Republic of the Philippines

ISABELA STATE UNIVERSITY

Echague, Isabela

COLLEGE OF NURSING



September 6,2011
To our Iellow students,
Greetings In the name oI our Lord!
We would like to inIorm you that we,the Iourth year nursing students oI the College oI
Nursing,Isabela State University,Echague campus are conducting a survey study entitled
'FACTORS AFFECTING THE PERFORMANCE OF NURSING. In this connection,may we
request you to Iill up the necessary inIormations and answer the Iollowing questionnaires
honestly.Rest assured that the interviewer takes the responsibility in guarding the conIidentiality
oI all inIormations generated through this instrument.
Thank you and God bless!
RespectIully yours,
APRIL ROCEL D.ANDRADA
CHRISTY M.CAGAYAN
JENNIVY TAGUDING
arL l
name__________________
Age
Male
lemale
?ear Level
8ellglon
8oman CaLhollc Saksl
lglesla nl CrlsLo Mormons
8orn Agaln Musllm
SevenLh uay AdvenLlsL
Scholarshlp
kabaLaan arLy LlsL LCMA Scholar
ueans llsLer uLA8
College Scholar
CMA Scholar
CccupaLlon of parenLs guardlans
Mother
uressmaker Lawyer 8usslnessman
Mldwlfe ollLlclan Pousemald
nurse Cook/Chef Careglver
uocLor 1eacher ClW
Manager
Iather
uressmaker Lawyer 8usslnessman
Mldwlfe ollLlclan Pousemald
nurse Cook/Chef Careglver


uocLor 1eacher ClW
Manager
ard|ans
uressmaker Lawyer 8usslnessman
Mldwlfe ollLlclan Pousemald
nurse Cook/Chef Careglver
uocLor 1eacher ClW
Manager
No of slbllngs
6 4 2
3 3 1

Month|y Income of parents
A300010000
81000013000
C1300020000
u2000023000
L2300030000
l3000033000
Cabove 30000
CLhers plsSpeclfy________________
Sources of lncome
uL a check mark on Lhe esLlmaLlon of lncome ln LhaL parLlcular occupaLlon
1Sa|ary emp|oyment |n pr|vate sector
A 300010000 l 3000033000
8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
2Sa|ary Lmp|oyment |n 8aranggay government
A 300010000 l 3000033000
8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
3Sa|ary Lmp|oyment Mn|c|pa| overnment
A 300010000 l 3000033000
8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
4Cther Sa|ary Lmp|oymemnt |n overnment
A 300010000 l 3000033000
8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
SCverseas Workers]kem|ttances
A 300010000 l 3000033000
8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
6Sma|| 8ss|ness

A 300010000 l 3000033000


8 1000013000 C3300030000
C 1300020000 P30000 and above
u 2000023000
L2300030000
Cccas|ona| |abor prov|ded by r|vate Sector
A 10003000 l 13000 and above
8 30003000
C 300010000
u 1000012000
L1200013000
8 Cccas|ona| |abor prov|ded by overnment
A 10003000 l 13000 and above
8 30003000
C 300010000
u 1000012000
L1200013000
9AsslsLance from frlends and relaLlves
A 10003000 l 13000 and above
8 30003000
C 300010000
u 1000012000
L1200013000
10 AsslsLance from baranggay capLaln
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
11AsslsLance from munlclpal mayor
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
12AsslsLance from Lhe governmenL
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
13AsslLance from oLher pollLlcal leader
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
14AsslLance from a governmenL welfare program
A 300 l 2300 and above


8 1000
C 1300
u 13002000
L20002300
13larmlng
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
16llshlng
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
17lllegal acLlvlLles
A 300 l 2300 and above
8 1000
C 1300
u 13002000
L20002300
18CLhersls speclfy___________________
art II lease read Lhe raLlng scale glven uL a check ( /) Lo Lhe column LhaL whlch respond Lo
Lhe mosL accuraLe descrlpLlon of Lhe servlces as Lhey exlL ln Lhe school

