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R 123
R 123
THE PROBLEM
Introduction
The World Health Organization (WHO) declared COVID-19 as a pandemic on March 11,
2020, when infections and deaths began to increase exponentially worldwide. The novel
coronavirus virus, now known as COVID-19, first erupted in December 2019 in Chinese
territory, particularly in Wuhan, China. The impact of this dreadful disease on jobs, the
economy, and the personal lives of people globally was unprecedented. This novel virus's
uncomfortable living adjustments, and the untimely death of loved ones. The highly infectious
respiratory disease has reached more than 200 countries, hence its pandemic status (WHO,
2020).
Healthcare workers, at the core of the unrivaled emergency of Coronavirus, will be facing
unprecedent demands, both professionally and personally, in efforts to manage a disease with
unclear pathology, no cure, and a high mortality rate. They will be obliged to make difficult
ethical decisions and function professionally under conditions of fear for themselves and their
loved ones. An estimated 230,000 cases worldwide of the said virus were healthcare workers
who contracted the disease while performing their duties caring for those afflicted with COVID-
COVID-19 has been proven to be a lethal disease in a short period of time, posing a
major threat to the Philippines' health and economy. COVID-19's introduction might put
unprecedented strain on the country's health-care system, posing a variety of issues for nursing,
perhaps harming nurses' job performance and mental health, and even putting lives in danger.
In a study among medical care workers in a Taiwan hospital during the outbreak of
SARS, 5% suffered from an autism spectrum disorder (Lin et al., 2004). Given the magnitude of
pandemic of COVID-19 and the stress undergone by the medical care workers, adverse
psychological outcomes will be expected to occur among them, especially those on the front
line. Up to now, little is known about the impact of the COVID-19 pandemic on medical care
This study can raise awareness that these events will have significant short-term and
outbreak on medical care workers and studying the mechanism underneath, effective intervention
and treatment will be developed and will be provided to the population, hence, to improve their
wellbeing.
The study aims to investigate the presence of adverse wellbeing outcomes experience by
medical care workers during the COVID-19 outbreak and assess the factors, to better understand
the suffering of medical care workers and provide clues of developing intervention to alleviate
This study aims to determine the impact of COVID-19 to the Nurses of Sultan Kudarat
Provincial Hospital. Specifically, this study seeks to answer the following questions:
1.1 Age;
1.2 Gender;
their:
3. Based on the findings, what possible program can be developed after the conduct of research?
Significance of the Study
The result of the study may provide information and give significant contributions to the
following people:
Students. The study may contribute to their acquisition of knowledge about healthcare
workers in the society. It may also raise awareness regarding the situation of the healthcare
Nurses. They can gain support from others. Individuals may be provided with effective
Administration of DJPR Hospital. This study would be very significant to evaluate and
monitor the performance of the health institution and to transform evaluation to the assistance
Future Researchers. This study will assist the researchers who share the same curiosities
with data and information that can help them conduct their own research and help provide them
additional knowledge and background about healthcare workers during COVID-19 pandemic.
The general intent of this study is to determine the impact of COVID-19 to the nurses of
Sultan Kudarat. Through purposive sampling our respondents are ten nurses from Sultan Kudarat
Provincial Hospital who are working on COVID-19 cases. The said respondents will represent the
whole population of healthcare workers of the Province. The questionnaire that the researchers will
The findings of the study will be based on the respondents’ answer to the given questionnaire.
Definition of Terms:
The following terms are operationally and conceptually defined accordingly on how
Impact. Impact implies changes in people’s lives. This might include changes in
knowledge, skill, behavior, health or living conditions for children, adults, families, or
communities. Such changes can be positive or negative effects on identifiable population groups.
other types (United Nation, 2020). In this study, impact refers to the effect or the result of the
COVID-19. It is a virus that can cause respiratory illness, originated in Wuhan, China. It
causes mild symptoms including dry cough, tiredness, and fever. Other mild symptoms include
aches and pain, nasal congestion, runny nose, sore throat, or diarrhea (WHO, 2020). In this
study, COVID-19 refers to the disease that may cause negative health outcomes to healthcare
workers. A disease that may cause stress and other mental health outcomes to the healthcare
workers.
Healthcare Workers. Are people whose job is to protect and improve the health of their
communities. Together these health workers, in all their diversity, make up the global health
workforce (WHO, 2016). In this study, healthcare workers refer to be the front lines of the nation
that fights against this deadly pandemic where healthcare personnel’s race and ethnicity,
underlying health conditions, occupation type, and job setting can contribute to their risk of
that is stimulating, supportive, and enriching (Sinclair, J., 2021). In this study, occupational
wellbeing is used to assess all aspects of the working life of our respondents. We will be
assessing the quality and safety of the physical environment, to how workers feel about their
work, their working environment, the climate at work and work organization during the Covid-
19 pandemic.
