Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

College of Health Care Technology

QUESTIONNAIRE

PERCEIVED LEARNING ABILITIES OF K-12 GRADUATES ENROLLED IN

THE NURSING PROGRAM OF CAMARINES SUR POLYTECHNIC
COLLEGES

Part I. Profile of the Respondents

Instruction: Kindly read the questions carefully. Please fill in the box with
check ( / ) that indicate your answer.

a. Age b. Sex

( / ) 15 -19 y/o ( ) Female

( ) 20 – 24y/o ( ) Male
( ) 25 - 29 y/o
( ) 25 -29 y/o

c. Monthly Family Income d. Ordinal Position in the Family

( ) 4,999 php & below ( ) 1st – 3rd

( / ) 5,000 – 14,999 php ( / ) 4th – 6th
( ) 15,000 – 24,999 php ( ) 7th – 9th
( ) 25,000 – 34,999 php ( ) 10th – 12th
( ) 40,000 php & above ( ) 13th & above

e. School Graduated f. Academic Track

( ) Private School ( ) (STEM)
( / ) Public/Government School ( ) (ABM)
( / ) (GAS)
( ) (HUMS)
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

Part II. Perceived learning abilities of K-12 graduates enrolled in Nursing

Program of Camarines Sur Polytechnic Colleges.

Instruction: Indicated below are the perceived learning abilities along

Knowledge, Skills and Attitude. Please put a check ( / ) in the box with
appropriate number which corresponds your answer according to the following
options:

4 – Outstanding
3 – Very Satisfactory
2 – Satisfactory
1 – Fair

a. Knowledge
Indicators 4 3 2 1
1. Analyse the basic elements of an idea, /
experience or theory such as examining a
particular case or situation in depth and
considering its components.
2. Synthesize and organize ideas, /
information, or experiences into new,
more complex interpretations and
relationships.
3. Understands specific theory and /
procedures.
4. Emphasize importance of the theory and /
principles taught.
5. Know the importance of healthy and safe /
environment.
6. Identify proper care and services towards
health care.
7. Know what to do and responds /
constructively to unexpected or rapidly
changing situations.
8. Knows what to do and responds /
constructively to unexpected or rapidly
changing situations.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

9. Show creativity fully in order to innovate /

and develop ideas to carry out plans.
10. Can assess self to evaluate own /
strengths, weaknesses, progress and
future learning objectives.
11. Others, please specify:
_________________________________

b. Skills
Indicators 4 3 2 1
1. Practice beginning management and /
leadership skills in the delivery of client
care.
2. Apply guidelines and principles of /
evidence-based practice in the delivery of
care.
3. Apply knowledge of physical, social,
natural and health sciences and
humanities in the practice of nursing.
4. Communicates effectively in speaking, /
writing and presenting using culturally-
appropriate language.
5. Perform actions in a manner consistent /
with relevant principles.
6. Work effectively in collaboration with /
inter-intra-and-multidisciplinary,
multicultural teams
7. Identify priorities and address it properly.
8. Confront obstacles in pursuing an /
objective and have a good decision
making to arrive at positive ways of
overcoming them.
9. Manage, guide and facilitate a group or /
activity so as to maximize its success and
the contribution of participants.
10. Weigh alternative approaches and make /
commitment to and carry out a selected
option.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

11. Others, please specify:

_________________________________

c. Attitude
Indicators 4 3 2 1
1. Demonstrate responsible citizenship and /
pride of being a Filipino.
2. Maintain respect towards instructors. /
3. Respect individual’s differences towards /
fellow students.
4. Can relate to others; socially at ease with /
people from a variety of background.
5. Trusts own worth and ability which is /
sufficient to enable self to perform tasks
given.
6. Assume full responsibility of work and /
accomplishing it effectively.
7. Willing and able to manage change. /
8. Recognize opportunities and able to
perceive the possibility of future
developments.
9. Willing to take an active role and take /
responsibility on own learning.
10. Abide school rules and regulations. /
11. Others, please specify:
_________________________________

Part III. Factors that affect the learning abilities of K-12 graduates
enrolled in nursing program of Camarines Sur Polytechnic College
Indicated below are the factors affecting the Learning Abilities along the
different dimension of the Educative Process. Please put a check ( / ) in the box
with appropriate number which corresponds your answer according to the
following options:
4- Greatly affect
3- Moderately affect
2- Affect
1- Not at all
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

A. Substantive Dimension (The Curriculum) 4 3 2 1

1. Professional nursing subjects offered are based on the

prerequisite requirements and sequence. /

2. All Academic Track can take Bachelor of Science in Nursing. /

3. Department observes the following student ratio:

a. Nursing laboratory- 1:10 /

b. Classroom Instruction- 1:20(min) /

- 1:40 (max)
4. Systematic continuing plan of evaluation of student’s
progress is consistent & congruent to set objectives.
/

5. Adopts system of supervision for purpose of evaluating /

teaching performance
6. Students conduct evaluation to Clinical Instructors. /

7. The number of units per semester (First and Second /

Semester).
A. Procedural Dimension (Skills Laboratory)
1. Understanding the purpose of utilizing the nursing /
laboratory.
2. Having return demonstration in the retention and in the /
actual performance of the procedure.
3. Mastery of Clinical Instructors in discussing and performing /
the procedure.
4. Independent work and performance were encouraged and /
monitored regularly.
5. Instructors giving tactful feedback after an activity or /
procedures.
6. Encouragement to student to determine the significance of /
every lesson with the use of well-defined objectives.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

7. Time allotted to internalize and familiarize the procedure /

given before return demonstrations.

B. Human Relations Dimension (Interpersonal Relationship)

1. Instructors recognizes the student’s strengths and /

weaknesses
2. Instructors encouraging students to participate actively in /
activities by giving them a variety of exercises according to
their interests.

3. Instructors respect for the maturity and sense of /

responsibility of the students
4. Instructors possesses well-balanced personality /

5. Promotion of unity in diversity by allowing students to freely /

express themselves accordingly to their own preferences.

6. Student determines interest in nursing & in student nurses. /

7. Presence of Clinical Instructor during Return Demonstration. /

C. Environmental Dimension

1. A Nursing Laboratory is well equipped. /

2. A classroom setting is conducive for effective learning. /

3. Rules and policies necessary to establish and maintain /

discipline among students with consonance with democratic
practices.
4. Observation of proper decorum and acts in accordance to the /
ethical standards.
5. Cultivation of culture of trust and respect inside the room by
considering diversity and individual differences.

6. Integration of values and work ethics in the teaching-learning /

process.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

College of Health Care Technology

7. Functional instruments and equipment in the laboratory for /

the demonstrations of the students.

COMMENTS AND SUGGESTIONS_________________________________

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