Saint Paul University PhilippinesTuguegarao City, 3500 Cagayan NorthGRADUATE SCHOOLMaster of Science in Nursing

AY 2014-2015ADVANCED ADULT HEALTH NURSINGZumba Session for the Employees of Isabela Doctors General HospitalSubmitted to:MELANIE REBOLDERA-ADOLFOProfessor

Submitted By:MA. THELMA S. ASUNCION

JAYMICA ROSE L. DACQUIL

APRIL MARNELLY B. FLORENTINOSAMANTHA MARGARETTE S. SALUDEZ

BACKGROUND /SITUATIONAL ANALYSISOver time, a fitness program can be expected to improve modifiable health threat factors in the employee population, reduce medical costs, and lessen absenteeism. Yet often overlooked are the indirect benefits such as boosts employee morale, presenteeism, productivity, higher levels of employee engagement, and support the employment & retention of the employees. Isabela Doctors General Hospital will enjoy the prestige associated with a healthy, fun and productive institution. Additionally, participants will serve as role models for those staff who are not enthusiastic to join the program. Staff and faculty who exercise, get regular checkups, set and achieve personal health goals, and otherwise take responsibility for their own health will set inspiring examples and encourage others to adopt and maintain healthy lifestyle choices.

Isabela Doctors General Hospital is a 100-bedded hospital that was opened in 1994 by a group of Ilagan-based physicians. IDGH was granted a license to operate by the Department of Health as a Level 2 Hospital (General) covering services that include diagnostic radiology, ultrasound, dialysis clinic, pharmacy, CT scan, eye laser surgery, echocardiogram and a tertiary clinical laboratory. It has more than 200 employees, which consists of chief of hospital, medical service, nursing service, hospital operations and patient support service and finance service. According to staffs prior attendance records, physical examination records and evaluation, there is increased in number of employees who suffer from physical inactivity, obesity, absenteeism, burnout and stress. Work environment factors that increase nurses' job satisfaction, and reduce burnout and job stress need to be considered in managing staff nurse absenteeism.

REVIEW OF RELATED LITERATURECurrently, one of the most popular group fitness lessons is Zumba. Zumba is a Latin-inspired dance workout first developed in Columbia in the mid-90s by icon fitness trainer Alberto Beto Perez. Zumba was actually developed by accident, when Beto forgot to bring his traditional aerobics music to class one day. The only music he had was a few Latin music tapes in his car. In his class, he let the music encourage him, just as if he were in a club, and began dancing to Salsa, Rumba, and Merengue. His participants loved it and Zumba was born. One of the reasons that Zumba is so popular is that its creator claims that there is no right or wrong way to do it; participants are encouraged to move to the beat of the music and the choreography is less formal than in many other group exercise classes. It is more of a dance party and the popular catchphrase: Ditch the workout join the party! has become associated with Zumba. Zumba is currently performed by over 12 million people, at 110,000 sites, in 125 countries around the world (Zumba Fitness, 2012). Recently, according to Thompson (2011), Zumba was ranked 9th in terms of worldwide fitness trends for the year 2012. The difference between Zumba and the other aerobic dance programs is that in Zumba, the repetition is not counted over the music but an individual is encouraged to enjoy the music and move to the beat. Therefore, it is geared at having fun whilst working to achieve improved cardiovascular fitness, muscular endurance, balance and coordination.

According to Duncan (2004), the beginning of aerobic exercise has been credited to Dr Kenneth Cooper, a physician of the United States Armed Forces who published a book called Aerobics in 1968. Its popularity spread worldwide as awareness of the positive cardiovascular effects of aerobic fitness exercises increased (Berlin & Colditz, 1990; Sternfield, 1992; USDHHS, 1996; USDHHS, 2008). Based on the prescript of Coopers book, a dance instructor, Jacki Sorensen (1969) created some dance routines and as a result, dance aerobics was born. Aerobic fitness classes and dance aerobics have remained increasingly popular as an alternative to traditional training activities or exercise; therefore, it would seem important to determine its potential benefits to cardiovascular fitness and health (Foster, 1975). In 1975, Foster conducted an investigation to determine the intensity at which participants exercised during an aerobic dance; results of the O2max suggesting that an aerobic dance session couldstudy revealed an intensity of 77%. This was one of the first experiments published on aerobic dance fitness classes.

