TO THEIR QUALITY OF PATIENT CARE AT SAINT ANTHONY COLLEGE
OF ROXAS CITY, INC. (HOSPITAL)
A RESEARCH STUDY
Presented to
the Faculty of Saint Anthony College of Roxas City, Inc.
College of Nursing
As Partial Fulfillment of the Requirements in

Nursing Research II for the Degree of
Bachelor of Science in Nursing
By
KRISTIAN DAVE B. DIVA
CRISTEL A. ESTAMPADOR
JOANA MARIE S. PANGAN
EDEL MICHAEL D. VILLARUZ
OCTOBER 2018
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ii

APPROVAL SHEET
In partial fulfillment of the requirements for the degree of Bachelor of Science in
Nursing, this research paper titled “Professional Qualities and Competencies of Nurses
as Correlates to their Quality of Patient Care at Saint Anthony College of Roxas City, Inc.
(Hospital)” prepared and submitted by Kristian Dave B. Diva, Cristel A. Estampador, Joana
Marie S. Pangan, and Edel Michael D. Villaruz is hereby recommended for approval and
acceptance for oral presentation.
______________________________________
SR. MARY JOHN L. VILLEZA, O.P., R.N., M.A.Ed.
Research Adviser
Approved by the Committee on Oral Examination with the grade of __________

on October 2018
PANEL OF EXAMINERS
_____________________________________
MABEL ALONA A. MACAHILIG, RN, MSN
_________________________________ __________________________________
EDEL B. DEGALA, RN, MSN STELLA H. CORDENILLO, RN, MSN
Accepted and approved as partial fulfillment of the requirements for the degree
BACHELOR OF SCIENCE IN NURSING.
____________________ _____________________________________
Date MABEL ALONA A. MACAHILIG, RN, MSN
DEAN, COLLEGE OF NURSING
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iii

ACKNOWLEDGEMENT
The completion of this research paper was made possible and successful through
the assistance and guidance of several people. We would like to offer our sincere
gratitude to all of them.
First of all, we gave thanks to our Almighty Father who provide us the knowledge,
wisdom and also for enlightening our minds to accomplish everything. Without his
unfailing love we wouldn’t have been able to achieve what we have accomplished.
Sr. Ma. Myrna C. Bas, D.C., M.A.Ed., The Chair of Vincentian Management team,
for giving us the opportunity to do a research and for providing us with adequate
educational tools we need in order to accomplish our nursing career.
Sr. Normita L. Guevara, D.C., the Hospital administrator, for allowing us to
conduct this kind of study and making this research study a success.
Mrs. Mabel Alona A. Macahilig, RN, MSN., our dearest Dean of the College of
Nursing, for her support and giving us the opportunity to make this research paper
successful and make impact to conduct this kind of study.
Sr. Mary John L. Villeza, O.P, R.N, M.A.Ed., our lovely, cheerful Research Adviser,
for her support, guidance, valuable comments and offering her valuable time to assist us
in completing our research paper.
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iv

