HomeInternational Journal of Multidisciplinary: Applied Business and Education Researchvol. 6 no. 7 (2025)

Keeping Up with the Outcomes-Based Education Trends in Nursing Education and Practice Among Professionals in the National Capital Regiona Dissertation Conferred in January 2024

Joan O. Ranada | Lily Famadico

Discipline: Education

 

Abstract:

Nursing as a caring profession is constantly evolving as the call for international Healthcare demands are consequently in progress. The study aimed to determine how professional nurses are keeping up with Outcomes-Based Education trends in nursing education and practice. The study employed Exploratory Sequential Mixed Methods Design comprising of five phases namely: 1) Integrative Literature Review; 2) PICO: Writing the Integrative Review; 3) Tool Develop-ment and Testing – Quantitative; 4) Framework Development; 5) Functionality Evaluation from Expert Interviews – Qualitative. Emer-gent themes based on reviewed related literature were: 1) Core of Nursing; 2) Quality Patient Care; 3) Professional Transfiguration; 4) Excellence in Health Care. J.O.R.-O.B.E. Measurement Tool was devel-oped and pilot-tested with 0.80 to 0.92 acceptability level. Respond-ents were selected by purposive sampling. Results revealed that professional nurses who graduated under OBE curriculum were very satisfactorily keeping up with overall mean of 4.32, with a provision on research engagement and community-based staff development pro-grams. Utilizing T-test statistical tool, data shown insignificant differ-ences in the average performance of nurses as perceived by charge nurses, head nurses, nurse supervisors and staff nurses with a p-value of 0.368. Moreover, the developed J.O.R.-O.B.E. framework was evaluated by the chief nurses as an Excellent, Effective, and Highly Recommended. The findings of the study shed significant implications towards nursing profession. Utilization of J.O.R.-O.B.E. Measurement Tool and J.O.R.-O.B.E. Framework can serve to support the nursing workforce, for institutions to achieve excellent health care and cope up with global demands.



References:

  1. Al-Haroon, H. I., & Al-Qahtani, M. F. (2020). Assessment of organizational commit-ment among nurses in a major public hospital in Saudi Arabia. Journal of Mul-tidisciplinary Healthcare, 13, 519-526. https://doi.org/10.2147/JMDH.S256856
  2. Alsadaan, N., Salameh, B., Reshia, F. A. A. E., et al. (2023). Impact of nurse leaders be-haviors on nursing staff performance: A systematic review of literature. Inquiry: The Journal of Health Care Organiza-tion, Provision, and Financing, 60. https://doi.org/10.1177/00469580231178528
  3. American Accreditation Commission Interna-tional. (2020). Patient safety goals 2020- 2022. Retrieved from https://aacihealthcare.com/services/accreditation/
  4. Antunes, V. (2022). On nursing research and evidence-based practice: Topics for re-searchers and practitioners. Interna-tional Healthcare Review (online), 1(1).
  5. https://doi.org/10.56226/ihr.v1i1.12
  6. Argent, J., Lenthall, S., Hines, S., & Rissel, C. (2022, March). Perceptions of Australian remote area nurses about why they stay or leave: A qualitative study. Journal of Nursing Management, Wiley Online Li-brary. Retrieved from https://doi.org/10.1111/jonm.13603
  7. Babu, F., & Thomas, S. (2020). The relationship between total quality management prac-tices and organisational image in the hospital industry: An empirical exami-nation. International Journal of Produc-tivity and Quality Management, 29(1), 1-23. Retrieved from https://doi.org/10.1504/IJPQM.2020.104517
  8. Bakr, A. O. M., & Mukhtar, H. F. (2020, August). Project: Effects of evidence-based prac-tice educational program on nurses knowledge, attitudes, and skills at King Fahd Hospital of the University/ King-dom of Saudi Arabia/ Eastern Province/ International Journal of Nursing and Health Care Research Review. DOI: 10.29011/2688-9501.101181
  9. Baron, K. A. (2017). Changing to concept-based curricula: The process for nurse educa-tors. Open Nursing Journal ,11, 277–287. doi:10.2174/1874434601711010277. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759089/
  10. Basic Math. (2021). Arithmetic mean in statis-tics. Retrieved from https://www.basic- mathematics.com/arithmetic-mean.html
  11. Bautista, C. (2017). The Philippine Qualifica-tions Framework. Retrieved from https://pqf.gov.ph/Home/Details/7
  12. Beckett, H. (2023). Effect of e-learning on nurses’ continuing professional devel-opment. Nursing Management, 30(4). Retrieved from https://journals.rcni.com/nursing- management
  13. Belyh, A. (2019). Major approaches and mod-els of change management. Retrieved from https://www.cleverism.com/major-approaches-models-of-change-management/ Bergquist, W. H., & Phil-lips, S. R. (1975). Components of an ef-fective faculty development program. Journal of Higher Education, 46, 177-211.
