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Funda Lec

This document provides an overview of the fundamentals of nursing course for week 1. It outlines the course objectives which include understanding the history and evolution of nursing as a profession. Key nursing leaders and their contributions are identified. The types of nursing education programs and definitions of nursing are discussed. Contemporary nursing practice and the roles of nurses are also introduced. The document aims to provide students with context and foundational knowledge about the nursing profession.

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0% found this document useful (0 votes)
283 views18 pages

Funda Lec

This document provides an overview of the fundamentals of nursing course for week 1. It outlines the course objectives which include understanding the history and evolution of nursing as a profession. Key nursing leaders and their contributions are identified. The types of nursing education programs and definitions of nursing are discussed. Contemporary nursing practice and the roles of nurses are also introduced. The document aims to provide students with context and foundational knowledge about the nursing profession.

Uploaded by

Luna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Study Guide: Presents historical and current perspectives on nursing, detailing influential figures and developments in nursing education.
  • Orientation to Nursing: Introduces the fundamentals of nursing as a profession, including expected outcomes and checklist for students.
  • Nursing Leaders and Practices: Profiles influential nursing leaders and their contributions, and provides definitions of nursing terminology.
  • Roles and Career Opportunities: Illustrates various roles within nursing and the career paths available for nurses.
  • Terminologies and Further Studies: Defines key nursing terms and suggests additional readings for comprehensive understanding.
  • Unit Tasks and References: Contains tasks for students to assess their learning and a list of references for further study.
  • Nursing Practices in the Philippines: Explores the history and evolution of nursing practices specific to the Philippines.
  • Cultural Beliefs and Values: Examines cultural influences on Filipino nursing practices, including beliefs and values observed in healthcare delivery.
  • Further Readings and Tasks: Provides a list of further readings and tasks designed to deepen the understanding of Filipino nursing practices.

 

BACHELOR  OF  SCIENCE  IN  NURSING:  


FUNDAMENTALS  OF  NURSING  
COURSE  MODULE   COURSE  UNIT   WEEK  
1   1   1  

Orientation  to  Nursing  as  a  Profession    

 
Read  course  and  
unit  objectives

ü   Read  course  and  unit  objectives  


ü   Read  study  guide  prior  to  class  attendance  
ü   Read  required  learning  resources;;  refer  to  unit    
terminologies  for  jargons  
ü   Proactively  participate  in  classroom  discussions  
ü   Participate  in  weekly  discussion  board  (Canvas)  
ü   Answer  and  submit  course  unit  tasks  
 

 
At  the  end  of  this  unit,  the  students  are  expected  to:  
 
Cognitive:  
1.   Discuss  the  historical  factors  and  nursing  leaders  who  influenced  the  development  of  
nursing.  
2.   Discuss  the  evolution  of  nursing  education  and  entry  into  professional  nursing  practice.  
3.   Describe  the  different  types  of  educational  programs  for  nurses.  
4.   Explain  the  importance  of  continuing  nursing  education.  
5.   Describe  how  the  definition  of  nursing  has  evolved  since  Florence  Nightingale.  
6.   Identify  the  four  major  areas  of  the  nursing  practice.  
7.   Identify  the  purposes  of  nurse  practice  acts  and  standards  of  professional  nursing  practice.  

 
8.   Describe  the  role  of  nurses.  
9.   Describe  the  expanded  career  roles  of  nurses  and  their  functions.  
10.   Discuss  the  criteria  of  a  profession  and  the  professionalization  of  nursing.  
11.   Describe  factors  influencing  contemporary  nursing  practice.  
12.   Explain  the  functions  of  national  and  international  nurses’  associations.  
 
Affective:  
1.   Inculcate  the  importance  of  the  history  of  nursing  profession  to  our  modern  practice.  
2.   Listen  attentively  during  class  discussions.  
3.   Demonstrate  tact  and  respect  when  challenging  other  people’s  opinions  and  ideas  
4.   Accept  comments  and  reactions  of  the  peers  with  their  opinions,  openly  and  graciously.  
 
Psychomotor:  
1.   Actively  participate  during  class  discussions  
2.   Confidently  express  personal  opinion  and  thoughts  in  front  of  the  class  
 
 

 
Berman,   A.,   Snyder,   S.,   and   Frandsen,   G.   (2018)   Kozier   and   Erb’s   Fundamentals   of   Nursing:  
Concepts,  Process,  and  Practice,  Global  Edition,  10th  edition,  Historical  and  Contemporary  Nursing  
Practice  (pp.28-­49).  Singapore:  Pearson  Education  Limited  
 
 

 
Introduction  
Nursing  today  is  far  different  from  nursing  as  it  was  practiced  years  ago,  and  it  is  expected  to  continue  
changing  during  the  21st  century.  To  comprehend  present-­day  nursing  and  at  the  same  time  prepare  
for  the  future,  one  must  understand  not  only  past  events  nut  also  contemporary  nursing  practice  and  
the  sociologic  and  historical  factors  that  affect  it.  
 
