Republic of The Philippines Camarines Sur Polytechnic Colleges

Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur
GRADUATE SCHOOL
CHAPTER 1
FACTORS AFFECTING WORK-RELATED STRESS AMONG STAFF NURSES IN
SECONDARY PRIVATE HOSPITAL IN CATANDUANES
INTRODUCTION
Hospitals are inherently stressful organizations. Health professionals make critical
decisions under time pressure, help patients who sometimes are in life threatening
conditions and face emotionally demanding interactions. For nurses in particular, working
in hospitals is even more demanding as they have less work autonomy, less career
development opportunities, and less alternatives for career change (Aiken et al., 2013).
The current economic crisis and the pressure to balance budgets with less financial
resources add extra burden on the nursing personnel due to the understaffing and the
resulting workload. At the same time, the use of technology in medical care brings new
challenges in terms of acquiring new knowledge and mastering new skills. The nursing
profession is among the most exposed to work strain with negative consequences for
their physiological health and psychological well-being (Aiken et al 2013).

GRADUATE SCHOOL
Nursing is a challenging job and issues arise that are out of your control. Being a
nurse is tough. Burnout is known to occur and this has been associated with poor patient
outcome. It is the nurses who spend the most time with patients in the hospital. Therefore
if good patient care is to be achieved, the problems and issues of nurses should also be
given importance. As Dr. Albert Hazan (in a KevinMD post) puts it, “patient satisfaction
must start with nursing satisfaction”. The nursing profession faces a huge dilemma.
Despite the great need for nurses in the Philippines, there’s widespread unemployment,
and many have no other choice but to go abroad. Problems related to interprofessional
working relationships may also arise which may also affect patient care.
Meanwhile in countries like the Philippines, difficulty in the recruitment of
experienced nurses is being observed especially among private hospitals as some nurses
eventually leave their hospital for greener pastures abroad. There are 200,000
unemployed nurses in the country. Yet those who work in government and private
hospitals are overworked and underpaid. By Anne Marxze D. Umil. We can no longer
deny the strong demand for nurses to serve the country, yet more than 300,000 remain
unemployed, and around 250,000 are underemployed or misemployed. Most nurses in
hospitals and communities are contractuals and have no security of tenure. Nurse wages
at P250-P350 a day cannot even sustain decent family living. The phrase “overworked
GRADUATE SCHOOL
and underpaid” has become synonymous to the nursing profession. The nurse-patient
ratio in hospitals remains high at 1:50 up to 1:80. Nurses are exposed to verbal and
physical abuse in addition to disease. Health professionals and students commonly use
the word “toxic” – not to mean poisonous, but might be just as hazardous – to describe a
difficult situation, which could mean an overload of patients, multiple serious cases, and
prolonged working hours.
The Continuing Professional Development Act of 2016 implemented by the
Professional Regulation Commission has become an added burden, a cross to carry
and bear, where nurses have to shell out from P30,000 to P50,000 to acquire CPD units
and renew their licenses. Under this situation, many nurses are forced to go abroad to
finance the needs of their families and loved ones in the Philippines. In fact, around
19,000 nurses leave the country every year to work abroad.
Work-related stress is a growing problem around the world that affects not only the
health and well-being of employees, but also the productivity of organizations. Work-
related stress arises where work demands of various types and combinations exceed the
person’s capacity and capability to cope.

