Implementation of Nursing Service Operation in Maguindanao Provincial Hospital
Authors
Ryan Abdullah Uda, RN, AL-HADJ
Faculty of the Graduate College, Cotabato City State Polytechnic College, Sinsuat Avenue, Cotabato City (Philippines)
Article Information
DOI: 10.47772/IJRISS.2026.100300539
Subject Category: Public Administration
Volume/Issue: 10/3 | Page No: 7356-7397
Publication Timeline
Submitted: 2026-03-27
Accepted: 2026-04-01
Published: 2026-04-17
Abstract
The study assessed the implementation of Nursing Service Operations at Maguindanao Provincial Hospital, focusing on Emergency Room (ER) and in-patient services. It also examined staff processes—triaging, profiling, admission, treatment, and discharging—and patient outcomes in terms of admission to wards and discharge from care.
Using a descriptive-evaluative method, data were collected through researcher-made questionnaires from 255 respondents, including 107 hospital staff and 148 discharged patients (based on medical charts). Data were analyzed using the weighted mean.
Results showed that ER (3.84) and in-patient services (3.70) were both moderately implemented. Among the processes, triaging (4.76) and profiling (4.74) were highly implemented, while admission (4.23) was moderately implemented. Treatment (4.50) and discharging (4.61) were again highly implemented.
In terms of outcomes, admission to the ward (3.56) was highly executed, whereas discharge from care (3.44) was moderately executed.
Overall, despite challenges such as understaffing, limited specialized training, and organizational constraints, the hospital staff maintained a relatively high standard of nursing care in line with operational guidelines. The findings suggest that addressing both strengths and weaknesses can support the sustainability and improvement of the hospital’s Quality Management System (QMS), particularly within the Nursing Service unit.
Keywords
Implementation, Nursing Service, Operation, Maguindanao Provincial, Hospital
Downloads
References
1. Administrative Order 2012-0012 - Governing the New Classification of Hospitals and other Health Facilities in the Philippines Retrieved from [Google Scholar] [Crossref]
2. http://www.hfsrb.doh.gov.ph/images/Psychiatric_care/Issuance/ao2012-0012.pdf [Google Scholar] [Crossref]
3. All India Institute of Medical Sciences (AIIMS) (2011), Nursing Services Retrieved from http://www.aiims.edu/aiims/nursing Services /NURSING%20SERVICES.htmeau, Canada, J8X 2K5. Article dated September 14, 2011 [Google Scholar] [Crossref]
4. American Nurses Association (2018). The Nursing Process. ©American Nurses Association, ©American Nurses Credentialing Center, ©American Nurses Foundation. All rights reserved Retrieved from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/the-nursing-process/ [Google Scholar] [Crossref]
5. American Nurses Association Standards for Organized Nursing Services the American Journal of Nursing, Vol. 65, No. 3 (Mar., 1965), pp. 76-79 [Google Scholar] [Crossref]
6. Assessment of Patient Processing in Emergency Departments of Hospitals by Shaina L. Trial (2009); Retrieved from [Google Scholar] [Crossref]
7. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1032.8121&rep=rep1&type=pdf [Google Scholar] [Crossref]
8. BMC Health Serv Res. (2012); 12: 396.Published online 2012 Nov 14. doi: 10.1186/1472-6963-12-396;Framework and components for effective discharge planning system: a delphi methodology; American Hospital Association. Guidelines for Discharge Planning. Chicago: AHA;1984. Retrievedfromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3508885/#B12. Article dated August 1, 2012 [Google Scholar] [Crossref]
9. Data Collection: The Basis For All Nursing Interventions: Margot Phaneuf R.N., Ph.D.Retrieved from http://www.infiressources.ca/fer/Depotdocument anglais/Data collection the basis for all nursing interventions.pdf [Google Scholar] [Crossref]