According to Fishkin (1989), stress is defined as the result of any demand, either internal, external or both, that causes a person mentally and physically to readjust in order to maintain a sense of balance. Stress can be positive or negative. There are three stages of stress, the alarm stage, the resistance stage and the exhaustion and burnout stage. The alarm stage - A person becomes aware of a specific demand or signal requiring a response. The resistance stage - The mental and/or physical response to a specific demand or signal. The exhaustion and burnout stage - A total inability to maintain balance because our responses (coping) are ineffective (Fishkin 1989). Stress causes changes in our blood flow, heart rate, metabolism, breathing and blood pressure. It is associated with emotion but, unlike emotion, we have little control 10 over it. We just perceive some kind of feeling that is taking place within us (Ottlinger, 1997). Stress can be caused by any of the changing conditions of daily life. The change may be as subtle as a cars tires screeching that breaks your concentration as you read the morning paper, or as severe as two cars colliding in the middle of an intersection. The stress process goes something like this. An alarm is dispatched, causing the neurons in the brain to send a signal to the hypothalamus, which in turn releases a chemical messenger that runs to the pituitary and adrenal glands. They in turn release their own chemical substance called steroid-glucocorticoid, the stress hormone. At some point in the process, the sympathetic nervous system releases bioamines. With all these chemicals interacting within our bodies, things quickly begin to happen. We become alert and ready for action, every organ in our body starts to pulsate with energy. Strength becomes mobilized; the pulse and breathing rates speed up. This is stress. It happens every time fire fighters are dispatched to an emergency call. It also happens every time a superior calls a person in or a persons child yells for help. These events all have one common thread: when they occur, they disrupt the routine or balance of the moment (Ottlinger, 1997). The reaction that the body has during the release of these chemicals could cause damage, especially under chronic circumstances. As the blood pressure increases blood supply to the brain is increased, heart rate becomes rapid, as well as increased cardiac output, skeletal muscle is stimulated. There is an increase of plasma free fatty acids, triglycerides, cholesterol, decreased blood flow to the kidneys, gastrointestinal system and skin. There is an increased risk of hypertension, thrombosis formation, 11 angina pectoris attacks, sudden death from lethal arrhythmia, myocardial ischemia, ventricular fibrillation and myocardial infarction (Blum, 2001). The changing conditions that trigger stress are called stressors. Stressors are countless, varied and change over time. They are normally events or conditions that introduce some functional change in the organisms internal system or external environment. When the stressor disrupts the existing homeostatic state, the stress response is triggered to restore balance. Some examples of stressors include heartburn one might get from spicy tacos, the flu that is going around, and changes in temperature, receiving an award or being surprised by a party. Everyone experiences stress at one time or another. Many stressors are not unique to the fire service, but are part of everyday civilian life. These stressors often involve some kind of change in living habits, such as change in residence, marital status, financial resources and the like. Even a positive change such as getting a new job or starting a new relationship can be a source of stress. Everyday events such as a traffic jam or a long line at the bank also cause stress. In addition to these sources of stress, however, fire service people face additional stressors related to fire service work (Ottlinger, 1997).

Burnout is the result of long term stress, and is defined as unrelieved stress of sufficient duration (6 months or more) leads to stress exhaustion or burnout (Fema, 1988). The symptoms of burnout manifest themselves in the primary areas of a persons life, those being: psychological, physical, work and family (Fishkin, 1989). The key is to avoid the burnout syndrome that to treat it. Burnout did not occur rapidly, so treatment may become a long-term process (Fishkin, 1989).

