Documente Academic
Documente Profesional
Documente Cultură
A FACULTY RESEARCH
COLLEGE OF NURSING
COLEGIO DE DAGUPAN
October 2010
ABSTRACT
Jan Patrick S. Arrieta, RN, RM, and Dr. Brando V. Solis, RN, MAEd.
Satisfaction of a need is integral for survival. However, it has now been realized that certain needs require
fulfillment primarily before others. In the setting of a community, wherein there is a blend of different
perspectives and prioritizations of needs, there is a requisite for assessing what they are and who are the
people who demand them. In short a phrase, what is the profile and collective needs of Brgy.
Mamalingling. The researchers used a Community Survey form to acquire data from a representative
sample of 144 households. From there, the data are tabulated and computed using the UP Manila College of
Nursing matrix for prioritizing needs. The study reveals that the top five needs are (1) diarrhea, being the
most common illness or medical problem; (2) influenza as the leading cause of child mortality; (3) waste
management; (4) low academic profile; (5) and presence of breeding sites of rodents and pests.
ACKNOWLEDGEMENT
Gratitude is due to the following people, who in ways, minute or otherwise have imparted
something which has made an immense impact in the completion of this work.
To Colegio De Dagupan, for the opportunity to excel and prove oneself.
To the College of Nursing, for the shared laughter.
To our students, the reasons we go to work every day.
To them, who shall be the spring of love flowing evermore, the source of our inspiration.
Contents
Page
Title Page
Abstract i
Acknowledgement ii
Contents iii
List of Tables iv
List of Figures vi
Chapter
1 INTRODUCTION 1
Background of the Study 1
Theoretical Framework 5
Conceptual Framework 9
Statement of the Problem 12
Assumptions 15
Significance of the Study 15
Scope and Limitations 18
Definition of Terms 19
2 REVIEW OF LITERATURE AND STUDIES 23
3 METHODOLOGY 33
Research Design 33
Sources of Data 34
Instrumentation 36
Tools for Data Analysis 37
4 DISCUSSION OF FINDINGS 40
5 SUMMARY, CONCLUSIONS, AND RECOMMENDATIONS
Summary
Conclusions
Recommendations
Bibliography/References
Appendices
A Community Survey Form
B Matrix for Scoring Community Health Problems/Health Needs from University
of the Philippines College of Nursing Community Health Nursing Specialty
C Organizational Chart of Brgy. Mamalingling
D Photographs
E Action Plan for Nursing Students in the Implementation of COPAR
Curriculum Vitae
List of Table
List of Figures
Chapter 1
INTRODUCTION
Background of the Study
Needs and wants are two entirely different things. One means it is of utmost importance that if
absent would not allow progression of life while the other is the expression to acquire more beyond what is
imperative. There are many needs of man and we necessitate identifying them, both individually and in a
community setting.
According to the famous writings of Abraham Maslow, needs could be arranged in a pyramidal
schema where the most basic needs are located at the bottom and that if they are not met, the person is not
able to reach higher level needs. All people have the same basic needs; however, each person’s needs and
reactions to those needs are influenced by the culture with which the person identifies. They could range
from bodily needs, independence, privacy, and professional achievement may be important in one
subculture but may not necessarily be of equal importance in another. Prioritization of these needs is based
on a complex set of learned and situational influences.
There are several characteristics of human needs. People meet their own needs relative to their
own priorities. This is exemplified by a poor mother who might give up her share of food so that her child
might have sufficient food to live. Although basic needs generally must be met, some needs can be
deferred. An example is when someone is waiting in line but feels the urge to urinate, may defer urination
to secure his place in the line. Another characteristic is that failure to meet needs results in one or more
homeostatic imbalances, which can eventually result in illness. Furthermore, a need can make itself known
by either external or internal stimuli. A person may experience hunger as a result of physiologic processes
(internal stimulation) or as a result of seeing a beautifully-decorated cake (external stimulation).
Another characteristic of a need is exemplified when a person who perceives a need can respond
in several ways to meet it. The choice of response is largely a result of learned experiences, lifestyle, and
the values of the culture. For example, many people’s food choices at mealtimes and snack times are based
on past experiences, lifestyle, and culture.
Needs are interrelated. Some needs cannot be met unless related needs are also met. The need to
main hydration or fluid balance can be influenced by the need to eliminate urine first.
And finally, needs can be satisfied in healthy and unhealthy ways. Ways of meeting basic needs
are considered healthy when they are not harmful to others or to self, conform to the individual’s
sociocultural values, and are within the law. Conversely, unhealthy behavior may be harmful to others or to
self, does not conform to the individual’s sociocultural values, or is not within the law. People who satisfy
their basic needs appropriately are healthier, happier, and more effective than those whose needs are
frustrated (Kozier, et. al. 2008).
According to Maglaya (2000), before the needs could be solved, they must be assessed. The
community health nurse is a product of, and interacts constantly with his/her physical, sociocultural,
economic and political environment. Although nursing seems to be universal, the nature, the practice of the
profession is primarily determined by its context. The clients’ health needs and problems are a major
determinant of the practice of community health nursing. The health care delivery system, particularly the
nursing profession, should be responsive to these needs.
