I.

INTRODUCTION

The House With No Steps Foundation (Phils.), Inc., non-stock, non-profit organization was organized in 1984 in response to the growing demand for a more coordinated and systematic delivery of welfare services to the clients of Tahanang Walang Hagdanan, Inc. (TWH) and is affilate home in Metro Manila and in the provinces. There was also the need to separate the welfare services component lf TWH which was estanlished basically as industrial workshop and training center for the disabled. The idea then was to allocate the funds exclusively donated for welfare for the very purpose it was donated, The House With No Steps Foundation was the answer to that need. Two years after its establishment, the scope of the welfare program had expanded to service the needs of numerous homes for the disabled affiliated with the Philippine Council of Cheshire Homes for the Disabled (PhilCOCHED), Wheelchair and Disabled Foundation of the Philippines, (WDFP). At present the Fonndation is directly operating and managing six of these Cheshire Homes and the following seven beneficiaries: a) Bahay Biyaya Hostel in Cubao, Quezon City b) Bahay San Pedro in Buatos, Bulacan c) Bahay Kahirup in Makati, Metro Manila d) Bukang Liwayway Homes in Quiapo, Manila e) Tahanang Walang Hagdanan in Cainta, Rizal f) Bahay San Jose in Alfonso, Cavite This organization is duly registered with Securities and Exchange Commission of the Philippines, and certified by Department of Science and Technology as a science foundation. It is also registered with the Bureau of Internal Revenue as a qualified done with Registry No. 0408. It is an active member of the Association of Foundations.
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II. HISTORICAL PROSPECTIVE Bahay San Jose is one of the beneficiaries of the House with No Steps Foundation Philppines Incorporated. It was founded in 1982 by Belgian Sister Maria Paula Valeriana Baerts of the Missionary Sisters of the Heart of Mary- the same mover behind Tahanang Walang Hagdan and was formally established in 1984 at Barrio Upli, Alfonso, Cavite. Bahay San Jose was acquired by the Foundation from the Asuncion family whose lot lies adjacent to the one-hectare farm donated by the John Ver Foundation to the House With No Steps Foundation. Since then, the two storey Structure became a permanent home of twelve multihandicapped children mostly on wheelchair suffering from cerebral palsy, parkenson's disease, epilepst, autism, mental retardation spasticity and musculae dystrophy. The home provides staff-support personnel including a housemother, cook, laundrywoman and a utility boy. Bahay San Jose is a site of food producation program of the Foundation. Its one-hectare lot is planted to coffee, banana, pineapple, sayote, calamansi and other short-term crops. The food producation program is tended by a full-time agriculturist and two helpers.

III. Objectives of the Institution 1. To assist the disabled in the physical and emotional rehabilitation, and integrate them in the mainstream of society. 2. To equip persons with disabilities with skills and knowledge through education and trainings. 3. To provide shelter, medical and welfare assistance to indigent disabled and medical families. 4. To uplift the standard of living/economics conditions of the disabled through employment and job placement. 5. To educate the public and promote social awareness concerning persons with disabilities. 6.To fight against discrimination, exploitation and aggression and to advocate for the rights of persons with disabilities, especially women. 7. To promote independent living to disabled individuals. Objective of the Group To apply theories, concepts and principles of Nursing Leadership and Management in the field of institutional Nursing by gaining experience in health promotion with institutions health care provider and their clients.
Specific Objective To differentiate institutional nursing leadership and management from the other fields of nursing. To gain more knowledge in handling a non-governmental organization with a case of anticipating disabled people. To experience hands on care of patients with cerebral palsy, muscular dystrophy.

IV. MISSION

To continue delivering both preliminary and auxiliary services to the disabled sector of our society in order to lead them into a life of productivity and independence. Analysis of Mission Bahay San Jose is a organization that delivers free service to the dependent and the disabled people. Their major role was to provide primary and auxiliary service; giving outstanding care with respect to the nature of the disease a patient may have. Moreover it emphasize lifes productivity and independence of each patients giving them the chance to experience optimum level of functioning. In order to do such they solicit funds to the government. In addition them make advertisement to attract people to donate the needed supplies. They allowed training schools to come over to practice they care giving skills while helping each patient to gain their needed care.