  14. Billings, D., & Halstead, J. (2016). Teaching in Nursing: A Guide for Faculty (5th ed.).
  15. Elsevier.
  16. Boswell, C., & Cannon, S. (2017). Introduction to Nursing Research: Incorporating Evi-dence-Based Practice (4th ed.). Jones and Bartlett Learning.
  17. Botma, Y. (2014). Implications of accredita-tion criteria when transforming a tradi-tional nursing curriculum to a compe-tency-based curriculum. International Journal of Africa Nursing Sciences, 1, 23-28. DOI: https://doi.org/10.1016/j.ijans.2014.06.002https://www.sciencedirect.com/science/article/pii/S2214139114000079
  18. Bogaert, P. V., Heusden, D. V., Slootmans, S., Roosen, I., Aken, P. V., Hans, G. H., & Franck, E. (2018). Staff empowerment and engagement in a Magnet® recog-nized and Joint Commission Interna-tional accredited academic centre in Belgium: A cross-sectional survey. BMC Health Services Research, 18(1). DOI: https://doi.org/10.1186/s12913-018-3562-3
  19. Bovino, R. L., Aquila, A. M., Bartos, S., McCurry, T., Cunningham, C. E., Lane, T. M., Ro-gucki, N., Delos Santos, J., Moody, D., Mealia-Ospina, K., Pust-Marcone, J., & Quiles, J. (2017). A cross-sectional study on evidence-based nursing practice in the contemporary hospital setting. Jour-nal for Nurses in Professional Develop-ment, 33 (2),64-69.DOI: https://doi.org/10.1097/NND.0000000000000339
  20. Britannica. (2020). Pragmatism. Retrieved from https://www.britannica.com/topic/pragmatism-philosophy
  21. Catabay, M. B. G. (2017). Impact of learning through procedural simulation to actual nursing practice [Doctoral dissertation, St. Paul University Manila]
  22. CHED. (2016). Policies, standards guidelines for the Bachelor of Science in Nursing. Retrieved from https://ched.gov.ph/
  23. CHED (2012). Policy standard to enhance quality assurance (QA) in Philippine higher education through an outcomes-based and typology-based QA. Retrieved from https://ched.gov.ph/wp-content/uploads/2017/10/CMO-No.46-s2012.pdf
  24. Church, C. D., He, Z., & Yarbrough, S. (2018). Factors influencing organizational commitment and turnover in nurse res-idents. The Journal of Continuing Educa-tion in Nursing, 49(10), 482-488. DOI: https://doi.org/10.3928/00220124-20180918-09
  25. CHED. (2009). CMO 14 s. 2009-CHED. Policies and standards for Bachelor of Science in Nursing (BSN) program. Retrieved from https://ched.gov.ph
  26. CHED. (2001). CMO 30 s.2001-CHED. Updated policies and standards for nursing edu-cation. Retrieved from https://ched.gov.ph
  27. CHED. (2017). CMO 15 s. 2017-CHED. Policies, standards and guidelines for the Bache-lor of Science in Nursing (BSN) program. Retrieved from https://ched.gov.ph
  28. Coleman, M. (2016). The transition-to-practice gap and graduate nurse proficiency [Doctoral dissertation, Walden Universi-ty]. Retrieved from https://scholarworks.waldenu.edu/dissertations/3150/
  29. Creswell, J. W., & Plano Clark, V. L. (2018). Conducting and designing mixed meth-ods research. SAGE Publications Inc.