Historical  Perspectives  
A  look  at  nursing’s  beginnings  reveals  its  continuing  struggle  for  autonomy  and  professionalization.    
 
•   Women’s  Roles  
Traditional  female  roles  of  wife,  mother,  daughter,  and  sister  have  always  included  the  care  and  
nurturing  of  other  family  members.  From  the  beginning  of  time,  women  have  cared  for  infants  
and  children;;  thus  nursing  could  be  said  to  have  its  roots  in  “the  home”.  
 

 
•   Religion  
Although  many  of  the  world’s  religions  encourage  benevolence;;  it  was  the  Christian  value  of  
“love   thy   neighbor   as   thyself”   and   Christ’s   parable   of   the   Good   Samaritan   that   had   the  
significant  impact  on  the  development  on  the  development  of  Western  nursing.    
The   Knights   of   Saint   Lazarus   dedicated   themselves   to   the   care   of   people   with   leprosy,  
syphilis,  and  chronic  skin  conditions.  
The   Alexian   Brothers   organized   care   for   victims   of   the   Black   Plague   in   the   14th   century   in  
Germany.  
 
•   War  
During  the  Crimean  War  (1854-­1856),  the  inadequacy  of  care  given  to  soldiers  led  to  a  public  
outcry  in  Great  Britain.  The  role  of  Florence  Nightingale  played  in  addressing  this  problem  is  
well-­known.  She  was  asked  by  Sir  Sidney  Herbert  of  the  British  War  Department  to  recruit  a  
contingent  of  female  nurses  to  provide  care  to  the  sick  and  injured  in  the  Crimea.  
During  the  American  Civil  War  (1861-­1865),  several  nurses  emerged  who  were  notable  for  
their   contributions   to   a   country   torn   by   internal   strife.  Harriet   Tubman   and   Sojourner   Truth  
provided  care  and  safety  to  slaves  fleeing  to  the  North  on  the  Underground  Railroad.  
 
•   Societal  Attitudes  
Before   the   mid-­1800s,   nursing   was   without   organization,   education,   or   social   status;;   the  
prevailing  attitude  was  that  a  woman’s  place  was  in  the  home  and  that  no  respectable  woman  
should   have   a   career.   Nurses   in   hospitals   during   this   period   were   poorly   educated;;   some  
were  even  incarcerated  criminals.  
 
 
Nursing  Education  
The  practice  of  nursing  is  controlled  from  within  the  profession  through  the  state  boards  of  nursing  
and   professional   nursing   organizations.   These   groups   also   determine   the   content   and   type   of  
education  that  is  required  for  different  levels  or  scopes  of  nursing  practice.  
 
•   Types  of  Education  Programs  
1.   Licensed  Practical  (Vocational)  Nursing  Programs  
2.   Registered  Nursing  Programs  
2.1  Diploma  Programs  
2.2  Associate  Degree  Programs  
2.3  Baccalaureate  Degree  Programs  
3.   Graduate  Nursing  Programs  
3.1  Master’s  Degree  Programs  
3.2  Doctoral  Programs  
4.   Continuing  Education  
 
 

 
THE  NURSING  LEADERS  
  Florence  Nightingale     Lillian  Wald    
  (1820-­1910)     (1867-­1940)  
     
 
 
  Clara  Barton     Lavinia  Dock    
  (1821-­1912)     (1858-­1956)  
     
 
 
  Linda  Richards     Margaret  Higgins  Sanger    
  (1841-­1930)     (1879-­1966)  
   

 
  Mary  Mahoney       Mary  Breckinridge    
  (1845-­1926)   (1881-­1965)    
     
 
 
 
 
 
Definitions  of  Nursing  
Nursing  is  caring.   Nursing  is  adaptive.  
Nursing  is  an  art  
Nursing  is  concerned  with  health  promotion,  
Nursing  is  a  science.  
health  maintenance,  and  health  restoration.  
Nursing  is  client  centered.  
Nursing  is  holistic.   Nursing  is  a  helping  profession.  
 
 
Contemporary  Nursing  Practice  
 
•   Recipients  of  Nursing  
 
1.   Patient   –   A   Latin   word   meaning   “to   suffer”   or   “to   bear”;;   person   who   is   waiting   for   or  
undergoing  medical  treatment  and  care.  Usually,  people  become  patients  when  they  seek  
assistance  because  of  illness  or  for  surgery.  
 
2.   Client   –   a   person   who   engages   the   advice   or   services   of   another   who   is   qualified   to  
provide  this  service.  The  term  client  presents  the  receivers  of  health  care  as  collaborators  
in  the  care,  that  is,  as  people  who  are  also  responsible  for  their  own  health.  

 
•   Settings  for  Nursing  –  In  the  past,  the  acute  care  hospital  was  the  main  practice  setting  open  
to  most  nurses.  Today  many  nurses  work  in  hospitals,  but  increasingly  they  work  in  clients’  
homes,   community   agencies,   ambulatory   clinics,   long-­term   care   facilities,   health  
maintenance,  organizations  (HMOs),  and  nursing  practice  centers.  
 