VISION A sustainable enterprise providing employment for Persons with Disabilities and an ideal venue for holistic development of their physical, mental, economic, social and spiritual well-being.

Purpose As specified in its Articles of Incorporation, the Foundation was established for the following purposes: 1.To protect and safeguard the rights of the disabled, regardless of their color, race, creed and disablilities. 2.To develop services and ongoing resarches for the total human development of the severely disabled.
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3.To foster the development of the potentials of any severely disabled child to his or her maximum capacity leading them towards independence and real freedom as far as this is humanly possible. 4.To establish scholarship in the various fields of education for the disabled. 5.To extend social and welfare services to the disabled and his/her family. 6.To assist and/or undertake economic development activities,projects or programs which will promote the capacity of the economy ro increase the supply of goods and services, raise and/or improve the quality of life and standard of living of the disabled. 7.To cooprate,complement and supplement the efforts of the Tahanang Walang Hagdanan,Inc.Phil Council Christine wheelchair & Disabled Ford in normalizing the lives of the physically disabled as far as possible taking into acount their disability. 8.To specially foster and include the spiritual aspect of life, in order to make them happy and fulfilled human beings called to full participation in the divine life of the Lord.

Institutional Nursing Organizational Structure

Rose Ann R. Dimas Over all chairman

Food Committee

Finance Committee

Documentation Committee

Program Committee Chairman : Joan Dimapilis

Chairman : Glaizelle Rodrin Members: Neliza Lagos Melody Del Rosario

Chairman : Kriztine Villamin Member: Riza Acebuche Jhonnel Alegro

Chairman : Rexner Augustino Members: Janica Ann De Castro Richard Carlo Espineli

Members: Queenie joie Benevice Lyn Karen Bago Jonnel Alegro Richard Carlo Espineli
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V. ORGANIZATIONAL STRUCTURE

SISTER PAULA VALERIANA V. BAERTS, I. C. M. Founder of House with No Steps

Lourdes Brual Home Supervisor/ House Mother

Susan Sarmiento Cook

Felilia Reyes Laundry Woman

Vanessa Reyes Laundry Woman

Rito Sacal Maintenance

The figure shows the organizational structure of Bahay San Jose Institution, started with Sister
Paula Valeriana V. Baerts as the founder of the organization. she is the one directing commands to the home supervisor of the foundation, Mrs. Lourdes Brual. Under the home supervisor is directly the four helpers of the institution which consist of one cook, two laundry women and one maintenance. At the same time when the home supervisor is not around and cant perform her duty they are the one giving care in times of patients need

VI. ANALYSIS A. PEST ANALYSIS P (Political) E (Economic) Low cost of Bahay San Jose in Cavite minimal involvement in politics since the organization is considered as non government. Involvement in politics occurs they only when need There small souvenir shop inside institution. the is a The has own website. said their Cellular serve form as phones their of Tagaytay has budget because depends given. it on S (Social) Absence of nearby store around area an access supplies. the that easy to T (Technological) The institution

owns a personal computer and a television. The television serves as entertainment for some of the angels.

the donations

will serve as

institution

communication.

solicitations and permit from the government official. The manager in these organization give orders to the for utilize rendering supervisor them to in

As of now, They consume money provide services care San to and the Jose to they limited number patients, most them of have of have

The has for (wheel

institutions basic patients chairs, bed,

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equipments used therapy sessions. patients

clients. Bahay

communicat

services to the physically disabled patients.

focuses more on these individuals, thus majority of the budget is rendered for it. giving basic needs to

ion

skill

radio

cassette,

problem and dependent.

television)

The workers non were ones responsible for feeding and keeping the clean. angels the Has walled post schedules manually written at each of the corners vicinity. of the

Bahay San Jose has arrangement with training schools not just the vicinity of cavite but also with the schools from countries. other

These

government organization is affiliated other also to health

related school and programs that allow the organization to have a free service render for patients. Absence nearby around of store the from care the

The

local

government has nothing to do in terms of decision making since it is a private institution.

the students to

area that will serve as an

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easy access to supplies.

B.

