Republic of the Philippines

Department of Education
Region XII
Division of Sultan Kudarat
ISULAN NATIONAL HIGH SCHOOL
School ID: 304590

IMPACT OF COVID-19 TO THE NURSES OF SULTAN KUDARAT PROVICIAL

HOSPITAL

A research paper

Presented to the

Faculty of Senior High School Department

Isulan National High School

Capitol East, Kalawag 2, Isulan, Sultan Kudarat

In Partial Fulfillment of the Requirements in

INQUIRIES, INVESTIGATION, AND IMMERSION

HELAENA BEATRIZE A. LANDAR

Science, Technology, Engineering, and Mathematics Strand

JUNE 2022
 ACKNOWLEDGEMENT

I would like to express my gratitude to God for giving me strength and knowledge
and to my research adviser, Ma’am Rhea May M. Enate, who guided me
throughout this project. I would also like to thank my friends and family who
supported me and offered deep insight into the study.
 APPROVAL SHEET

This research paper entitled “Impact of COVID-19 to the Nurses of Sultan

Kudarat Provincial Hospital”, prepared and submitted by Helaena Beatrize A.
Landar in partial fulfillment of the requirements in INQUIRIES, INVESTIGATION
AND IMMERSIONis hereby recommended and endorsed.

RHEA MAY M. ENATE

Adviser

This research paper has passed the standards set by the Isulan National
High School, Senior High School Department and has been successfully defended
and approved on June 21,2022 before this panel of examiners.

______________________ ______________________
Examining Committee Examining Committee

______________________
Examining Committee

RHEA MAY M. ENATE CHERRY B. ESCOTO,EdD

Research Coordinator Asst. Principal for Academics, SHS

Approved as partial fulfillment for the requirements in INQUIRIES,

INVESTIGATION AND IMMERSION

LORELY ANNE F. VALENCIA, EdD

Principal II
__________________________
Date Signed
 Chapter I

INTRODUCTION

Background of The Study

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 exponential effect has caused large-
scale closing of economies, loss of employment, 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-19
(International Council of Nurses, 2020).

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. (Lu et al., 2020; Maben &
Bridges, 2020; Mo et al., 2020).
 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 workers in the most severely
affected countries.

This study can raise awareness that these events will have significant short-
term and long-term effects on the healthcare workers. By understanding the
outcomes cause by an 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 the wellbeing hazards of the healthcare
worker’s population.

Conceptual Framework

According to Sitko, NJ (2013), a conceptual Framework is a structure or

outline of 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 done

at a certain period.
 INITIATE
IMPACT OF ASSESSING THE EFFECTIVE
COVID-19 TO IMPACT OF INTERVENTION
THE NURSES OF COVID-19 AND AND STRATEGIES
SULTAN BRINGING UP TO ALLEVIATE
KUDARAT DISCUSSIONS TO WELLBEING
PROVINCIAL MANDATE DATA HAZARDS TO OUR
HOSPITAL HEALTHCARE
WORKERS

Figure 1. Conceptual Framework

Statement of The Problem

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. What is the profile of the of healthcare workers in

terms of: 1.1 Age;

1.2 Gender;

1.3 Monthly Salary?

2. What is the impact of COVID-19 to the healthcare workers in

terms of their:

2.1 Occupational wellbeing;

2.2 Physical wellbeing;

 2.3 Intellectual wellbeing;

2.4 Emotional wellbeing;

2.5 Social wellbeing;

2.6 Spiritual wellbeing?

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 workers in this time of pandemic.

Nurses. They can gain support from others. Individuals may be provided
with effective intervention and treatment that will improve their wellbeing.

Administration of Sultan Kudarat Provincial Hospital. This study would

be very significant to evaluate and monitor the performance of the health
institution and to transform evaluation to the assistance needed by the
personnel.
 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.

Scope and Delimitations

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 be utilizing
for gathering the data is adapted from a survey from Tiny Pulse with statements
about the dimensions of an employee’s health and wellness. 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 they are used in the study.

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. These effects can be economic, socio-cultural,
institutional, environmental, technological or of other types (United Nation, 2020).
In this study, impact refers to the effect or the result of the pandemic to a given
population, specifically healthcare workers.

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
acquiring COVID-19 and experiencing severe outcomes, including death.

Occupational Wellbeing. The ability to pursue your professional goals in an

environment 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 in these times
of pandemic.

Intellectual Wellbeing. Means striving toward good mental health, continued

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 with new challenges effectively particularly
this pandemic.

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.

Social Wellbeing. Is defined as the sharing, developing, and sustaining of

meaningful 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 with other people in our
surroundings despite the Covid-19 pandemic.

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, nature, or a
power greater than oneself during this Covid-19 pandemic.
 Chapter II

REVIEW OF RELATED LITERATURE

Related Literature

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 Nepal to COVID-19 infections (Khanal, P. et.al, 2020).

