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An Undergraduate Thesis Proposal Presented to the Faculty of College Of Nursing and allied Health Sciences, Manuel S. Enverga University Foundation Lucena City

In Partial Fulfillment of the Requirements for the Degree Bachelor of Science in Nursing

Group III-A Almeyda, Cris Ian V. Basila, Kayla H. Go, Marc Mel Mattheus N. Ocier, Marjorie


ENVERGAUNIVERSITYAPPROVAL SHEET This thesis Entitled Burnout Phenomenon As Assessed By Selected Level IV Nursing Students Of Manuel S. Enverga University Foundation And Their perceived Effect On Academic Performance And Clinical Performance Prepared and submitted by group 3 In partial fulfillment of the requirements for the Degree in Bachelor of Science by Nursing has been examined and is Recommended for acceptance and approval for thesis.

Mr. Mc Duffie Joshua E. Sy RN,MSN Adviser

Approved by the committee on oral examination with grade of ___________________________

____________________________ Chairman

______________ Members

____________ Members

Accepted and approved in partial fulfillment for Bachelor of Science in Nursing

_____________________________ Dean



To our beloved Parents for their full support.

To our Group for the cooperation, kindness and understanding.

The Faculty of Department of Nursing For their guidance and support . To our friends, for always being there, for giving the love And care that we will treasure forever.

In the memory of Franz Sigrid L. Enero

Above all, Lord Jesus for never failing to answer the researchers prayers For giving strength, patience, and wisdom in The completion of this study


ENVERGAUNIVERSITYACKNOWLEDGEMENT We wish to express our deepest gratitude to the following persons who have shared their time and knowledge in making this special paper: To our parents, for their encouragement and support financially, emotionally and spiritually; To all the faculty members of the Department of Bachelor of Science in Nursing for their encouragement to express and develop our skills and knowledge regarding our chosen field; To our thesis adviser, Mr. McDuffie Joshua Sy RN, MSN, for his guidance, time for critiquing the manuscript and advices that served as a great help in accomplishing this paper; To our Dean, Ms. Corazon Valdeavilla RN, MSN, for giving us information about the subject nursing research and assisting us in conducting the research; To Ms. Rizza Rosales, for her assistance and expertise in statistical computation To all respondents, we really appreciate their cooperation for we cannot accomplish these papers without them, and above all To our Almighty God, for giving us strength, courage and knowledge in making all these things possible.

The Researchers


ENVERGAUNIVERSITYTHESIS ABSTRACT This study focused on the Burn-out phenomenon and its perceived effect on the academic and clinical performance of the level IV nursing students of Manuel S. Enverga University Foundation. Hopefully, this studys result could provide benefits to all concerned, the studys respondents were drawn from the 3 sections in level IV namely: section A, B and C. The researchers decided to use this group of respondents because of the fact that the researchers are also level IV nursing students in this University. The study made use of the descriptive method of research since it determine the characteristic of burnout and its effect in the performance of the level IV nursing students. The data gathered were statistically treated by using frequency count, percentage and ranking to get the descriptive informational background of the respondents. The weighted mean were computed to get the result of the different indicators of the study. These were qualified by providing certain intervals to make interpretation more specific.


ENVERGAUNIVERSITYCHAPTER 1 Background of the Study Nursing like any other profession has its primary role, to aim of contributing to the countrys progress through providing quality healthcare service to its citizen. Therefore nurses serve as instrument in attaining this goal, they functions as nurturer, comforter, and provider of direct care and promotes comfort of client activities shows concerns for client welfare and acceptance of the client as a person. The nursing profession has many aspects that can cause stress, and nurses must take action to reduce and manage their stress effectively. Stress is the body's instinctive reaction to an environmental change like meeting a sudden deadline. The problem with long-term stress is that your body never gets to unwind Berry (2007).

As with all other arts nursing demands certain skills and attitude like devotion, perception, understanding, training, and hard working among others. If nursing is such, it is a nurses goal to provide care to as many as possible without compromising quality. Just as with any work place they are suspected to give it all they have got Casserley et .al, (2008). Stress contributes to significant morbidity. Providing tools to manage underlying stress and may empower nursing student to make lifestyle change. Nurses simply build competency while performing their role and as part of it they encountered lots of problem dealing with their role like working overload.


ENVERGAUNIVERSITYStress is simply a fact of nature -- forces from the outside world affecting the individual. The individual responds to stress in ways that affect the individual as well as their environment. Hence, all living creatures are in a constant interchange with their surroundings (the ecosystem), both physically and behaviorally. This interplay of forces, or energy, is of course present in the relationships between all matter in the universe, whether it is living (animate) or not living (inanimate). However, there are critical differences in how different living creatures relate to their environment. Because of the overabundance of stress in our modern lives, we usually think of stress as a negative experience, but from a biological point of view, stress can be a neutral, negative, or positive experience There are many causes of stress in nursing, such as understaffing of shifts, patient deaths, long hours, difficult patients, paperwork and deadlines. Conflicts with other health care professionals such as a disagreement over patient treatment can also increase the stress level. In addition to dealing with a stressful occupation, nurses also have to deal with everyday stressors like having a baby or buying a house.

A study made by Bech, (2007) comparing the stress levels of various professional students found that nursing students experience higher levels of stress than medical, social work and pharmacy students. Students face many challenges and stressors. However, as a nursing student they are likely to experience even burnoout than their friends and colleagues enrolled in other programs. Another study made by Pryjmachuk, (2007) showed that one third of nursing students experience stress severe enough to induce mental health problems such as anxiety and depression. In addition exams, grades,


ENVERGAUNIVERSITYlong hours of studying, work, family and other personal commitments are also faced with the challenges. Clinical practice has been identified as one of the most anxiety producing components in nursing programs. Lack of experience, fear of making mistakes, difficult patients, discomfort at being evaluated by faculty members, worrying about giving patients the wrong information or medication and concern about possibly harming a patient are just a few of the stressors for the beginning student nurse. Symptoms will differ from nurse to nurse, but might include anxiety, depression, fatigue, confusion, high blood pressure, insomnia, headaches, relationship problems, increased or decreased weight, constipation or diarrhea, upset stomach, shortness of breath, irritability, back pain and stiff neck. Effects of stress in the nursing profession can also lead to increased absenteeism. Long-term exposure to occupational stress can cause job burnout. Signs of burnout can include being unable to reasonably balance work and personal time, increased irritability with patients and co-workers, and feeling no satisfaction from your job. According to Patrick,. (2007) burnout is a psychological term for the experienced of long term exhaustion and diminished interest. The most well studied measurement of burnout in the literature is made by Maslach and her colleague Jackson is the Burnout Inventory first identified the construct Burnout in the 2005s and developed a measure that weigh the effect of emotional exhaustion and reduce sense of personal accomplishment. This indicator has become the standard tool for measuring burnout in research on the syndrome. The Maslach Burnout Inventory uses a three dimensional


ENVERGAUNIVERSITYdescription of exhaustion, cynicism and inefficacy. Some researches and practitioners have argued for an exhaustion only model that sees that symptom as the hallmark of burnout.

It recognizes the warning signs of impending burnout in themselves; remember that it will only get worse if you leave it alone. But if you take steps to get your life back into balance, you can prevent burnout from becoming a full-blown breakdown. Sometimes its too late to prevent burnout youre already past the breaking point. If thats the case, its important to take your burnout very seriously. Trying to push through the exhaustion and continue as you have been will only cause further emotional and physical