Mr. Samson B. Begas, Ph.D and Mrs. Rubilyn B. Sumaylo, R.N., M.S.N for giving
us pieces of advice, suggestions and sharing their expertise to validate the questionnaire
Mrs. Edel B. Degala, R.N., M.S.N., and Mrs. Stella H. Cordenillo, R.N, M.S.N.
for assistance, words of encouragement, offering recommendations and suggestions to
better our study.
Mr. Francis E. Lopez, CPA for sharing his knowledge and helping the researchers
in the statistical analysis and interpretation of the gathered data.
Mrs. Amphy F. Das, LPT, RL, MLIS and Mr. Remen A. Olandres for lending the
reading materials needed and giving us wide range of resources on the web in the
accomplishment of this study.
Our Respondents for rendering their valuable time, effort and cooperation in
answering the questionnaires honestly and the overwhelming positive reinforcement.
Our Loving Parents, for all the financial and moral support we needed to enable
us to finish our research study.
To all the people who surrounds us and participated in this study. Thank you
because we have accomplished what was set before us through the assistance you all
have offered. We thank you from the bottom of our hearts and we will surely remember
you all for the rest of our lives.
The Researchers
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ABSTRACT
Title: Professional Qualities and Competencies of Nurses as Correlates to their Quality of
Patient Care at Saint Anthony College of Roxas City, Inc. (Hospital)
Researchers: Kristian Dave B. Diva, Cristel A. Estampador, Joana Marie S. Pangan and
Edel Michael D. Villaruz
Research Adviser: Sr. Mary John L. Villeza, O.P., R.N., M.A.Ed.
The main purpose of this study is to determine the professional qualities and
competencies of nurses as correlates to their quality of patient care at Saint Anthony
College of Roxas City, Inc. (Hospital)
Specifically, this study sought to answer the following questions:
1. What is the demographic profile of nurses at Saint Anthony College of Roxas City,
Inc. (Hospital) in terms of:
1.1 Sex;
1.2 Age;
1.3 Religion;
1.4 Civil status;
1.5 Educational Attainment;
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vi

1.6 Employment Status;
1.7 System of Authority;
1.8 Length of Service;
1.9 Monthly Income; and
1.10 In-service training attended for the past 3 years?
2. What is the demographic profile of patients admitted at Saint Anthony College of
Roxas City, Inc. (Hospital) in terms of:
2.1 Sex;
2.2 Age;
2.3 Civil Status;
2.4 Religion;
2.5 Educational Attainment;
2.6 Ward; and
2.7 Reason for Confinement?
3. What are the professional qualities of the respondents in terms of:
3.1 Professional Qualifications;
3.2 Personal Qualities; and
3.3 Professional Proficiencies?
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4. What are the competencies of the respondents in terms of:
4.1 Safe and Quality Nursing Care;
4.2 Communication;
4.3 Collaboration and Teamwork;
4.4 Health Education;
4.5 Legal Responsibilities;
4.6 Ethico - Moral Responsibilities;
4.7 Personal and Professional Development;
4.8 Record Management;
4.9 Management of Resources and Environment;
4.10 Quality Improvement; and
4.11 Research?
5. What is the quality of patient care of nurses at Saint Anthony College of Roxas City,
Inc. in terms of:
5.1 Knowledge;
5.2 Skills; and
5.3 Attitude?
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6. Are the professional qualities and competencies of nurses are significantly related
to their quality of patient care?
7. Which demographic profile of the respondents are significant predictors of
professional qualities, competencies of nurses and quality of patient care?
The descriptive-correlation research design was applied to this study. According to
Gay and Irasian (2003), Descriptive-correlation research combines both the descriptive
and correlation designs which are concerned with conditions of relationships that exist;
practices that prevail; beliefs, processes that are going on; effects that are being felt; or
trends that are developing. On the other hand, correlation research which is also known
as relationship investigation, typically studies a number of variables believed to be related
to major and complex variables.
This research design was deemed appropriate for this particular study because the
main concern was to determine the professional qualities and competencies of nurses as
correlates to their quality of patient care at Saint Anthony College of Roxas City, Inc.
(Hospital)
This study utilized 70 staff nurses and 55 patients admitted at Saint Anthony
College of Roxas City, Inc. (Hospital) as respondents. The research instrument used to
gather the needed data was a researcher’s questionnaire subjected to validity and
reliability testing. The computed Cronbach alpha was 0.97 and 0.84 which was considered
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ix

