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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
1
DO NOT USE ACRONYM IN TITLE LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS CONTINUING PROFESSIONAL DEVELOPMENT (CPD) ACTIVITIES IN THE PROVINCE OF GUIMARAS Follow APA format Separate chapter for Theoretical & Conceptual Framework include in this chapter the definition of Terms. (put after RRL) Paper size: 8 ½ x 11 IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
Font: Times New Roman
DEGREE OF BACHELOR OF SCIENCE IN MIDWIFERY Deadline on or before April 15, 2019
MA. LEONORA C. MAMON, RM MERCY S. BILBAO, RM MARIZA HOPE Z. BANO, RM RHEA G. TORILLO, RM ALEN JOY T. ERPELUA, RM
March 2019
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
TABLE OF CONTENTS Page
APPROVAL SHEET ACKNOWLEDGEMENT ABSTRACT LIST OF FIGURES LIST OF TABLES
ii iii iv v vi
CHAPTER 1 INTRODUCTION Background of the Study Statement of the Problem Theoretical Framework Conceptual Framework Schematic Diagram Scope and Limitation of the Study Definition of Terms
1 2-3 4 4 5 5 6 7
CHAPTER II REVIEW OF THE RELATED LITERATURE Synthesis
8 9-11 11
CHAPTER III RESEARCH METHODOLOGY Research Design Respondents of the Study Data Gathering Procedure Statistical Tool
12 13 13-14 14 14 14-15
CHAPTER IV PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA Table 1-Table 6
16
CHAPTER V SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS Summary of Findings Conclusions Recommendations
24
APPENDICES A. Letter of Communication B. Research Instrument C. Documentation Pictures
27 29 31-33 34-35
17-23
25 25-26 26
2
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City REFERENCES
3
36 APPROVAL SHEET
This research paper entitled “Level of Acceptance of the Registered Midwives Towards CPD Activities in the Province of Guimaras” presented by Mamon, Ma. Leonora C., Bilbao, Mercy S., Bano, Mariza Hope Z., Torillo, Rhea G., Erpelua, Alen Joy T., in partial fulfillment of the requirements for the Degree of Bachelor of Science in Midwifery has been examined and is recommended for approval and acceptance. PATRICIA M. GOMEZ, MCHS Instructor/Adviser
Approved by the COMMITTEE ON ORAL EXAMINATION:
REYMA M. MAGBANUA, RN, MAN, MBA, PhD. Chairman _________________ English Critic
___________________ Technical Editor ______________________ Statistician
PATRICIA M. GOMEZ, RM, MCHS President/Administrator Accepted in partial fulfillment of the requirements for the degree of BACHELOR OF SCIENCE IN MIDWIFERY.
MA. GI G. DEFENSOR, RM, MMHA Dean CECILIA E. DEGUMA, RM, MMHA
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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Registrar ACKNOWLEDGEMENT The researchers are indebted to the following for their contribution to the realization of this research endeavor: Ma’am Patricia Gomez, the researchers’ adviser and mentor, when the researchers knew of no hope in accomplishing anything, she lets them view the tasks given in a different outlook. The inspiring insights had given them a head-start; The researchers’ kind parents, and the researchers’ sponsors and benefactors, this is for the unconditional love if at times it had been unrequited; The researchers’ circles of friends, for making them learn things they will never learn inside the four walls of the classroom― the meaning of friendship; The IMAP, for giving the best education one can ever ask for and for nurturing the researchers under her thick canopy for the duration of this course. This is for the school that may never be a perfect place but taught the researchers a lot; Thank you may be an understatement but thank you, anyway. And above all, to the Almighty God, to whom all the undertakings and every endeavor of the researchers are offered, the researchers walk in the power of His daily sufficient grace, in their travel across Guimaras Island to the heart of the city, high hopes―safe and sound. This research is something they all would like look back, when the time grows old with waiting. This paper belongs to that time.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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ABSTRACT Anent to the enactment of Republic Act No. 10912, otherwise known as the “Continuing Professional Development (CPD) Act of 2016”, which requires CPD as the mandatory requirement for the renewal of Professional Identification Card, this paper examines the level of acceptance of the midwives in all of the municipalities in the province of Guimaras, towards Continuing Professional Development (CPD) activities and determine which factor greatly influence the acceptance of the CPD activities. A 12-item self-constructed survey questionnaire was developed and validated by the researchers and subject specialists. The respondents, who are midwives from the five different municipalities of Guimaras, have shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12 awareness, government resources, schools preparedness, advance competencies, and employability. The collected data suggests that the government which implements this reform and advocates professional development has an inadequate information dissemination program to the community, particularly to the midwives who are covered by this implemented law. Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities as an additional expense for the family and earning so or participating in these mandatory CPD activities guarantee landing on the already stiff job placement. Furthermore, schools within the district and are not available to provide adequate trainings for these mandatory CPD among the midwives in the province of Guimaras. This study is designed with a longitudinal perspective. Hence, future researches could be conducted to
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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further investigate on the levels of acceptance of healthcare professionals towards CPD units to update and validate the data with the current trend and changing outlooks of healthcare professionals most especially the midwives.
LIST OF FIGURES THIS IS NOT A LIST OF FIGURES Schematic diagram Factors Influencing the Level of Acceptance (Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability)
Continuous Professional Development Registered Midwives
Figure 1. Paradigm showing the relationships among the variables in this study. The identified independent variables are family, awareness, government resources, schools preparedness, advance competencies, and employability, while the level of acceptance towards the CPD activities is the dependent variable in this study.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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THIS IS NOT A LIST OF TABLES LIST OF TABLES INFORMATION SHEET Name: ______________________________________ Age: ___ Sex: Male Female Address: ____________________________________________________________________ Designation: __________________________ Agency: _________________________________ SURVEY QUESTIONAIRE DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the researchers. Please read each statement carefully. Tick () the box that corresponds to your answer. (5) (4) (3) (2) (1) Strongly Accepte Neutral / Not Strongly Accepted d Undecide Accepte Not d d Accepte d A. FAMILY FINANCES 1. CPD activities are an additional expense for the family. 2. The family has sufficient budget to support the CPD activities. B. AWARENESS 3. The community is aware of the mandatory CPD activities. 4. Information dissemination programs / campaigns to the healthcare community regarding CPD reforms were made before its full implementation were made. C. GOVERNMENT RESOURCES 5. The government allotted budget to support healthcare professionals to avail/attend free CPD activities. D. SCHOOLS PREPAREDNESS 6. Schools are equipped to provide quality and relevant
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City CPD activities for healthcare professionals. 7. Schools providing CPD trainings are available in the municipality / within the province. E. ADVANCE COMPETENCIES 8. The CPD activities will equip and considerably necessary for healthcare professionals to provide better medical services. F. EMPLOYABILITY 9. The healthcare professionals attending CPD activities will broaden options to find more relevant medical jobs in the field. 10.The CPD units earned will equip and allow healthcare professionals to demonstrate the skills needed to be hired in the medical field. 11.The CPD units earned boosts healthcare professionals’ resume and raise chances of employability. 12.Earning CPD units is not a guarantee of getting hired in the field.
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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER I
INTRODUCTION
BACKGROUND OF THE STUDY
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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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Amidst the advancement of the technology and the advent of sophisticated, state of the art, modern medical equipment, health care professionals are still considered the most important play-maker in the field of medicine. Lee (2014), emphasized that there are aspects of medicine that are entirely based on medical knowledge, technical expertise, and data analysis could be reasonably automated without much consequence, however, there are elements of healthcare that computers just do not possess the capabilities of handling: bedside manner, making tough decisions from incomplete patient data, dealing with human psychology, and so on. However, with the many breakthroughs and innovations that surfaced in the medical field, health care professionals should upgrade their competences; acquire novel knowledge that would enable them to grow more productive and more efficient to fulfil what is on their job descriptions. To actively respond to the challenges of the rapidly changing workplace in the medical field, continuing professional development (CPD) of health care workers had been made a prerequisite in the practice of the midwives in the Philippines. Republic Act No. 10912, otherwise known as the “Continuing Professional Development (CPD) Act of 2016”, is an act which requires CPD as the mandatory requirement for the renewal of Professional Identification Card. The continuing professional development (CPD) for many professionals, specifically the midwives, had been a heated discussion among health care professionals. In the already tight schedule of health care professionals, continuing professional development should be viewed not as added burden rather as an engaging and worthwhile activity. Conversely in many unfathomable circumstances, earning CPD units have been neglected by many.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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Republic Act No. 10912, Resolution No. 2016-990 otherwise known as Continuing Professional Development Act of 2016 aimed to promote and upgrade the practice of professions in the country. Towards this end, the State shall institute measures that will continuously improve the competence of the professionals in accordance with international standards of practice, thereby, ensuring their contribution in uplifting the general welfare, economic growth and development of the nation, thus, aiming to produce competent workers most especially in the field of medicine, specifically the midwives. This study aims to examine the level of acceptance of the registered midwives from the different municipalities of the province of Guimaras in pursuing continuing professional development. This further aims to determine which factor greatly influence the acceptance of the proposed mandatory CPD requirement and shed some light for further comprehensive plans to aid the health care professionals to be equipped of the pedagogies needed in the field of medicine. Add more study or news about CPD
SUGGESTED: What is the level of acceptance of Registered midwives towards CPD as a whole and when classified according to the areas of 1.1 family finances
STATEMENT OF THE PROBLEM
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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The purpose of this study is to investigate the factors influencing the level of acceptance among health care professionals, most especially the midwives, towards accomplishing / earning the required CPD units as mandated in the Philippines.
