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研究生:Navales, Juneffer Villamen
研究生(外文):Navales, Juneffer Villamen
論文名稱(外文):The Relationship between Quality of Nursing Work Life and Attitudes and Practices toward COVID-19 among Philippine Uniformed Nurses
指導教授(外文):Chen, Shu-Wen
口試委員(外文):Lai, Chien-Yu and Liu, Chieh-Yu
口試日期:2021-06-01
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2021
畢業學年度:109
語文別:英文
論文頁數:1
外文關鍵詞:Quality of Nursing Work Life, Attitudes and Practices toward COVID-19, Uniformed Nurses
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  • 被引用被引用:0
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Abstract
Background: Coronavirus Disease 2019 (COVID-19) is rapidly spreading worldwide. Healthcare providers are not exempted from the high morbidity and mortality rate of COVID-19. Philippines has a huge shortage of nursing manpower over two decades and uniformed nurses play a critical role during COVID-19 pandemic. The study aimed to assess the relationship of quality of nursing work life (QNWL) and attitudes and practices toward COVID-19.
Methodology: A quantitative descriptive cross-sectional design was used. Uniformed nurses were recruited from four government hospitals in Metro Manila, Philippines during COVID-19 pandemic. Using an online survey, participants completed basic demographic information, and two self-administered questionnaires: quality of nursing work life (QNWL) questionnaire, attitudes and practices toward COVID-19 questionnaire. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical linear regression analyses were conducted to gauge the relationship between demographics, QNWL, attitudes and practices toward COVID-19.
Results: The mean age of participants was 29 years (SD = 4.02). Majority of the participants were young adult (20-30 years), female (79/147, 53.7%), single (84/147, 57.1%), no children (74/147, 50.3%), and did not care of their spouse/partner/elderly parents (125/147, 85.0%). Most of them did not have certification in specialty area (142/147, 96.6%), involved in mandatory rotating shift in an in-patient department. The average scores of total QNWL were high (185.56, SD = 22.52). Participants had favorable attitudes (3.14, SD = 0.93) and good practices (2.98, SD = 0.70) toward COVID-19. There was a statistically significant relationship between QNWL and certified specialty area (p = 0.04*) while practices toward COVID-19 were associated with age (p = 0.01*), care of spouse/partner/elderly parents (p < 0.00**), ethnicity (p < 0.00***), rotating shift (p = 0.03*) and type of unit currently working (p < 0.00***). Moreover, practices toward COVID-19 is a significant predictor of QNWL (p = 0.04) including its subscale, work design (p < 0.00***). Thus, practices toward COVID-19 were statistically significant with QNWL.
Conclusion: Young-adult uniformed nurses took a big responsibility during COVID-19 pandemic in the Philippines. QNWL was associated with certified specialty area and practices toward COVID-19.

Abstract
Background: Coronavirus Disease 2019 (COVID-19) is rapidly spreading worldwide. Healthcare providers are not exempted from the high morbidity and mortality rate of COVID-19. Philippines has a huge shortage of nursing manpower over two decades and uniformed nurses play a critical role during COVID-19 pandemic. The study aimed to assess the relationship of quality of nursing work life (QNWL) and attitudes and practices toward COVID-19.
Methodology: A quantitative descriptive cross-sectional design was used. Uniformed nurses were recruited from four government hospitals in Metro Manila, Philippines during COVID-19 pandemic. Using an online survey, participants completed basic demographic information, and two self-administered questionnaires: quality of nursing work life (QNWL) questionnaire, attitudes and practices toward COVID-19 questionnaire. Descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and hierarchical linear regression analyses were conducted to gauge the relationship between demographics, QNWL, attitudes and practices toward COVID-19.
Results: The mean age of participants was 29 years (SD = 4.02). Majority of the participants were young adult (20-30 years), female (79/147, 53.7%), single (84/147, 57.1%), no children (74/147, 50.3%), and did not care of their spouse/partner/elderly parents (125/147, 85.0%). Most of them did not have certification in specialty area (142/147, 96.6%), involved in mandatory rotating shift in an in-patient department. The average scores of total QNWL were high (185.56, SD = 22.52). Participants had favorable attitudes (3.14, SD = 0.93) and good practices (2.98, SD = 0.70) toward COVID-19. There was a statistically significant relationship between QNWL and certified specialty area (p = 0.04*) while practices toward COVID-19 were associated with age (p = 0.01*), care of spouse/partner/elderly parents (p < 0.00**), ethnicity (p < 0.00***), rotating shift (p = 0.03*) and type of unit currently working (p < 0.00***). Moreover, practices toward COVID-19 is a significant predictor of QNWL (p = 0.04) including its subscale, work design (p < 0.00***). Thus, practices toward COVID-19 were statistically significant with QNWL.
Conclusion: Young-adult uniformed nurses took a big responsibility during COVID-19 pandemic in the Philippines. QNWL was associated with certified specialty area and practices toward COVID-19.

