From Bedside to BPO: Quality of Life and Coping Orientation of Nurses

Frances Ramos; Katrina Nicole Santos; Jarrell Maisie Sanchez; Ellysa Faye Roxas; Redz Joshua Reyes; Kelly Anne G. Pineda; Lois Francesca Perez; Cheslia Ann Perez; Dianne Dominique Paraton; Lauren Dale Arthur Paras; Resty Anibigno

doi:10.64397/nepj.v01i03.2026.a30

Authors

Frances F. Ramos Far Eastern University Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Katrina Nicole S. Santos Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Jarrell Maisie C. Sanchez Far Eastern University Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Ellysa Faye B. Roxas Far Eastern University Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Redz Joshua C. Reyes Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Kelly Anne G. Pineda Far Eastern University Author

Competing Interests

This study was conducted without any financial support or grant from any funding agency, public, commercial, or non-profit organizations.
Lois Francesca J. Perez Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Cheslia Ann C. Perez Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Dianne Dominique Paraton Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Lauren Dale Arthur G. Paras Far Eastern University Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.
Resty P. Anibigno, MSN, RN Far Eastern University Author

Competing Interests

The author/s declare that they have no known financial interests or personal relationships that could have influenced the conduct of this research or the integrity of its reported results.

DOI:

https://doi.org/10.64397/nepj.v01i03.2026.a30

Keywords:

Quality of Life (QoL), coping orientation, transitioned nurses, BPO work

Abstract

Introduction: The persistent global shortage of nurses and the escalating rates of professional turnover have intensified the need to explore alternative career pathways within the nursing profession. These challenges provide the rationale for examining the well-being of nurses who transition from direct patient care to administrative roles, particularly within healthcare-related Business Process Outsourcing (BPO) facilities.

Aim: The study’s central purpose was to evaluate the Quality of Life (QoL) and coping orientation of registered nurses who had transitioned from bedside to healthcare BPO jobs within the Philippine setting.

Methods: This study used a descriptive-correlational design to examine the relationship between quality of life (QoL) and coping strategies among 138 registered nurses in Metro Manila who transitioned to healthcare BPO roles, aged 25–45, with at least three years bedside experience. Data were collected via convenience sampling through an online survey using adapted WHOQOL-BREF and Brief-COPE instruments. Descriptive statistics and Spearman’s rho were used for analysis.

Results: Findings revealed a significant positive correlation between quality of life and coping orientation (r = .681, p < .001), suggesting that nurses who transitioned to healthcare BPO roles generally experienced favorable well-being and effective coping. Environmental Health yielded the highest quality-of-life scores (M = 87.18, SD = 10.97), while problem-focused coping was the most commonly employed strategy (M = 3.35, SD = 0.61). In contrast, Physical Health recorded the lowest mean score (M = 72.51, SD = 14.63), indicating persistent concerns regarding physical well-being.

Conclusion: The transition to BPO was associated with effective coping and a good quality of life, establishing a viable alternative for nurses, although physical well-being remains a concern. These findings hold significant implications for policymakers, underscoring the need for targeted wellness interventions within nursing practice and education to address declines in physical health, promote professional development, strengthen retention strategies, and improve job satisfaction.

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Author Biographies

Frances F. Ramos, Far Eastern University

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior High School Education at Divine Word High School in Sanchez Mira and her Senior High School at Far Eastern University High School, where she consistently graduated with high honors. She was recognized as a Dean’s Lister in 2023, reflecting her strong academic performance. She has also participated in undergraduate research and is a co-author of a published group study entitled “Evolution of Parental Disciplinary Tactics: A Comparative Study Between College Students and Their Parents.” She remains dedicated to advancing her knowledge and skills in nursing and aspires to contribute to the profession through compassionate, patient-centered, and evidence-based care.
Katrina Nicole S. Santos

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior and Senior High School Education at Nuestra Senora de Aranzazu Parochial School in Rizal, where she graduated with honors. Driven by her passion for providing high-quality patient care, she aspires to become a critical care nurse. She continues to refine her clinical skills and critical thinking. In addition, she also continues to enhance her knowledge and competencies to deliver safe, compassionate, and evidence-based care.
Jarrell Maisie C. Sanchez, Far Eastern University

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior High School Education at St. Scholastica’s Academy, Pampanga and graduated Senior High School with a high honors distinction at FEU High School, Manila. In 2023, she was recognized as part of the Dean’s List, reflecting her commitment to advancing her knowledge through academic rigor. Driven by her passion for service and commitment to the nursing profession, she is constantly in pursuit of refining her expertise and skills as she strives to elevate the standard of care through compassionate and informed practice.
Ellysa Faye B. Roxas, Far Eastern University