Specifically, this study seeks to answer following questions: 1. What are the evident factors influencing the level of acceptance among health care professionals of continuous professional development of midwives in the province of Guimaras? 2. What are the evident factors influencing the level of acceptance among health care professionals of continuous professional development of midwives in the different municipalities in the province of Guimaras?
THEORETICAL FRAMEWORK This study is anchored on the grounded approach theory. To Charmaz (2016), grounded theory refers to a set of systematic inductive methods for conducting qualitative research aimed toward theory development. The term grounded theory denotes dual referents: (a) a method consisting of flexible methodological strategies and (b) the products of this type of inquiry. Increasingly, researchers use the term to mean the methods of inquiry for collecting and, in particular, analyzing data. The methodological strategies of grounded theory are aimed to construct middle-level theories directly from data analysis. The inductive theoretical thrust of these methods is central to their logic. The resulting analyses build their power on strong empirical foundations. These analyses provide focused, abstract, conceptual theories that Theory : Not Grounded Approach Theory- change the frameworkCPD gets in CONCEPTUAL FRAMEWORK
explain the studied empirical phenomena.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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This study zeroes in on the professional development of the midwives in the country and in investigating factors that affects / influences the levels of acceptance with the said mandated requirements. The research model suggests the six (6) input variables that may impact the level of acceptance perceived by the registered midwives to the proposed CPD activities by the Civil Service Commission. These factors are six underlying independent variables, namely: Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, and Employability. SCHEMATIC DIAGRAM THE VARIABLES SHOULD BE BASED ON LITERATURE:
Factors Influencing the Level of Acceptance (Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability) SIMPLIFY-CITE SOURCES
IV
DV-acceptance toward CPD activities
Continuous Professional Development
Registered Midwives FAMILY 1.1 1.2 1.3 AWARENESS
Figure 1. Paradigm showing the relationships among the variables in this study. The identified GOVT. RESOURCES independent variables are family, awareness, government resources, schools preparedness, advance competencies, and employability, while the level of acceptance towards the CPD activities is the dependent variable in this study.
SCOPE AND LIMITATIONS OF THE STUDY
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City This
exploratory
qualitative-descriptive
study
was
conducted
at
the
14 different
municipalities in the province of Guimaras. The 50 respondents were midwifery practitioners. This study made use of a researcher-made survey questionnaire validated by subject specialist of IMAP. To elaborate the findings, the results obtained from the participants are analyzed a posteriori. This study is designed with a longitudinal perspective. Hence, Future similar studies could be conducted to further investigate on the levels of acceptance of healthcare professionals towards CPD units to update and validate the data with the current trend and changing outlooks of healthcare professionals most especially the midwives.
SIGNIFICANCE OF THE STUDY
The results of this study will be beneficial to the following:
Government Sectors. To device or craft programs that will lead to the accomplishment of the researchers recommendations. Healthcare Professionals. To raise awareness and develop an inquisitive minds to further investigate on the data presented by the researchers. Academe. To address the needs presented by this paper.
DEFINITION OF TERMS ICM DEFINITION
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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CONTINUING PROFESSIONAL DEVELOPMENT (CPD) San Pedro (2017) defined CPD as inculcation, assimilation and acquisition of knowledge, skills, proficiency and ethical and moral values, after the initial registration of the professional that raises and enhances the professional’s technical skills and professional competence. In this study, CPD refers to the requirement to be presented to in the renewal of professional card of midwives in the country.
MIDWIVES- USE OTHER DEFINITION NOT FROM WIKIPEDIA Wikipedia (2018) coined midwives as a health professional specializing in pregnancy, childbirth,
postpartum,
women’s
sexual
and
reproductive
health
(including
annual
gynaecological exams, family planning, menopausal care and others), and newborn care. In this study, it refers to the professionals who are required of the CPD units. Moreover, midwives are the participants of this study.
ADD LEVEL OF ACCEPTANCE DEFINITION CPD ACTIVITIES FACTORS
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER II
REVIEW OF THE RELATED LITERATURE
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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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REVIEW OF THE RELATED LITERATURE AND STUDIES- additional lit on CPD units Midwifery has had numerous contributions in the old civilization and even in today’s modern society. Midwifery is, in fact, one of the oldest professions in the world and is thought to have arrived prior to the nursing and medical professions (Pezaro, 2017). In the Philippines, midwives had prided themselves with several accomplishments in the society for birthing babies that turned out to be professionals and experts in various fields. Unfortunately, there are not enough midwives in the country to render maternal and child care especially to the rural populations, who are remote from accessing maternal health services from a doctor (Vesagas, 2013). Furthermore, Vesagas (2013) emphasized that there are not enough midwifery schools that produce competent midwives in the country. There may be a number of graduates that earned the degree through a two-year Graduate in Midwifery ladderized curriculum and had able to take and pass the Midwifery Licensure Examination by handling 20 deliveries, assisting to at least 20 deliveries, render cord care to 20 newborns, suturing 5 cases of vaginal lacerations, and rendering 5 intravenous insertions as eligibility prerequisites for taking the said examination. However, renewing a license appeared to be a strenuous activity for many health care professionals, most especially to the midwives. Under the Continuing Professional Development Law, workers covered by the Professional Regulatory Commission are required to seek opportunities to boost their skills and knowledge. San Pedro (2017) – defined CPD as inculcation, assimilation and acquisition of knowledge, skills, proficiency and ethical and moral values, after the initial registration of the
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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professional that raises and enhances the professional’s technical skills and professional competence. The primary aim of continuing professional development (CPD) is improvement in the provision of services among professionals in the country. CPD would enable professionals and practitioners in the country to provide quality and service, delivery, and fulfillment of the stated job objectives / description. However, these added requirements had been a heated topic for the shortage of workforce in the country, most especially in the field of midwifery. Pasion (2017) added that professionals would have to shell out thousands worth of extra cash when they renew their license. The same problems are reoccurring in other countries. Davids (2006) explained that the problem points to the fact that professional nurses in South Africa are not aware that it is their responsibility to continue learning and to seek learning opportunities in order to address their learning needs after obtaining a basic nursing qualification. There are a lot of factors and kind of challenges one may anticipate that prevents healthcare professionals from participating in CPD activities. In the study of Arunachallam (2009) 63% of the respondents revealed that family and social commitments might prevent them from engaging in CPD activities. Moreover, Gould, et. al. (2007) in the study of Arunachallam (2009) stated that the demands of undertaking CPD conflicted with home and domestic commitments and emphasized that that time was a factor especially when having to travel to CPD venues and arranging child-care, which is inconvenient to many health care professionals. Arunachallam (2009) furthermore revealed that finances could deter the desire of health care professional to earn CPD units where 5 % from the Nursing and Midwifery Council of United Kingdom determined that the cause of non-compliance was due to financial constraints
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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as short courses, conferences, and the like are expensive if no financial assistance is provided by the employer. Furthermore, 56% of the respondents of the study felt that their employers may place restrictions on them for engaging in CPD activities for often; only senior management is permitted to go to CPD activities (Arunachallam, 2009). VARIABLES SHOULD BE BASED ON LITERATURE
Synthesis This study aims to examine the level of acceptance of the registered midwives in attending CPD activities as requirement in the renewal of professional identification card in the province of Guimaras, and with high hopes be able to resolve the multi-faceted issue in promoting better workforce in the Philippines.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER III
RESEARCH METHODOLOGY
For the instrument/questionnaire a psychometrician
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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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RESEARCH METHODOLOGY This qualitative research aims to investigate the factors that influence the levels of acceptance among midwives in the province of Guimaras towards compliance of the required CPD units. The research was conducted using researcher-made survey questionnaire in the different municipalities in the province of Guimaras. The results were combined into key themes spanning across countries using a grounded theory approach.