Burnout is understood to be a chronic state of job stress, where employer expectations and employee workload exceed the individuals perceived psychological capacity and ability to cope with the work demands expected of them (Maslach, Schaufeli, & Leiter, 2001; Mutkins, Brown, & Thorsteinsson, 2011). The global burden of burnout through decreased productivity, retention, absenteeism, and compensation costs in excess of $300 billion annually (Rowe, 2012), as such the World Health Organisation is predicted to report burnout as a global pandemic within the next decade (Nash, 2013). Psychological stress describes an interaction between an individual, their work environment, and other external influences (Malone, Denny, Dalton, & Addley, 1997). Psychological stress is understood to occur when there is a substantial perceived imbalance between demands placed on the individual, and perceived response capability, and is aggravated in situations where failure to meet the demand has perceived adverse consequences (Malone et al., 1997; Thorsteinsson, Brown, & Bills, in press). Effective coping is then measured based on emotional reactions and cognitive functioning in response to the stressor, in a fluid process dependent on evolving work demands and a fluctuating personal outlook (Lazarus, 2000; Malone et al., 1997). Lazarus (2000) articulates that this is a cognitive-motivational-relational theoretical concept of appraisal based on individual differences (both intra- and inter-individual), whereby an individual constructs relational meaning from the person environment relationship, social and physical influences, personal goals, self-belief, and available resources and subsequently makes an assessment of ability to cope based on his or her perceptions of demand compared to capability. Job related psychological stress, was first termed burnout in 1975 (Maslach & Jackson, 1981). Burnout can be described as prolonged exposure to occupational pressure including emotional and interpersonal stressors (Maslach, 2003). Burnout comprises of three central components: emotional exhaustion, depersonalization, and (lack of) personal accomplishment (Maslach & Jackson, 1981; Maslach et al., 2001). Of the three, Emotional exhaustion is the most noticeable and often the primary symptom (Golembiewski et al., 1998; Meesters & Waslander, 2010). Emotional exhaustion can also be viewed as depletion of an individuals emotional resources, typically characterised by statements such as I feel emotionally drained from my work, and used up at the end of the workday (Childs & Stoeber, 2012; Maslach & Jackson, 1981). It is proposed that emotional exhaustion underpins burnout and through the coping mechanisms employed by the emotionally exhausted individual, the other burnout elements depersonalization and reduced personal accomplishment arise (Harwood, Ridley, Wilson, & Laschinger, 2010; Maslach et al., 2001). Depersonalization can be seen as a detachment barrier, where the emotionally exhausted employee introduces emotional and cognitive distance between them and their situation in an attempt to cope with their workload (Cordes & Dougherty, 1993). This shields the individual from emotional strain but results in a dehumanized perception of others. This is often accompanied by cold disregard for the needs of clients and callous indifference towards clients feelings (Maslach, 1986, p. 4). Continuation in the depersonalized state leads to a callous and cynical outlook and generalised indifference to the organisation (Maslach et al., 2001). As emotional exhaustion and depersonalization progress the burnt out individual feels guilt and inadequacy about their emotional limitations which leads to a reduced sense of personal accomplishment (Maslach, 1986). An individuals perception of their ability to excel and perform worthwhile tasks is diminished and they no longer feel of value to the organisation (Golembiewski et al., 1998; Maslach et al., 2001). Intuitively exercise is associated with better health. However, current literature predominately focuses on the impact of cardiovascular exercise on negative psychological states (Mutkins et al., 2011). A review of the effect of exercise on positive mood states was conducted by Berger and Motl (2000) who found that high intensity exercise was optimal for cardiorespiratory and metabolism benefits, but had little impact on desirable changes in mood or positive well- being. In contrast moderate intensity exercise was shown to have sub-optimal fitness benefits but was consistently associated with positive well-being and mood benefits (Berger & Motl, 2000). More recent research by Cox, Thomas, Hinton, and Donahue (2004) has challenged these findings and found the two exercise intensities comparable. In subsequent research Cox, Thomas, Hinton, and Donahue (2006) utilized the Subjective Exercise Experience Scale (SEES), which measures positive well-being, psychological distress, and fatigue. They found that vigorous exercise had a greater effect on positive well-being than moderate intensity exercise, whilst concomitantly finding an overall reduction in psychological distress in comparison to a control condition, but with comparable efficacy between the two treatment conditions (Cox et al., 2006). Whilst the aforementioned literature compared moderate and vigorous cardiovascular exercise, thereby preventing direct comparison, the current cardiovascular condition would be considered a vigorous training program, whereas the resistance training program is moderate intensity. Also, Cox et al. (2006) found that whilst participants reported increased fatigue during the exercise, 30mins post exercise fatigue had returned to baseline measures. As highlighted by Hecimovich, Peiffer, and Harbough (2014) fatigue and exhaustion are often poorly distinguished. However, consistent with their distinctions the current study views fatigue as an acute physical condition. In contrast this study views exhaustion as chronic, psychological, emotional exhaustion as defined in the burnout literature (Maslach, 1986).