10. eMedicineHealth.com (2018). Hospital Admissions. Types of Hospital Admissions Medical Author: Charles Patrick Davis, MD, PhDMedical Editor: William C. Shiel Jr., MD, FACP, FACR © 2018 WebMD, Inc. All rights reserved. Retrieved from [Google Scholar] [Crossref]
11. https://www.emedicinehealth.com/hospital admissions/article em.htm#types of hospital admissions Reviewed on November 20, 2017 [Google Scholar] [Crossref]
12. Emergency Room (ER), Department of Emergency Medicine (DEMS) [Google Scholar] [Crossref]
13. Emergency Medicine Department (EMD), Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg, Head, Corporate Planning OfficeManila Doctors Hospital, Short Course on Hospital Organization and Management of Selected Clinical, Ancillary, and Support Departments Nov. 17 – 21, 2008, College of Public Health, University of the Philippines Manila Retrieved from http://hospmgt.tripod.com/hosp org mgt short courseerrj 08nov18.htm. Article dated November 18, 2008 [Google Scholar] [Crossref]
14. George Castledine (2013). The importance of measuring and recording vital signs correctly. British Journal of Nursing. © 2018 MA Healthcare Limited. Retrieved from https://www. Magonlinelibrary.com/ doi/abs/10.12968/bjon.2006.15.5.20645. Article dated September 27, 2013 [Google Scholar] [Crossref]
15. Gregory W. Bush, MD. Memorial Care Events Education. Community Medical Center Long Beach. Step by step through the Emergency Department. Retrieved from [Google Scholar] [Crossref]
16. https://www.memorialcare.org/events-education/live-healthy/step-step-through-emergency-department [Google Scholar] [Crossref]
17. Hospiad.blogspot.com (2010); Ward Planning and Management; (c) Dr N. C. Das. Watermark theme. Powered by Blogger. Retrieved from http://hospiad.blogspot.com/2011/04/hospital-in-patient-services-hospital.html. Article dated April 10, 2011 [Google Scholar] [Crossref]
18. Hospital Nursing Service Administration Manual; Department of Health National Center for Health Facility Development (NCHFD) 2009 [Google Scholar] [Crossref]
19. International Gerontology (2012) Volume 6, Issue 4, Pages 237-240 Discharge Planning; Copyright © 2012 Published by Elsevier B.V. NSW Department of Health Discharge Planning Principles Sydney: NSW Department of Health (2005) S. Shepperd, J. Parkes, J. McClaren, C. Phillips Retrieved from https://www.sciencedirect.com/science/article/pii/S1873959812000695. Article dated December 2012 [Google Scholar] [Crossref]
20. International Journal of Gerontology (2012). Discharge Planning - Purpose of discharge planning. © 2012 Published by Elsevier B.V. S. Shepperd, J. Parkes, J. McClaren, C. Phillips, NSW Department of Health Retrievedf rom https://www.sciencedirect.com/science/ article/ pii/S1873959812000695. Article dated December 2012 [Google Scholar] [Crossref]
21. Linda Roussel, RN, DSN, NEA, BC (2002) Concepts and Theories Guiding Professional Practice Chapter 2. Interdisciplinary Collaboration. Arcangelo, V., Fitzgerald, M., Carroll, D., & David, J. (1996). © Jones and Bartlett Publishers, LLC. Retrieved from [Google Scholar] [Crossref]
22. http://www.jblearning.com/samples/0763757144/ 57144 ch02 018 049.pdf [Google Scholar] [Crossref]
23. Macadamian Blog (2011) What Are Patient Demographics? Didier Thizy; The Definition of Patient Demographics Starts to Get Polluted with Items Such As Patient And Emergency Contact Information And Patient Medical Record Data. There Is A Very Good Reason For This Concept Drift. Silicon Retrieved from http://www.macadamian.com/2011/12/21/patientdemographicsl ley North – HQ. Article dated December 21, 2011 [Google Scholar] [Crossref]
24. Maguindanao Provincial Hospital Operations Manual Revised 2017-2018 [Google Scholar] [Crossref]