Physical Wellbeing. Relates to our physical health including our sleep, hygiene, nutrition,
and exercise (Sinclair, J., 2021). In this study, physical wellbeing is used to assess is the ability
of our respondents to maintain a healthy quality of life that allows them to get the most out of
their daily activities without undue fatigue or physical stress and practice positive lifestyle habits
intellectual growth, and creativity in life. This includes continued learning and practicing
problem solving (Aquinas College, 2019). In this study, intellectual wellbeing is used to assess
the things that involves respondents in striving for their continued growth and learning to deal
Emotional Wellbeing. Is the ability to safely express or manage your emotions, as well as
generate positive emotions (Sinclair, J., 2021). In this study, emotional wellbeing is used to assess
the ability of our respondents to produce positive emotions, moods, thoughts, and feelings,
and adapt when confronted with adversity and stressful situations such as the Covid-19
pandemic.
relationships with others (Sinclair, J., 2021). In this study, social wellbeing is used to assess our
respondent’s ability to make and maintain meaningful positive relationships and regular contact
Spiritual Wellbeing. Being connected to something greater than yourself and having a set
of values, principles, morals, and beliefs that provide a sense of purpose and meaning to life,
then using those principles to guide your actions (Smith, E., 2016). In this study, spiritual
wellbeing is used to assess the ability of our respondents to experience and integrate meaning
and purpose in life through a person's connectedness with self, others art, music, literature,
This chapter presents the conceptual framework which provides a schematic presentation
of the concepts involved in the study and provides an overview of knowledge gathered from
Conceptual Framework
concepts, assumptions, anticipation, viewpoint, and theories that supports and informs about
your research. Figure 1 shows the conceptual framework on the Impact of COVID-19 to the
Nurses of Sultan Kudarat Provincial Hospital. It also presents the possible solution or outcome
that the researchers developed after finding out the results of the study conducted, which is to be
The new coronavirus disease 2019 (COVID-19) is currently a threat to the global health in an
unprecedented manner. Nepal, a South Asian country, is no exception and is affected by the outbreak
with overwhelming effects on its economy and health system. Inadequate precautionary measures
were significantly associated with higher odds of anxiety and depression symptoms among health
workers. Lack of precautionary measures including PPE can lead to compromised working
conditions, a sense of insecurity and increased exposure to infections (British Medical Journal,
2020), lack of a proper sense of protection among health workers might increase their psychological
distress and affect their mental well-being. Three out of four health workers reporting inadequate
precautionary measures in the workplace in the study reflects the vulnerability of health workers in
Singapore raised its Disease Outbreak Response System Condition alert to “orange,” the
second highest level. With this, health care workers including “medical” (physicians, nurses)
and “nonmedical” personnel (allied health professionals, pharmacists) in Singapore are likely to
develop psychological problems such as depression, stress, anxiety, and posttraumatic stress
disorder (PTSD) due to the infectious disease outbreak. With the five hundred invited health
care workers who had been chosen to participate in this study, it showed that the prevalence of
anxiety was higher among nonmedical health care workers compared to the medical personnel
The rate of distress among healthcare workers is known to be higher as compared to the
general population (Al-Rabiaah et al., 2020). Similarly, during the COVID-19 pandemic,
healthcare workers in China reported high frequency symptoms of depression, anxiety, and
distress (50.4%, 44.6%, and 71.5% respectively), especially nurses, women, and frontline
workers directly engage in the diagnosis, treatment, and care of patients with COVID-19 (Lai et
al., 2020).
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) has plagued the Middle
East since it was first reported in 2012. In Saudi Arabia, the infection prevention and control
measures applied to MERS CoV were adapted in our institution for COVID-19, however
healthcare workers had significantly higher anxiety scores from COVID-19 compared to MERS-
CoV and seasonal influenza. This higher degree of stress was probably since COVID-19 is a
new emerging virus with uncertain contagiousness, rapidity of spread and degree of information
The findings suggest that a greater risk of psychological problems may be associated with
receiving negative information about the pandemic. Participation in front-line work appears to be
an important risk factor for anxiety, insomnia, and overall psychological problems. Moreover,
depression and symptoms of post-traumatic stress might persist even after such a crisis is over
(Brooks, S. et.al, 2018) and might exceed the consequences of the pandemic itself (Bao, Y. et.al,
2020).
Man is a social animal, social relations and interactions are necessary to his existence.
