APPENDIX DSAMPLE QUESTIONNAIREPart I. Profile of the RespondentsKindly put a check in the box provided for your answer.AGE: below 20 21-25 26-30 31 aboveGENDER: Male FemaleCIVIL STATUS: Single Married

Appendix CQuestionnaire

I. Problems in preparing nursing care plan.Direction: Listed below are the problems encountered by BSN-3 students in the preparation of nursing care plan. Kindly check the column that corresponds to your answer.5 strongly agree4 agree3 moderately agree2 disagree1 strongly disagreeItem Statement54321

a. Insufficient Time

b. Inadequate knowledge and skills

c. Insufficient resources

d. Lack of guidance from the clinical instructors

e. Others (please specify)

II. Difficulties in preparing nursing care planDirection: Listed below are the problems encountered by BSN-3 students in the preparation of nursing care plan. Kindly check the column that corresponds to your answer.4 to a great extent3 to a moderate extent2 to a lesser extent1 to a least extent

Item Statement4321

1. ASSESSMENTa. Inability to differentiate

b. Poor assessment skills

c. Lack of time in discussing assessment techniques

d. Others (please specify)

2. NURSING DIAGNOSISa. Inability to identify medical from nursing diagnosis

b. Indefinite diagnosis

c. Lack of book sources

d. Others (please specify)

3. PLANNINGa. Inability to differentiate long-term to short-term goals

b. Difficulty in making specific , measurable, attainable, realistic, and time-bounded planning

c. Others (please specify)

4. IMPLEMENTATIONa. Difficulty in identifying which nursing intervention is to be prioritized

b. Inadequate knowledge skills

c. Lack of coordination and guidance from the clinical instructors

d. Others (please specify)

5. EVALUATIONa. Inability to evaluate if the goals are being met or not

b. Inability to correlate evaluation to expected outcome

c. Others (please specify)