25. Medical Records Manual: A Guide for Developing Countries Revised and updated 2006 WHO Library Cataloguing in Publication Data Medical Records Manual: A Guide for Developing Countries ISBN 92 9061 005 0 © World Health Organization 2002 All rights reserved. Retrieved from http://www.wpro.who.int/publications/docs/MedicalRecordsManual.pdf [Google Scholar] [Crossref]
26. MedicineNet.com (2018). Medical Triage: Code Tags and Triage Terminology Melissa Conrad Stoppler, MD and William C. Shiel, Jr., MD, FACP, FACR (2018), ©1996-2018 Medicine Net, Inc. All rights reserved. Retrieved from https://www.medicinenet.com/script/ main/art. asp? [Google Scholar] [Crossref]
27. articlekey=79529. [Google Scholar] [Crossref]
28. MedicineNet.com (2018) Jablonski's Dictionary of Medical Acronyms & Abbreviations - 6th Edition (2009). “STAT”. Definition of STAT. Retrieved from https://www.amsn.org/practice-resources/care-term-reference/orders-processing/question-what-are-timeframes-associated.https://www.medicinenet.com/script/main/art.asp?articlekey=5550. Last editorial review May 13, 2016 [Google Scholar] [Crossref]
29. NurseLabs (2012), The 10 Rights of Drug Administration By Matt Vera . © 2018 Nurseslabs | Ut in Omnibus Glorificetur Deus! Retrieved from https://nurseslabs.com/10-rs-rights-of-drug-administration/. Article dated January 12, 2012 [Google Scholar] [Crossref]
30. Nurseslabs (2014) Imogene M. King’s Theory of Goal Attainment By Gil Wayne, RN © 2018 Nurseslabs | Ut in Omnibus Glorificetur Deus! Retrived from https://nurseslabs.com/imogene-m-kings-theory-goal-attainment/. Article dated October 13, 2014 [Google Scholar] [Crossref]
31. Nursing Theories (2012) ; A companion to nursing theories and models: Transcultural Nursing AIPPG Copyright 2012 @Current Retrieved from http://currentnursing.com/nursing theory/transcultural nursing.html. Article dated January 26, 2012 [Google Scholar] [Crossref]
32. Philippine Health Insurance Corporation (PHIC). Bench book on performance improvement of health services (2004). Retrieved from [Google Scholar] [Crossref]
33. https://www.philhealth.gov.ph/partners/providers/benchbook/QualityAssuranceProgram Benchbook.pdf [Google Scholar] [Crossref]
34. Philosophy of Nursing Service in Hospital, Uploaded by Aprille Segarra, Reference:Nursing service Administration by Young. Ansap inc.comwww. doh.gov.ph Copyrigh © 2018 ScribdInc. Retrieved from https://www.scribd.com/document/157393920/Philosophy-of-Nursing-service-in-Hospital Article [Google Scholar] [Crossref]
35. dated August 01, 2013 [Google Scholar] [Crossref]
36. RA 9173 – The Philippine Nursing Act Of 2002, Published on September 12, 2012byauthor Hussein Catanyag, Rn, Developed by Hussein Catanyag, Rn Retrieved from [Google Scholar] [Crossref]
37. Http://Www.Nursehussein.Com/Ra-9173-The-Philippine-Nursing-Act-Of-2002/ [Google Scholar] [Crossref]
38. Republic Act 10192 (Continuing Professional Development Act of 2016) Retrieved from https://www.senate.gov.ph/republic_acts/ra%2010912.pdf [Google Scholar] [Crossref]
39. Republic Act No. 8344.August 25, 1997.An Act Penalizing The Refusal Of Hospitals And Medical Clinics To Administer Appropriate Initial Medical Treatment And Support In Emergency Or Serious Cases, Amending For The Purpose Batas Pambansa Bilang 702, Otherwise Known As "An Act Prohibiting The Demand Of Deposits Or Advance Payments For The Confinement Or Treatment Of Patients In Hospitals And Medical Clinics In Certain Cases". Retrieved from [Google Scholar] [Crossref]
40. https://www.lawphil.net/statutes/repacts/ra1997/ra_8344_1997.html [Google Scholar] [Crossref]
41. Revised Organizational Structure and Staffing Standards for Government Hospitals CY 2013 Retrieved from https://www.dbm.gov.ph/ wp content/uploads/Issuances/2013/ Joint%20Circular%202013/ DOH/Manual%20RSSGH%203%20levels.pdf [Google Scholar] [Crossref]
