Lourdes University

This study employed a sequential explanatory mixed-methods design to examine the contextualization of core values among teachers and learners. The study involved 82 teachers, using complete enumeration to ensure comprehensive representation, and a purposive sample of 12 learners to provide qualitative insights. Quantitative data were analyzed using the Chi-square test of independence to determine the relationship between teachers’ demographic variables—age, sex, educational attainment, years of teaching experience, and attendance in values-based seminars—and the integration of core values, with significance set at α = 0.05. Qualitative data from open-ended responses and interviews were analyzed thematically through transcription, coding, clustering, and theme development. Findings revealed that demographic variables had no significant correlation with core values integration. In contrast, participation in values-based seminars showed a highly significant association (p = 0.001), highlighting the importance of professional development. Thematic analysis identified key themes, including the display of ethical and moral values, fostering respect and empathy, and promoting collaboration and responsibility. Institutional factors also emerged, such as policy-driven value integration, cultural relevance and inclusivity in the curriculum, community collaboration, and deliberate teacher practices modeling ethical behavior. Triangulation of quantitative and qualitative findings demonstrated convergence: while demographic traits were non-determinative, structured training, supportive policies, and culturally responsive practices were critical for effective values integration. These results underscore that fostering a values-driven educational environment relies on deliberate professional development and institutional support rather than innate characteristics, providing a holistic understanding of how ethical, empathetic, and responsible practices can be cultivated in educational settings.

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Abstract Background Ulcerative Colitis (UC) is a chronic relapsing inflammatory bowel disease requiring sustained, coordinated management across primary and secondary care, with fragmented care linked to poorer outcomes and delays in intervention.¹⁻² Despite this, the epidemiological characteristics and data completeness of patients labelled with UC in general practice—particularly in rural settings—remain poorly defined. Inflammatory bowel disease registers are often affected by coding inconsistency and unstructured disease-activity documentation, limiting the ability to monitor progression and target care effectively.² Variation in transition processes between community and specialist services further complicates continuity of care.³ Understanding these patterns is essential for service redesign and proactive disease management. The aim is to describe the epidemiological characteristics of patients in primary care and explore variation using mixed-methods. Methods A retrospective mixed-methods evaluation was conducted using de-identified records from 64 adults with UC in a rural English practice. Quantitative variables included demographics, treatment history, coded disease activity and referral activity. Qualitative free-text entries were subjected to keyword-assisted thematic analysis, a recognised approach in health services research to uncover patterns of unmet need, system navigation difficulties, and treatment burden.4 Descriptive statistics summarised clinical distributions and documentation quality. Results The mean age was 63.6 years (IQR 55–76) with near-equal gender distribution. Clinical heterogeneity was marked: 8% had prior stoma or pouch surgery, 1% had Crohn ‘s-like features, and 10% were categorised as worsening or poorly controlled. Over half (58%) had no recorded disease-activity code despite regular prescribing activity. Thematic analysis identified recurring references to medication adjustment, cyclical flares requiring repeated investigation, and challenges engaging with specialist teams. Mental-health or quality-of-life descriptors were sparse, consistent with evidence that psychological comorbidity remains under-recognised in UC.4 Conclusion Primary-care UC registers demonstrate substantial variation in coding accuracy, documentation of disease activity and recognition of postoperative states, mirroring national concerns about pathway fragmentation and inconsistent monitoring.¹–³ Strengthening structured coding, embedding flare-response protocols and improving the visibility of mental-health assessment could enhance safety and continuity across the primary–secondary care interface. Mixed-methods epidemiology offers a pragmatic approach for identifying quality-improvement priorities in complex chronic disease management.

Abstract Background Primary care professionals are increasingly required to contribute to the diagnosis, monitoring, and flare-management of ulcerative colitis (UC). However, variation in clinician confidence and uncertainty around shared-care pathways may impede timely and effective management. Understanding learning needs and preferred educational modalities is therefore essential for designing targeted, practical, and scalable UC education for general practice. Methods The aim was to evaluate the learning needs of primary care healthcare providers in UC care, including preferred teaching formats and educational techniques, using a mixed-methods approach. An anonymous digital questionnaire was distributed to primary care clinicians in a rural English locality (November 2025). Quantitative responses were analysed descriptively, and free-text comments underwent inductive thematic analysis. Results Fifteen clinicians participated (40% GPs; 26% nurses; 7% physician associate; 27% other roles). Although 84.6% reported confidence recognising UC symptoms, only 50% felt confident monitoring remission and none felt “very confident”. Key learning needs included: differentiating UC from functional or infective diarrhoea (83.3%); interpreting faecal calprotectin and understanding FIT vs calprotectin use (50% each); determining referral thresholds (58.3%); and managing flare-ups, including steroid initiation (81.8%). Knowledge gaps extended to nutritional issues, extra-intestinal manifestations, and IBS overlap. Preferred educational modalities emphasised active learning: face-to-face sessions (54.5%); case-based teaching with structured Q&A (54.5%); short modular online learning (36.4%); and concise written reference materials (36.4%). Thematic analysis identified three educational priorities: (1) uncertainty in distinguishing flare from non-inflammatory symptoms; (2) improving shared-care communication; and (3) practical guidance on safe prescribing and escalation. Conclusion Primary care clinicians report clear and consistent learning needs in UC management, particularly in diagnostic differentiation, flare recognition, and monitoring strategies. Preferred teaching approaches centre on interactive, scenario-based education supported by concise digital and written materials. A blended educational model—integrating face-to-face teaching, case-based discussion, and micro-learning modules—may offer an effective and scalable strategy to enhance UC competence in primary care.