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior and Senior High School in De La Salle Araneta University with Honors. She is a co-author of a Quantitative Research Study on “Automated Hydroponics for commercial farming in Bicol Naga, Camarines Sur” and a Qualitative Case Study on “Knowledge of Bicolano Farmers in Cararayan, Naga, Bicol, Camarines Sur, Regarding Automated Hydroponic System,” focusing on innovation and technology on farm settings. Her areas of research interest include sustainable farming, healthcare innovation and information technology.
Redz Joshua C. Reyes

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing his Bachelor of Science in Nursing. He completed his Junior and Senior High School at Colegio de San Juan de Letran - Bataan. He is a dedicated nursing student who is passionate about learning and committed to maintaining strong academic performance. He continues to develop his professional competence and clinical skills, aspiring to serve in hospital practice. He envisions a career in direct patient care, where he can apply evidence-based practice and compassionate service to improve health outcomes and make a meaningful contribution to the nursing profession.
Kelly Anne G. Pineda, Far Eastern University

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her secondary and senior high school education at St. Scholastica’s Academy Pampanga, where she graduated with Honors. She is currently pursuing her college degree at Far Eastern University Manila, where she has been a consistent Dean’s Lister from 2022 to 2023. She is passionate about learning and committed to maintaining strong academic performance, which she continues to apply in her research and academic work.
Lois Francesca J. Perez

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior High School Education and Senior High School Education at Colegio de Sta. Monica de Angat in Angat, Bulacan with honors. Her aspiration was to become a competent emergency nurse who provides high-quality healthcare services while advocating for proper patient care and the continuous improvement of healthcare systems in the Philippines. Above all, she strives to be a professional nurse who brings comfort, hope, and healing through her compassion, skills, and resilience.
Cheslia Ann C. Perez

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior High School Education at Divine Word College of Urdaneta, Inc. in Urdaneta City, Pangasinan and her Senior High School at Far Eastern University High School, where she graduated with high honors. Her consistent academic excellence earned her recognition as a Dean’s Lister in 2022 and 2023. She continues to strengthen her professional competence and clinical skills, with a strong aspiration to serve in hospital practice. She envisions her career in direct patient care, applying evidence-based practice and compassionate service to improve health outcomes and meaningfully contribute to the nursing profession.
Dianne Dominique Paraton

A fourth-year nursing student at the Institute of Health Sciences and Nursing of Far Eastern University Manila, currently pursuing her Bachelor of Science in Nursing. She completed her Junior High School Education at Nuestra Señora De Aranzazu Parochial School in Rizal where she graduated with honors, and her Senior High School at Far Eastern University, where she graduated with high honors. She was also recognized as a Dean’s Lister in 2023, reflecting her excellence in academic performance. She also participated in undergraduate research and is a co-author of a published group study entitled “Accessing Filipino Perceptions of the Revised K to 10: Curriculum: A Comparative Study Between Teachers, Parents, and Students.” She aspires to become a competent healthcare professional, aiming to make a difference in the lives of her patients and to excel in her nursing career, driven by a strong commitment to providing quality patient care.
Lauren Dale Arthur G. Paras, Far Eastern University

A Bachelor of Science in Nursing student at Far Eastern University–Manila who is passionate about leadership, service, and holistic patient care. Throughout his academic journey, he has actively engaged in various student organizations, volunteer programs, and leadership initiatives that have strengthened his interpersonal, organizational, and critical thinking skills. He has served in several leadership and committee roles, including in the FEU Nursing Society, FEU Red Cross Youth Council, and FEU Anti-Bullying Core Group, reflecting his commitment to community involvement and student empowerment. In addition, Lauren has participated in seminars and competency-building activities such as DILAAB 2023, Project Alaga 2024, and an Intravenous Insertion Workshop, which contributed to his professional growth as a future nurse. Known for being flexible, reliable, and respectful, he aspires to become a competent healthcare professional dedicated to compassionate service and lifelong learning.
Resty P. Anibigno, MSN, RN, Far Eastern University

A registered nurse and nurse educator with professional expertise in emergency, critical care, and adult health nursing. He is currently connected with Far Eastern University, Philippine Women’s University, University of Makati, and Rizal Medical Center, where he contributes to nursing education, clinical training, staff development, and research. He obtained his Master of Science in Nursing major in Adult Health from St. Paul University Manila and is currently taking his Doctor of Philosophy in Nursing at the Philippine Women’s University. His areas of scholarly interest include nursing education, emergency and critical care nursing, patient safety, clinical competency development, and nursing research.

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From Bedside to BPO: Quality of Life and Coping Orientation of Nurses

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