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    Chapter I

    INTRODUCTION

    Management emphasizes control. It is the process of leading and directing all or

    part of an organization through the deployment and manipulation of resources. The act,

    manner or practice of managing, handling, supervision or control is another description

    of management (Marquis& Huston, 2006). It is defined in many ways, generally as a

    process of coordinating, integrating human, technical, other resources to accomplish

    specific results (Haimann, 1989). A process by which a cooperative group directs

    actions toward common goals and involves techniques by which a distinguished group

    and people (Venzon, 2003).

    In nursing, management relates to planning, organization, staffing, directing

    (leading) and controlling (evaluating), the activities of nursing enterprise or division of

    nursing departments and the sub unions of the departments. Management knowledge

    is universal. It uses a systematic body of knowledge that includes concepts, principles

    and theories applicable to all nursing management situations. It is merely more on the

    application of the art and science of management to the discipline of nursing. Nursing

    management consists of group managers who mange the nursing organization and

    enterprise. Finally, this is the process by which nurse managers practice their

    profession through managing the disciplines of human relations, labor relations,

    personal management and industrial engineering into a unifying force for effective

    management (Suhnsburg, 2002).

    There are three(3) styles of behavioral management namely: (1)authoritarian, in

    which strong control is maintained over the work group, motivated by coercion anddirected with commands, decision making does not involve others and its

    communication flows downward. This then results in well defined group actions that

    are usually predictable and less frustration in the work group. (2) Democratic, in which

    less control is maintained, economic and ego awards are used to motivate and

    communication flows up and down. Thus, decision making involves others that are

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    directed through suggestions and guidance. This type promotes autonomy and growth

    in individual workers. (3) Laissez faire, in which it has little or no control over work

    group, motivation by support when requested by the group or individuals and

    communication has upward and downward flow among members of the group. Since

    this style is nondirected, it can be frustrating and disinterest can occur (Marquis&

    Huston, 2006).

    There are many possibilities of the division of the managing styles. In theory,

    one can distinguish two basic styles: directive and integrative. Generalizations

    describing both styles result in the fact that they do not reflect reality taking place at

    work. Because of it they cannot be applied in such a form. Therefore, it is necessary to

    build up the theoretical concept of the managing styles through decreasing their

    generality and adjusting them to the reality requirements at the same time (Stychno,

    2002). Healthcare in the United States is constantly changing and becoming increasing

    more complex. An essential portion of the recent Institute of Medicine report, The Future

    of Nursing: Leading Change, Advancing Health, focuses on the significance of nurses

    as leaders in healthcare. The American Nurses Association continues to encourage and

    support nurses to play a more proactive leadership role in the various settings in which

    they practice and at the state and national level (Smith, 2011).

    Cross cultural management, when working in the Philippines, will be more

    successful when bearing in mind that each person has a very distinct role within the

    organization and management would not be expected to consult with lower-ranking

    individuals when decision-making. In the Philippines, as in other hierarchical societies,

    managers may take a somewhat paternalistic attitude to their employees. They may

    demonstrate a concern for employees that goes beyond the workplace and strictly

    professional concerns.

    In some nursing departments, nursing students must participate in clinical

    rotations at various healthcare facilities in addition to traditional classroom studies.

    During these rotations, students use their skills and knowledge to actively provide

    nursing care to patients. A nursing clinical instructor not only supervises, but also

    evaluates the students 'performances in three (4) aspects: (1) Skills - one of the main

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    duties of the nursing clinical instructor is to evaluate her students' nursing skills in the

    clinical setting. Although these skills vary from one facility to another and from one

    patient to another, nursing students must have a confident and thorough understanding

    of the hands-on skills required for the job. (2) Knowledge - Throughout the evaluation

    process, nursing instructors should regularly question their students. This task involves

    asking them questions related to their patient's current health situation and preferably

    related to the topics currently being covered in the classroom. (3) Critical thinking -

    Along with general knowledge and hands-on skills, nursing instructors must also

    continuously evaluate the critical thinking skills of their nursing students. Critical thinking

    involves assessing the current situation, relating that information to their bank of

    knowledge and determining the appropriate actions. (4) Assistance - Although the main

    duty of the nursing clinical instructor is to supervise and evaluate the student's

    performance, the instructor must be able to provide assistance when necessary. If the

    instructor's evaluation of the student is poor, he must attempt to teach the student and

    increase her knowledge of the material.