GRADUATE SCHOOL
Background of the Study
The Researcher is a nurse in the hospital for 5 years assigned in different areas.
In 5 years of working, the researcher experience different kinds of work pressures and
work related stress in the hospital. The researcher also observed that only few stays in
their institution and choose to go abroad or shift to other profession.
The researcher himself, managed to overcome different challenges in the hospital.
To further manage different factors of work-related stress, the researcher conducted in-
depth study on the causes of work related stress, factors affecting it and its effect to
nurses working in the hospital. The researcher had encounter certain guidelines and
researches that shows different kinds of stress and its management. The results of this
study will be able to become a basis for policy or protocol making
The personal experiences of the researcher as a nurse in the hospital who faces
different work related stress and challenges served as her inspiration to help nurses to
have better coping mechanism and stress management and become more competent
and committed to nursing practice, which became the main purpose of this study.
GRADUATE SCHOOL
Statement of the Problem
Most of the Filipino nurses nowadays have the mentality of going abroad after
2years of working in Philippine hospitals as one of the most requirements of the
international recruitment agencies today. They will also stay at the Philippines after
passing the boards only for the experience. Others choose to shift to other profession.
Mostly, the primary reason are financial issues among Filipino nurses. Other
problems are having long working hours, under staffing, under compensated,
discrimination and job hazards.
In response to this problem, this study proposes to investigate several factors
affecting the nurses work. We plan to carry out an all-inclusive participatory investigation
through questionnaire to further identify causes and effect of work related
stress/pressures that will help the management or the organization formulate new rules
and regulations and provide better policies for the staff/employees.
Specifically, this study sought to answer the following questions:
1. What was the profile of the respondents in terms of:
1.1 Age
GRADUATE SCHOOL
1.2 Gender
1.3 Civil Status
1.4 Department or Area
1.5 Position
1.6 Length of experience?
2. What are the causes of work-related stress based on your personal experience.
2.1 Long working hours
2.2 Changes within the organization or management
2.3 Changes to duties or shift
2.4 Job insecurity
2.5 lack of autonomy
2.6 Boring work
2.7 Insufficient skills for the job

GRADUATE SCHOOL
2.8 Over supervision
2.9 Under supervision
2.10 lack of equipment
2.11 Few promotional opportunities
2.12 Discrimination
2.13 Poor relationship to colleagues
2.14 Poor communication skills
2.15 Inappropriate behavior of watcher
3. What do you think are the effects of work related stress on you in terms of:
Physical symptoms
3.1 Fatigue
3.2 Muscular tension
3.3 Headaches
3.4 Heart palpitations
3.5 Sleeping difficulties, such as insomnia

GRADUATE SCHOOL
3.6 Gastrointestinal upsets, such as diarrhea or constipation
3.7 Dermatological disorders.
Psychological symptoms
3.8 Depression
3.9 Anxiety
3.10 Discouragement
3.11 Irritability
3.12 Pessimism
3.13 Feelings of being overwhelmed and unable to cope
3.14 Cognitive difficulties, such as a reduced ability to concentrate or make
decisions.
Behavioral symptoms
3.15 An increase in sick days or absenteeism
3.16 Aggression
3.17 Diminished creativity and initiative
3.18 A drop in work performance

GRADUATE SCHOOL
3.19 Problems with interpersonal relationships
3.20 Mood swings and irritability
3.21 Lower tolerance of frustration and impatience
3.22 Disinterest
3.21 Isolation.
Setting of the Study
The study will be conducted in two (2) secondary private hospitals in
Catanduanes. These hospitals are as follows: Catanduanes doctors hospital and
Immaculate Heart of Mary Hospital.inc.
Catanduanes Doctors Hospital located at Valencia Virac, Catanduanes is a
secondary level, and has an authorized 100-bed capacity.
Immaculate Hearts of Mary Hospital located at Rawis Virac, Catanduanes has an
authorized 50 bed capacity, secondary care.

GRADUATE SCHOOL
Figure 1
Vicinity Map of Catanduanes
Theoretical Framework/Conceptual Framework
This Chapter presents the theoretical Framework of the topic and includes the
definitions related to work-related stress. The concepts of this study are anchored in the
identified in the work-related stressors by French et al. (2000) such physical,
psychological and social environment. Figure 1 shows the relationship between selected
socio demographic factors and work related stress. The dentified work related stressors
are the dependent variable of the study. On the other hand, the socio-demographic
factors including age, civil status, number of patients handled per day or acuity of care,
highest educational attainment, length of service and type of hospital are independent
variables.
GRADUATE SCHOOL
Age
Civil status
Acuity of care Work related stressors
Highest educational attainment
Length of service
Figure 2. The relationship between selected socio-demographic factors and work