SCALL
3 SLrongly Agree
4 ModeraLely Agree
3 Agree
2 ulsagree
1 SLrongly ulsagree
3 4 3 2 1
I|nanc|a|
1 lncome of parenLs ls enough Lo supporL Lhe food of Lhe whole
famlly

2 SLudenLs have parL Llme [obs Lo help Lhelr parenLs ln paylng LulLlon
fees and oLher expenses

3 SLudenLs prefer Lo walk ln golng Lo school Lo save money for Lhelr


allowance
4 SLudenLs Lend Lo sklp meals/snacks Lo save money for oLher
school requlremenLs

3 arenLs flnd dlfflculLy ln glvlng book allowance
8 Iam||y
1 arenLs rlorlLlze needs of Lhe sLudenLs ln school
2 arenLs supporL Lhe sLudenL's emoLlon and psychologlcal needs
3 arenLs have enough Llme Lo bond wlLh Lhelr chlldren
4 arenLs are always llsLenlng Lo Lhelr chlldren's need and Lhey
show concern Lo sLudenLs grades and are affecLed lf Lhelr chlld
have falllng grades

3 lamlly lssues/problem can lnLerfere wlLh sLudenLs concenLraLlon
ln school

nosp|ta| o||cy
1 ulfferenL pollcles of hosplLals seems Lo confuse sLudenLs
2 ulfferenL hosplLal sLandard pollcles are a blg hlndrance Lo effecLlve
learnlng

3 SLudenLs can'L pracLlce Lhelr skllls because ln some hosplLals
sLudenLs are noL allowed Lo hands on paLlenL

4 1here are loLs of bad experlences ln Lhe hosplLal LhaL leads Lo
Lrauma and fear

3 Lxperlence ln Lhe hosplLal ls enough and en[oyable klnd of
learnlng

DSchoo| o||cy
1 1he speclflc pollcles of Lhe college of nurslng are well
dlssemlnaLed

2 A sLudenL who ls laLe ln academlc class for 30 mlnuLes ls
consldered absenL

3 A sLudenL who comes laLe durlng a qulz wlll sLlll be glven Lhe
chance for Lhe whole exam

4 regnanL sLudenLs should dlsconLlnue her sLudles Lo proLecL Lhe


baby
3 1lme alloLLed for class ls always followed
LStdy nab|ts
1 1here are many household chores LhaL lessen Llme for sLudylng
2 lond of uslng facebook or LexLlng durlng free Llme
3 SLudenLs cannoL concenLraLe revlewlng ln Lhelr boardlng house
due Lo unnecessary nolse

4 LxamlnaLlons are Laken for granLed
3 Spend much Llme chaLLlng wlLh frlends and acqualnLances
Iva||ab|||ty of too|s or Lq|pments |n Schoo| and nosp|ta|s
1 1he laboraLory ls always open for sLudenLs use
2 SLudenLs can [usL use Lools ln Lhe laboraLory for pracLlclng skllls
wlLhouL Lhe Cllnlcal lnsLrucLors

3 Mannequlns can be used by sLudenLs even lf lL ls noL lecLure or
duLy hours

4 1here ls enough lnformaLlon on how Lo use Lhe Lools
3 All Lools are avallable and ready Lo use
ersona||ty tra|ts of ||n|ca| Instrctor
1 1error or frlendly Cllnlcal lnsLrucLors greaLly affecL Lhe sLudenLs
learnlng capablllLy

2 SLudenLs have fear ln answerlng quesLlon because Leachers
mlghL scold Lhem

3 ulscusslng personal llfe of sLudenLs ln fronL of many sLudenLs
4 1eachers embarrass sLudenLs and say lnapproprlaLe words even
ln Lhe presence of oLher sLudenLs

3 1eachers do noL show any concern lf sLudenLs have falllng
grades