IntroductionPhilHealth's main objective is to make it simpler for members who have limited financial resources to pay for medical treatment.For all approved PhilHealth clinics, hospitals, and labs, the verified PhilHealth member is assured of payment.It ensures that their clinical expenses are kept to a minimum for the PhilHealth portion.This research was anchored by Birger Wernerfelt in 1984, the Resource-Based View (RBV) Theory that was refined by Jay Barney in his 1991 article published in the Journal of Management.It makes the claim that an organization's capacity to attain efficiency and a competitive edge rest in the efficient use of its own resources and competencies. MethodThis research utilized a quantitative examination, which means that all of the material presented were conveyed in numerical figures.In quantitative research, all data was numerically interpreted with a specific statistical tool.The study carried out at selected public hospitals in Luna, Apayao, Philippines.The researcher chose specific public hospitals in Luna, Apayao, because not all public hospitals in the area provided the same health insurance.Respondents included hospital administrators, billing and claims representatives, healthcare providers such as nurses/charge nurses, and finance officers.The researcher used a survey questionnaire to collect the necessary data.The researcher took on or use any existing review survey, and ethical consideration was put into consideration. Result and AnalysisAccording to the study, respondents (nurses, administrators, billing clerks, and finance officers) demonstrated a high level of awareness and adherence to PhilHealth Insurance Corporation (PHIC) collection policies and guidelines, with administrators having the highest level of awareness, followed by billing clerks and nurses.All responders demonstrated a high level of adherence to PHIC policies, notably in billing process efficiency and policy compliance.Administrators had the greatest adherence rates and played a critical role in overseeing implementation, whereas nurses, while remaining compliant, demonstrated a need for expanded training participation and enhanced monitoring techniques.According to statistical analysis, respondents' position or designation had a significant impact on their adherence levels, while other demographic variables such as age, civil status, educational attainment, income, and years in service did not. DiscussionThe study shows that the selected public hospital in Luna, Apayao, is very efficient in PHIC collecting due to excellent institutional awareness, leadership engagement, and administrative dedication.While demographic variables do not typically influence compliance, role-specific responsibilities do.Nurses perform well; however, there is potential for improvement in regular PHIC training and coordination.The findings point to the need for more integrated and inclusive capacity-building activities to promote compliance in all roles and improve the collecting process.

Patient safety was of utmost importance, with robust safety cultures associated with a decrease in adverse occurrences.This descriptive-correlational quantitative study sought to investigate the relationships among150 Registered Nurses who worked 12-hour shifts in Level 2 private hospital in Metro Manila through purposive sampling.Data was collected via self-administered structured questionnaires using a 4-point Likert scale, covering perceived patient safety, work-life balance, and job retention outcomes.The demographic profile revealed a predominantly young (21-30 years: 45.7%), female (71.5%), single (79.5%), and early-career (1-2 years' experience: 47.0%) workforce, primarily Staff Nurses (81.5%) in Critical Care (22.5%)and Emergency Nursing (18.5%).Nurses reported high levels of perceived patient safety (Composite Mean = 3.69, "Strongly Agree"), with strongest agreement on thorough shift handovers (WM = 3.72) but slightly lower confidence in having sufficient time/resources for patient engagement (WM = 3.61).Work-life balance was also perceived positively (Composite Mean = 3.88, "Strongly Agree"), particularly regarding time for hobbies (WM = 3.92), though stress over family scheduling received the lowest (WM = 3.83).For job retention, nurses felt positive overall (Composite Mean = 3.67, "Strongly Agree"), with coworker support (WM = 3.77) being the highest factor and compensation (WM = 3.54) the lowest.Correlation analysis showed all relationships among patient safety, work-life balance, and job retention were statistically significant (p < .001).The strongest correlation was between Patient Safety and Job Retention (Rho = .503),followed by Patient Safety and Work-life Balance (Rho = .414),and then Work-life Balance and Job Retention (Rho = .337).Regarding demographic influence, work-life balance had no significant correlation with any demographic variable.However, job retention was significantly related to designation (p = .047)and specialization (p = .002).This study provided compelling empirical evidence, particularly within the under-researched context of Philippine Level 2 private hospitals, demonstrating the significant interplayed between patient safety, work-life balance, and job retention for nurses on 12-hour shifts.Its originality lied in bridging these critical organizational outcomes with specific demographic influences, revealing that while individual characteristics had varied impacts, professional roles and organizational support are paramount.The research confirmed that fostering a culture of safety, supporting leadership and specialization, and implementing universal work-life balance strategies were key for hospital administrators.This study offered actionable, evidence-based guidance for developing sustainable staffing models and human resource policies that prioritized both nurse well-being and patient safety, ultimately enhancing the overall quality and efficiency of healthcare delivery.

Improving sprint performance in adolescents is essential for enhancing physical fitness and athletic development in school-based programs. This quasi-experimental study examined the effects of dynamic running drills and neuromuscular training on the 100-meter sprint performance of Grade 10 students. A total of 89 participants were divided into two groups, (dynamic running drills (n=43) and neuromuscular training (n=46), and underwent an eight-week intervention. The study aimed to determine the sprint performance level of each group before and after the interventions, assess within-group improvements, and evaluate whether there was a significant difference between the two interventions. Descriptive analysis revealed that both groups started with fair-level sprint speeds and improved to the good category after the intervention. Paired samples t-tests indicated significant improvements in both the dynamic running drills group and the neuromuscular training group, highlighting the effectiveness of both approaches in enhancing sprint performance. However, Analysis of Covariance results showed a significant difference in posttest scores between the two groups when pretest scores were controlled, favoring the dynamic running drills. These findings support the Specificity Principle and Feasibility Theory, emphasizing that targeted, sprint-specific training yields greater improvements in performance. The results also confirm existing literature advocating for sprint-focused interventions in adolescent fitness programs, suggesting that integrating such methods into school curricula can effectively develop students’ speed and athletic performance.