Death and Dying

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page |i
Endorsement
This thesis entitled: “You’ll Get Used to It”: A Lived Experience of Filipino Nurses in Dealing
with Death and Dying Patient” prepared by Jackielyn D. Mateo, et al. of 4Y1-4, in partial
fulfillment of the requirements for the degree Bachelor of Science in Nursing has been examined
and now recommended for Oral Examination.
This is to certify that Jackielyn D. Mateo, et al. are ready for the Oral Examination.
Sharon Cajayon, RN, MAN

Adviser
This is to certify that the thesis “You’ll Get Used to It”: A Lived Experience of Filipino Nurses in
Dealing with Death and Dying Patient” prepared and submitted by Jackielyn D. Mateo, et al., is
recommended for Oral Examination.
Flootz Irish Cariza P. Chua

Chair
Gerardo A. Nicolas, RN, RM, MAN, RPT, MAEd Ira Fe A. Burillo

Member Member
Maria Luisa T. Uayan, DHSc, MSN

Dean, Nursing Department
OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page | ii
Certificate of Originality
This is to certify that the research paper entitled " You’ll Get Used to It”: A Lived
Experience of Filipino Nurses in Dealing with Death and Dying Patient " is an original work of
student nurses of Our Lady Of Fatima Valenzuela and therefore did not copied anything from
other articles, journals or studies from the past however served as a basis or groundwork to be
able to fulfil this paper.
We also proclaim that the knowledgeable content of this thesis was made with our own
effort although we have received assistance from others in terms of style, format and
presentation.
Jackielyn D. Mateo
Principal Investigator:
Members:
Maria Angelika Carlos
Winslet Rose V. Chua
Kobe Bryant M. Diza
Jeannifer S. Ponseca
Melanie S. Cambel RN, MAN
Sharon Cajayon, RN, MAN

Adviser:
October 2018
Date:

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page | iii
Table of Contents

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page | iv
Endorsement ………………………………………………………………………………... i
Certificate of Originality …………………………………………………………………… ii
Table of Contents …………………………………………………………………………... iii
List of Figures ……………………………………………………………………………… iv
List of Appendices …………………………………………………………………………. iv
Abstract ………………………………………………………….…………………………. v
1.0 Introduction……………………………………………………………………………... 1
2.0 Review of Related Literature …………………………………………………………... 2
2.1 Theoretical Framework ……………………………………………………….. 2
2.2 Literature Review ……………………………………………………………... 2
2.2.1 Coping Strategies ……………………………………………..…. 2
2.2.2 Filipino Nurses………………………………………………...…. 3
2.2.3 Death and Dying Patient …………………………………….…… 4
2.2.4 Nurse Care to Dying Patient ……………………………………... 4
2.2.5 Nurse Provider …………………………………………………… 5
2.2.6 Barrier to Palliative Care …………………………………...……. 5
2.3 Problem Statement ……………………………………………………………. 6
3.0 Research Methodology ………………………………………………………………... 6
3.1 Research Design ………………………………………………………………. 6
3.2 Locale and Population ………………………………………………….…..…. 7
3.3 Description of Respondent ……………………………………………….…… 7
3.4 Sampling ……………………………………………………………….……... 7
3.5 Research Ethics ……………………………………………………….….…... 7
3.6 Research Instrument ………………………………………………………….. 8
3.7 Data Collection ………………………………………………………………... 9
3.8 Data Analysis ………………………………………………………………….. 9
4.0 Results ………………………………………………………………………………….. 9
5.0 Discussions …………………………………………………………………………….. 15
Conclusion ………………………………………………………………………………….. 18
Recommendation …………………………………………………………………………… 18
Acknowledgement ………………………………………………………………………….. 19
References…………………………………………………………………………………... 20
Glossary of Terms ………………………………………………………………………….. 22
Appendix A: Participant Information Letter …………………………………………...….. 23
Appendix B: Participant Statement ..…………………………………………………...….. 26
Appendix C: Interview Guide …...……………………………………………………...….. 27
Appendix D: Transcription …………...………………………………………………...….. 28
Plan of activity ……………………………………………………………………………... 63
Budget………………………………………………………………………………………. 64
Time Frame ………………………………………………………………………………… 65
Research Plates……………………………………………………………………………… 66
Curriculum Vitae………………………………………………………………………….. .. 68
List of Figures

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page |v
Figure 1: The ABCDE’s Strategic Circles of Filipino Nurses when Encountering Death and
Dying Patient
List of Appendices
Appendix A: Participant Information Letter

Appendix B: Participant Statement
Appendix C: Interview Guide
Appendix D: Transcription

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page | vi
Abstract
This paper’s goal was to provide information not only to the future researchers but also to
the incoming nursing graduates and to develop a thorough and comprehensive explanation about
the lived experience of Filipino nurses in dealing with death and dying patients.
Phenomenological, qualitative study was used to gather insights regarding to the research study
which involved participants. Six (6) purposively participants were selected for data gathering in
an in-depth interview using a voice recorder and a semi-structured interview guide made by the
researchers. The researchers identified the significant statements and verbalizations of each
participant by transcribing and sorting interviews (cool analysis), categorized significant
statements as themes (warm analysis), and Colaizzi’s method to further ensure that the
researchers’ understanding about the lived experience of Filipino nurses is accurate, and
deliberately discussed in this study. The participants thoroughly explained their different stories,
experiences, and struggles in dealing with death and dying patients. Five (5) themes were
formulated in characterizing the Lived experiences of Filipino Nurses: Acceptance, Borderline,
Competency, Diverting, and Equal Care. An understanding on their lived experiences is provided
by this study.
Keywords: Filipino Nurses, Coping Strategies, Qualitative study, Phenomenological

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page |1
1.0 Introduction
Death is an inextricable part of our human life. Every human being is meant to face the
existence of death. We all know that dying occurs in day to day basis. Nurses deal with death and
dying almost every day. The impact of dealing in death in our society is underrated. It is daring
and uncomfortable to talk with a patient who is dying especially when you’re just starting off
your new job as a nurse and you don’t have any idea on how to approach different types of
patients. It is one of the most difficult scenarios that can arise for a nurse and it affects their
emotional quotient in dealing with dying patients.
Nurses spend more time with the patients compared to other health care providers
especially if the hospital stay of the patient is prolonged. Therefore, giving care to a dying patient,
and wholeheartedly supporting their families must be a tough and stressful task for all the nurses.
And because dying became a regular basis most especially to a nurse, it is necessary for them to
have an adequate knowledge, skills and a precise coping mechanism to handle the patient,
moreover, nurses have different strategies on how they can able to cope up with that doleful
incident.
As stated by the Department of Health (DOH) in the Philippines, a total of 531,280

deaths from all causes and ages were registered, with an estimated rate of about 5 out of 1,000
people recorded from 2013. A tally of 100 female deaths with corresponding 134 male deaths
established to a death sex ratio of 1:34. This represents a higher rate of male deaths than of
females’. A report concluded that ages 70 years and older was the highest factor of death, sums
up to more than 38% total deaths upon 202, 564 cases. However, death occurrences in ages 10-14
years have a minimum rate of 0.9 percent, 4.1% in ages 1 year and below (21,992), and 1.8% in
ages 1-4 years (9,526). As people get older, the number of deaths progresses which led the
statistics to conclude that the risk of death is comparable to the increasing age of an individual.
Many researchers have been interested on how nurses cope in dealing with death and
terminally ill patients. However, it is unfortunate that there has been no previous study recorded
here in the Philippines. The nurse’s ability to cope when encountering a dying patient is very
essential and it is a vital skill that a nurse should possess. The goal of this research is to study
different coping strategies used by Filipino nurses in dealing with dying patients every day and to
find out what would be the most helpful. This research aims to contribute information for Filipino

nurse, especially for graduating Filipino nursing students for them to be knowledgeable on how to
handle death and a dying patient in the near future.
2.0 Review of Related Literature
2.1 Theoretical Framework
This study utilized Kubler-Ross Theory to postulate the most commonly observed
experiences of a terminally ill patient and of a mourning person which contains of the five stages
of grief. It assumes the series of emotions experienced by dying patients or people who suffered
the loss of their loved ones, wherein the five stages are, denial, anger, bargaining, depression, and
acceptance. Kubler Ross stated that a person always experiences at least two of the stages. Often,
people experience several stages in a "roller coaster" effect—switching between two or more
stages, returning to one or more several times before working through it. Women are more likely
than men to experience all five stages.
Nurses working with and recognizes grief and loss issues has been identified as one of
the core skills of social work practice. Nurses taking care of the bereaved can attain valuable
guidance in this experimental use of the theory and can help promote confidence which enables
them to give proper support. An analyzation of grief theory was used to identify how Filipino
nurses approached grief and loss. This is intended to supplement understanding of how
perspectives of grief have changed over time and how interventions alter on one's viewpoint. The
researchers chose this theory because it gives adequate information and knowledge about the
coping process when encountering death.
2.2 Literature Review
2.2.1 Coping Strategies
Coping strategies are ways of thinking and behaving adopted to reduce the difficulty
experienced in a given situation, whether this difficulty is internal or external. Utilizing coping
strategies may help nurses avoid the exhaustion and depersonalization that may arise as a result of

exposure to stress. Nurses encounter many emotionally charged situations, the most intense of
which is patient death. (Martins, Chaves & Campos, 2014).
The following coping strategies are identified by Martins, Chaves and Campos in 2014
are used by the nurses in dealing with terminally ill patients are: self-control, seeking social-
support, escape/avoidance, planned resolution of the problem, positive re-evaluation, assumed
responsibility, confrontational coping, and distancing.
In the healthcare field, the death of patients does have an impact on nurses affecting them
both in their work environment and outside of work. Thus, education regarding grief theory and
support from others are helpful in developing strategies for coping with patients’ deaths. (Wilson
&Kirshbaum,2011)
2.2.2 Filipino Nurse
It was stated in one of the news last 2013 that Filipino nurses are known to be sincere and
patient-centered when it comes in providing nursing care because they possess versatility and can
adopt in different cultures of the world. Not only this but Filipino nurses are also said to be quick
learners and fluent in english. Compassion is also one of the traits a Filipino nurse possesses
because they have a caring and loving attitude. (“Why Filipino”, 2016)
Different people around the countries are giving positive feedbacks regarding to Filipino
nurses. One of these is from Dacula (2014) from Saudi Arabia who said that Filipino nurses have
the ability to make their patients laugh or smile because of their sense of humour. They have this
ability to make the patients lighten up their mood, making their nursing care to be more effective
and give comfort to their patients. They also pour their heart out in giving care to their patients
that makes them amazing in their profession.
Most of the Filipino nurses go to abroad for larger salaries in order to help their
families, they tend to miss them and have separation anxiety from their families, but
because of their trained mind and body, they are emotionally secured and nothing stops
them from going on and survives in their work field. Even though there’s a lot of a positive
feedback the Filipino nurse received. Still there are also some negative feedbacks regarding
to Filipino nurses. Some people misunderstood the Filipino nurses who work abroad

because of the thinking that their leaving their own country that is also in need of nurses.
2.2.3 Death and Dying Patient
According to Carr (2012), death is now a usual thing that happened in this world. Death is
already part of our life. We are all destined to die. We just have different time and reason of
death. Although it is a universal experience, it affects the physical, emotional and mental thinking
of an individual. Death usually caused by short-term contagious illness, disaster, or violence that
commonly happened in infants, children, and adolescents and may also occur in elderly.
Dying happens almost every day. And in most cases dying happens in the hospital.
Because almost people tends to seek help in the hospital whenever they have health problem.
The most common origin of death around the world are ischaemic heart disease, stroke, lower
respiratory infection, cancer, diabetes mellitus, road injury, tuberculosis, HIV and
Alzheimer’s disease as stated by World Health Organization last 2015 and the heart disease
was said to be the main cause of death in the Philippines according to Department of Health.
Death and dying is really stressful to one who is dying and for their love ones who will be
left by and also to the care provider who’ve been giving care to them during their stay in the
hospital. And the nurses are the one who spend a lot of time with the patient.

2.2.4 Nurse Care to Dying Patient
Nurses have a huge part in caring to a terminally ill patient. They have been recorded to
be the advocates that take part as the one who conveys patients’ feeling. They also have their own
ways on how the patients will easily understand during a consultation making sure that the patient
has been receiving accurate information and comprehension. (Hebert et. Al, 2011) Looking after
the patients through end-of-life situations assumed to be Nurses’ role reported by Betancur in
2015.
Watching out patients is nurses’ liability. Patients are comfortable with the Nurses
because they can easily reached by the patients whenever they need something. (Mburi &
Mwangi, 2011) It is a professional’s duty to care for a terminally ill patient. Insufficient time and
support and lack of communication was said to be the factors preventing nurses’ advocacy
according to Hebert et. Al (2011)

Further study about nurses giving care to a terminally patient without undergoing stress,
pain or hardships is recommended. Appropriate education about effective coping strategies is
necessary according to Betancur (2015). Nurses need additional understanding about how the
pain should be managed and informing patients’ families who’s in the critical stage as stated by
Mburi and Mwangi (2011).
2.2.5 Nurse Provider
Nurses are the first to provide care to the patients and families especially at the final stage
of life. Healthcare assistant, home health aides and home support workers also have main role in
providing care to the patient even though they are unregulated nurse care providers. Both of them
are very important for increasing number of terminally ill patient at the hospital and also at home.
(Pesut & Greig, 2018)
As stated by Pesut and Greig, having palliative education for nurses and other nurse
providers gave a positive result that can enhance their own cognition, confidence and perspective.
It also improves ability of providers to communicate with patients and also to their families.
In the opinion of Pesut and Greig, a further palliative care education was essential for
nurses and other nurse care provider for them to give a better care for the patient. But it also said
that the role of this education can only gave a small amount of evidence that it can really enhance
the skill of the nurses and other nurse care provider.
2.2.6. Barriers in Palliative Care
Laird (2015) stated that when we talk about palliative care there are a lot of barriers that
may involve during the delivery of care. One of the barrier that can be cause of it is the meaning
of its word itself "palliative care". Because when we talk about palliative it involves life
threatening illness and death.
There are so many barriers that may arise during the palliative care and some of it is
global, economic, social, and professional barriers. It also said that disease like cardiac disease

and HIV/AIDS may also be one of the barriers. These barriers are the circumstances or obstacles
that cause the delay of care or may also result to loss of quality of care. (Liard, 2015)
According to Liard (2015) there are many areas that needs a palliative care because of
increasing number of people with terminal illness and with that a quality palliative care is very
necessary. So with that, nurses and other health nurse provider should learn to overcome the
barriers to be able to give a better care for the patients. It also said that palliative education may
help to enhance their own skills and knowledge in performing this essential care.
2.3 Problem Statement
In keeping with the previous study, the researcher’s goal is to know the lived experiences
of Filipino nurses when dealing with death and dying patient.
Research Question 1: What could be the most appropriate coping strategy a Filipino nurse should
possess when they encountered death and dying patient?
Research Question 2: How can a Filipino nurse comfort the dying patients and their significant
persons in palliative care?
Research Question 3: What characterizes the emotional stability of a Filipino nurse in dealing
with death and dying patient?
3.0 Research Methodology
3.1 Research Design
A qualitative, phenomenological research approach was employed to discern different

coping strategies on how nurses cope with a dying patient. To obtain an understanding of
underlying reasons, opinions, and motivations, a qualitative research will be appropriate. In
addition to that, it does provide knowledge, help in developing visions to a certain problem,
reveal trends in thought and opinions, and dig deeper into the problem.
“Lived experience” of a phenomenon is what defines a phenomenological research. The

procedures involved in this research were selecting participants, solicitation of information,

systematic treatment of data, and assembly of interview components. Moreover, a rich, accurate,
and comprehensive description of human resources and meanings were provided.
3.2 Locale & Population of the Study
The researchers conducted an in-depth interview and gathered information around Metro
Manila. This study was done where there are Filipino nurses who have already handled dying
patients.
3.3 Description of the Respondent
A total of 6 of Filipino nurses were the participants in this study. The criteria that were
meet by the participants: [1] Filipino registered nurse, male or female, [2] had experienced in
dealing with dying patients, and [3] willing to participate in this study.
The exclusions of the criteria were: [1] Foreign nurses, [2] a nurse with no experience in
handling dying patients, and [3] those who are not willing to participate in the study.
3.4 Sampling
There are a wide range of qualitative research designs that researchers can draw on. In
achieving the goals of a qualitative research, different types of sampling strategy and techniques
can be imply. Purposive sampling was used by the researchers because it is useful in these
instances. Moreover, it provided a wide range of non-probability sampling techniques for us to
draw on especially when limited numbers of people can serve as our primary data sources.
Own judgement of the researchers was the basis in choosing the participants who
participated in an in-depth interview, and the research objectives were achieved. In purposive
sampling, the main goal was to focus on particular aspects of population that are of interest,
which will best permit to answer the research question.
3.5.Research Ethics
Nuremberg Code was the basis of the ethical consideration of this study and these are
the following: (1) Quality of the research. The researchers ensured that the study resulted to a

good quality research. (2) Based on previous study. The researchers used legal journals and
articles to collect useful information and to formulate background knowledge to support this
study. (3) Benefits. This study discovered the most helpful traits for Filipino nurses in dealing
with dying patient that would be helpful for the other nurses. (4) Informed consents. The
researchers provided informed consents to each participant wherein they have the autonomy to
participate or not in this study. This informed consent contains sufficient information about the
study and also contains the rights of the participant. Participants were also informed that their
identity and all the acquired information will remain confidential and accessible to the
researchers only. (5) Respect the participant. The researchers provided confidentiality to the
participant’s information and also respected the anonymity of the participant. (6) Voluntarily of
the participant. The researchers guaranteed that the participants voluntarily participated to this
study. The participants were not force to participate in this study. (7) Should avoid harm or any
injury. No harm was caused to the participants. The researchers provided safety to the
participant during his/her participation in the study. (8) Right to withdraw consent. The
participants were given the rights to withdraw the given signed consent at any time they want.
(9) Research must stop if it results to harm. The research proposal was reviewed by the
Institutional Ethics Review Committee (IERC) of Our Lady of Fatima University.
3.6. Research Instrument
In conducting a qualitative type of research, the researchers usually make use of
equipment that is simple and inexpensive. In acquiring the necessary data, the researchers worked
using a voice recorder and an interview guide.
To document the entire conversation between the participants and the researchers in an
in-depth interview, a voice recorder was used. With the utilization of this equipment, the
researchers further studied the subjective data that was retrieved from the participant. This allows
the researchers to explore the data repetitively without restrictions. The said in-depth was based
on the semi-structured interview guide prepared by the researchers. This interview guide is
composed of eleven (11) open-ended questions that the participant will answer autonomously.
Using this interview guide, the researchers investigated more about the lived experience of the
participants in dealing with dying patients. Prior to the interview, the researchers provided
consent to the participants; the participants had their right to participate or to refuse in the study.