  30. Creswell, J. W. (2014). Research design: Quali-tative, quantitative, and mixed methods approaches. SAGE Publications
  31. Creswell, J. (2013). Research design: Qualita-tive, quantitative, and mixed methods approaches (4th ed.). Sage Publications
  32. Creswell, J. W. (2015). A concise introduction to mixed methods research. SAGE Publi-cations
  33. Denzin, N. K., & Lincoln, Y. S. (2013). Strategies of qualitative inquiry. SAGE Publica-tions, Inc.
  34. DNV GLAS. (2015). ISO 9001 for healthcare. Retrieved from www.dnvgl.com/healthcare
  35. Dyussenbayev, A. (2017). Age periods of hu-man life. Advances in Social Sciences Re-search Journal, 4(6). https://doi.org/10.14738/assrj.46.2924
  36. Edwards, R., & Holland, J. (2013). What is qual-itative interviewing? Bloomsbury Pub-lishing.
  37. Einhellig, K. S. (2012). Educational experiences and the professional reintegration of registered nurses returning for bacca-laureate degrees [Doctoral dissertation, University of Northern Colorado]. Re-trieved from https://digscholarship.unco.edu/cgi/viewcon-tent.cgi?article=1115&context=disserta tions
  38. Elliott, R. (2021). Likert scale examples and definition. Geopoll. Retrieved from https://www.geopoll.com/blog/likert-scale-examples-definition/
  39. Empulsio (2023). Generation Y. Re-trieved from https://www.empuls.io/glossary/generation-y
  40. Enriquez-Wilson, J. (2019). Antibiotic stew-ardship program: A process improve-ment in long-term care [Doctoral disser-tation, Chamberlain College of Nursing, USA].
  41. Eyni, S., Mousavi, S. E., & Taghavi, R. (2023). Developing a causal model of nurses’ compassion competence based on pro-fessional self-concept and work con-science: The mediating role of self-efficacy (case study: Nurses in psychiat-ric ward of Ardabil hospitals). Current Psychology, 1-12. DOI: https://doi.org/10.1007/s12144- 022-04200-w
  42. Falatah, R., Al-Harbi, L., & Alhalal, E. (2022). The association between cultural com-petency, structural empowerment, and effective communication among nurses in Saudi Arabia: A cross-sectional corre-lational study. Nursing Reports, 12(2), 281-290. DOI: https://doi.org/10.3390/nursrep12020028
  43. Fawaza, M. A., Hamdan-Mansour, A. M., & Tas-sia, A. (2018). Challenges facing nursing education in the advanced healthcare environment. DOI: https://doi.org/10.1016/j.ijans.2018.10.005
  44. Fenzi, G., Reuben, A., Agea, J., Ruipérez, T., & Costa, C. (2022). Self-learning method-ology in simulated environments (MAES©) utilized in hospital settings: Action-research in an Emergency De-partment in the United Kingdom. Inter-national Emergency Nursing, 61, 101128. DOI: https://doi.org/10.1016/j.ienj.2021.101128
  45. Flood, D., & Thompson, R. (2011). High-fidelity patient simulations: A classroom learn-ing tool. Retrieved from https://www.myamericannurse.com/high-fidelity- patient-simulations-a-classroom-learning-tool/
  46. Foresman-Capuzzi, J. (2022). Development and evaluation of a clinical nurse spe-cialist- directed-just-in-time training us-ing job aids and QR codes in an academic medical center [Doctoral dissertation, Wilmington University (Delaware)]. Re-trieved from https://www.proquest.com/openview
  47. Forneris, S. & Tiffany, J. (2017, September 22). Future of technology in nursing educa-tion part1: The what and why of tech-nology use in today’s nursing student. Retrieved from https://www.wolterskluwer.com/en/expert-insights/future-of- technology-in-nursing-education-part-1-the-what-and-why-of-technology-use-in- todays-nursin
  48. Franklin, B. (2015). 10 nursing trends to watch in 2015. Retrieved from https://www.nursepractitionerschools.com/blog/nursing-trends-2015/
  49. Gealan, R. (2015). The Filipino nurses’ experi-ence on international accreditation [Doctoral thesis, Masters of Arts in Nurs-ing, Philippine Women’s University]. DOI: https://doi.org/10.13140/RG.2.1.4697.9688
  50. Gambino, R., Ratta, G., Janotha, C., Coletti, P., & Cavaliere, S. (2016). Team-based learn-ing in online nursing education: An inno-vation in curriculum development. Na-tional League for Nursing.
