Core Values, Health Problems, National

Health Goals, Health Care Strategies,

Nursing Roles and Responsibilities and
11 Key Areas of Responsibility

By: BSN 1A-02 (group 4) 2010

Core Values
Health Problems
 Health Problems
• HIV/AIDS, malaria and other diseases
• environmental sustainability
• General health status of the
population
• Mortality, morbidity, disability
• Health insurance
• Cost of essential medicines
National Health Goals
 Health in the Millennium
Development Goals
• Goal 1: Eradicate extreme poverty and hunger
• Goal 2: Achieve universal primary education
• Goal 3: Promote gender equality and empower
women
• Goal 4: Reduce child mortality
• Goal 5: Improve maternal health
• Goal 6: Combat HIV/AIDS, malaria and other diseases
• Goal 7: Ensure environmental sustainability
• Goal 8: Develop a global partnership for development
Health Care Strategies

•HEALTH FINANCING
•HEALTH REGULATION
•HEALTH SERVICE DELIVERY
•GOOD GOVERNANCE IN HEALTH
 HEALTH FINANCING

 Mobilizing resources from extra budgetary

sources
 Coordinating local and national health spending
 Focusing direct subsidies to priority programs
 Adopting a performance based financing system
 Expanding the national health insurance program
 HEALTH REGULATION

• Harmonizing licensing, accreditation and

certification

• Issuance of quality seals

• Assuring the availability of low-priced quality

essential medicines commonly used by the
poor
 HEALTH SERVICE DELIVERY

• ensuring the availability of providers of basic

and essential health services in localities
• designating providers of specific and
specialized services in localities
• intensifying public health programs in
targeted localities
 GOOD GOVERNANCE IN HEALTH

• establishing FOUR-IN-ONE advanced

implementation sites

• developing on LGU FOURmula ONE for Health

Scorecard

• institutionalizing a FOURmula ONE for Health

Expanded Professional Career Track
 Roles of Nurse and
Responsibilities
Caregiver / Care provider
Communicator
Teacher
Counselor
Change agent
Client advocate
Manager/ Administer/
Leader
Researcher
Role Model
 Caregiver / Care
provider
• functions as nurturer,
comforter, provider

• provides direct care and

promotes comfort of
client

• shows concern for client

welfare and acceptance
of the client as a person
 Teacher
> provides information and
helps the client to learn or
acquire new knowledge
and technical skills

• encourages compliance
with prescribed therapy

• promotes healthy lifestyle

• interprets information to
the client
 Communicator
• Integral to all nursing roles

• Nurses communicate with

the client, support persons,
other health professionals,
and people in the community

• Nurses identify client

problems and then
communicate these verbally
or in writing to other
members of the health team
 Counselor
• helps client to recognize
and cope with stressful
psychological or
social problems; to
develop an improve
interpersonal relationships
and to
promote personal growth
 Change Agent
• Initiate changes or assist
clients to make modifications
in themselves or in the
system of care

• Nurses also often act to make

changes in a system if it is
not helping client return to
health

• Assisting others to make

modifications in their own
behavior.
 Client Advocate
• Acts to protect the client

• involves concern for and

actions in behalf of the client
to bring about a change.

• promotes what is best for the

client, ensuring that the
client’s needs are met and
protecting the client’s right.

• provides explanation in clients

language and support clients
decisions
 Manager/
Administer/ Leader
• Makes decisions, coordinates
activities of others, allocate
resources, evaluate care and
personnel
• . Demonstrates competence in the
management of:
1.1 nursing services/unit
1.2 health care unit
• Leads in the change process and
advocate for policy changes towards
nursing health development.
• Utilizes appropriate principles/
theories on quality management.
• .Utilizes appropriate mechanisms for
networking, linkage building, and
referrals.
 Researcher
• Conducts research to address
problems/generate new
knowledge related to Nursing
Administration.
 participates in identifying
significant researchable
problems
• must be aware of the research
process, language of research, a
sensitive to issues related to
protecting the rights of human
subjects.
 Role Model

• Has good physical

appearance

• Practices proper hygiene

• Practices healthy lifestyle

11 Key Areas of Responsibility
• Safe Quality Nursing Care
• Management of Resources and environment
• Health Education
• Legal Responsibility
• Ethico-moral Responsibility
• Personal and Professional Development
• Quality Improvement
• Research
• Records Management
• Communication
• Collaboration and Teamwork
Under the CHED Memorandum Order (CMO)
article IV: Competency Standards:

“Graduates of Bachelor of Science in Nursing

program must be able to apply analytical
and critical thinking in the nursing practice.
The nurse must be competent in the
following Key Areas of Responsibility with
their respective core competency standards
and indicators”
 Safe Quality Nursing Care
• Demonstrates knowledge base on the health /illness
status of individual /groups
• Provides sound decision making in the care of
individuals /groups considering their beliefs and values
• Promotes safety and comfort and privacy of patients
• Sets priorities in nursing care based on patients’ needs
• Ensures continuity of care
• Administers medications and other health
therapeutics
• Utilizes the nursing process as framework for
nursing
> Performs nursing assessment

> Formulates a plan

>Implements planned nursing care

>Evaluates progress
 Management of Resources
and Environment
• Organizes work load to facilitate patient care

• Utilizes resources to support patient care

• Ensures functioning of resources

• Checks proper functioning of equipment

• Maintains a safe environment

 Health Education
• Assesses the learning needs of the patient and
family
• Develops health education plan based on
assessed and anticipated needs
• Develops learning materials for health
education
• Implements the health education plan
• Evaluates the outcome of health education
 Legal Responsibility
• Adheres to practices in accordance with the
nursing law and other relevant legislation
including contracts, informed consent

• Adheres to organizational policies and

procedures, local and national

• Documents care rendered to patients

 Ethico-moral Responsibility
• Respects the rights of individual / groups

• Accepts responsibility and accountability for

own decision and actions

• Adheres to the national and international

code of ethics for nurses
 Personal and Professional
Development
• Identifies own learning needs
• Pursues continuing education
• Gets involved in professional organizations and
civic activities
• Projects a professional image of the nurse
• Possesses positive attitude towards change and
criticism
• Performs function according to professional
standards
 Quality Improvement
• Gathers data for quality improvement

• Participates in nursing audits and rounds

• Identifies and reports variances

• Recommends solutions to identified

problems
 Research

• Gather data using different methodologies

• Recommends actions for implementation

• Disseminates results of research findings

• Applies research findings in nursing practice

 Records Management
• Maintains accurate and updated
documentation of patient care

• Records outcome of patient care

• Observes legal imperatives in

record keeping
 Communication
• Establishes rapport with patients, significant
others and members of the health team
• Identifies verbal and non-verbal cues
• Utilizes formal and informal channels
• Responds to needs of individuals, family,
group and community
• Uses appropriate information technology to
facilitate communication
 Collaboration and
Teamwork
• Establishes collaborative relationship with
colleagues and other members of the health
team

• Collaborates plan of care with other members

of the health team