Documente Academic
Documente Profesional
Documente Cultură
In Partial Fulfillment
Of the Requirements for the Degree
Bachelor of Science in Nursing
SUBMITTED BY:
AGALIN. YASIERAH K.
ALONDAY, CHRISTINE JOY R.
MELLORIA, JELANIE M.
REBOSURA, DIRK LOWELL G.
SARZONA, SHAHANNA ELOISE A.
TABLE OF CONTENTS
CHAPTER I ..................................................................................................................... 3
Background of the Study .............................................................................................. 3
Review of related literature and studies ....................................................................... 5
Statement of the problem ........................................................................................... 11
Purpose of the study .................................................................................................. 11
The grand tour questions and sub-questions ............................................................. 11
Scope and limitations ................................................................................................. 12
Significance of the study ............................................................................................ 12
Definition of Terms ..................................................................................................... 13
APPENDICES ............................................................................................................... 14
Appendix A - Letter to the Dean, College of Nursing ................................................. 14
Appendix B Informed consent ................................................................................. 15
Appendix C - Guided questions for interview ............................................................. 17
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CHAPTER I
INTRODUCTION
Before an aspiring physician can advance into medical school, he/she must finish
a preparatory course to equip him/her with adequate knowledge and skills upon for
According to Gross (2008) the premedical experience provides students with the
necessary knowledge and skills to succeed and play a major role in building the
meet the criteria for a premedical course; this course involves basic sciences like
chemistry and anatomy which are pre-requisites for studying medicine in conjunction
with clinical exposures in different health-care areas that starts during sophomore years.
For this reason, nursing graduates who choose to pursue their education and study
medicine reported that their nursing experience helped them best during their last two
years of schooling when they started having their clinical exposures. According to some
nursing clinical instructors, their previous students who proceeded to medicine told
them, that what they studied in nursing helped them a lot during their clinical rotation.
Accordingly they said "we were already familiar with the routine and what should be
done in the clinical area because we had clinical rotations when we were nursing
students. According to Lee (2013) the clinical experience is the greatest advantage of
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being a nursing-medical student, Nursing students have the opportunity to have clinical
studies earlier while most premedical majors do not gain this experience until the
Despite of this, BSN is not among the most common premedical course choices,
colleges, specialized health sciences (BSN included) represented only 3.02% of the
the fact that medical school requires a strong science foundation of knowledge, as a
matter of fact, medical students who are BSN graduates needed great adjustment
during the first two years compared to their science-graduate classmates since their first
two years medicine are more on theoretical medical science, we struggled a lot during
our first and second years because we were not used to this great deal of medical
Choosing the right premedical course can be a hard decision for aspiring
physicians, thus, the purpose of this study is to determine the insights of being a BSN
study is significant to aspiring medical students as well as nursing students who want to
take up medicine for the outcomes of this study will serve as their basis for deciding
what pre-medical course they should undertake to prepare for their medical career.
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desired college-level training in liberal arts as well as sciences, and to provide a basis
for future medical studies., Regardless of the chosen major, pre medical education
must advance the improvement of basic judgment and intelligent appraisal of truths and
issues and their application to real issues the student might experience as a medical
professional , the premedical experiences helps as well in making the character of the
The Philippines Universities and colleges guide defined the Bachelor of Science
in Nursing (BSN) as a four year degree program that teaches students the necessary
skills and knowledge to care for the sick and injured. The program revolves around four
main components; health promotion, disease prevention, risk reduction and health
restoration
According to the correlational study of De Clerq, Pearson and Rolfe (2001) which
aimed to determine the relationship of the previous tertiary education background and
the performance of the first year medical students at the Newcastle University,
Australia. The researchers identified and examined the different tertiary education
background, the level of degree, academic achievements and whether or not the
students had postgraduate qualifications. Also, the relationship of age and gender was
also examined in the research. The researchers gathered all the number of students
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admitted to medical course from the year 1990 to 1998 who had tertiary education
experience and entered via "standard" entry pathway. The first and final assessment
was the outcome measures. Logistic regression was used to examine the relationship
between the predictor and variables and outcomes. With the results of the first
assessment students who had nursing and arts background were most likely to receive
background and those who had less than distinction average were more likely to receive
"not satisfactory" result; consequently these students were required to repeat first year.