In order to respond to these needs, community health nursing is the tool. It is the utilization of the
nursing process in the care of the different levels of clientele – individuals, families, population groups and
communities. Through community survey, we will be able to identify the health needs of the client. We
acknowledge that there are factors which change the needs of one family from another. Literacy is a
person’s ability to read and write. People with higher education have better health status than those who
spent lesser number of years in schools. They can take care of their health needs better than those who were
not able to finish significant number of years in school. This is easy to explain because those who were not
able to finish elementary or high school levels are the poor who could not afford the other basic
requirements of good health. Another major reason for health problems of our people is poverty. Most of
the leading causes of morbidity and mortality associated with factors could be attributed to poverty,
illiteracy, unfounded health beliefs, harmful practices, inadequate nutrition, poor environmental sanitation,
inadequate source of potable water, congested housing units, poor access to basic health services, and
inability to make decisions on matters which are important to health (Cruz, 2000).
It is therefore through careful assessment can we truly catalogue the needs of the people and as the
nursing process dictates, the data can reveal or diagnose these collective needs or problems which will be
managed through careful planning, ready for implementation. And this will lead to the final step of
evaluating the course of action if they are successful or otherwise.
Theoretical Framework
A variety of theoretical frameworks provide the nurse with a holistic overview of health
promotion for the individual and families across the life span. Two major theoretical frameworks that nurse
use in promoting health are Maslow’s Hierarchy of Needs and by adaption, Kalish’s Hierarchy of needs.
According to Maslow, there are five levels of needs arranged in an ascending manner. Physiologic
needs. Needs such as air, food, water, shelter, rest, sleep, activity, and temperature maintenance are crucial
for survival. Safety and security needs. The need for safety has both physical and psychologic aspects. The
person needs to feel safe, both in the physical environment and in relationships. Love and belongingness
needs. The third level of needs includes giving and receiving affection, attaining a place in a group, and
maintaining the feeling of belonging. Self-esteem needs. The individual needs both self-esteem (i.e.,
feelings of independence, competence, and self-respect) and esteem from others (i.e., recognition, respect,
and appreciation). Self-actualization. When the need for self-esteem is satisfied, the individual strives for
self-actualization, the innate need to develop one’s maximum potential and realize one’s abilities and
qualities. (Kozier, et. al., 2008)
Sources of Data
The study would like to put under the microscope of scrutiny the needs of the families within the
confines of the barangay. The study will be conducted in the City of Dagupan, in Brgy. Mamalingling. The
barangay is located in the eastern part of Dagupan City in the province of Pangasinan. It is bounded by the
municipality of Mangaldan on the east and the barangay of Bolosan on the south, by barangay Tambac on
the west, and by barangay Bonuan-Boquig on the north. It is in this area occupied by about 1280 occupying
226 households (Barangay Report, Population Censal Year of 2009) covering a land area of 216.2 hectares.
This area was chosen because the area is easily accessible, about 3 kilometers away from City Hall using
public utility vehicles such as jeepneys that traverse through the national highway and local transport such
as tricycles and pedicabs. And with the stated indicators in the above section of Background of the study,
the tendency points to a myriad of needs in the barangay. This barangay is divided into 3 (three) puroks,
wherein there is one Barangay Health Worker assigned.
The respondents chosen for this research is any family who are permanent residents and currently
living in the barangay. Application of Slovin’s Formula gives rise to the sample size being aimed for in this
study. With a current population of 226 households and be using 5% margin of error equates to 144 needed
households as respondents. This will provide sufficient data to represent the collective needs or problems of
the barangays.
The purposive clustered sampling will be used to collect the needed 144 household. The purposive
sampling is needed because we have imposed characteristics that we are looking for in the
respondents/families, alongside cluster wherein we have preset the location of the families from which we
will gather data from.
After properly identifying the respondents for the study, the consent for participation will be
obtained. The anonymity of the residents and the confidentiality of the data will be ensured. The completed
questionnaires are kept under lock and key and will be known to the researchers and the family from which
the data are acquired from. After data gathering, the data will be tabulated and the frequency of the answers
are tallied and totaled. This study is designed in such a way that it does not pose any physical or
psychological harm to our respondents.
The 10 research assistants will be grouped into pairs and will be tasked to look for families.
Families shall serve as respondents if they have given their consent. Each household is given one
community survey form and the research assistant will fill it up as the family representative, the one who
could speak for the family, answers the guided questions. Then, the cycle is repeated until the 144 families
have been interviewed. Data gathering will start on the 20th of January for two weeks.
Instrumentation
The questionnaire is the main data gathering tool that will be utilized in the study. Employing
questionnaires has an advantage of uniformity of instructions to which the respondents are exposed to. The
developed community survey form is currently being used for surveying purposes as part of Related
Learning Experiences in the Community Setting. This has been modified by Dr. Brando Solis from the
former survey form and has blended with it updated entries from Araceli Maglaya’s Nursing Practice in
the Community.
The community survey form is divided into 5 parts. Part A inquires about the household
identification as to where the household is located. Part B asks about the family member’s names, position
in the family, age, gender, civil status, educational attainment, employment status, and religion. Part C
inquires about the family characteristics as to type, decision maker, and income. Part D asks about housing
material, ownership, space for gardening, source of drinking water, storage of water, food storage, drainage
system, unit structure, electricity supply, cooking fuel used, toilet facilities, garbage disposal and
segregation, pets, presence of breeding sites for pests or rodents. Part E is all about health and health
practices within the last 12 months; number of live children, stillbirth, deceased children, common illnesses
in the family, use of family planning or contraceptive methods, available health resources, and the
immunization status of children aged 0 to 5 years. The tool is no longer to undergo pilot study nor face
validity since it has been an established data gathering tool for community health nursing.