RESEARCH DESIGN-describe (qualitative-quantitative # of respondents thru the use of sampling) --------Does not enumerate sample population get the profile of midwife. The instrument used to gather data was a validated researcher-made survey questionnaire. The 12 – item self-constructed survey questionnaire was developed and was validated by the researchers to assess the level of acceptance of midwives to the proposed CPD requirement in renewing professional health cards in the different municipalities of Guimaras. Furthermore, the content validation of the instrument was facilitated by the experts in the field of health care profession. The valuators were professors and instructors at Integrated Midwives Association of the Philippines (IMAP) Foundation School of Midwifery, Inc. The survey questionnaire was focused on the factors influencing the registered midwives towards CPD activities in the province of Guimaras. The factors were: A. Family how are the measured??? B. Awareness C. Government Resources
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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D. Schools Preparedness E. Advance Competencies F. Employability. The five – point Likert Scale was used for elicit responses from the respondents of the survey stated as: (5) Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or (1) Strongly Not Accepted.
RESPONDENTS OF THE STUDY-POPULATION STUDY/BASIC PROFILE OF MIDWIVES.. AGE, GENDER STATUS ETC. The participants of this study are the licensed midwives practicing their profession at the province of Guimaras. The participants of the study selected through cluster sampling, so as the health care professionals / practitioners from the different municipalities in the province of Guimaras are properly represented.. include no. Of respondents Cluster?? Discuss cluster
DATA GATHERING PROCEDURE- state validation reliability of the instrument Permission to conduct the study to the respondents was secured from the local chief executives from the different municipalities of the province of Guimaras. The researchers will conduct and administer the survey from one town to another to provide orientation before the survey to ensure the quality of the study. The respondents will be given 40 minutes to answer the survey questionnaire. The whole administration, including instruction will take about 55 minutes.
STATISTICAL TOOL-get the formula by mean discussed the scale
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
23
After the data had been gathered, the data will be properly encoded, analyzed, and arranged according to their frequency as yielded by the responses of the participants. Moreover, the average weighted mean were taken to determine the results of the accumulated responses. The five – point Likert Scale was used to interpret the level of acceptance stated as: (5) Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or (1) Strongly Not Accepted.
Below is the formula for deriving the mean: Mean =
Where,
∑ ( fx ) no . of respondents
∑❑
;
means sum of all the factors multiplied with the indicators; where f stands for
factor(s) and x stand/s for the indicator/s divided by their total number of respondents.
While deriving at the average weighted mean, the researchers used the following formula. Average Weighted Mean =
∑ ( mean ) no . of factors
;
Where, the sum of the entire mean under the specific criterion is divided by their total number of factors in the said criterion.
Omit just discuss the scale: suggested 1.0 - 1.79 STRONGLY NOT ACCEPTED 1.80 – 2.59 NOT ACCEPTED 2.60 - 3.39 NEUTRAL 3.40 – 4.19 ACCEPTED 4.20- 5.0 STRONGLY ACCEPTED
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
Show how you analyzed data (statistical tool) Show how you present data (tables)
CHAPTER IV
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA For analysis:
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INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City Improved in table full categories As whole Discussed respondents/ total # Neutral / Undecided- chose one.. suggested undecided will be used Findings based on statement Get some validated questionnaire in previous studies
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA-
The tables below show the responses of the respondents: Table 1. FAMILY FINANCES A. Family Finances 1. CPD activities are an additional expense for the family. 2. The family
has
MEAN
DEPENDENT VARIABLE
4.12
Accepted
2.4
Not Accepted
25
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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sufficient budget to support
the
CPD
activities. Average Weighted Mean 3.26 Neutral / Undecided DESCRIPTION: DISCUSS every TABLE do not go directly to average weighted mean As shown in table 1, the average weighted mean of 3.26 from the responses of the midwives in the province of Guimaras is nearer to 3 than 4. Therefore, the equivalent category of 3.26 is Neutral / Undecided. From this result, it revealed that the midwives deemed CPD activities as additional expenses and there is not enough budget to support the CPD activities. However, average weighted mean of 3.26 when interpreted weighs neutral / undecided. These results suggest that there is no sufficient budget or family income to support the CPD activities yet the respondents accepted / welcome the idea that attending may entail additional budget or expenses for the family finances. Concluding that their readiness for CPD activities is still undecided and hypothetically the healthcare professionals, particularly midwives be swayed or encouraged to attend CPD activities if there is sufficient income for the family to do so. Table 2.AWARENESS B. Awareness 3. The community aware
of
mandatory
2.68
Neutral / Undecided
2.70
Neutral / Undecided
the CPD
dissemination programs / campaigns the
DEPENDENT VARIABLE
is
activities. 4. Information
to
MEAN
healthcare
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27
community regarding CPD
reforms
were
made before its full implementation were made. Average Weighted Mean
2.69
Neutral / Undecided
As shown in table 2, the average weighted mean of 2.69 from the community sector is nearer to 3 than 2.Therefore the equivalent category of 2.69 is “Neutral/ Undecided”. From this result, it simply means that the government which promotes this educational reform is lacking of information dissemination program to the community, particularly to the midwives in the province of Guimaras. The medical practitioners were not fully aware of the nature and implementation of the mandatory CPD activities. The results that yielded neutral means part of the population are aware of the program and the rest are unaware of the program. Table 3.GOVERNMENT RESOURCES- IMPROVE C. Government Resources 5. The government allotted support
budget
MEAN
DEPENDENT VARIABLE
2.72
Neutral / Undecided
2.72
Neutral / Undecided
to
healthcare
professionals
to
avail / attend free CPD activities. Average Weighted Mean
As shown in table 3, the weighted mean of 2.72 from the community sector is nearer to 3 than 2. Therefore the equivalent category of 2.72 is “Neutral/Undecided”. The medical
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28
practitioners or the midwives are not fully aware or do not have enough idea if the government has allotted enough budget to support healthcare professionals to avail / attend free CPD activities. However there are programs in the government providing free CPD trainings like Updates on Midwifery Profession and Practice, Scientific Seminars, Boosting Knowledge in Addressing Common Maternal and Pediatric Issues in the First 1,000 Days of Life, yet not all the respondents are aware of it hampering them to avail of the government provisions and quality programs.
Table 4.SCHOOLS PREPAREDNESS D. Schools Preparedness 6. Schools are equipped
MEAN
DEPENDENT VARIABLE
3.02
Neutral / Undecided
2.36
Not Accepted
2.69
Neutral / Undecided
to provide quality and relevant CPD activities for
healthcare
professionals. 7. Schools providing CPD trainings are available in the municipality / within the province. Average Weighted Mean
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29
As shown in table 4, the weighted mean 2.69 it revealed that school preparedness is nearer 3 than 4.
However the mean of 3.02 for the respondents is nearer to 3 than 4.
Therefore the equivalent category of 3.02 is “Neutral/Undecided” which means that the community is not aware or no idea if the schools are equipped to provide quality and relevant CPD activities for healthcare professionals. While the mean of 2.36 from the respondents is nearer to 2 than 3. Therefore the equivalent category of 2.36 is “Not Accepted”. The respondents express that there are no available schools in the districts that could provide CPD trainings for the midwives in the province of Guimaras. These circumstances should be met in order for the willing healthcare professionals to attend CPD activities within their respective districts. Table 5. ADVANCE COMPETENCIES E. Advance Competencies 8. The CPD activities will equip
MEAN
DEPENDENT VARIABLE
3.30
Neutral / Undecided
3.30
Neutral / Undecided
and
considerably necessary
for
healthcare professionals provide
to better
medical services. Average Weighted Mean
As shown in table 5, the weighted mean of 3.30 from the responses is nearer to 3 than 4 and the equivalent category of 3.30 is “Neutral / Undecided”. Basically, the healthcare professionals has not sighted whether engaging in the CPD activities will equip them with
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pedagogies per se that has practical uses in the medical field. Since the previous these data shows their being unaware of the benefits of the program, the results yielded undecided. Part of the population is aware of the benefits of CPD activities in the advancement of their careers but some are still unaware of its benefit.
