Raymund Christopher R. dela Peña, RN, RM Clinical Faculty UNP-College of Nursing

Significance of the Core Competency Standards

The core competency standards will serve as a unifying framework for nursing education, regulation and practice.

Nursing Regulation

11 Nursing Core Competencies
Nursing Education Nursing Practice




guide in developing curriculum in nursing framework in developing test syllabus for entrants into the nursing profession  tool for performance evaluation among nurses basis for advanced practice and specialization framework for developing a training curriculum for nurses  protect the public from incompetent practitioners  yardstick for unethical and unprofessional practice of nursing

The Core Competencies for the Entry-Level

There are eleven-(11) core competency areas for nursing practice that were identified which include the following:


SAFE AND QUALITY NURSING CARE .Key Area of Responsibility A.

Core Competency 1: Demonstrates knowledge base on the health/illness status of individual/groups Indicators: Identifies the health needs of the patients / groups Explains the health status of the patients / groups Core Competency 2: Provides sound decision making in the care of individuals/ groups Indicators: Identifies the problem Gathers data related to the problem Analyzes the data gathered Selects appropriate action Monitors the progress of the action taken .

Core Competency 3: Indicators: Performs age-specific Promotes safety and safety measures in all comfort of patients aspects of patient care Performs age-specific comfort measures in all aspects of patient care Core Competency 4: Indicators: Identifies the priority Sets priorities in nursing needs of patients care based on patient’s Analyzes the needs of needs patients Determines appropriate nursing care to be provided .

Core Competency 5: Ensures continuity of care Indicators: Refers identified problem to appropriate individuals/agencies Establishes means of providing continuous patient care Core Competency 6: Indicator: Conforms to the 10 Administers golden rules in medication medications and other administration and health health therapeutics therapeutics .

Core Competency 7: Utilizes nursing process framework for nursing Performs Comprehensive and systematic nursing assessment Indicators: Obtains consent Completes appropriate assessment forms Performs effective assessment techniques Obtains comprehensive client information Maintains privacy and confidentiality Identifies health needs .

Core Competency 8: Indicators: Includes patient and his Formulates a plan of family in care planning care in collaboration States expected with patients and other members of the health outcomes of nursing intervention team Develops comprehensive patient care plan Accomplishes patient centered discharge plan .

Core Competency 9: Implements planned nursing care to achieve identified outcomes Indicators: Explains interventions to patients and his family before carrying them out Implements nursing intervention that is safe and comfortable Acts according to clients health condition and needs Performs nursing activities effectively and in a timely manner .

Core Competency 10: Evaluates progress toward expected outcomes Core Competency 11: Respond to the urgency of the patient’s condition Indicators: Monitors effectiveness of nursing interventions Revises care plan when necessary Indicators: Identifies sudden changes in the patient’s health conditions Implements immediate and appropriate intervention .


Core Competency 1: Organizes work load to facilitate patient care Core Competency 2: Utilizes resources to support patient care Indicators: Identifies tasks or activities that need to be accomplished Plans the performance of tasks or activities based on priorities Finishes work assignment on time Indicators: Determines the resources needed to deliver patient care Controls the use of supplies and equipment .

Core Competency 3: Ensures functioning of resources Indicators: Checks proper functioning of equipment Refers malfunctioning equipment to appropriate unit Core Competency 4: Indicators: Determines tasks and Checks proper procedures that can be safely functioning of equipment assigned to other member of the team Verifies the competency of the staff prior to delegating .

procedures and protocols on prevention and control of infection Defines steps to follow in case of fire. earthquake and other emergency situations .Core Competency 5: Indicators: Observes proper disposal of Maintains a safe wastes environment Adheres to policies.

Key Area of Responsibility C. HEALTH EDUCATION .

observation and patient and family validation Defines relevant information Completes assessment records appropriately Identifies priority needs Core Competency 2: Indicator: Develops health Considers nature of learner in education plan relation to: social. political. cultural. educational and and anticipated religious factors. based on assessed economic. needs .Core Competency 1: Indicators: Assesses the Obtains learning information learning needs of the through interview.

family.Core competency 3: Indicators: Develops learning Involves the patient. time allotment. content. materials for health significant others and other education resources Formulates a comprehensive health education plan with the following components: objectives. teachinglearning resources and evaluation parameters Providers for feedback to finalize the plan .

touch.Core Indicators: Competency 4: Provides for a conducive learning situation Implements the in terms of time and place health Considers client and family’s education plan preparedness Utilizes appropriate strategies Provides reassuring presence through active listening. facial expression and gestures Monitors client and family’s responses to health education Core Competency 5: Evaluates the outcome of health Indicators: Utilizes evaluation parameters Documents outcome Revises health education plan when .

