Keeping Up with the Outcomes-Based Education Trends in Nursing Education and Practice Among Professionals in the National Capital Regiona Dissertation Conferred in January 2024
DOI:
https://doi.org/10.11594/ijmaber.06.07.31Keywords:
International standards, Outcomes-Based Education, , Nursing practice, Patient-care, , Professional nurseAbstract
Nursing as a caring profession is constantly evolving as the call for international Healthcare demands are consequently in progress. The study aimed to determine how professional nurses are keeping up with Outcomes-Based Education trends in nursing education and practice. The study employed Exploratory Sequential Mixed Methods Design comprising of five phases namely: 1) Integrative Literature Review; 2) PICO: Writing the Integrative Review; 3) Tool Development and Testing – Quantitative; 4) Framework Development; 5) Functionality Evaluation from Expert Interviews – Qualitative. Emergent themes based on reviewed related literature were: 1) Core of Nursing; 2) Quality Patient Care; 3) Professional Transfiguration; 4) Excellence in Health Care. J.O.R.-O.B.E. Measurement Tool was developed and pilot-tested with 0.80 to 0.92 acceptability level. Respondents were selected by purposive sampling. Results revealed that professional nurses who graduated under OBE curriculum were very satisfactorily keeping up with overall mean of 4.32, with a provision on research engagement and community-based staff development programs. Utilizing T-test statistical tool, data shown insignificant differences in the average performance of nurses as perceived by charge nurses, head nurses, nurse supervisors and staff nurses with a p-value of 0.368 . Moreover, the developed J.O.R.-O.B.E. framework was evaluated by the chief nurses as an Excellent, Effective, and Highly Recommended.The findings of the study shed significant implications towards nursing profession. Utilization of J.O.R.-O.B.E. Measurement Tool and J.O.R.-O.B.E. Framework can serve to support the nursing workforce, for institutions to achieve excellent health care and cope up with global demands.
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References
Al-Haroon, H. I., & Al-Qahtani, M. F. (2020). Assessment of organizational commit-ment among nurses in a major public hospital in Saudi Arabia. Journal of Mul-tidisciplinary Healthcare, 13, 519-526. https://doi.org/10.2147/JMDH.S256856
Alsadaan, N., Salameh, B., Reshia, F. A. A. E., et al. (2023). Impact of nurse leaders be-haviors on nursing staff performance: A systematic review of literature. Inquiry: The Journal of Health Care Organiza-tion, Provision, and Financing, 60. https://doi.org/10.1177/00469580231178528
American Accreditation Commission Interna-tional. (2020). Patient safety goals 2020- 2022. Retrieved from https://aacihealthcare.com/services/accreditation/
Antunes, V. (2022). On nursing research and evidence-based practice: Topics for re-searchers and practitioners. Interna-tional Healthcare Review (online), 1(1).
https://doi.org/10.56226/ihr.v1i1.12
Argent, J., Lenthall, S., Hines, S., & Rissel, C. (2022, March). Perceptions of Australian remote area nurses about why they stay or leave: A qualitative study. Journal of Nursing Management, Wiley Online Li-brary. Retrieved from https://doi.org/10.1111/jonm.13603
Babu, F., & Thomas, S. (2020). The relationship between total quality management prac-tices and organisational image in the hospital industry: An empirical exami-nation. International Journal of Produc-tivity and Quality Management, 29(1), 1-23. Retrieved from https://doi.org/10.1504/IJPQM.2020.104517
Bakr, A. O. M., & Mukhtar, H. F. (2020, August). Project: Effects of evidence-based prac-tice educational program on nurses knowledge, attitudes, and skills at King Fahd Hospital of the University/ King-dom of Saudi Arabia/ Eastern Province/ International Journal of Nursing and Health Care Research Review. DOI: 10.29011/2688-9501.101181
Baron, K. A. (2017). Changing to concept-based curricula: The process for nurse educa-tors. Open Nursing Journal ,11, 277–287. doi:10.2174/1874434601711010277. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759089/
Basic Math. (2021). Arithmetic mean in statis-tics. Retrieved from https://www.basic- mathematics.com/arithmetic-mean.html
Bautista, C. (2017). The Philippine Qualifica-tions Framework. Retrieved from https://pqf.gov.ph/Home/Details/7
Beckett, H. (2023). Effect of e-learning on nurses’ continuing professional devel-opment. Nursing Management, 30(4). Retrieved from https://journals.rcni.com/nursing- management
Belyh, A. (2019). Major approaches and mod-els of change management. Retrieved from https://www.cleverism.com/major-approaches-models-of-change-management/ Bergquist, W. H., & Phil-lips, S. R. (1975). Components of an ef-fective faculty development program. Journal of Higher Education, 46, 177-211.