Table 6. EMPLOYABILITY D. Employability 9. The healthcare
MEAN
DEPENDENT VARIABLE
3.38
Neutral / Undecided
3.36
Not Accepted
3.32
Neutral / Undecided
professionals attending
CPD
activities will broaden options to find more relevant medical jobs in the field. 10. The CPD units earned will equip and allow healthcare professionals
to
demonstrate the skills needed to be hired in the medical field. 11. The CPD units earned boosts
healthcare
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professionals’ resume and raise chances of employability. 12. Earning CPD units is not a guarantee of 3.56
Accepted
3.41
Neutral / Undecided
getting hired in the field. Average Weighted Mean
As shown in table 6, the average weighted mean of 3.41 from the community sector is nearer to 3 than 4. However, the mean in the healthcare professionals responded and accepted the statements under the Employability factor that states, participating in the CPD activities are not reciprocated assurance of high chances of becoming employed and have jobs in the medical field, yielded 3.56 with the equivalent category of “Accepted”. The average weighted mean weighing 3.41 as interpreted, weighs neutral. This only shows that only part of the population is aware of the perks of raising employability stats attending CPD activities could bring about.
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CHAPTER V
SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS
32
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SUMMARY OF FINDINGS The respondents, who are midwives from the different municipalities of Guimaras, have shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12 awareness, government resources, schools preparedness, advance competencies, and employability. The collected data suggests that that the government which implements this reform and advocates professional development has an inadequate information dissemination program to the community, particularly to the midwives who are covered by this implemented law. Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities as an additional expense for the family and earning so or participating in these mandatory CPD activities guarantee landing on the already stiff job placement. Furthermore, schools within the district and are not available to provide adequate trainings for these mandatory CPD among the midwives in the province of Guimaras.
CONCLUSIONS- BASED ON THE FINDINGS
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1. 2. CPD activities are perceived to be as an added burden to the families of midwives’ tight household expenses. Campaigns and information dissemination on mandatory CPD activities went ineffective and should be done intensively. Moreover, the results suggest that the government lacks allocation on these CPD activities as perceived by the midwives in the province of Guimaras and acquiring so these mandatory trainings does not quantify to the placement of the midwives to the sought-after job in the government, hence midwives, needless to derive, find it impractical to participate in these CPD activities With the same data gathered, when analyzed, transpire the beliefs of the midwives in Guimaras who are kept at bay or withheld whether to engage in CPD activities having no guarantee of securing the job amidst their learned or acquired competencies.
RECOMMENDATIONS The findings laid the bases for the following recommendations: 1) The results of the present study should be furnished to the different agencies; specifically to the law-makers in order to oversee and evaluate the relevance of the study to the program to meet the needs of the medical practitioners especially those who are majoring in Midwifery. 2) It is recommended that public symposium and campaign should be done to disseminate correct information and encourage medical practitioners most especially the midwives to see the benefits of participating and engaging in different CPD activities and eliminate the clouded stigma about CPD activities.
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3) It is strongly recommended that the government should take broader steps in providing support and making these CPD activities or courses available within the district, to provide convenient access of information among midwives, even those who live in the outskirts of the town. 4) It is further recommended that researchers who may wish to study the same inquiry should take longitudinal study for this case, to have more clarifications and answers to the question, such as if there are other factors that contributes to the non-compliance of CPD activities among midwives that are not measured by this study. 5) It is likewise recommended that a replication of this study with other possible variables may be further conducted to confirm the result of the present finding
APPENDICES
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Appendix A (Letter of Communication)
36
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37
February 7, 2019 HON. LUBEN G. VILCHES Municipal Mayor Sibunag, Guimaras Thru: DR. BURT J. JORDAS Municipal Health Officer Sibunag Rural Health Unit Dear Hon. Vilches: Greetings! The Bachelor of Science in Midwifery (BSM) IV Group 5, would like to conduct a research study in your respective Rural Health Center on February 11, 2019. In view of this, we would like to request from your good oflice to please allow us to conduct our study entitled "LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS CPD ACTIVITIES IN THE PROVINCE OF GUIMARAS”. We would ensure that no ethical violations will be done in the conduct of this study. in the process of the information gathering, the respondents may or may not be required to provide their names. Before providing them the questionnaire, we will also let them know about the
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goals of the research study and how we will use the information that they will provide" A sample of the questionnaire will be attached in this letter. We are sincerely hoping for your kind consideration. Your contribution is highly essential for the conduct of this research study. Thank you so much and more power! Very truly yours, MA. LEONORA C. MAMON, RM MERCY S. BILBAO, RM MARIZA HOPE Z. BANO RHEA G. TORILLO, RM ALEN JOY T. ERPELUA, RM Noted: MA. GI G. DEFENSOR, RM, MMHA Dean
Appendix B (Instrument)
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INFORMATION SHEET Name: ______________________________________ Age: ___ Sex: Male Female Address: ____________________________________________________________________ Designation: __________________________ Agency: _________________________________ SURVEY QUESTIONAIRE DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the researchers. Please read each statement carefully. Tick () the box that corresponds to your answer. (5)
(4)
(3)
(2)
(1)
Strongly
Accepte
Neutral /
Not
Strongly
Accepted
d
Undecide
Accepte
Not
d
d
Accepte d
G. FAMILY FINANCES 13.CPD activities
are
an
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City additional expense for the family. 14.The family
has
sufficient
budget to support the CPD activities. H. AWARENESS 15.The community is aware of the
mandatory
activities. 16.Information
CPD
dissemination
programs / campaigns to the healthcare
community
regarding CPD reforms were made
before
its
full
implementation were made. I. GOVERNMENT RESOURCES 17.The government allotted budget to support healthcare professionals to avail/attend free CPD activities. J. SCHOOLS PREPAREDNESS 18.Schools are equipped to provide quality and relevant CPD activities for healthcare professionals. 19.Schools providing
CPD
trainings are available in the municipality
/
within
the
40
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City province. K. ADVANCE COMPETENCIES 20.The CPD activities will equip and considerably necessary for healthcare professionals to provide better medical services. L. EMPLOYABILITY 21.The healthcare professionals attending CPD activities will broaden options to find more relevant medical jobs in the field. 22.The CPD units earned will equip and allow healthcare professionals to demonstrate the skills needed to be hired in the medical field. 23.The CPD units earned boosts healthcare
professionals’
resume and raise chances of employability. 24.Earning CPD units is not a guarantee of getting hired in the field.