•   Nurse   Practice   Acts   –   or   legal   acts   for   professional   nursing   practice,   differ   in   various  
jurisdictions,  they  all  have  a  common  purpose:  to  protect  the  public.  Nurses  are  responsible  
for  knowing  their  state’s  nurse  practice  act  as  it  governs  their  practice.  
 
•   Standards   of   Nursing   Practice   –   the   purpose   is   to   describe   the   responsibilities   for   which  
nurses   are   accountable.   Establishing   and   implementing   standards   of   practice   are   major  
functions  of  a  professional  organization.  
Standards   of   Professional   Performance   describe   behaviors   expected   in   he   professional  
nursing  role.  
 
 
 
Promoting  health and  wellness Preventing  illness
 
 
  SCOPE OF  NURSING
 
 
  Restoring  health Caring  for  dying
 
 
 
CRITERIA  OF  A  PROFESSION   Ongoing  Research  
Specialized  Education   Code  of  Ethics  
Body  of  Knowledge   Autonomy  
Service  Orientation   Professional  Organization  
 
 
Factors  Influencing  Contemporary  Nursing  Practice  
 
  Quality  and  Safety  in  
Health  Care  Reform Consumer  Demands
  Health  Care
 
 
Information,  Telehealth,  
  Family Structure Science  and  Technology
and  Telenursing
 
 
  The  Current  Nursing  
Legislation Demography
Shortage

 
Roles  and  Functions  of  the  Nurse  
 
 
  Research  
Consumer Counselor
 
 
  Client  
Caregiver
Advocate
 
 
  Teacher
 
 
Communicator Manager
 
 
  Change  Agent Leader
 
 
 
 
 
 
EXPANDED  CAREER  ROLES   Nurse  Researcher  
Nurse  Practitioner   Nurse  Administrator  
Clinical  Nurse  Specialist   Nurse  Educator  
Nurse  Anesthetist   Nurse  Entrepreneur  
Nurse  Midwife   Forensic  Nurse  
 
 
Nursing  Organizations    
As   nursing   has   developed,   an   increasing   number   of   nursing   organizations   have   formed.   These  
organizations  are  at  the  local,  state,  national,  and  international  levels.  Participation  in  the  activities  
of  nursing  associations  enhances  the  growth  of  involved  individuals  and  helps  nurses  collectively  
influence  policies  affecting  nursing  practice.  
 
 
 
 
 
  ANA  (1896) NLN  (1952) ICN (1899) NSNA  (1953)   Sigma  Theta  
  National   Tau
American National International  
 
Nurses   League  for   Council   of   Student     (1922)
  Association Nursing Nurses Nurses
  Association

 
 

 
Nursing  –  “The  act  of  utilizing  the  environment  of  the  patient  to  assist  him  in  his  recovery”-­  as  nursing  
defined  nearly  150  years  ago  (Nightingale,  1860/1969).  
“The  unique  function  of  the  nurse  is  to  assist  the  individual,  sick  or  well,  in  the  performance  of  those  
activities  contributing  to  health  or  its  recovery  (or  to  peaceful  death)  that  he  would  perform  unaided  
if  he  had  the  necessary  strength,  will,  or  knowledge,  and  to  do  this  in  such  a  way  as  to  help  him  gain  
independence  as  rapidly  possible”  (Henderson,  1966).  
 
Profession   –   an   occupation   that   requires   extensive   education   or   a   calling   that   requires   special  
knowledge,   skill,   and   preparation.   A   profession   is   generally   distinguished   from   other   kinds   of  
occupations  by  (a)  its  requirement  of  prolonged,  specialized  training  to  acquire  a  body  of  knowledge  
pertinent  to  the  role  to  be  performed;;  (b)  an  orientation  of  the  individual  toward  service,  either  to  a  
community  or  to  an  organization;;  (c)ongoing  research;;  (d)  a  code  of  ethics;;  (e)  autonomy;;  and  (f)  
professional  organization.  
 
Professionalism  –  refers  to  professional  character,  spirit,  or  methods.  It  is  a  set  of  attributes,  a  way  
of  life  that  implies  responsibility  and  commitment.  
 
Professionalization  –  is  the  process  of  becoming  professional,  that  is,  of  acquiring  characteristics  
considered  to  be  professional.  
 
 
 

 
 
D'Antonio,  P,  and  Buhler-­Wilkerson,  K.  (2019)  Nursing  Medical  Profession.  Retrieved  April  26,  2020  
from  Encyclopaedia  Britannica,  Website:  [Link]  
 
 
Jean   C.   Whelan,   J.C.,   (1949   -­   2017),   and   Buhler-­Wilkerson,   K.(1944   -­   2010),   (2011)   American  
Nursing:  An  Introduction  to  the  Past.  Retrieved  April  25,  2020  from  University  of  Pennsylvania  School  
of  Nursing,  Website:  [Link]
past/  
 
 
     

 
 
Study  Questions  
 
•   What  is  the  most  significant  change  in  the  nursing  history  that  greatly  affected  our  profession  to  
present?  Provide  examples  and  present  the  timeline.  
 
