Republic of the Philippines

ARAULLO UNIVERSITY PEN

Brgy. Bitas, Cabanatuan City
College of Nursing

February 10, 2014

Mr. Nicomedes Palafox, Jr. MAN, RN
Dean
College of Nursing

Dear Sir:

Greetings! The undersigned are the 3
rd
year BSN Group 2 in Nursing Research of Araullo
University PEN who are presently proposing a study entitled FACTORS AFFECTING
ASSESSMENT OF CLIENTS IN THE CLINICAL AREA OF LEVEL 2, 3, AND 4
NURSING STUDENTS O ARAULLO UNIVERSITY PEN.

In connection with this, we would like to request your good office to allow us to conduct
our study to the students of 2
nd
yr level, 3
rd
yr level ad 4
th
yr level of the College of Nursing. Rest
assured that the data gathered will be strictly for research purposes only and will be kept with
utmost confidentiality.

We are looking forward that our request would merit your positive response.


Respectfully yours,


Evangel O. Padua
Racquel F. Biluan
Abegail A. Rimando
Lorlhee Nikkolette B. Dupitas
Jeneca B. Manzano
Narlyn Cartagena

Noted by:


Michelle Apostol, RN
Research Adviser



Questionnaire
Part I. Direction: For each profile please put a check () in the box
AGE
16-18
19-21
22-above
GENDER
Male
Female
YEAR LEVEL
2
nd
level
3
rd
level
4
th
level

Part II. These Questions pertains to assessment of the client. Please answer every item with
one check () only. Please be honest and accurate as you can throughout. There are no correct
or incorrect answers. Answer it according to your own perception, rather than how you think
most people would answer.

Time Management 5
Always
4
Often
3
Sometimes
2
Rarely
1
Never
1. I obtain and get the vital
signs of my patient within
15 minutes span of time.

2. I provide my physical
assessment ahead of time.

3. I know how to balance my
time despite of having 2 or
more patients assigned to
me.

4. Enough time is available to
provide quality care
(unhurried in providing
care)

5. I make myself available
when needed; I take time to
listen

6. I check and record patient
every shift of duty

7. I assess patients
availability before
conducting assessment.

Intrapersonal Factors 5
Always
4
Often
3
Sometimes
2
Rarely
1
Never
8. I am attentive in attending
my patients needs.

9. I practice patient-centered
goals.

10. I practice professionalism in
front of my patients.

11. Ill always make sure that
Im neat and pleasant to
look for in front of my
patients.

12. Ill take into consideration
of the beliefs and traditions
of my patients

13. I am sensitive with my
patients feelings and
concern

14. I allow the patient to
express his/her feelings
about his/her disease and
treatment

15. I create a pleasant and
harmonious relationship to
my patient by greeting with
a gentle tone voice and
smiling when entering the
patients room.
Facility Environment 5
Always
4
Often
3
Sometimes
2
Rarely
1
Never
16. I know how to use the
proper equipment designed
for assessing the patient

17. I consider all the hospitals
policy and guideline on
assessing the patient

18. I provide alternative ways
to conduct an assessment
tools are not available

19. I patiently handle my
patient regardless of noise
and unpleasant setting of
the area

20. I look up to the hospitals
protocol on handling
patients

Cooperation to Client 5
Always
4
Often
3
Sometimes
2
Rarely
1
Never
21. I assess first my patients
level of consciousness

22. I answer and explain
patients question in
Laymans term

23. I render proper health
teaching to my patient such
as the ordered diet and
modifying patients health
lifestyle

24. I analyze gathered data and
prioritize the plan of care

25. I render nursing care
appropriately and
consistently with patients
identified needs, problems

26. I easily establish rapport
with my client

27. I know how to assess the
general appearance of my
client

28. I know how to spot normal
and abnormal conditions

29. I interact to the client
without hesitation

Instructor Factors 5
Always
4
Often
3
Sometimes
2
Rarely
1
Never
30. I accept his/her negative
comment about me

31. I dont lose my self-esteem
when unintentionally he/she
scolded me

32. I learn ways on how to take
care of patients on different
practice regardless of
different instructors
assigned

33. I deal with instructors
different techniques on
teaching students

34. I learn techniques on my
instructor whos on long
term of service as CI

35. I learn new techniques on
my instructor whos a fresh
graduate


Comments and Suggestions:
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