Billings, D., & Halstead, J. (2016). Teaching in Nursing: A Guide for Faculty (5th ed.).
Elsevier.
Boswell, C., & Cannon, S. (2017). Introduction to Nursing Research: Incorporating Evi-dence-Based Practice (4th ed.). Jones and Bartlett Learning.
Botma, Y. (2014). Implications of accredita-tion criteria when transforming a tradi-tional nursing curriculum to a compe-tency-based curriculum. International Journal of Africa Nursing Sciences, 1, 23-28. DOI: https://doi.org/10.1016/j.ijans.2014.06.002. https://www.sciencedirect.com/science/article/pii/S2214139114000079
Bogaert, P. V., Heusden, D. V., Slootmans, S., Roosen, I., Aken, P. V., Hans, G. H., & Franck, E. (2018). Staff empowerment and engagement in a Magnet® recog-nized and Joint Commission Interna-tional accredited academic centre in Belgium: A cross-sectional survey. BMC Health Services Research, 18(1). DOI: https://doi.org/10.1186/s12913-018-3562-3
Bovino, R. L., Aquila, A. M., Bartos, S., McCurry, T., Cunningham, C. E., Lane, T. M., Ro-gucki, N., Delos Santos, J., Moody, D., Mealia-Ospina, K., Pust-Marcone, J., & Quiles, J. (2017). A cross-sectional study on evidence-based nursing practice in the contemporary hospital setting. Jour-nal for Nurses in Professional Develop-ment, 33 (2),64-69.DOI: https://doi.org/10.1097/NND.0000000000000339
Britannica. (2020). Pragmatism. Retrieved from https://www.britannica.com/topic/pragmatism-philosophy
Catabay, M. B. G. (2017). Impact of learning through procedural simulation to actual nursing practice [Doctoral dissertation, St. Paul University Manila]
CHED. (2016). Policies, standards guidelines for the Bachelor of Science in Nursing.
Retrieved from https://ched.gov.ph/
CHED (2012). Policy standard to enhance quality assurance (QA) in Philippine higher education through an outcomes-based and typology-based QA. Retrieved from https://ched.gov.ph/wp-content/uploads/2017/10/CMO-No.46-s2012.pdf
Church, C. D., He, Z., & Yarbrough, S. (2018). Factors influencing organizational commitment and turnover in nurse res-idents. The Journal of Continuing Educa-tion in Nursing, 49(10), 482-488. DOI: https://doi.org/10.3928/00220124-20180918-09
CHED. (2009). CMO 14 s. 2009-CHED. Policies and standards for Bachelor of Science in Nursing (BSN) program. Retrieved from https://ched.gov.ph
CHED. (2001). CMO 30 s.2001-CHED. Updated policies and standards for nursing edu-cation. Retrieved from https://ched.gov.ph
CHED. (2017). CMO 15 s. 2017-CHED. Policies, standards and guidelines for the Bache-lor of Science in Nursing (BSN) program. Retrieved from https://ched.gov.ph
Coleman, M. (2016). The transition-to-practice gap and graduate nurse proficiency [Doctoral dissertation, Walden Universi-ty]. Retrieved from https://scholarworks.waldenu.edu/dissertations/3150/
Creswell, J. W., & Plano Clark, V. L. (2018). Conducting and designing mixed meth-ods research. SAGE Publications Inc.