•   Discuss  the  importance  and  mention  the  different  nursing  organizations  related  to  expanded  
career  roles  of  nurses.    
 
•   How  do  the  nursing  education  programs  be  beneficial  in  improving  the  factors  that  influence  the  
contemporary  nursing  practice?  
 
   
 

 
Berman,  
  A.,  Snyder,  S.,  and  Frandsen,  G.  (2018)  Kozier  
and  
  E rb’s  Fundamentals  of  Nursing:  Concepts,  Process,  
and  Practice,  Global  Edition,  10th  edition,  Historical  and  
Contemporary   Nursing  Practice  (pp.28-­49).   Singapore:  
Pearson  Education  Limited  
 
 

 
 
BACHELOR  OF  SCIENCE  IN  NURSING:  
FUNDAMENTALS  OF  NURSING  
COURSE  MODULE   COURSE  UNIT   WEEK  
1   2   2  

Health,  Illness  and  Filipino  Culture,  Values  and  Practices  

 
 
ü   Read  course  unit  objectives  
ü   Read  study  guide  prior  to  class  attendance  
ü   Read  required  learning  resources;;  refer  to  unit    
terminologies  for  jargons  
ü   Proactively  participate  in  classroom  discussions  
ü   Participate  in  weekly  discussion  board  (Canvas)  
ü   Answer  and  submit  course  unit  tasks  

 
At  the  end  of  this  unit,  the  students  are  expected  to:  
 
Cognitive:  
1.   Cite  factors  that  lead  to  the  development  and  practice  of  nursing  in  Philippine  setting  
2.   Describe  the  health  care  practices  of  the  Filipinos  
3.   Enumerate  the  four  key  criteria  sections  of  the  Davies  Application  
4.   Describe  the  process  culture,  values,  and  practices  related  to  health  
5.   List  several  institutions  that  started  nursing  in  the  Philippines  
6.   Identify  the  common  characteristics  and  differences  of  approach  in  health  care  delivery  and  
handling  of  patients  with  different  beliefs  
 

 
Affective:  
1.   Instill  the  importance  of  how  the  nursing  practice  begun  in  the  Philippines  
2.   Heed  attentively  during  class  discussions  
3.   Demonstrate  tact  and  respect  when  challenging  other  people’s  opinions  and  ideas  
4.   Accept  comments  and  reactions  of  classmates  on  one’s  opinions  openly  and  graciously.  
 
Psychomotor:  
1.   Participate  actively  during  class  discussions  
2.   Confidently  express  personal  opinion  and  thoughts  in  front  of  the  class  
 

   
Wayne,   G,   BSN,   RN   (2015).   History   of   Nursing   in   the   Philippines.   Retrieved   April   27,   2020   from  
Nurseslabs,  Website:  [Link]  
 

 
History  of  Nursing  in  the  Philippines  
Nursing in the Philippines has a deep and enigmatic history. History does matter. This
statement must have been self-evident over the years, decades, and centuries past. It
is inescapable. Far from being a ‘dull and boring’ subject, its depth excitingly connects
things through time and encourages starters to take a long view of such connections
for a better understanding of their chosen path.

Early  Beliefs  &  Practices  


•   Mysticism  and  Superstitions  
These   two   words   were   the   early   beliefs   of   health   and   illness   in   the   Philippines.   The   cause   of   a  
disease  was  primarily  believed  to  be  due  to  either  another  person,  whom  which  was  an  enemy,  or  a  
witch  or  evil  spirits.  In  the  early  times,  Filipinos  were  very  cautious  not  to  disturb  other  people  or  the  
evil  spirits  for  the  good  of  their  health.    
 
•   Early  Care  of  the  Sick  
The  early  Filipinos  subscribed  to  superstitious  belief  and  practices  in  relation  to  health  and  sickness.  
If   the   birth   became   difficult,   witches   were   supposed   to   be   the   cause.   To   disperse   their   influence,  
gunpowder  were  exploded  from  a  bamboo  cane  close  to  the  head  of  the  sufferer.  
 
•   Health  Care  During  the  Spanish  Regime  
The  context  of  nursing  has  manifested  through  simple  nutrition,  wound  care,  and  taking  care  of  an  
ill  member  of  the  family.  Certain  practices  when  taking  care  of  a  sick  individuals  entails  interventions  

 
from   babaylan   (priest   physicians)   or   albularyo   (herb   doctor).   In   1578,   male   nurses   were  
acknowledged  as  Spanish  Friars’  assistants  for  caring  sick  individuals  in  the  hospital.  These  male  
nurses  were  referred  as  practicante  or  enfermero.  
 