41
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City DOCUMENTATION PICTURES
42
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REFERENCES Arunachallam, S. (2009).The development of a model for continuing professional development for professional nurses in South Africa. Retrieved from http://etd.uwc.ac.za/xmlui/bitstream/handle/11394/2377/Arunachallam_PHD_2009.pdf? sequence=1 Feldacker, C. (2017). Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa: A qualitative evaluation. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645103/ Iliffe, J. (2011). Developing a national continuing professional development framework. African Journal of Midwifery and Womens Health, 5(4), 189-194 Latoza, R. (2015). Senate approves bill requiring professionals to undergo CPD before licenses are renewed. Retrieved from https://www.iloilometropolitantimes.com/senate-approves-billrequiring-professionals-to-undergo-cpd-before-licenses-are-renewed/ Lee, J. (2014). 6 Human Jobs That Computers Will Never Replace. Retrieved from https://www.makeuseof.com/tag/6-human-jobs-computers-will-never-replace/ Pezaro, S. (2017).Oh baby: seven things you probably didn’t know about midwives. Retrieved from https://www.google.com.ph/amp/s/theconversation.com/amp-oh-baby-seven-things-youprobably-didnt-know-about-midwives-77128 Vesagas, P.J. (2013) Vesagas: Philippine Midwifery Week. Retrieved from https://www.sunstar.com.ph/article/310940
1
DO NOT USE ACRONYM IN TITLE LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS CONTINUING PROFESSIONAL DEVELOPMENT (CPD) ACTIVITIES IN THE PROVINCE OF GUIMARAS Follow APA format Separate chapter for Theoretical & Conceptual Framework include in this chapter the definition of Terms. (put after RRL) Paper size: 8 ½ x 11 IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE
Font: Times New Roman
DEGREE OF BACHELOR OF SCIENCE IN MIDWIFERY Deadline on or before April 15, 2019
MA. LEONORA C. MAMON, RM MERCY S. BILBAO, RM MARIZA HOPE Z. BANO, RM RHEA G. TORILLO, RM ALEN JOY T. ERPELUA, RM
March 2019
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
TABLE OF CONTENTS Page
APPROVAL SHEET ACKNOWLEDGEMENT ABSTRACT LIST OF FIGURES LIST OF TABLES
ii iii iv v vi
CHAPTER 1 INTRODUCTION Background of the Study Statement of the Problem Theoretical Framework Conceptual Framework Schematic Diagram Scope and Limitation of the Study Definition of Terms
1 2-3 4 4 5 5 6 7
CHAPTER II REVIEW OF THE RELATED LITERATURE Synthesis
8 9-11 11
CHAPTER III RESEARCH METHODOLOGY Research Design Respondents of the Study Data Gathering Procedure Statistical Tool
12 13 13-14 14 14 14-15
CHAPTER IV PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA Table 1-Table 6
16
CHAPTER V SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS Summary of Findings Conclusions Recommendations
24
APPENDICES A. Letter of Communication B. Research Instrument C. Documentation Pictures
27 29 31-33 34-35
17-23
25 25-26 26
2
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City REFERENCES
3
36 APPROVAL SHEET
This research paper entitled “Level of Acceptance of the Registered Midwives Towards CPD Activities in the Province of Guimaras” presented by Mamon, Ma. Leonora C., Bilbao, Mercy S., Bano, Mariza Hope Z., Torillo, Rhea G., Erpelua, Alen Joy T., in partial fulfillment of the requirements for the Degree of Bachelor of Science in Midwifery has been examined and is recommended for approval and acceptance. PATRICIA M. GOMEZ, MCHS Instructor/Adviser
Approved by the COMMITTEE ON ORAL EXAMINATION:
REYMA M. MAGBANUA, RN, MAN, MBA, PhD. Chairman _________________ English Critic
___________________ Technical Editor ______________________ Statistician
PATRICIA M. GOMEZ, RM, MCHS President/Administrator Accepted in partial fulfillment of the requirements for the degree of BACHELOR OF SCIENCE IN MIDWIFERY.
MA. GI G. DEFENSOR, RM, MMHA Dean CECILIA E. DEGUMA, RM, MMHA
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Registrar ACKNOWLEDGEMENT The researchers are indebted to the following for their contribution to the realization of this research endeavor: Ma’am Patricia Gomez, the researchers’ adviser and mentor, when the researchers knew of no hope in accomplishing anything, she lets them view the tasks given in a different outlook. The inspiring insights had given them a head-start; The researchers’ kind parents, and the researchers’ sponsors and benefactors, this is for the unconditional love if at times it had been unrequited; The researchers’ circles of friends, for making them learn things they will never learn inside the four walls of the classroom― the meaning of friendship; The IMAP, for giving the best education one can ever ask for and for nurturing the researchers under her thick canopy for the duration of this course. This is for the school that may never be a perfect place but taught the researchers a lot; Thank you may be an understatement but thank you, anyway. And above all, to the Almighty God, to whom all the undertakings and every endeavor of the researchers are offered, the researchers walk in the power of His daily sufficient grace, in their travel across Guimaras Island to the heart of the city, high hopes―safe and sound. This research is something they all would like look back, when the time grows old with waiting. This paper belongs to that time.
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ABSTRACT Anent to the enactment of Republic Act No. 10912, otherwise known as the “Continuing Professional Development (CPD) Act of 2016”, which requires CPD as the mandatory requirement for the renewal of Professional Identification Card, this paper examines the level of acceptance of the midwives in all of the municipalities in the province of Guimaras, towards Continuing Professional Development (CPD) activities and determine which factor greatly influence the acceptance of the CPD activities. A 12-item self-constructed survey questionnaire was developed and validated by the researchers and subject specialists. The respondents, who are midwives from the five different municipalities of Guimaras, have shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12 awareness, government resources, schools preparedness, advance competencies, and employability. The collected data suggests that the government which implements this reform and advocates professional development has an inadequate information dissemination program to the community, particularly to the midwives who are covered by this implemented law. Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities as an additional expense for the family and earning so or participating in these mandatory CPD activities guarantee landing on the already stiff job placement. Furthermore, schools within the district and are not available to provide adequate trainings for these mandatory CPD among the midwives in the province of Guimaras. This study is designed with a longitudinal perspective. Hence, future researches could be conducted to
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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further investigate on the levels of acceptance of healthcare professionals towards CPD units to update and validate the data with the current trend and changing outlooks of healthcare professionals most especially the midwives.
LIST OF FIGURES THIS IS NOT A LIST OF FIGURES Schematic diagram Factors Influencing the Level of Acceptance (Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability)
Continuous Professional Development Registered Midwives
Figure 1. Paradigm showing the relationships among the variables in this study. The identified independent variables are family, awareness, government resources, schools preparedness, advance competencies, and employability, while the level of acceptance towards the CPD activities is the dependent variable in this study.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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THIS IS NOT A LIST OF TABLES LIST OF TABLES INFORMATION SHEET Name: ______________________________________ Age: ___ Sex: Male Female Address: ____________________________________________________________________ Designation: __________________________ Agency: _________________________________ SURVEY QUESTIONAIRE DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the researchers. Please read each statement carefully. Tick () the box that corresponds to your answer. (5) (4) (3) (2) (1) Strongly Accepte Neutral / Not Strongly Accepted d Undecide Accepte Not d d Accepte d A. FAMILY FINANCES 1. CPD activities are an additional expense for the family. 2. The family has sufficient budget to support the CPD activities. B. AWARENESS 3. The community is aware of the mandatory CPD activities. 4. Information dissemination programs / campaigns to the healthcare community regarding CPD reforms were made before its full implementation were made. C. GOVERNMENT RESOURCES 5. The government allotted budget to support healthcare professionals to avail/attend free CPD activities. D. SCHOOLS PREPAREDNESS 6. Schools are equipped to provide quality and relevant
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City CPD activities for healthcare professionals. 7. Schools providing CPD trainings are available in the municipality / within the province. E. ADVANCE COMPETENCIES 8. The CPD activities will equip and considerably necessary for healthcare professionals to provide better medical services. F. EMPLOYABILITY 9. The healthcare professionals attending CPD activities will broaden options to find more relevant medical jobs in the field. 10.The CPD units earned will equip and allow healthcare professionals to demonstrate the skills needed to be hired in the medical field. 11.The CPD units earned boosts healthcare professionals’ resume and raise chances of employability. 12.Earning CPD units is not a guarantee of getting hired in the field.
8
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CHAPTER I
INTRODUCTION
BACKGROUND OF THE STUDY
9
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Amidst the advancement of the technology and the advent of sophisticated, state of the art, modern medical equipment, health care professionals are still considered the most important play-maker in the field of medicine. Lee (2014), emphasized that there are aspects of medicine that are entirely based on medical knowledge, technical expertise, and data analysis could be reasonably automated without much consequence, however, there are elements of healthcare that computers just do not possess the capabilities of handling: bedside manner, making tough decisions from incomplete patient data, dealing with human psychology, and so on. However, with the many breakthroughs and innovations that surfaced in the medical field, health care professionals should upgrade their competences; acquire novel knowledge that would enable them to grow more productive and more efficient to fulfil what is on their job descriptions. To actively respond to the challenges of the rapidly changing workplace in the medical field, continuing professional development (CPD) of health care workers had been made a prerequisite in the practice of the midwives in the Philippines. Republic Act No. 10912, otherwise known as the “Continuing Professional Development (CPD) Act of 2016”, is an act which requires CPD as the mandatory requirement for the renewal of Professional Identification Card. The continuing professional development (CPD) for many professionals, specifically the midwives, had been a heated discussion among health care professionals. In the already tight schedule of health care professionals, continuing professional development should be viewed not as added burden rather as an engaging and worthwhile activity. Conversely in many unfathomable circumstances, earning CPD units have been neglected by many.