reliable, hence was utilized in this study. Having established the validity and reliability of
the questionnaire, it was produced according to the number of nurse and patient
respondents. The researchers requested permission from the nursing director to
administer the questionnaires. The data gathered were analyzed with the use of the
following statistical tools frequency counts, percentage, mean, pearson correlation
coefficient and multiple regression analysis.
The researchers used the frequency count and percentage to determine the
demographic profile of the respondents. The mean was used in order to determine the
professional qualities, competencies of nurses and the quality of patient care of nurses.
To determine if the professional qualities and competencies of nurses are significantly
related to their patient care, the pearson correlation coefficient was used and in order to
determine which demographic profile of the respondents are significant predictors of
professional qualities, competencies of nurses and quality of patient care, the Multiple
Regression Analysis was used.
Statistics revealed that out of 70 staff nurses, the female were predominant
because they constituted 78.87 percent. Fifty-eight of them (82.86%) were with ages
between 18-34 years old. Sixty-nine of them (98.60%) were catholic. Fifty-four of them
(77.10%) were single. Sixty-three of them (90.00%) were bachelor’s degree. Sixty-one of
them (87.20%) were staff nurses. Most of them (62.90%) were in the range of 2-9 years
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of service and majority of them (80.00%) had monthly income of Php. 8,000- 16-000 with
48 of them (68.6%) had 1-2 local training attended for the past 3 years and with 15 (21.4%)
national training attended.
Statistics revealed that out of 55 patients, the females are predominant because
they constituted 58.20 percent. Thirty-one of them (56.40%) were 51 years and above.
Forty-three of them (78.20%) were married. Fifty-three of them (94.50%) were catholic.
Sixteen of them (29.10%) were high school graduate. Most of them (59.70%) were
confined in service ward and majority of their reason of confinement were due to medical
reason (72.70%).
The grand mean score on the 15 statements on their professional qualities was
4.84. This grand mean score which was the average of the 15 means implies that nurses
had an “Excellent” professional qualities.
The grand mean score on the 55 statements on their competencies of nurses was
had an “Excellent” competencies.
The grand mean score on the 30 statements on their quality of patient care was
had a “Minimum Quality Care” as perceived by their patients.
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The pearson correlation of the professional qualities of nurses to their patient care
was -0.026 has a significant value of 0.833 which is greater than the 0.01 alpha and the
pearson correlation of the competencies of nurses to their patient care was of 0.043 has
a significant value of 0.722 which is greater than the 0.01 alpha.
In multiple regression analysis, the demographic profile of the Nurse-respondents
are not significant predictors of their professional qualities because the significant values
of the respective demographic profile are greater than 0.05 alpha. The demographic
profile of the Nurse-respondents are not significant predictors of their competencies of
nurses because the significant values of the respective demographic profile are greater
than 0.05 alpha. The demographic profile of the Patient-respondents are not significant
predictors of their Patient Care because the significant values of the respective
demographic profile are greater than 0.05 alpha.
Since, the Professional qualities and competencies of nurses are not significantly
related to their quality of patient care so, the null hypothesis was accepted
And since, the demographic profile of the respondents are not significant
predictors to professional qualities, competencies of nurses and quality of patient care.
Therefore, the null hypothesis was accepted.
Based on the findings and conclusion of the study, the following recommendations
were suggested by the researchers:
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xii

That nurses should not be confident enough to believed that they have an
excellent professional qualities and competencies as it contradicts to the result of the
quality of care for patients. Second, that they must observe the quality of care they
rendered to the patient if their nursing care is based from the indicators written under
the competencies of nurses. Lastly, that they may continue to update themselves for
personal and professional growth of nurses embedded with the Vincentian core values
and spirituality as well as that they must attend more trainings and seminars for them to
enhance their skills, knowledge and attitude in rendering care to their patients.
That future researchers may continue to conduct studies about professional
qualities, competencies of nurses, and quality of patient care. That they may utilize the
variables that are used in this study. lastly, that through this study, we may able to
enhance their knowledge and understanding about the qualities and competencies of
nurses in giving quality of care to patients.
This implies that nursing is a profession or practice of providing care for the sick
and dying. Without well qualified, competent and committed nurses, patients won't be
able to receive quality care. Giving good quality care is important as it signifies how
responsible nurses are. A good quality care to patients can let the nurses establish good
relationship as well as performing tasks that help improve their well-being. This to avoid
mistakes like medication error, poor infection control and accidents that can aggravate
the condition of the patient.
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xiii