 
The  Earliest  Hospitals  in  the  Philippines  
 
YEAR    
1577   Hospital  Real  de  Manila    
was  established  mainly  to  care  for  the  Spanish  king’s  soldiers,  but  also  admitted  
Spanish  civilians;;  founded  by  Gov.  Francisco  de  Sande  
1578   San  Lazaro  Hospital    
founded  by  Brother  Juan  Clemente  and  was  administered  for  many  years  by  the  
Hospitalliers  of  San  Juan  de  Dios;;  built  exclusively  for  patients  with  leprosy  
1586   Hospital  de  Indios  
established  by  the  Franciscan  Order;;  service  was  in  general  supported  by  alms  and  
contributions  from  charitable  persons.  
1590   Hospital  de  Aguas  Santas    
established  in  Laguna;;  near  a  medicinal  spring,  founded  by  Brother  J.  Bautista  of  the  
Franciscan  Order.  
1596   San  Juan  de  Dios  Hospital    
founded  by  the  Brotherhood  of  Misericordia  and  administered  by  the  Hospitaliers  of  San  
Juan  de  Dios;;  support  was  delivered  from  alms  and  rents;;  rendered  general  health  
service  to  the  public.  
 
 
Nursing  During  the  Philippine  Revolution  
In   the   late   1890’s,   the   war   between   Philippines   and   Spain   emerges   which   resulted   to   significant  
amount  of  casualties.  With  this,  many  women  have  assumed  the  role  of  nurses  in  order  to  assist  the  
wounded  soldiers.  The  emergence  of  Filipina  nurses  brought  about  the  development  of  Philippines  
Red  Cross.  
 
  Melchora   Aquino   or  "Tandang  
Josephine Bracken  
  Sora"
 
 
Rosa  Sevilla  de  Alvero Capitan  Salome
 
 
 
Dona  Hilaria   de  Aguinaldo Agueda Kahabagan
 
 
  Dona  Maria  Agoncillo   de  
Trinidad  Tecson
  Aguinaldo

 
Hospitals  and  Nursing  Schools  
Americans   began   training   the   first   Filipino   nursing   students   in   1907.   Nursing   students   in   the  
Philippines   studied   many   of   the   same   subjects   as   nursing   students   in   the   U.S.   However,   it   was  
believed   that   the   curriculum   in   the   Philippines   “was   never   a   mirror-­image   reproduction   of   the  
American  nursing  curriculum”  and  involved  more  than  a  simple  transfer  of  knowledge  from  American  
nurses  to  Filipino  nurses.    
 
Hospital  School  of  Nursing’s  Formal  Training  (1901  –  1911)  

YEAR   HOSPITALS  
Iloilo  Mission  Hospital  School  of  Nursing  (Iloilo  City)  
1906   The   first   hospital   in   the   Philippines,   which   trained   Filipino   nurses   established   by   the  
Baptist  Missionaries.  
Saint  Paul’s  Hospital  School  of  Nursing  (Manila)  
The  hospital  was  established  by  the  Archbishop  of  Manila,  Jeremiah  Harty  under  the  
supervision   of   the   Sisters   of   St.   Paul   de   Chartres   located   in   Intramuros.   It   provided  
general  hospital  services.  It  opened  its  training  school  for  nurses  in  1908,  with  Mother  
Melanie  as  superintendent  and  Miss  Chambers  as  Principal.  
Philippine  General  Hospital  School  of  Nursing  (Manila)  
PGH  began  in  1901  as  a  small  dispensary  for  Civil  officers  and  Employees  in  the  City  
of   Manila   and   later   grew   as   a   Civil   Hospital.   In   1906,   Mary   Coleman   Masters,   an  
educator   advocated   for   the   idea   of   training   Filipino   girls   for   the   profession   of   nursing  
with  the  approval  of  Government  officials,  she  first  opened  a  dormitory  for  Girls  enrolled  
at  the  Philippine  Normal  Hall  and  the  University  of  the  Philippines.  
St.  Luke’s  Hospital  School  of  Nursing  (Quezon  City)  
The  hospital  is  an  Episcopalian  Institution.  It  began  as  a  small  dispensary  in  1903.  In  
1907   1907,  the  school  opened  with  three  girls  admitted.  These  three  girls  had  their  first  year  
in  combined  classes  with  the  PGH  School  of  Nursing  and  St.  Paul’s  Hospital  School  of  
Nursing.   Miss   Helen   Hicks   was   the   first   principal.   Mrs.   Vitaliana   Beltran   was   the   first  
Filipino  superintendent  of  nurses  and  Dr.  Jose  Fores  was  the  first  medical  director  of  
the  hospital.    
Mary  Johnston  Hospital  and  School  of  Nursing  (Manila)  
It  started  as  a  small  dispensary  on  Calle  Cervantes  (now  Avenida).  It  was  called  the  
Bethany   Dispensary   and   funded   by   the   Methodist   Mission   for   the   relief   of   suffering  
among  women  and  children.  In  1907,  Sister  Rebecca  Parrish  together  with  registered  
nurses  Rose  Dudley  and  Gertude  Dreisbach,  organized  the  Mary  Johnston  School  of  
Nursing.   The   nurses’   training   course   began   with   three   Filipino   young   girls   fresh   from  
elementary  as  their  first  students.  
Philippine  Christian  Mission  Institute  Schools  of  Nursing  
The   United   Christian   Missionary   Society   of   Indianapolis,   Indiana-­   a   Protestant  
organization  of  the  disciples  of  Christ  operated  three  schools  of  nursing.  
1903   Sallie  Long  Read  Memorial  Hospital  School  of  Nursing    
(Laoag,  Ilocos  Norte)  

