ACKNOWLEDGEMENT It Is with immense gratitude that I acknowledge the individuals who in one way or another contributed and extended

their unfailing support, encouragement, and guidance in the preparation and completion of this study. First and foremost we would like to extend our deepest appreciation to our thesis adviser Sir Ramil Rambe R.N., who has the attitude and character of a genius: with his valuable assistance and encouragement in regard to research. Without his guidance and persistent help this dissertation would not have been possible. We would like to extend our thanks to the Dean of the College of Nursing, Professor Nurhanipa Derico, and Ms. Teresa, for their kind consideration, patience, and for their untiring support for the completion of this study. Ms. Tashmera P. Datukali R.N. our active coordinator in Mindanao State University College of Health Sciences Ipil Extension, for being ever supportive and steadfast encouragement. Mr.Ulysses John Almlocera R.N. and Ms. Maria Yvonne Caong R.N. for their moral support and insights they had shared regarding our academic requirements. We consider it an honor to work with my colleagues, the other group, for the memories we had shared and the teamwork in every tasks and activities were in, we have never failed to cooperate with one another especially in tough and bad times, we also thank you. To our most beloved and supportive parents, family, and friends for their financial and moral support as well as their unfailing guidance for us to made this far to be able to achieve our dreams and ambition in life. Lastly we would like to give our thanks to the absolute one GOD, for giving us strength and courage in times of problems and despair, for the unconditional love and graces he showered upon us, and for always guiding and answering our prayers and needs in making our life full of hope and support.