ILOILO DOCTORS’ COLLEGE

College of Nursing
West Ave., Molo. Iloilo City

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Dear Sir/Ma’am,

Greetings!

We, the 3rd year BSN3-G students of Iloilo Doctors’ College will conduct a research study entitled “The
Correlation between the Intensive Nursing Care Practicum Program Clinical Exposure and Perceived
Clinical Care Competence of Fourth-Year Student Nurses at Iloilo Doctors’ College”. The aim of this
study is to identify the correlation between the variables mentioned above. A cited survey questionnaire
will be used to conduct this study.

Also, we, the researchers, are humbly asking for your approval to validate the attached survey
questionnaire using the validation rating score sheet. The researchers will utilize the result as a guide
before doing the pilot testing.

The researchers are looking forward that you will grant their request after careful consideration.

Thank you and God bless.

Respectfully yours,

Bustillo, Clint Andrew C.

Bustillo, Jzel Joy S.
Garcia, Allyza Mae D.
Lecobu-an, Mae Arra G.
Malifero, June Therese L.
Santos, Kristine Chloe S.
Santuyo, Jonara Aira M.
Sealsa, Jeanes Rose M.

Noted by:
Rodenie Arnaiz Olete, MSc-IAPN, RN
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

Attach herewith are the following:

A. Statement of the Problem

Clinical exposure is the beginning of a learning process for students that last throughout their
education and nursing profession. Clinical experience enables students to gain real-life experiences, and
apply theories they learned into practice, this is where they develop their competencies and prepare and
stimulate their clinical judgment and expertise (Yamamoto et. al., 2017). Multiple studies show that
having less exposure to actual patients, and their diagnoses, may affect the trainees' future care of actual
clients (Balvardi et. al, 2022; Yamamoto et. al., 2017; Lindquist et. al, 2010; Malangoni et. al., 2005).
The Commission on Higher Education (CHED) Memorandum Order # 15, Article V, section 9,
table IV mentions that 408 contact hours are required before graduating from the BSN program in the
Philippines. However, there is limited evidence showing whether the clinical exposure substantially
improves the perceived level of competence among nursing students in the country. As a response, this
study is to determine whether there is a correlation between the Intensive Nursing Practicum Clinical
exposure and the level of perceived competency among graduating BSN students of Iloilo Doctors
College batch 2022-23.

B. Overall aim and Specific objectives

Overall Aim
The aim of this study is to identify the correlation between the Intensive Nursing Practicum
Program Clinical Exposure and the Perceived Clinical Care Competence of Fourth Year Student Nurses at
Iloilo Doctors’ College.

Specific Objectives
● Determine the total number of hours in Intensive Nursing Practicum Program received by the
BSN 4th year students of Iloilo Doctors’ College as a whole, and when clustered according to:
○ Age;
○ Gender;
○ Monthly income of family;
○ Total number of practicum hours; and
○ Type of learning environment
● Determine the perceived level of competence of BSN 4th year students of Iloilo Doctors’
College; and
● Determine the extent of correlation between the Intensive Nursing Practicum Clinical Exposure
and perceived level of competence among BSN 4th year students of Iloilo Doctors’ College.

C. Research Framework
This study is based from Social Cognitive Learning Theory (SCLT) by Albert Bandura in 1986
which postulated that learning was governed by the aspects of attention, retention, production, and
motivation. A study by Katowa-Mukwato and colleagues (2014) supports that repetitive practice can
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

build confidence among students. As mentioned, the four components of social cognitive theory are
applied during clinical exposure for nursing care practicum. Nursing students focus their attention as they
observe actual nursing care while being guided by their instructors and where retention was a factor.
Reproduction occurs when student nurses perform what they saw while they are hands-on in a clinical
setting as part of their nursing care practicum. Every nursing student's willingness to watch, learn, and
practice is then driven by motivation.

Figure 1. The Correlation between the Intensive Nursing Practicum Program Clinical Exposure to the
Perceived Clinical Care Competence

Figure 1, shows the relationship of variables in which independent variables, Intensive Nursing Practicum
Program Clinical exposure, affects the dependent variable, perceived level of competence. Differences in
the perceived level of competence of the students are conceptualized in terms of their demographics such
as students' age, gender, monthly income of the family, the total number of practicum hours, and the type
of learning environment. Students' perceived competence, measured using the five factors, is influenced
by the students’ attention to procedures, retention of ideas, reproduction of action, and motivation to
pursue as well as the demographic profile of the respondents. The higher these four elements are
observed, the more learning they acquire and the higher the competence they perceive when governed by
the SCLT aspects.

D. Questionnaire

Sample Survey Questions

Part I
Introduction of the Research

You are invited to participate in our study entitled “The Correlation between the Intensive Nursing
Practicum Program Clinical Exposure to the Perceived Clinical Care Competence of Fourth-Year Student
Nurses at Iloilo Doctors’ College” . This is a research project being conducted by 3rd Year Bachelor of
Science in Nursing (BSN) students of Iloilo Doctors’ College.

Your participation in this research project is completely voluntary. You have the right to withdraw from
the research study at any time. If you decide to withdraw or not to participate, there will not be any
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

negative consequences. By signing in this form, you agree that the researcher will collect and process
your personal data or responses. The researcher will share the personal data with the Research Committee
Members during the final defense. However, the data will be coded, and names will not be used.

All of the data that you will provide will be treated with utmost confidentiality in accordance with the
Data Privacy Act of 2012. To protect the confidentiality of downloaded data, your data file will be stored
in a password protected computer. Any back-up data files will also be stored in a secure location. If the
study is published, the data gathered will be deleted after five years.