 
The  Start  of  Nursing  Practice  (1911-­  1921)  
Promulgation  of  Act  No.  2493  which  amends  Medical  Law  (Act  No.  310)  allowing  the  regulation  of  nursing  
practice  transpired  during  this  period.    However,  in  1919,  the  First  True  Nursing  Law  was  enacted  through  
Act  2808.  During  this  period  the  Board  Examiners  for  Nursing  was  also  created.  The  first  nursing  board  
examination   was   given   on   1920.   The   first   executive   officer   of   the   Board   Examiners   for   Nurses   is   a  
physician.  
 
  Mary  Chilles  Hospital  School  of  Nursing  (Manila,  1911)    
 
 
  Frank  Dunn  Memorial Hospital  (Vigan,  Ilocos  Sur,  1912)
 
 
San  Juan  de  Dios  Hospital  School  of  Nursing (Manila,  1913)
 
 
  Emmanuel  Hospital  School  of  Nursing  (Capiz,  1913)
 
 
  Southern Islands  Hospital  School  of  Nursing  (Cebu,  1918)
 
 
 
Public  Health  Nursing  Development:  1931  –  1941  
In   1933,   the   nursing   institution   have   increased   their   requirement.   During   this   period,   they   have  
implemented   that   to   enter   nursing   education   an   applicant   must   be   able   to   complete   secondary  
education.  The  first  collegiate  nursing  graduates  of  the  Philippines  graduated  from  University  of  the  
Philippines  School  of  Public  Health  Nursing  in  1938.  
 
Nursing  during  World  War  II  
While  in  the  Philippines,  World  War  II  made  public  health  nurses  in  Manila  assigned  to  devastated  areas  
to  attend  the  sick  and  the  wounded.  A  year  after,  thirty-­one  nurses  who  were  taken  prisoners  of  war  by  
the  Japanese  army  and  confined  at  the  Bilibid  Prison  in  Manila  were  released  to  the  Director  of  the  Bureau  
of  Health.  And  just  like  in  the  US,  a  lot  of  public  health  nurses  joined  the  guerillas  or  went  to  hide  in  the  
mountains  during  this  time.  
 
The  Degree  of  Bachelor  of  Science  in  Nursing:  1941  –  1951  
A   nursing   curriculum   which   was   based   on   the   thesis   presented   by   Julita   V.   Sotejo,   graduate   of   the  
Philippine  General  Hospital  School  of  Nursing,  tackles  on  the  development  of  a  nursing  education  within  
a   University-­based   College   of   Nursing.   This   dissertation   was   the   beginning   of   nursing   curriculum   that  
have  made  the  Nursing  Institution  of  the  country  as  a  baccalaureate  course.  During  this  period,  College  
of  Nursing  was  also  created.  When  the  Japanese  occupied  the  Philippines  in  1942,  training  and  practice  
at  the  hospital  schools  of  nursing  in  Manila  was  “violently  disrupted.”    However,  U.S.  colonial  patterns  in  
Philippine  nursing  education  soon  returned  after  the  U.S.  reclaimed  the  country  in  1945  and  even  after  
the  Philippines  gained  independence  from  the  U.S.  July  4,  1946.  

 
   
 
THE FIRST  COLLEGES  OF   University  of  Sto.  Tomas (1877)
 
NURSING  IN  THE  
  Manila  Central  University  (1947)
PHILIPPINES
 
 
  University  of  the  Philippines  (1948)
 
 
  Far  Eastern  University  (1955)
 
 
 
University  of  the  East  (1958)  
 
 
 
Filipino  Nurses’  Health  Beliefs,  Behaviors,  and  Practices  
Based  in  the  article  of  Ordonez  and  Gandeza  (2004),  understanding  the  culture,  health  care  beliefs,  
and  practices  of  Filipino  nurses  is  important,  as  it  affects  the  way  they  assess  the  needs  and  provide  
care  for  their  clients.  This  article  provided  a  general  profile  of  the  health  care  beliefs,  behaviors,  and  
practices  of  Filipino  nurses  in  the  United  States  within  the  context  of  the  general  Filipino  culture.  Like  
any  other  ethnic  group,  Filipinos  have  become  acculturated  at  various  levels  after  coming  to  work  
and   live   in   this   country   over   the   years.   It   is   the   integration   of   their   cultural   beliefs,   values,   and  
behaviors  that  affects  their  caregiving  attitudes  and  practices.  
 
