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Nursing Thesis Proposal Format

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LEVEL OF AWARENESS AND ACCEPTANCE ON HUMAN PAPILLOMA


VACCINE AMONG FEMALE CALL CENTER AGENTS:
AN ASSESSMENT

A Thesis Proposal Presented to Thesis Committee and Faculty of System


Technology Institute College of Nursing Global City

In Partial Fulfillment of the Requirements


for the Degree Bachelor of Science in Nursing

Presented by ( Researchers Name )


FEBUARY 2011

APPROVAL SHEET
This thesis entitled Thesis Title was prepared and submitted by
Researchers Name in partial fulfillment of the requirements for the
degree of Bachelor of Science in Nursing.
Claire R. Hatton, RN, MAN
Adviser

PANEL OF EXAMINERS
Approved by the Committee on Oral Examination with a grade of _____%
__________________________
_____________________

______________________

Accepted and approved in partial fulfillment of the requirements for the


degree ofBachelor of Science in Nursing.

______________________________
OIC, College of Nursing

TABLE OF CONTENTS
CHAPTER
I. THE PROBLEM AND ITS BACKGROUND
Introduction.....
Conceptual Framework....
Statement of the Problem....
Significance of the Study.............
Scope and Limitations......
Definitions of Terms...
II. REVIEW OF RELATED LITERATURE
Related Foreign Literature......
Related Local Literature.......
Related Foreign Studies.....
Related Local Studies.....
III. METHODS AND PROCEDURES
Research Design ....
Participant Selection....
Research Instrument....
Data Gathering Technique....

Data Collection Procedure...


Statistical Treatment.....

CHAPTER I
THE PROBLEM AND ITS BACKGROUND
Introduction
The student / researcher explain the background of the study and
citessituations or statements of authorities to explain why the study is
beingconducted. The student/researcher points out that the study is
on/about a specialproblem different from other problems. The interplay of
identified variables thatmay cause a process to take place is discussed.
Example:
One of the biggest health problems in the world today is
diabetes.Diabetes

is

chronic

(long-term)

condition

marked

by

abnormally high levels ofsugar (glucose) in the blood. People with


diabetes either do not produce enoughinsulin, a hormone that is needed
to convert sugar, starches and other food intoenergy needed for daily life
or cannot use the insulin that their bodies produce.As a result, glucose
builds up in the bloodstream. If left untreated, diabetes canlead to
blindness, kidney disease, nerve disease, heart disease, and stroke. It isa

common

chronic

disease

that

affects

approximately

245

million

peopleworldwide and the numbers simply keep on growing with each


passing day. Formany people, diabetes is a reality that they have live with
every single day.However, it is possible to lead a healthy and wholesome
life even with diabetes.
Diabetes kills one person every 10 seconds and infects two persons in
thesame short time. This is the scary reality behind this silent killer,
which is takingas many lives as Human Immunodeficiency VirusAcquired Immune DeficiencySyndrome. According to the Philippine
Diabetes Association, 3.8 million peopledie every year because of
diabetes-related causes while 245 million are inflictedwith the disease
worldwide. By 2025, the figure is expected to double, affecting mostly
Asia, the Pacificregion, Latin America and Africa, including the
Philippines. The National CapitalRegion has the most number which
totals to 8 percent of the population whilerural areas have an average of
4 percent as of the last survey. The burden ofdiabetes is often carried by
the poor, mainly because treatment requiresfinances. There are even
some people who pull their relatives from the hospitalsand just wait for
them

to

die

andtreatment.