SWOT ( Strengths, Weaknesses, Opportunities, Threats) GROUP SCHOOL NURSING IMPLICATIONS

S- Strengths

Every member of the group cooperated to lead and manage in the activities.

The institution is along the highway in which people can see it immediately.

A analysis for for

SWOT is

good, fast tool exploring initiating the possibilities new programs

There are members assigned in every committee such as food, finance, program and documentatio n. Through designation of task we developed our team to work effectively

The workers are obeying the rules and regulations by implemented

in institution. It can used decision making within the and departments or even by
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also

be for

the administration.

institution

together. individuals. A The group was able to communicate and coordinate with the Home Supervisor during the planning process. Uses cellular SWOT analysis looks at future possibilities for the institution or through a systematic approach They have their own mini garden where they can get vegetables, serves as also their introspection into positive negative concerns. It is a relatively simple way of communicating ideas, policies, W- Weakness The place was so calm and peace when we get there. Our group did not maintain the quietness because there are times we cannot control our laughs Receives small because of so much fun and amount of fund for the supplies of There is no easy access for food and other supplies because there are no nearby stores aside from a small fruit stand across the street. and concerns to others. It can help administrators to expand mission. a tool quickly their This for to and the
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phone as a form of communication for the workers and facilitators.

of both and

additional income.

analysis can be different instruction assess determine

enjoyment during activities Other not group able to the

their angels. The budget allocated type of for food stands at 40 pesos for each patient. No professional improvements they have to make for the instruction order provide to patients. doctors, nurses or caregivers on the staff. Lack of resources and infrequent visits at times. not she Has staff minimal which is in to best their

members were arrive on time so we need to start the even we the home though are allowance for the 1,500 per month. interview with supervisor

quality services

complete because has another

appointment on that day.

O- Opportunities

Being a good communicator , we have the chance to teach Special children when it comes to the field of

The institution is a home beneficiary of House with No Steps Foundation Inc. that supports the organization. The appointment
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special education. they receive from other organizations and students who T- Threats The institution is so far from our places, that why we might enter on a wrong direction because most of the members are first time to be there. give donations. Home based caregivers are intuitive in terms or rendering care and in dont terms have of formal background rendering professional care. Lack of

medication and no allocated fund for hospitalization. Some patients of the have

tendency to hurt caregivers because of their behaviors related to mental illness. Cold weather due to the location of the institution.

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SWOT of the Health Care Provider STREGHTS

The Home

WEAKNESS
Has a limited

OPPORTUNITIES She is always accepting affiliates from

THREAT
She is too old

Supervisor is self committed

knowledge regarding

enough in taking care of

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and devoted to duty, providing a holistic care to clients. Very open for problems and opinions of her subordinates. Very hospitable and spiritually stable. She is also approachable.

health care services. She is not a graduate of BSN. She was not able to supervise our activities because of her hectic schedule.

different institutions whose purpose is to uplift the quality of care and management to their clients.

the patients. She is at risk of having stress or health fatigue due to multi tasking.

C. Principles of Management by Henry Fayol (institution) 1. Division of work The leader or head of the branch institution is the one who divide the labor. She is the one responsible for delegating the assignment of each member. The members were assigned according to their capabilities, never the less, they are flexible. If one of the workers was absent, the remaining will fill up that position and do the job.
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2. Authority The head of the branch administration is the one who delegates and commands the workers on what to do. She was appointed by the higher administration which is the president of the organization. Through the power given to her she was able to divide the task among the members of the institution. She made the rules and regulations for better care of the angels in the institution. 3. Discipline The institution showed well discipline from the head through the lower members of the organization. They are oriented on the rules and regulations made by their head. As members, they are following these rules. They are doing the tasks they were assigned to do and finishes it on time the head asked them. 4. Unity of Command In every group or organization, the head is the one who gives command. Some volunteers and sometimes students go to the institution to help and give them financial support of food. In this case, the people visiting the said institution all receives instructions to follow from the branch head.