 
GENERAL  VALUES  OF  FILIPINO  NURSES  
 
The  cultural  background  of  Filipino  nurses  may  have  a  strong  influence  on  their  selection  of  nursing  
as  a  profession,  because  caring  for  others  is  emphasized  and  valued,  especially  among  females.  
 
•   WORK  ETHIC  
As  a  group,  Filipino  nurses  are  well  liked  because  they  are  hardworking.  They  place  high  value  on  
responsibility   and   seldom   complain.   Joyce   and   Hunt   (1982)   commented,   “Many   [Filipino   nurses]  
work  nights,  holidays  and/or  overtime.  So,  during  this  time  of  nursing  shortage,  one  can  rely  on  a  
Filipino  nurse  to  volunteer  to  cover  the  shift”  
 
•   SPIRITUALITY  
Filipino   nurses   are   very   religious   people.   There   is   a   deep   faith   in   God   that   is   reflected   in   the  
expression   of   “bahala   na”   —   “it   is   up   to   God”   or   “leave   it   to   God.”   Although   it   is   an   indication   of  
acceptance   of   the   nature   of   things   including   one’s   own   inherent   limitations,   bahala   na   operates  

 
psychologically   to   elevate   one’s   courage   and   conviction   to   persist   in   the   face   of   adversity   and  
improve  one’s  situation  (Okamura  &  Agbayani,  1991).  
 
•   SENSITIVITY  
Filipinos  are  generally  sensitive  and  equally  sensitive  to  the  feelings  of  others,  so  they  try  to  find  a  
way  to  say  things  diplomatically.  Being  sensitive  to  the  feelings  of  others  is  also  reflected  in  the  way  
Filipino   nurses   conduct   patient   teaching,   especially   with   the   elderly,   immigrants,   and   the   less  
fortunate.  
 
•   INTERPERSONAL  RELATIONSHIPS  
Filipinos  are  generally  quiet.  Very  conservative  families  do  not  allow  their  younger  members  to  join  
the   conversation   of   adults   without   an   invitation.   Engaging   in   arguments,   especially   with   someone  
who   is   older   or   holds   an   authority   position,   is   considered   uncivilized.   Filipinos   also   have   difficulty  
turning  down  requests  from  supervisors  to  whom  they  feel  obligated.  

•   RESPECT  and  REVERENCE  


One’s  position  in  society,  professional  achievements,  and  age  carry  a  lot  of  weight  in  the  Philippine  
society.  Physicians,  lawyers,  priests,  engineers,  teachers,  and  nurses  are  among  the  well-­respected  
professionals  in  the  Philippines.  Hence,  their  opinion  is  generally  accepted  without  question.  Filipino  
nurses   highly   value   their   elderly   clients.   Elderly   individuals   are   given   high   respect   and   revered.  
Family   commitment   fosters   a   sense   of   pride,  and   therefore,   caring   for   others   is   embedded   in   the  
culture.  
 
•   MODESTY  
Filipino  nurses  find  it  uncomfortable  to  accept  even  a  well-­deserved  compliment.  Filipino  nurses  are  
less   likely   to   use   I   to   express   what   they   have   achieved.   More   than   likely,   they   will   use   we   to  
acknowledge  others’  contributions  no  matter  how  insignificant  the  contributions  might  be.  This  may  
explain   why   they   work   well   with   others.   This   may   come   from   the   practice   of   Bayanihan.   In   the  
Philippines,  if  you  want  something  done,  it  is  easy  to  get  a  group  together  to  work  on  a  project  so  
that  it  will  get  done  faster  and  better.  
 
•   LANGUAGE  
Respect  is  integrated  in  the  Filipino  language.  Reference  to  the  elderly  is  the  use  of  the  third  person.    
 
•   CLOSE  FAMILY  TIES  
Filipino  nurses  have  strong  family  ties.  They  tend  to  eat  the  same  food  and  mingle  with  individuals  
of  the  same  ethnic  background.  Hence,  the  old  health  beliefs  and  practices  continue.  
 
 
HEALTH  BELIEFS  
 
•   CULTURE  
-­is  defined  as  the  “totality  of  socially  transmitted  pattern  of  thoughts,  values,  meanings,  and  beliefs”  
(Purnell  2005).  It  is  not  limited  to  any  specific  ethnic  group,  geographical  area,  language,  religious  
belief,  manner  of  clothing,  sexual  orientation,  and  socioeconomic  status  (Fisher  1996).    
 

 
In  Revisiting  usog,  pasma,  and  kulam,  Tan  explains  that  “culture  is  inscribed  in  our  bodies  and  in  our  
minds”  (Tan  2008).  As  such,  the  relationship  of  culture  and  health  is  important  to  understand  as  it  
impacts  an  individual’s  worldview  and  decision-­making  process  (Purnell  2005).  Like  in  other  fields  of  
medicine,  the  impact  of  cultural  beliefs  is  increasingly  being  recognized  as  an  essential  component  
in  the  genetic  counseling  process  (Cohen  et  al.  1998;;  Edwards  et  al.  2008;;  Penn  et  al.  2010).  
 