One recent pilot study (n=12) has assessed the impact of cardiovascular exercise on burnout and perceived stress, finding a significant result with large effect size against emotional exhaustion (d=1.84) and depersonalization (d=1.35) but not personal accomplishment (d=0.31) (Gerber et al., 2013). Gerber et al. (2013) also found a significant effect of cardiovascular exercise in reducing perceived stress using the Perceived Stress Scale (PSS). Both Gerber, Kellmann, Hartmann, and Phse (2010) and Ben-Ari (2000) report that the stress buffering effects of exercise increase with increased frequency of participation in exercise, suggesting a relationship exists between frequency of exercise and perceived stress, well-being, and burnout gains. Thorsteinsson et al. (in press) suggest that high work-stress may increase anxiety, depression, fatigue, and organization staff turnover; and reduce organizational commitment and job satisfaction; leading to adverse work outcomes for organizations and employees. Introducing exercise to a sedentary population and measuring the effect over time (four weeks) of different exercise types (cardiovascular and resistance) against multiple measures of stress including well-being, perceived stress, and burnout has not been attempted. Research in this area will deliver valuable insight into understanding how exercise impacts perceived stress and burnout. Additionally this research will provide evidence to guide individuals and organisations in their selection of exercise programs that are optimal in type, duration, and intensity for stress and burnout reduction. It was hypothesized that (a) the exercise conditions (resistance and cardiovascular together) will show increased positive well-being and decreased perceived stress and burnout health state after four weeks of exercise; (b) cardiovascular and resistance exercise will affect positive health state and perceived stress and burnout differently; and (c) exercise frequency and duration will be positively correlated with positive health state and negatively correlated with perceived stress and burnout health state.PROGRAM DESCRIPTIONThe Zumba Fitness program is for all the employees of Isabela Doctors General Hospital who are interested in maintaining a healthy lifestyle through promoting a fit body. The program provides fun and engaging Zumba Classes. RegularZumba workouts will assist employees or fellowworkers to get fit and healthy, have fun as well as foster a productive and positive work environment. It createsa perfect environment tobond with co-workersin a non-stressful environment while keeping fit.Zumba is anAdultdance-based fitness class that uses a fusion of Latin and Internationalrhythms with easy-to-follow moves. It includes both cardio and resistance training components designed to tone and sculpt the entire body. Zumba is designed for adults of all ages and fitness levels, class participants at any level can start Zumba right away. The dance work is pre-musicalised. This means that the end dance and the methodology are preset. The choreography is developed with simple movements, in such a way that the repetitions made for learning the movements lead to the success of an amazing class.One of the best fitness benefits associated with Zumba dancing is an improvement in cardiovascular health. The cardiovascular system is composed of the heart, as well as the veins and arteries that deliver blood to and from the heart. When this system is weak, one may experience symptoms such as weakness, shortness of breath, fatigue, and an inability to perform the daily activities of life. In addition to these symptoms, a weak cardiovascular system can, in some cases, cause heart attacks or even death. Research has found that one of the best ways to improve the condition of the cardiovascular system is by performing physical activity that stresses the heart, such as walking, swimming, or Zumba dancing. For best results, try to get at least 30 minutes five days a week.

Another great fitness benefit associated with Zumba dancing is weight loss. This is one of the most common reasons that people choose to join group exercise classes such as Zumba. As stated above, Zumba is a type of cardiovascular exercise, and research has found that participating in cardiovascular exercise is the best way to lose weight. For the average person, engaging in Zumba dance for one hour will burn approximately 400 calories.