The interview lasted for a day in an average of 30 to 45 minutes. The entire conversation in the
in-depth interview was precisely recorded.
3.7 Data Collection
As stated above, the researchers conducted an in-depth interview using the semi-
structured interview guide in order to carry out a qualitative study. The researchers chose an
open-ended type of questions in order for the participant to explain their views and opinions more
clearly. A set of 11 open-ended questions are made by the researchers and was used in an in-
depth interview with the participant to have any clarification if necessary. The said interview
persisted for about 30-45 minutes in a day and was audio recorded with the permission of the
participant which was replayed for analytic purposes. Participants were informed for their right to
refuse or where and when they want to utilize the interview. When the participants read and
analyzed the consent, the participants decided that they are willing to participate in this study.
After which, the said in-depth interview occurred. The researchers analyzed and reflected on the
interview. The researchers exercised their own judgments to summarize the conclusion about the
lived experience of the Filipino nurses. Within 6 participants, data saturation was met.
3.8 Data Analysis
The data was collected through an in-depth interview based on the research question and
this was to explore the Filipino nurse’s point of views and experiences using a friendly and
responsive approach. Interviews were audio-recorded by the researchers at the place where the
participant and the researchers agree with. Cool and warm analysis was used to describe and
explore the data in relation to the study. The cool analysis consists of the identification of the
significant statements. These significant statements served as the basis to conduct the warm
analysis where formulation of categories was done. Colaizzi’s method was also utilized and
helped the researchers to assure the certainty of the gathered data.
4.0 Results
The findings were established correlating the significant statements and perspectives
made by the participants. The themes that were corresponded to each other are [1] accepting that
dying is part of our lives, [2] setting a borderline between the healthcare provider and the patient,

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page | 10
[3] competency of a nurse in managing palliative care, [4] diverting their feeling of sadness after
experiencing death in their patients to be able to maintain their proper care in their other patients,
and [5] providing equal care to their patients.
4.1 Acceptance
Acceptance is what some people do whenever circumstances occur. It is an action or a

process that requires practice and understanding. It is a mental state that includes one person’s
beliefs, feelings, and attitude. Some people might think that acceptance isn’t important, but it is
one of the reasons why people manage all the emotions and situations they experience; whether it
is a financial crisis, a health problem, loss of an important person or relationship, or any other
unpleasant, unexpected event. Three (3) out of six (6) participants reported that they just accept
the situation given and they believe that death is already part of our lives.
“Uhmm kasi nung una ano edi ang weird kasi nung experience ko eh. Kung baga wala
naman talagang particular na strategies or coping strategies or coping mechanjsm para dun sa
ganong bagay. Kung kaya… ang iisipin mo na lang trabaho lang lahat yon. Pag katapos nung
araw na yun uhmm wala ka namang magagawa kasi dimo ulit nakikita yung pasyente or yung
relatives niya. Kaya tatanggapin mo na lang na parte ng trabaho natin bilang nurse.” (Uhmm, at
first, my experience was weird. Like there was no particular strategies or coping strategies or
coping mechanism for that thing. Therefore.. you have to think that it is only your job. After that
day, uhmm you can’t do anything because you can no longer see the patients or their relatives.
Thus, you have to accept that it is part of our nursing profession) P3L503-L507
“.. yung parang tanggapin mo na, na mangyayare yun talaga sa lahat ng pasyente natin. Kahit
kanino, kahit sakin diba.” (It’s like, just accept it, that it will happen to our patients. To anyone,
even me) P4L615-L617
“ .. talagang tatanggapin mo nalang kasi yun nga naniniwala talaga ako sa saying na lahat tayo
may oras. Lahat tayo may certain time of death, may certain na dadating talaga siya sa buhay
natin. Yun nga yung tinatawag nating foreseeable crisis. At some point in time, mangyayari’t
mangyayari at nonspecific situation o di mo alam kung kelan.” (You really just have to accept it
because I believe in the saying that we all have our own time. All of us have our certain time of
death, it is certain that it will come to our lives. That’s what we call foreseeable crisis. At some

point in time, it will happen at nonspecific situation or you don’t know when) P5L831-834
“tinanggap .. sinabi ko sa sarili ko na hanggang dun na lang siguro yung buhay niya. Yung
binigay ng ating Lord..” (I accepted it.. I told myself that maybe that’s the end of his/her life.
What our Lord gave.) P6L1047-L1048
4.2 Borderline
Borderline refers to the attitude of a nurse wherein they know the limitation of his or her
care. It is a way for a nurse to not be too attached or too emotional to a dying patient and only
give a quality care that a patient should receive. Three (3) out of the six (6) participants said that a
nurse should not be attached and emotional when giving care to those kind of patients or in
responding to the death of a patient.
“Coping Strategies? ... Ano... Parang wala kong coping strategies, parang wag lang
mashadong maattached. 'Hindi kalang maatouch ng mashado don sa patient. Yung care lang
hangang don lang don sa ward after mo makaalis ng ward. Ayon magshopping ka.” (Coping
Strategies?... I think I don’t have coping stragtegies, just don’t be attach to the patient. Just the
care, it end in there. After you leave the ward, you go shopping) P1L76-L79
‘Nakakayanan… kasi madalas biglaan din eh… kapag nasa ospital, ano tulong tulong lang talaga.
Tapos , hindi ka pwede mag pakita ng emosyon. Pag nag ano ka, hindi ka pwede ikaw ang unang
iiyak sa relatives. Kailangan, uhm.. malakas yung loob mo.” (Can cope up, usually it is
unexpected. When you are in the hospital, helping each other is really the key. And you should
not how emotions. When death comes, you should not be the one who will cry first to the
realtives. You should have a strong heart.) P2L317-L319
“Hmm.. nakakalungkot pero since ang personality ko ay sempre wala pa naman akong anak, wala
pa din naman akong member sa family ko except sa lolo at lola ko na namatay talaga pero ahmm
yung death kasi kung iisipin mo kailangan talaga ikaw yung ponakamatatag eh, if you are a
professional nurse or professional health care provider kung baga kung lahat umiiyak na ikaw
yung dapat hindi. para makakapag isip ka padin kung anong tamang management ano tamang
paraan…” (Hmm.. Its sad but since my personality is, of course I still don’t have on, and also no
one in my family member died except my grandparents who already ceased. In thinking death
you really need to be have strong personality If you are a professional nurse or professional

health care provider, if everybody is already crying, you are the one who should not so that you
still can think accurately in knowing the right management to do…”) .P5L788-L792
4.3 Competency
Competency refers to the ability of a nurse to become efficient in giving care. There are
the one who gets through with a lot of experience and they consider their experiences as a need
for them to excel and be more knowledgeable and be more intelligently competent in their field.
The said interview shows that three (3) participants said that they were more prepared in their
future tasks and enhances their skills with those experiences. It also made them be more alert,
focused and gave extra attention in attending their patients’ needs.
‘Siguro kasi parang, benifits? Experience, Kapag halimbawa may dying patient ka parang alam
mo narin yung gagawin mo halimbawa may family ahmm.. like during that time na namatay yung
patient mo sempre alam mo na yung ano ng family, iba kasi yung together sa namatay na
pasyente ganon. So alam mo na yung the next thing to do pag andon yung family.” (Maybe?
Because its like, benefits?, Experience.like for example, when you have a dying patient you
already know what to do if the family is there for example ahmm. Like during the time that your
patient died of course you already know what to do if the family is present.) P1L126-L129
“Oo, kase pag ano.. yung halimbawa, namatayan ka ng pasyente na inatake sa puso. Uhm, pagka
sa susunod na pasyente mo tapos nag chechest pain siya. Mas focus ka na kasi matatakot ka kung
baka mang yare din ulit sakanya yun. Nang yun din maging cause ng death mo. Kaya mas
magiging focus ka.” (Yes, because if for example, your patient died due to cardiac arrest, Uhm, if
on your next patient she/he experiences chest pain, you will be more focused because you will be
scared that your current patient will also have a cardiac arrest, that it might be also the cause of
death. That’s why you will be more focused now.” P2L366-L369
“Oo,.. sa susunod na pag kakataon, emotional ready ka tapos uhm.. mas alam mo na yung
gagawin mo. Parang hindi na katulad ng una na parang natataranta ka o di mo alam yung gagawin
mo, sa pangalawang pag kakataon naman mas handa ka sa kahit anong mang yayari.” (Yes…so
next time, you will be emotionally ready then uhm.. you will be more knowledgeable on what to
do next. Unlike on your first time you got panicked or you didn’t know what to do, the next time
around you will be more prepared on what might happen later on.) P3L485-L488

4.4 Diversion
Diversion is to do something that take people’s attention away from something that they
do not want to concentrate on or helping their selves to move on. Nurses use different coping
strategies to divert their feeling. Four (4) of our participant stated that they divert their attention
whenever they deal with dying patient.
“Oo yun nga. Oo kapag halimbawa stress ka sa ward ganon madami nangyari, madaming ano,
toxic ganyan ahm.. After non magpunta ka sa labas with your friend tapos toktok lang kayo, pag
ka ano kasi usually yung mga kasama ko pag sabay sabay kami ng offs or parang halimabawa
magninight pa siya tas ako galing night duty ahh.. so parang may time kami together , so yun
magluluto kami together tapos kakain kam. Yun yun lang ata. Tapos dun din actually dun din
mapag uusapan mo padin yung duty pero parang releasing ano nalang, releasing ng stress mo”
( After the toxic duty usually if we have the same offs I go out together with my friends, we cook
and eat together. And then I share to them my duty to help me to ease stress…) P1L82-L87
“Pag ano.. pag namatayan kami more on ano.. kinekwento namin kung ano nangyari sa mga
susunod na mga yung kapalitan namin sa duty ganon. Ineexplain namin or minsan ano tatawag ka
sa ano family mo or ano tas mag kwekwento ka ganon lang. (If one of our patient died. We
shared what happened to the next nurse in duty. We explained or sometimes will call in your
family and will tell them.). P2L392-L394
“lumabas, gusto ko ano tatawagin ko yung friends ko, tara mall tayo , kain tayo sa labas, alawin
nyo ko .yun, kung wala naman if they’re not available, kailanan medyo gagawin ko yung talaga
extreme its either punta kong gym, ganyan or either ahh.. pupunta ko ng cine mag isa, ganyan o
kaya pupunta ko ng ahhm. Kung may pera no haha kung may pera buffet pero as much as
possible yung di ko pa dati nagagawa, gagawin ko para kahit papano uy bagong experience,
nakalimutan ko na agad siya ayon so kasi ayun nga meron talaga siyang affectation. Kumbaga
we are made to be or to have an EQ or emotinal qoutient kahit papano naman sempre may
pakiramdam naman tayo diba so hindi mo naman hindi ka naman magsabi na wala kang
pakiramdam, lahat tayo may emosyon, so yes nakakaapekto yun pero it’s up to you kung pano
gagawin mong strategies so my strategies is go out with my friends okay or if they’re not
available, family kaso in my case kasi hindi ko mapuntahan family ko kasi nasa nueve evija sila,

okay so kung kekwento ko naman sa kanila i think very tired of listening to that kasi sempre ako
pagnagkekwento ko gusto ko may action, okay tsaka gusto ko medyo ineenhance ko pa so feeling
ko maglilisten sila, kung hindi naman ayun , so ayun nga gagawin ko basta yung mga dating di ko
gingagawa gagawin ko para kahit papano mabawasan kung di man talaga mawala, mabawasan
siya.” (going out, I like calling out my friends, “let’s go to the mall”, “let’s Eat outside”, if they’re
not available I should do the things that is extreme its either I will go to the gym or I will go to
the cinema alone or I will go if I have money in a buffet but as much as possible I still not
experience it in the past. I will do it so that it’s a new experience; I forgot it already because it
really has affection. It’s like we are made to be or to have an EQ or emotional quotient of course
we still have feelings so you can’t tell that you don’t have any feelings, all of us have emotions,
so yes it can affect but it’s up to you on how will you do your strategies so my strategies is go out
with my friends okay or if they’re not available, family…)P5L918-L931
“TV lang .. nanonood lang ng TV. Kasi nung staff nurse ako .. ano lang talaga .. naglalaba ka lang
ganon .. itutulog mo nalang ganon kung minsan manonood ng TV para makalimutan. Sine kasi ..
di ako nanood ng sine .. yung magisa lang ako. Especially ditto sa maynila nung dalaga pa ako
pag nanonood kami ng sine yung may kasama .. takot kasi ako nun, kasi syempre laking
probinsya.” (Television only.. watching television only…) P6L1078-L1081
4.5 Equal Care
Patients are entitled to be treated respectfully and appropriately by health care personnel.
Members of the personnel address patients without violating their dignity, personal beliefs, or
privacy. Some nurses said that they provide equal care to their patient even though he/she is a
male or female, child or adult, acute or chronic, relatives or not and dying or not you should give
equal care to all. They believe in no special care or treatment.
“Oo ganun kung ano lang yung dapat gawin sakanya ganun sa sobrang dami ng pasyente namin
haha sorry ah. Oo ganun, ewan ko lang ah, iba kasi dito eh ganun. So yun. Oo, haha wala, Kung
ano lang yung care na binibigay namin sa iba ganun, ganun lang rin yung binibigay namin sa
kanila.” (If what care you provide to others it still the same care to them….) P1L224-L226
“Normal lang, wag mong iparamdam sakanila na “Ay! Nag cacare ka kasi mamataybna sila”.
Hindi hmm.. normal lang na pag treat. Pero nasayo kung pano mo ibibigay ng maayos yung mga

kailangan nila.” (Its normal, don’t let them feel that you cared for them because they are going to
die. But treat them normal. But it’s up to you how you will give care to them…) P2L361-L363
“Sa ganun kasi, dapat pagka nurse na tayo, pag nag duduty na kayo sa hospital talaga, masigla
man yung pasyente o mamamatay na yung pasyente dapat equal yung trato mo. Kasi ano.. yung
pasyente mo pasyente yan kahit mamamatay na yan o masigla yan, kahit bukas makakauwi na
yan pasyente parin siya. Kaya dapat lahat sila pantay-pantay mong itrato kahit na alam mong
ganun ang kalagayan niya, itratrato mo diya na normal lang na katulad ng iba kasi mas mahirap
sakanila yung sobrang bait mo naman kasi nararamdaman nila na parang “Siguro malapit na
akong mamatay kasi ganito na trato sakin”. Kung sobra ka naman sa pang pansasabahala baka
magakit naman sayo yung relatives nung pasyente kaya dapat patas patas yung tingin mo sa lahat
ng klase mong pasyente.” (If you are duty in a hospital, the patient is lively or the patient is dying
it should be equal in treatment. Because your patient is a patient… you will treat them as normal
as other…) P3L3475-L482
“Kahit sinong pasyente, mahirap, mayaman, pantay pantay yan. Yung mga hindi dapat gawin,
mga dapat gawin, yun.” (Whoever the patient is whether poor or rich they all the
same…)P4L3619-L620
5.0 Discussions
A circle is said to be a graceful, warm, comforting, offers a safety connection and

encompasses unity and harmony. In relation with the variables in the previous section, the
researchers came up with the simulacrum, "The ABCDE's Strategic Circles of Filipino nurses
when encountering death and dying patient". The researcher used a circle for the simulacrum
because these five coping mechanisms will be very effective and creates unity and harmony with
the patient when they provide a warm, agile and sense of security in palliative care.