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Republic Act No. 10912, Resolution No. 2016-990 otherwise known as Continuing Professional Development Act of 2016 aimed to promote and upgrade the practice of professions in the country. Towards this end, the State shall institute measures that will continuously improve the competence of the professionals in accordance with international standards of practice, thereby, ensuring their contribution in uplifting the general welfare, economic growth and development of the nation, thus, aiming to produce competent workers most especially in the field of medicine, specifically the midwives. This study aims to examine the level of acceptance of the registered midwives from the different municipalities of the province of Guimaras in pursuing continuing professional development. This further aims to determine which factor greatly influence the acceptance of the proposed mandatory CPD requirement and shed some light for further comprehensive plans to aid the health care professionals to be equipped of the pedagogies needed in the field of medicine. Add more study or news about CPD
SUGGESTED: What is the level of acceptance of Registered midwives towards CPD as a whole and when classified according to the areas of 1.1 family finances
STATEMENT OF THE PROBLEM
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The purpose of this study is to investigate the factors influencing the level of acceptance among health care professionals, most especially the midwives, towards accomplishing / earning the required CPD units as mandated in the Philippines.
Specifically, this study seeks to answer following questions: 1. What are the evident factors influencing the level of acceptance among health care professionals of continuous professional development of midwives in the province of Guimaras? 2. What are the evident factors influencing the level of acceptance among health care professionals of continuous professional development of midwives in the different municipalities in the province of Guimaras?
THEORETICAL FRAMEWORK This study is anchored on the grounded approach theory. To Charmaz (2016), grounded theory refers to a set of systematic inductive methods for conducting qualitative research aimed toward theory development. The term grounded theory denotes dual referents: (a) a method consisting of flexible methodological strategies and (b) the products of this type of inquiry. Increasingly, researchers use the term to mean the methods of inquiry for collecting and, in particular, analyzing data. The methodological strategies of grounded theory are aimed to construct middle-level theories directly from data analysis. The inductive theoretical thrust of these methods is central to their logic. The resulting analyses build their power on strong empirical foundations. These analyses provide focused, abstract, conceptual theories that Theory : Not Grounded Approach Theory- change the frameworkCPD gets in CONCEPTUAL FRAMEWORK
explain the studied empirical phenomena.
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This study zeroes in on the professional development of the midwives in the country and in investigating factors that affects / influences the levels of acceptance with the said mandated requirements. The research model suggests the six (6) input variables that may impact the level of acceptance perceived by the registered midwives to the proposed CPD activities by the Civil Service Commission. These factors are six underlying independent variables, namely: Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, and Employability. SCHEMATIC DIAGRAM THE VARIABLES SHOULD BE BASED ON LITERATURE:
Factors Influencing the Level of Acceptance (Family, Awareness, Government Resources, Schools Preparedness, Advance Competencies, Employability) SIMPLIFY-CITE SOURCES
IV
DV-acceptance toward CPD activities
Continuous Professional Development
Registered Midwives FAMILY 1.1 1.2 1.3 AWARENESS
Figure 1. Paradigm showing the relationships among the variables in this study. The identified GOVT. RESOURCES independent variables are family, awareness, government resources, schools preparedness, advance competencies, and employability, while the level of acceptance towards the CPD activities is the dependent variable in this study.
SCOPE AND LIMITATIONS OF THE STUDY
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City This
exploratory
qualitative-descriptive
study
was
conducted
at
the
14 different
municipalities in the province of Guimaras. The 50 respondents were midwifery practitioners. This study made use of a researcher-made survey questionnaire validated by subject specialist of IMAP. To elaborate the findings, the results obtained from the participants are analyzed a posteriori. This study is designed with a longitudinal perspective. Hence, Future similar studies could be conducted to further investigate on the levels of acceptance of healthcare professionals towards CPD units to update and validate the data with the current trend and changing outlooks of healthcare professionals most especially the midwives.
SIGNIFICANCE OF THE STUDY
The results of this study will be beneficial to the following:
Government Sectors. To device or craft programs that will lead to the accomplishment of the researchers recommendations. Healthcare Professionals. To raise awareness and develop an inquisitive minds to further investigate on the data presented by the researchers. Academe. To address the needs presented by this paper.
DEFINITION OF TERMS ICM DEFINITION
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CONTINUING PROFESSIONAL DEVELOPMENT (CPD) San Pedro (2017) defined CPD as inculcation, assimilation and acquisition of knowledge, skills, proficiency and ethical and moral values, after the initial registration of the professional that raises and enhances the professional’s technical skills and professional competence. In this study, CPD refers to the requirement to be presented to in the renewal of professional card of midwives in the country.
MIDWIVES- USE OTHER DEFINITION NOT FROM WIKIPEDIA Wikipedia (2018) coined midwives as a health professional specializing in pregnancy, childbirth,
postpartum,
women’s
sexual
and
reproductive
health
(including
annual
gynaecological exams, family planning, menopausal care and others), and newborn care. In this study, it refers to the professionals who are required of the CPD units. Moreover, midwives are the participants of this study.
ADD LEVEL OF ACCEPTANCE DEFINITION CPD ACTIVITIES FACTORS
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER II
REVIEW OF THE RELATED LITERATURE
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REVIEW OF THE RELATED LITERATURE AND STUDIES- additional lit on CPD units Midwifery has had numerous contributions in the old civilization and even in today’s modern society. Midwifery is, in fact, one of the oldest professions in the world and is thought to have arrived prior to the nursing and medical professions (Pezaro, 2017). In the Philippines, midwives had prided themselves with several accomplishments in the society for birthing babies that turned out to be professionals and experts in various fields. Unfortunately, there are not enough midwives in the country to render maternal and child care especially to the rural populations, who are remote from accessing maternal health services from a doctor (Vesagas, 2013). Furthermore, Vesagas (2013) emphasized that there are not enough midwifery schools that produce competent midwives in the country. There may be a number of graduates that earned the degree through a two-year Graduate in Midwifery ladderized curriculum and had able to take and pass the Midwifery Licensure Examination by handling 20 deliveries, assisting to at least 20 deliveries, render cord care to 20 newborns, suturing 5 cases of vaginal lacerations, and rendering 5 intravenous insertions as eligibility prerequisites for taking the said examination. However, renewing a license appeared to be a strenuous activity for many health care professionals, most especially to the midwives. Under the Continuing Professional Development Law, workers covered by the Professional Regulatory Commission are required to seek opportunities to boost their skills and knowledge. San Pedro (2017) – defined CPD as inculcation, assimilation and acquisition of knowledge, skills, proficiency and ethical and moral values, after the initial registration of the
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
18
professional that raises and enhances the professional’s technical skills and professional competence. The primary aim of continuing professional development (CPD) is improvement in the provision of services among professionals in the country. CPD would enable professionals and practitioners in the country to provide quality and service, delivery, and fulfillment of the stated job objectives / description. However, these added requirements had been a heated topic for the shortage of workforce in the country, most especially in the field of midwifery. Pasion (2017) added that professionals would have to shell out thousands worth of extra cash when they renew their license. The same problems are reoccurring in other countries. Davids (2006) explained that the problem points to the fact that professional nurses in South Africa are not aware that it is their responsibility to continue learning and to seek learning opportunities in order to address their learning needs after obtaining a basic nursing qualification. There are a lot of factors and kind of challenges one may anticipate that prevents healthcare professionals from participating in CPD activities. In the study of Arunachallam (2009) 63% of the respondents revealed that family and social commitments might prevent them from engaging in CPD activities. Moreover, Gould, et. al. (2007) in the study of Arunachallam (2009) stated that the demands of undertaking CPD conflicted with home and domestic commitments and emphasized that that time was a factor especially when having to travel to CPD venues and arranging child-care, which is inconvenient to many health care professionals. Arunachallam (2009) furthermore revealed that finances could deter the desire of health care professional to earn CPD units where 5 % from the Nursing and Midwifery Council of United Kingdom determined that the cause of non-compliance was due to financial constraints
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
19
as short courses, conferences, and the like are expensive if no financial assistance is provided by the employer. Furthermore, 56% of the respondents of the study felt that their employers may place restrictions on them for engaging in CPD activities for often; only senior management is permitted to go to CPD activities (Arunachallam, 2009). VARIABLES SHOULD BE BASED ON LITERATURE
Synthesis This study aims to examine the level of acceptance of the registered midwives in attending CPD activities as requirement in the renewal of professional identification card in the province of Guimaras, and with high hopes be able to resolve the multi-faceted issue in promoting better workforce in the Philippines.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER III
RESEARCH METHODOLOGY
For the instrument/questionnaire a psychometrician
20
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
21
RESEARCH METHODOLOGY This qualitative research aims to investigate the factors that influence the levels of acceptance among midwives in the province of Guimaras towards compliance of the required CPD units. The research was conducted using researcher-made survey questionnaire in the different municipalities in the province of Guimaras. The results were combined into key themes spanning across countries using a grounded theory approach.