Zumba dancing is also a great way to improve your coordination. Having a good sense of coordination is very important. Falls among the elderly are one of the leading causes of death. Therefore, if one can improve and maintain coordination, he/she will be less likely to fall victim to these types of accidents.

Finally, research has found that all types of exercise produce endorphins, which are a type of "feel-good" hormone that are released into the blood stream after exercising. People who suffer from bouts of depression are often encouraged to participate in physical activity in order to benefit from these hormones. Studies have discovered that for the highest amount of endorphin release, you must participate in cardiovascular exercise, such as dancing.COLLABORATION: The program organizers will collaborate with the Human Resources Department as well as the Administration of IDGHINFORMATION DESSIMINATION: Prior to the Zumba Class Session, the organizers will conduct a health education session along with the dissemination of pamphlets to the participantsREGISTRATION AND PARTICIPANTS: The Zumba Class shall be free to all the employees of IDGH. Depending upon the agreement of the organizers and the administration of IDGH, there will be an allotted schedule for each unit or department of the hospital (ex. Medical ward, NICU, etc.) The preferred participants will only attend during their day off to avoid over fatigue.INSTRUCTOR: The hiring of instructor will also be utilized but if not the HR would assign an employee or two who would be in charge of the Zumba class.VENUE: The class will be utilizing the Conference Hall of the hospital.TIME: Every session will be held at 4:00 PM daily and ends at 5:00 PM

OBJECTIVES

To enhance the quality of life through regular physical activity that the participants enjoy To improve work efficiency of participant by maintaining healthy physique to decrease sick leaves and absences. To instill a motivation to retain a regular exercise program To emphasize the physical and psychological values and benefits of Zumba

Zumba Sample Class Format

Warm-Up2-3 Songs10-15 Minutes

Cardio / Strength4-6 Songs20-30 Minutes

Cool-Down2-3 Songs10-15 Minutes

Exercise Selection: Strength Exercises

Suggested Upper Body Strength Exercises

ChestFly, Press

BackFly, Row

ShoulderV Raise, Lateral Raise, External Rotation

BicepsBicep Curl, Hammer Curl

TricepsPress Back

Suggested Lower Body Strength Exercises

LegsSquats, Lunges, Hamstring Curls, Plie, Adduction, Abduction

GlutealsCurtsy, Leg Lifts

ShinToe Taps

CalfHeel Raises

AnklesHeel Raise, Single Leg Stance

For Warm-up:

Lower-Leg and Upper-Hip Stretch Stand in a lunge position with your right foot forward and left foot back, toes pointed straight ahead. Place your hands on your right thigh or on a chair for support, and then bend your right knee and lunge forward, keeping your left leg straight and torso upright. Press both hips forward until you feel a stretch in the front of your left hip and the back of your left lower leg. Hold for 10 seconds, release, and repeat 5 more times. Switch sides and repeat.

Side-Torso Stretch Stand tall with your arms reaching straight above your head, hands clasped, and abs pulled in. Inhale, then exhale, as you lean to the left, feeling a stretch in the right side of your torso. Hold for 10 seconds, return to centre, and then repeat on the opposite side. Repeat 5 times on each side.

Low-Back Stretch Stand with your feet hip-width apart, knees bent, and hands on your upper thighs. Inhale, then exhale as you draw in your abs and round your back, curling your tailbone under you, and tucking your chin toward your chest. You should feel the stretch in your lower back. Hold for 10 seconds then release. Repeat 5 times.

Total-Body Stretch From all-fours crouching position, inhale, and then exhale as you begin to lift your hips and straighten your arms and legs, coming into an inverted V position (also known as Downward Facing Dog in yoga). Hold for 10 seconds, breathing deeply, feeling a stretch in the back of your legs, calves, chest, shoulders, and sides of your torso. Bend your knees and release them to the floor, then sit back onto your heels with your arms on the floor and chest resting on your thighs to stretch your low back and shoulders. Hold this position for 10 seconds. Repeat the entire sequence 5 times.