Creswell, J. W. (2014). Research design: Quali-tative, quantitative, and mixed methods approaches. SAGE Publications
Creswell, J. (2013). Research design: Qualita-tive, quantitative, and mixed methods approaches (4th ed.). Sage Publications
Creswell, J. W. (2015). A concise introduction to mixed methods research. SAGE Publi-cations
Denzin, N. K., & Lincoln, Y. S. (2013). Strategies of qualitative inquiry. SAGE Publica-tions, Inc.
DNV GLAS. (2015). ISO 9001 for healthcare. Retrieved from www.dnvgl.com/healthcare
Dyussenbayev, A. (2017). Age periods of hu-man life. Advances in Social Sciences Re-search Journal, 4(6). https://doi.org/10.14738/assrj.46.2924
Edwards, R., & Holland, J. (2013). What is qual-itative interviewing? Bloomsbury Pub-lishing.
Einhellig, K. S. (2012). Educational experiences and the professional reintegration of registered nurses returning for bacca-laureate degrees [Doctoral dissertation, University of Northern Colorado]. Re-trieved from https://digscholarship.unco.edu/cgi/viewcon-tent.cgi?article=1115&context=disserta tions
Elliott, R. (2021). Likert scale examples and definition. Geopoll. Retrieved from https://www.geopoll.com/blog/likert-scale-examples-definition/
Empulsio (2023). Generation Y. Re-trieved from https://www.empuls.io/glossary/generation-y
Enriquez-Wilson, J. (2019). Antibiotic stew-ardship program: A process improve-ment in long-term care [Doctoral disser-tation, Chamberlain College of Nursing, USA].
Eyni, S., Mousavi, S. E., & Taghavi, R. (2023). Developing a causal model of nurses’ compassion competence based on pro-fessional self-concept and work con-science: The mediating role of self-efficacy (case study: Nurses in psychiat-ric ward of Ardabil hospitals). Current Psychology, 1-12. DOI: https://doi.org/10.1007/s12144- 022-04200-w
Falatah, R., Al-Harbi, L., & Alhalal, E. (2022). The association between cultural com-petency, structural empowerment, and effective communication among nurses in Saudi Arabia: A cross-sectional corre-lational study. Nursing Reports, 12(2), 281-290. DOI: https://doi.org/10.3390/nursrep12020028
Fawaza, M. A., Hamdan-Mansour, A. M., & Tas-sia, A. (2018). Challenges facing nursing education in the advanced healthcare environment. DOI: https://doi.org/10.1016/j.ijans.2018.10.005
Fenzi, G., Reuben, A., Agea, J., Ruipérez, T., & Costa, C. (2022). Self-learning method-ology in simulated environments (MAES©) utilized in hospital settings: Action-research in an Emergency De-partment in the United Kingdom. Inter-national Emergency Nursing, 61, 101128. DOI: https://doi.org/10.1016/j.ienj.2021.101128
Flood, D., & Thompson, R. (2011). High-fidelity patient simulations: A classroom learn-ing tool. Retrieved from https://www.myamericannurse.com/high-fidelity- patient-simulations-a-classroom-learning-tool/
Foresman-Capuzzi, J. (2022). Development and evaluation of a clinical nurse spe-cialist- directed-just-in-time training us-ing job aids and QR codes in an academic medical center [Doctoral dissertation, Wilmington University (Delaware)]. Re-trieved from https://www.proquest.com/openview
Forneris, S. & Tiffany, J. (2017, September 22). Future of technology in nursing educa-tion part1: The what and why of tech-nology use in today’s nursing student. Retrieved from https://www.wolterskluwer.com/en/expert-insights/future-of- technology-in-nursing-education-part-1-the-what-and-why-of-technology-use-in- todays-nursin
Franklin, B. (2015). 10 nursing trends to watch in 2015. Retrieved from https://www.nursepractitionerschools.com/blog/nursing-trends-2015/
Gealan, R. (2015). The Filipino nurses’ experi-ence on international accreditation [Doctoral thesis, Masters of Arts in Nurs-ing, Philippine Women's University]. DOI: https://doi.org/10.13140/RG.2.1.4697.9688
Gambino, R., Ratta, G., Janotha, C., Coletti, P., & Cavaliere, S. (2016). Team-based learn-ing in online nursing education: An inno-vation in curriculum development. Na-tional League for Nursing.