RESEARCH DESIGN-describe (qualitative-quantitative # of respondents thru the use of sampling) --------Does not enumerate sample population get the profile of midwife. The instrument used to gather data was a validated researcher-made survey questionnaire. The 12 – item self-constructed survey questionnaire was developed and was validated by the researchers to assess the level of acceptance of midwives to the proposed CPD requirement in renewing professional health cards in the different municipalities of Guimaras. Furthermore, the content validation of the instrument was facilitated by the experts in the field of health care profession. The valuators were professors and instructors at Integrated Midwives Association of the Philippines (IMAP) Foundation School of Midwifery, Inc. The survey questionnaire was focused on the factors influencing the registered midwives towards CPD activities in the province of Guimaras. The factors were: A. Family how are the measured??? B. Awareness C. Government Resources
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
22
D. Schools Preparedness E. Advance Competencies F. Employability. The five – point Likert Scale was used for elicit responses from the respondents of the survey stated as: (5) Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or (1) Strongly Not Accepted.
RESPONDENTS OF THE STUDY-POPULATION STUDY/BASIC PROFILE OF MIDWIVES.. AGE, GENDER STATUS ETC. The participants of this study are the licensed midwives practicing their profession at the province of Guimaras. The participants of the study selected through cluster sampling, so as the health care professionals / practitioners from the different municipalities in the province of Guimaras are properly represented.. include no. Of respondents Cluster?? Discuss cluster
DATA GATHERING PROCEDURE- state validation reliability of the instrument Permission to conduct the study to the respondents was secured from the local chief executives from the different municipalities of the province of Guimaras. The researchers will conduct and administer the survey from one town to another to provide orientation before the survey to ensure the quality of the study. The respondents will be given 40 minutes to answer the survey questionnaire. The whole administration, including instruction will take about 55 minutes.
STATISTICAL TOOL-get the formula by mean discussed the scale
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
23
After the data had been gathered, the data will be properly encoded, analyzed, and arranged according to their frequency as yielded by the responses of the participants. Moreover, the average weighted mean were taken to determine the results of the accumulated responses. The five – point Likert Scale was used to interpret the level of acceptance stated as: (5) Strongly Accepted, (4) Accepted, (3) Neutral / Undecided, (2) Not Accepted, or (1) Strongly Not Accepted.
Below is the formula for deriving the mean: Mean =
Where,
∑ ( fx ) no . of respondents
∑❑
;
means sum of all the factors multiplied with the indicators; where f stands for
factor(s) and x stand/s for the indicator/s divided by their total number of respondents.
While deriving at the average weighted mean, the researchers used the following formula. Average Weighted Mean =
∑ ( mean ) no . of factors
;
Where, the sum of the entire mean under the specific criterion is divided by their total number of factors in the said criterion.
Omit just discuss the scale: suggested 1.0 - 1.79 STRONGLY NOT ACCEPTED 1.80 – 2.59 NOT ACCEPTED 2.60 - 3.39 NEUTRAL 3.40 – 4.19 ACCEPTED 4.20- 5.0 STRONGLY ACCEPTED
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
Show how you analyzed data (statistical tool) Show how you present data (tables)
CHAPTER IV
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA For analysis:
24
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City Improved in table full categories As whole Discussed respondents/ total # Neutral / Undecided- chose one.. suggested undecided will be used Findings based on statement Get some validated questionnaire in previous studies
PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA-
The tables below show the responses of the respondents: Table 1. FAMILY FINANCES A. Family Finances 1. CPD activities are an additional expense for the family. 2. The family
has
MEAN
DEPENDENT VARIABLE
4.12
Accepted
2.4
Not Accepted
25
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
26
sufficient budget to support
the
CPD
activities. Average Weighted Mean 3.26 Neutral / Undecided DESCRIPTION: DISCUSS every TABLE do not go directly to average weighted mean As shown in table 1, the average weighted mean of 3.26 from the responses of the midwives in the province of Guimaras is nearer to 3 than 4. Therefore, the equivalent category of 3.26 is Neutral / Undecided. From this result, it revealed that the midwives deemed CPD activities as additional expenses and there is not enough budget to support the CPD activities. However, average weighted mean of 3.26 when interpreted weighs neutral / undecided. These results suggest that there is no sufficient budget or family income to support the CPD activities yet the respondents accepted / welcome the idea that attending may entail additional budget or expenses for the family finances. Concluding that their readiness for CPD activities is still undecided and hypothetically the healthcare professionals, particularly midwives be swayed or encouraged to attend CPD activities if there is sufficient income for the family to do so. Table 2.AWARENESS B. Awareness 3. The community aware
of
mandatory
2.68
Neutral / Undecided
2.70
Neutral / Undecided
the CPD
dissemination programs / campaigns the
DEPENDENT VARIABLE
is
activities. 4. Information
to
MEAN
healthcare
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
27
community regarding CPD
reforms
were
made before its full implementation were made. Average Weighted Mean
2.69
Neutral / Undecided
As shown in table 2, the average weighted mean of 2.69 from the community sector is nearer to 3 than 2.Therefore the equivalent category of 2.69 is “Neutral/ Undecided”. From this result, it simply means that the government which promotes this educational reform is lacking of information dissemination program to the community, particularly to the midwives in the province of Guimaras. The medical practitioners were not fully aware of the nature and implementation of the mandatory CPD activities. The results that yielded neutral means part of the population are aware of the program and the rest are unaware of the program. Table 3.GOVERNMENT RESOURCES- IMPROVE C. Government Resources 5. The government allotted support
budget
MEAN
DEPENDENT VARIABLE
2.72
Neutral / Undecided
2.72
Neutral / Undecided
to
healthcare
professionals
to
avail / attend free CPD activities. Average Weighted Mean
As shown in table 3, the weighted mean of 2.72 from the community sector is nearer to 3 than 2. Therefore the equivalent category of 2.72 is “Neutral/Undecided”. The medical
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
28
practitioners or the midwives are not fully aware or do not have enough idea if the government has allotted enough budget to support healthcare professionals to avail / attend free CPD activities. However there are programs in the government providing free CPD trainings like Updates on Midwifery Profession and Practice, Scientific Seminars, Boosting Knowledge in Addressing Common Maternal and Pediatric Issues in the First 1,000 Days of Life, yet not all the respondents are aware of it hampering them to avail of the government provisions and quality programs.
Table 4.SCHOOLS PREPAREDNESS D. Schools Preparedness 6. Schools are equipped
MEAN
DEPENDENT VARIABLE
3.02
Neutral / Undecided
2.36
Not Accepted
2.69
Neutral / Undecided
to provide quality and relevant CPD activities for
healthcare
professionals. 7. Schools providing CPD trainings are available in the municipality / within the province. Average Weighted Mean
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
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As shown in table 4, the weighted mean 2.69 it revealed that school preparedness is nearer 3 than 4.
However the mean of 3.02 for the respondents is nearer to 3 than 4.
Therefore the equivalent category of 3.02 is “Neutral/Undecided” which means that the community is not aware or no idea if the schools are equipped to provide quality and relevant CPD activities for healthcare professionals. While the mean of 2.36 from the respondents is nearer to 2 than 3. Therefore the equivalent category of 2.36 is “Not Accepted”. The respondents express that there are no available schools in the districts that could provide CPD trainings for the midwives in the province of Guimaras. These circumstances should be met in order for the willing healthcare professionals to attend CPD activities within their respective districts. Table 5. ADVANCE COMPETENCIES E. Advance Competencies 8. The CPD activities will equip
MEAN
DEPENDENT VARIABLE
3.30
Neutral / Undecided
3.30
Neutral / Undecided
and
considerably necessary
for
healthcare professionals provide
to better
medical services. Average Weighted Mean
As shown in table 5, the weighted mean of 3.30 from the responses is nearer to 3 than 4 and the equivalent category of 3.30 is “Neutral / Undecided”. Basically, the healthcare professionals has not sighted whether engaging in the CPD activities will equip them with
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
30
pedagogies per se that has practical uses in the medical field. Since the previous these data shows their being unaware of the benefits of the program, the results yielded undecided. Part of the population is aware of the benefits of CPD activities in the advancement of their careers but some are still unaware of its benefit.