Low-Back and Hip Stretch Lie on your back with your legs, straight out in front of you. Bend your right knee, grasp the back of your thigh, and bring the knee in toward your chest. Hold for 10 seconds. Then, using your left hand, bring your right knee across your body and down toward the floor. Look over your right shoulder and reach your right arm out to the side, keeping your right shoulder in contact with the floor. Hold for 10 seconds, feeling a stretch in your low back and hip. Release and come to centre, then switch sides. Repeat the sequence 5 times on each side.

For Cardio / Strength: QUE TE MUEVE

Starting with feet together, elbows bent and arms at chest height, hands in light fists. Begin to travel to the right, stepping out with your right foot and turning your head and hips to the right while your arms move to the left (A). Bring feet and arms back to the centre and add a little hop (B). Repeat travel step to the right with arms and hips (C). Return to centre (D). Switch sides and repeat pattern. DIAMOND STEP Begin with your feet wider than hip width apart, feet turned out, knees bent. Reach both arms above your head with hands connected together in a diamond shape, palms facing front. Keeping your hips still, reach and pulse your arms to the right once while taking one step to the right (A). Reach arms once to the left with one step to the left. (B) Reach arms twice to the right with two steps (C). Repeat pattern starting on the left side.

SALSA TRAVEL

Begin with feet together, arms up at chest height, elbows bent. Begin to travel to the left by taking a step with your left foot, pushing arms to the left and swaying hips to the right (A). Tap right toe in to left foot (B). Travel to the left again pushing arms to the left (C). Tap right toe in to left foot (D). Repeat pattern starting on the right. SABOR STEP Begin with feet together, arms out at sides, swinging hips and arms naturally. Tap your right toe front (A) step on your right foot. Tap left toe front (B) step out to the left on your left foot. Cross right foot over left foot (C) step on left foot. Tap right foot front (D) step on right foot. Repeat pattern starting with a tap on the left foot.

CUMBIA FUNK Begin with feet wider than hip width apart, toes turned out. Rotate your right knee in and push your hip up to the right as you press your arms toward hips (A). Rotate your left knee in and push your hip up to the left as you press your arms toward hips (B). Sit back into your hips and reach arms front (C). Thrust your hips forward twice as you reach and pull your arms in (D). Repeat sequence starting on the left. BASIC SAMBA Begin with feet together. Tap your left foot front as you shake your hips to the right twice with a bounce, arms swing naturally (A) then quickly step onto your left foot. Tap your right foot front as you shake your hips to the left twice in a bounce, arms swing naturally (B) then step quickly onto your right foot. Repeat this pattern.

QUEBRADITA BASIC

Begin with your feet together and thumbs hooked to pants as if you were a cowboy holding your belt. Step and cross over to the right with your left foot, lifting back foot and dropping your left shoulder (A). Step onto your right foot to the centre and lift your left knee (B). Step onto left foot and lift your right knee (C). Cross over to the left with your right foot, dropping your right shoulder and lifting back foot (D). Repeat this pattern. ANDALE QUEBRADITA Start with your feet together and thumbs hooked to pants as if you were a cowboy holding your belt. Step on right foot and lift left knee up adding a hop, twisting shoulders (A). Step back with left foot and lean left shoulder front (B). Swing right leg back as you twist and lean front (C). Step onto on right foot and twist shoulders (D). Continue this pattern, and then switch sides.

DESTROZA REGGAETON

Begin with feet wider than hip width, your weight centre and elbows bent with arms behind you. Begin to swing your arms and hips to the left (A). Stomp with right foot and swing arms and hips to the right (B). Repeat swing with arms and hips to the left. (C). Repeat right stomp, hip and arm swing to the right (D). Repeat pattern, then switch sides. REGGAETON BOUNCE Begin with feet wider than hip width, knees bent. Turn your body to the right, lifting right knee and reaching left arm out (A). Step out onto right foot as you pump left arm back, pulling your chest through and travelling to the right (B). Lift right knee and reach left arm out (C). Step out onto right foot as you pump left arm back, pulling your chest through and travelling to the right (D). Switch sides and repeat pattern.