Figure 1: The ABCDE’s Strategic Circles of Filipino Nurses when Encountering

Death and Dying Patient
Upon conducting the interview, the participants were very cooperative and shared their
thoughts and perspectives in different ways. Some of them were obviously emotional in their past
experiences of death in their patients, while the others have a strong emotional control because
they said that as a nurse you must be prepared in these kind of scenarios.
However, the interview made the researchers identify the different mechanisms of
different nurses in providing palliative care and encountering death in their patients.
The researchers came up with the 5 most common coping strategies of a nurse in dealing
with death and dying patients which are explained below.
Acceptance, where the key informants stated that healthcare providers are meant to face
death and dying patients which cannot be avoided and should be accepted. Accepting those will
help them to be less emotional and ready when handling those kinds of patients because they
already know that it would happen. It also said by Aichetou et al. (2016) that death should be
accepted and treated as a normal thing that is happening in our life.

Borderline, it refers to the healthcare providers ‘limit in giving care where the key
informants stated that a healthcare provider should not get attached to the patient but only give
the care that the patient should receive. It was emphasized by Zheng et al.(2017) that it is
important to have physical and emotional boundaries when giving care, so that nurses will not get
too emotional and will not be affect that much. Because limiting the relationship between the
patient will not build a strong relationship so that when the patient is about to die, a healthcare
provider will not get affected that much and will not affect the quality of their care but they still
can decide accurately for the right thing to do.
Competency, in which the key informants said that having those kind of experience will
help them to be strong and grow in their field. They consider that kind of experience as a need for
them to be more knowledgeable and to act right when encountering those kind of patients. Zheng
et. al. (2017) stated that personal experiences with death and dying will help individual health
care provider to improve their emotional stability when encountering those kind of patients.
Being exposed to death and dying patient will help them know the things that they should and
they shouldn’t do when they handle those kind of patients again. Each time they encounter those
scenarios will give them knowledge and skills that eventually made them to be strong and
competent enough.
Diversion, where in each key informants stated different strategies to divert their
attention and forget the awful moments that they had encountered. Some said that they go to the
mall with their friends and have some fun bonding with them. While others said that they watch
movies, sleep, open it to their love ones, and focusing to other patients. Each individual do those
things to be able to divert their focus so that they will not remember the sad thing that happened,
which will help them not to be affected and to be able to function well for the next day. This
different activities that uses by the nurses as their coping strategies will help them to have an
equal between their work and personal life, so that they can continue to give a quality care to the
patients.(Zheng, 2017).
Equal Care, where the key informants said that a care should be carried out equally to
each individual patient regardless of their case. One of the key informants stated that a healthcare
provider should not give an extra care to dying patient but only give the care that the patient
should receive just like the other patients. It was stated by McArteer and Wellbery (2013) that
healthcare providers are sometimes have lack of comfort and have fear in dealing with those kind
of patient and one of the solution to that is to treat them like a usual patient with the usual care.

6.0 Conclusion
This study aims to understand the lived experiences of Filipino Nurses in dealing with
death and dying patients. Researchers did an in-depth interview using a semi-structured interview
guide and five themes were formulated: Acceptance, Borderline, Competency, Diverting, and
Equal Care. Researchers concluded that dealing with death and taking care of dying patients
requires a lot of strength and courage. Some coping strategies such as accepting the situation,
knowing your limitations, and diverting feelings might help but researchers observed that it really
depends on the nurses’ emotional capability to deal with death and handle a dying patient.
Results are not concerned with all Filipino Nurses, but this study provided knowledge on
how nurses deal with death and dying patients. This study might be valuable to students, future
nurses, and novice nurses in understanding the Lived Experiences of Filipino Nurses. Future
researchers may gain some information in this study on how Filipino Nurses are able to deal with
death and dying patients.
7.0 Recommendation
The researchers focused on lived experience of Filipino nurses to identify different

strategies to cope up with death and dying patient, the researcher would like to recommend a
same study that focuses on the nurse's emotional strength rather than the strategies that they use.
Participants may group in to two wherein first group are the nurses that works on palliative care
who always encounter death and the nurses that works in non-toxic area that only encounter only
few death and dying patient. The researcher also recommend to use mixed method like
exploratory to further explore the phenomenon and to concretize qualitative findings.
The challenges that may encounter with that are [1] the resistant of the participant to
participate and [2] the nurse’s ability to share his/her experience, some are not open with those
kind of topic.

Acknowledgments
We, the student nursing researchers of Our Lady of Fatima University would like to
acknowledge our Heavenly Father for guiding us and helping us in the process of this study. We
thank Him for his understanding and support spiritually, mentally and physically. We thank him
for giving us patience whenever we face a hard time in doing this paper.
We would also like to give gratitude to our parents and loved ones who also gave us
moral support and also provided our financial needs in the process of this paper.
We would like to express our appreciation to Mr. Michael Joseph Dino and Mrs. Sharon
Cajayon for being hands on upon the completion of this paper. We thank them for always
updating us about the requirements and lectures related to this study.
And to our nursing research adviser, Mrs. Melanie Cambel, who assisted us throughout
the conduction of the study, who imparted us her knowledge and skills in making a thesis paper.
And lastly, we would like to extend our thanks to the whole Research Development and
Innovation Center, who was assigned to supervise the research groups, for being accommodating
and trustworthy, for being responsible in overseeing the accomplishment of this paper.

References
Aichetou, E., Roseline, A.,& Tasner,C.(2016). Coping strategies used by nurses in dealing with
patient death and dying. JAMK University of Applied Sciences. Retrieved from
https://www.theseus.fi/bitstream/handle/10024/123887/Akuroma_Roseline.pdf?
sequence=1
Bentacur, M. (2015). Nursing care of patients during the dying process: a painful professional and
human function. Invest Educ Enferm. 2015; 33(2): 297-304.
Carr, D. (2012). Death and Dying in the Contemporary United States: What are the Psychological
Implications of Anticipated Death?. Blackwell Publishing Ltd. Retrieved from
http://www.rci.rutgers.edu/~carrds/carr_sppc_2012.pdf
Collins, S. (2013). Achieving Expertise. Minority Nurse. Retrieved from

https://minoritynurse.com/achieving-expertise/
DOH (2013). Mortality. Retrieved from http://www.doh.gov.ph/mortality
Estimo, R. (2014). Filipino nurses admired for rendering exemplary service. Arab News.
Retrieved from http://www.arabnews.com/news/561476
Herbert, K. et al. (2011). The Nurse Advocate in End-of-Life Care. Ochsner Journal. Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241064/
Imam, S., Syed, K., Ali, A., Ali, U., Fatima, K., Gill, M., Hassan, M., Hashmi, S., Siddiqi, M.,
Khan, H., & Jameel, O. (2007). Patients' satisfaction and opinions of their experiences
during admission in a tertiary care hospital in Pakistan - A cross sectional study. BMC
health services research. 7. 161. 10.1186/1472-6963-7
Laird, B. (2015). Barriers to the delivery of palliative care. Oxford University Press.
0.1093/med/9780199656097.001.0001

Lopera, M.A. (2015). Nursing care of patients during the dying process: a painful
professional and human function. Invest Educ Enferm. Retrieved from
http://www.scielo.org.co/pdf/iee/v33n2/v33n2a12.pdf .
McArteer, R.,& Wellbery,C.(2013). Palliative Care: Benefits, Barriers, and Best Practices.
American Academy of Family Physicians. Retrieved from https://www.aafp.org/afp/2013/1215/p807.html
Martins, M. C., Chaves, C. & Campos, S. (2014). Coping strategies of nurses in

terminal ill. Procedia-Social and Behavioral Sciences, 113, 171-180.
Mburu, R. & Mwangi, P. (2011). Caring for the dying patient and his family at home : a literature
review. Laurea University of Applied Sciences. Retrieved from
https://www.theseus.fi/bitstream/handle/10024/30689/Mwangi_Perpetua.pdf?sequence=1
Pesut, B. & Greig, M. (2018). Resources for Educating, Training, and Mentoring Nurses and Unregulated
Nursing Care Providers in Palliative Care: A Review and Expert Consultation. Journal of Palliative
Medicine. Retrieved from https://www.liebertpub.com/doi/10.1089/jpm.2017.0395
UN (2015). World Mortality Report. Retrieved from http://www.un.org/en /development/

desa/population/publications/pdf/mortality/WMR2015/WMR2015_Highlights.pdf
WHO (2015). Adult Mortality Rate. Retrieved from http://www.who.int/ghoh
Wilson, J. & Kirshbaum, M. (2011). Effects of patient death on nursing staff: a literature review.
Pubmed Gov. Accessed on 4 April 2017. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21647017
Why Filipino Nurses are High Demand. (2016). Sentosa Recruitment Agency. Retrieved from
http://sentosarecruitment.com/category/news/
Zheng, R., Bloomer, M., & Lee, S.(2017). How nurses cope with patient death: A systematic
review and qualitative meta-synthesis.Wiley Journal of Clinical Nursing. Retrieved from
https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.13975

Glossary of Terms
Acceptance - act of obtaining what is offered
Borderline - one’s attitude towards a specific circumstances or events; setting up boundaries
Competency - an ability or skill to perform an action productively
Coping Strategies - several ways on how people deal with unpleasant events
Diverting - act of distracting one’s attention towards a different subject or object
Emotional Capability - one’s capacity to handle emotional crisis
Filipino Nurses - natural born citizen of the Philippines who passed the Nursing Licensure
Examination
In-depth Interview - an interaction between two people wherein several questions are prepared to
ask to the interviewee to gather information
Inextricable - cannot be controlled or escaped from
Interviewee - a person being interviewed
Interviewer - the one conducting an interview

Appendix A
Participant Information Letter
Research Title: You’ll Get Used to It”: A Lived Experience of Filipino Nurses in Dealing with
Death and Dying Patient
Researchers (Mga tagapagsaliksik):

Maria Angelika Carlos
Winslet Rose V. Chua
Kobe Bryant M. Diza
Jackielyn D.G. Mateo
Jeannifer S. Ponseca
Our Lady of Fatima University
Purpose: To know the different coping strategies used by filipino nurses in dealing with death and
dying patients.
Layunin: Para malaman kung anu-ano ang mabisang paraan ang ginagamit ng mga baguhang
nars upang makayanan ang mga pangyayari sa tuwing makakaranas ng paghawak ng
pasyenteng nasa bingit na ng kamatayan.
Procedure: If you are willing to be part of this study, you will be participating in an in-depth
interview using a semi-structured interview guide made by the researchers. A voice recorder will
be used to serve as a guide by the researchers for analyzation purposes. The said interview will
lasts for about 30-45 minutes.
Pamamaraan: Kung ikaw ay handang lumahok sa pagaaral na ito, ikaw ay makikilahok sa isang
pakikipanyam gamit ang isang palatanungan na ginawa ng mga tagapagsaliksik. Itong ay
gagamitan ng isang kagamitan ng magsisilbing gabay ng mga tagapagsaliksik upang paulit-ulit
na pakinggan ang nasabing panayam para sa pagsusuri. Itong nasabing panayam ay magtatagal
ng tatlumpu hanggang apatnapu’t limang minuto.

Benefits: This study will be beneficial not only to the filipino nurses but also with all the
graduating nursing students and those students who want to be a nurse in the future.
Pakinabang: Ang pagaaral na ito ay hindi lamang magdadala ng benepisyo sa mga nars sa
kanilang trabaho gayun din ang mga estudyanteng makakapagtapos ng kursong Nursing at ang
mga estudyanteng nangangarap maging nars sa hinaharap
Risk: Participants’ experiences will be tackled in the said interview. There is a possible emotional
risk since verbalization of feelings and emotions is expected.
Panganib: Ang karanasan ng mga nars ay ang paguusapan sa nasabing panayam. Mayroong
posibleng panganib sa kanilang mga damdamin dahil ang pagsasabi ng kanilang mga
nararamdaman ay ang inaasahan sa panayam.
Confidentiality: The information gathered will be secured and will remain confidential
throughout the course of this study. The data that will be gathered will be accessible to the
researchers only. There will be no identifications of names on the survey that will be given.
Personal information will not be published in this study.
Paglilihim: Ang makukuhang impormasyon ay mananatiling ligtas at lihim sa buong panahon ng

pagaaral. Ang mga mananaliksik lamang ang makakaalam ng mga impormasyon na makakalap.
Walang pagkakakilanlan ng pangalan na ilalagay sa papel pangsiyasat na ibibigay. Ang mga
personal na impormasyon ay hindi ilalathala sa pagaaral.
Voluntary Participation: Your participation will remain voluntary until the end of this research
study. You will not be forced to continue being a respondent if you no longer want to involve.
Refusal to participate will involve no penalty. You have the freedom to discontinue in
participating in this study anytime you ordained.
Kusang-loob sa paglahok: Ang inyong desisyon sa pag-lahok sa pagaaral na ito ay mananatiling

boluntaryo hangang matapos ang pananaliksik. Kung nais ninyong mahinto ang inyong
partisipasyon sa pagaaral na ito ay hindi namin kayo pipigilan dahil ang iyong desisyon sa
paglahok ay kusang loob. Maaari din kayong umayaw at tumanggi sa pag-aaral na ito na

walang kaparusahan. May karapatan pa rin kayong ihinto ang inyong pagsagot anumang oras.
Compensation: A token of appreciation will be given to the participants before the interview.
Kompensasyon: Isang tanda ng pag-alala ang ibibigay bago ang nasabing panayam.
Withdrawal without Prejudice: Participation in this study is voluntary; refusal to participate will
involve no penalty. You are free to withdraw consent or discontinue participation in this project
at any time you ordained without prejudice or penalty.
Pagtanggi ng walang pang-huhusga: Ang pag-lahok sa pag-aaral na ito ay kusang loob; ang
pagtanggi ay walang kapalit na parusa. Kayo ay may karapatang tumanggi o hindi ituloy ang
inyong paglahok sa proyektong ito ng anumang oras, na walang kapalit na kaparusahan.
Contact Details: If you have any question and concerns about this research, and if you want any
additional information as a participant in this study or any problem happen, please feel free to
contact us. At the end of the study, the result will be forwarded to you if you desire. You may
contact the principal investigator, Ms. Jackielyn D.G. Mateo at 09978931157 or by email
matthewjackielyn@gmail.com
Detalye sa pag-tawag: Kung mayroon kang anumang katanungan o alalahanin tungkol sa

pagsasaliksik na ito at kung gusto mo ng anumang karagdagang impormasyon bilang isang
kalahok sa pag-aaral na ito o kung anumang problema ang mangyari, huwag mag-atubiling
makipag-ugnay sa amin. Sa katapusan ng pag-aaral o pananaliksik,, ang resulta ay ibibigay sa
inyo ayon sa inyong kagustuhan. Mangyaring makipag-ugnay sa aming punong tagapagsuri, Ms.
Jackielyn D.G. Mateo sa 09978931157 o mag-email sa kanya sa matthewjackielyn@gmail.com

Appendix B
Participant Statement
I_____________________________ given this date of____________ freely agree

to participate in this study. I understand that I am free to refuse to answer any question
and to withdraw from the study at any time. I understand that my responses will be kept
anonymous. My name and signature will serve as a proof that I agree to the terms and
condition and I participate myself in this study.
I____________________________ have explained the said consent and made

sure that the participant/participants understand it. I have emphasized their rights to ask
questions if there’s any and provided information regarding to it to my capacity. I have
confirmed as well that each participant answered the survey according to their own
freewill.

Appendix C Interview Guide
1.) Ilang taon na po kayong nars?
(How long have you been practicing your profession?)
2.) Saang hospital po kayo nagtatrabaho bilang nars?
(In what hospital are you working as a nurse?)
3.) Saang partikular na area o kagawaran po kayo nagtatrabaho bilang nars?
(In what particular area/department are you assigned as a nurse? )
4.) Nakaranas na po ba kayong mag-alaga ng pasyenteng may taning na ang buhay?
(Do you have an experience in handling death or a dying patient?)
5.) Paano ka po makitungo sa pasyenteng may taning na ang buahay?
(In what way do you treat or communicate with a terminally ill patient?)
6.) Anong mga paraan ang ginagawa niyo upang makayanan ang mga pangyayari sa tuwing ha-
hawak kayo ng pasyenteng nasa bingit na ng kamatayan?
(What are the strategies/ways you use to cope up with the events every time you handle a
terminally ill patient? )
7.) Nakakaapekto po ba sainyo ang pagpanaw ng inyong mga nagiging pasyente?
(Does the death of your patient affect you? )
8.) Paano at saan po i to nakakaapekto ?
(How and where it affects you? )
9.) Sa paanong paraan niyo po tinatanggap ang pagpanaw ng inyong nagiging pasyente?
(How do you accept the death of the patient you are handling? )
10.) Nakatutulong po ba sa inyo ang pagkakaroon ng mga ganoong karanasan? Ipaliwanag.
(Do these kind of experiences help you? Explain.)
11.) Kung kayo po ay papipiliin, gugustuhin n’yo pa bang makahawak ulit ng mga pasyenteng
may taning na ang buhay? Kung oo, bakit po?
(If you were to choose, are you still willing to handle terminally ill patient in the future?
If yes, Why?)