5. Unity of direction There is only one leader/head that must be followed. The institution has set an objective which the whole group will aim. 6. Subordination of individual interest to the general interest We cannot prevent problem from arising, one of the problem identified was the lack of fund for the angels since it is a non-government institution. As a solution, the organization came up with an alternative to earn money by means of their small souvenir shop and their small backyard garden 7. Remuneration

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The staffs of the institution are well and fairly paid, but since the needs of the patients are the priority they sometimes have salary delay. 8. Centralization Whenever problem arises, the house supervisor discusses these problems to her superior to ask opinions before implementing the plans she made. The supervisor is the liable for the orders given by the superior. 9. Scalar Chain The branch head serves as the highest authority of the institution. She is then preceded by the house supervisor. Under the supervisor are two institutional staffs. The information or instructions were disseminated well. They are well oriented that they have one head to be followed. The head is open to suggestions and opinions. With this kind of communication, it said that it is from top to bottom communication and vice versa. 10. Order With the use of designation of tasks, all of the workers move for one goal, which is to provide care for the angels residing in the institution. The head designated tasks to these workers as the cook, laundry etc. but in case of absence of one of the personnel, other workers will fill the position so that the goal for that day will be reached or aimed. 11. Equity In the institution, the tasks were given fairly and equally. Each of the personnels has their own tasks to accomplish. No special tasks or treatments were given to specific personnel.

12. Stability of Tenure Each personnel have their own permanent tasks, but whenever personnel got sick or in the absence of personnel, others fill the position which causes much load to him/her. 13. Initiative
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The personnel do their work with the best that they can do. They exerted effort and initiative so that they can give the needs of their patients. 14. Esprit de Corps Problems should not be a hindrance in meeting the needs of the patients. Whenever there is conflict, the supervisor or the head see to it that these conflicts are settled and would not affect the needs of their patients. Principles of Management by Henry Fayol (GROUP) 1. Division of work The division of work in the group for the institutional nursing is observed. Members of the group are well assigned for different tasks to make the work faster. Headed by the team leader, the members were divided, some members were assigned in coordinating with the administration of the institution, bringing speakers and music players for the sound system, packing the personal hygiene for the angels, documenting, finance and marketing for the things needed for the said program. Through this division the whole group worked as one, unity was established. 2. Authority The leader is the one responsible for the division and the one who commands. She is the one who lead and follows up each task of the members that were assigned. She entrusted her members that they were capable of doing the task, the leader must not act the she know everything. She also seek advices from the other member of the group which can help for the improvement and faster finish of the task. 3. Discipline The group observed and showed discipline by simply obeying the rules and regulations set by the institution and made by the team leader. Whenever the group will be having their meeting, all members are attending, participating and are open to any changes in the plans. Also, the members also finish the tasks that were assigned to them on time. 4. Unity of Command

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In each group, leaders are the one who gives command to the members on what to do. As for the members of the group, aside from the tasks assigned to them, another task to be followed is to obey whatever command given by the leader related to the goal. 5. Unity of direction By coming up with one goal, the whole group worked as one and aimed to reached that goal. Also, by prioritizing which one goes first, a faster and more precise data were gathered. 6. Subordination of individual interest to the general interest Problems do arises in times you dont want to wish to, whether it is from the family or school. These problems should not affect the goal the group wants to achieve. 7. Centralization Through open communication within the group, information was well disseminated to the whole group, from the leader, the disseminated the information to the rest of the member of the group through text messages and e-mails. Whenever there were changes in the plan, the whole group knows it quickly within the day. 8. Scalar Chain It deals with the flow of authority within the group. The leader serves as the top management down to the members of the group. Each member knows their roles in the group. Everybody knows that there is a leader to be followed.

9. Order Though the designation of tasks and responsibilities the workload of the group was lightened. This designation helped a lot to solve the problem of cramming in the group. Some were assigned for the documentation of the program, finance, buying foods and coordinating with the people in the said institution. Through this delegation, the goal was aimed on time and turned out well.
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10. Equity The work was divided among the members of the group fairly and equally. There were no special tasks assigned to others because the leader showed equal and fair treatment to her members of the group. The leaders knew that her members are all responsible and ready to whatever she might assign them to do. Every opinion were well entertained and respected. 11. Stability of Tenure In the group, whenever there is a member who finished first, they see to it that they help other members so that the work can be finished faster. It is one of the responsibilities of the group to help members that are in need. 12. Initiative It is a responsibility of the group to do their best to come up with a goal that they are aiming for. Each member showed the best of what they are. 13. Esprit de Corps Problems are unexpected things that arise in a group but keeping the group spirit makes these problems not a hindrance in reaching the groups goal. With some of the problems that have risen, the group remained as one and developed unity, supports one another and worked optimistically.

