SELECTED FACTORS AFFECTING THE CONTINUATION OF THE

NURSING COURSE DESPITE THE RELUCTANCE OF

NURSING STUDENTS OF ANGELES UNIVERSITY
FOUNDATION, ACADEMIC YEAR
2009-2010: IMPLICATION FOR
NURSING EDUCATION

A Thesis Presented to
the Faculty of the College of Nursing
ANGELES UNIVERSITY FOUNDATION

In Partial Fulfillment
of the Requirements for the Degree
BACHELOR OF SCIENCE IN NURSING

Submitted by:

David, Bernard Ian T. Manansala, Kevin Edward K.

Esguerra, Jerico J.
Gonzales, Betina Carla A.
Guevarra, Janette Kohl E.
Jaramillo, Cherry Lyn M.
Lacap, Ma. Kathleen M.
Ricafort, Jefferson D.
Sherwood, Misty Jewell B.
Songco, Andre Ivan M.
Tizon, Laverne Bernadette E.

GROUP 11, B.S.N. IV-11

September 2010
 APPROVAL SHEET

This thesis entitled “SELECTED FACTORS AFFECTING THE CONTINUATION

OF THE NURSING COURSE DESPITE THE RELUCTANCE OF NURSING
STUDENTS OF ANGELES UNIVERSITY FOUNDATION, ACADEMIC YEAR 2009-
2010: IMPLICATION FOR NURSING EDUCATION”, prepared and submitted by Group
11, B.S.N. IV-11 in partial fulfillment of the requirements for the degree BACHELOR OF
SCIENCE IN NURSING, has been found in order and is hereby recommended for acceptance
and approval for ORAL EXAMINATION.

ELMER D. BONDOC, R.N., M.N.

Adviser

PANEL OF EXAMINERS

Passed by the PANEL OF EXAMINERS on oral examination on September 17, 2010.

DEBBIE Q. RAMIREZ, R.N., MAN

Chairman

JASLEEN S. YUMANG, R.N., M.N. MARIE EMERALD S. RONCAL, R.N., M.N.

Member Member

DOROTEO S. DIZON, R.N., MAN

Research Coordinator

Accepted and approved in partial fulfillment of the requirements for the degree of
BACHELOR OF SCIENCE IN NURSING.

ZENAIDA S. FERNANDEZ, R.N., Ph.D.

Dean
___________________
Date

ii
 ACKNOWLEDGEMENT

We would like to thank the following who shared their time, effort to make this study:

To our dear adviser Sir Elmer Bondoc who patiently guided us in every step we took.
His ideas and suggestions regarding our thesis are exceptionally indispensable and his constant
advice that we can do it kept us on a positive attitude.

For batch Sanlingan and Gilas, who patiently answered our questionnaire despite their
tight and busy schedule during their lecture hours. Your cooperation is what made our data
collection a breeze. We honestly and deeply thank you from the bottom of our hearts.

To our dear panel Ma’am Debbie, Ma’am Ems and Ma’am Jasleen for helping us critique
our study and giving us pointers to further improve our study.

To Sir Ted for being available during consultations especially on critical times and when
don’t know the next step.

We would like to also extend our heartfelt gratitude to our parents and family who
supported us and understood our situations especially on financing our meetings and needs and
understanding our reasons on extending our time at school.

To a hundred more individuals, dear friends and clinical instructors who supported and
helped us indirectly and directly even during the final processing of our thesis. Thank you.

And last but not the least to God for guiding us, for giving us this knowledge, for letting
us be part of this opportunity to make a thesis, for keeping us safe, for being the subtle voice
when making decisions, for being the reason why we are not giving up, for always giving us the
strength we needed and for just being there.

iii
 DEDICATION

We dedicated this to all our fellow nursing students who inspired us to pursue this kind of study.
To our parents who supported us all the way. To our clinical instructors who guided us and to
God whom we hope that this thesis would bring greater glory to His name.

iv
 ABSTRACT

Increase in the demand for nurses in the international community brought about an
extraordinary increase in the number of nursing students this past decade. With an increased in
the number of nurses being hired abroad and being employed in different countries, nursing has
been a demand career choice which resulted in the rapidly increasing of nursing schools.
However, the question of personal choice is at hand upon students who are taking up nursing. In
line with this, the researchers would want to know what factors primarily influence the student’s
continuation of nursing course despite their reluctance.

The study employed a descriptive correlation research design. It was conducted in

Angeles University Foundation. A total of 243 nursing students participated in the study.
Questionnaires were distributed utilizing a four-item Likert scale. First and second
questionnaires were allotted for the initial level of reluctance and level of reluctance at present
respectively. While the last questionnaire was allotted for the intrinsic (motivation to learn,
motivation towards financial benefits, motivation to help others and self- efficacy ) and extrinsic
factors (family support system, peer and mentor’s influence, relationship with the opposite sex,
allowance and job opportunities in Nursing). Frequency and percentage on level of agreement
each factor. The scores per intrinsic and extrinsic factor were correlated to the corresponding
level of reluctance using the Chi- Square and Contingency Coefficient.