Appendix D Transcription
Participant No. 1
Question No.1
Interviewer: So bali ilang taon kana po pala?
Interviewee: Ako ... 29
Question No.2
Interviewer: Bali ilang taon ka po grumaduate?
Interviewee: Ilang taon bako grumaduate? 17. 17 ata. Wait lang 17, 18, 18 ata or 19. 2008 ako
grumaduate, 19 nga.
Question No.3
Interviewer: So bali ilang taon na po ulit kayong nurse?
Interviewee: Ilang taon na kong nurse? ... wait lang ... ilang taon nakong nurse ... 8 , 2008, 9, 10,
11, 12, Ilang taon na bakong nurse? 10 years. Grabe 10 years na pala kong nu7rse. Almost,
almost 10.
Question No.4
Interviewer: Nagstart na po ba kayo agad sa nursing or nag ibang work pa po kayo?
Interviewee: Hindi, nagstart na talaga ko.
Question No.5
Interviewer: So alumni po kayo ng Fatima?
Interviewee: Oo alumni
Question No.6
Interviewer: So bali ano yung ngayon po nagbakasyon lang po kayo? Tuloy tuloy padin yung
work sa hospital don?
Interviewee: Oo. Oo.
Question No.7
Interviewer: Anong hospital po yung pinagtatrabahuhan nyo po ngayon?
Interviewee: King Abdulaziz Hospital
Question No.8
Interviewer: Ano po yun? Private?
Interviewee: Hindi, Government. Government siya, parang government dito.
Question No.9
Interviewer: So bali mga ilang bed czpacity po?
Interviewee: 400
Question No.10

Interviewer: Ohh, Tertiary po siya?

Interviewee: Oo, tertiary.
Question No.11
Interviewer: So saan kapo naexpose na ward?
Interviewee: Medical ward, Male. Male medical ward.
Question No.12
Interviewer: So ayun po, may karanasan kana po ba sa paghawak ng mga patient na may taning
na ang buhay at mga namamatay?
Interviewee: Oo, madami na.
Question No.13
Interviewer: Pano ka po nakikitungo sa ganoong pasyente?
Interviewee: Halimbawa mag eextract ka sa patient ng ano .. ng tama batong answer ko parang
mali .. parang halimbawa explain mo din sa patient mo kung anong procedure yung gagawin para
diba, for example mag iinstruct ka sa patient mo di ano parang , iinform mo padin siya kung
anong gagawin sa kanya tapos halimbawa dadalin mo siya sa , kasi kami don wala kaming, wala
kaming ano wala kaming magdadala ng ano, kami talaga nagdadala ng pasyente namin sa mga
procedure ganon , halimbawa yung procedure explain mo sa kanya kung ano gagawin sa loob.
Question No.14
Interviewer: Para di siya curious?
Interviewee: Oo ganon, pero aware naman siya kung ano yung CT Scan ganon diba, So ano
mangyayari don sa loob ng CT scan, para may idea siya kung pano tapos halimbawa more of
them may pain. So halimbawa may pain sila ahmm.. kunwari cancer ganyan may pain sila ,
ibibigay mo lang kung ano yung gusto nila for example may order yung doctor na para sa pain
nya like morphine ganyan ibibigay mo lang, on time or kung PRN ibibigay mo lang kung in pain
talaga kasi mostly sa, ano kasi kami ahm.. pano ba ko ba explain? As a nurse kasi halimbawa,
makakahandle ka kasi don ng mga sicklers mga sicklers ganon yung may sakit sa usually kasi ang
mangyayari sa kanila parang nagiging addicted na sila sa mga ahmm.. ano yun, sa mga yun nga
mganpain meds. Like morphine so parang di mo na madistinguish kung sino talaga yung totoong
in pain.
Question No.15
Interviewer: Don po ba sa hospital nayun nakahandle kana po ng kapareho mong Filipino?
Interviewee: ahm.. oo minsan. Kaya lang may tb sila ganon. Ay oo yung mga nahandle ko ha ,
walang 50/50 naman. Sa kabilang ward parang meron silang nahandle , pero sakin wala pa
naman.

Question No.16
Interviewer: So dati po pano ka po , pag ginaganyan mo yung pasyente, nagtatouch kaba sa
kanila or parang support lang, tinatouch mo sila or hindi?
Interviewee: Hindi mashado kasi sa religion nila ano eh parang di ka pwede matouchy sa mga
lalaki, ano lang sa speak. Halimbawa may na admit sabi mo nga kapwa namin Filipino ganon,
hindi mo sila pwede itouch na "ohh kuya" ganon, ieexplain mo nalang
Question No.17
Interviewer: Pano nyo po kinakaya, kunwari yung 50/50 na pasyente mo tapos matagal mo
siyang nahawakan parang yung binibigay mo na nga rin lahat, pano mo nakakayanan na parang
iaaccept mo nalang? Yung mawawala na siya pano mo nacocope? Pano yung coping strategies
mo talaga? Para hindi karin yung parang
Interviewee: Coping Strategies? ... Ano... Parang wala kong coping strategies, parang wag lang
mashadong maatouch. Hindi kalang maatouch ng mashado don sa patient. Yung care lang
hangang don lang don sa ward after mo makaalis ng ward. Ayon magshopping ka , ay charot joke
lang (laugh). Hindi ano hindi (laugh)
Question No.18
Interviewer: Pero di po nagshoshopping po kayo?
Interviewee: Oo yun nga. Oo kapag halimbawa stress ka sa ward ganon madami nangyari,
madaming ano, toxic ganyan ahm.. after non magpunta ka sa labas with your friend tapos toktok
lang kayo, pag ka ano kasi usually yung mga kasama ko pag sabay sabay kami ng offs or parang
halimabawa magninight pa siya tas ako galing night duty ahh.. so parang may time kami together
, so yun magluluto kami together tapos kakain kam. Yun yun lang ata. Tapos dun din actually dun
din mapag uusapan mo padin yung duty pero parang releasing ano nalang, releasing ng stress mo
Question No.19
Interviewer: Pero minsan din pa ba araw araw mo naiisip hangang pawala na?
Interviewee: Oo ganon, pero yung attoucchment talaga sa pasyente wala masyado.
Question No.20
Interviewer: Kasi tsaka iba rin pag kapwa mo Filipino?
Interviewee: Oo pag ganon ahm.. help mo nalang sila halimbawa madidischarge sila help mo
nalang sila
kung pano yung way ng pagdischarge ganon.
Question No.21
Interviewer: So bali ano ginagawa mo po as a nurse lang talaga?
Interviewee: Oo. Oo.

Question No.22
Interviewer: Parang care lang ganon?
Interviewee: Oo. Di mashadong yung atouch
Question No.23
Interviewer: Kahit po yung first na encounter nyo ng ganon? Ganon po talaga?
Interviewee: Oo, ganon talaga parang okay lang
Question No.24
Interviewer: Pero wala po ba yung instance na naapektuhan po kayo?
Interviewee: Pero halimbawa matagal mo siyang kinecare like nandon na siya ahmm.. may mga
pasyente kami don na dati na parang pano ba, mentally retarded, one time may mentally retard
kaming patient ay di pala Down Syndrome pala siya tapos nakatracheo siya pero ano naman wala
naman siyang oxygen, ano nalang room air nalang yung sa tracheo nya tapos yun nadeteriorate
siya kasi after ng OR parang ewan ko nangyari tapos nung pagakabalik ko wala na siya so parang
nalungkot lang kami, parang maimagine mo don sa bed nya palagi "ahh nandito siya palagi" that
time kasi matagal kasi talaga siyang admitted mga siguro 6 months, ganon kasi yung ahh..
admission stage don ay yung period pala so yun parang maiimagine mo andon siya palagi sa bed
nayun naglalakad pa sya ganon ano paren naiimagine mo parin sa self mo kung anong itchura nya
nung nung buhay pa siya, alive pa siya kapag matagal mo siyang nahawakan tapos bigla nalang
siya nadeteriorate
Question No.25
Interviewer: So bali parang okay nalang magshopping ka nalang or mag eenjoy ka nalang sa iba
para mawala nalang sa isip mo?
Interviewee: Oo ganon. shopping tapos kain.
Question No.26
Interviewer: Doon mo nalang siya tinatanggap na parang wala na okay na?
Interviewee: Okay na.
Question No.27
Interviewer: Yung mga karanasan mo na sobrang dami na na nakahawak ka ng dying patient
nakakatulong po ba sayo yon? Parang may benifits din ba sayo
Interviewee: Siguro kasi parang, benifits? Experience, Kapag halimbawa may dying patient ka
parang alam mo narin yung gagawin mo halimbawa may family ahmm.. like during that time na
namatay yung patient mo sempre alam mo na yung ano ng family, iba kasi yung together sa
namatay na pasyente ganon. So alam mo na yung the next thing to do pag andon yung family.
Question No.28

Interviewer: So kung ikaw po ay papipiliin okay lang pa ba sayo or gusto nyo pa po ba

magkaron ng mga ganong case, yung mga namamatay ng pasyente or naghahawak?
Interviewee: Sempre ayaw. Pero kasi yung paghahawak wala naman akong magagawa kasi
dipende kung anong ibibigay sakin na pasyente.
Question No.29
Interviewer: Pero sa opinyon nyo po?
Interviewee: na makahawak ng ganon? Ayoko kasi mahtotoxic ako sa duty. Hindi hindi siguro
Question No.30
Interviewer: Hindi na.Bakit po?
Interviewee: Ano kasi nga matotoxic ako sa duty ganon. Para kasing pag may ahm pano ba yung
sasabihin ko pano bayun? ... Kapag nandyadyan na kasi , part nayon parang wala lang, wala na
siguro sa dami na ng ano ng experience mo na may naencounter na nagpapack ka ng patient
Question No.31
Interviewer: So parang okay na sayo yun?
Interviewee: Oo
Question No.32
Interviewer: Peeo diba po sa ibang bansa taga record lang kayo wala nang manual na ginagawa?
Interviewee: Sa ward, hindi kasi sa ward namin meron padin, minsan kasi may intubated din
kami dapat Kasi hindi yun pwede pero pag wala na talagang bed sa ICU, ikikeep nalang namin
siya sa ward. So yun nga parang magtotoxic ka tapos kulang kapa ng nurse sa labas so yun
Question No.33
Interviewer: So parang bali ikaw parin po gumagawa lahat? Paligo? Pakain?
Interviewee: Oo
Question No.34
Interviewer: Sa ward nyo po ngayon? Ilan po kayo per shift?
Interviewee: Onti lang talaga, apat lang kami sa isang shift
Question No.35
Interviewer: So apat , mga ilang bed?
Interviewee: 32 yung full bed namin, dapat 1 is to 6, minsan pag wala talaga kaming staff kasi
absent yung mga staff , 1 is to 10 or 1 is to 8 ganyannsobrang hirap.
Question No.36
Interviewer: So kelan nyo po talaga unang naranasan mamatayan ng patient? Yung mga grabe,
yung saglitan lang, yung parang di katanggap tanggap kunwari yung sa kinwento nyo po
Interviewee: Kailangan madalian ka sa phone

Question No.37
Interviewer: Parang kunwarin naadmit yung bata okay na okay siya parang healty naadmit tapos
nalaman mo 3 days after 3 days
Interviewee: kailangan pursue mo talaga yung pagrevive ganon ahh.. revive kailangan marevive
yung bata ganon or kailangan marevive yung pasyente ganon tapos ano pa kailangan talaga push
harder pag nagccpr
Question No.38
Interviewer: So bali po talaga mas naaccept mo pag matatanda?
Interviewee: Oo mas accept talaga pag matandang matanda na sa ward nyo mahirapan kana
magchange ng sa bed or dressing as in kasi malalaki talaga yung pasyente as in
Question No.39
Interviewer: Tsaka naisip mo din ba na sila narin yung nahihirapan na parang
Interviewee: Oo maiisip mo talaga yun, kapag andon ka makikita mo talaga. Parang maiisip mo
na pag ako tumanda na din wag nalang sana ganun kasi mahirap atsaka pangit. Pangit sya tapos
may makikita kang bedsore dito tapos ang babaho pa ganon, ung mga unexpected death talaga
ayun mahirap
Question No.40
Interviewer: Sa mga infant ganon po?
Interviewee: Di kami nakakaano ng newborn eh.Ako talaga hindi. Talagang adult talaga.. Siguro
talaga sakanila (infants) mas mahirap. Mostly 4 years this time adult talaga yung inaano ko.
Question No.41
Interviewer: Sa isang week po, ilang araw kayo nagdduty?
Interviewee: Ilan ba kong days wait lang.. 5 days tapos 2 days off ganon.
Question No.42
Interviewer: Ano po yun, 3:1, 3:1 or or sunod na dalawang day off ganon?
Interviewee: Minsan 5 days tapos 2 days off. Usually ganon. Or 6 days, 2 days off. Minsan
kapag walang staff ano pinag eextend ka, 12 hrs ganun.
Question No.43
Interviewer: Dun sa hospital po ba na yun madami rin bang parang ano--
Interviewee: Wala na. mostly anon a talaga, locals, uhm, Egyptians, uh, ano pa ba ung isa..
Syrians.
Question No.44
Interviewer: Pano naman yung pakikitungo nyo po dun? So far okay naman?

Interviewee: Okay lang. Mas matatalino kami charot, sinisigawan naming sila mga ganon
hahaha charot, hinde yung mga residente lang, pero yung mga comsultants hindi. Pag mga
residente, cool lang parang ano, buddy buddy.
Question No.45
Interviewer: Mas madami po ba yung independent interventions sainyo?
Interviewee: Mostly kasi ang hirap nila tawagan, hahaha. Kami na yung gumagawa, oo.
Question No.46
Interviewer: Eh paano po yung mga antibiotic na gamot?
Interviewee: AY hindi, sakanila talaga yun, oo. Pero wala kaming skintest don ewan ko lang dun
sa ano. (other places)
Question No.47
Interviewer: Paano po kapag Blood transfusion? Wala naman pong issue don?
Interviewee: Ah, meron maraming issue don, hahaha. Wala na yung ano, pero humigpit na yung
policy nila sa blood transfusion. Dun kasi kami nageextract mga nurse. DIto diba ano uh, mga
doctor or technicians, samin kami talaga. So kunware kami yung nagextract ng blood, dadali
namin sa baba for typing, tapos kapag bago lang yung pasyente nyo or kakaadmit pa lang nya
don, wala pa syang record ng typing, eextract-an naming ulit sila.
Question No.48
Interviewer: DI pa naman po ba nagkakaissue na nagkamali sa procedure?
Interviewee: Sakin wala naman, pero may mga ano lang, reactions, parang sa hospital may mga
naririnig kami pero dun sa ward naming wala naman konting reaction lang sa pasyente ganon.
Question No.49
Interviewer: Pano po kapag ano pag may patient po kayo na super lala na ganon, tapos alam nyo
pong super lala nya na. Pano po kayo nakikitungo sakanya yung parang, di po bay un
nakakaapekto sa pagccare nyo po sakanya?
Interviewee: Hindi naman. Normal lang din kung ano yung care sa ibang pasyente yun lang din.
Question No.50
Interviewer: Chinicheer up nyo po ba sya ganun? Or yung kung ano lang yung gagawin ganun?
Interviewee: Ooo ganun kung ano lang yung dapat gawin sakanya ganun sa sobrang dami ng
pasyente namin haha sorry ah. Oo ganun, ewan ko lang ah, iba kasi dito eh ganun. So yun. Oo,
haha wala, Kung ano lang yung care na binibigay namin sa iba ganun, ganun lang rin yung
binibigay namin sa kanila.
Question No.51

Interviewer: Bali di po ba nakakaapekto yung diagnosis sainyo for example super lala na nung
diagnosis, wala po bang effect yun sainyo ganun?
Interviewee: Sakin wala na. hahahaha sakin wala na. ang harsh ko pala!
Question No.52
Interviewer: Kahit po nung during your first year? Or first 2 years ganon, wala po?
Interviewee: Parang wala naman. Wala, kung gano kalala yung diagnosis. Wala naman.
Question No.53
Interviewer: Pano po kung emotional yung patient? Pano nyo po sya--
Interviewee: Hmmm, pano ba. Wala naman akong naencounter. Oo. Wala, wala silang ganon.
Ewan ko ah pero don parang wala naman. Feeling ko kasi nasa ano nila yon religion. Kase
parang what is given to them by Allah, tanggapin nalang ganon. De totoo yon! Parang ganon.
Question No.54
Interviewer: Nagrerevive ka rin po ba ng patient?
Interviewee: Oo kami.
Question No.55
Interviewer: May narerevive/ Anong feeling kapag narerevive nyo po ung patient?
Interviewee: ay ang saya hahaha de totoo ang saya. Kasi ang hirap mag push eh hahaha ang hirap
mag pump hahah pero ano, oo masaya kapag nakakarevive ka ng patient lalo na yung bata pa
hahaha so ibig sabihin kapag matanda na talagang ano eh no hahaha de.
Question No.56
Interviewer: Pano po pala yung kapag di narevive? Pano nyo po ipapaalam sa family/
Interviewee: Sa social worker. Tawagan naming yung social worker, yun yung magtatawag sa
family kasi nga hindi katulad dito na ang family ang nagbabantay, dun sa Saudi wala, wala kang
watcher. Kasi sila di katulad dito na yung family ties natin is intacttalaga, kapag ka kahit matanda
na, yung family mo nandun parin magsupport sayo sa ano, duting na dying ka ganun . dun kasi
hindi eh its like tinatapon.. tama ba yung word, tinatapon lang nila yung pasyente nila dun sa
hospital para ung mga nurse , yun yung ano magccare dun sa mga tatay or nanay nila ganon. So
wala talagang family during ng ano last stage na ng dying nila. Kapag sa dying stage, wala na.
wala na yung family don
Question No.57
Interviewer: bali wala po kayong communication sakanila?
Interviewee:wala. Depende nalang kung dadalawin nila yun during visiting time, edikamilang
magccare dun sa pasyente ganon. Tapos kapag namatay na ganon uh, tawagin nalang naming
yung social worker then social worker yung magccontact sa family ganon.