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 (ACP Journals, 2020).

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
associated with it (Barry, M. et.al, 2020).

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 (Singh J., 2020).

As of May 6, 2020, the Johns Hopkins Coronavirus Resource Center had reported
3 689 887 confirmed cases involving 187 countries worldwide, with 258 160 deaths.
Data from 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 surgeons (Chan, J., The Guardian, 2020).

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 procurement of sustenance and other essential items.
Fundamentally, there is a detrimental 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 (Balasubramanian, A. et.al, 2020).

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 almost always accompanied by increases in
depression, posttraumatic stress disorder (PTSD), 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 in finding data to answer the problem.
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 analyzed
by the researchers and will be used to formulate recommendations.
 IMPACT OF COVID-19 TO THE NURSES OF
SULTAN KUDARAT PROVINCIAL HOSPITAL

Respondent’s Profile Quantitative Research

Design
Age Locale of the Study

Gender Isulan, Sultan Kudarat

Respondents of the Study

Monthly Salary

Ten Nurses
Impact
Research Instrument

Occupational Wellbeing
Survey Questionnaire

Physical Wellbeing
Data Gathering

Intellectual Wellbeing
Questionnaire

Emotional Wellbeing Data Analysis

Social Wellbeing Descriptive and Inferential

Interpretation of Data
Spiritual Wellbeing

Strategies or Possible Programs

Initiate effective intervention and strategies to

alleviate wellbeing hazards to our healthcare

Figure 2. Research Design

Locale of the study

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 virus, the data gathering will be
conducted through online.

Respondents of the Study

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 all the healthcare workers in the
mentioned municipality.

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 Tool

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’ demographic
characteristics, attitude toward COVID-19 pandemic, and healthcare workers’
personal health. The survey includes identification of factors associated with the
different dimensions of one’s wellbeing in COVID-19 response.

Data Gathering Procedure

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 variables. Descriptive
statistics is followed by inferential statistics dealing with generalization of 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 interpreting the findings of the study.

Statistical Treatment

Statistical treatment of data is essential in order to make use of the data in

the right form. Raw data collection is only one aspect of any experiment; the
organization of data is equally important so that appropriate conclusions can be
drawn. (Siddharta Kalla, 2009)

Weighted Mean

A weighted mean is a kind of average. Instead of each data point

contributing equally to the final mean, some data points have more than others.
(Andale, 2014)

Σ [ ( f ) (w) ]
Formula: x=
n

Where:

x = weighted mean

F = frequencies to the given

w = weights

n = total number of respondents

 Chapter IV

RESULTS AND DISCUSSION

Results

The 10 respondents from Sultan Kudarat Provincial Hospital Nurses

completed the survey. The result on Impact of COVID-19 to the Nurses of Sultan
Kudarat Provincial Hospital is shown in the table one.