related stess
Work-related stress is a growing problem that results in substantial cost to
individual employees and organization around the globe. The changing nature of work
has placed unprecedented demands on employees, and fueled concerns about the effect.
This change affects the well being, health of the employees and their work organizations.
Although these changes had led to greater mobility and more flexible work arrangements
were made for some employees.
Figure 2.1, shows the Relationship between Level of stress, Severity and Duration
in the Individual and Performance parameters on work related stress, which means it
shows the optimal performance stress as well as depression and strong Anxiety.
GRADUATE SCHOOL
Figure 2.1. Relationship between level of stress, severity and duration in the
individual and performance parameters
The common perception of stress is that it should be avoided, however at the small
rock Practice, it is recognized that stress is made up of a combination of factors: task
demands, perceived and actual ability and control, and physical and mental arousal. It is
believed that with the right balance of these factors, an individual‟s performance can be
enhanced.
This is particularly true within the work environment, when people feel supported
yet challenged, research has indicated that levels of confidence in one’s abilities
increases and in turn positively impacts upon energy levels, moral and productivity.
GRADUATE SCHOOL
Within the work environment, when people feel supported yet challenged, research
has indicated that levels of confidence in one’s abilities increases and in turn positively
impacts upon energy levels, moral and productivity, Figure 2.2, shows the basics of stress
level in performances and health.
Figure 2.2. Basics of stress level in performance and health

GRADUATE SCHOOL
Assumption of the Study
The research will be done on the assumption that the respondents will answer
the questionnaires with personal and work-related experience and with all honesty,
objectively and confidentiality.
Hypotheses of the Study
The researcher formulated the hypotheses that:
There is no significant relationship among the demographic factors to work related stress
among nurses.
There is no significant relationship between the work related stress to the
Significance of the Study
Results and findings of this study may serve as a point of reference among
immediate beneficiaries:
GRADUATE SCHOOL
Staff Nurses. The result of the study can provide guidance on work stress
management and awareness among staff nurses
Patient/Client. Staff nurses will be able to identify and minimize factors affecting
work stress. Therefore, patients/clients will receive optimal care, safe and quality nursing
service.
Nursing Administrators. This study can serve as a model or guideline for
implementation of policy and protocol of the management.
Guidelines Designer. This study will help them to develop on how to assess work
related stress, provide guideline on how to avoid stressors and formulate different
strategies on stress management.
Institution. This research will help the institution by producing nurses providing
quality care to patients through of job satisfaction thus promoting the institution through
patients feedback.
Future Researchers. This can serve as a guide in their efforts in providing an
attempt to formulate objective guidelines for producing quality care to patients by having
job satisfaction to nurses and reducing work-related stress.

GRADUATE SCHOOL
Scope, Limitations and Delimitation
Like other empirical studies, this study is not without its limitations. Our sample
consisted of two private secondary hospital nurses may limit the generalisability of the
results. This study can be strengthened by increasing the sample as the data analysis
results and findings may vary substantially when the sample size increased or decreased.
As the two hospitals may not represent the whole hospitals in Catanduanes, more
hospitals involvement would create more defused results and findings. Lastly, more
factors or variables can also be included in the questionnaire as stress can be caused of
different aspects of working environment. With the decreased sample size, a more
detailed emperical study among independent variables and the variables that have
multiple categories can be performed. Potential correlation between some of the
independent variables (e.g. gender, race, education level, organization culture, impact of
technology, organization climate, emotional demands of work and unclear work roles)
need to be reported in the future study.