in

their

homes

because

of

expensive

medication

Theoretical Framework
The theoretical framework justifies the rationale for the investigations.
Itgives the reason for search for new data and for analyzing, interpreting
andsynthesizing these data. The framework also cites the theory /
theories on whichthe study is premised in order to establish the
relationship among the variables inthe study.
Some disciplines require the presentation of a paradigm in order to
explainhow the theory is going to rationalize in the study. In this
discussion, pertinentconcepts or new ideas are cited for clarification.
Example:
Self Awareness Theory
If you are watching a home video taken by a family member where
you arethe centered attraction, you will be in a state of self- awareness
(Arroson, Wilson,& Akert, 2007). Self- awareness theory is the idea that
when people focus theirattention on themselves, they evaluate and
compare their behavior to theirinternal standards and values. Humans
differentiate from most other species inthe way they can use self-concept,
which is our own knowledge about who weare, and they do this by taking
the self as a focus of attention. The fact that ashuman beings we are able
to be self- aware enables us in a way to self-evaluate,the way a person
views themselves. People can compare themselves to internalstandards
and assess whether they are sufficiently physically attractive,intelligent,

and sociable or anything that is seen as accurate and good. If


anydiscrepancies occur between your behavior and your inner standard,
it will causea change of the behavior to create balance with your internal
standards andvalues.

Research Paradigm
FIGURE 1
The research paradigm will serve as a guide in conducting this
study,shown in Figure 1.
The first box contains the demographic profiles of the respondents
whichare also shown in the statement of the problem.
The second box contains the process needed to achieve the goals of
thestudy. These are the analysis of documents, tabulation of data
gathered

from

thequestionnaires

through

statistical

methods,

interpretation and analysis of datagathered from questionnaires.


The third box contains the formulation of instruction guide.
Input
1. RESPONDENTSPROFILE

Process

Output

ASSESSMENT

1.1 Age

Data are obtained

1.2 Sex

by providing a set
Of questionnaires
to each respondent

1.3 Body Mass Index


1.4 Educational Attainment
1.5 Occupation
1.6 Years of having type2 DM
ANALYSIS

Instructional

2. LEVEL OF

Statistical

AWARENESS

Guide

2.1 Physiological

treatment is

symptoms

provided to show

2.3 Psychological

the exact accurate

symptoms

data

Statement of the Problem


The research problem that the student/researcher is investigating
mustrelate to his interest, background and expectance. It is expected to
yield findingsthat will provide his useful information in the area of this
investigation. In thechoice of research topics, originality and relevance to
contemporary problemsand issue must be considered. The problem maybe
about

the

relationship

among

variables

which

thestudy

established and find out the extent of such relationship.


Example:

aims

to

The study aimed to assess the level of awareness in the


clinicalmanifestation of diabetes mellitus type 2 in prevention of
complication.
Specifically, it sought to answer the following sub- problems:
1. What is the profile of the correspondents in terms of their:
1.1 Age
1.2 Sex
1.3 Body Mass Index
2. What is the level of awareness of the respondents in the clinical
manifestation of Type 2 Diabetes in terms of:
2.1 Physiological Symptoms
2.2 Psychological Symptoms
3. Is there a significant difference on the level of awareness in terms of
physiological and psychological symptoms?
4. What instructional plan can be formulated to increase the level of
awareness of the type 2 diabetes patients?

Hypotheses
The hypotheses states the relationship between variables and this
relationshipmust be tested. It is tested statistically to solve the research
problem. It indicates whatthe researcher must gather. The hypothesis is
accepted or rejected depending on theresult of the statistical test.
Example:
There is a no significant difference between the level of awareness
regardingclinical manifestation in term of physiological and psychological
symptoms.

Significance of the Study


In this part of the research, the student/researcher cites the
importance ofexpected outcomes of the investigation. Research result will
come up with thesolution to a problem or encourage further research on the
problem.
The student/researcher also explains that the research is not a
duplicationof the previous studies. It may, however, be a replication or
follow up of previousstudy, result of which needs further study or
verification. Significance of the study also state that the probable effects
on the resultsof the study on a theory or practice. The student also gives
the importance of thestudy to his profession, to a particular discipline and
to the community as well.
Example
The findings of the study may be of help to the following:
Nursing Practice. Analysis, interpretation and implications of the

datagathered will provide an actual and practical understanding of


nursing practice byfocusing on the resulting strategies for better nursing
care management fordiabetic clients.
Respondents. The results of the research will enlighten them on
how tomanage their own health conditions. It will further help them
understand theirhealth problem and realize that there is hope in battling
the disease throughappropriate knowledge and awareness of the different
clinical manifestation oftype 2 diabetes. Moreover, they can live a happy,
healthy long life and canprevent the occurrence of complications.
Family Members. The agony of knowing a member of the family
issuffering from an incurable and serious disease could cause for a
panic.However, the results of the present research can be utilized in
educating the family members on how to help the respondents in their
quest in controlling theirblood glucose levels.
Researchers. The results can be used by other researchers as
referencefor a further study about the effectiveness of diet and exercise
managementusing a wider range and diversified groups of respondents.