Question No.58
Interviewer: Di ka po naaexperience ng ganon ditto sa pilipinas?
Interviewee: Na dying patient parang hinde. Oo nagexperience ako ditto pero hindi nakahandle
ng dying patient. Sa government, pero parang wala naman ako nahandle nadyingpatient.
Question No.59
Interviewer: Ano pong hospital tertiary rin?
Interviewee: oo tertiary pero provincial hospital sya. Sa batangas.
Question No.60
Interviewer: dun po ung unang encounter nyo ng dying patient?
Interviewee: hinde wala sa ibang bansa na.
Question No.61
Interviewer:So for clarification lang po, parang sa whole experience nyo parang hindi po kayo
mayadong emotional
Interviewee: Oo hindi, never ako naging emotional sa dying patient lalo na pag matatanda.
Interviewer: Okay na po. Thank you po
----------------------------------------------------End of
Conversation--------------------------------------------------
Participant No. 2
Question No.1
Interviewer: Ilang taon na po kayo?
Interviewee: 24 years old.
Question No.2
Interviewer: Ilang taon na po kayong nurse, ate?
Interviewee: Mag 3 years… mag 3 years na sa experience ah.
Question No.3
Interviewer: Saan ka po pinanganak?
Interviewee: Sa baggao cagayan.
Question No.4
Interviewer: Saan ka po nakapag tapos ng nursing, ate?
Interviewee: Sa Our Lady of Fatima Quezon City Campus.
Question No.5
Interviewer: Bilang nurse, saan po kayo nag tatrabaho, ate?

Interviewee: Sakin, una nag work ako sa Calalang General Hospital ng 2 years. Tapos ngayon,
kaka-start ko lang ulit mag work sa Valenzuela City Care Medical Center…. Wala pa kong 1
month.
Question No.6
Interviewer: Saang particular kayo na ward, kayo na exposed nung nasa unang hospital po kayo?
Interviewee: Sakin, ano nag ahh.. na-exposed ako sa medical, surgical ward. Nag pediatric ward
din ako tapos, uhm.. 1 year sa operating room at delivery room.
Question No.7
Interviewer: Nakaranas na po kayo na namatayan? Nakahawak nang 50/50 na client yung dying
patient na po?
Interviewee: Oo, patay na.
Question No.8
Interviewer: Paano po ito nakakaapekto sainyong pagganap bilang nurse sa loob ng ospital?
Interviewee: Nakakaapekto...
Question No.9
Interviewer: Paano nakakaapekto sayo. Kunwari, malungkot ka ba, emotional ka ba?
Interviewee: Oo, expected yun. Pero, nawawala naman siya. Sa una lang, sa una lang siya.
Question No.10
Interviewer: Pero ilang days bago mo..
Interviewee: Ilang days… Siguro mga 2 to 3 days.
Question No.11
Interviewer: Paano ka na? Ok lang yung sunod sunod naa nakakahawak ka or ok ka na sa isa-isa
na kapag kamove-on ka na?
Interviewee: Isa isa lang. Pag tuloy tuloy hindi na maganda yun (laughing). Taga-sundo ka na
nun.
Question No.12
Interviewer: Paano mo nakakayanan sa paghawak mo ng pasyente na 50/50? Paano mo
nakakayanan?
Interviewee: Nakakayanan… kasi madalas biglaan din eh… kapag nasa ospital, ano tulong
tulong lang talaga. Tapos , hindi ka pwede mag pakita ng emosyon. Pag nag ano ka, hindi ka
pwede ikaw ang unang iiyak sa relatives. Kailangan, uhm.. malakas yung loob mo.
Question No.13
Interviewer: Yung iba pa, parang ganyan. Kunwari aalis ka na muna dun, ayaw mo muna siyang
nahihirapan or..m

Interviewee: Hindi pwede. Kasi kailangan mo muna siyang bantayan.

Question No.14
Interviewer: Yung… Kailan yung first time mo na nakahawak?
Interviewee: First time siguro...
Question No.15
Interviewer: estudyante or nurse ka na?
Interviewee: Nung student ako nakahawak na ako sa ano… sa emergency room ng ano, ng San
Jose Delmonte sa.. ano yun..m
Question No.16
Interviewer: Bulacan.
Interviewee: Oo, sa bulacan sa eemergency room. Doon ako unang namatayan nang pasyente.
Bata yun may meningitis.
Question No.17
Interviewer: So, ano yun.. Araw-araw mo ba siya nahahandle. Kunwari, 3 days yung duty.
Araw-araw mo ba siya nahahandle?
Interviewee: Hindi. Eh biglaan yun nasa ER kasi ako nun.
Question No.18
Interviewer: So ano yun? Emotional ka ba nun or na-shock ka na..
Interviewee: Samin, hindi naman. Kaya lang, ano yun na infectious yung sakit niya. Uhm.. Pero,
nalungkot kami nung nalaman namin kasi baby pa nga siya, malusog siya tas biglaan na lang
yung pagkamatay.
Question No.19
Interviewer: Paano mo tinatanggap yung pagkapanaw nung isang pasyente na nahawakan mo?
Paano mo na-aaccept. Parang i-compare mo yung nangyari sa bata or sa matanda. Kasi ikaw
nahahawakan mo both bata tyaka matanda.
Interviewee: Sa ano.. pag matatanda lalo na yung mga alam mong may cancer na. Yung mga
may expected na alam mong may mga tali na or na-comatose na tapos inalagaan mo ng isang
buwan.. mas madali sila… ma-accept pag namatay kesa dun sa pasyente mo kahit na bata o
matanda tas biglaang pagkamatay. Mas mahirap siya ma-accept kahit na sabihin mo na bata yun o
matanda. Pag unexpected yung nangyari mas mahirap siya matanggap.
Question No.20
Interviewer: Paano ka nakikipag communicate sa dying patient?

Interviewee: Pasyente… ano ka mas mahaba yung pasensya mo yung mga kailangan nila pag
utos sila ng utos or ang dami nilang dinadaing. Mas ano mo.. mas mahaba yung pasensya mo
talaga. Tapos mas focus ka sa mga binibigay mo, mga pangangailangan nila mas focus ka.
Question No.21
Interviewer: Paano mo sila inaapproach? Kunwari, first time mo sila nahahawakan.. alam mong
dying patient na sila. Paano mo ina-approach?
Interviewee: Normal lang, wag mong iparamdam sakanila na “Ay! Nag cacare ka kasi
mamataybna sila”. Hindi hmm.. normal lang na pag treat. Pero nasayo kung pano mo ibibigay ng
maayos yung mga kailangan nila.
Question No.22
Interviewer: Nakaakatulong ba yung ganitong karanasan o experience sainyo bilang nurse?
Interviewee: Oo, kase pag ano.. yung halimbawa, namatayan ka naa pasyente na inatake sa puso.
Uhm, pagka sa susunod na pasyente mo tapos nag chechest pain siya. Mas focus ka na kasi
matatakot ka kung baka mang yare din ulit sakanya yun. Nang yun din maging cause ng death
mo. Kaya mas magiging focus ka.
Question No.23
Interviewer: Kung papipiliin ka, gugistuhin mo pa bang makaranas o maka experience ng
ganitong karanasan?
Interviewee: Sa… totoo lang ayaw, Hindi mo gugustuhin. Pero.. sa nature ng ano ng profession
ng pagiging nurse, hinding hindi mo yun ma maiiwasan. Uhmm.. may mamatay at mamatay
talaga.
Question No.24
Interviewer: Ano yung mga coping strategies na ginagamit mo para nung nakakahawak ka nung
mga ganon lalo na nung una?
Interviewee: Coping… parang wala naman or more on divert yung atensyon mo. Mag uhmm..
parang mas mag care ka na lang sa ibang pasyente mo.
Interviewer: Parang binabalewala..
Interviewee: Oo para i-didivert mo na lang yung feelings.
Question No.25
Interviewer: So for example.. kunwari, nung first time mo nga mamatayan ka. Yung ginagawa
mo kasi di mo makalimot-kalimutan parang nilibang mo yung sarili mo. Kunwari, lumabas ka,
nagpakasaya-saya ka nung una para makalimutan mo or kaya minsan di ka makatulog kaya
ginagawa mo nanonood-nuod ka na lang muna. Yung mga ganon. Hindi niyo ba nagagawa yun?

Interviewee: Hindi naman. Kasi kung mag duduty ka rin kinabukasan parang mas mag fofocus
ka na lang. Yung focus mo i-didivert mo na lang sa ibang pasyente na.
Question No.26
Interviewer: Open po ba kayo sa ibang – sa mga ibang kasama niyo? Open po ba kayo sa ganong
bagay or may iba kayong napagsasabihan?
Interviewee: Pag ano.. pag namatayan kami more on ano.. kinekwento namin kung ano nangyari
sa mga susunod na mga yung kapalitan namin sa duty ganon. Ineexplain namin or minsan ano
tatawag ka sa ano family mo or ano tas mag kwekwento ka ganon lang.
----------------------------------------------------End of
Conversation--------------------------------------------------
Participant No. 3
Question No.1
Interviewer: Ilang taon na po kayo?
Interviewee: 27.
Question No.2
Interviewee: Ako ano almost 4 years pero may intervals kasi. Hindi siya dirediretso na 4 years.
Question No.3
Interviewer: Bale hindi ka muna nagwork kagad sa hospital
Interviewee: Kaya nagtraining ako noon ng mga post graduate ko o kaya nag duty muna ako sa
hospital kahit na grumaduate na ko.
Question No.4
Interviewee: Sa may ano ako Mandaluyong City.
Question No.5
Interviewer: Saan ka po nakapag tapos nang nursing?
Interviewee: Sa banawe sa Quezon City yung philippine rehabilitation institute foundation.
Question No.6
Interviewer: Bilang nurse saan po kayo nag tratrabaho?
Interviewee: Ano ako nag trabaho ako ng isang taon tyaka tatlong buwan sa Calalang General
Hospital sa may Valenzuela.
Question No.7
Interviewer: Tas ngayon po wala kayo trabaho?
Interviewee: Ngayon wala nag-resign ako nung last year pa.

Question No.8
Interviewer: Saang particular kayo na ward kayo na exposed nung nasa unang hospital po kayo?
Interviewee: Ako kasi uhm… sa Medical and surgical ward- male and female tapos pediatric
ward tapos nag… for 3 months din ako sa ano emergency room.
Question No.9
Interviewer: Nakaranas na po kayo na namatayan? Nakahawak ng 50/50 na client yung dying
patient na po?
Interviewee: Oo oo, pero sa bata hindi pa e sa puro sa adult patient lang.
Question No.10
Interviewer: Paano po ito nakakaapekto sayo pagganap ninyong bilang nurse sa loob ng ospital?
Interviewee: Siguro sakin ano eh.. nung first time na namatayan ako ng pasyente parang..
syempre expected mo malungkot. Pero di namang ganon na ano kasi parang kailangan mong
masanay kasi yun yung nature ng job nang profession natin na lagi nating dapat na in-aaccept na
may mga ganon na pangyayari. Maging considerate na lang tyaka sensitive dun sa mga
nararamdaman ng mga relatives nang patient mo. Tyaka syempre may grievence yun tyaka dapat
sincere ka sa condolences dun sa relatives nang pasyente mo.
Question No.11
Interviewer: Kailan yung first time mo na nakahawak?
Interviewee: nung estudyante ako saa may yun East Avenue Medical Center. Bale ano yun first
day ko na duty parang first day ko na duty ko sa ospital. Eh, late ako noon nung pumasok. Yung
mga kaklase ko nandoon na sila, nasa stundent lounge. Pagpasok ko biglang may nag aarrest na..
parang binatilyo. Eh syempre nakaputi ako na uniform? Kapag estudyante diba? Pagkadaan ko
kala sakin nang doctor staff nurse ako don. Bigla ako hinila tapos “kumuha ka ng mga gauze,
kunin mo yung suction machine.” Sabing ganon sakin. Tapos nagulat ako, di ko alam na ano..
kasi first day, first time mo diba bali nong pagdating ko don hindi ko alam yung gagawin ko.
Parang nung nasa harapan mo na yung dying patient parang kahit alam mo na yung mga
procedures. Alam mo yung dapat mong gawin. Hindi ka kagad makakakilos parang late yung
mga response mo sa ano. Naiisip mo siya pero hindi mo kagad i-aaction dahil natataranta ka. Yun
yung experienced na pagkafirst time mo makahandle na ganon na pasyente.
Question No.12
Interviewer: Paano mo tinatangggap yung pagkapanaw nung isang pasyente na nahawakan mo?
Interviewee: Kapag matagal mo na hinahandle yung pasyente parang.. namomonitor mo yung
kalagayan niya. Parang habang tumatagal mas na aaccept mo na “nako! Parang mahihirapan na
tayo dito, parang hindi kakayanin nang pasyente.” Parang talagang dapat titingin ka sa punto na

yun. Kesa don sa mga biglaan kasi pag biglaan, yung parang pagka-admit palang pagkahandle mo
palang biglang mag-aarrest. Pagka nagkaganon parang pati ikaw ma-aano mo yung sarili mo.
Baka meron kayong hindi nagawa, meron kayong pagkukulang don sa mga… kailangan niyong
gawin don sa pasyente. Kaya parang mas madaling tanggapin nga yung ano mas matagal mo
nahawakan kesa don sa biglaan. Pero pagkaganon naman talagang kailangan lagi ka lang talagang
handa kasi, yun nga parang palagi naman nasa linya nang profession natin na buhay talaga yung
nawawala.
Question No.13
Interviewer: Paano ka nakikipag communicate sa dying patient?
Interviewee: Pagkaganon kasi ano eh.. dapat mas considerate ka kasi parang mas alam mo yung..
kung ilalagay mo yung sitwasyon mo sa sarili niya. Parang kailangan lagi mong consider yung
mas nararamdaman nila kasi syempre kung yung pasyente mo na parang ganon na nga. Naiisip na
nila yun na mamamatay na sila.. ano tawag dito. Yung nararamdaman nila na sakit kaya dapat
mas mahaba yung pasensya mo. Tapos kailangan sensitive ka lagi sa mga sasabihin mo, para..
hindi ka naman makadagdag sa stress nung pasyente mo.
Question No.14
Interviewer: Sinusuportahan mo--
Interviewee: Oo, kahit minsan minsan talaga may mga punto na pasyente na nakakapikon. Yung
nakakainis din talaga pero ano.. bilang isang nurse kailangan yung pasensya mo mas mapasensya
mo talaga.
Question No.15
Interviewer: Pano mo sila inaaproach? Kunwari 1st time mo sila nahawakan, alam mong dgying
pt na sila, Pano mo ina-approach?
Interviewee: Sa ganun kasi, dapat pagka nurse na tayo, pag nag duduty na kayo sa hospital
talaga, masigla man yung pasyente o mamamatay na yung pasyente dapat equal yung trato mo.
Kasi ano.. yung pasyente mo pasyente yan kahit mamamatay na yan o masigla yan, kahit bukas
makakauwi na yan pasyente parin siya. Kaya dapat lahat sila pantay-pantay mong itrato kahit na
alam mong ganun ang kalagayan niya, itratrato mo diya na normal lang na katulad ng iba kasi
mas mahirap sakanila yung sobrang bait mo naman kasi nararamdaman nila na parang “Siguro
malapit na akong mamatay kasi ganito na trato sakin”. Kung sobra ka naman sa pang
pansasabahala baka magakit naman sayo yung relatives nung pasyente kaya dapat patas patas
yung tingin mo sa lahat ng klase mong pasyente.
Question No.16
Interviewer: Nakakatulong ba yung ganitong karanasan, experience sainyo bilang nurse?