The novel Corona virus and the containment measures posed a challenge to the interpersonal and
community interactions that with the social distancing measures and isolation, these social
relations became severely impacted. From the human existence, these social connections,
interactions, and relations have become integral into our life. So, if there is an absence of such
connection, leads to stressful states of loneliness, anxiety, depression, mental disorders, health
hazards, and many other issues which impact the life of the individual and the collective society
Italy revealed that up to 20% of health care workers were potentially infected (2020), and as of
April 29, 2020, a total of 154 Italian doctors had succumbed (FNOMCeO, 2021). According to
International Head and Neck Scientific Group, surgeons dealing with the upper aerodigestive
tract were found to be equally at risk as their counterparts in the emergency room, general ward,
and intensive care units (2020). It is notable that the first health care workers to succumb of
COVID‐19 complications in China, and the United Kingdom were both otorhinolaryngologists
Importance should be given to the social and practical factors associated with living
through the social‐isolation response to the pandemic. Several facets are adversely impacted
including socialization with friends and family, regular engagement in leisure activities and
impact on the freedom of movement and a risk of increased anxiety about the health and safety
of friends and family. These factors, when consolidated, may affect the surgeon's ability to
manage stress daily. As normal service resumes, there is a potential for a surge in referrals of
the “worried well” group, leading to increased demand on services and further work stress
Mental health consequences of epidemics relate more to the sequelae of the disease itself
than to social distancing. However, large-scale disasters, whether, natural, or environmental, are
substance use disorder, a broad range of other mental and behavioral disorders, domestic
violence, and child abuse (Neria, Y. et. al, 2008). For example, 5% of the population affected by
Hurricane Ike in 2008 met the criteria for major depressive disorder in the month after the
hurricane; 1 out of 10 adults in New York City showed signs of the disorder in the month
following the 9/11 attacks (Tracy, M., et. al). And almost 25% of New Yorkers reported
increased alcohol use after the attacks (Vlahov, D., 2003). Communities affected by the
Deepwater Horizon oil spill showed signs of clinically significant depression and anxiety
(Grattan, L. et. al, 2011). The SARS epidemic was also associated with increases in PTSD,
stress, and psychological distress in patients and clinicians (Lee, A. et.al, 2007). For such events,
the impact on mental health can occur in the immediate aftermath and then persist over long time
periods.
.
Chapter III
METHODOLOGY
This chapter presents the research design of the whole study, discusses the general
procedures, materials, subjects of the study, data gathering techniques, and statistical tools used
Research Design
Figure 2 presents the research design of the study. To gather the data, researchers will be
using survey questionnaire. The researchers will be utilizing a quantitative study through a form
of giving the participants five-point Likert scale questionnaires. Inferential statistics will be used
since it will help researchers to summarize and generalize the data and to come up with a result.
The study seeks to describe the status of healthcare workers this pandemic. This research was
designed to provide systematic information about the current phenomenon and likely to develop
a hypothesis after collecting the data. The analysis and synthesis of the data provide the test of
the hypothesis.
The questionnaire gathers the demographic profile of the respondents namely: age,
gender, and monthly salary. The questionnaire is divided into two parts wherein part one will be
used to assess the healthcare workers’ demographic characteristics and part two will be used to
assess the impact of COVID-19 to the wellbeing of the said workers. There are 101 questions all
in all. The data that will be gathered from the answers of the respondents will be interpreted and
Ten Nurses
Impact
Research Instrument
Occupational Wellbeing
Survey Questionnaire
Physical Wellbeing
Data Gathering
The proposed study will be conducted in Isulan, Sultan Kudarat which is considered as
one of the municipalities whose healthcare workers are probably impacted by the COVID-19
pandemic, but due to COVID-19 restrictions around the city and to combat the spread of the
The respondents of the study are ten nurses from Sultan Kudarat Provincial Hospital
selected through purposive sampling. The selected respondents will be the representative of
Sampling Technique
The sampling technique use by this study is the purposive sampling in which researchers
rely on their own judgment when choosing members of the population to participate in their
study. The sample size is from a large population; out of the thirty nurses in Sultan Kudarat
Provincial Hospital we purposely pick one team who has ten members.
Statistical Tools/Treatment
Inferential statistics will be the statistical treatment to be used and survey questionnaire
as a statistical tool to be given to the chosen nurses who is probably affected by COVID-19 in
Sultan Kudarat. This will be used to find out variations and different dimensions about the
impact of the virus to the healthcare workers. This will provide simple summaries about the
sample, measures, basic information about variables in a dataset and highlight potential results in
variables and may able researchers to make generalization about the population. The statements
from the research instrument that will be use was adapted from a website online called Tiny
Pulse wherein the statements are about the dimension of an employee’s health and wellness. The
questionnaire that the researchers prepared will be used to assess the healthcare workers’
personal health. The survey includes identification of factors associated with the different
Before conducting the survey, the researchers prepared questionnaires as their research
instrument for gathering data. The researchers prepared demographics questions and occupational
wellbeing, physical wellbeing, intellectual wellbeing, emotional wellbeing, social wellbeing, and
spiritual wellbeing statements that would likely to answer the statement of the problem of this study.