  51. Glarcher, M., & Lex, K. M. (2020). Advanced nursing practice in Austria under con-sideration of outcome measurement. https://doi.org/10.1016/j.zefq.2020.06.012
  52. Glasofer, A. D., & Townsend, A. B. (2019). De-termining the level of evidence. Nursing Critical Care, 14(6), 22-25. DOI: 10.1097/01.CCN.0000580120.03118.1d
  53. Goodwin, C. (2022). What’s a charge nurse? Role, duties and salary information. Re-trieved from https://www.goodrx.com/hcp/students/what-charge-nurse-role
  54. Gracyk, T. (2018). Four fundamental ethical principles. Minnesota State University Moorhead. Retrieved from http://web.mnstate.edu/gracyk/courses/phil%20115/Four_Basic_principles.htm
  55. Grazzi, L., Covelli, V., Memini, F., & Rizzoli, P. B. (2020). Deeper inside the experience of pediatric headache: A narrative study. Journal of Behavioral and Brain Science, 10(10). https://www.scirp.org/
  56. Grove, S. K., & Gray, J. R. (2019). Understanding nursing research (7th ed.). Elsevier. Re-trieved from https://digilib.ars.ac.id/index.php?p=fstream- pdf&fid=14125&bid=6598
  57. Haddad, L. M., Annamaraj, P., & Toney-Butler, T. J. (2020). Nursing shortage. NCBI. Re-trieved from https://www.ncbi.nlm.nih.gov/books/NBK493175/
  58. Halawa, A. (2017). Distance learning in clinical transplantation: A successful model in post-graduate education. Retrieved from https://www.researchgate.net/figure/Kirkpatrick-Pyramid-for-Programme- Evaluation-after-Phillips-1996-ROI-return-on_fig1_317589687
  59. Hakvoort, L., Dikken, J., Cramer-Kruit, J., Mo-lendijk-van Nieuwenhuyzen, K., Schaaf, M., & Schuurmans, M. (2022). Factors that influence continuing professional
  60. development over a nursing career: A scoping review. Nurse Education in Practice, 65, 103481. DOI: https://doi.org/10.1016/j.nepr.2022.103481
  61. Hakvoort, L., Dikken, J., Cramer-Kruit, J., Mo-lendijk-van Nieuwenhuyzen, K., & Schuurmans, M. (2022). Factors that in-fluence continuing professional devel-opment over a nursing career: A scoping review. Nurse Education in Practice, 65, 103481. DOI: https://doi.org/10.1016/j.nepr.2022.103481
  62. Harkness, K., Arthur, H., & McKelvie, R. (2013). The measurement of uncertainty in caregivers of patients with heart failure. Journal of Nursing Measurement, 21. Re-trieved from https://www.researchgate.net/publication/261015950
  63. Hesook Suzie Kim. (2012). Outcomes-based curriculum development and student evaluation in nursing education. Journal of Korean Academy of Nursing, 42(7), 917– 927. DOI: https://doi.org/10.4040/jkan.2012.42.7.917
  64. Ibrahimov, A. (2020). Standardization as a tool to improve patient safety and patient service at hospitals: Baku Health Centre example. Retrieved from https://www.researchgate.net/publication/341734908
  65. Ijaz, N., & Carrie, H. (2023). Governing thera-peutic pluralism: An environmental scan of the statutory regulation and govern-ment reimbursement of traditional and complementary medicine practitioners in the United States. PLOS Global Public Health, 3(8), e0001996. DOI: https://doi.org/10.1371/journal.pgph.0001996
  66. International Institute of Management & Technology Studies. (2013). Total quali-ty management [Brochure]. 3G Universi-ty, 3G Elearning FZ LLC UAE.