    The aim of the paper was an attempt to check what management styles are used

    by the clinical instructors in handling their students during clinical rotations.

    Related Studies

    Presented in this section are related literatures that are relevant in the present

    study taken from various sources such as books, magazines, journals and the internet.

    According to Moreno, et. al (2001), the clinical instructor is an integral part of the

    education of allied health students. The relationship between the clinical instructor and

    the student will assist the student with developing good patient care skills. In addition,clinical instructors need to display behaviors that model professionalism and provide a

    nurturing atmosphere for students. It is the time when students gain the necessary tools

    to become proficient in clinical skills; the clinical instructor is a critical link in that

    development.

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    Moreover, according to Laurent (2002), a clinical instructor is a person who

    provides direct supervision and instruction to students in the clinical aspect of training

    education. He also stated that clinical instructors have an important role in the

    facilitation and integration of training knowledge and skills; thus, it is important to identify

    and promote helpful clinical instructor qualities. Clinical education is an important aspect

    of many allied health programs; however, the experience can be negative for everyone

    involved if the program does not have qualified clinical instructors.

    The clinical instructors ethical value system is involved in her/his process of

    decision making. Clinical management and supervision is recognized as a

    developmental opportunity to develop clinical leadership. Working with the practitioners

    through the milieu of clinical supervision is a powerful way of enabling them to realize

    desirable practice. Clinical nursing supervision is an ongoing systematic process that

    encourages and supports improved professional practice (Erickson, 1987).

    In addition, Erickson (1987) further stated that clinical instruction is a vital

    component of the education process for both clinical instructors and students. In the

    clinical setting, students are provided with the opportunity to actively practice skills

    taught in the didactic environment. Clinical instructors, as well as the clinical site itself,

    influence the success of the educational experience of students. Program directors are

    responsible for ensuring that the clinical sites selected are educationally appropriate.Additionally, they must ensure that the clinical instructors are teaching and evaluating

    students effectively.

    Selection of a clinical site usually is based on factors such as location and

    willingness to have students; selection is not necessarily based on the quality of

    teaching opportunities the clinic can provide nor on the staff availability. However,

    clinical sites must possess supportive staff and enough patient cases to provide ample

    learning opportunities for students. In addition, clinical instructors have a responsibility

    to teach and evaluate students properly in the clinical environment; however, they do

    not always have the appropriate preparation. As with other allied health fields, clinical

    instructors frequently are chosen based on management skill level and years of practice

    and not on the ability to teach and evaluate students effectively (Erickson, 1987).

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    Weidner (2005) stated that clinical experience has been always an integral part

    of nursing education. It prepares student nurses to be able of "doing" as well as

    knowing the clinical principles in practice. The clinical practice stimulates students to

    use their critical thinking skills for problem solving. Awareness of the existence of stress

    in nursing students by clinical instructors and educators and responding to it will help to

    diminish student nurses experience of stress.

    In a descriptive correlational study by Beck (1991), one of the most anxiety

    producing components of the nursing program which has been identified by nursing

    students is that clinical experience was the most stressful part of the nursing program.

    Lack of clinical experience, unfamiliar areas, difficult patients, fear of making mistakes

    and being evaluated by faculty members were expressed by the students as anxiety-

    producing situations in their initial clinical experience.

