Chapter I Introduction Nurses are somewhat described as angels for their clean and white attire from top to toe. Also with those innocent looks, you really can’t help but like and trust them so much. But being a nurse is not just about the looks. A true nurse is being measured through his/her knowledge, skills, and attitude. These aspects are very important in order to give the proper care and service to the patients. Nurses are expected to be versatile because they are well trained and exposed to different areas wherein it could only be within the clinical field or outside areas. As of now, we as student nurses are well exposed and trained to different areas, but not only, at the clinical area but also in our own homes, school, and community. However, we must admit that not all nurses or even student nurses are the same. We have different qualities which made us unique. These
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Transcript
Chapter I
Introduction
Nurses are somewhat described as angels for their clean and white attire
from top to toe. Also with those innocent looks, you really can’t help but like and
trust them so much. But being a nurse is not just about the looks. A true nurse is
being measured through his/her knowledge, skills, and attitude. These aspects
are very important in order to give the proper care and service to the patients.
Nurses are expected to be versatile because they are well trained and exposed
to different areas wherein it could only be within the clinical field or outside areas.
As of now, we as student nurses are well exposed and trained to different areas,
but not only, at the clinical area but also in our own homes, school, and
community. However, we must admit that not all nurses or even student nurses
are the same. We have different qualities which made us unique. These
personalities have particular corresponding behavior which it would respond
properly. One personality would never relate to all personalities. For instance, a
jock would never hang-out with a nerd because they think nerds are weird. The
example implies that human beings with most likely blend with those who have
the same traits. But what would happen if you are placed in an area wherein you
have to communicate and to understand every individual in the room? Just like
nurses, not all have the same characteristics but still they’re able to handle all
these patients. So what really is the appropriate personality of a student nurse
must observe in order to have better relationship with patients, as future nurses
of our country? This study would most likely to know what personality should a
student nurse have in order to build up a relationship with others. The
researchers would like to know if the personality of the student nurse could affect
their performance. Personality is essential to all human beings; therefore, this is
vital in our line of profession for we would handle not only one patient for the rest
of our vocation but there would be numerous of them in the future years.
Review of Literature
This chapter deals with literatures and studies that will help the
researchers gain insights about the research problem. Various theories and
different insights from the books are presented which are essential to the study.
Personality Theories
Chaplin and Krawiec grouped representative theories; the psychoanalytic
by Sigmund Freud, Freud’s structure of personality center centers on the id, ego
and super ego; the factorial by Raymond Cattel, defines personality as “that
which permits a prediction of what a person will do in a given situation”. He
believed that the trait approach is the most fruitful in describing personality. He
defined traits as “characterological or relatively permanent features of
personality”; the individuality by Gordon Allport, defines personality as “the
dynamic organization within the individual of those psychophysical systems
(refers to habits, attitudes, and traits) that determine the individual of those
behavior and thought. Allport recognized that both bodily and mental factors must
be considered in the description and study of personality; the personalistic by
Henry Murray, defines personality as the “governing organ of the body, an
institution, which from birth to death, is ceaselessly engaged in transformative
functional operations”. He emphasizes an physiological ground of personality (no
brain, no personality); the self or ego-integrated as represented by Carl Rogers,
the self, person-centered or ego-integrated theory which consist of positive self-
regard which refers to attitudes of warmth, respect, liking and acceptance on the
part of others toward the self and similar attitudes with regards to one’s own
experience independent of social transactions with others; and the behavioristic
by Burrhus F. Skinner, proposed his theory by describing rules or principles that
govern the relationship between stimuli, responses and reinforcements (Fehr,
1983). He assumes that behavior is orderly and that our primary purpose is to
control it. (Chaplin and Krawiec, 1979).
Type A and Type B Personalities
A couple of studies were made concerning Personality Type A and Type
B. One of these researches were from two American cardiologist, Friedman and
Rosenman, according to them Type A individuals will perceive and experience
more stress than Type B individuals. Type A individuals are those who are in a
constant and urgent struggle to get a number of things done in the least amount
of time, and tend to suffer from coronary heart disease and strokes. Type B
individuals, on the other hand, have no driving urge or desire to succeed.
