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This presents the summary of the study, formulated conclusion and recommendations offered.

Summary of the findings:

This study is all about the “Stress Management Performed by the Level III Nursing Students with Regards to their Clinical Duties: Basis for a Proposed Effective Quality Nursing Care”.

The descriptive method of research was utilized and the questionnaire serves as the principal data gathering instrument.

There are 267 respondents who fill up the survey questionnaire.

The results of the questionnaire were tabulated and interpreted from which the findings and conclusion were drawn.

The following are the summary of findings of the study based from all the data presented, analyzed and interpreted in chapter IV.

1. Majority of the respondents are in 19 years of age.

2. Majority of the respondents are female.

3. The researchers used sixteen (16) items to enumerate the different stressors encountered by the level III nursing students with regards to their clinical duties namely: Doing bedside care to the patient with weighted mean equivalent to 3.60 was interpreted as “Often”; Finishing charting on time with weighted mean equivalent to 3.89 was interpreted as “Often”;

Handling too many patients with weighted mean equivalent to 3.67 was interpreted as “Often”; Preparation and submission of requirements with weighted mean equivalent to 3.67 was interpreted as “Often”; Patients with serious cases with weighted mean equivalent to 3.62 was interpreted as “Often”;

Lack of hospital facilities and equipments with weighted mean equivalent to 3.43 was interpreted as “Often”; Relationship with the patients with weighted mean equivalent to 2.94 was interpreted as “Sometimes”; Relationship with the co-students with weighted mean equivalent to 3.01 was interpreted as

“Sometimes”; Relationship with the Clinical Instructor with weighted mean equivalent to 2.97 was interpreted as “Sometimes”;

Relationship with the staff nurse with weighted mean equivalent to 3.01 was interpreted as “Sometimes”; Relationship with the physicians with weighted mean equivalent to 2.79 was interpreted

as “Sometimes”; Relationship with the patient’s family, relatives and visitors with weighted mean equivalent to 2.99 was interpreted as “Sometimes”; Recognition of some evident changes concerning patient’s symptoms with weighted mean equivalent to 3.29 was interpreted as “Sometimes”; Mixed cases of patients due to lack of rooms with weighted mean equivalent to 3.31 was interpreted as “Sometimes”; Unfamiliar healthcare setting in the hospital with weighted mean equivalent to 3.21 was interpreted as “Sometimes”; And lastly wrong procedure performed to the patients with a weighted mean equivalent to 3.01 was interpreted as “Sometimes” also with the total average mean of 3.28 was interpreted as “Sometimes”.

4. The researchers used thirty (30) items to determine the different stress management performed by the respondents with regards to their clinical duties namely: Thinking positive and being confident in whatever you do with weighted mean equivalent to 4.23 was interpreted as “Always”; Taking time to rest and relax with weighted mean equivalent to 3.78 was interpreted as

“Often”; Spending time with your love ones with weighted mean equivalent to 3.84 was interpreted as “Often”; Praying to God with weighted mean equivalent to 4.66 was interpreted as

“Always”; Watching movies and programs on television with weighted mean equivalent to 3.71 was interpreted as “Often”;

Daydreaming with weighted mean equivalent to 2.98 was

interpreted as “Sometimes”; Listening to music, singing, and dancing with weighted mean equivalent to 3.73 were interpreted as “Often”; Enjoying pleasurable activities with weighted mean equivalent to 3.31 was interpreted as “Sometimes”; Knowing your limits and stick to them with weighted mean equivalent to 3.85 was interpreted as “Often”; Engaging into sports with weighted mean equivalent to 3.31 was interpreted as “Sometimes”; Simply stay at the corner of your room and crying with weighted mean equivalent to 2.27 was interpreted as “Seldom”; Eating your favorite foods with weighted mean equivalent to 3.88 was interpreted as “Often”; Using the internet and playing online games with weighted mean equivalent to 3.89 was interpreted as

“Often”; Calling or texting your family members, relatives, friends, etc... with weighted mean equivalent to 3.90 was interpreted as “Often”; Making yourself busy by doing household chores with weighted mean equivalent to 3.28 was interpreted as

