Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

APPENDIX A

Letter to the Respondents

Dear Respondents,

Greetings of Peace!
The undersigned researcher is currently undertaking a study entitled “CLINICAL
COMPETENCY AND JOB SATISFACTION OF STAFF NURSES AT STA.
MARIA JOSEFA HOSPITAL FOUNDATION, INC”. She is presently enrolled at
the Camarines Sur Polytechnic Colleges and this research endeavor is in partial
fulfillment of the requirements for her Degree Master of Arts in Nursing.
In connection with this, the researcher would like to request for your support as a
respondent of the study by answering the questionnaire below. Rest assured that
your answers will be treated with confidentiality.
Thank you very much.

Sincerely,

(SGD)
MARIBETH BONCAYAO, RN
The Researcher

Noted:

(SGD)
LENI M. MALABANAN, PhD NEd
Thesis Adviser
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

APPENDIX B

QUESTIONNAIRE

Part I. PROFILE OF THE RESPONDENTS

Instruction: Please, fill out each item with the appropriate answers by putting a check mark (/) on
the space allotted for or by answering in words or phrases on the space provided for.

Name of the Respondents (Optional): _____________________________________________

Position: ________________________________

Age:
( ) 21 – 25 years old
( ) 26 - 30 years old
( ) 31 – 35 years old
( ) 36 – 40 years old
( ) Above 40 years old

Sex:
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

( ) Male
( ) Female

Length of Service
( ) Above 10 years
( ) 8-10 years
( ) 5-7 years
( ) 2-4 years
( ) 0-1 year

Monthly Salary:

( ) Below Php5000
( ) Php5000 – Php8999
( ) Php9000 – Php12999
( ) Php13000 – 16999
( ) Php17000 and above

Clinical Area Assigned:

( ) General Ward
( ) Special Area
( ) Private Ward
( ) OPD and ER
PART II. Determinants of appraisal to assess the clinical competency of staff nurses at SMJHF,
Inc.

Instruction: Please rate carefully and honestly. Put a check mark (/) on the boxes provided
based on the following indicators.

A. Nursing competencies of staff nurses in terms of practice 4 3 2 1

in accordance with legal principles and the code of ethics
in making personal and professional judgement.
1. Adheres to ethico-legal considerations when providing
safe, quality and professional nursing care
2. Protects clients rights based on “Patient’s Bill of Rights and
Obligations.
3. Applies ethical reasoning and decision-making process to
address situations of ethical distress and moral dilemma.
4. Adheres to established norms of conduct based on the
Philippine Nursing Law and other legal, regulatory and
institutional requirements relevant to safe nursing practice.
5. Implements strategies/policies related to informed consent
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

as it applies in multiple contexts.

B. Nursing competency of staff nurse in terms of utilizing
the nursing process in the interdisciplinary care of
clients that empowers the client and promotes safe
quality care.
1. Documents client’s responses, nursing care services
rendered, processes and outcomes of the nurse-client
working relationship
2. Implements safe and quality interventions with the client to
address the health needs, problems and issues
3. Assesses with the client one’s health status.
4. Ensures a working relationship with the client and/or
support system based on trust respect and shared decision
making.
5. Provide health teaching using selected planning models.
6. Evaluates with the client the health status and/or expected
outcomes of nurse-client working relationship.
7. Formulates with the client a plan of care to address the
health conditions, needs, problems and issues based on
priorities.
C. Nursing competency of staff nurse in terms of 4 3 2 1
maintaining complete, accurate and up-to-date recording
and reporting system.
1. Ensures completeness, integrity, safety, accessibility and
security of information.
2. Utilizes acceptable, up to date, and available system of
informatics
3. Implements system of informatics to support the delivery of
health care
4. Adheres to protocols and principles of confidentiality in
safekeeping and releasing of the records and information.
5. Documents data on client care clearly, concisely,
accurately, and in a timely manner.
D. Nursing competency of staff nurse in terms of 4 3 2 1
Establishing Collaborative Relationship with Other
Colleagues and Other member of the Team to Enhance
Nursing and Other Health Care Services.
1. Implements strategies or approaches to enhance and
support the capability of the client and care providers to
participate in decision making.
2. Respect the role of the other members of the health team.
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

3. Ensures effective collaboration in the delivery of health

care.
4. Supports the views of clients/families and /or care
providers.
5. Acts as liaison/advocate of the client during decision
making by the interprofessional team.
E. Nursing competency of staff nurse in terms of Promoting 4 3 2 1
Professional and Personal Growth Development.
1. Models professional behavior.
2. Interprets data to show the urgency of change
3. Assumes responsibility for lifelong learning, own personal
development and maintenance of competence.
4. Engages on advocacy activities to influence health and
social care service policies and access to services.
5. Demonstrates continued competence and professional
growth.

PART III. Determinants of appraisal to assess the level of job satisfaction of staff nurses at
SMJHF, Inc.

Instruction: Please rate carefully and honestly. Put a check mark (/) on the boxes provided
based on the following indicators.

A. Physiologic aspect 1 2 3 4
1. Staffing scheme
2. Salary
3. Overtime Pay
4. Flexibility of Schedule
5. Shifts and Hours of Work
B. Safety Aspect 4 3 2 1
1. Job security
C. Social Aspect 4 3 2 1
1. Support from nursing management in resolving physician-
nurse conflict
2. Professional relationship with:
a. Peers
b. Supervisors
c. Other members of the health team
3. Peer conflict resolution
4. Collaborating with members of the health team
 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

ISO 9001:2015 GRADUATE SCHOOL

5. Respect from my client

6. Respect from significant others
D. Self-Esteem 4 3 2 1
1. Opportunity to learn new skills
2. Work challenges that allow professional growth and
development
3. Opportunities for educational advancement (masters,
doctorate)
4. Open lines of communication with the management
5. Reward system for job well done
6. Opportunities to innovate and be creative
E. Self Actualization 4 3 2 1
1. Opportunities to attend staff meetings, patient-care
conferences, and staff development programs
2. Sharpening old skills
3. Opportunities for coaching and mentoring
4. Opportunities to be a leader

PART IV. Determinants of appraisal to determine the barriers to clinical competency

enhancement of staff nurses.

Instruction: Please rate carefully and honestly. Put a check mark (/) on the boxes provided
based on the following indicators.

Barriers 4 3 2 1
1. Poor Remuneration
2. Staffing Scheme
3. Understaffing
4. Poor Opportunities for Continuing Eductation
5. Lack of Support from Nursing Management
6. Lack of Training Opportunities
7. Risk from Contracting Illness
8. Rapid Turn-Over
9. Shifts and Hours of Work
10. Mentoring and Coaching