With this the researchers have suggested that identifying the students who had
encounter more academic difficulties can assist medical schools to focus academic
result and therefore repeat first year, however, according to the study by Grey et al that
was conducted in the same year, those who survived medical school into internship
performs as well as students who took science courses in basic and clinical assessment
during the first three years of the four year graduate-entry program at the University of
Sydney. The chosen students were grouped into five categories: Health Professions,
performance rank in each group were examined for single best answer and modified
essay assessments separately and also calculated the relative risk of failure in the
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summative assessments in the second and third year. With the achieved results, the
researchers have concluded that, even if there are small differences in the
performances in Basic and Clinical assessments during the early part of the program,
during their first year but later on their scores tend to converge with other students,
this study was supported by Berghout (2014) who described the same findings in her
study, she recognized that students with health related background have the advantage
of being familiar with certain subjects or skills from their previous study. Berghout further
elaborated that students with a non-science background struggle at first due to the big
gap in knowledge and demonstrate more effort in studying theory, but as they proceed
One clear advantage of being a nursing graduates is the early clinical experience
in different hospital settings that begins as early as second year, according to the
Philippines universities and colleges guide, these clinical duties are part of what is
experienced clinical instructor who will monitor their performance as they perform
Furthermore, nurses spend more time with their patients which plays a great role
in developing their assessment and communication skills, they are familiar with medical
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settings (Morris, 2015), Berghout (2014) attributed this to those students previous
experiences in the medical field that have a positive impact on their performance, those
students are more familiar with what must be done and how as future physicians.
A number of studies have showed the positive impact of early clinical exposure
on the medical students performance, Jackson et al (2009) proved in their study that
pre clinical skills curriculum leads to positive improvements in the performance of third
year medical students,this study conducted in the university of Washington was aimed
performance, the researchers reviewed the students performance evaluation before and
after the curriculum implementation and noted significant improvements mainly in terms
Dornan et al (2006) confirmed that early clinical experience helps improve the
preparation of pre-clinical students for their clinical rotations by introducing them to the
practice, they further explained in their results that Early experience helped medical
interaction with patients and helped them develop their communication and basic
clinical skills , in addition, it also supplemented what they already learnt in classroom
setting and made it more real and relevant to clinical practice.(Dornan et al, 2006) it also
plays a great role in helping students integrate their knowledge regarding basic
sciences with clinical concepts which leads to observable improvements in the students
Studies in southern east Asia were supportive of this study results, Widyandana
exploring the effects of early clinical experience (ECE) in comparison to students trained
only in skills laboratory, both groups of students had their clinical skills training program
in the skills in the skills laboratory but a selected group had the chance to have special
clinical skills training in public healthcare centres for 11 days while the other group had
more clinical skills training in the laboratory for the same time span, based on the
students feedback, those who were part of the ECE were more confident and had
better clinical and communication skills, they had the chance to see the difference
between the skills laboratory and a clinical environment and some of them were even
given the chance to perform clinical skills on actual patients which those students
was aimed at determining the effectiveness of clinical skills training introduction during
preclinical years, the study surveyed the perception of 220 medical students with the
use of a questionnaire and results showed that study Early exposure to clinical skills
taking health history, this integration enhances students understanding and interest.
Early Clinical Skills Learning was well-perceived by students in preparing them for their
new curriculum applied at the University of Antwerp in Belgium, the new curriculum
involved Clinical and communication skills training starting from first year while basic
sciences courses were limited to the first one and half years, the outcomes of this study
showed no significant difference in the academic performance between the old and new
Studies showed that students entering the clinical phase of the medical
education encounter difficulties in applying the clinical skills learnt in actual patient
that the students anxiety arises from their fear of causing harm to their patients, early
introduction of clinical skills was confirmed to be associated with increased comfort level
of third year medical students during the application of clinical skills, it also helps
decrease their anxiety caused by transition into the clinical phase of the medical
medical students on preclinical contact of actual patients through in depth interview, the
outcomes of this interview were consistent with previous studies supporting the
conclusion that such a early patient contact is certainly advantageous for medical
students, in their study, it was affirmed to be beneficial in three aspects, the students
didnt want to fail in performing the procedure in front of the patient; it also helped them
understand the disease process judging from the symptoms they can observe in the
patients stimulate not only acquisition of new knowledge but also activation of
existing knowledge and the actual contact with the patient helped integrate both types
of knowledge. As for clinical reasoning, the respondents stated that their preclinical
contact with the patient helped them develop analytic and non-analytic types of
reasoning and therefore improve their ability to diagnose and understand the patients
problem.