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VI . Leadership Style Interview with Home Supervisor Name: Mrs. Lourdes Bruel Address: Barangay Upli, Alfonso, cavite Age: 60 years old Gender: female Educational Attainment: College Level (BS Education) Occupation: Home Supervisor of Bahay San Jose

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The House Mother which is also the health care provider, Mrs.Lourdes Brual or Mommy Luds as what others called her, has been dedicated serving Bahay San Jose for more than 15 years. Her functions include the overall supervision of the institution as well as the supervision of the job training care givers. She is also in charge in budgeting, making policies and procedures, and coordinating with the authorities of their mother foundation and carries out tasks from them. Mrs. Loudes Brual came in the institution way back in 1996 with her first child who was only 28 at that time and severely suffering in muscular dystrophy since birth. After 29 years of unsuccessful marriage that she manage to escape from the hands of her abusive husband, her feet brought her to the gates of Bahay San Jose which serve as the home of her daughter and she served as a helper in the institution. She was also given an opportunity to work as caregiver in other orphanage near Bahay San Jose. In the year 2006, when the former house mother of Bahay San Jose resigned and went abroad, she was then appointed as the home supervisor. From then on, she was no longer just a helper in the house but a manager and the over all provider that carries out different functions and duties in dealing with the patients.

According to her, the common problems they encounter in the institution are the lack of some basic needs such as foods and medicines and there are only 3 of them taking care of the 8 disabled patients. In facing problems such as lack in financial aid for foods and medicines, she manage to increase the fund by having a mini store selling items such as ballpens, pins, rosaries, wallets, and other souvenir items. She also set rules and policies for the trainees in Bahay San Jose; for them to work effectively in handling patients inside the institution. She also motivates her staffs by making them realize that the disabled patients need them and tells them the importance of working dedicatedly and including their heart in caring of their patients. We can say that Mrs. Lourdes Brual possess a servant leadership style. There is selfless commitment and devotion to duty, providing holistic care to the patients. She is bound for the spiritual environment for their patient.

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VII. MANAGEMENT PROCESS a. Planning During the planning phase, the group held a meeting to discuss the possible non governmental organization that we can visit in order for us to conduct our Leadership and Management in the area of institutional nursing. The group sent two representatives to do a courtesy call to our chosen organization which is the BAHAY SAN JOSE located at Brgy. Upli Alfonso, Cavite. Luckily, the institution approved our request to conduct interview with the health care provider, and for us to do some activities for their patients. The home supervisor, gave us the idea on what activities we could possibly do during our visits since we will be dealing with individuals having severe cases of mental retardation and cerebral palsy. Upon gaining the approval, the group held again a meeting for the planning of the possible activities that we could implement. The group came up with the idea of having a music and dance

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therapy and also providing their lunch. We also came up with the decision of giving gift away such as individual hygiene kit

A1.Time Plan of Activities Date: December 02, 2009 Time 8:00 9:00 am 9: 00 10:00am 10:00 11:30am 11:30 12:30 pm 12:30 2:00 pm 2:00 3:30pm 3:30 4:30pm Activities Pre Conference Preparation Conduct of the music and dance therapy Lunch Break Siesta time for the patients / preparing of hygiene kit for the patients Interview with the health care provider Awarding of appreciation Post Conference tokens and certificate of

4:30 5:00pm

The group wasnt able to conduct health education to the patient since they will not able to understand our lecture; instead we gave a health teaching to their home mother about the proper basic care that they could render to the patient

