Negative attitudes can arise from not recognizing the influence of culture among nurses caring fo... more Negative attitudes can arise from not recognizing the influence of culture among nurses caring for patients with mental problems. Although nurses' attitudes on these patients have been studied extensively, few involved Filipino nurses. Thus, this scoping review gives an overview of how mental illness is seen in the Filipino culture and the attitudes that Filipino nurses have toward patients with mental problems. From July to December 2022, searches were made in databases of Google Scholar, PubMed, and PsychInfo's and the reference lists of identified articles guided by the PRISMA-ScR. Twenty-one articles met the inclusion criteria. The review showed mental illnesses implicate the role of cultural beliefs on supernatural beings, curse, retribution from God, imbalance between hot and cold elements, spirit possession, softness in character, engaging in evil acts, family, shame, and save face which can lead to stigmatization of patients with mental illness (n=18) and the attitudes of Filipino nurses towards these patients were also shown but were not conclusive (n=3). Hence, it is recommended to do further studies on Filipino culture and mental health nursing, experiences of Filipino nurses in caring for patients with mental illnesses, influence of religion, spirituality, and family, and somatization of mental distress. Emphasis on filial piety used as framework for future research on mental illness of Filipinos is recommended, because the family can both be a source of mental distress and a source of personal strength in overcoming stigma. In addition, this review can be used to improve the quality of nursing care and can inform mental health care trainings and education programs to reduce mental illness stigma in the Philippines.
International Journal of Nursing and Health Services, 2022
Introduction. An affirming environment for LGBT patients includes the attitudes of healthcare pro... more Introduction. An affirming environment for LGBT patients includes the attitudes of healthcare providers (HCPs) therein to enhance overall health and reduce disparities among the members of this population. Objective. Hence, this study aimed to determine the attitudes of the doctors and nurses toward LGBT patients in Zamboanga City, Philippines, and if age, gender, religion, and marital status affect their attitudes. Method. A questionnaire was given to a sample of 396 doctors and nurses working in hospitals and health clinics who were purposely chosen to participate. Percentage distribution, weighted means, T-test, ANOVA, and Scheffé post hoc criterion for significance at p < .05 were used for data analysis. Results. The results generally showed that HCPs had positive attitudes in addressing the needs of LGBT patients. However, 13-17% have preferential treatment or care for heterosexual patients, which may indicate a negative attitude toward LGBT patients. The ANOVA test and Scheffé post hoc criterion for significance revealed that age, gender, and religion contributed to the nuances in their attitudes, while marital status did not. Recommendation. The HCPs' role is critical in eliminating discrimination in healthcare among the LGBT population. Hence, the inclusion of LGBT health issues in medical and nursing curricula and the presence of policy in health facilities for LGBT patients are necessary to ensure gender-responsive healthcare services in the Philippines.
International Journal of Nursing and Health Services (IJNHS)
Background: Nurses face more challenges in delivering health education in contexts where the mi... more Background: Nurses face more challenges in delivering health education in contexts where the milieus are not well defined, such as the emergency room (ER). Objective: This study aimed to explore the experiences of ER nurses in conducting health education inside the ER and identify the most common barriers therein. Method: A phenomenology approach was utilized involving Ten ER nurses purposely chosen for the interview. Braun and Clarke's framework was used in data analysis. Results: The participants' experiences were expressed and represented in the following themes and subthemes: The theme: Experiences in Conducting Health Education in the ER consists of three subthemes: (1) Routine Work in the ER, (2) Length, Frequency, and Manner in Conducting Health Education, and (3) Feelings Derived from Conducting Health Education. The theme: Barriers to Health Education in the Emergency Room comprised the six subthemes: (1) Lack of Time, (2) Language Barrier, (3) Patient’s Psychosoc...
The impact of primary health care (PHC) which was established more than four decades ago is limit... more The impact of primary health care (PHC) which was established more than four decades ago is limited. In today's world, where globalization and advanced technology are essential factors contributing to a shift in major health issues-from communicable diseases to chronic diseases-this is especially true. Regardless of whether the circumstance poses significant problems and expectations, the PHC's aim of universal health must be seriously reconsidered. In PHC principles and concepts of equity, universal access, community participation, and intersectoral techniques are long-term or possibly eternal tendencies. Regardless of the trend, each country must choose to align its healthcare system with PHC values and principles. PHC implementation should be accompanied by further research to better understand how and to what extent it can be strengthened given the country's current socioeconomic , cultural, and environmental conditions, as well as how these factors affect the costs and efficiency of health care provision. With the advent of COVID-19 pandemic, the relevance of PHC values and principles in guiding each country's healthcare system is now greater than ever and cannot be overstated.