Table 6. EMPLOYABILITY D. Employability 9. The healthcare
MEAN
DEPENDENT VARIABLE
3.38
Neutral / Undecided
3.36
Not Accepted
3.32
Neutral / Undecided
professionals attending
CPD
activities will broaden options to find more relevant medical jobs in the field. 10. The CPD units earned will equip and allow healthcare professionals
to
demonstrate the skills needed to be hired in the medical field. 11. The CPD units earned boosts
healthcare
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
31
professionals’ resume and raise chances of employability. 12. Earning CPD units is not a guarantee of 3.56
Accepted
3.41
Neutral / Undecided
getting hired in the field. Average Weighted Mean
As shown in table 6, the average weighted mean of 3.41 from the community sector is nearer to 3 than 4. However, the mean in the healthcare professionals responded and accepted the statements under the Employability factor that states, participating in the CPD activities are not reciprocated assurance of high chances of becoming employed and have jobs in the medical field, yielded 3.56 with the equivalent category of “Accepted”. The average weighted mean weighing 3.41 as interpreted, weighs neutral. This only shows that only part of the population is aware of the perks of raising employability stats attending CPD activities could bring about.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
CHAPTER V
SUMMARY OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS
32
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
33
SUMMARY OF FINDINGS The respondents, who are midwives from the different municipalities of Guimaras, have shown a result of “neutral/undecided” in all six (6) areas: family finances, K+12 awareness, government resources, schools preparedness, advance competencies, and employability. The collected data suggests that that the government which implements this reform and advocates professional development has an inadequate information dissemination program to the community, particularly to the midwives who are covered by this implemented law. Moreover, stigma among medical practitioners, specifically the midwives, perceive CPD activities as an additional expense for the family and earning so or participating in these mandatory CPD activities guarantee landing on the already stiff job placement. Furthermore, schools within the district and are not available to provide adequate trainings for these mandatory CPD among the midwives in the province of Guimaras.
CONCLUSIONS- BASED ON THE FINDINGS
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
34
1. 2. CPD activities are perceived to be as an added burden to the families of midwives’ tight household expenses. Campaigns and information dissemination on mandatory CPD activities went ineffective and should be done intensively. Moreover, the results suggest that the government lacks allocation on these CPD activities as perceived by the midwives in the province of Guimaras and acquiring so these mandatory trainings does not quantify to the placement of the midwives to the sought-after job in the government, hence midwives, needless to derive, find it impractical to participate in these CPD activities With the same data gathered, when analyzed, transpire the beliefs of the midwives in Guimaras who are kept at bay or withheld whether to engage in CPD activities having no guarantee of securing the job amidst their learned or acquired competencies.
RECOMMENDATIONS The findings laid the bases for the following recommendations: 1) The results of the present study should be furnished to the different agencies; specifically to the law-makers in order to oversee and evaluate the relevance of the study to the program to meet the needs of the medical practitioners especially those who are majoring in Midwifery. 2) It is recommended that public symposium and campaign should be done to disseminate correct information and encourage medical practitioners most especially the midwives to see the benefits of participating and engaging in different CPD activities and eliminate the clouded stigma about CPD activities.
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
35
3) It is strongly recommended that the government should take broader steps in providing support and making these CPD activities or courses available within the district, to provide convenient access of information among midwives, even those who live in the outskirts of the town. 4) It is further recommended that researchers who may wish to study the same inquiry should take longitudinal study for this case, to have more clarifications and answers to the question, such as if there are other factors that contributes to the non-compliance of CPD activities among midwives that are not measured by this study. 5) It is likewise recommended that a replication of this study with other possible variables may be further conducted to confirm the result of the present finding
APPENDICES
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
Appendix A (Letter of Communication)
36
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
37
February 7, 2019 HON. LUBEN G. VILCHES Municipal Mayor Sibunag, Guimaras Thru: DR. BURT J. JORDAS Municipal Health Officer Sibunag Rural Health Unit Dear Hon. Vilches: Greetings! The Bachelor of Science in Midwifery (BSM) IV Group 5, would like to conduct a research study in your respective Rural Health Center on February 11, 2019. In view of this, we would like to request from your good oflice to please allow us to conduct our study entitled "LEVEL OF ACCEPTANCE OF THE REGISTERED MIDWIVES TOWARDS CPD ACTIVITIES IN THE PROVINCE OF GUIMARAS”. We would ensure that no ethical violations will be done in the conduct of this study. in the process of the information gathering, the respondents may or may not be required to provide their names. Before providing them the questionnaire, we will also let them know about the
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
38
goals of the research study and how we will use the information that they will provide" A sample of the questionnaire will be attached in this letter. We are sincerely hoping for your kind consideration. Your contribution is highly essential for the conduct of this research study. Thank you so much and more power! Very truly yours, MA. LEONORA C. MAMON, RM MERCY S. BILBAO, RM MARIZA HOPE Z. BANO RHEA G. TORILLO, RM ALEN JOY T. ERPELUA, RM Noted: MA. GI G. DEFENSOR, RM, MMHA Dean
Appendix B (Instrument)
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
39
INFORMATION SHEET Name: ______________________________________ Age: ___ Sex: Male Female Address: ____________________________________________________________________ Designation: __________________________ Agency: _________________________________ SURVEY QUESTIONAIRE DIRECTIONS: Below are the twelve (12) self-constructed survey questions developed by the researchers. Please read each statement carefully. Tick () the box that corresponds to your answer. (5)
(4)
(3)
(2)
(1)
Strongly
Accepte
Neutral /
Not
Strongly
Accepted
d
Undecide
Accepte
Not
d
d
Accepte d
G. FAMILY FINANCES 13.CPD activities
are
an
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City additional expense for the family. 14.The family
has
sufficient
budget to support the CPD activities. H. AWARENESS 15.The community is aware of the
mandatory
activities. 16.Information
CPD
dissemination
programs / campaigns to the healthcare
community
regarding CPD reforms were made
before
its
full
implementation were made. I. GOVERNMENT RESOURCES 17.The government allotted budget to support healthcare professionals to avail/attend free CPD activities. J. SCHOOLS PREPAREDNESS 18.Schools are equipped to provide quality and relevant CPD activities for healthcare professionals. 19.Schools providing
CPD
trainings are available in the municipality
/
within
the
40
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City province. K. ADVANCE COMPETENCIES 20.The CPD activities will equip and considerably necessary for healthcare professionals to provide better medical services. L. EMPLOYABILITY 21.The healthcare professionals attending CPD activities will broaden options to find more relevant medical jobs in the field. 22.The CPD units earned will equip and allow healthcare professionals to demonstrate the skills needed to be hired in the medical field. 23.The CPD units earned boosts healthcare
professionals’
resume and raise chances of employability. 24.Earning CPD units is not a guarantee of getting hired in the field.
41
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City DOCUMENTATION PICTURES
42
INTEGRATED MIDWIVES ASSOCIATION OF THE PHILIPPINES (IMAP) FOUNDATION SCHOOL OF MIDWIFERY, INC. 41 Burgos Street, La Paz, Iloilo City
43
REFERENCES Arunachallam, S. (2009).The development of a model for continuing professional development for professional nurses in South Africa. Retrieved from http://etd.uwc.ac.za/xmlui/bitstream/handle/11394/2377/Arunachallam_PHD_2009.pdf? sequence=1 Feldacker, C. (2017). Continuing professional development for medical, nursing, and midwifery cadres in Malawi, Tanzania and South Africa: A qualitative evaluation. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645103/ Iliffe, J. (2011). Developing a national continuing professional development framework. African Journal of Midwifery and Womens Health, 5(4), 189-194 Latoza, R. (2015). Senate approves bill requiring professionals to undergo CPD before licenses are renewed. Retrieved from https://www.iloilometropolitantimes.com/senate-approves-billrequiring-professionals-to-undergo-cpd-before-licenses-are-renewed/ Lee, J. (2014). 6 Human Jobs That Computers Will Never Replace. Retrieved from https://www.makeuseof.com/tag/6-human-jobs-computers-will-never-replace/ Pezaro, S. (2017).Oh baby: seven things you probably didn’t know about midwives. Retrieved from https://www.google.com.ph/amp/s/theconversation.com/amp-oh-baby-seven-things-youprobably-didnt-know-about-midwives-77128 Vesagas, P.J. (2013) Vesagas: Philippine Midwifery Week. Retrieved from https://www.sunstar.com.ph/article/310940
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