Another research made by these two cardiologist was that they described Type A
behavior as an action-emotion complex that can be observed in any person who
is aggressively involved in a chronic, incessant struggle to achieve more and
more in less and less time. In the present analysis, the prevalence and
consequences of Type A behavior among nurses working in 8 hospitals in the
greater Montreal area of Canada were examined. The prevalence of Type A
behavior in a number of subgroups based on sociodemographic variables were
examined. Age was the only sociodemographic variable significantly associated
with Type A behavior. In terms of consequences, Type A nurses experienced
significantly greater job stress, role ambiguity, conflict, overload, and turnover
cognition than Type B nurses. Type A nurses showed significantly higher job
involvement, effort at job and attendance than Type B nurses. Type A and Type
B nurses did not differ significantly on organizational commitment, job
satisfaction, and promotion expectations. (Ho, 1995)
Several studies investigating the effects of occupational stress on Type A
and Type B personalities have relied on subjective measures of role overload. In
an attempt to measure objectively the effects of role overload and underload,
students were classified as Type A or B and given assignments with workload
conditions that were underloaded, baseline and overloaded. The results indicated
that: 1. contrary to previous research, Type As did not perceive role underload or
overload as more stressful than Type Bs, and 2. Type As were less likely than
type Bs to feel that their workload was excessive. These findings may indicate
that Type As gravitate toward jobs that put them in more stressful situations, and
that, rather than being less able to handle stress than Type Bs, they actually
seek out more overloaded job situations. (Froggatt, 1987)
Feelings-Nothing More than Feelings
“All the emotions have some influence on the way you think,” explains
Mara Julius, Sc.D., a research scientist at the University of Michigan School of
Public Health and a leading researcher on the physical and mental effects of
anger. “Some-particularly negative emotions like anxiety, anger, or fear- can
actually slow your abilities to rationalize, solve problems, and make decisions.
That’s because it’s hard to concentrate when you’re feeling of rage or hostility, it
overwhelms you. In some people, feeling rage will slow down some aspects of
the thinking process. In others, it will completely stop it. You cannot separate
your anger from thinking.” Not all emotions, however, are destined to rain on your
parade. “There are a number of studies that suggest that when you’re feeling
positive, you think more broadly, more creatively,” says Margaret S. Clark, Ph.D.,
a psychologist and researcher at Carnegie Mellon University in Pittsburgh. “You
can see more ‘connections’ than you might normally see and make decisions
more quickly.” Why? Nobody has all the answers. “It could be because you’re
feeling more confident in yourself and therefore your abilities,” says Dr. Clark. “Or
it could be that you don’t want to spend as much time making decisions because
you don’t want to ruin the good mood you’re in.” Not that it takes much to induce
these positive feelings. In her tests, people reportedly felt happy after they were
given a small bag of candy or a free sample of an item or were shown a short
comedy film. “As a result, they gave more creative answers to word-association
tests or other tasks,” she says. Everyone, in some way, has experienced both the
positive and negative impact of mood over mind. Think for a moment (no
emotion, please) about a time when some no-good blankety-blank cut in front of
you in line, stole your parking space, or did some other dirty deed that got under
your ski- and into your mind. You were mad. So mad, in fact, that you couldn’t
even discuss what to make for dinner, let alone do your income tax return-which,
of course, you didn’t. (And it’s a good thing, too, because you’d probably be in
the auditor’s office right now.) Now think about a time when things were doing
great. You were feeling on top of the world-strong, vital, and especially smart.
And you acted that way. You felt smart, so you thought smart. Ideas seemed to
follow more readily. Decisions were made faster, problems solved more easily.