Table 1. Result

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 Populatio Weighte Interpretatio
n d Mean n
I feel safe in my IIII III II I 3
work
10 Neutral
environment.
I have positive II IIII IIII 10 4.2 Agree
working
environment at
work.
I feel comfortable I III IIIII 10 4.5 Strongly
with my
-I Agree
workplace.
Stand for more I II III IIII 10 4 Agree
than 2 hours in a
row.
Work in a bent, I IIII II III 10 3.7 Agree
twisted, or
awkward work
posture.
I get personal IIIII IIII 10 4.4 Strongly
satisfaction and -I Agree
enrichment from
work.
I am content with III IIIII 10 4.7 Strongly
where I am in my -II Agree
career.
My work is II IIII I IIII 10 4 Agree
personally
satisfying.
My workload is III III III I 10 2.5 Disagree
manageable.
I get personal IIII II IIII 10 4 Agree
satisfaction and
enrichment from
work.
PHYSICAL WELLBEING - The ability to maintain a healthy quality of life that
allows us to get the most out of our daily activities without undue fatigue or
physical stress and practice positive lifestyle habits.
I feel more 1 2 3 4 5
conscious about III III III I 10 3.2 Neutral
my physical
appearance.
(Weight, grooming
and etc.)
I have the energy I III IIII II 10 3.7 Agree
to do workloads
every day.
I get enough IIII III I 10 2.3 Disagree
sleep and feel I
vibrant
throughout the
day.
I engage in I IIII III II 10 3.6 Agree
flexibility
exercise/stretchin
g.
I am confident II IIII II II 10 2.4 Disagree
that I can exercise
regularly.
I feel physically III IIIII 10 4.7 Strongly
exhausted during -II Agree
this situation.
I have an inactive III IIIII I 10 3.8 Agree
(couch potato) -I
lifestyle.
I am eating too IIIII IIII I 10 3.6 Agree
little.
I am eating I IIIII II I 10 3.3 Neutral
excessively. -I
I feel easily worn II III IIIII 10 4.5 Strongly
out these days. Agree
INTELLECTUAL WELLBEING - Involves striving for continued growth and
learning to deal with newchallenges effectively.
1 2 3 4 5
I experience no III II IIII I 10 3.3 Neutral
difficulties in
solving any
problems this
pandemic.
I can handle the I IIII III I I 10 2.7 Neutral
stress of being
quarantined.
I motivate myself I IIII III II 10 3.6 Agree
by imaging a good
outcome to tasks I
take on in the
current situation.
I am intellectually II III IIIII 10 4 Agree
stimulated by my
work and non-
work activities
this pandemic.
I seek personal IIII IIIII 10 4.6 Strongly
growth by -I Agree
learning new
skills.
Good or bad, I I III IIIII I 10 3.6 Agree
believe that most
things happen for
a reason.
I can make III III II I 10 2.3 Disagree
unpopular or I
difficult decisions
that affect other
people.
I have a positive II IIIII 10 4.8 Strongly
mindset in -III Agree
dealing with
challenges during
this COVID-19
pandemic.
I feel that my II II IIIII 10 4.2 Strongly
mental health -I Agree
interferes with my
personal
relationships.
Other things II III I IIII 10 3.1 Neutral
about the
pandemic kept
making me think
about it.
EMOTIONAL WELLBEING - The ability to produce positive emotions, moods,
 thoughts, and feelings, and adapt when confronted with adversity and
stressful situations.
1 2 3 4 5
I have felt III III IIII 10 3.1 Neutral
optimistic that
things are going
well with the
pandemic.
I can I I II IIIII I 10 3.4 Neutral
appropriately
express my
feelings.
I can III II IIII I 10 3.3 Neutral
appropriately
manage my
feelings.
I feel emotionally IIII III II 10 2.7 Neutral
strong and I
resilient.
I feel easily III II III II 10 2.4 Disagree
irritated or
becoming easily
angry.
I feel isolated, II III IIII I 10 2.4 Disagree
lonely, lost, or
abandoned.
I always feel III IIIII 10 4.7 Strongly
worried about my -II Agree
safety and other’s
safety.
I feel III IIIII I 10 2.9 Neutral
unappreciated or -I
misunderstood.
I feel emotionally IIII IIIII 10 3.6 Agree
drained often. -I
I find it difficult to IIII III II 10 2.7 Neutral
calm down I
quickly when very
upset.
SOCIAL WELLBEING - Refers to our ability to make and maintain
meaningful positive relationships and regular contact with other people in
our surroundings.
I have enough 1 2 3 4 5 10 3.3 Neutral
people I feel II III II III
comfortable
asking for help at
any time.
I communicate I III IIIII 10 4.5 Strongly
effectively with -I Agree
others, share my
views and listen
to those of others.
I can balance II IIII III I 10 3.3 Neutral
personal time and
social time during
quarantine.
I feel a sense of IIIII II I 10 3.4 Neutral
belonging in a -II
community.
I feel supported II III IIIII 10 3.8 Agree
by my family.
I have a strong I IIIII III 10 3.5 Agree
social network. -I
I feel that I am a I II III III I 10 3.1 Neutral
person who other
people like to be
around.
I participate in a II IIIII III 10 4.1 Agree
variety of social
activities.
I have someone I IIII IIII II 10 3.8 Agree
can talk to about
my private
feelings.
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.
I don’t know who I II III III II 10 2.5 Disagree
am, where I came
from, or where I
am going.
I haven’t found IIIII IIII 10 3.4 Neutral
my life’s purpose -I
yet.
I am far from III IIII II I 10 3.1 Neutral
understanding
the meaning of
life.
In this world, I III II IIII I 10 3.3 Neutral
don’t know where
I fit in.
I engage in self- I I III IIII 10 3.7 Agree
reflection.
I make time for IIIII III I 10 3.5 Agree
meditation at -I
home.
I look forward to III IIII III 10 4 Agree
spending time
with God in
prayer daily.
I feel more II IIII III I 10 3.3 Neutral
connected with
God in this time
of pandemic.
I feel a deep need III II IIIII 10 4.2 Agree
for God's grace
every day.
I look forward in IIIII III II 10 3.7 Agree
attending the
online worship
service every
week.
Average: 3.54 Agree

Table 2. Rating scale used to analyze the level of awareness.

Strongly Disagree 1 1.00-1.80

Disagree 2 1.81-2.60

Neutral 3 2.61-3.40

Agree 4 3.41-4.20

Disagree 5 4.21-5.00

The Sultan Kudarat Provincial Hospital Nurses were affected by the COVID-19
Pandemic according to the result of the survey questionnaire.