Scope and Delimitation of the Study

To specify scope, the student/researcher spells out the coverage of


the study interms of subject, concepts, specific aspect of a phenomenon,
treatment, sampling andtime frame. The who, what, when, where and
how of the study will be clarified. The student delimits the aspects of the
subject being investigated consideringspecific constraints such as foreseen
weaknesses in methodology and design,statistical analysis, representative
of sampling and time. Delimitation sets the limit ofwhat the research will
include and what will not include.
Example:
The study will try to identify the level of awareness of the
respondents about theclinical manifestation of type 2 diabetes. It will
include

type

diabetes

mellitus

patientsat

____________________________________. They were chosen regardless of


theirage, gender, civil status, educational attainment and employment
status. . A totalnumber of 50 respondents will take as sample. The study
is limited to the level ofawareness regarding clinical manifestation of type
2 diabetes. It does not include thefinancial issues and other problems of
the respondents.

Definition of Terms
Terms used in the statement of the problem and title must be
definedaccording to how they are used in the study. These terms must be
definedcontextually or operationally. This means that the definition is
based on how theterm is used within the context of the study. Terms may
also be definedaccording to authorities on the subject of investigation.

Dictionary definitionshould not be used.


The following terms are defined according to its use in the
presentresearch.
Awareness, as used in the study, it means having knowledge or
cognizanceabout the clinical manifestation of type 2 diabetes.

CHAPTER II
REVIEW OF RELATED LITERATURE AND STUDIES
This chapter presents the related literature and studies conducted by other
researchers that have relevance to the present research study. The related
literatures and results of previous studies will strengthen the findings of
the present research study. Moreover, the similarities and differences of
the findings will be utilized in the analysis of the results of the present
research study. The related literature consists of readings from various
authorities

on

the

subject

of

the

research

which

provide

the

student/researcher important concepts and principles that will go into the


theoretical/conceptual framework and guide the formulation of the
questionnaire or survey tool. The related studies/research consists of
previous researches that relate to the current study as to purpose, subject
investigated, methodology and more importantly the findings. Similarities
and differences between previous research and current research are
pointed out. What the current research will contribute to the field under
investigation is discussed to justify its pursuit despite previous research on
this. The review of related studies/research develops in the researcher
insights into aspects of the study that might be controversial. It helps the
researcher avoid errors committed by previous investigations. Through the

review, useful ideas and related variables may be identified which will
give direction to the present research.
The student/ researcher should used only literature and studies
written and published 5 years backward from the year of his research and
study.

Example
Related Literature
Local Literature (5)
According to Susan Trinidad, (2001) RN, A Head Nurse Educator
from Makati Medical Center, health teaching is not new role for nurses.
In nursing history, health teaching is focused about sanitation, housing
and care for the sick in the hospital and community. Today education
and training about preventive health and practices and health promotion
are considered essential components of comprehensive health care.
Our teaching nurse being a member of the health care team
usually spends more time with patients or client than other team
members. This contact provides in her the opportunity to develop rapport
and build a trust relationship with the patient and his/her family. Thus
he/she is able to complete the assessment of an individual patient,
learning needs, and provides continuity throughout the teaching process.

Hard work and dedication are pre-requisites for a nurse to become


a diabetic nurse. Trinidad said; Anything worthwhile is usually
challenging and requires hard work. Leadership should be a positive
force and one could lead bysetting achievement goals for every diabetic in
your care.