  67. International Standard Organization. (2020). International Standard Organization. Retrieved from https://www.isoqsltd.com/faq/
  68. Islam, M., Parkinson, A., Burns, K., Woods, M., & Yen, L. (2020). A training program for primary health care nurses on timely di-agnosis and management of dementia in general practice: An evaluation study. International Journal of Nursing Studies, 105, 103550. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103550
  69. Joint Commission International (JCI). (2020). Retrieved from www.jointcommissioninternational.org
  70. Joson, R. (2014). Accreditation as a strate-gy/tool for hospital quality service im-provement. Retrieved from https://www.slideshare.net/rjoson/accreditation-as-a- strategy-tool-for-hospital-quality-service-improvement
  71. Julnes, S. G., Myrvang, T., Reitan, L. S., Rønning, G., & Vatne, S. (2022). Nurse leaders’ ex-periences of professional responsibility towards developing nursing competence in general wards: A qualitative study. Journal of Nursing Management, 30(7), 2743- 2750. DOI: https://doi.org/10.1111/jonm.13745
  72. Kaiser, C., & Agnol, C. (2017). Teaching and learning nursing management in the hospital context: An approach in the light of Pichon-Rivière. Retrieved from http://www.scielo.br/pdf/reeusp/v51/1980-220X-reeusp-51-e03261.pdf
  73. Kalsoom, Z., Victor, G., Virtanen, H., & Sultana, N. (2023). What really matters for pa-tient safety: Correlation of nurse compe-tence with international patient safety goals. Journal of Patient Safety and Risk Management, 28(3), 108-115. DOI: https://doi.org/10.1177/25160435221133955
  74. Kamel, A. (2016). Role of faculty development programs in improving teaching and learning. Saudi Journal of Oral Sciences. Retrieved from http://www.saudijos.org/temp/SaudiJOralSci3261-3659847_100958.pdf
  75. Karimi, Z., Ashktorab, T., Mohammadi, E., & Ali Abedi, H. (2014). Using the hidden cur-riculum to teach professionalism in nursing students. Iran Red Crescent Medical Journal, 16(3), e15532. DOI: https://doi.org/10.5812/ircmj.15532
  76. Kaushik, V., & Walsh, C. (2019). Pragmatism as a research paradigm and its implications for social work research. Social Sciences. https://www.mdpi.com
  77. Kavanagh, J. M., & Sharpnack, P. A. (2021). Cri-sis in competency: A defining moment in nursing education. Online Journal of Is-sues in Nursing, 26(1). DOI: https://doi.org/10.3912/OJIN.Vol26No01Man02
  78. Keating, S., & DeBoor, S. (2018). Issues and challenges for nursing educators. Springer Publishing Company.
  79. Keating, S. B. (2016). Looking back to the fu-ture: Current issues facing nursing edu-cation from the reflections of a member of the Silent Generation. Nursing Forum, 51(3), 153-163. DOI: https://doi.org/10.1111/nuf.12133
  80. Kenner, C. A. (2017). Trends in US nursing re-search: Links to global healthcare issues. Journal of Korean Academy of Nursing Administration, 23(1), 1–7. https://doi.org/10.11111/jkana.2017.23.1.1
  81. Khan, B. P., Quinn Griffin, M. T., & Fitzpatrick, J. J. (2018). Staff nurses’ perceptions of their nurse managers’ transformational leadership behaviors and their own structural empowerment. JONA: The Journal of Nursing Administration, 48(12), 609-614. DOI: https://doi.org/10.1097/NNA.0000000000000690
  82. Koester, D. (2020). Comparison of health fac-tors and outcomes between accredited and nonaccredited health departments [Doctoral dissertation, Walden Universi-ty]. https://scholarworks.waldenu.edu/dissertations/8466/
  83. Krauskopf, K. (2020). The role of hospital mid-manager leadership on hospital quality initiatives: A qualitative study to under-stand self-efficacy [Doctoral disserta-tion, Capella University].
  84. Lahman, M. K. E. (2017). Ethics in social sci-ence research becoming culturally re-sponsive. SAGE Publishing.
  85. Landry, S., & Ridley, B. (2016). Incorporating virtual simulation into undergraduate education. National League for Nursing.
  86. Lee, J. E., & Sim, I. O. (2020). Gap between col-lege education and clinical practice: Ex-perience of newly graduated nurses. Nursing Open, 7(1), 449-456.
  87. Lichtman, M. (2013). Qualitative research for the social sciences. SAGE Publications, Inc.
  88. Lilly, & Hunt. (2016). Innovative Web 2.0 teaching tool: GoAnimate. National League for Nursing.
  89. LoBiondo-Wood, G., & Haber, J. (2018). Nurs-ing research methods and critical ap-praisal for evidence-based practice (9th ed.). Elsevier.
  90. McMillan, L., Johnson, T., Parker, F. M., Hunt, C. W., & Boyd, D. E. (2020). Improving stu-dent learning outcomes through a col-laborative higher education partnership. International Journal of Teaching and Learning in Higher Education, 32(1), 117-124. Retrieved from https://eric.ed.gov/?id=EJ1259548
  91. Manarang, V. R., & Cuevas, P. (2017). Relation-ship between level of readiness for self- directed learning and learning styles of CEU nursing students. Philippine Journal of Nursing, 87(1), 61-65.
  92. McLeod, S. (2019). Likert scale definition, ex-amples and analysis. Simply Psychology. https://www.simplypsychology.org/likert-scale.html
  93. Mittal, N., Deswal, H., Mittal, R., Sharma, S., & Kaushik, P. (2023). An educational pro-gram on antimicrobial resistance and stewardship for staff nurses in a public tertiary care hospital in India. Infection, Disease & Health, 28(3), 202-210. DOI: https://doi.org/10.1016/j.idh.2023.03.003
  94. Mtshali, et al. (2005). Developing an out-comes-based curriculum. In Curriculum development in nursing: Process and in-novation (Chapter 12). Routledge, Tay-lor and Francis Group.
  95. Mudallal, R. H., Othman, W. M., & Al Hassan, N. F. (2017). Nurses’ burnout: The influ-ence of leader empowering behaviors, work conditions, and demographic traits. Inquiry: The Journal of Health Care Organization, Provision, and Fi-nancing. DOI: https://doi.org/10.1177/0046958017724944
  96. Munshi, Lababidi, & Alyousef. (2015). Low-versus high-fidelity simulations in teach-ing and assessing clinical skills. Journal of Taibah University Medical Sciences, 10(1), 12-15. https://www.sciencedirect.com/science/article/pii/S1658361215000141
  97. Mwetulundila, P., & Indongo, N. (2022). Gen-der equity and impedes of career pro-gression in the nursing profession in Khomas Region of Namibia. SAGE Open Nursing. DOI: https://doi.org/10.1177/23779608221074652
  98. Ngxongo, T. S. P., & Masondo, J. N. M. (2022). Nurse managers’ experiences regarding the use of key performance indicators in developing work plans. African Journal of Primary Health Care & Family Medi-cine, 14(1), 1-11.
  99. Octaviano, E., Fernandez, R., Dionisio, A., Kuan, L., & Cawaon, F. (2004). Promulgation of the Code of Ethics for Registered Nurses. Philippine Regulation Commission, Board of Nursing Board Resolution No. 220 Series of 2004. Retrieved from https://www.prc.gov.ph/sites/default/files/NURSING-CodeEthics-2004-220.pdf
  100. Patterson, C., Stephens, M., Chiang, V., Price, A. M., Work, F., & Snelgrove-Clarke, E. (2017). The significance of personal learning environments (PLEs) in nursing education: Extending current conceptu-alizations. Nurse Education Today, 48, 99- 105.
  101. PhilHealth Benchbook. (2004). Retrieved from https://www.philhealth.gov.ph/partners/providers/benchbook/QualityAssuranceProg ram_Benchbook.pdf
  102. Polit, D. F., & Beck, C. T. (2022). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Wolters Kluwer.
  103. Poortaghi, S., Salsali, M., Ebadi, A., & Pourgholamamiji, N. (2020). Accredita-tion of nursing clinical services: Devel-opment of an appraisal tool. Nursing Open, 7(5), 1338–1345. DOI: https://doi.org/10.1002/nop2.505
  104. Poortaghi, S., Salsali, M., Ebadi, A. & Pourgholamamiji, N. (2020). Accredita-tion of nursing clinical services: Devel-opment of an appraisal tool. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424456/
  105. Porter-O’Grady, T., & Malloch, K. (2016). Lead-ership in nursing practice: Changing the landscape of health care (2nd ed.). Jones & Bartlett Learning.