Discussion

As the outbreak of COVID-19 is expanding exponentially, spreading beyond

borders and spreading across continents, it has been classified as a “pandemic.” It
created havoc and dismay among all nations. This new viral infection is successful
in inducing restlessness, confusion, and fear among the people. It affects the
wellbeings of healthcare workers especially nurses.

Chapter V
 SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS

Summary of Findings

The COVID-19 has an impact to the Nurses of Sultan Kudarat Provincial

Hospital that affects their, Occupational wellbeing, Physical wellbeing, Intellectual
wellbeing, Emotional wellbeing, Social wellbeing and Spiritual wellbeing with a
total mean score of 3.54.

Conclusions

The result of this survey indicated that the majority of respondents were
affected by the COVID-19 Pandemic. These findings revealed marginal impacts of
the COVID-19 pandemic on the work and life of hospital staff in Sultan Kudarat
Provincial Hospital. Furthermore, this study highlighted the importance of
implementing preventive strategies during the nationwide partial lockdown to
manage hospital admissions and the burden on healthcare workers. Finally, this
study characterizes targeted demographics that may benefit from appreciation by
employers and society during a national pandemic.

Reccomendation

I recommend to the future researchers to determine the effectiveness of

time-management of healthcare workers and staff.

Greetings!
 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!

Name (Optional):__________________________
Age:_________________
Gender:_____________________
Monthly Salary:____________________________

In answering the survey questionnaire please be guided by the following:

Strongly Disagree Neutral Agree Strongly Agree

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
I feel safe in my work 1 2 3 4 5
environment.

I have positive working

environment at work.
I feel comfortable with my
workplace.
Stand for more than 2 hours in a
row.
Work in a bent, twisted, or
awkward work posture.
I get personal satisfaction and
enrichment from work.
I am content with where I am in
my career.
My work is personally satisfying.
My workload is manageable.
I get personal satisfaction and
enrichment from work.
PHYSICAL WELLBEING - The ability to maintain a healthy quality of life that
allows us to get the most out of our daily activities without undue fatigue or
physical stress and practice positive lifestyle habits.
I feel more conscious about my 1 2 3 4 5
physical appearance. (Weight,
grooming and etc.)
I have the energy to do workloads
every day.
I get enough sleep and feel vibrant
throughout the day.
I engage in flexibility
exercise/stretching.
I am confident that I can exercise
regularly.
I feel physically exhausted during
this situation.
I have an inactive (couch potato)
lifestyle.
I am eating too little.
I am eating excessively.
I feel easily worn out these days.
INTELLECTUAL WELLBEING - Involves striving for continued growth and
learning to deal with newchallenges effectively.
1 2 3 4 5
I experience no difficulties in
solving any problems this
pandemic.
I can handle the stress of being
quarantined.
I motivate myself by imaging a
good outcome to tasks I take on in
the current situation.
I am intellectually stimulated by
my work and non-work activities
this pandemic.
I seek personal growth by learning
new skills.
Good or bad, I believe that most
things happen for a reason.
I can make unpopular or difficult
decisions that affect other people.
I have a positive mindset in
dealing with challenges during
this COVID-19 pandemic.
I feel that my mental health
interferes with my personal
relationships.
Other things about the pandemic
kept making me think about it.
EMOTIONAL WELLBEING - The ability to produce positive emotions, moods,
thoughts, and feelings, and adapt when confronted with adversity and
stressful situations.
 1 2 3 4 5
I have felt optimistic that things
are going well with the pandemic.
I can appropriately express my
feelings.
I can appropriately manage my
feelings.
I feel emotionally strong and
resilient.
I feel easily irritated or becoming
easily angry.
I feel isolated, lonely, lost, or
abandoned.
I always feel worried about my
safety and other’s safety.
I feel unappreciated or
misunderstood.
I feel emotionally drained often.
I find it difficult to calm down
quickly when very upset.
SOCIAL WELLBEING - Refers to our ability to make and maintain
meaningful positive relationships and regular contact with other people in
our surroundings.
I have enough people I feel 1 2 3 4 5
comfortable asking for help at any
time.
I communicate effectively with
others, share my views and listen
to those of others.
I can balance personal time and
social time during quarantine.
I feel a sense of belonging in a
community.
I feel supported by my family.
I have a strong social network.
I feel that I am a person who other
people like to be around.
I participate in a variety of social
activities.
I have someone I can talk to about
my private feelings.
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.
I don’t know who I am, where I 1 2 3 4 5
came from, or where I am going.
I haven’t found my life’s purpose
yet.
I am far from understanding the
meaning of life.
In this world, I don’t know where I
fit in.
I engage in self-reflection.
I make time for meditation at
home.
I look forward to spending time
with God in prayer daily.
I feel more connected with God in
this time of pandemic.
I feel a deep need for God's grace
every day.
I look forward in attending the
online worship service every week.

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