GRADUATE SCHOOL
Definition of Terms
In order to provide a better understanding of the study, the following terms are
defined.
Definition of stress
1. Physiological or biological stress is an organism's response to a stressor such as
an environmental condition or a stimulus. Stress is a body's method of reacting to a
challenge. According to the stressful event, the body responses the stress to stress is by
sympathetic nervous system activation which results in fight-or-flight response. Because,
the body cannot keep this state for long periods of time and the parasympathetic system
returns the body's physiological conditions to normal (homeostasis).Generally, stress
typically describes a negative condition or a positive condition in human and that can
have an impact on a person's mental and physical well-being.
2. A mentally or emotionally disruptive or upsetting condition occurring in response
to adverse external influences and capable of affecting physical health, usually

GRADUATE SCHOOL
characterized by increased heart rate, a rise in blood pressure, muscular tension,
irritability, and depression.
3. A state of extreme difficulty, pressure, or strain it is called as greatest stress and
danger” (Robert J Samuelson).
4. Stress in the direction opposite to the usual stress to which a piece in a structure is
subjected. In this case, the negative stress may be either tension or compression.
5. Acute stress is the most common form of stress. It comes from demands and
pressures of the recent past and anticipated demands and pressures of the near future.
Acute stress is thrilling and exciting in small doses, but too much will exhaust. A fast run
down a challenging ski slope, for example, will exhilarat early in the day. That same ski
run late in the day is taxing and wearing. Skiing beyond your limits can lead to falls and
broken bones. By the same token, overdoing on short-term stress can lead to
psychological distress, tension headaches, upset stomach and other symptoms.
6. Episodic Acute stress which affects those who suffer from Acute stress frequently.
People, who suffer from this tend, always be in a rush. They take too much on and can‟t
organize themselves to deal with the demands and pressures. Episodic Acute stress
affects interpersonal skills and can make sufferers hostile towards others by causing rapid
deterioration of relationships especially in the workplace. Its symptoms include prolonged

GRADUATE SCHOOL
over stimulation, persistent tension, headaches or migraines, hypertension, chest pains
and even heart disease. This type of stress can be helped with the changes of life style
but professional help may be needed before chronic problems develop.
7. Chronic Stress that wears sufferers down. It grinds away them by making them feel
burned out every day, every week and every year. It‟s the stress that someone can feel
when they can‟t see a way out of the demands and/or pressures that make them feel
depressed, miserable and disheartened on a constant basis. The stress of feeling
trapped in an unhappy marriage or in a career they despise can both be factors. Chronic
stress is associated with ill health, alcohol excess, violence and even suicide. Chronic
stress can be helped with professional and medical help such as special forms of
counselling or targeted behavioural therapy.
8. Bio-energetic Stress defines that heavier overwhelming physical stressors whose
energy requirement is lower than the bodily energy resources that the individual can
express in a given moment. The Human-Factor aspects that can increase bio-energetic
stress are all the activities that can reduce bodily energies, such as wrong diet, lack of
sleep and resting, change in biorhythms, localized pain.
9. Psycho-energetic Stress is chronic or acute anxiety, emotional troubles, mental
rumination, altered states of consciousness, feelings of loneliness and not being

GRADUATE SCHOOL
understood, lack of social acceptance, deprivation of interpersonal communication and
forced social relationships.
10. Micro-Skills Stress appears, when the individual has only partial abilities in pivotal
skills that can change the course of action and determine the success in a performance.
11. Macro-Skills Stress it consists of missing of insufficient competences in the personal
portfolio of skills, in a changing environment, accompanied by the lack of any proactive
action to find a way to cover the skills-gap incongruity (e.g. complete lack of knowledge
of english language, if anyone wish to work and live in an english-speaking country).
12. Lack-of-Planning Stress shows low ability in time management and in defining
goals and steps, lack of confidence and expertise in transforming ideas or goals into
planned and achievable goals and steps.
13. Values Stress offers loss of sense and purpose, loss of ideals and values, feeling
that there‟s nothing more to believe in, or reality seems to have no sense and feeling of
internal valueemptiness (daniele trevisani 2009).
14. According to (Richard S Lazarus), stress is a feeling experienced, when a person
thinks that "the demands exceed the personal and social resources, the individual is able
to mobilize."
GRADUATE SCHOOL
15. The term stress has been defined by (Gold & Roth 1993) “a condition of
disequilibrium within the intellectual, emotional and physical state of the individual. It is
generated by one‟s perceptions of a situation, which results in physical and emotional
reactions. It can be either positive or negative, depending upon one‟s interpretations”.