Life’s a little, or even bog, hassles rolled off you like water over a dam. (Julius,
1991)
Statement of the Problem
We conducted this study in order to investigate or differentiate different
personality types of BSN 2 students during their clinical performance. Since BSN
2 students are first timers to be exposed in the clinical area and set up, we chose
them as subject for this research. The personality type of each student varies on
how they manage their task during their first exposure in the clinical area. Their
knowledge, skills, and attitudes, as important aspects in the clinical area would
also be tested and studied. Specifically, we seek to answer the following
questions:
1. What personality would most likely affect the clinical performance of a student
nurse?
2. To what extent does personality type affect the following:
a. Assessment
b. Planning
c. Implementation
d. Evaluation
e. Personal Attributes
Hypothesis
Operational
The personalities type A (type A- impatient, time conscious, insecure, highly
competitive, hostile and aggressive, incapable of relaxation) and type B (type B-
in contrast to type A, patient, relaxed and easygoing) of BSN 2 students affects
their performance having with them their knowledge, skills and attitudes during
their clinical exposure.
Null
There is no relation between the clinical performance and the personality type A
and B of BSN 2 students having with them their knowledge, skills and attitudes.
The personality of a student nurse does not affect their performance.
Theoretical Framework
In this study, the researchers identified two different personalities that
would qualify either in type A or type B. Furthermore, it is contemplated that both
traits make the individual wise and cautious in clinical performances.
These theories are being supported by Dr. Meyer Friedman developed
with colleague R.H. Rosenman that the theory Type A personality, also known as
the Type A Behavior Pattern, is a set of characteristics that includes being
impatient, excessively time-conscious, insecure about one's status, highly
competitive, hostile and aggressive, and incapable of relaxation. Type A
individuals are often high-achieving workaholics who multi-task, drive themselves
with deadlines, and are unhappy about the smallest of delays. On the other hand,
Type B personality is more likely than a Type A personality to be patient, relaxed,
creative and imaginative, easy-going, also inclined to self-analyze. Type A
personalities may be highly intellectual or serious about almost everything but it
doesn’t mean that people with the type A personality are incapable of showing
love, affection or other types of non-pessimistic behavior. There is also a Type
AB mixed profile for people who cannot be clearly categorized and have a
combination of both types of personality. In addition, Type A personalities are
somewhat very aggressive and are very focused in finishing every job or task,
which made them achievers and movers.
Finally, Jean Schweer mentions that not only the patient’s well-being but
also the evaluation of the student is also measured on knowledge, skill and
performance. Additional, nursing students are evaluated based on their
knowledge and understanding, technical competence and attitudes during clinical
Please mark ( ∕ ) the following spaces provided with which you experience
the following situations. An honest evaluation of yourself will help you better
understand some factors that contribute to self-realization.
Questions Yes No1. I finish all requirements/assignments/chores before resting or going to sleep.2. I always make sure to pass requirements.3. I submit requirements on time.4. If I’m tired, I would most likely to rest first before doing any task.5. I don’t have enough time in doing all my requirements.6. I don’t have time to fix myself because I have to do all my obligations.7. Every after class or duty, I take time to go to the mall; to eat, to play at the arcade, to stroll or to watch a movie.8. I usually skip meals just to finish all my requirements or tasks. 9. I study 1 or 2week(s) before the exam.10. I do my assignments at school.11. I get disappointed if my quizzes are not perfect.12. I would be happy even if I the result of my quiz or exam was just enough to pass. Like 75%... 13. I think that hobbies such as watching movies or playing games are just a waste of time.14. Last summer, I decided to stay at home and to read all the books that I love.15. I function best under stress or pressure.16. I always arrive 15 or 30 minutes before the class begins.17. I treat my patient just like my friends.
18. I’d rather eat at fast-food eatery. 19. Restaurants are time wasting. 20. In every task or requirement that I do, I always add something that would make it more special than my other classmates.Bibliography
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Ho, Janice S. (1995)The Journal of Management Development. Vol.11
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San Pedro College
C. De Guzman Street, Davao City
The Personality types affecting the performance of selected BSN 2 students SY