Glarcher, M., & Lex, K. M. (2020). Advanced nursing practice in Austria under con-sideration of outcome measurement. https://doi.org/10.1016/j.zefq.2020.06.012
Glasofer, A. D., & Townsend, A. B. (2019). De-termining the level of evidence. Nursing Critical Care, 14(6), 22-25. DOI: 10.1097/01.CCN.0000580120.03118.1d
Goodwin, C. (2022). What’s a charge nurse? Role, duties and salary information. Re-trieved from https://www.goodrx.com/hcp/students/what-charge-nurse-role
Gracyk, T. (2018). Four fundamental ethical principles. Minnesota State University Moorhead. Retrieved from http://web.mnstate.edu/gracyk/courses/phil%20115/Four_Basic_principles.htm
Grazzi, L., Covelli, V., Memini, F., & Rizzoli, P. B. (2020). Deeper inside the experience of pediatric headache: A narrative study. Journal of Behavioral and Brain Science, 10(10). https://www.scirp.org/
Grove, S. K., & Gray, J. R. (2019). Understanding nursing research (7th ed.). Elsevier. Re-trieved from https://digilib.ars.ac.id/index.php?p=fstream- pdf&fid=14125&bid=6598
Haddad, L. M., Annamaraj, P., & Toney-Butler, T. J. (2020). Nursing shortage. NCBI. Re-trieved from https://www.ncbi.nlm.nih.gov/books/NBK493175/
Halawa, A. (2017). Distance learning in clinical transplantation: A successful model in post-graduate education. Retrieved from https://www.researchgate.net/figure/Kirkpatrick-Pyramid-for-Programme- Evaluation-after-Phillips-1996-ROI-return-on_fig1_317589687
Hakvoort, L., Dikken, J., Cramer-Kruit, J., Mo-lendijk-van Nieuwenhuyzen, K., Schaaf, M., & Schuurmans, M. (2022). Factors that influence continuing professional
development over a nursing career: A scoping review. Nurse Education in Practice, 65, 103481. DOI: https://doi.org/10.1016/j.nepr.2022.103481
Hakvoort, L., Dikken, J., Cramer-Kruit, J., Mo-lendijk-van Nieuwenhuyzen, K., & Schuurmans, M. (2022). Factors that in-fluence continuing professional devel-opment over a nursing career: A scoping review. Nurse Education in Practice, 65, 103481. DOI: https://doi.org/10.1016/j.nepr.2022.103481
Harkness, K., Arthur, H., & McKelvie, R. (2013). The measurement of uncertainty in caregivers of patients with heart failure. Journal of Nursing Measurement, 21. Re-trieved from https://www.researchgate.net/publication/261015950
Hesook Suzie Kim. (2012). Outcomes-based curriculum development and student evaluation in nursing education. Journal of Korean Academy of Nursing, 42(7), 917– 927. DOI: https://doi.org/10.4040/jkan.2012.42.7.917
Ibrahimov, A. (2020). Standardization as a tool to improve patient safety and patient service at hospitals: Baku Health Centre example. Retrieved from https://www.researchgate.net/publication/341734908
Ijaz, N., & Carrie, H. (2023). Governing thera-peutic pluralism: An environmental scan of the statutory regulation and govern-ment reimbursement of traditional and complementary medicine practitioners in the United States. PLOS Global Public Health, 3(8), e0001996. DOI: https://doi.org/10.1371/journal.pgph.0001996
International Institute of Management & Technology Studies. (2013). Total quali-ty management [Brochure]. 3G Universi-ty, 3G Elearning FZ LLC UAE.
International Standard Organization. (2020). International Standard Organization.