    Furthermore, Ulrich (2003) said that it is important for clinical instructors to meet

    with each student prior to initiating the clinical assignment/experience. This preliminary

    meeting should "set the stage" for the clinical/supervisory experience. Students benefit

    from knowing the expectations of the clinical instructors, and the clinical instructor

    should, in turn, explore the student's expectations for the experience and for the

    supervisor. This first meeting should provide the participants some sense of what will

    develop over the time the student is assigned to this clinical instructor.According to Goldenberg (1993), the role of the clinical instructor is multifaceted

    in training clinical education. Responsibilities include not only teaching, but also

    evaluating students in multiple domains such as cognitive, affective and psychomotor.

    In addition, clinical instructors must demonstrate personal and professional

    characteristics that foster student growth and development. Clinical instructors serve as

    role models for students; consequently, it is vital that they exhibit mature behaviors and

    adhere to professional standards.

    An authoritarian leadership style is being used when a leader who dictates

    policies and procedures, decides what goals are to be achieved, and directs and

    controls all activities without any meaningful participation by the subordinates.

    Authoritarian leaders are commonly referred to as autocratic leaders. They provide clear

    expectations for what needs to be done, when it should be done, and how it should be

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    done. There is also a clear divide between the leader and the followers. Authoritarian

    leaders make decisions independently with little or no input from the rest of the group.

    Authoritarian leaders uphold stringent control over their followers by directly regulating

    rules, methodologies, and actions. Authoritarian leaders construct gaps and build

    distance between themselves and their followers with the intention of stressing role

    distinctions. Authoritarian leadership typically fosters little creativity in decision-making.

    Lewin also found that it is more difficult to move from an authoritarian style to a

    democratic style than from a democratic form to a authoritarian form of leadership.

    Abuse of this style is usually viewed as controlling, bossy and dictatorial. Authoritarian

    leadership is best applied to situations where there is little time for group discussion.

    Under democratic leadership, the people have a more participatory role in the

    decision making process. One person retains final say over all decisions but allows

    others to share insight and ideas.

    This is often a highly effective form of leadership. People are more likely to excel

    in their positions and develop more skills when they feel empowered, and people are

    empowered when they are involved in the decision-making process.

    Although it may take some time to achieve full participation from a group, the end

    result will be rewarding if you can manage to establish a power-sharing environment in

    your group project. You will find that democratic practices often lead to a more

    productive and higher quality work group.

    Laissez-faire leaders may give their teams complete freedom to do their work

    and set their own deadlines. They provide team support with resources and advice, if

    needed, but otherwise don't get involved.

    This leadership style can be effective if the leader monitors performance and

    gives feedback to team members regularly. It is most likely to be effective when

    individual team members are experienced, skilled, self-starters.

    The main benefit of laissez-faire leadership is that giving team members so much

    autonomy can lead to high job satisfaction and increased productivity. The downside is

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    http://www.mindtools.com/pages/article/newLDR_47.htmhttp://www.mindtools.com/pages/article/supporting-your-people.htmhttp://www.mindtools.com/pages/article/newLDR_47.htmhttp://www.mindtools.com/pages/article/supporting-your-people.htm
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    that it can be damaging if team members don't manage their time well or if they don't

    have the knowledge, skills, or motivation to do their work effectively.

    Effective leaders recognize that what they know is very little in comparison to

    what they still need to learn. To be more proficient in pursuing and achieving

    objectives, a leader should be open to new ideas, insights, and revelations that can

    lead to better ways to accomplishing goals. This continuous learning process can be

    exercised, in particular, through engaging in a constant dialogue with peers, advisers,

    consultants and team members (OTool, 2003).

    OTool (2003) further stated that leading others is not simply a matter of style, or

    following some how-to guides. Ineffectiveness of leaders seldom results from a lack of

    know-how or how-to, nor it is typically due to inadequate managerial skills. Leadershipis even not about creating a great vision. It is about creating conditions under which all

    followers can perform independently and effectively toward a common objective.

