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ItemDevelopment of Framework for Clinical Nursing Research Fellowship in the Philippines(Philippine Journal of Nursing, 2017)Fellowship programs serve as alternative means to bridge the gap between undergraduate education and nursing practice. The purpose of the study was to develop a framework for a Clinical Nursing Research (CNR) Fellowship Program in the Philippines. A sequential non-dominant mixed method design was used. It comprised the following: identifying the competencies needed by clinical nurses in research and EBP; the training needs of clinical nurses in research and EBP; the core competencies, functional competencies and tasks of CNR fellows; and describing potential fellows’ reactions and preferred ways of learning. Categorical analyses were done to analyze qualitative data. Descriptive statistics was used to analyze training needs and consensus agreement of experts. There were nine core competencies and 70 tasks of a CNR fellow that were distributed to the Beginner, Intermediate and Advanced Levels. Potential fellows prefer learning that is active, reflective, sequential, cooperative, guided by experts, personalized and involves use of technology. After learning the basics, they would need to learn more intensively on competencies that would help them become more capable of contributing to clinical practice. The CNR Fellowship Program framework seemed to contain contextually-relevant core competencies in clinical nursing research that are needed to augment basic nursing research education and to benefit clinical nursing practice.
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ItemDiffering pathways to resiliency: A grounded theory study of enactment of resilience among acute care nurses(Nursing and Health Science, 2018)It is well-recognized that nurses are exposed to high levels of stress, thus resilience has been postulated as a key trait in enabling nurses to cope successfully and remain in the profession. In this qualitative study, we used Glaser's approach to grounded theory. Nine nurses who scored low and nine nurses who scored high on the Connor–Davidson Resilience Scale were recruited for one-on-one semistructured interviews of the factors contributing to their work-related stress and how they overcome these stressors. Three categories emerged from the data: outlook on work, self-efficacy, and coping responses. These categories led to the emergence of the theory “differing pathways to resiliency”. Despite the stresses experienced at work, some nurses were highly resilient, while others were not. Highly-resilient nurses tend to adopt active coping mechanisms, whereas nurses who have low resilience tend to undertake passive measures to let nature runs its course. The emerging theory provided an understanding of the different pathways to resiliency and how nurse leaders can potentially develop and grow the level of resiliency among nurses.
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ItemGeneration Z undergraduate students’ resilience during the COVID-19 pandemic: a qualitative study(Current Psychology, 2021)Resilience has been documented as an essential component in managing stress. However, understanding how undergraduate students with different sociodemographic characteristics perceive resilience remains understudied. This study aimed to explore how undergraduate students in one university define and build resilience during the COVID-19 pandemic. Students’ perception and preferences for receiving resilience training were additionally solicited. A descriptive qualitative cross-sectional study was conducted. Twenty-seven students were interviewed using a semi-structured interview guide via Skype instant messaging. The thematic analysis generated five themes: resilience as enduring and withstanding; the building blocks of resilience; resilience: learning or earning; pedagogical considerations for resilience training; and a blended platform for resilience training. Participants described resilience as an enduring and withstanding trait essential for university students. Resilience can be built from intrinsic and extrinsic factors. Intrinsic factors that enhanced resilience included desire to succeed and motivation. Extrinsic factors were relational in nature, and friends, family, teachers, and religion were found to boost resilience. Students had several recommendations in designing resilience training, and they recommended the use of a blended platform. Further, students suggested the use of videos, narratives fromresilient individuals, and using reflective practice as a pedagogy in resilience training. Future resilience training should consist of personal and interpersonal factors and should be introduced early during the academic termof students’ university life. As the COVID-19 pandemic compounds an already challenging academic climate, this study lends it findings to expand the resilience literature and develop future resilience training.
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ItemUnderstanding the factors that make public participation effective in health policy and planning: a realist synthesis(CSIRO PUBLISHING, 2017)Although researchers argue for the importance of involving the public in developing health policy, there has been little focus on central research questions – such as what techniques of public participation work, in what circumstances, and why. This paper presents a realist synthesis which identifies and explains the underlying mechanisms and specific contextual factors that lead to effective public participation in health policy and planning. Peer-reviewed, English language literature was searched, which resulted in 77 articles for review and synthesis. This synthesis uncovered the underlying mechanism of ‘political commitment’ that generates public participation effectiveness. The other three possible underlying mechanisms, namely: ‘partnership synergy’, ‘inclusiveness’ and ‘deliberativeness’, were found to potentially provide further explanation on public participation effectiveness for health policy and planning. The findings of this review provide evidence that can be useful to health practitioners and decision-makers to actively involve the public when drafting public health policies and programs and, more importantly, guide them in deciding which strategies to best employ for which contexts.
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ItemPaternal involvement of Singaporean fathers within six months postpartum: A follow-up qualitative study(Midwifery, 2019)Objective: This study aims to understand paternal involvement within the six-month postpartum period to identify the challenges and needs of Singaporean fathers. Design: The study used a descriptive qualitative design. Setting and Participants: This research is a follow-up study of 50 first-time and experienced fathers who were originally interviewed in the early postpartum period. Fathers were recruited from a local public hospital in Singapore. Measurements: Individual semi-structured interviews using an interview guide were conducted at six months postpartum with the fathers. The interview recordings were transcribed and analysed using the- matic analysis. Results: Four major themes emerged from the analysis: (1) fathers’ understanding of their involvement at six months postpartum, (2) challenges of paternal involvement, (3) impact on marital relationship, and (4) needs of fathers. The respondent fathers were determined to be motivated differently during this timepoint as compared to at one week postpartum, but hindrances from work commitments and the presence of support limited paternal involvement. Strained marital relationship and sexual needs surfaced in this study. One father reported to be at risk for depression. Co-parenting practices buffered against marital dissatisfaction. Moreover, the informational needs of fathers differed at one week and six months postpartum. Key Conclusions: This follow-up study revealed that the concerns and needs of fathers continue to emerge in accordance with their infants’ growth and needs in different postpartum periods. Necessary assistance in the form of long-term follow-ups and online educational resources may be dynamic in supporting the emerging needs of fathers. Implications for practice: Healthcare professionals should engage in interventions that are dynamic in suiting fathers’ needs at different time points and cultural contexts