Retrieved from https://www.isoqsltd.com/faq/
Islam, M., Parkinson, A., Burns, K., Woods, M., & Yen, L. (2020). A training program for primary health care nurses on timely di-agnosis and management of dementia in general practice: An evaluation study. International Journal of Nursing Studies, 105, 103550. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103550
Joint Commission International (JCI). (2020). Retrieved from www.jointcommissioninternational.org
Joson, R. (2014). Accreditation as a strate-gy/tool for hospital quality service im-provement. Retrieved from https://www.slideshare.net/rjoson/accreditation-as-a- strategy-tool-for-hospital-quality-service-improvement
Julnes, S. G., Myrvang, T., Reitan, L. S., Rønning, G., & Vatne, S. (2022). Nurse leaders' ex-periences of professional responsibility towards developing nursing competence in general wards: A qualitative study. Journal of Nursing Management, 30(7), 2743- 2750. DOI: https://doi.org/10.1111/jonm.13745
Kaiser, C., & Agnol, C. (2017). Teaching and learning nursing management in the hospital context: An approach in the light of Pichon-Rivière. Retrieved from http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03261.pdf
Kalsoom, Z., Victor, G., Virtanen, H., & Sultana, N. (2023). What really matters for pa-tient safety: Correlation of nurse compe-tence with international patient safety goals. Journal of Patient Safety and Risk Management, 28(3), 108-115. DOI: https://doi.org/10.1177/25160435221133955
Kamel, A. (2016). Role of faculty development programs in improving teaching and learning. Saudi Journal of Oral Sciences. Retrieved from http://www.saudijos.org/temp/SaudiJOralSci3261-3659847_100958.pdf
Karimi, Z., Ashktorab, T., Mohammadi, E., & Ali Abedi, H. (2014). Using the hidden cur-riculum to teach professionalism in nursing students. Iran Red Crescent Medical Journal, 16(3), e15532. DOI: https://doi.org/10.5812/ircmj.15532
Kaushik, V., & Walsh, C. (2019). Pragmatism as a research paradigm and its implications for social work research. Social Sciences. https://www.mdpi.com
Kavanagh, J. M., & Sharpnack, P. A. (2021). Cri-sis in competency: A defining moment in nursing education. Online Journal of Is-sues in Nursing, 26(1). DOI: https://doi.org/10.3912/OJIN.Vol26No01Man02
Keating, S., & DeBoor, S. (2018). Issues and challenges for nursing educators. Springer Publishing Company.
Keating, S. B. (2016). Looking back to the fu-ture: Current issues facing nursing edu-cation from the reflections of a member of the Silent Generation. Nursing Forum, 51(3), 153-163. DOI: https://doi.org/10.1111/nuf.12133
Kenner, C. A. (2017). Trends in US nursing re-search: Links to global healthcare issues. Journal of Korean Academy of Nursing Administration, 23(1), 1–7. https://doi.org/10.11111/jkana.2017.23.1.1
Khan, B. P., Quinn Griffin, M. T., & Fitzpatrick, J. J. (2018). Staff nurses’ perceptions of their nurse managers’ transformational leadership behaviors and their own structural empowerment. JONA: The Journal of Nursing Administration, 48(12), 609-614. DOI: https://doi.org/10.1097/NNA.0000000000000690
Koester, D. (2020). Comparison of health fac-tors and outcomes between accredited and nonaccredited health departments [Doctoral dissertation, Walden Universi-ty]. https://scholarworks.waldenu.edu/dissertations/8466/
Krauskopf, K. (2020). The role of hospital mid-manager leadership on hospital quality initiatives: A qualitative study to under-stand self-efficacy [Doctoral disserta-tion, Capella University].
Lahman, M. K. E. (2017). Ethics in social sci-ence research becoming culturally re-sponsive. SAGE Publishing.
Landry, S., & Ridley, B. (2016). Incorporating virtual simulation into undergraduate education. National League for Nursing.
Lee, J. E., & Sim, I. O. (2020). Gap between col-lege education and clinical practice: Ex-perience of newly graduated nurses. Nursing Open, 7(1), 449-456.
Lichtman, M. (2013). Qualitative research for the social sciences. SAGE Publications, Inc.
Lilly, & Hunt. (2016). Innovative Web 2.0 teaching tool: GoAnimate. National League for Nursing.
LoBiondo-Wood, G., & Haber, J. (2018). Nurs-ing research methods and critical ap-praisal for evidence-based practice (9th ed.). Elsevier.