GRADUATE SCHOOL
CHAPTER 2
REVIEW OF RELATED LITERATURE AND STUDIES
This chapter presents the review of related literature and studies that have bearing
to the study. The researcher made use of available literature both local and foreign which
were relevant to the present study.
Foreign Literature
According to the study of Faremi et al. (2019) published on International Journal
of Africa Nursing Sciences,” Nurses are vulnerable to occupational stress because of
intense daily activity. With the global increase in the aged population, increased intensity
of health care problems, increased incidence of chronic illnesses and advanced
technology, nurses are faced with a variety of work-related stressors. Findings of the
present study show that workload is the number one aspect of nurses’ job that results in
highest frequency of stress. Employment of more nurses may help to reduce the impact
of workload on their quality of life and quality of services rendered.”

GRADUATE SCHOOL
Yang et al. BMC Health Services Research (2017) on a research article entitled
“Validation of work pressure and associated factors influencing hospital nurse turnover:
a cross-sectional investigation in Shaanxi Province, China” wrote “We found that turnover
intention among nurses are related to multiple factors included age, stress, job
responsibilities, and career commitment. Stress, which stem from familial, societal and
organizational issues, was the most important influencing factor leading to nurse turnover
intention. From this research, it appears clear that higher levels of stress lead to greater
intentions of turnover”
According to Keykaleh et al. (2017) “The findings of our study showed that apart
from individual areas, areas such as patient care, management, physical environment
and working conditions are considered a source of stress for nurses. Because of nursing
job stress is affected by different working conditions, further studies in the many hospitals
are needed. Moderate levels of patient safety are not acceptable; therefore, heath’s
policymakers should focus on providing the safety of all patients at the optimal level, with
more effort to reduce the stress of their nurses At the lowest level. Programs can be
designed to reduce or control job stress by looking specifically at effective factors in these
areas. A major step forward can be taken in promoting this valuable culture by holding
workshops and training courses for health personnel to familiarize them with the culture
GRADUATE SCHOOL
of patient safety. And since the results of this study, which are derived from their nurses'
opinions, showed that the stress in the patient's care has been overwhelming; The need
to adopt measures in the process of serving patients and their relatives, as well as to
control visiting hours so that stress and psychological problems of personnel are reduced
as much as possible becomes clear more than ever.”
Sarafis et al. BMC Nursing (2016) in a research article entitled “The impact of
occupational stress on nurses ‘caring behaviors and their health related quality of life”
coined that “Nurses’ exposure to stress-related factors can be considered as a predictor
of their caring behaviors implementation, while this also affects their health-related quality
of life negatively. More specifically, conflicts with co-workers were independent predictors
for assurance of human presence, professional knowledge and skills and patient
respectfulness dimensions, conflicts with doctors for respect for patient dimension and
conflicts with supervisors and uncertainty concerning treatment for positive
connectedness dimension. As far as health related quality of life is concerned,
discrimination stress factor was an independent predictor for physical health, while stress
resulting from conflicts with supervisors was independently associated with mental
health.”
GRADUATE SCHOOL
W.V.P.M.Nayomi (2016), “Occupational stress is a serious problem affecting
nurses, and literature review shows that this is connected with absence from work and
intentions to quit a hospital. Consequently more research into identifying the most
effective way of detecting when individuals are experiencing early difficulties, and of
improving their stress management techniques so as to prevent the transition to severe
stress.”
Canady and Allen, 2015, in their research article titled “Stressors in the
Working Environment of Registered Nurses” posted by International Journal of Nursing
and Clinical Practices,” Nurses are pivotal in providing health care; however, work-related
stressors affect that care. The forecasted shortage may result in even higher physical and
mental health nurse risks and vulnerabilities. Transformational leadership decrease
exhaustion and increases well-being, job satisfaction, and better job outcomes of nurses.
Therefore, healthcare systems must train these nurse leaders to identify critical RN
stressors, increase flexibility, stimulate positive ideas within nursing systems, and develop
strategies that increase healthy work environments, job satisfaction, nurse resilience and
retention thus reducing staff turnover rates. Implementing targeted, constructive
workplace policies that address stressors experienced by nurses affects the organization
GRADUATE SCHOOL
and the entire nursing profession. Nurses desire a positive, healthy environment where
they feel valued through positive policy and procedure changes when necessary.”
In the study of Moustaka and Constantinidis 2010 they state, “it is not only
organizational factors and tasks that cause occupational stress. The interaction between
organizational factors and the characteristics of individual workers also play a significant
role. Because of different working conditions, education, social status and the autonomy
of nurses in different culture, it can be assumed that occupational stress differs between
cultures and countries.”