Key Area of Responsibility D. LEGAL RESPONSIBILITY .

Core Competency 1: Adheres to practices in accordance with the nursing and other relevant legislation including contracts. Indicators: Fulfills legal requirements in nursing practice Holds current professional license Acts in accordance with the terms of contract of employment and other rules and regulations Complies with required continuing professional education Confirms information given by the doctor for informed consent Secures waiver of responsibility for refusal to undergo treatment of procedure Checks the completeness of informed . informed consent.

local and national Indicators: Articulates the vision. mission of the institution where one belongs Behaves in accordance with the established norms of conduct of the institution/organization Shows membership of the accredited professional organization and a professional organization relevant Indicators: Core competency 3: Utilizes appropriate patient care records and reports Documents care rendered Accomplishes accurate documentation in to patients all matters concerning patient care in accordance to the standards of nursing .Core Competency 2: Adheres to organizational policies and procedures.


e. etc.Core Competency 1: Indicators: Renders nursing care consistent with the patient’s bill of rights: Respects the rights (1i. of privacy.confidentiality of information.) individual/groups Core Competency 2: Accepts responsibility and accountability for own decision and actions Indicators: Meets nursing accountability requirements as embodied in the job description Justifies basis for nursing actions and judgments Projects a positive image of the profession .

Core Competency 3: Indicators: Recites the code of ethics for Adheres to the national Nurses and abides by its and international code provision of ethics for nurses Reports unethical and immoral incidents to proper authorities .


weaknesses. limitations Determines personal and professional goals and aspirations Indicators: Attends formal and non-formal education Earns required continuing education units Core Competency 2: Pursues continuing education .Core Competency 1: Identifies own learning needs Indicators: Verbalizes strengths.

and religious activities professional Maintains membership to professional organizations organizations and civic Support activities related to nursing activities and health issues Core Indicators: Competency 4: Demonstrates a good manners and Projects a right conduct at all times professional Dresses appropriately image of the Demonstrates congruence of words nurse and action Behaves appropriately at all times .Core Indicators: Competency 3: Participates actively in professional. civic. Gets involved in social.

Core Competency 5: Possesses positive attitude towards change and criticism Core Competency 6: Performs function according to professional standards Indicators Listens to suggestions and recommendations Tries new strategies or approaches Adapts to changes willingly Indicators: Assesses own performance against standards of practice Sets attainable objectives to enhance nursing knowledge and skills Explains current nursing practices. when situations call for it .

QUALITY IMPROVEMENT .Key Area Responsibility G.

Core Competency 1: Gathers data for quality improvement Indicators: Demonstrate knowledge of method appropriate for the clinical problems identified Detects variation in the vital signs of the patient from day to day Reports necessary elements at the bedside to improve patient stay at hospital Solicits feedback from patient and significant other regarding care rendered .

Indicators: Core Competency 2: Contributes relevant information about Participates in patient condition as well as unit condition nursing adults and patient current reactions and rounds Shares with the team current information regarding particular patients condition Speaks for the patient what is relevant to his condition Documents and records all nursing care and actions Performs daily check of patients records / condition Completes patients records Actively contributes relevant information of patients during rounds thru readings and sharing with others .

Core Competency 3: Identifies and reports variances Indicators: Documents observed variance regarding patient care and submits to appropriate group within 24 hours Identifies actual and potential variance to patient care Reports actual and potential variance to patient care Submits reports to appropriate groups within 24 hours .

.Core Competency Indicators: 4: Gives appropriate suggestions Recommends on corrective and preventive measures solutions to identified problems Communicates and discusses with appropriate groups Gives an objective and accurate report on what was observed rather than an interpretation of the event.

RESEARCH .Key Area of Responsibility H.

Core Competency 1: Gather data using different methodologies Indicators: Able to identify researchable problems regarding patient care and community health Identify appropriate methods of research for a particular patient/community problem Combines quantitative and qualitative nursing design thru simple explanation on the phenomena observed Analyzes data gathered .