 
 
  FILIPINO  CULTURAL  BELIEFS  
  Filipino  word  depicting  cultural  beliefs   English  translation  
  Namamana   Inheritance  
  Lihi   Conception  or  maternal  cravings  
 
Sumpa  and  gaba   Curse  
 
  Pasma   Hot  and  cold  syndrome  
  Namaligno   Mystical  and  supernatural  causes  
  Kaloob  ng  Diyos   God’s  will  
 
 
 
Once   cultural   health   beliefs   and   practices   are   known,   interventions   can   be   properly   instituted   so   that  
despite  these  beliefs,  genetic  counselors  can  ensure  that  surveillance,  management,  and  other  medical  
recommendations  are  done.  
 
The  selected  Filipino  cultural  beliefs  discussed  in  this  paper  can  guide  in  the  provision  of  psychosocial  
support  as  it  provides  clues  on  the  coping  mechanisms  of  Filipino  patients  and  their  families.  It  is  also  
important   to   recognize   that   some   of   these   Filipino   beliefs   are   embodied   in   larger   sociological   and  
economic  factors.  Tan  (2008)  emphasized  that  bahala  na  (and,  by  extension,  kaloob  ng  Diyos)  are  not  
just  forms  of  fatalism  or  passive  acceptance.  
 
 
 

 
Herbolarios  –  It  was  believed  that  evil  spirits  could  be  driven  away  by  persons  with  power  to  banish  
demons.   Belief   in   special   gods   of   healing,   with   the   priest   -­physician   (called   “word   doctors”)   as  
intermediary.  If  they  used  leaves  or  roots,  they  were  called  herb  doctors  (“herbolarios”)  Filipinos  who  
became  sick  were  usually  cared  for  by  the  female  family  members  or  friends  in  the  home.  
 
Herbicheros  -­  Herb  men,  meaning  one  who  practiced  witchcraft.    
 
Mangkukulam  –  (manggagaway)  Persons  suffering  from  diseases  without  any  identified  cause  were  
believed  bewitched  by  these  people.  
 

 
Pamao  –  or  difficult  childbirth,  and  some  diseases  were  attributed  to  “nunos”.  Midwives  assisted  in  
childbirth.  During  labor,  the  “mabuting  hilot”  (good  midwife)  was  called  in.  
 
Filipino  values  -­  are,  for  the  most  part,  centered  at  maintaining  social  harmony,  motivated  primarily  
by  the  desire  to  be  accepted  within  a  group.  The  main  sanction  against  diverging  from  these  values  
are   the   concepts   of   "Hiya",   roughly   translated   as   'a   sense   of   shame',   and   "Amor   propio"   or   'self-­
esteem'.  
 
Folk  beliefs  -­  otherwise  known  as  "superstitious  beliefs"  (pamahiin),  form  part  of  a  people's  value  
system  and  culture.  They  basically  reflect  the  customs,  traditions,  and  mores  of  a  group,  which  may  
be  based  on  religious  beliefs,  opinions,  old  or  popular  practices.  
 
 

 
 
Joyce,  R.,  &  Hunt,  C.  (1982).  Philippine  nurses  and  the  brain  drain.  Social  Science  Medicine,  16,  
1223-­1233.  
 
 
Okamura,  J.,  &  Agbayani,  A.  (1991).  Philippines  culture,  Filipinos,  values,  Philippine  beliefs.  
Retrieved  April  27,  2020,  from  www.  [Link]/[Link]  
 
 
Purnell  L  (2005)  The  purnell  model  for  cultural  competence.  J.  Multicult.  Nurs.  Health  11(2):7-­15.  
[Link]  
 
 
Fisher  N.  Cultural  and  ethnic  diversity:  a  guide  for  genetic  professionals.  London:  John  Hopkins  
University  Press;;  1996.  
 
 
Tan  M.  Revisiting  usog,  pasma,  kulam.  Quezon  City:  The  University  of  the  Philippines  Press;;  2008.  
 
 
Cohen  L,  Fine  B,  Pergament  E.  An  assessment  of  ethnocultural  beliefs  regarding  the  causes  of  
birth  defects  and  genetic  disorders.  J  Genet  Couns.  1998;;7(1):15–29.  doi:  
10.1023/A:1022812027511.  
 
 
 

 
 

 
Study  Questions  
 
•   Based  on  the  cultural  diversity,  explain  how  nursing  could  create  changes  on  how  Filipinos  
perceive  health  necessity.  
 
•   What  are  the  importance  of  knowing  where  nurses  in  the  Philippines  started  and  what  are  the  
future  challenges  that  they  must  overcome  to  achieve  a  more  productive  health  care  delivery?    
 

 
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