Interviewee: Oo, sa ano sa madaming bagay kasi pagka nangyari na sayo yun magiging.. sa
susunod na pag kakataon, emotional ready ka tapos uhm.. mas alam mo na yung gagawin mo.
Parang hindi na katulad ng una na parang natataranta ka o di mo alam yung gagawin mo yung sa
pangalawa kung sakaling sa pangaalaeang pag kakataon naman mas handa ka sa kahit anong
mang yayari.
Question No.17
Interviewer: Kung papipiliin ka gugustuhin mo pa bang makaranas o maaka experience ng
ganitong karanasan?
Interviewee: Siguro sakin oo okay lang kasi bilang nurse wala ka talagang karapatang mamili
kung ano yung pwede mong pasyente o ano yung pwede mo ihandle kailangan bilang isang nurse
ngayun palang estudyante ka palang ihanda mo na yung yung sarili mo ana mang yayarit mang
yayari nna magkaka.. magkakaroon ka ng pasyente na mamamatay o mawawala tas di mo
mahahandle ng maayos. Kung baga lagi lang tayong ready sa ano, sa pang yayari katulad nang
ganon. Tsaka kasi pag ano, pagka nurse kana ibigay mo na lang lahat ng kaya mong gawin para
at the end oaf a day, kung may mang yayari na na ganon mas acceptable sayo kasi naibigay mo
yung best hindi ka naman nag lack off para dun sa pasyente. Mas madali mo matatanggap kasi
pagkaganon.
Question No.18
Interviewer: Ano yung mga coping strategiesbna ginagamit mo para nung nakakahawak ka nung
ganon. Lalo na nung una.
Interviewee: Uhmm kasi nung una ano edi ang weird kasi nung experience ko eh. Kung baga
wala naman talagang particular na strategies or coping strategies or coping mechanjsm para dun
sa ganong bagay. Kung kaya… ang iisipin mo na lang trabaho lang lahat yon. Pag katapos nung
araw na yun uhmm wala ka namang magagawa kasi dimo ulit nakikita yung pasyente or yung
relatives niya. Kaya tatanggapin mo na lang na parte ng trabaho natin bilang nurse.
Question No.19
Interviewer: For example, kunwari nung 1st time mong mamatayan ba yung ginawa mo kasi di
mo makalimut-limutan parang nililibang mo yung sarili mo. Kunwari yung sarilu mo lumabas ka,
nagpakasaya-saya ka nung una para makalimutan mo or kaya minsan di ka makatulog kaya
ginagawa mo nanonood-nood ka nalang muna. Yung mga ganon. Hindi niyo ba nagagawa yun?
Interviewee: Sakin kasi, sa amin lang ah dun sa dati kong work kasi. Actually, parang
ginagawang biruan pero hindi yung mismong pasyente yung ginagawang biruan. Yung parang “
Huy ikaw may ganito kaya ano” ganun. Baka sinusundo mo yung pasyente mgaa ganong biruan,
pero di naman personal kung kung baga parang yun na yung way ninyo para mai-divert niyo

nalang yung atensyon ninyo. Kasi makakaapekto din sainyo talaga sa ibang pasyente ninyo kapag
masyado ninyo dinidibdib yubg pangyayari masyado. Tsaka yun nga pagka nasa harapan ka ng
dying patient hindi ka pwede mag pakita ng kahit anong emosyon, hindi ka dapat pwede mag
pakita sa mga relatives na nalulungkot ka din o nag aalala ka o kahit ano dun basta dapat neutral
ka lang kasi parang sa linya natin normal na kasi yun eh. Bawal ka mag bigay ng special
treatment kahit kanino.
----------------------------------------------------End of
Conversation--------------------------------------------------
Participant No. 4
Question No.1
Interviewer: Good morning po ma’am. So ilan taon na po kayo, maam?
Interviewee: Ngayon? 43.
Question No.2
Interviewer: So, bali ilang taon na po kayong nurse, ma’am?
Interviewee: Ilang taon na nga ba?.. 19 years.
Question No.3
Interviewer: So 19 years na po kayong nurse. So, saan po kayo pinanganak ma’am?
Interviewee: Pinanganak? Tagudin, Ilocos Sur.
Question No.4
Interviewer: Ah, tagudin Ilocos Sur. So saang eskwelahan po kayo nagtapos ng nursing?
Interviewee: Our Lady of Fatima--
Question No.5
Interviewer: Valenzuela Campus po?--
Interviewee: Valenzuela
Question No.6
Interviewer: Sa.. Saang hospital po kayo nagttrabaho ngayon ma’am?
Interviewee: Hospital. Ano din uhm, ditto. Fatima Medical Center. Tapos galing rin ako ng
National Heart Center, Singapore. Ngayon ano, faculty.
Question No.7
Interviewer: Saan po yung una nyong hospital?
Interviewee: Una ko sa Fatima Medical Center. Neonatal Intensive Care Unit.
Question No.8
Interviewer: Mga ilang years ma’am po kayo--
Interviewee: 3 years.

Question No.9
Interviewer: Tas the remaining po? Sa Singapore--
Interviewee: oo. 2 years.
Question No.10
Interviewer: So bali may mga space na years po yun na hindi po kayo dirediretso ng trabaho ng
nurse?
Interviewee: Dirediretso.
Interviewer: Ah dirediretso po talaga 9 years yun.
Interviewee: From 1998 up to present.
Question No.11
Interviewer: Dirediretso po pala. So saang particular na ward po kayo na-expose?
Interviewee: Ano, ICU. Ano yun, neonatal intensive care unit tsaka Cardiothoracic ICU
Question No.12
Interviewer: Ahh, so nakaranas na po ba kayo na nakahandle ng 50/50 na patient or dying na
patient po?
Interviewee: oo.
Question No.13
Interviewer: Paano po kayo nakikitungo sa mga dying patient?
Interviewee: Paano ako nakikitungo..
Interviewer: Opo or paano nyo po sila inaapproach or pano mo sila kine-care.
Interviewee: ANo, bali parang, parang relative ko rin ganun, kinoconsider ko na ung patient
relative ko, na kamag-anak, yung parang nararamdaman nila, nararamdaman ko rin parang ganun.
Question No.14
Interviewer: So kelan po yung first? Na nakahawak po kayo ng dying patient?
Interviewee: Yung first.. Student pa ko nun eh.
Interviewer: Studyante pa kayo.
Interviewee: oo.
Question No.15
Interviewer: Anong patient po? Adult or--
Interviewee: pedia. Pedia sya 7 years old, grade 1.
Question No.16
Interviewer: So ano po yung--

Interviewee: Bali from school sya dinala sya asa hospital sumasakit yung tyan nya. Tapos yun
pag dating nung bata sa hospital, yun nga parang nag ano sya, anong tawag dito, yung
nagdeteriorate kagad yung bata tapos.. sabihin ko ba yung nangyare?
Interviewer: opo ma’am
Interviewee: Yung pagkabigay sakanya ng gamot yung order ng doctor, yon namatay yung bata.
Question No.17
Interviewer: How did you feel ma’am?
Interviewee: EH syempre masakit, umiyak ako natakot ako. Kasi nagwala yung mga magulang
dahil namatay kaagad yung bata eh. Tapos di ako nakauwi. SInundo ako ng parents ko. Oo.
Studyante palang ako nun.
Question No.18
Interviewer: So pano nyo hinawakan yung mga, paano mo.. Ilang days bago ka nakamove on
dun sa pangyayring yun?
Interviewee: Hindi naman yung hindi talaga ako makamove on kaya lang masyado kasi akong
emosyonal na tao eh. Yung pag ka yung namamatay na diba. Tulad nun bata pa sya, tapos mahal
sya nung mga magulang nya ganun. Syempre naiisip ko rin yun, yung parang ano nga, parang
ayoko na nga mag nursing eh.
Question No.19
Interviewer: So kelan rin po yung first nyo rin na nakahawak ng adult?
Interviewee: Nung adult.. Kasi nung nasa Fatima na ko, puro mga baby. Siguro nung
nagsingapore ako. Dun meron pero di ko talaga patient yun.
Question No.20
Interviewer: So pwede po bang compare mo yung sa nararamdaman mo sa bata tsaka sa matanda
parang-
Interviewee: Yung sa matanda, kasi talagang ano yun eh. Heart transplant yun eh. Mula nung
bata sya uh, 5 years old lang? 5 years old lang ba sya nun? Tapos namatay sya after 10 years kasi
hirap na hirap na. Unlike yung Bata kasi biglaan. Diba parang ang sakit. Pero yun kasi, yung
matanda nay un parang madami ng nagssuffer eh hindi lang sya pati yung mga parents nya diba.
Parang okay lang to let go, parang ganun.
Question No.21
Interviewer: So bali po ma’am, ano po yung mga ginagamit nyong coping strategies para
kunware di maapektuhan yung trabaho nyo bilang nurse sa hospital kasi kunware kung sa isang
patient nyo sa pedia naapektuhan kana emotional kana, syempre maapektuhan rin yung sa pagk-

care sa ibang pasyente, parang ganun. Pano mo sya kino-control or pano ka naapektuhan dun sa
experience mo po ma’am?
Interviewee: Pano bay un, acceptance bay un. May ganun ba
Question No.22
Interviewer: Opo, parang po for example ano po yung ginawa nyo para po makalimutan yung--
Interviewee: Actually di mo naman kailangan makalimutan diba. Kailangan kasi alamin mo na.
Yung parang tanggapin mo na, na mangyayare yun talaga sa lahat ng pasyente natin. Kahit
kanino, kahit sakin diba. Kaya nga eh, ayoko, hangga’t maari ayoko yung makasakit ganun, yung
mareremember ka nila dun sa pain na ginawa mo, masamang ginawa mo, diba. Tsaka yung best
na magagawa ko sa pasyente talagang binibigay ko na yun. Kahit sinong pasyente, mahirap,
mayaman, pantay pantay yan. Yung mga hindi dapat gawin, mga dapat gawin, yun.
Question No.23
Interviewer: Ma’am yung coping na for example nagsshopping ka o kaya inoopen mo sa ibang
tao yungparang ganun po. / Or sa mga co-nurse mo mga ganun. / Wala naman po?
Interviewee: Wala eh.
Question No.24
Interviewer: talagang accept lang ma’am?
Interviewee: Oo parang ganun talaga ang buhay. Ganun ang cycle. Pag may sakit ka at the end
mamamatay.
Question No.25
Interviewer: So pano nyo nakakayanan yun ma’am? Lalo na 1st time mo. Pano mo nakayanan?
Interviewee: Prayers lang.
Interviewer: ahh, so prayers lang.
Interviewee: Talagang ano lang talaga, prayers.
Question No.26
Interviewer: SO paano mo, anong paraan mo tinatanggap na wala na yung pasyente?
Interviewee: hmm? Hanggang dun nalang yung buhay nya eh. Nalulungkot, umiiyak syempre.
Pero di mo pwedeng ipakita lalo na yung mga bata na kasing age ng anak ko. Umiiyak ako.
Minsan may time pala na ano umaalis ako. Kasi andun na sa point na hahagulgol na rin ako,
umaalis na ako iniiwan ko.
Interviewer: Parang iniiwasan nyo po na makita yung ano nyo
Interviewee: oo. Hanggat kaya ko andun ako, pero kapag ano, kasi diba ano alangan iiyak kadon.
DIba yun, umaalis ako dun tas yun. Yun umiiyak ako.
Question No.27

Interviewer: SO paano ka nag c-care sa may taning? Kunware, support, sinusuportahan mo ba

sya or / Or meron bang difference sa normal na patient? Sa ano po--
Interviewee: Yung may taning na--
Interviewer: Opo yung alam nyo na po na terminally ill na po sya, ganun po.
Interviewee: Syempre lahat ibibigay mo na sakanya diba . Ano yun eh yung sa father ko. Pero
kasi father ko naman yun eh diba. Uhh, meron akong right na magdesisyon, yung mga bawal,
alam ko na mawawala na sya, binibigay ko yung mga bagay. Pag gusto nya ng softrinks, bawal,
binibigyan ko. Sigarilyo lang ang hindi pwede. Kasi punong puno ng oxygen ang hospital, hindi
sya pwede manigarilyo don. Ayun, tsaka syempre pasasayahin mo, kkwentuhan mo, bibigyan mo
ng time diba.
Question No.28
Interviewer: Ma’am ano po, parang may pinagkaiba po ba yung kunware pag alam nyo pong
dying patient na dun sa normal patient, yung pag ccare nyo po, mas ma-ano po ba yung kapag
dying patient na? Ganun po--
Interviewee: Ako personally hindi. Kaya lang masyado lang talaga akong emotional. Naiiyak
ako kapag naaalala ko, na ayun mamamatay na sya, tas parang nagtatanong ako kay Lord bakit
ganun. Ayun.
Question No.29
Interviewer: So sayo ma’am, may mga experiences ba na nakakatulong sayo?
Interviewee: Siguro nakakatulong. Kasi kahit galit nag alit na ako eh, di ko makuhang magalit.
Pero nasasaktan ako ayun umiiyak lang ako, pag nasasaktan ako ng grabe kailangan iiyak ko lang
pero, nawawala na rin. Madali ako magpatawad. Pero yung makalimot, mahirap eh diba. Naalala
ko lang yung pain, masakit pero patawad madali lang yun. Pag ano na, okay na ko. Ganun talaga
eh.
Question No.30
Interviewer: So kung papipiliin kapa po ma’am, Yung mga, mas parang mas gugustuhin mo pa
po bang makaexperience ng mga ganitong sitwasyon--
Interviewee: Sa totoo lang,--
Interviewer: Yung parang mas gugustuhin nyo pa bang mag care pa dun sa mga terminally ill or
dun po sa hindi.
Interviewee: Yung talagang totoo. Ayoko. Ayoko na. Ako kasi CI ako eh diba, iba kasi ang ano
eh, masyadong malayo yung difference. Ang hawak ko students eh. Tulad nyo wala akong pasok
ngayon, eh pag nurse ka papasok ka pa rin. Ayoko. Ayoko nakakakita ng nahihirapan, umiiyak
tapos namamatayan, Ayoko. Ayoko yung scenario na namamaalam, na ganito ganyan.

Question No.31
Interviewer: Bukod po dun sa una, may instances po ban a nakaexperience po kayo ng patient na
hindi nyo makalimutan, na may nangyare ganun po
Interviewee: Hindi ko makalimutan..
Interviewer: Yung parang maaalala at maaalala ..--
Interviewee: Lagi kong maaalala, oo lagi ko sila naalala.
Question No.32
Interviewer: May specific po ba ma’am na ano, na--
Interviewee: Yung parang nakakabother ba sila sa buhay ko?
Interviewer: Opo ma’am.
Interviewee: Hindi naman. Feeling ko naging, mas lalong ano yun, nakatulong sakin. Yung mga
experiences na yun. Kaya nga ngayon. Ewan ko na ngayon yung difference nung bata pa ako,
yung ayokong manalangin ng masama against sa kapwa mo. Kahit gano kasakit, ka-hirap yung
ginawa sakin, hindi. Hinahayaan ko lang na si Lord ang gumawa. Yung isa yun, natakot ako
naniniwala ako na ang buhay ng tao sa Diyos talaga. Naiapply ko sa sarili ko yun, tapos naiapply
ko rin yung hanggat buhay sya gawin mo na ang lahat ng magagawa mo sakanya, maging mabait
ka. Kahit matapang sya ganun, salbahe. Kasi matatapos na eh. Lahat tayo dadaan dun.
Question No.33
Interviewer: Paano po yun ma’am kapag kunware, yun nga ma’am today namatayan ka ng
pasyente so emotional ka ngayon, so pag uwi mo parang dala dala mo pa din sya--
Interviewee: oo dala dala ko pa rin.
Question No.34
Interviewer: Tapos kapag pano pag papasok ka kinabukasan, or the other day. Pano na yung
part mo, naapektuhan ka pa rin ba--
Interviewee: Medyo. Nalulungkot, medyo tinatamad magwork. Ganun.
Question No.35
Interviewer: So bali naapektuhan ka--
Interviewee: Oo. Nakakaapekto yun. Oo.
Question No.36
Interviewer: Pano po yung ginagawa nyo para di sya.. Parang para di sya sobrang makaapekto--
Interviewee: Di naman sya sobrang nakakaapekto.
Question No.37
Interviewer: Pero naiisip nyo pa rin dala dala nyo parin--
Interviewee: Naiisip, oo. Naaalala ko lang sya. Pero di naman parang horror na.. diba

Question No.38
Interviewer: *laughs slightly / Ma’am ano pong pinag kaiba nung nasa ibang bansa po kayo
tsaka nandito po sa ano, sa Pilipinas, may pinagkaiba po ba yung--
Interviewee: Madaming pinagkaiba.
Question No.39
Interviewer: Tulad po ng ano ma’am?
Interviewee: Kasi, unang una dalaga pa ako nun eh. Nagwork ako ng Fatima dalaga pa ko so
hindi pa ako masyadong affected sa mga bata. Kasi di pa ako mother, diba. Tapos yung nasa
Singapore ako, syempre nag iisa lang ako dun, parang naiisip ko yung sarili ko dun paano kung
ako yun, namatay diba ganun. Nairerelate ko lang, tas iba din nung nagging nanay na ako, mas
matindi na. Parang nakikita ko na talagang anak ko yun, ganyan, pati yung feeling,
nararamdaman ko talagang kaya umiiyak ako. Yun affected ako kaya hindi ako makapag handle
ng Pedia ngayon, kasi nakikita ko kagad yung anak ko.
Question No.40
Interviewer: Ma’am kung iccompare mo naman yung dati, tas yung ngayong present, ganun pa
rin bang nakakaapekto sa inyo yun? Or nalessen naman? Hindi rin ma’am?
Interviewee: hindi..
Question No.41
Interviewer: same lang rin ma’am? Kahit nung unang encounter mo sa .. hindi sya na-lessen--
Interviewee: Kasi nga namamatay eh, diba..
Question No.42
Interviewer: Talagang ma’am ganun?
Interviewee: Oo.. Ayoko ng namamatay eh..
Interviewers: Okay na po ma’am, thank you po.
----------------------------------------------------End of
Conversation--------------------------------------------------
Participant No. 5
Question No.1
Interviewer: So bali ilang taon na po kayo mam?
Interviewee: 31
Question No.2
Interviewer: tapos Ilang taon na po kayong nars mam?
Interviewee: 9 … years
Question No.3

Interviewer:Saan po kaya pinanganak?