TABLE OF CONTENTS
TITLE PAGE…………………………………………………………………………………………………………. i
APPROVAL SHEET ………………………………………………………………………………………….…… ii
ACKNOWLEDGEMENT……………………………………………………………………………………..…. iii
ABSTRACT …………………………………………………………………………………………………………. v
TABLE OF CONTENTS …………………………………………………………………………………………. xiii
LIST OF TABLES ………………………………………………………………………………….………………. xvii
LIST OF FIGURES ………………………………………………………………………………….……….……. xix
LIST OF APPENDIXES ………………………………………………………………………………………….. xx
LIST OF ABBREVIATIONS ……………………………………………………………………………………. xxi
CHAPTER
1 THE RESEARCH PROBLEM PAGE
Background of the Study…………………………….………………….….. 1
Statement of the Problem………………………….………………….….. 6
Hypotheses of the Study ……………………………………………….….. 9
Theoretical Framework ………………………………………………….…. 9
Conceptual Framework ………………………………………………….…. 13
Significance of the Study ……………………………………………….….. 15
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PAGE
Scope and Limitations of the Study ……………………………..……. 17
Definition of Terms……………………………………………………………. 18
CHAPTER
2 REVIEW OF RELATED LITERATURES AND STUDIES

Legal Bases …………………………………………………..….………..…….. 20
Conceptual Literature…………………………………………………..…… 24
Related studies ……………………………………………………….…...….. 37
Synthesis ………………………………………………………………….….…… 44
CHAPTER
3 RESEARCH DESIGN AND METHODOLOGY
The Research Design ………………………………………………………… 47
Research Locale ………………………………………………….……………. 48
The Respondents of the Study .…………………………………….….. 48
Research Instrument ...…………………………………………………….. 48
Validity and Reliability of the Questionnaires ....……….……… 51
Data Gathering Procedure ….….……………………………………..... 52
Data Analysis and Interpretation of Procedures …….………... 52
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CHAPTER
4 PRESENTATION, INTERPRETATION & ANALYSIS OF DATA PAGE
Demographic Profile of the Nurse-Respondents. ………..…… 54
Demographic Profile of the Patient-Respondents ……….…… 59
Professional Qualities of Nurses ……….……………….………..….. 63
Competencies of Nurses ……….………………………..….…………… 65
Quality of Patient Care ……….……………….……………….…………. 71
Relationship of the Professional Qualities of Nurses
to their Patient Care……….……………….……………….……………… 74
Relationship of Competencies of Nurses
to their Patient Care……….……………….……………….……………... 75
Multiple Regression Analysis of the Nurse-Respondents
Demographic Profile as Predictor to their
Professional Qualities. ……….……………….……………….……….…. 76
Multiple Regression Analysis of the Nurse-Respondents
Competencies ……………………….………………..…………….………… 77
Multiple Regression Analysis of the Patient-Respondents
Patient Care. ……….………………………………………………………….. 78
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CHAPTER
5 SUMMARY OF FINDINGS, CONCLUSIONS, RECOMMENDATIONS AND
IMPLICATIONS
Summary of Findings …………………………………………………….. 79
Conclusions ………………………………………….……………………….. 85
Recommendations ………………………………………………………... 85
Implications …………………………………………………………………… 86
REFERENCES ….…………………………….…………………………………………………….…………. 87
APPENDIXES ….………………………….….…………………………………………………….………… 92
CURRICULUM VITAE …………………….….…………………………………………………….……… 124
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LIST OF TABLES
Table Title Page
1 Respondents of the study 48
2 Demographic Profile of the 54
Nurse-Respondents
3 Demographic Profile of the 59
Patient-Respondents
4 Professional Qualities of Nurses 63
5 Competencies of Nurses 65
6 Quality of Patient Care 71
7 Relationship of the Professional Qualities
of Nurses to their Patient Care 74
8 Relationship of Competencies
of Nurses to their Patient Care 75
9 Multiple Regression Analysis of the
Nurse-Respondents Demographic Profile
as Predictor of their Professional Qualities. 76
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xviii