    According to Manohar (2011) bringing unity and coherence to a group of people

    is perhaps one of the most difficult tasks, which require effective leadership qualities. Be

    it politics, business or even sports, leaders are required in any situation that calls for a

    joint effort. Every leader has his / her own unique leadership style. Broadly speaking,

    there can be several effective leadership styles namely: Directors Approach, Coaching

    Style, Facilitating Approach, and Delegating Approach.

    The Director's Approach is a leadership style which is somewhat authoritarian in

    its approach since the leader has a specific goal in mind and directs the team towards

    the goal according to his plan of action. The leader identifies the requirements of the

    situation and creates a plan to handle the situation. The leader is completely in charge

    of division of work and specifically assigns roles for each and every team member. The

    leader has the final word on all the decisions and rarely asks for suggestions from the

    team members. The leader, who uses a director's approach for leading a team, usually

    supervises and evaluates the work of every individual.

    The Coaching Style involves more mutual interaction of the leader and the team.

    In this style, the leader sets the goals and identifies the problems; however the leader

    consults with his team members and encourages a healthy dialog to facilitate exchange

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    of ideas that can be beneficial for the team as a whole. The leader usually arrives at the

    decisions after having consulted the team members. This style displays more respect

    for individual opinions since the leader is more considerate towards the team members.

    The leader tends to encourage and appreciate the efforts of his team and constantly

    provides encouragement for the team by inculcating a sense of team spirit. The leader

    evaluates the performance of the leaders.

    The Facilitating Approach is a more flexible leadership style in which the leader

    allows the team members to be a part of almost every process starting from the role-

    delegation, goal setting, problem solving as well as the evaluation and overview. The

    leader acts more like a facilitator who inspires the team to reach their goal, by giving

    them a nudge every now and then. The leader tries to inculcate a sense of individual

    responsibility within every individual and hence creates an effective team that can

    function with minimum supervision.

    However, the Delegating Approach is more democratic than any other styles of

    leadership. The employees and the leader are a part of every process. The leader

    empowers the team members and allows them to be a part of the planning and

    decision-making process and decide their own roles and responsibilities. The leader

    accepts the decisions of the team members, allows them to evaluate their own work.

    This sense of leadership tends to develop a team, which functions as a cohesive andresponsible team.

    According to Jones (2007), Laissez-faire leadership, is typically considered the

    least effective option. In stark contrast to the other primary styles, delegative leaders

    rarely make decisions, leaving this function up to the group. These leaders seldom offer

    guidance to the team and delegate decision-making to trusted team members. While

    offering few advantages, this style often creates some disadvantages. Job descriptions

    and lines of authority become blurred and confusing. A loss of motivation and positivity

    often accompanies the confusion of team members.

    Theoretical Framework

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    Henri Fayol (1841-1925) on his Management Function Theory, stressed that the

    theory of administration was equally applicable to all forms of organized human

    cooperation. He first identified the management functions of planning, organizing,

    command, coordination and control. Eventually, theorists began to refer these functions

    as the management process. Although often modified, these functions or activities have

    changed little overtime.

    As the relationship between leadership and management continues to prompt

    some debate, the literature demonstrates the need for both (Trent 2003). During the

    human relations era, many behavioral and social scientists studying management also

    studied leardership.

    The Leadership Styles Theory of Lewin (1951) and White (1960 isolated common

    leadership styles. These styles came to be called authoritarian, democratic, and laissez-

    faire. According to the book of Marquis and Houston, authoritarian leadership results in

    well defined group actions that are usually predictible, reducing frustration in the work

    group and giving members a feeling of security. Productivity is usually high, but

    creativity, self motivation, autonomy are reduced. Authoritarian leadership is useful in

    crisis situations. While, democratic leadership, is appropriate for groups who work

    together for extended periods, promotes autonomy and growth in an individual. This

    type of leadership is particularly effective when cooperation and coordination between

    groups are necessary. On the other hand, laissez faire is a non directed group, it can be

    frustrating, group apathy and disinterest can occur, however when all group members

    are highly motivated and self directed, this leadership style can result in much creativity

    and productivity. This leadership is appropriate when problems are poorly defined and

    brainstorming is needed to generate alternative solutions.