GRADUATE SCHOOL
CHAPTER 3
Methods and Procedures
This chapter presents the research methodology, description of sample, data
gathering instruments, and the statistical tools used in treating the data for effective
analysis and meaningful interpretation.
Method of Research
The descriptive method of research will be utilized in this study. It describes what
exists and may help to uncover new facts and meaning. The purpose of descriptive
research is to observe, describe, and document aspects of a situation as it naturally
occurs (Polit& Beck 1999). Furthermore, descriptive research is used to obtain
information concerning the current status of the phenomena to describe “what exists” with
respect to variables or conditions in a situation. This involves the collection of data that
will provide an account or description of individuals, groups or situations.

GRADUATE SCHOOL
Respondents of the Study

The respondents of this study are the total population of registered nurses
including the top management and the staffs listed on the organizational chart in two
Secondary Private Hospitals in Catanduanes. Specifically, Immaculate Heart of Mary
Hospital. Inc and Catanduanes Doctors Hospital.
Sampling Technique
Probability sampling will be used in this study which is classified as cluster
sampling technique in which the identified groups are all units of the identified group are
participant or representative:
1. All registered nurses in selected hospitals of Catanduanes.
2. Registered Nurses assigned in different areas of the hospital including the
Emergency room nurses, Operating room and Delivery Room Nurses, Neonatal
Intensive Care Unit or Pediatric Intensive Care Unit (NICU/PICU), Intensive Care
Unit or Coronary Care Unit (ICU/CCU) and Ward nurses. It will also include the
management area wherein chief nurses, head nurses and supervisory nurse are
included in the survey.

GRADUATE SCHOOL
3. Willing and able to participate in this study.
Data Gathering Instruments

The study used a cross-sectional survey design. This design is used in research
to identify any pattern of relationship that exists between two or more variables and to
measure the strength of the relationship. This process consists of defining the purpose
and objectives, deciding on the sample, creating and pretesting the instrument, contacting
the respondents, and collecting and analyzing data. In the study, a self-report
measurement technique (questionnaires) was employed to collect data from participants
at a single point in time
A cover letter will be included on the questionnaire to ensure anonymity and
confidentiality of the responses, and to initiate further cooperation of the respondents in
the study.
A. Checklist-questionnaire. It has (2) parts, namely:
Part 1 pertains to demographic profile of the critical care nurses as to: age, gender,
type of critical care unit assignment, and educational attainment.