Foreign Literature (5)


According to the World Health Organization (2000) report,
medicalnutrition therapy is important in preventing diabetes, managing
existing diabetes,and preventing, or at least slowing, the rate of
development of diabetescomplications. It is, therefore, important at all
levels of diabetes prevention. MNTis also an integral component of
diabetes self-management education (ortraining).
Achieving nutrition-related goals requires a coordinated team effort
thatincludes the person with diabetes and involves him or her in the
decision-makingprocess. It is recommended that a registered dietitian,
knowledgeable and skilledin Medical nutrition therapy, be the team
member who plays the leading role inproviding nutrition care. However, it
is important that all team members, includingphysicians and nurses, be

knowledgeable

about

Medical

nutrition

therapy

andsupport

its

implementation.

Related Studies
Local Studies (5)
Dr. Rosa Allyn Sy (2002) from Cardinal Santos Medical Center,
noted thedevelopment of different food pyramids worldwide has proven to
be an importanteducational tool for health care professionals while
counseling patients onhealthy eating habits. Just a year ago, The
Philippine Association for the Study of Overweight and Obesity (PASOO)
supported by the president and other officerand members of the Board of
Directors, conceptualized the Filipino PyramidActivity Guide. Similar to a
food guide, it is intended to help diabetic educatorsillustrate more clearly
which activities would be beneficial to their patients. Theactivity pyramid
guide uses simple and easy action words or instructions likeHabitually,
Often, Regularly and Minimal to indicate activities that would providethe
most benefit in terms of cardiovascular and metabolic health. Included in
theguide is the number of calories burned per minute per kilogram of
body weight ofthe person performing the activity. The base of the

pyramid includes activitiesthat are easy, convenient, and accessible to


everyone. These activities, part ofour daily routines, when performed
habitually or daily for minimum of 30 minutes,even 10 minutes at a time
will provide metabolic efficiency by increasing totalenergy expenditure.
So if one is diabetic obese, with poor sugar control and have
neverengaged in any form of exercise before, activities like walking,
climbing the stairs,or doing household chores may be a good start. It is
important to note that forbeginners, the amount of cumulative activity
time is more important than thespecific type and manner of activity.
Aerobic exercise like jogging, brisk walking,swimming, aerobic dancing
and recreational activities like ballroom dancing,badminton, tennis etc.,
burn more calories per millimeter per body weight and areadvised for
those who want to lose more weight. To get the most benefit from
theactivity, it has easy action words or instructions which can be done 35 times a week for at least 30-45 minutes. These activities will improve
cardiovascularendurance.

The

Filipino

Pyramid

Activity

Guide

is

intended to be a guide thatshould help everyone select an activity that


best fits his lifestyle and healthneeds. Just thirty minutes of the different
activities over the course of a day ishealthy and rewarding.

Foreign Studies (5)


Dr. Diana Chau and Steven V. Edelman (2003) in the fall issue of
ClinicalDiabetes noted Goals of therapy for the elderly diabetic patients
should includethe evaluation of their functional status, life expectancy,
social and financialsupport, and their own desires for treatment. A full
geriatrics assessmentperformed before establishing any long term
therapy may aid in identifyingpotential problems that could significantly
impair the success of a given therapy.Often, elderly patients have
cognitive

impairment,

limitation

in

their

activities

ofdaily

living,

undiagnosed depression, and difficult social issues that need to


beaddressed. The population of the elderly is increasing and more
attention shouldbe paid to social security systems may fail to ensure the
appropriate care to themillions who will be affected by diabetes in 2025.
Moreover by promotingdiabetes prevention, we will ensure that those
millions who already havediabetes will not face the nightmare of a
regression in the quality of care theydeserve while, on the country, there
is a great need in many parts of the world toimprove it.

CHAPTER III

RESEARCH METHODOLOGY
This part of the research/study presents the design of the
study,particularly the research methods and techniques to be used, how
the subjectsare chosen, how the sample size is determined, the instrument
to be used andtheir validation and the data analysis scheme which
includes the application ofstatistical tools for treatment of data yielded by
the study.