Core Competency 2: Recommends actions for implementation Core Competency 3: Disseminates results of research findings Indicator: Based on the analysis of data gathered. recommends practical solutions appropriate for the problem. Indicators: Able to talk about the results of findings to colleagues/patients/family and to others Endeavors to publish research Submits research findings to own agencies and others as appropriate .

Core Competency 4: Applies research findings in nursing practice Indicators: Incorporates findings in research in the provision of nursing care to individuals/groups/communities Able to make meta-analysis of research findings to ameliorate nursing practice. .

RECORDS MANAGEMENT .Key Area of Responsibility I.

Core Competency 1: Maintains accurate and updated documentation of patient care Core Competency 2: Records outcome of patient care Indicators: Completes updated documentation of patient care. Kardex or Hospital Information System (HIS) . Indicators: Utilizes a records system ex.

Refrains from releasing records and other information without proper authority .Core Competency 3: Indicators: Observes legal Observes confidentially and imperatives in record privacy of the patients’ records keeping Maintains an organized system of filing and keeping patients’ records in a designated area.

Key Area of Responsibility J. COMMUNICATION .

Core Competency 1: Establishes rapport with patients Indicators: Creates TRUST and CONFIDENCE G reets client in an open and respectful manner A sks client about themselves T ells client about choices depending on clients needs H elps client make an informed choice E xplains fully how to choose options R eturns visits for future consultation Core Indicators: Competency 2: Spends time with the client to facilitate Listens conversation that allows client to attentively to express concerns client’s queries .

Core Competency 3: Identifies verbal and non-verbal cues Indicators: Interprets and validates client’s body language and facial expression (IEC materials) Core Competency 4: Utilizes formal and informal channels Indicators: Interprets and validates client’s body language and facial expression (IEC materials) .

group and comforting words of community encouragement Readily smiles Core Competency 6: Indicators: Uses appropriate Utilizes telephone.Core Competency 5: Indicators: Responds to needs Provides reassurance through of individuals. cell phone. information email and internet for disease technology to information facilitate Identifies a significant other so communication that follow up care can be obtained Provides “Holding” or . touch. therapeutic. warmth and family.

Key Area of Responsibility K. COLLABORATION AND TEAMWORK .

Core Competency 1: Establishes collaborative relationship with colleagues and other members of the health team Indicators: Contributes to decision making regarding clients’ needs and concerns Participates actively in patient care management including audit Recommends appropriate intervention to improve patient care Respect the role of other members of the health team Maintains good interpersonal relationship with clients. colleagues and other members of the health team .

Core Competency 2: Collaborates plan of care with other members of the health team Indicators: Refers clients to allied health team partners Acts as liaison / advocate of the client Prepares accurate documentation for efficient communication of services .


3. 2.FUNCTIONS / ACTIVITIES A. QUALITY INDICATORS Welcomes the patient. Co mpares results fro m a standard listing of normal values / results of common laboratory and diagnostic examinations. Greets patient by name. Obtains a nursing history and does an initial physical examination. . Defines health needs and problems fro m data gathered. physical examination and laboratory / diagnostic test results. family and significant others on admission. polite and tactful manner. Identifies the significant findings fro m the nursing history. ASSESSM ENT OF INDIVIDUA L PATIENT NEEDS FOR NURSING (15%) 1. Applies the general princip les of and follows a logical sequence in history taking and physical examination. Establishes rapport and trust with the patient. family and significant others. Conveys availability and willingness to help by attending to needs at the soonest time possible. Recognizes normal and abnormal findings fro m co mmon laboratory and diagnostic examination results. 4. introduces self and co-staff Co mmunicates in a friendly. Encourages verbalization of needs and feelings through attentive listening.

name and dangerous drugs license number (S-2) of the prescribing physician. Documents all relevant informat ion pertinent to patient care. where appropriate (report book / communicat ion book / others). Records in the disposition sheet the name of the patient. co mprehensively and legibly. date and time ad min istered. Reports / endorses as appropriate. ward and bed number. 2. flow sheets and/or nurses notes) assessments results. and other pertinent information. Records the disposition of dangerous drugs / narcotics. where appropriate (kardex. Writes simp ly. the patient’s responses and reactions to such interventions. Files reports relevant to patient care. name and signature of ad min istering nurse. Records. . Submits summary of endorsements of assigned patients to charge nurse or Nurse IV for inclusion in the endorsement report. treatments and medicat ions.E. amount given. 3. DOCUM ENTATION OF CARE GIVEN (15%) 1. nursing and other health care interventions.

The End .

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