    On the other hand, Mary Parker Folletts (1868-1933) Law of the SituationTheory, she suggested that the leadership style should vary to the situation or the

    individuals involved. Mary Parker Follett was one of the first theorists that suggest basic

    principles of what today would be called participative decision making or participative

    management. Follett espoused her belief that managers should have the authority with,

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    rather than over the employees. Thus, solutions could be found that satisfied both sides

    without having one side dominate the other.

    The group chose the theory of Henry Fayol, The Management Function Theory,

    because in an organization such as RLE group, it is important for a manager which is

    the Clinical Instructor to know the steps in management, so that the formed organization

    is directed and will attain its goal. On the other hand, The Leadership Styles Theory of

    Lewin and White is also applicable in our study specially to the Clinical Instructors

    because this theory would be helpful to them in determining what style of leadership

    they will use in managing the students. Whereas, Mary Parker Folletts Law of Situation

    Theory gives an idea for managers like Clinical Instructors that a leadership style should

    vary in situations or case to case basis.

    Conceptual Framework

    The research paradigm illustrates the relationship of the different variables. The

    Independent variable is the management styles of the Clinical Instructors in terms of

    planning, organizing, leadership, and controlling. On the other hand, the Dependent

    variable is the clinical performance of the BSN 3 students. The independent variable

    affects the dependent variable. The intervening variables are the demographic profiles

    of the Clinical Instructors and the BSN 3 students. It indicates the relationships between

    observed variables, such as the independent and dependent.

    Independent Variable Dependent Variable

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    Management Styles:

    1. Democratic

    2. Authoritarian

    3. Laissez-faire

    Clinical Performance

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    Intervening Variable

    Figure 1. Research Paradigm

    Figure 1.Research Paradigm

    Statement of the Problem

    This study aims to determine the management styles of Clinical Instructors and

    the clinical performance of the BSN 3 Students of Davao Doctors College.

    Specifically, this study seeks to answer the following questions:

    1 .What is the demographic profile of the Clinical Instructors in terms of:

    1.1 Age;

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    Demographic Profile of Clinical

    Instructors

    1. Age

    2. Sex

    3. Civil Status

    4. Religious Affiliation

    5. Educational Attainment

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    1.2 Sex;

    1.3 Civil Status;

    1.4 Religious affiliation; and

    1.5 Educational Attainment?

    2. What is the demographic profile of the BSN 3 Students in terms of gender?

    3. What are the management styles of the Clinical Instructors in terms of:

    3.1 Democratic;

    3.2 Authoritarian; and

    3.3 Laissez-faire?

    4. What is the profile of the clinical performance of the BSN 3 students of Davao

    Doctors College?

    5. Is there a significant relationship between the demographic profile of the

    Clinical Instructors and their management styles?

    6. Is there a significant relationship between the demographic profile and the

    profile of clinical performance of the BSN 3 Students of Davao Doctors

    College?

    7. Is there a significant relationship between the management styles of the

    Clinical Instructors and the profile of clinical performance of the BSN 3

    Students of the Davao Doctors College?

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    Hypotheses

    This study was guided by the following null hypothesis at 0.05 level of

    significance.

    HO1: There is no significant relationship between the demographic profile of the Clinical

    Instructors and their management styles.

    HO2: There is no significant relationship between the demographic profile and the

    profile of clinical performance of the BSN 3 Students of Davao Doctors College.

    HO3: There is no significant relationship between the management styles of the Clinical

    Instructors and the profile of clinical performance of the BSN 3 Students of the

    Davao Doctors College.