McMillan, L., Johnson, T., Parker, F. M., Hunt, C. W., & Boyd, D. E. (2020). Improving stu-dent learning outcomes through a col-laborative higher education partnership. International Journal of Teaching and Learning in Higher Education, 32(1), 117-124. Retrieved from https://eric.ed.gov/?id=EJ1259548
Manarang, V. R., & Cuevas, P. (2017). Relation-ship between level of readiness for self- directed learning and learning styles of CEU nursing students. Philippine Journal of Nursing, 87(1), 61-65.
McLeod, S. (2019). Likert scale definition, ex-amples and analysis. Simply Psychology. https://www.simplypsychology.org/likert-scale.html
Mittal, N., Deswal, H., Mittal, R., Sharma, S., & Kaushik, P. (2023). An educational pro-gram on antimicrobial resistance and stewardship for staff nurses in a public tertiary care hospital in India. Infection, Disease & Health, 28(3), 202-210. DOI: https://doi.org/10.1016/j.idh.2023.03.003
Mtshali, et al. (2005). Developing an out-comes-based curriculum. In Curriculum development in nursing: Process and in-novation (Chapter 12). Routledge, Tay-lor and Francis Group.
Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ burnout: The influ-ence of leader empowering behaviors, work conditions, and demographic traits. Inquiry: The Journal of Health Care Organization, Provision, and Fi-nancing. DOI: https://doi.org/10.1177/0046958017724944
Munshi, Lababidi, & Alyousef. (2015). Low-versus high-fidelity simulations in teach-ing and assessing clinical skills. Journal of Taibah University Medical Sciences, 10(1), 12-15. https://www.sciencedirect.com/science/article/pii/S1658361215000141
Mwetulundila, P., & Indongo, N. (2022). Gen-der equity and impedes of career pro-gression in the nursing profession in Khomas Region of Namibia. SAGE Open Nursing. DOI: https://doi.org/10.1177/23779608221074652
Ngxongo, T. S. P., & Masondo, J. N. M. (2022). Nurse managers' experiences regarding the use of key performance indicators in developing work plans. African Journal of Primary Health Care & Family Medi-cine, 14(1), 1-11.
Octaviano, E., Fernandez, R., Dionisio, A., Kuan, L., & Cawaon, F. (2004). Promulgation of the Code of Ethics for Registered Nurses. Philippine Regulation Commission, Board of Nursing Board Resolution No. 220 Series of 2004. Retrieved from https://www.prc.gov.ph/sites/default/files/NURSING-CodeEthics-2004-220.pdf
Patterson, C., Stephens, M., Chiang, V., Price, A. M., Work, F., & Snelgrove-Clarke, E. (2017). The significance of personal learning environments (PLEs) in nursing education: Extending current conceptu-alizations. Nurse Education Today, 48, 99- 105.
PhilHealth Benchbook. (2004). Retrieved from https://www.philhealth.gov.ph/partners/providers/benchbook/QualityAssuranceProg ram_Benchbook.pdf
Polit, D. F., & Beck, C. T. (2022). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Wolters Kluwer.
Poortaghi, S., Salsali, M., Ebadi, A., & Pourgholamamiji, N. (2020). Accredita-tion of nursing clinical services: Devel-opment of an appraisal tool. Nursing Open, 7(5), 1338–1345. DOI: https://doi.org/10.1002/nop2.505
Poortaghi, S., Salsali, M., Ebadi, A. & Pourgholamamiji, N. (2020). Accredita-tion of nursing clinical services: Devel-opment of an appraisal tool. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424456/
Porter-O’Grady, T., & Malloch, K. (2016). Lead-ership in nursing practice: Changing the landscape of health care (2nd ed.). Jones & Bartlett Learning.
Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: Meeting the needs of novice to mid- to late- career nurses throughout their ca-reer span. Administrative Sciences MDPI, 7(2), 17. DOI: https://doi.org/10.3390/admsci7020017
Qtait, M. (2023). Systematic review of head nurse leadership style and nurse per-formance. International Journal of Afri-ca Nursing Sciences, 18, 100564. DOI: https://doi.org/10.1016/j.ijans.2023.100564
Qureshi, A. Z. (2012). The trend of hospital ac-creditation in Saudi Arabia. Saudi Medi-cal Journal, 33(12). Retrieved from www.smj.org.sa
Rawashdeh, A. M., & Tamimi, S. A. (2020). The impact of employee perceptions of training on organizational commitment and turnover intention: An empirical study of nurses in Jordanian hospitals. European Journal of Training and De-velopment, 44(5/6), 455-470. DOI: https://doi.org/10.1108/EJTD-07-2019-0112
Renjith, R. G. (2015). Trends in nursing educa-tion. Indian Journal of Applied Research. Retrieved from https://www.researchgate.net/publication/281208439_Trends_in_Nursing_Education
Renning, K., van de Water, B., Brandstetter, S., et al. (2022). Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the devel-opment of a specialized master’s educa-tion pathway: A cohort study. BMC Nursing, 21(1), 6. DOI: https://doi.org/10.1186/s12912-021-00772-3
Riya, J., & Priya, C. (2020). What are quantita-tive research sampling methods? Re-trieved from https://www.projectguru.in/what-are-quantitative-research-sampling-methods/
Sana, E., Roxas, A., Luisa, A., & Reyes, T. (2015). Introduction of outcome-based educa-tion in Philippine health professions ed-ucation setting 1 2 3. Philippine Journal of Health Research and Development, 19, 60-74. Retrieved from https://www.researchgate.net/publication/301893014
Saplan, D. M. (2016). An innovation to heighten research culture in selected colleges of nursing in Region IX, Philippines [Doc-toral dissertation, St. Paul University Manila].
Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., ... & Jinks, C. (2018). Saturation in qualitative re-search: Exploring its conceptualization and operationalization. Qualitative and Quantitative, 52(4), 1893-1907. DOI: https://doi.org/10.1007/s11135-017-0574-8
Schmüdderich, K., Kiwitt, J., Palm, R., Roes, M., & Holle, B. (2023). Core elements and potential of nurse‐led care models in residential long‐term care: A scoping review. Journal of Clinical Nursing, 32(9-10), 1858-1884. DOI: https://doi.org/10.1111/jocn.16231
Wang, T., Chen, Y., He, Y., Shen, L., Wang, P., Zhu, M., ... & Li, M. (2022). Stressors, cop-ing strategies and intention to leave the nursing profession: A cross-sectional na-tionwide study in China. Journal of Nurs-ing Management, 30(8), 4398-4408.
Wijaya, P. D. G. K., & Suwandana, I. G. M. (2022). The role of job satisfaction, work- life balance on the job perfor-mance of female nurses at local general hospital. European Journal of Business and Management Research, 7(1), 208–212. DOI: https://doi.org/10.24018/ejbmr.2022.7.1.1268
Wocher, J. C. (2014, January 7). Effects of in-ternational accreditation on patient care in a Japanese hospital: Nurses' perspec-tives. The Journal of the Japan Hospital Association. Retrieved from https://www.researchgate.net/publication/265019558_Effects_of_international_accre dita-tion_on_patient_care_in_a_Japanese_hospital_nurses%27_perspectives
Yoong, S. L., Bolsewicz, K., Reilly, K., Williams, C., Wolfenden, L., Grady, A., ... & Wiggers, J. (2023). Describing the evidence-base for research engagement by health care providers and health care organisations: A scoping review. BMC Health Services Research, 23(1), 1-20. DOI: https://doi.org/10.1186/s12913-022-08887-2
Yoong, S. Q., Liao, A. W. X., Goh, S. H., & Zhang, H. (2022). Educational effects of com-munity service-learning involving older adults in nursing education: An integra-tive review. Nurse Education Today, 113, 105376. DOI: https://doi.org/10.1016/j.nedt.2022.105376
Yu, X., Huang, Y., & Liu, Y. (2022). Nurses’ per-ceptions of continuing professional de-velopment: A qualitative study. BMC Nursing, 21, 162. DOI: https://doi.org/10.1186/s12912-022-00940-z
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Copyright (c) 2025 Joan O. Ranada, Lily Famadico
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