International Journal of Healthcare Sciences, 2016
The increasing number of female Muslim enrollees in the nursing course has given rise to the issu... more The increasing number of female Muslim enrollees in the nursing course has given rise to the issue of Muslim religious and cultural rights vis-à-vis such nursing practice concerns as the hospital dress code, infection control, and terrorism. This qualitative study sought to determine and describe the participants' perceptions on the wearing of the hijab by Muslim student nurses while on hospital duty. The study utilized the focus group discussion method to gather data from 33 participants purposely chosen from the faculty and students of five nursing schools in Zamboanga City, Philippines. The participants perceived that the wearing of the hijab while on hospital duty can affect student nurse-patient relationship and the performance of the student nurse; it can also be a source of infection. However, they were sympathetic towards the wearing of the hijab because of cultural, religious, and personal considerations. The study unearthed the complexity of the issue on the wearing of the hijab while on hospital duty and the pertinent significance of the hospital dress code. Therefore, it was recommended to the hospital administrators in Zamboanga City that a sensitive approach to the dress and uniform requirements of female Muslim nursing students should be taken so that these would not in any way violate the significance of the hospital dress code.
Background: Although an abundance of literature exists regarding the attitudes and cultural compe... more Background: Although an abundance of literature exists regarding the attitudes and cultural competency of nurses toward people with mental illness, there is scarcity in the literature on these concepts in relation to Filipino nurses. Thus, this review aims to determine the attitudes and cultural competency of Filipino nurses caring for patients with mental illness. Methods: This scoping review was guided by Arksey and O'Malley's framework. Electronic databases of ProQuest and Ebscohost and the gray literatures were searched from July to August 2018 including the reference lists of eligible articles. Results: Fourteen articles met the inclusion criteria. The information and evidences on Filipino nurses' attitudes (n=11) towards patients with mental illness were limited; mostly extrapolations from the empirical studies and gray literatures on Filipino nurses in other countries and alongside other nurses with different nationalities. Evidences that suggest Filipino nurses are culturally competent (n=3) did not represent that of the nurses caring for patients with mental illness in the Philippines. Conclusion: Given mixed evidences and limited data in the literature, further research is essentially needed to improve quality nursing care and the development of interventions intended to reduce mental illness stigma which can be integrated in the community, school, workplace and other settings in the Philippines.
Negative attitudes can arise from not recognizing the influence of culture among nurses caring fo... more Negative attitudes can arise from not recognizing the influence of culture among nurses caring for patients with mental problems. Although nurses' attitudes on these patients have been studied extensively, few involved Filipino nurses. Thus, this scoping review gives an overview of how mental illness is seen in the Filipino culture and the attitudes that Filipino nurses have toward patients with mental problems. From July to December 2022, searches were made in databases of Google Scholar, PubMed, and PsychInfo's and the reference lists of identified articles guided by the PRISMA-ScR. Twenty-one articles met the inclusion criteria. The review showed mental illnesses implicate the role of cultural beliefs on supernatural beings, curse, retribution from God, imbalance between hot and cold elements, spirit possession, softness in character, engaging in evil acts, family, shame, and save face which can lead to stigmatization of patients with mental illness (n=18) and the attitudes of Filipino nurses towards these patients were also shown but were not conclusive (n=3). Hence, it is recommended to do further studies on Filipino culture and mental health nursing, experiences of Filipino nurses in caring for patients with mental illnesses, influence of religion, spirituality, and family, and somatization of mental distress. Emphasis on filial piety used as framework for future research on mental illness of Filipinos is recommended, because the family can both be a source of mental distress and a source of personal strength in overcoming stigma. In addition, this review can be used to improve the quality of nursing care and can inform mental health care trainings and education programs to reduce mental illness stigma in the Philippines.
International Journal of Nursing and Health Services, 2022
Introduction. An affirming environment for LGBT patients includes the attitudes of healthcare pro... more Introduction. An affirming environment for LGBT patients includes the attitudes of healthcare providers (HCPs) therein to enhance overall health and reduce disparities among the members of this population. Objective. Hence, this study aimed to determine the attitudes of the doctors and nurses toward LGBT patients in Zamboanga City, Philippines, and if age, gender, religion, and marital status affect their attitudes. Method. A questionnaire was given to a sample of 396 doctors and nurses working in hospitals and health clinics who were purposely chosen to participate. Percentage distribution, weighted means, T-test, ANOVA, and Scheffé post hoc criterion for significance at p < .05 were used for data analysis. Results. The results generally showed that HCPs had positive attitudes in addressing the needs of LGBT patients. However, 13-17% have preferential treatment or care for heterosexual patients, which may indicate a negative attitude toward LGBT patients. The ANOVA test and Scheffé post hoc criterion for significance revealed that age, gender, and religion contributed to the nuances in their attitudes, while marital status did not. Recommendation. The HCPs' role is critical in eliminating discrimination in healthcare among the LGBT population. Hence, the inclusion of LGBT health issues in medical and nursing curricula and the presence of policy in health facilities for LGBT patients are necessary to ensure gender-responsive healthcare services in the Philippines.