Afterwards, the researchers will write a consent letter to ask permission to conduct the study to
those chosen respondents. This will be checked and signed by the research adviser. After the
approval, handing out the survey questionnaires will follow. The validated questionnaires will be
given online to the respondents and given an hour for them to answer.
After conducting the survey, the research will be applying the statistical treatment. All
the information that will be gathered, will be compiled, and analyzed systematically by the
researchers. To summarize the data, we use several statistical summary measures such as mean,
median, standard deviation, and percentages depending upon the variability in each of the
the sample results to the population. Interpretation and analysis of the data that the researchers
will be gathering will soon follow. Recommendations will be formulated after analyzing and
You are invited to participate in our research survey. We know that the pandemic has
truly brought great effects on our world, especially on our healthcare workers. The purpose of
this questionnaire is to capture feedback about the impact of COVID-19 to the nurses of Sultan
Kudarat Provincial Hospital. The completion of this questionnaire will take approximately 1
hour.
Please take some moments to reflect on each question addressed and try to be sincere as
possible. Your answers will remain confidential, and they will be only used in finding ways to
develop strategies or possible programs for healthcare workers in the future. Thank you for your
cooperation!
Disagree
1 2 3 4 5
OCCUPATIONAL WELLBEING - Relates to all aspects of working life, from the quality and safety
of the physical environment, to how workers feel about their work, their working environment, the
climate at work and work organization
1 2 3 4 5
I feel safe in my work environment.
My workload is manageable.
I am eating excessively.
INTELLECTUAL WELLBEING - Involves striving for continued growth and learning to deal with new
challenges effectively.
1 2 3 4 5
I have felt optimistic that things are going well with the
pandemic.
I have felt that I have everything under control in relation to
the pandemic.
I expect that I will do well on most things I try.
SOCIAL WELLBEING - Refers to our ability to make and maintain meaningful positive relationships and
regular contact with other people in our surroundings.
1 2 3 4 5
SPIRITUAL WELLBEING - The ability to experience and integrate meaning and purpose in life through a
person's connectedness with self, others art, music, literature, nature, or a power greater than oneself.
1 2 3 4 5
I engage in self-reflection.
wellness/intellectual-wellness
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turns-into-an-education-crisis/748968/amp/
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You Matter. (2020, January 21). What Is Impact? Official Definitions Of Impact And
Researchers:
Karel P. Navarro
Carlos A. Mosqueda
Research Adviser:
Reynaldo A. Tolete, Jr
This study aims to determine the Impact of COVID-19 to the Nurses of Dr. Jorge P. Royeca
1.2 Gender;
3. Based on the findings, what possible program can be developed after the conduct of research?
Procedures
You will be given questionnaires by the researchers using a 5-point Likert-scale questionnaires
to gather ample information in obtaining their goal which is to determine the Impact of Covid-19
2. You will be asked to answer all the questions with all the honesty.
Time
1 hour
Benefits
The findings of this research will benefit our community. The study will be essential to
everyone in the society, specifically those healthcare workers who are experiencing problems
Financial Considerations
Confidentiality
Your identity in this study will be treated with utmost confidentiality. Responses will remain
anonymous. The results of the study or any other related data may be published for scientific
purposes, but your name will not be mentioned as well as any identifiable references to you.
Termination of Research Study
It is up to you whether you want to take part in this study or not. There is no penalty for
choosing not to participate. You will receive all the important information that was obtained in
the course of this study and that relates to or could influence your willingness to continue
participating. In the event that you discontinue your participation in the study, you will not be
Any further questions or concerns about the study you may contact the following
Authorization
I have read and understand this statement of consent and consent to participate in this research
study. I know that I will receive a copy of this form. I choose to participate voluntarily, but I
understand that my consent does not remove any legal rights in the event of negligence or other
legal negligence on the part of anyone involved in this study. I am also aware that nothing in this
October 2021
We, the Grade 12 STEM students of Notre Dame of Dadiangas University - Integrated Basic
Education Department Espina Campus are currently working on our research study in Practical
Research, entitled “IMPACT OF COVID-19 TO THE NURSES OF DR. JORGE P.
ROYECA HOSPITAL OF GENERAL SANTOS CITY”. This study aims to determine the
Impact of Covid-19, to the wellbeing of healthcare workers of the said city. With your expertise,
we are humbly asking for permission to validate our attached guide questions that will be asked
by us, the researchers to our respondents.
We are looking forward that our request would merit your positive response. Thank you and may
God bless you.
In Notre Dame,
KAREL P. NAVARRO
Research Leader
Noted by: