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Challenges Faced by Digital Immigrant Nurse Educators in Adopting Flexible Learning Options During the COVID-19 Pandemic: A Phenomenological Study
Hamdoni Pangandaman,
Volume 9, Issue 4 (Autumn 2023)
Abstract
Background: The COVID-19 pandemic has compelled many educational institutions to employ flexible learning options (FLO), requiring technology integration in teaching. Digital immigrant nurse educators, who are educators born before 1985, may need help adopting FLO due to their limited technological knowledge and skills. This study explores the challenges digital immigrant nurse educators face in adopting FLO as a teaching strategy during the COVID-19 pandemic.
Methods: Employing a qualitative phenomenological research approach, we researched 6 digital immigrant nurse educators with at least 10 years of teaching experience in the nursing institution at the College of Health Sciences of Mindanao State University in Marawi City, Philippines. These educators, expressing difficulty in adopting FLO, were purposively selected and interviewed from October 2021 to April 2022. Interviews were conducted through a scheduled Zoom meeting. For this purpose, an interview guide with open-ended questions was used. Colaizzi’s method of analysis was applied to analyze the data. 
Results: We identified 4 themes representing the challenges digital immigrant nurse educators face in adopting FLO. The themes comprised a lack of technological knowledge and skills, difficulty adjusting to new teaching methods, inadequate technological resources, and emotional stress and exhaustion.
Conclusion: Given the challenges experienced by Filipino digital immigrant nurse educators in integrating FLO amid the pandemic, this study recommends providing support and resources to improve these nurse educators’ technical knowledge and skills. Continuous education is crucial for successfully integrating FLO into their teaching practices.

Corresponding author: Hamdoni Pangandaman, Email: hamdoni.pangandaman@msumain.edu.ph
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Exploring Mercy Killing: Ethical Dilemma Among Muslim Maranao Nurses in Critical Care Setting
Hamdoni K. Pangandaman, Nursidar P. Mukattil, Joy Hope C. Lambayong, Sittie Ainah Mai-Alauya, Norhanie A. Ali, Mardalyne M. Salve, Samiel P. Macalaba, Abolbashar M. Mangontawar, Norhanie A. Lininding, Iman U. Matumadi,
Volume 10, Issue 3 (Summer 2024)
Abstract
Background: The practice of mercy killing, also known as euthnasia or assisted suicide, is a contentious and morally complex issue in healthcare. Understanding the ethical dilemmas related to mercy killing within specific religious communities, such as Maranao Muslims, can provide valuable insights into the intersection of faith, culture, and healthcare decision-making. This study aimed to explore the practice of mercy killing among Muslim Maranao nurses in the critical care setting.
Methods: A qualitative research design based on descriptive phenomenology and criterion sampling was used to select 10 Muslim Maranao nurses with at least five years of working experience in intensive care units (ICUs) in the southern Philippines. In-depth semi-structured face-to-face interviews were conducted with the participants and Colizzi’s thematic analysis was employed to analyze the obtained data. 
Results: Thematic analysis revealed three main themes with three corresponding subthemes: Religious beliefs (Islamic teachings, religious duties and moral responsibility), cultural norms (community values, stigma and taboo, sense of identity), and professional ethics (duty to the patient, team collaboration and ethical considerations). 
Conclusion: The perspectives of Muslim Maranao nurses on mercy killing are strongly influenced by their religious beliefs, cultural norms and professional ethics. Islamic teachings guide their rejection of mercy killing, emphasizing compassionate care and respect for the natural course of life. Family and community values, fear of social judgment and the preservation of cultural identity shape their perspectives. Professional ethics highlight their commitment to patient well-being, autonomy, and collaborative decision-making. Culturally sensitive and ethically sound healthcare practices are essential, and ongoing dialogue, education and policy development are needed to address the complexities surrounding mercy killing within specific cultural and religious contexts.

Association Between Computer Literacy and Utilization of Health Information Technology in Nursing Documentation and Plan of Care among Staff Nurses in a Tertiary Hospital
Sittie Ariefah J. Abdulkhaled, Hamdoni Pangandaman,
Volume 11, Issue 2 (Spring--In Press 2025)
Abstract
Background: The integration of Health Information Technology (HIT) in healthcare is essential for enhancing the quality, efficiency, and safety of patient care, particularly in nursing documentation and care planning. Effective use of HIT requires a strong foundation in computer literacy, yet the impact of computer literacy on HIT utilization in nursing remains underexplored.
This study aims to examine the association between computer literacy and the utilization of HIT in nursing documentation and care planning among staff nurses in a tertiary hospital. It seeks to determine whether higher levels of computer literacy correlate with more effective use of HIT, potentially informing future training programs.
Methods: A descriptive correlational design was employed, focusing on staff nurses at a tertiary hospital in Lanao del Sur, Philippines, in 2023. A total of 128 nurses, selected through simple random sampling, participated in the study. Data were collected using a structured researcher-made instrument that assessed computer literacy and HIT utilization. The analysis included descriptive statistics such as frequencies, percentage distributions, means, and standard deviations, along with inferential statistics, specifically Pearson's r correlation coefficient, conducted using SPSS version 25 at 0.05 level of significance.
Results: The study found that nurses exhibited high proficiency in basic computer skills, particularly in Microsoft Word (85%) and basic concepts (78%), but lower proficiency in troubleshooting and Microsoft PowerPoint. Significant positive correlations were found between computer literacy and HIT utilization for documentation in terms of Basic Concepts (r = .901; p = .027), Microsoft Word (r = .919; p = .026), Microsoft Excel (r = .912; p = .038), Microsoft PowerPoint (r = .908; p = .034), and Basic Troubleshooting (r = .895; p = .036). However, no significant correlations were observed between computer literacy and HIT utilization for care planning, with Basic Concepts, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Basic Troubleshooting (p > 0.05).
Conclusion: Computer literacy plays a critical role in the effective utilization of HIT for nursing documentation, but its influence on care planning is less pronounced. The findings suggest that targeted training programs should focus on enhancing both basic and advanced computer skills to optimize HIT utilization, ultimately improving patient care outcomes in the digital age.

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