The results of the study reveal that majority of the respondents agreed on the selected
factors. It also reveals that there is a significant difference between the initial level of reluctance
and present level of reluctance of the respondents. This means that majority of the students were
motivated to pursue the course despite their reluctance. And among the intrinsic and extrinsic
factors, motivation to learn, motivation to help others and self- efficacy have significant
relationship with the respondents’ level of reluctance.

v
 TABLE OF CONTENTS
CONTENTS Page

Title Page ................................................................................................................................... i

Approval Sheet........................................................................................................................... ii
Acknowledgement ..................................................................................................................... iii
Dedication .................................................................................................................................. iv
Abstract ...................................................................................................................................... v
Table of Contents ....................................................................................................................... vi
List of Tables ............................................................................................................................. viii
List of Figures ............................................................................................................................ ix
List of Appendices ..................................................................................................................... x

CHAPTER

I THE PROBLEM AND ITS SETTING

Introduction ........................................................................................................ 1
Conceptual Framework ...................................................................................... 4
Paradigm of the Study........................................................................................ 5
Statement of the Problem ................................................................................... 7
Statement of Hypotheses.................................................................................... 9
Significance of the Study ................................................................................... 10
Scope and Limitations........................................................................................ 11
Definition of Terms............................................................................................ 13

II REVIEW OF RELATED LITERATURE AND STUDIES

Related Literature............................................................................................... 18

Related Studies................................................................................................... 35

Similarities and Differences of the Previous Studies to the

Present Study ..................................................................................................... 36

III RESEARCH METHODS AND PROCEDURES

Research Design……………….………………………………………............ 38
Research Locale…………………..……………………………………. .......... 39
Respondents of the Study………………………………….…………….......... 39
Research Instruments…………………………..………………………. .......... 40
Data Collection Procedure…………………..…………………………. .......... 41
Statistical Treatment of Data…………………………..………………. .......... 43

vi
 IV PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA

Problem No. 1 – Initial Level of Reluctance ..................................................... 50

Problem No. 2 – Level of Reluctance at Present .............................................. 51
Problem No. 3 – Intrinsic Factor – Motivation to learn .................................... 53
Problem No. 4 – Intrinsic Factor – Motivation towards
Financial Benefits .................................................................. 55
Problem No. 5 – Intrinsic Factor – Motivation to help others .......................... 56
Problem No. 6 – Intrinsic Factor – Self – Efficacy............................................ 58
Problem No. 7 – Extrinsic Factor – Family Support System ............................ 59
Problem No. 8 – Extrinsic Factor – Peer and Mentor’s Influence .................... 60
Problem No. 9 – Extrinsic Factor – Relationship with
the opposite sex ...................................................................... 62
Problem No. 10 – Extrinsic Factor – Allowance ............................................... 63
Problem No. 11 – Extrinsic Factor – Job Opportunities in Nursing .................. 64
Problem No. 12 – Difference between Initial level of Reluctance and
Level of Reluctance at Present .............................................. 66
Problem No. 13 – Correlation of Intrinsic and Extrinsic Factor
to Level of Reluctance ......................................................... 67
Implication for Nursing Education .................................................................... 70

V SUMMARY, CONCLUSIONS AND RECOMMENDATIONS

Summary ............................................................................................................ 73
Major Findings ................................................................................................... 75
Conclusions ........................................................................................................ 78
Recommendations .............................................................................................. 80

Bibliography .............................................................................................................................. 81
Appendices ................................................................................................................................. 83
Curriculum Vitae ....................................................................................................................... 125

vii
 LIST OF TABLES

TABLE Page

1 Frequency and Percentage Distribution of the Respondents’

Initial Level of Reluctance ........................................................................... 51

2 Frequency and Percentage Distribution of the Respondents’

Level of Reluctance at Present ...................................................................... 52

3 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Intrinsic Factor – Motivation to learn ............................... 55

4 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Intrinsic Factor – Motivation towards financial benefits .. 56

5 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Intrinsic Factor – Motivation to help others ..................... 57

6 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Intrinsic Factor – Self – Efficacy ...................................... 59

7 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Extrinsic Factor – Family Support System ....................... 60

8 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Extrinsic Factor – Peer and Mentor’s Influence ............... 61

9 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Extrinsic Factor – Relationship with the opposite sex ...... 63

10 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Extrinsic Factor – Allowance .......................................... 64

11 Frequency and Percentage Distribution of the Respondents’ Level

of Agreement on Extrinsic Factor – Job Opportunities in Nursing ............. 65

12 Difference between Initial Level of Reluctance and

Present Level of Reluctance......................................................................... 66

13 Correlation of Intrinsic and Extrinsic Factors

to Level of Reluctance ................................................................................. 67

viii
 LIST OF FIGURES
FIGURE Page

1 Paradigm of the Study....................................................................................... 5

ix
 LIST OF APPENDICES
APPENDIX Page

A Frequency and Percentage Distribution of Questionnaires ................................. 83

B Certificate of Validation by Psychometrician ..................................................... 95

C Certificate of Validation by Guidance Counselor .............................................. 96

D Certificate of Validation by an English Teacher ................................................. 97

E Certificate of Validation by Clinical Instructors ................................................ 98

F Communication Letter for Data Collection- Level III ........................................ 99

G Communication Letter for Data Collection- Level IV ........................................ 100

H Communication Letter for Data Collection- Respondents .................................. 101

I Sample Pre Survey.............................................................................................. 102

J Sample Questionnaire......................................................................................... 103

K Cronbach’s Alpha Results ................................................................................... 107

L Sample Paired t-Test Results .............................................................................. 123