  106. Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: Meeting the needs of novice to mid- to late- career nurses throughout their ca-reer span. Administrative Sciences MDPI, 7(2), 17. DOI: https://doi.org/10.3390/admsci7020017
  107. Qtait, M. (2023). Systematic review of head nurse leadership style and nurse per-formance. International Journal of Afri-ca Nursing Sciences, 18, 100564. DOI: https://doi.org/10.1016/j.ijans.2023.100564
  108. Qureshi, A. Z. (2012). The trend of hospital ac-creditation in Saudi Arabia. Saudi Medi-cal Journal, 33(12). Retrieved from www.smj.org.sa
  109. Rawashdeh, A. M., & Tamimi, S. A. (2020). The impact of employee perceptions of training on organizational commitment and turnover intention: An empirical study of nurses in Jordanian hospitals. European Journal of Training and De-velopment, 44(5/6), 455-470. DOI: https://doi.org/10.1108/EJTD-07-2019-0112
  110. Renjith, R. G. (2015). Trends in nursing educa-tion. Indian Journal of Applied Research. Retrieved from https://www.researchgate.net/publication/281208439_Trends_in_Nursing_Education
  111. Renning, K., van de Water, B., Brandstetter, S., et al. (2022). Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the devel-opment of a specialized master’s educa-tion pathway: A cohort study. BMC Nursing, 21(1), 6. DOI: https://doi.org/10.1186/s12912-021-00772-3
  112. Riya, J., & Priya, C. (2020). What are quantita-tive research sampling methods? Re-trieved from https://www.projectguru.in/what-are-quantitative-research-sampling-methods/
  113. Sana, E., Roxas, A., Luisa, A., & Reyes, T. (2015). Introduction of outcome-based educa-tion in Philippine health professions ed-ucation setting 1 2 3. Philippine Journal of Health Research and Development, 19, 60-74. Retrieved from https://www.researchgate.net/publication/301893014
  114. Saplan, D. M. (2016). An innovation to heighten research culture in selected colleges of nursing in Region IX, Philippines [Doc-toral dissertation, St. Paul University Manila].
  115. Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., ... & Jinks, C. (2018). Saturation in qualitative re-search: Exploring its conceptualization and operationalization. Qualitative and Quantitative, 52(4), 1893-1907. DOI: https://doi.org/10.1007/s11135-017-0574-8
  116. Schmüdderich, K., Kiwitt, J., Palm, R., Roes, M., & Holle, B. (2023). Core elements and potential of nurse‐led care models in residential long‐term care: A scoping review. Journal of Clinical Nursing, 32(9-10), 1858-1884. DOI: https://doi.org/10.1111/jocn.16231
  117. Wang, T., Chen, Y., He, Y., Shen, L., Wang, P., Zhu, M., ... & Li, M. (2022). Stressors, cop-ing strategies and intention to leave the nursing profession: A cross-sectional na-tionwide study in China. Journal of Nurs-ing Management, 30(8), 4398-4408.
  118. Wijaya, P. D. G. K., & Suwandana, I. G. M. (2022). The role of job satisfaction, work- life balance on the job perfor-mance of female nurses at local general hospital. European Journal of Business and Management Research, 7(1), 208–212. DOI: https://doi.org/10.24018/ejbmr.2022.7.1.1268
  119. Wocher, J. C. (2014, January 7). Effects of in-ternational accreditation on patient care in a Japanese hospital: Nurses’ perspec-tives. The Journal of the Japan Hospital Association. Retrieved from https://www.researchgate.net/publication/265019558_Effects_of_international_accre dita-tion_on_patient_care_in_a_Japanese_hospital_nurses%27_perspectives
  120. Yoong, S. L., Bolsewicz, K., Reilly, K., Williams, C., Wolfenden, L., Grady, A., ... & Wiggers, J. (2023). Describing the evidence-base for research engagement by health care providers and health care organisations: A scoping review. BMC Health Services Research, 23(1), 1-20. DOI: https://doi.org/10.1186/s12913-022-08887-2
  121. Yoong, S. Q., Liao, A. W. X., Goh, S. H., & Zhang, H. (2022). Educational effects of com-munity service-learning involving older adults in nursing education: An integra-tive review. Nurse Education Today, 113, 105376. DOI: https://doi.org/10.1016/j.nedt.2022.105376
  122. Yu, X., Huang, Y., & Liu, Y. (2022). Nurses’ per-ceptions of continuing professional de-velopment: A qualitative study. BMC Nursing, 21, 162. DOI: https://doi.org/10.1186/s12912-022-00940-z