CALYPSO BASIC

Begin with feet together and knees bent. Bend elbows and pumping arms naturally in opposition. Step forward onto right foot (A). Push back and hop as you step back onto right foot; rolling shoulders back (B). Step forward onto left foot (C). Push back and hop as you step back onto left foot; rolling shoulders back (D). Repeat pattern.

TOBAGO CARIBBEAN Begin with feet together and knees bent. With arms swinging naturally in opposition, point right toe to the right, keeping leg straight. (A) Bring right heel to the front, swinging arms (B). Hop to switch feet and point left toe to the left, keeping leg straight (C). Bring left heel to the front, swinging arms (D). Repeat pattern.BUDGET PROPOSAL

MaterialsQuantityCostTOTAL

Sound System11, 000.001, 000.00

Instructor Fee250.00/day250.00

Linen1 pack20.0020.00

Bond Paper3 packs15.0045.00

Photocopy

50.0050.00

TOTAL1, 365.00

APPENDIXMarch 23, 2015

DR. NELLY P. SIMONPresident

Isabela Doctors General Hospital

Baligatan, Ilagan City,Isabela, Philippines

Dear Maam:

Christian greetings!

We, the MSN students of Saint Paul University Philippines would like to ask permission from your office that we may be allowed to conduct a Zumba Session for your employees to improve their overall physical and mental fitness. This 1-month activity and the corresponding date of implementation would be on March 30, 2015.

Should there be any inconvenience with the schedule, we are willing to adjust the period of our activities. Thank you for your consideration on this matter. God bless!

Respectfully,

SAMANTHA MARGARETTE SAYOC SALUDEZTeam Leader

TRAINING EVALUATION FORMDATE:

TITLE AND LOCATION OF TRAINING:

TRAINER:

The objectives of the training were clearly defined Strongly agreeAgreeNeutralStrongly disagree

Participation and interaction were encouraged

The topics covered were relevant to me

The content was organized and easy to follow

The materials distributed were helpful

This training experience will be useful in my work

The trainer was knowledgeable about the training topics.

The trainer was well prepared

The training objectives were met

The time allotted for the training was sufficient

The meeting room and facilities were adequate and comfortable

INSTRUCTIONS: PLEASE PUT A CHECK ON THE BOX

What did you like most about this training?

What aspects of the training could be improved?

How do you hope to change your practice as a result of this training? References

Barene, S., Krustrup, P., Jackman, S. R., Brekke, O. L., & Holtermann, A. (2013). Do soccer and zumba exercise improve fitness and indicators of health among female hospital employees? A 12- week RCT. Scandinavian Journal of Medicine & Science in Sports on line. Retrieved from http:// onlinelibrary.wiley.com/doi/10.1111/ sms.12138/full. doi: 10.1111/sms.12138Brittany Talarico (12 July 2011)."Watch Wyclef Jean & Pitbull Catch Zumba Fever!".OK!. Retrieved22 April 2012.Christensen JR, Faber A, Ekner D, Overgaard K, Holtermann A, et al. (2011) Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial. BMC Public Health 11: 671. Elaine Blaisdell (24 January 2011)."Exercise in disguise, Zumba really catching on".Cumberland Times-News. Retrieved29 March 2012.Furjan-Mandi, G., Kosalec, V., & Vlai, J. (2011). The effects of aerobic exercise on the increase of repetitive strength in women. In S. Simovi (Ed.), 3th International aspects of Sports, Physical education and Recreation (pp. 75-83). Banjaluka, Bosnia and Herzegovina: Faculty of Physical Education and Sport. doi: 10.5550/SP.3.2011.09 Hinayova, K. (2013). Exercise intensity during zumba fitness and tae bo aerobics. Journal of Human Sport and Exercise, 8(2), S228-S241. doi: 10.4100/jhse.2012.8.Proc2.26

Kosti, R., urakovi, R, Mileti, ., & Makalaki, M. (2006). Changes in cardiovascular fitness and body composition of women under the influence of dance aerobic. Facta Universitatis, 4(1), 59-71.