Table of Contents

Acknowledgement i
Abstract iii
Table of Contents v
Chapter I: Introduction 1
1.1 Research Background and Motivation 1
1.2 Significance of the Study 2
1.3 Definition of Terms 4
1.3.1 Quality of Nursing Work Life (QNWL) 4
1.3.2 Uniformed Nurses 4
1.3.3 Coronavirus Disease (COVID-19) Pandemic 5
1.3.4 Attitudes toward COVID-19 5
1.3.5 Practices toward COVID-19 5
Chapter II: Literature Review 7
2.1 Coronavirus Disease 2019 7
2.2 Theoretical Underpinning-Quality of Nursing Work Life (QNWL) 9
2.2.1 Work life home life 11
2.2.2 Work design 12
2.2.3 Work context 12
2.2.4 Work world 13
2.3 Demographic factors influencing nurses’ quality work life 13
2.4 Attitudes toward COVID-19 14
2.5 Practices toward COVID-19 15
2.6 Conceptual Framework 16
2.7 Aims of the Study 17
2.8 Research Questions 17
Chapter III: Research Methodology 19
3.1 Study design 19
3.2 Study setting 19
3.2.1 Victoriano Luna Medical Center 19
3.2.2 Philippine National Police General Hospital (PNPGH) 19
3.2.3 Coast Guard Medical Service 20
3.2.4 Philippine Air Force General Hospital 20
3.3 Participants 22
3.4 Sampling and sampling size 22
3.5 Research instruments 22
3.5.1 Quality of Nursing Work Life Questionnaire 22
3.5.2 Attitudes and Practices toward COVID-19 Questionnaire 25
3.6 Data Collection 26
3.7 Data Analysis and Statistical Analysis 28
3.8 Ethical Consideration 28
Chapter IV: Result 29
4.1 Demographic information of participants 29
4.2 Descriptive analysis of demographic characteristics for QNWL 31
4.3 Descriptive analysis of demographic characteristics for attitudes and practices toward COVID-19 34
4.4 Demographic characteristics and its association with QNWL, attitudes and practices toward COVID-19 35
4.5 Predicting factors of Quality of Nursing Work Life (QNWL) 40
4.5.1 Predicting Factors of QWNL Subscales 42
Chapter V: Discussion 44
5.1 Demographic characteristics and QNWL. 44
5.2 Demographic characteristics and attitudes and practices toward COVID-19 46
5.3 Predictors to QNWL 48
Chapter VI: Conclusion 50
6.1 Limitations 50
6.2 Implication to clinical practice 51
6.3 Implication to research 51
References 52
Appendices 58
Appendix I: Request for Permission Addressed to Concerned Offices 58
Appendix II: Cover Letter of the Research Questionnaire 59
Appendix III: Informed Consent 60
Appendix IV: Brooks’ Quality of Nursing Work Life (BQNWL) Survey 61
Appendix V: Request to use BQNWL Survey Questionnaire 65
Appendix VI: Permission to use BQNWL Survey Questionnaire 66
Appendix VII: Spine 67
Appendix VIII: Request to use the Questionnaire of Knowledge, Attitudes and Practices (KAP) Towards COVID-19 68
Appendix IX: Permission to use Questionnaire of KAP 69
Appendix X: Questionnaire of Attitudes and Practices towards COVID-19 70
Appendix XI: Institutional Review Board 71
Appendix XII: Study Schedule 72


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