    Significance of the Study

    The results of this study were seen to be necessary to the following:

    DDC Administrator

    This will be beneficial for the DDC Administrators for them to evaluate their staffs about

    their performances and their level of competencies in teaching the nursing students in

    developing their knowledge skills, and attitudes.

    Nursing Department Management Team

    This study will be significant in the field of nursing care in a way that this will help in

    developing a new effective ways in supervising the nursing students. Through this, the

    nursing students can provide a more effective and efficient care to their patients.

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    Clinical Instructors

    This study will be useful to the Clinical Instructors for them to identify what

    management style is better to use in handling the students for them to further enhance

    their effective supervision manner concerning the students.

    Nursing Students. The proposed study will serve as their reference and to know the

    management styles of the Clinical Instructors that affects their clinical performance. This

    study can be a learning paradigm of the nursing students to enhance their clinical

    performances through identifying the highly valuable management skill of their Clinical

    Instructors.

    Future Researchers. This study will be a road map for the future researchers which will

    provide additional knowledge and information regarding the benefit of high-quality

    management delivered by the Clinical Instructors. The researchers believed that there

    would be an improvement of health in the community if the paper is utilized as a source

    of reference data for future study.

    Definition of Terms

    This section facilitates understanding of the study by defining terms of variables

    according to their operational use.

    Clinical Performance. It denotes how the student nurse applies their skills to

    practice in providing care to their patients efficiently and effectively.

    Management style. It denotes the process on how Clinical Instructors make

    plan, decide, organize, command, coordinate and control on the student nurses

    performance in the field.

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    CHAPTER 2

    METHODOLOGY

    This section shows the research design, setting, participants, instruments, data analysis,

    procedures and scope and limitations of the study.

    Research Design

    The researchers utilized a non-experimental descriptive-correlation research design. It is

    descriptive because the researchers aim is for the student to give data for purposes of

    describing the management styles of the Clinical Instructors. Correlational studies was utilized

    because the researchers wants to examine the extent of the relationship of the management

    styles of the Clinical Instructors and the clinical performance of the BSN 3 students of the Davao

    Doctors College.

    Research Setting

    The study was conducted at Davao Doctors College located at General Malvar Street,

    Davao City. Davao Doctors College is a non sectarian academic institution. September 1975

    marked the birth of the Davao Doctors College which was named before as Davao Doctors

    Hospital School of Nursing (DDHSN). The College of Nursing offers a four-year competency-

    based, Bachelor of Science in Nursing program currently with CHED CMO #14 series of 2009.

    Now, the school also offers courses in-line with medical courses such as RadiologicTechnology, Physical Therapy, Occupational Therapy, Optometry, Psychology and courses in-

    line with Education and Hospital Management

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    Research Participants

    The participants of this study were the BSN 3 students of the school year 2011-

    2012 and the Clinical Instructors of NCM 104 of second semester of school year 2011-

    2012.

    Research Procedure

    In the preparatory phase, the researchers were able to formulate topics or titles

    that are relevant to the students of Davao Doctors College. By the help of their mentor

    and panelists during the title defense the group was able to choose the topic for their

    study entitled The Management styles of the Clinical Instructors and the Clinical

    Performance of the BSN 3 Students of Davao Doctors College.

    The researchers determined the objectives of the survey which was to collect

    data that aid in identifying what are the management styles of the involved Clinical

    Instructor and its relation to the clinical performance of BSN 3 students. The

    researchers constructed questionnaires which include the profile of the students and

    certain questions that aid in determining the management style of clinical instructors.

    A letter of approval from the clinical instructors was secured by the researchers

    before conducting the actual survey. Upon approval, researchers explained the purpose

    of conducting the study.

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    After acquiring an approval for our study, we were allowed to conduct our data

    gathering from selected students from BSN 3. We also explained the purpose of our

    study to our respondents to gain cooperation and get realistic data.