The purpose of this study is to determine how does having BSN as a premedical
course help graduated nurses who chose to study medicine based on the insights and
Nursing graduates on how her chosen pre-medical course and how it affected her
performance in their medical school years as well as medical practice. Specifically, this
course?
physician who studied bachelor of science in Nursing as her premedical course and had
finished both courses Davao medical school foundation, Inc. The review of literature is
limited due to lack of researches and studies about the said topic.
Student nurses: This study will give an idea to student nurses who consider
Medical Students: This study will give idea to medical students with premedical
course other than BSN about the unique strengths and weakness of their classmates
who are BSN graduates, thus promoting understanding and sharing of experiences.
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Incoming College Students: The positive outcomes of this research will give
them information especially to those students who are aspiring to be future physicians
nursing.
College of Nursing: this study will serve as basis for the college to recommend
nursing as a premedical course and widen its students understanding of the how a
premedical course in BSN can help those among them who want to take up medicine.
Future researchers: This study will serve as a guide and basis for future
Those who would like to study medicine would consider this study as a good
Definition of Terms
Insights in this study, it is defined as the way the respondent understands and
pre-medical course.
Premedical Course- preparing for or relating to the studies that prepare one for
.
APPENDICES
Dear Maam,
Good Day!
We, the third year student nurses of Davao Medical School Foundation Inc.
are conducting a research entitled from Nurse to Doctor: A case study . This study will
be present to the faculty of Davao Medical School Foundation, college of nursing as
part of our requirement in Nursing. It will entail a series of Data gathering through
interviews
Having said these, we are formally asking for your permission to grant us
authorization in conducting an interview. Rest assured that the personal data of the
respondents will definitely remain private and confidential.
Respectfully Yours,
Jelanie M. Melloria
Research Team Member
Signed by:
We, the fourth year student nurses of Davao Medical School Foundation
Inc., would like to inform you that we will be conducting a study entitled From Nurse to
Doctor: A case study. This study will be present to the faculty of Davao Medical School
Having said these, we are formally asking for your permission to grant us
authorization in conducting an interview. Rest assured that all information gathered and
the results of the study will be used for academic purposes only.
Respectfully Yours,
Melloria, Jelanie M.
Noted by:
Mrs. Mary Ann C. Casas, RN, MAN Mrs. Nayla C. Pangan, RN, MAN
Research Mentor Research panel member
Mrs. Cecilia Grace F. Acua RN, MN Mrs. Sherlita P. Lapore, RN, MAN
Research Instructor Dean, College of Nursing
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student nurses of Davao Medical School Foundation Inc. entitled From Nurse to
Doctor: A case study. We hope to learn about the experiences you had in your medical
education years and how did premedical course affect both your academic and clinical
this study because you are qualified to the criteria for this study.
If you decide to participate, we will conduct an in depth interview that will last
for at least thirty minutes to an hour. We will be recording the interview for the accurate
gathering of information. Questions that will asked are relevant to the study and can
help students who are aspiring to become physicians and consider to take the same
path as you. Any information that is obtained in connection with this study will remain
confidential and will be within the Davao Medical School Foundation Inc. only with your
permission.
Your signature indicates that you have decided to participate, having read
CONSENT FORM
I have read and understood the above information and had been given the opportunity
to consider and ask questions regarding the involvement in this study. I voluntary agree
to participate
How would evaluate your academic performance during your medical education
years compared to your peers with different premedical backgrounds?
How would evaluate your clinical performance during your medical education
years compared to your peers with different premedical backgrounds?
In your opinion, what is unique about a medical student who is a BSN graduate?
In your opinion, what were the advantages and disadvantages of nursing for you
as medical student?
Were there any similarities between nursing curriculum and medical curriculum?
What are the differences you noticed between nursing curriculum and medical
curriculum?
Were there any similarities you have noticed between the work of a nurse and
the work of a doctor?
Considering your overall experience, do you think it was easier or hard for you to
become a doctor?
According to many medical students, the third and fourth year medicine can be a
hard part because there is this transition from the theoretical phase to the clinical
phase, did you experience this kind of difficulty as a medical student?
Does becoming a medical student require adjusting certain study habits that you
had in nursing?
Considering that first and second year is the hardest part of studying medidicne
for BSNs, what advice can you give to those BSN medical students?
In your opinion, How can BSN medical students conpensate for there lack of
knowledge in medical subjects?