International Journal of Nursing and Health Services (IJNHS)
Background: Nurses face more challenges in delivering health education in contexts where the mi... more Background: Nurses face more challenges in delivering health education in contexts where the milieus are not well defined, such as the emergency room (ER). Objective: This study aimed to explore the experiences of ER nurses in conducting health education inside the ER and identify the most common barriers therein. Method: A phenomenology approach was utilized involving Ten ER nurses purposely chosen for the interview. Braun and Clarke's framework was used in data analysis. Results: The participants' experiences were expressed and represented in the following themes and subthemes: The theme: Experiences in Conducting Health Education in the ER consists of three subthemes: (1) Routine Work in the ER, (2) Length, Frequency, and Manner in Conducting Health Education, and (3) Feelings Derived from Conducting Health Education. The theme: Barriers to Health Education in the Emergency Room comprised the six subthemes: (1) Lack of Time, (2) Language Barrier, (3) Patient’s Psychosoc...
The impact of primary health care (PHC) which was established more than four decades ago is limit... more The impact of primary health care (PHC) which was established more than four decades ago is limited. In today's world, where globalization and advanced technology are essential factors contributing to a shift in major health issues-from communicable diseases to chronic diseases-this is especially true. Regardless of whether the circumstance poses significant problems and expectations, the PHC's aim of universal health must be seriously reconsidered. In PHC principles and concepts of equity, universal access, community participation, and intersectoral techniques are long-term or possibly eternal tendencies. Regardless of the trend, each country must choose to align its healthcare system with PHC values and principles. PHC implementation should be accompanied by further research to better understand how and to what extent it can be strengthened given the country's current socioeconomic , cultural, and environmental conditions, as well as how these factors affect the costs and efficiency of health care provision. With the advent of COVID-19 pandemic, the relevance of PHC values and principles in guiding each country's healthcare system is now greater than ever and cannot be overstated.
International Journal of Healthcare Sciences, 2016
The increasing number of female Muslim enrollees in the nursing course has given rise to the issu... more The increasing number of female Muslim enrollees in the nursing course has given rise to the issue of Muslim religious and cultural rights vis-à-vis such nursing practice concerns as the hospital dress code, infection control, and terrorism. This qualitative study sought to determine and describe the participants' perceptions on the wearing of the hijab by Muslim student nurses while on hospital duty. The study utilized the focus group discussion method to gather data from 33 participants purposely chosen from the faculty and students of five nursing schools in Zamboanga City, Philippines. The participants perceived that the wearing of the hijab while on hospital duty can affect student nurse-patient relationship and the performance of the student nurse; it can also be a source of infection. However, they were sympathetic towards the wearing of the hijab because of cultural, religious, and personal considerations. The study unearthed the complexity of the issue on the wearing of the hijab while on hospital duty and the pertinent significance of the hospital dress code. Therefore, it was recommended to the hospital administrators in Zamboanga City that a sensitive approach to the dress and uniform requirements of female Muslim nursing students should be taken so that these would not in any way violate the significance of the hospital dress code.
Background: Although an abundance of literature exists regarding the attitudes and cultural compe... more Background: Although an abundance of literature exists regarding the attitudes and cultural competency of nurses toward people with mental illness, there is scarcity in the literature on these concepts in relation to Filipino nurses. Thus, this review aims to determine the attitudes and cultural competency of Filipino nurses caring for patients with mental illness. Methods: This scoping review was guided by Arksey and O'Malley's framework. Electronic databases of ProQuest and Ebscohost and the gray literatures were searched from July to August 2018 including the reference lists of eligible articles. Results: Fourteen articles met the inclusion criteria. The information and evidences on Filipino nurses' attitudes (n=11) towards patients with mental illness were limited; mostly extrapolations from the empirical studies and gray literatures on Filipino nurses in other countries and alongside other nurses with different nationalities. Evidences that suggest Filipino nurses are culturally competent (n=3) did not represent that of the nurses caring for patients with mental illness in the Philippines. Conclusion: Given mixed evidences and limited data in the literature, further research is essentially needed to improve quality nursing care and the development of interventions intended to reduce mental illness stigma which can be integrated in the community, school, workplace and other settings in the Philippines.
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