42. Standards of Nursing Services Association of Nursing Service Administrators of the Philippines (ANSAP) Uploaded by jvfaderon74 on Copyright © 2018 Scribd Inc. Retrieved from https://www.scribd.com/doc/18331539/Standard-of-Nursing-Services. Article dated August 09, 2009 [Google Scholar] [Crossref]
43. Statistical Treatment (2018), Calmorin.L., 2001, Copyright © 2018 Scribd Inc. Uploaded by killermillerr (2012) Retrieved from https://www.scribd.com/doc/79021445/Statistical-Treatment Article dated January 22, 2012 [Google Scholar] [Crossref]
44. The AGA Khan University (2012). Triage; a literature review of key concepts, Khairulnissa Ajani, Aga Khan University, Estrada EG. Triage systems. Nurs Clin North Am 1981; 16: 13-24. Retrieved from https://ecommons.aku.edu/cgi/viewcontent.cgi? referer=https://www.google.com.ph/&httpsredir=1&article=1005&context=pakistan_fhs_son.Article dated May 2012 [Google Scholar] [Crossref]
45. The History and Status of General Systems Theory Author(s): Ludwig Von Bertalanffy Source: The Academy of Management Journal, Vol. 15, No. 4, General Systems Theory (Dec., 1972), pp. 407-426 Published by: Academy of Management Retrieved from http://www.jstor.org/stable/255139. Article dated April 23, 2018 [Google Scholar] [Crossref]
46. The Law Phil Project (2018) Republic Act 6675 (Generic Act Law of 1988) Retrieved from https://www.lawphil.net/statutes/repacts /ra1988/ra_6675_1988.html [Google Scholar] [Crossref]
47. The LawPhil Project (2018) Republic act 9173 (Philippine Nursing Act of 2002) Tuesday, April 17, 2018 Retrieved from https://www.lawphil.net/statutes/repacts/ra2002/ra_9173_2002.html [Google Scholar] [Crossref]
48. Theoretical Basis for NURSING Edition 3 (2011). Melanie Mc Ewen, PhD, RN Professor SLEMCO/BoRSF Regents Professor in Nursing Department of Nursing College of Nursing and Allied Health Professions University of Louisiana at Lafayette Lafayette, Louisiana, Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins [Google Scholar] [Crossref]
49. WHO Guidelines on Hand Hygiene in Health Care (2009). First Global Patient Safety Challenge Clean Care is Safer Care; Patient Safety: A World Alliance for Safer Health Care; ISBN 978 92 4 159790 6 (NLM classification: WB 300); © World Health Organization 2009 Retrieved from http://apps.who.int/iris/bitstream/handle/10665/44102/9789241597906 eng.pdf;jsessionid=458EE053B940D26B4 71762389F2B024F?sequence=1 [Google Scholar] [Crossref]
50. Wikipedia (2007) In-patient care: History; Florence Nightingale Retrieved [Google Scholar] [Crossref]
51. fromhttps://en.wikipedia.org/wiki/Inpatient_care. Article dated November 2007 [Google Scholar] [Crossref]
52. Wikipedia (2007); In-patient care; Hospitalist medicine- Wachter R, Goldman L (1996). "The emerging role of "hospitalists" in the American health care system". NEnglandJMed. 335 (7):5147. doi:10.1056/NEJM199608153350713.PMID 8672160. Retrieved from [Google Scholar] [Crossref]
53. https://en.wikipedia.org/wiki/Inpatient care. Article dated November 2007 [Google Scholar] [Crossref]
54. World Health Organization (2018); Hospitals; © WHO2018 Retrieved from [Google Scholar] [Crossref]
55. http://www.who.int/hospitals/en/ [Google Scholar] [Crossref]
Metrics
Views & Downloads
Similar Articles
- A Decadal Overview of Welfare Schemes in Telangana (2014–2024)
- Ubuntu and the Missed Development Goals in the Global South: Rethinking MDGs and SDGs through an African Philosophical Lens
- Exploring the Factors of Obesity: Insights from Johor State Civil Servants
- Navigating the Nexus: Challenges Faced by Part-Time Postgraduate Government Employees in Malaysia
- The Lived Experiences of Skilled Filipino Women Immigrants in Denmark