“Sometimes”; Ignoring the problem with weighted mean equivalent to 3.33 was interpreted as “Sometimes”; Getting angry and having mood swings with weighted mean equivalent to 2.86 was interpreted as “Sometimes”; Laughing at it with weighted mean equivalent to 3.79 was interpreted as “Often”; Asking for assistance to the Clinical Instructor with weighted mean equivalent to 3.67 was interpreted as “Often”; Verbalization of feelings to fellow students with weighted mean equivalent to

3.64 was interpreted as “Often” ;Reasoning out or answering back with weighted mean equivalent to 3.29 were interpreted as

“Sometimes”; Taking it as a challenge with weighted mean equivalent to 3.86 was interpreted as “Often”; Limiting your contact to the source of stress with weighted mean equivalent to 3.42 was interpreted as “Often”; Cursing with weighted mean equivalent to 2.67 was interpreted as “Sometimes”; Drinking alcoholic beverages and smoking with weighted mean equivalent to 2.18 was interpreted as “Seldom”; Taking medication as a reliever with weighted mean equivalent to 2.42 was interpreted as “Seldom”; Doing physical exercise with weighted mean equivalent to 3.09 was interpreted as “Sometimes”; Accepting the reality that sometimes it merely happens with weighted mean equivalent to 3.81 was interpreted as “Often”; Sleeping with weighted mean equivalent to 3.75 was interpreted as “Often”;

Managing your time better with weighted mean equivalent to 3.99 was interpreted as “Often”; With the total average mean of 3.48 was interpreted as “Often”.

Conclusions:

Based on the findings of the study, the researchers arrived at the following conclusions:

1. That the level III nursing students consider “Finishing charting on time” as the greatest stressors they have

encountered with regards to their clinical duties and the least one is the relationship with the physicians. Meanwhile, the rest of the stressors show that they can also affect the respondents somehow.

2. That the level III nursing students consider praying to God and thinking positive as the number one stress management they usually performed when they feel stress. While simply staying at the corner of the room and crying followed by drinking alcoholic beverages and smoking does not play much role.

3. The result of the study stands benefit to the nursing practice in rendering effective quality nursing care. The identification of the possible cause and effect of stressors on the level III nursing students will provide them adequate academic and clinical knowledge on stress. This study will serve as a guide to them on how to manage their stress with regards to their clinical duties. This will also provide information to the Clinical Instructors, healthcare team in the hospital, and school administrators on how they can help the students upon dealing with stress properly in order for students to be competent enough in different clinical area and to render quality and effective nursing care to the patients.

Recommendations:

After the conclusions were drawn, the researchers of the study hereby recommended that:

1. The students must develop not only their nursing skills but also their ability on handling problems.

2. The students must learn how to rest and relax.

3. The students also need to develop their good working relationship to others especially with the patients to avoid pro 4. Proper utilization of coping mechanism will help the nursing students to manage their stress and be competent enough in different clinical area.

blems that lead to create stressor.

5. The Clinical Instructors must support their students all the time to establish a harmonious and professional relationship with them and guide them in rendering quality nursing care to the patient.

6. Doctors and Clinical Instructors as well as the staff nurses should be invited at times as a resource person during ward class and case presentation to give them a sense of recognition thereby improving good working relationship in the clinical area.

7. The proper approach and continuous support of the staff nurse and other healthcare provider must be present to help the students cope and deal with the possible problems that they might encounter in the clinical area.

8. Discussion for the most practical adaptation to prevent the existence of excessive amount of stress in the individual should be conducted and if found to be already existed, the most possible activities should be given to decrease the strength of stressors that could affect on physiological, psychological and behavioral make up of the individual.

9. The college of nursing should conduct seminar workshops and trainings that will further develop the student ability and capacity to cope up with stress.

10. The future junior nursing students must be properly equipped with enough knowledge in nursing for them to become confident. Hence, improper coping with stress will be lessened and prevented.

11. Conducting another study using more variable and bigger sample frame should be considered to arrive at a more comprehensive and meaningful conclusion.

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