Interviewee: Potrero Malabon … ay sorry dun pala ko nakatira sa ano ko pinanganak sa Calalang
General Hospital
Interviewer:Ahh dito sa Bb
Interviewee: Oo dyan lang sa bb
Question No.4
Interviewer:Opo , San po kayong eskwelahan nagtapos ng nursing?
Interviewee: Fatima, OLFU
Question No.5
Interviewer:Valenzuela po?
Interviewee: Yes, yes. Same lang tayo.
Question No.6
Interviewer:Saan hospital po kayo nagtatrabo bilang nars?
Interviewee: nagtrabaho? Kasi teacher nako ngayon e. nagtrabaho ko na bilang nurse, actually
hindi talaga siya trabaho.pero nagtraning, nagtraining ako ng nurse sa Ospital ng Maynila, tapos
… nagkaron din ako ng opportunity maging nurse sa ahh .. Malolos, ahh Bulacan Povincial
Hospital at nakalocate sa ano yun... Malolos, Bulacan.
Question No.7
Interviewer:So saang particular na ward po kayo na expose?
Interviewee: Sa … sa Ospital ng Maynila, lahat ng ward,lahat ng area except sa special area kasi
wala pa naman akong specialization non nagstart palang ako bilang nurse pero nung nasa Malolos
nako siguro mga 2012 yun or 2013, training din ako non pero as OB na, so medyo more on nasa
OB ward nako tsaka sa paanakan or delivery room.
Question No.8
Interviewer:So bali po, nakaraanas na po kayo ng ganyan, mga nakahandle ng 50/50 na client or
dying patient?
Interviewee: Yes. Snung or iguro around 2011 yun, nakaranas ako habang duty kami …
Question No.9
Interviewer: Nurse kana po noon mam?
Interviewee: Oo nurse nako non.. ahh 2011, kasi 2008 nurse nako non eh. Nakaranas ako sa ICU
at tsaka sa charity ward ng… death, nang several patient siguro mga nasa less than 10 nakaranas
nako ng mga ganon. Code blue actually, so Cni-PR naming yung patient and then ang
nakakalungkot don is sempre nakikita, sometimes nakikita ng relative yung pag ccpr kasi minsan

inaabutan ng ng cardiac arrest sa ward hindi na nadadala sa ICU or pinaka common na

nangyayari yon is sa ICU. Okay Pinakamarami akong experience ng death sa ICU.
Question No.10
Interviewer: Kelan po yung first time nyo talaga?
Interviewee: na naka?
Question No.11
Interviewer:nung estudyante kaba?
Interviewee: estudyante? Ahh…
Interviewer:first time nakahawak po ganon
Interviewee:Hindi kasi.. Oo nakaranas din ako bago ako mag graduate pero mas madami ako
naexperience nung nurse na ako. Kasi mas hindi na sila mashadong… ahmm .. caution kasi pag
student “oh wag muna kayo dyan, di nyo pa alam yan”, so medyo ano pa.
Question No.12
Interviewer: So paano kapo nakikitungo sa ganon dying patient? Kunwari every duty
nahahawakan mo siya mam
Interviewee: Hmm.. nakakalungkot pero since ang personality ko ay sempre wala pa naman
akong anak, wala pa din naman akong member sa family ko except sa lolo at lola ko na namatay
talaga pero ahmm yung death kasi kung iisipin mo kailangan talaga ikaw yung ponakamatatag eh,
if you are a professional nurse or professional health care provider kung baga kung lahat umiiyak
na ikaw yung dapat hindi. para makakapag isip ka padin kung anong tamang management ano
tamang paraan para ahhh… yung mga pasyente or relatives na hindi makaisip ng tamang gagawin
na magawa nila. for example ano gagawin nila after death? Kailangan ba dalin sa morgue agad?
So I have experience na may namatay na chinese na babae so 93 years old ata yon, ang nangyari
is nagulat ako kasi yung culture pala ng chinises, ayaw samin ipagalaw, ayaw samin patanggal
yung tubo, ayaw patanggal ng damit or pahawakan mismo up 4 hours. So may rigor mortis na
siya, may mga stiffness na siya, so mga ano na siya, may discoloration narin siya in which for
me parang di siya siya okay kasi sempre ang bigat biagat na niya , di na namin siya mamanage
madala sa baba kasi I think nasa 7th floor kami non, di naming siya madala sa baba para madala sa
ano sa morgue kasi nga ang culture pala ng chinese is baka yung kaluluwa niya andyan pa so
baka hindi pa siya nagdedepart kailangan nya pa Makita ng family so wag muna galawin. So yun
yung nakita ko, parang weird pero ahmm hindi naman ako, hindi naman ako naiiyak to the point
na ako mismo yung naiiyak o parang daig ko pa yung family ng realtives,hindi naman.mas gusto
ko nakikita ko kung pano ginagawa ormas curious ako kung ano ginagawa sa patient lalo na in
death.so mas gusto ko ao yung nag aayos, ako yung naglilinis, ako yung naglalagay ng time of

death don sa ano, ako yung nagbabalot kasi feeling ko ahhmm..responsibility natin yun bilang
profesional.
Question No.13
Interviewer:So bali po mam? Di naman po ba siya nakakapekto sa , bilang nurse sa inyo mam?
Kunawri Interviewee: Panong nakakaapekto parang? Nabawasan ba?
Question No.14
Interviewer: yung pinakamalalang naranasan mop o na nakahandle ng death and dying patient
kinabukasna po ba mam or in the shift, time of shift po mam naka apekto ba yun sa iabng
pasyente na nahandle mo parang ganon mam
Interviewee: oo eh nakaapekto sya parang yung system mo down eh parang feeling mo di mo
siya narevive feeling mo dikamagaling feeling mo failureka at some point kasi gusto mo kahit
papano mabuhay siya pero nasa utak ko rin na pano kung time na nya talaga? Diba kahit anong
pump mo dyan kahit anong cpr mo kung time na talaga hindi mo talgasiya maano.pero ookung
nakakapekto yung tanong mo, oo nakakaapekto siya kasi hindi moa lam baka sa susunod na
manyari yun kung lalakas pa yung loob mo to do that kasi nakakaapekto yung emotion ,yung
system na positive energy na napapalitan ng negative energy pero siguro afater, after 24 hours or
so bumabalik na ulit kasi sempre di mo na naikita yung patient eh
Question No.15
Interviewer: So mam pano mo nakakayanan ? na ganon? in sa 1 day lang? paano ka
nagpapalipas?
Interviewee: Siguro kailangan talaga ng off, rest or different environment, kilangan
ahmm,tamang tamang kasi narorotate kasi ako sa ano eh sa area noong panahon na nasa opital ng
maynila ako ,narorotateako na okay ditto ka sa ICU , oh ditto ka naman sa ward ,so sabi ko may
lesser yung tendency na maalala mo pa yung nangyari kasi wala ka nadonsa area so kung babalik
ka don lipas na, nakalimutan mo na siya. So ayun yung maganda.
Question No.16
Interviewer:So sa paanong paraan nyo po tinatanggap yung pagpanaw ng pasyente nyo?
Interviewee: Ano eh .. talagang tatanggapin mo nalang kasi yun nga naniniwala talaga ako sa
saying na lahat tayo may oras. Lahat tayo may certain time of death, may certain na dadating
talaga siya sa buhay natin. Yun nga yung tinatawag nating foreseeable crisis. At some point in
time, mangyayari’t mangyayari at nonspecific situation o di mo alam kung kelan.
Question No.17
Interviewer:So bali mo mam, nakapaghandle kana po mam adult and pedia rin po or children?
Interviewee: Yes.

Question No.18
Interviewer: Both mam?
Interviewee: Newborn actually
Question No.19
Interviewer: newborn? So bali pano mop o icocompare yung parang emotion mo sa paghawak
ng adult tsaka sa baby?
Interviewee: Mas nakakawa yung baby kasi parang ,yung baby kasi wala siyang ,walasiyang
kasalanan, dependent lang siya sa mother specifically in 9 month hindi moa lam kung pano
kasing management na ginawa nung baby eh yung adult kasi minsan maiisipmo eh kasalanan
naman niya eh bakit baka may bisyo yan ,baka mamaya maulit yan so kung minsan ikaw din
gumawa sa arili mo kung bakit nagkaron ka ng sakit eh kung bakit nahirapan ka ngayon eh so
baby kasi di mo siya masisisi kasi very dependent siya sa nutrition ng mother e very dependent
siya sakung ano ginagawa ng mother so ibig sabihin mas affected ako pag yung baby yung
namamatay kasi kawawa kung baga wala siyang laban kung baga kasalanan ng mother naipasa sa
kanya so ibig sabihin mas nakaklungkot atmas nakakapekto sa sa susunod na duty mo or kahit
pag uwi mo palang ng bahay after that shift naalala mo parin siya.
Question No.20
Interviewer: Pano nyo po sinusuportahan , kunwari adult siya pano mo pa siya sinusuport in
time of your duty mam? Kunwari hinahandle mo siya/ binibigay mob a lahat ng care mo
Interviewee: Oo
Question No.21
Interviewer: or sinusuportahan mo siya sa thru payrer mga ganon mam
Interviewee:Oo may prayer din
Question No.22
Interviewer: Or touchy or something comfortable?
Interviewee:siguro post mortem , sabi ko patay na to e h so ibigay mo nalang sa kanya yung
nararapat for so yun aanuhin mo talaga, care hindi yung parang ibalotmo lang siya parang typical
siguro tignan mo rin na maayos yung itchura so kapag maghahandle ka ng patient atleast kahit
papano a gentle as possible kasi naiisip ko lalo pag matatnda nako kasing edad to ng nanay ko
Question No.23
Interviewer: Bali yung mga experience nakakatulong po ba sayo, sa profession mo?
Interviewee: Oo.sobra kasi hindi ka magiging sensitive to other, hindi ka magiging sensitive sa
isang tao, hindi mo papahalagahan eh kasi kapag di ka napektuhan parang okay lamg mamatay
naman lahat tayo oh edi okay lang kasi minsan lang mabuhay eh so kung death na pinag

uusapan , thats our end point wala na tayong... hindi na tayo babalik so ibig sabihin death is our
final verdict kung kelan tayo ahh... kumbaga yan na yung pinaka stop ng lahat ng hope, ng career
wise, para kung may gusto kapang gawin sa buhay wala na. End nayon so mas maganda as much
as possible maiwasan mo siya eh. So bibigay mo na lahat. Sabi nga nila you have to live okay as
it is the end of your life diba so ayun.
Question No.24
Interviewer: So bali po mam, kung papapiliin kapo gugustuhin mo pa bang makahawak ng
ganon patient?
Interviewee: Oo, ako oo okay lang kasi feeling ko challenge siya feeling ko ha, so sempre if
alam mo namang mamatay siya kumbaga the rest of the remaining days na nandyan siya ibigay
mo na yung care na dapat for example, nasa home for the agent ka, alam mo ng may mga
symptoms na nahihirapan na siya, di na siya makaano, nagbibilin na siya, na kapag ako gusto ko
icremate ako, so bigay mo na lahat ng gusto nya atleast, alam mo na na hindi mo na kailangan
ipag walang bahala , so ibig sabihin para sakin challenge siya, siguro sa iba away nila pero sakin
kasi its another experience kasi laging hinahandle ko nga recently is puro buhay, handling life
kasi mas focus ako ngayon sa OB so bumubuhay tayo, ngayon kung may exemptions naman na
eto naman pamatay naman to padeath naman to different ano naman sakin to kasi every aspect of
your life everything na ihandle mo bagong experience. Diba?
Question No.25
Interviewer: mam eto, meron po bang difference yung pagkecare mo sa normal na patient sa
alam mo na pong mamamatay na?
Interviewee: hmm ano yung difference. Oo may difference, kasi yung dying alam mo na talaga
na mamatay siya so as much as possibble bibigay mo na lahat yung kailangan nya since alam mo
na kunwari may taning na siya lahat ng mga hilingin nya, mga needs nya, mas doble or triple na
yung gagawin mo, kunwari hinihingi nya gusto niya kumain, hiniling nya simpleng pagkain pero
binigay mo cake, binigay mo lahat ng bawal sa kanya or lahat ng gusto nya. Sabi nya hayaan mo
na kahit diabetes ako okay gusto ko lang matikman yung cake bibigay mo kahit bawal sa kanya,
bibigay mo kasi baka last na nya yun eh while yung di naman parang normal lang kung may
bawal sayo bawal talaga kasi feeling ko mapoprolong yung life mo e, eto kasi kumbaga sa triage,
kulay black kana eh kumbaga hindi ka na hindi kana yung mabubuhay, hindi kana priority or
needs immediate attention, so malaki yung difference ng alam mong mamamatay at alam mong
hindi pa kasi mas gusto mo ibigay yung pinaka highest level of care or kumbaga parang sa ICU ,
one on one kayo as much as possible gusto mo one on one. So parang inisip ko lang, eh kung
magulang mo to, oh kung malapit na ano moto sa puso mo for example asawa mo yun, or

girlfriend mo yun or boyfriend mo yun, alam mong mamatay sempre diba ganun gagawin so
kung sa patient siya ganon nga rin, kasi ikaw alam mo namang life mo malakas kapa siya hindi na
diba so ibigay mo nalang. So malaki yung difference. mas gusto ko alagaan yung, magfocus or
magconcentrate don sa dying.
Question No.26
Interviewer:Meron po bang specific na strategy kang ginagawa para maacept yung pagkamatay
ng pasyente? For example po yung iba nagshoshopping or kaya po nagdidivert ng focus sa ibang
bagay, nanood ng movies kayo po ano po, meron po ba kayong ginagawa?
Interviewee: yung pananaw ko?
Interviewer: kayo po kung yung ginagawa nyo in experience po
Interviewee: ah kung anong gagawin ko sakali may ano?
Interviewer: yung nagawa mo napo
Interviewee: ah yung nagawa ko na
Question No.27
Interviewer: diba sabi nyo po nakakapekto po sainyo through out the day, ano po ginawa nyong
paraan para makalimutan.
Interviewee: lumabas, gusto ko ano tatawagin ko yung friends ko, tara mall tayo , kain tayo sa
labas, alawin nyo ko .yun, kung wala naman if their not available, kailanan medyo gagawin ko
yung talaga extreme its either punta kong gym, ganyan or either ahh.. pupunta ko ng cine mag isa,
ganyan o kaya pupunta ko ng ahhm. Kung may pera no haha kung may pera buffet pero as much
as possible yung di ko pa dati nagagawa, gagawin ko para kahit papano uy bagong experience,
nakalimutan ko na agad siya ayon so kasi ayun nga meron talaga siyang affectation. Kumbaga
we are made to be or to have an EQ or emotinal qoutient kahit papano naman sempre may
pakiramdam naman tayo diba so hindi mo naman hindi ka naman magsabi na wala kang
pakiramdam, lahat tayo may emosyon, so yes nakakaapekto yun pero its up to you kung pano
gagawin mong strategies so my strategies is go out with my friends okay or if their not available,
family kaso in my case kasi hindi ko mapuntahan family ko kasi nasa nueve evija sila, okay so
kung kekwento ko naman sa kanila i think very tired of listening to that kasi sempre ako
pagnagkekwento ko gusto ko may action, okay tsaka gusto ko medyo ineenhance ko pa so feeling
ko maglilisten sila, kung hindi naman ayun , so ayun nga gagawin ko basta yung mga dating di ko
gingagawa gagawin ko para kahit papano mabawasan kung di man talaga mawala, mabawasan
siya.
Question No.28
Intervieweer: About po sa pag oopen nyo sa family lang po talaga?