GRADUATE SCHOOL
Part II refers to the causes affecting the work related stress. The four (5)
Likert Scale type of checklist-questionnaire was used. The five (5) options to
choose for responses, the highest score is five (5) and one (1) will be the lowest:
5 Highly Agree
4 Agree
3 Disagree
2 Highly Disagree
1 Not Applicable
Validation of the Instrument
The questionnaires will be pretested to
Data Gathering Procedure
The questionnaires will be given to registered nurses who will participate in this
study after permission will obtained from the medical director of the previously mentioned
hospitals.
GRADUATE SCHOOL
The researcher will ensure anonymity and confidentiality of the respondents. A
letter is attached to the questionnaires ensuring that all data gathered stay only in the
researcher and purely for the purpose of the study.
Statistical Treatment of Data
For the statistical analysis of this study, the researcher will utilize the following
statistical procedures for analyzing the data that will be collected from the respondents.
For problem number one (1), Frequency Percentage Distribution was used to
determine the profile variables of respondents in terms of their age, gender, type of
critical care unit, educational attainment, and length of experience.
For problem number two (2), Weighted Mean and Standard Deviation were used
to determine the domains of competencies of the respondents as regards the ff.:
Knowledge, Skills, Attitude, and Critical Thinking.
For problem number three (3), Analysis of Variance (ANOVA) and T-Test were
used to determine the significant difference between the four domains of competencies
when grouped according to their profile variables.

GRADUATE SCHOOL
For problem number four (4), Pearson R correlation was used to determine
relationship of the following domains of competencies: Knowledge, Skills, Attitude, and
Critical Thinking, as assessed by the respondents.

Republic of The Philippines Camarines Sur Polytechnic Colleges

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Republic of The Philippines Camarines Sur Polytechnic Colleges

Uploaded by

Copyright:

Available Formats

Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

FACTORS AFFECTING WORK-RELATED STRESS AMONG STAFF NURSES IN

SECONDARY PRIVATE HOSPITAL IN CATANDUANES

Hospitals are inherently stressful organizations. Health professionals make critical

their physiological health and psychological well-being (Aiken et al 2013).

Meanwhile in countries like the Philippines, difficulty in the recruitment of

unemployed, and around 250,000 are underemployed or misemployed. Most nurses in

prolonged working hours.

The Continuing Professional Development Act of 2016 implemented by the

Professional Regulation Commission has become an added burden, a cross to carry

19,000 nurses leave the country every year to work abroad.

person’s capacity and capability to cope.

Background of the Study

their institution and choose to go abroad or shift to other profession.

The researcher himself, managed to overcome different challenges in the hospital.

study will be able to become a basis for policy or protocol making

Statement of the Problem

2years of working in Philippine hospitals as one of the most requirements of the

discrimination and job hazards.

In response to this problem, this study proposes to investigate several factors

through questionnaire to further identify causes and effect of work related

and regulations and provide better policies for the staff/employees.

Specifically, this study sought to answer the following questions:

1. What was the profile of the respondents in terms of:

1.3 Civil Status

1.4 Department or Area

1.6 Length of experience?

2.1 Long working hours

2.2 Changes within the organization or management

2.3 Changes to duties or shift

2.4 Job insecurity

2.5 lack of autonomy

2.6 Boring work

2.7 Insufficient skills for the job

2.8 Over supervision

2.9 Under supervision

2.10 lack of equipment

2.11 Few promotional opportunities

2.13 Poor relationship to colleagues

2.14 Poor communication skills

2.15 Inappropriate behavior of watcher

3.2 Muscular tension

3.4 Heart palpitations

3.5 Sleeping difficulties, such as insomnia

3.6 Gastrointestinal upsets, such as diarrhea or constipation

3.7 Dermatological disorders.

3.13 Feelings of being overwhelmed and unable to cope

3.14 Cognitive difficulties, such as a reduced ability to concentrate or make

3.15 An increase in sick days or absenteeism

3.17 Diminished creativity and initiative

3.18 A drop in work performance

3.19 Problems with interpersonal relationships

3.20 Mood swings and irritability

3.21 Lower tolerance of frustration and impatience

Setting of the Study

The study will be conducted in two (2) secondary private hospitals in

Catanduanes. These hospitals are as follows: Catanduanes doctors hospital and

Immaculate Heart of Mary Hospital.inc.

Catanduanes Doctors Hospital located at Valencia Virac, Catanduanes is a

secondary level, and has an authorized 100-bed capacity.

Immaculate Hearts of Mary Hospital located at Rawis Virac, Catanduanes has an