Research Design
The research design identifies the procedures by which the
studypopulation will be selected, how these subjects will be used to yield
the requireddata, how the data will be collected and how these data will
be analyzed.
Example:
The

researcher

used

the

descriptive

method

research

in

determining thelevel of awareness regarding the clinical manifestation of


the respondents withtype 2 diabetes mellitus.
Costales (2001) discussed the descriptive research design and
pointed outthat specifically, the survey research was used to gather
pertinent data. The methodologys time focus was the present condition
as well as the future. It alsoinvolves description, recording, analysis and
interpretation of the status and condition that were obtained in a
particular

research

situation.

It

usually

involvescomparison

and

contrast, and may attempt to discover a cause and effectrelationship that


exists between non-manipulative variables.
This research uses both quantitative and qualitative methods of
study. Inassessing the profile the respondents, quantitative method was
used. And also,the data were collected through the patients health
records in the health center.

Respondents of the Study


In this section, the student describes the population, why and how
the subject arechosen and discusses the sampling technique employed. A
statistician may be consultedto determine the appropriateness of the
sample size for the study.

Example:
The study will be conducted at Rizal Medical Center Diabetic
Center. It is atertiary hospital with more than 100 bed capacity. The
Diabetic Center consists of35 Type 2 diabetes mellitus patients .The
respondents will be type 2 diabetesmellitus patients of Rizal Medical
Center Diabetic Center which is non-probabilitypurposive.

Instrument Used

In this part of research, the tools for data collection are described
such astest and questionnaires to be constructed, validated and
administered. If theinstrument is prepared by researcher, it should be
tested for validity and reliability. If the instrument is standardized, the
student/researcher indicates itsreliability coefficient.

Example:
The instruments used in this study were one set of questionnaires
for therespondents.
The questionnaire for the respondents are consists of two parts:
Part I.
Dealt with the respondents personal and professional profile. This
partelicited data on name, age, sex, body mass index, educational
attainment,occupation and the years having type 2 diabetes.
Part II.
Dealt on the level of awareness regarding the clinical manifestation
of type2 diabetes in terms of physiological and psychological symptoms.
Before the questionnaires / checklist were distributed and
administered, apre-test was conducted with 5 respondents who were not
participants in thestudy. Their comments were included in the final form

of the refined instrumentand submitted for final draft.

Statistical Treatment of Data


This part of the research identifies the kind of data yielded by the
studyand presents the testing of hypothesis. The kind of statistical tool
used isdetermined by the hypothesis presented in the study. It is
advisable to consult a statistician before administering the questionnaire
since the manner ofquestioning and what question to ask will help
determine the treatment of thehypotheses. The statistical treatment should
be appropriate to the data yieldedby the study. This section also presents
the statistical formula used and justifiedtheir used.

Example:
Specific Question Number 1
What is the profile of the correspondents in terms age, gender, civil
status,educational attainment, employment status and frequency of
monitoring bloodglucose?
To determine the answer to problem number 1 which is concerned
with theprofile of the respondents in terms of their age, gender, civil
status, educationalattainment, employment status and frequency of
monitoring blood glucose, thefrequency and percentage was used.
The formula was:

% = F/N X 100
Where:
F- is the frequency of responses
N- is the total number of respondents
100- is the constant in order to get the percentage
Specific Question Number 2
What is the extent of compliance of the respondents to blood
glucosemonitoring through finger sticks analysis in terms of their
knowledge and skills?
Specific Question Number 3
How do the respondents perceived the effects of home blood
glucosemonitoring in terms of physiological and psychological effects?
To determine the extent to which the home blood glucose
monitoring hascomplied with the standard procedures and the perceived
effect of home bloodglucose monitoring, the weighted means was
determined by multiplying thefrequency the weight and by dividing the
frequency using the following formula:

WM = wf _____ n
Where:
WM = weighted mean
wf = the sum of the product of the frequency and unit weight
n = total number of cases

A Likert five point scale with the following interpretation was


provided to guide the respondents as follows:
Unit Weight

Weighted Mean

Verbal

Assigned Values

Interval

Interpretation

4.20 5.00

FullestExtent (FstE)

3.4 4.19

Full Extent (FE)

2.6 3.39

ModerateExtent(ME)

1.80 2.59

Partial Extent (PE)

1.0 1.79

No Influence (NI)

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