Interviewee: Oo wala kong boyfriend eh, okay friends oo.

Question No.29
Interviewer: sa co nurse nyo po?
Interviewee: eh kasi alam din nila so
Question No.30
Interviewer: so hindi nyo na po pinag uusapan?
Interviewee: pinag uusapan pero hindi yung to the point na, mas maganda kasi mag kausap ng
non-professional alam mo yun? Para kasing feeling mo, "eh ganun din naman yun eh" diba kapag
sabihin mo "uy diba namatay" "oo nga eh kasalanan rin naman.." parang normal, parang, alam
nyo naman na uun physiology kumg bakit sya nagkaganun kumbaga nafforesee nyo na, pero
kapag kinausap mo yung sa engineering, "oh ah talaga?" Parang feeling mo amg brainy brainy
mo okay hahaha pag hindi or not professional or non-medical professional parang mas feeling mo
nakakatuwa silang pagkwentuhan yon.
Question No.31
Interviewer: does it help?
Interviewee: oo nakakabawas sya. Oo. Nakakabawas sya. Oo. Hahahaha kayo din naman eh
kapag may jowa kayo nakakawala ng ano kapag may, nag vvoice out kayo ng feelings. Parang
therapeutic communication lang yan. Diba.
Question No.32
Interviewer: sa mood nyo naman po? In approaching the patient? Pano nyo po sya inaapproach?
For example pinapakita nyo po bang masaya kayo or normal lang. Pano nyo po sya inaapproach
Interviewee: Ano.. mas mabait ako. Mas mabait. Kung masungit ako “ayan ah, ulit ulit nayan
nay ah, paulit ulit” okay yun, walang sakit. “Kamusta po kayo?” hahahaha ganon alam mo na, so
syempre may konting ano parang lambing, na parang wala kang ginawang masama. Hahah ganon
kasi syempre may mga patient na hindi mababait. Oh ano pa/ tanong tanong hahaha test mic
Interviewer: okay na daw po hahaha
Interviewee: okay hahah thank you so muuuch
Interviewer: thank you po
----------------------------------------------------End of
Conversation--------------------------------------------------
Participant No. 6
Interviewer: Good afternoon po maam.
Interviewee: Good afternoon.
Question No.1

Interviewer: Ilang taon na po kayo maam?

Interviewee: Forty nine
Question No.2
Interviewer: Ilang taon na po kayong nurse?
Interviewee: Mga .. twenty years
Question No.3
Interviewer: Twenty years po .. Saan po kayo ipinanganak maam?
Interviewee: Sa Pangasinan.
Question No.4
Interviewer: So laking probinsya po pala kayo maam. Saang eskwelahan po kayo nakapagtapos
ng Nursing?
Interviwee: Lyceum of Western Dagupan City
Question No.5
Interviewer: So saang ospital po kayo nagtatrabaho bilang Nurse?
Interviewee: Sa Delos Santos Medical Center
Question No.6
Interviewer: Yun po yung una niyo? Delos santos .. so bale ngayon po maam CI po talaga?
Interviewee: Bale nagstaff nurse muna tapos nagapply dito
Question No.7
Interviewer: Ilang hospital po yung napuntahan niyo bago maging CI?
Interviewee: Bago maging CI .. Delos Santos, Yanga, Meycauayan .. Tatlo.
Interviewer: Tatlo ..
Interviewee: Pero mas matagal ako do’n sa Delos Santos .. 6 years.
Question No.8
Interviewer: Ilang years ka na pong CI maam?
Interviewee: Thirteen
Question No.9
Interviewer: So saang particular area po kayo naexpose dun sa una
Interviewee: Una? General ward.
Question No.10
Interviewer: Sa pangkahalatan po?
Interviewee: Oo, Meron kang pasyenteng OB, meron kang Ortho, merong Surgery, lahat. Kasi
private room siya .. private hospital.
Question No.11

Interviewer: Ngayon po?

Interviewee: ER .. Geria.
Question No.12
Interviewer: Pero saan po mas matagal na?
Interviewee: Mas matagal .. sa ER.
Question No.13
Interviewer: So bale po nakaranas na po kayo ng dying patient po .. mga mamatay na?
Interviewee: Maraming beses na
Question No.14
Interviewer: Paano po nakakaapekto sainyo yun maam .. sa pagiging nurse mo po?
Interviewee: Hmm bale pag yung patient e namatay tapos hindi naman namin siya palaging ..
hindi siya lagging naadmit, parang normal lang sakin yung mamamatay sila. Pero pagka yung
pasyente pabalik-balik, tapos nagging close na naming, iiyak ka din. Parang naiiyak ka din.
Question No.15
Interviewer: pwede po bang icompare niyo maam yung sa nararamdaman niyo sa matanda at sa
bata.
Interviewee: Ahh sa .. parang mas nalulungkot ako dun sa mga bata. Kasi parang ang bata bata
pa nila. Tapos mamamatay na sila. Pero yung sa matanda, parang ano yun, parang tanggap na ng
mga relatatives na iiwanan na sila. Pero yung bata mas .. napapansin ko sa relatives kunwari
baby, parang mas nakakahinayang pagkabata, lalo na pag baby. Kaya makikita mo yung ano nung
mother, pati ikaw mismo maano ka.
Question No.16
Interviewer: So, paano mo hinahandle kunware yung matanda muna?
Interviewee: Papanoo ..
Interviewer: Opo, kunware yung inaapproach kapag alam mong mamamatay na
Interviewee: Ano .. halimbawa kasi ano naman eh, naririnig ka naman nila kahit naghihingalo na
ano lang pagka kung minsan binibilinan lang namin na kung halimbawa talagang gusto mo na
umalis yan, kung minsan inaano ko na minsan yung pasyente na “Maam pagkagusto mo ng
umalis pwede na po, para di ka na mahirapan” ganon.
Question No.17
Interviewer: Pano maam yung mga conscious?
Interviewee: Conscious.. ano parang ano ilang iaano mo na tanggapin na niya .. na talagang
hanggang dun na lang yung buhay niya. Tapos parang iano mo na rin na yung mga maiiwan din
niya. Syempre financially talagang sagad din sila. Parang .. kasi makikita mo yung dalawang

relative don. It’s either caring na caring don sa .. na talagang ayaw nilang ano kaya ginawa nila
yung best nila para maidugtungan yung buhay pero wala na, talagang dun na lang yung buhay
nung pasyente nila. Kaya nakakaano.
Question No.18
Interviewer: So kelan yung first na experience niyo maam, estudyante ba kayo ..
Interviewee: Na namatayan sa pasyente? Nung staff na.
Question No.19
Interviewer: So ano yung naramdaman niyo nun maam? Anong feeling?
Interviewee: Parang .. may ano ka rin eh na .. parang masakit din sa loob mo na ginawa mo yung
best mo pero hindi pa rin nakasurvive yung pasyente. NagCPR ka na’t lahat lahat ..
Question No.20
Interviewer: Ano yon maam, matanda o ..
Interviewee: Matanda .. kasi more on matanda kame.
Question No.21
Interviewer: So pano maam, ano yung ginawa mo, anong coping strategies yung ginamit mo
don?
Interviewee: Sabi ko ano na lang .. tinanggap .. sinabi ko sa sarili ko na hanggang dun na lang
siguro yung buhay niya. Yung binigay ng ating Lord.. kaya parang ginawa din naming yung best
namin as a team .. mga staff nurses, kaya parang motivation mo na rin na gagalingan mo pa. Kaya
lang kung minsan kahit galingan mo kung talagang hanggang dun lang talaga, lahat ng
contraption binigay mo na pati yung monitoring mo.
Question No.22
Interviewer: Nakaapekto ba sayo yun maam .. sa pagdduty mo? Kunware ilang days ..
Interviewee: Oo .. kasi kung minsan halimbawa sunod-sunod yung ano mo .. yung dying patients
mo, sasabihan ka ng “kalawit” yung parang toxic na toxic ka na parang ihahandle mo na lang
yung patient yung mamatay na sa kamay mo kung minsan
Question No.23
Interviewer: Pano mo nakakayanan? Anong ginagawa mo?
Interviewee: Kung minsan pinagpepray ko na lang sila talagang hanggang dun na lang ang buhay
nila tapos usually kasi kinakausap mo rin yung mga ano eh, kasi parang naniniwala din na yung
spirit .. yung parang andon lang sa paligid. Syempre medyo malambot pa sila parang di naman
yung matagal na matagal ng ano .. Especially kapag bata .. pagpray mo na lang kami dun.
Question No.24
Interviewer: Pano niyo po kinakalimutan?

Interviewee: Ano lang … ako naman kasi nung staff nurse ako bahay .. hospital
Question No.25
Interviewer: Edi matagal niyoo ding dinidibdib yun maam? Yung iba?
Interviewee: Pagkaano, pagka .. yung nakakatakot yung itsura nung ano naalala mo pa. Pero
pagkaano naman, sanay ka na. Masasanay na rin.
Question No.26
Interviewer: Usually mga ilang days bago niyo maovercome?
Interviewee: Mga tatlong .. tatlong araw siguro.
Interviewer: Three days ..
Interviewee: Pagka .. nasa isip mo pa yung mukha niya. Yung parang di mo pa .. kahit hanggang
ngayon kung minsan pagkahalimbawa may namatayan kami. Naaalala mo pa yung mga mukha
nila.
Question No.27
Interviewer: Wala kang particular na bagay na ginagawa para kunware makalimutan for example
sine
Interviewee: TV lang .. nanonood lang ng TV. Kasi nung staff nurse ako .. ano lang talaga ..
naglalaba ka lang ganon .. itutulog mo nalang ganon kung minsan manonood ng TV para
makalimutan. Sine kasi .. di ako nanood ng sine .. yung magisa lang ako. Especially ditto sa
maynila nung dalaga pa ako pag nanonood kami ng sine yung may kasama .. takot kasi ako nun,
kasi syempre laking probinsya.
Question No.28
Interviewer: Eh maam, pano po pag ano, diba po alam niyo na po na mamamatay na .. mas
caring po ba kayo dun sa mamatay niya o dun sa hindi? Or pantay lang po?
Interviewee: Pantay lang .. kasi kung minsan iccare mo rin yung relatives. Usually yung iba
nagpapasalamat. Diba halimbawa namatay na, nagpapasalamat sila. “salamat po sa pag-aalaga sa
pasyente namin. Alam namin na ginawa niyo lahat” Pero ano pa yun nagccondolence kami,
talagang iccomfort naming yung relatives.
Question No.29
Interviewer: So yung mga experience na yon nakakatulong ba sayo .. sa propesyon niyo?
Interviewee: Oo *nods* kasi parang sa syempre naranasan ko din yung namatayan din na
naranasan din ng mga relatives din parang .. pero mas masakit yung sa relatives kesa sa patient.
Question No.30
Interviewer: Pano po nakatulong yun sa pagiging nurse niyo?

Interviewee: Ah sa pagiging nurse .. siguro ano, acceptance siguro, hanggang dun nalang yung
buhay nila, pagkatalagang
Question No.31
Interviewer: Kung papipiliin po kayo maam gugustuhin niyo pa pong makahawak ng mga
ganong case? Yung experience, makasubok pa non?
Interviewee: Oo .. ano naman eh, as a nurse namang pinipiling pasyente. Kasi kung minsan,
andyan na yung pasyente talagang, ihahandle mo siya. Kasi kung bago bago kang staff ..usually
ang training grounds, sayo yung toxic. Sayo yung malapit na mamatay tsaka yung madaming
contraption .. para, mahasa ka. Yun ang training grounds talaga. Pagka senior ka na .. medyo may
ano ka .. easy easy ka na. Yung bago naman yung .. sa kanya yung toxic. Pero parang isshuffle
naman siya. Ganon ang training grounds dito sa Philippines pagka ..
Question No.32
Interviewer: Eh yung pagoopen po ng mga ganong bagay .. naoopen mo po ba siya sa iba?
Interviewee: Oo naman .. sa mga ano sa mga co-staff din. Halimbawa kung minsan, uy namatay
si ano nagoopen up.
Question No.33
Interviewer: Nakakatulong yung ganon?
Interviewee: Oo kasi parang ano sharing lang kayo ng experience eh, syempre namamatayan din
sila sa kanilang shift. Talagang matrabaho .. kasi iccharge mo lahat, kapag hindi mo chinarge yun
sayo ang charge non. Sa mga staff lang. Co-staff lang. Kasi wala pa naman akong asawa nun.
----------------------------------------------------End of
Conversation--------------------------------------------------

Plan of Activity
The interview was done according to participant’s choice of time and place. The
settings are faculty room, condominium, and restaurant. The time and day varies depending on
the participant’s free time. The participants are six (6) Filipino Nurses.
ACTIVITIES Time of Activity
 Introduction of the Study 2 mins

 Explain the Participant Information 5 mins
Letter & Signing of Consent
 One-on-one Interaction 20 mins
 Distribution of tokens and thanking 3 mins
the Participant
Total 30 mins
Budget

Manuscript -------------------------------------------------------------------------- P500.00
Tokens --------------------------------------------------------------------------- P3580.00
Total: --------------------------------------------------------------------------- P4,088.00
Time Frame

 Formulating Problem (December 13,2017)

 Determine Purpose of Study (December 28,2017)
 Searching and review of literature (January 3-5, 20-23 2018)
Conceptual
 Development of Theoretical framework (Jan 21, 2018)
 Making Research Methodology (January 28-30, 2018)

Design
Planning  Checking and Finalizing of Research Method ( February 21-25, 2018)
 Data Collection (August 14, 21, 23,25 & September 1)

 Thematic Analysis of Data (September 10, 2018)
Empirical
 Interpretation of Result (September 12, 2018)
Research Plates


Curriculum Vitae

Carlos, Maria Angelika
 Assistant Principal Investigator

 Reliable assistant PI
 Approachable
 Courteous
 Industrious
Chua, Winslet Rose V.
 Member of research team

 Accountable
 Amiable
 Adaptable
 Impartial
Diza, Kobe Bryant M.

 Flexible
 Trustworthy
 Sensible
 Communicative
Mateo, Jackielyn D.
 Principal Investigator
 Responsible PI
 Good Leadership
 Diligent
 Considerate
Ponseca, Jeannifer S.

 Cooperative
 Amenable
 Generous
 Dependable

Death and Dying

Uploaded by

Document Information

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

Death and Dying

Uploaded by

Copyright:

Available Formats

YOU’LL GET USED TO IT: A LIVED EXPERIENCE … Page |i

Sharon Cajayon, RN, MAN

Flootz Irish Cariza P. Chua

Gerardo A. Nicolas, RN, RM, MAN, RPT, MAEd Ira Fe A. Burillo

Maria Luisa T. Uayan, DHSc, MSN

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Maria Angelika Carlos

Winslet Rose V. Chua

Kobe Bryant M. Diza

Melanie S. Cambel RN, MAN

Sharon Cajayon, RN, MAN

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Appendix A: Participant Information Letter

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Keywords: Filipino Nurses, Coping Strategies, Qualitative study, Phenomenological

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

As stated by the Department of Health (DOH) in the Philippines, a total of 531,280

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

2.0 Review of Related Literature

2.1 Theoretical Framework

2.2 Literature Review

2.2.1 Coping Strategies

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

2.2.2 Filipino Nurse

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

2.2.3 Death and Dying Patient

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

2.2.5 Nurse Provider

2.2.6. Barriers in Palliative Care

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

2.3 Problem Statement

3.0 Research Methodology

3.1 Research Design

A qualitative, phenomenological research approach was employed to discern different

“Lived experience” of a phenomenon is what defines a phenomenological research. The

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

3.2 Locale & Population of the Study

3.3 Description of the Respondent

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

3.6. Research Instrument

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

3.7 Data Collection

3.8 Data Analysis

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Acceptance is what some people do whenever circumstances occur. It is an action or a

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

4.5 Equal Care

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

A circle is said to be a graceful, warm, comforting, offers a safety connection and

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Figure 1: The ABCDE’s Strategic Circles of Filipino Nurses when Encountering

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

The researchers focused on lived experience of Filipino nurses to identify different

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING

Collins, S. (2013). Achieving Expertise. Minority Nurse. Retrieved from

DOH (2013). Mortality. Retrieved from http://www.doh.gov.ph/mortality

I_________________ given this date of freely agree