    Table 1

    Distribution of Respondents

    Respondents Total

    Population

    Pretest

    Respondents

    Actual Sample

    BSN 3 62 10 52

    CI for NCM-104 17 5 12TOTAL 79 15 64

    Sampling Technique

    The researchers utilized the universal sampling technique for the totality of group

    to which the research findings has applied. The target population was the BSN 3

    students of Section A and C S.Y. 2011-2012. The researchers gathered data from the

    involved student respondents and the whole number of the Clinical Instructors who

    handled NCM 104 S.Y. 2011-2012. The total of the students population is 62, ten

    students was chosen to answer for the pretest. The total number of Clinical Instructors

    is 17, five of them was chosen to answer for the pretest.

    Data Analysis

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    Frequency and Percentage. This was utilized to process and evaluate the

    demographic profile of the respondents and their clinical performance. This analysis

    was used for the statement of the problem #1,2,3

    Pearson Moment Product Correlation. This is a parametric statistical test that was

    used to evaluate relation between variables. In this study, this test measurement was

    used to evaluate the significant relationship between the demographic profile of the

    respondents, the Management Styles of the Clinical Instructors and the Clinical

    Performance of the BSN 3 Students. This analysis was used for the statement of the

    problem # 5,6,7.

    Chi Square. This was utilized to determine the significant relationship between the

    demographic profile of the respondents, the The Management Styles of the Clinical

    Instructors and the Clinical Performance of the BSN 3 Students. This analysis was used

    for the statement of the problem # 5,6.

    Scope and Delimitation

    This study focused on determining the management style and strategies of the

    Clinical Instructors appropriate to the clinical performance of the BSN 3 students of

    Davao Doctors College on their Related Learning Experience in NCM 104.

    The respondents of the study are the clinical instructors of NCM 104 and the

    BSN 13A and 13C nursing students of Davao Doctors College last second semester of

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    S.Y. 2011-2012.Since individual persons have their own ideas, understanding,

    perception and interpretation of their academic status, the researchers of the study

    made use of a questionnaire as another tool in measuring the relationship between the

    management strategies of the Clinical Instructors and the clinical performance of the

    students. The NCM 104 rotational grades last second semester of S.Y. 2011-2012 of

    the students will be used as the basis of their clinical performance.

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    Venzon, Lydia M., 2nd

    Ed. Nursing Management Towards Quality Care. Quezon City:

    C&E Publishing Inc.2003.

    Beck D and R Srivastava. Perceived Level and Source of Stress in Baccalaureate

    Nursing Students. United States: Journal of Nursing Education,1991.

    OTool, M and Johnson, C. Leadership: A communication perspective . Long Grove IL:

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    Moreno, M.B., et. al. (2001). Student and supervisor perceptions of the equality of

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    Laurent, J. M. (2002), Student trainer perceptions of clinical supervisor behaviors: a

    critical incident study. Phoenix Pub. House. v. 1. p. 47 (3):249-253.

    Erickson, E.R. (1987). Program directors and clinical instructors perceptions of

    important clinical-instructor behavior categories in the delivery of clinical instruction.

    38(4):336-341.Weidner TG (2005). Clinical instructors and student perceptions of helpful clinical

    instructor characteristics.36(1):56-61.

    Ulrich, A.C. (2003). Clinical supervision skills: A Delphi and critical incident technique

    study. Med Teach. 16(2/3):139-158.

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    Goldenberg, M.L. (1993). A collaborative model for the clinical education of

    baccalaureate nursing students. pp. 16-17.

    Beck, R. (1991), Leadership theory lets clinical instructors guide students toward

    autonomy. Nursing & Health Care. p. 9:82-86.

    Internet:

    Moreno, et al. Improving Clinical Instruction. Sherley Giordano, March-April 2008.

    Http://findarticles.com/p/articles , 2001.

    Laurent, et al. Improving Clinical Instruction. Sherley Giordano, March-April 2008.