2. Organizing

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The group determined our main task which is to conduct therapies for the patients in the institution and then discuss the flow of activities in the possible resources that we could use in order for us to implement our task. The group subdivided this task to each member. ROLES Letter of Approval STUDENTS ASSIGNED Rose Ann R. Dimas Joan T. Dimapilis Over All Facilitator Foods and Drinks Rose ann Dimas Neliza Lagos Glaizel Rodrin Audio- Visual Joan Dimapilis Glaizel Rodrin Gifts Janica de Castro Kristine Villamin Riza Acebuche Melody del Rosario Rexner Agustino Dance and Music Facilitators Lyn Karen Bago Queenie Joie Benevice Richard Carlo Espineli Rose Ann Dimas Joan Dimapilis Jhonnel Alegro Documentation Rexner Agustino
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Janica Ann De Castro Neliza Lagos Jhonnel Alegro

c. Staffing ROLES Letter of Approval Foods and Drinks Audio- Visual Gifts Dance and Music Facilitators Over All Facilitator Documentation NUMBER OF STUDENTS ASSIGNED 2 2 2 5 6 1 4

We did our staffing during our preparation phase and it was based on the ability of each member. We also did multi tasking in order for us to facilitate the planned activities well and organized. D. Implementing

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In order to implement our activities for NGO duty, we did the following strategies: We researched about the roles and responsibilities of a leader in a non governmental organization. We had our sharing of ideas about the possible activities that we could do in our visit inside the institution. We did the allocation of the resources that we could use. The group leader divided the work among the group members regarding to their capabilities to implement such activities. The group emphasized team work and cooperation upon the initiation of the activities.

After the preparation, the group went at Bahay San Jose and held the planned activities for the patients. Every group member was assigned to handle a patient. During the music and dance therapy, the members of the group joined the patient. Although the group encountered minor problems, the group still handled the situation properly. E. Budgeting Student Nurses Contribution= 100 Php each (13 students) Total Budget= 1,300 Php Expenses Foods Hygiene kit Token (Staff) Certificate Total 1,300 Php -1,120 Php
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450 Php 500 Php 150Php 20 Php 1,120 Php

__________ 180 Php balance

VIII. Recommendation Bahay San Jose is a Non-Government Organization that has a very big purpose and that is to provide the needs of unfortunate and disabled clients. But this purpose is not highly fulfilled because of financial matters, which they only get from donations coming from visitors and some sponsors. But it is still not enough for them to sustain the needs of the patients. The group recommends that they should endorse and have more advertisement about the institution. To have a continuous affiliating groups for free of charge health service as well as low price of medications that are needed by the clients daily. With this, they could now provide some necessities of the institution.

IX. Conclusion Rendering care for those people who needs you at most is really a self less commitment. Being devoted to ones duty without expecting anything in return is truly very outstanding qualities that leader and subordinates must have. In this organization, we conclude that despite of some difficulties that they have experienced, they still continue to pursue their mission and goals in taking care of individuals who are mentally and physically disabled. Their strong faith in our Almighty God really helps them to work heartedly and with full of hope and inspiration.

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The group realized that value of being a servant leader and to value our lives more because we are normal and capable of doing the activities of daily living.

X. Appendices Certificate of Appreciation Letter of Approval Learning Insight Photo Documentation Policy, Rules and Regulations
Caregiver Schedule

POLICY, RULES and REGULATIONS That a letter of request from the Dean or coordinator of the school or the institution should be presented to the supervisor a week before starting your work in the center. That you must undergo proper orientation from the agency personnel before you are allowed to work in the center. That you should report on time.
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That you should wear proper uniform while on duty. That you are obliged to follow on existing rules and regulations of the agency. That you properly endorsed your handled patient to the staff on duty before leaving the center.

That you should always coordinate with the supervisor with your own program and schedule to avoid inconvenience with our services.

That you should attend and participate in the activities and programs of the center. That you should always look for the safety of the children and should never leave them unattended.

That you should ask permission to the supervisor if you want to stroll the patient outside the house.

CAREGIVER SCHEDULE 7:00-8:00 8:00-9:00 9:00-10:00 10:00-11:30 11:30-12:30 12:30-3:00 3:00-4:00 4:00-5:30 5:30-6:00 BREAKFAST SELF CARE ACTIVITIES(brushing, bathing, dressing) HOME CARE HOUSEKEEPING THERAPHY SESSION ( free play, storytelling) LUNCH BREAK SIESTA MERIENDA THERAPHY SESSION ( radio listening or watching tv) PRAYER TIME
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6:00-7:00

DINNER SELF CARE ACTIVITIES (brushing and dressing)

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