Table Title Page
Nurse-Respondents Demographic Profile
as Predictor of their competencies 77
Patient-Respondents Demographic Profile
as Predictor to their Patient Care. 78
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xix

LIST OF FIGURE
Figure Title Page
1 Schematic Diagram Showing the 13

Framework of the study
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xx

LIST OF APPENDIXES
APPENDICE PAGE
A Schedule of Activities 92
B-1 Letter of Permission to the Hospital Administrator 94
B-2 Letter of Permission to the Nursing Service Director 95
B-3 Letter of Permission to the Dean College of Nursing 96
C-1 Letter Request for validation of Research Instrument 97
D Letter to Statistician 100
E Letter to the Respondents 101
F Consent Form to Take Part in Research Study 102
G-1 Research Instrument for Nurses 103
G-2 Research Instrument for Patients 113
H Interview Guide Questions 119
I Summary of Observations 120
J History of the Hospital 121
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LIST OF ABBREVIATIONS
ANA – American Nurses Association
ANSAP - Association of Nursing Service Administrators of the Philippines
BON - Board of Nursing
CHED – Commission on Higher Education
CHED-TCNE – Commission on Higher Education – Technical Committee of Nursing Education
CIRN – Competency Inventory for Registered Nurses
COPA - Competency Outcomes Performance Assessment
NCCRP – The Nursing Core Competency Revisiting Project
NCS – National Citizen Service
NNCCS – National Nursing Core Competency Standard
PNA - Philippine Nurses Association
PRBON - Professional Regulatory Board of Nursing
RAND – Research and Development
SPSS – Statistical Package for the Social Sciences
VAS – Visual Analogue Scale
WHO – World Health Organization

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i

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

PROFESSIONAL QUALITIES AND COMPETENCIES OF NURSES AS CORRELATES

As Partial Fulfillment of the Requirements in

KRISTIAN DAVE B. DIVA

JOANA MARIE S. PANGAN

EDEL MICHAEL D. VILLARUZ

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

Approved by the Committee on Oral Examination with the grade of __________

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

gratitude to all of them.

educational tools we need in order to accomplish our nursing career.

Sr. Normita L. Guevara, D.C., the Hospital administrator, for allowing us to

successful and make impact to conduct this kind of study.

in completing our research paper.

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

for assistance, words of encouragement, offering recommendations and suggestions to

better our study.

in the statistical analysis and interpretation of the gathered data.

accomplishment of this study.

answering the questionnaires honestly and the overwhelming positive reinforcement.

us to finish our research study.

you all for the rest of our lives.

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

Title: Professional Qualities and Competencies of Nurses as Correlates to their Quality of

Patient Care at Saint Anthony College of Roxas City, Inc. (Hospital)

Edel Michael D. Villaruz

Research Adviser: Sr. Mary John L. Villeza, O.P., R.N., M.A.Ed.

competencies of nurses as correlates to their quality of patient care at Saint Anthony

College of Roxas City, Inc. (Hospital)

Specifically, this study sought to answer the following questions:

Inc. (Hospital) in terms of:

1.4 Civil status;

1.5 Educational Attainment;

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

1.6 Employment Status;

1.7 System of Authority;

1.8 Length of Service;

1.9 Monthly Income; and

1.10 In-service training attended for the past 3 years?

2. What is the demographic profile of patients admitted at Saint Anthony College of

Roxas City, Inc. (Hospital) in terms of:

2.3 Civil Status;

2.5 Educational Attainment;

2.6 Ward; and

2.7 Reason for Confinement?

3. What are the professional qualities of the respondents in terms of:

3.1 Professional Qualifications;

3.2 Personal Qualities; and

3.3 Professional Proficiencies?

ST. ANTHONY COLLEGE OF ROXAS CITY, INC. BSN

4. What are the competencies of the respondents in terms of:

4.1 Safe and Quality Nursing Care;

4.3 Collaboration and Teamwork;

4.4 Health Education;

4.5 Legal Responsibilities;

4.6 Ethico - Moral Responsibilities;

4.7 Personal and Professional Development;

4.8 Record Management;