    Http://findarticles.com/p/articles , 2002.

    Retrieved from: www.buzzle.com/.../effective-leadership-styles . Uttara Manohar

    (10/3/2011)

    Curriculum Vitae

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    http://findarticles.com/p/articleshttp://findarticles.com/p/articleshttp://www.buzzle.com/.../effective-leadership-styleshttp://www.buzzle.com/authors.asp?author=11864http://findarticles.com/p/articleshttp://findarticles.com/p/articleshttp://www.buzzle.com/.../effective-leadership-styleshttp://www.buzzle.com/authors.asp?author=11864
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    Name : Jervy M. Delota

    Age : 20 years old

    Birthday : April 25, 1992

    Civil Status : Single

    Address : Brgy. Carromata, San Miguel, Surigao del Sur

    Educational Background

    Elementary : Saint Theresa College of Tandag City (2005)

    Highschool : Saint Theresa College of Tandag City (2009)

    College : Davao Doctors College

    Motto : Everything is possible if you have perseverance

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    Name : Rommel A. Depas

    Age : 20 years old

    Birthday : June 12, 1992

    Civil Status : Single

    Address : Door 3 Piatos Bldg. Tionko Avenue Davao City

    Educational Background

    Elementary : Notre Dame of Midsayap Elementary Training

    Department (2004)

    Highschool : Notre Dame of Midsayap High School (2008)

    College : Davao Doctors College

    Motto : Honesty is the best policy

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    Name : Jill Ecru G. Derrayal

    Age : 19 years old

    Birthday : June 12, 1993

    Civil Status : Single

    Address : 6 Zinnia Ave. Ladislawa Garden Village Buhangin Davao

    City

    Educational Background

    Elementary : Panabo Christian School (2005)

    Highschool : Davao del Norte State College (2009)

    College : Davao Doctors College

    Motto : Live life to the fullest

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    Name : Bai Jionny A Dilangalen

    Age : 20 years old

    Birthday : June 12, 1992

    Civil Status : Single

    Address : 957 Legaspi Compound Camus Street Davao City

    Educational Background

    Elementary : Albert Einstein School Cotabato City (2004)

    Highschool : Albert Eisntein School Cotabato City (2008)

    College : Davao Doctors College

    Motto : Beauty is useless but the character is the best

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    Name : Juvic J. Dismas

    Age : 19 years old

    Birthday : October 24, 1992

    Civil Status : Single

    Address : Brgy. San Vicente Ferrer Agdao Davao City

    Educational Background

    Elementary : Jose L. Porras Elementary School (2005)

    Highschool : Holy Cross of Agdao (2009)

    College : Davao Doctors College

    Motto : Be passionate in your chosen career

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    Name : Jan Kristoffer Doctor

    Age : 20 years old

    Birthday : January 29, 1992

    Civil Status : Single

    Address : Purok Raniag, Maitum, Sarangani Province

    Educational Background

    Elementary : Malalag Elementary School (2004)

    Highschool : Notre Dame of Maitum (2008)

    College : Davao Doctors College

    Motto : Time is Gold

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    Name : Michael Bryan D. Draculan

    Age : 21 years old

    Birthday : April 20, 1991

    Civil Status : Single

    Address : Gempesaw Uyanguren Blk. 32 @ Diokno Bldg. 2nd Flr.,

    Davao City

    Educational Background

    Elementary : Digos Montessori Davao del Sur

    Highschool : Digos City National High School

    College : Davao Doctors College

    Motto : Living young, wild and free.

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    Name : Kwen Berlie C. Dultra

    Age : 19 years old

    Birthday : December 07, 1992

    Address : Batobato San Isidro Davao Oriental

    Educational Background

    Elementary : Batobato Central Elem. School (2005)

    Highschool : San Isidro National High School (2009)

    College : Davao Doctors College

    Motto : No pain, no gain. No guts, no glory.

    Win or go home. Where amazing happens.

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