This consent form explains the research study you are being asked to participate in. Please review this
form carefully and ask any question at any time while answering the survey. We hope that you take the
time to answer them honestly as the findings of this research. Whenever you have questions about the
study, please contact:

MAE ARRA G. LECOBU-AN

Principal Investigator

Iloilo Doctors’ College – College of Nursing

Email address: mlecobu-anmaearralecobuan@idc.edu.ph

Part II

Certificate of Consent

I have read the foregoing information. I have been given the chance to ask questions regarding the study
and the questionnaire and I have been answered to my satisfaction. I consent to take part in the study, and
I am aware that my participation is entirely voluntary. By clicking YES to this information and consent
form, I agree that my personal data and responses will be used as described in this consent form.

YES, I am willing to participate.

NO, I am not willing to participate

Part III

Demographic Profile

Name: Last name, First name Middle Initial. (optional):

Age:

Gender:

1. Male
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

2. Female
3. Prefer not to say

Monthly income of the family:

1. ₱10,000 and below

2. ₱10,001 - ₱20,000
3. ₱ 20,001 - ₱30,000
4. ₱30,001 and above

Type of learning environment for this month:

1. School
2. Hospital
3. Community

Part IV

In the past week, how many hours of clinical duty have you spent for your Nursing Practicum?
Please write in complete TOTAL NUMBER OF HOURS.

_________________

In the past week during the clinical duty, which teaching approach was done by the clinical
instructor. Select all that apply.

1. Stimulation/usage of dummy patient in NAL

2. Actual patient-nurse engagement and interaction
3. Involves online classes
4. Ward classes

In the past week, how many hours did you spend on ward classes while on clinical duty? Please
write in complete TOTAL NUMBER OF HOURS.

__________________

In the past week, how many times have you transferred to a skills laboratory instead of hospital duty?
Please write in complete TOTAL NUMBER OF TIMES.
____________________

Part V
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

Direction: Please answer the questions according to how much you agree or disagree with the statements
presented.
1- Strongly Disagree
2- Disagree
3- Neutral
4 - Agree
5-Strongly Agree

Factor 1: Nursing Process

I can understand the pathophysiology of each patient's physical problems.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can understand the progress of each patient's disease.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can understand the purpose, mechanism, and side effect of medications that patients receive.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree

I comprehend all the information in the chart and laboratory findings.

1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree

I can identify whether the lab findings are normal.

1- strongly disagree
2- disagree
3- neutral
4- agree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

5- strongly agree

I can identify the patient's health problem from the information that I collect from chart and
laboratory findings.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can understand the purposes of treatment and examination that the patient received.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree

Factor 2: Patient Safety

I can identify patients correctly.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can wash my hands before implementing any nursing interventions.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can monitor the patient's vital signs correctly.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can execute physician orders correctly.
1- strongly disagree
2- disagree
3- neutral
4- agree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

5- strongly agree
I can administer medications correctly.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can guard the patient's safety.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can protect the patient's privacy.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I take notice of the patient's responses.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree

Factor 3: Professional Knowledge

I can deal with the change brought by a sudden incident.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can use clinical equipment correctly.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

I can collect the patient's information from chart and laboratory findings
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can collect all the patient's information independently.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can set up the patient-centered nursing problems.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can set up the individual nursing goals for each patient.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can provide nursing interventions based on the priority of nursing problems.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can provide individual nursing interventions for each patient.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can evaluate whether outcomes of care are achieved.
1- strongly disagree
2- disagree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

3- neutral
4- agree
5- strongly agree

Factor 4: Communication
I can convey patient health problems fully to the medical team.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can completely convey the problem-solving plan to the medical team.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can adequately respond to the questions of the medical team
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can receive and understand the goals/outcomes of healthcare from the medical team.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can communicate with the medical team with an appropriate attitude.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can immediately clarify information that I do not understand.
1- strongly disagree
2- disagree
3- neutral
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

4- agree
5- strongly agree
I can adequately respond to the problems of the patient and family.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree

Factor 5: Attitude of Reflection

I can be open-minded as I look at information about a patient.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can be sensitive to the possibility of my own prejudices.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can receive constructive criticism.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can face my own mistakes honestly.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
I can reconsider nursing care for patients anytime
1- strongly disagree
2- disagree
3- neutral
4- agree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

5- strongly agree
I can reflect with caring behavior whether or not outcomes of care are achieved.
1- strongly disagree
2- disagree
3- neutral
4- agree
5- strongly agree
 ILOILO DOCTORS’ COLLEGE
College of Nursing
West Ave., Molo. Iloilo City

VALIDATION OF SURVEY INSTRUMENT SURVEY FORM

Using the criteria developed for evaluating survey questionnaires set forth by y Carter V. Good and
Douglas B. Scates, please evaluate the attached researchers’ made survey instrument for the proposed
study (Rating 1 as poor and 5 as excellent, kindly check the respective boxes below).

Criteria for Validity 1 2 3 4 5

1. The questionnaire is short enough and respondents

respect it and would not drain much of their precious
time.

2. The questionnaire is interesting and has a face appeal-

such that respondents will be induced to respond to it
and accomplish fully.

3. The questionnaire can obtain some depth to respondents

and avoid superficial answers.

4. The items/questions end their alternative responses that

are not too suggestive and not too stimulating.

5. The questionnaire can elicit responses which are not

definite but not mechanically forced.

6. Questions/items are stated in such a way that the

responses will not be embarrassing to the
person/persons concerned.

7. Questions/items are formed in such a manner as to

avoid suspicion on the part of the respondents

8. The questionnaire is not too narrow nor restrictive nor

limited in its philosophy.

9. The responses to the questionnaire when taken as a

whole could answer the basic purpose for which the
questionnaire is designed and therefore considered
valid.

Comments/Suggestions:
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Signature over Printed Name