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R. A.

9173
“The Philippine Nursing
Act
of 2002”

R.A. 8981
“PRC Modernization
Act of 2000”
THE BO ARD OF NURSI NG
FU NCTIO NS
ETHICS, LICENSURE NURSING NURSING LINKAGES LOCAL
LEGAL & EDUCATION SERVICE &
CONCERNS, OATHTAKIN INTERNATIONAL
LEGISLATION
G

• Le gal • PRC • NE Sta nda rds • CPE • Loc al : P NA,


Matt er s - Cen tr al & ADP CN,
• RLE •
issu e/revo ke Reg iona l ANS AP, V ar ious
Off ices Req ui remen ts Cr eden tialin
certifica tes Spec ia lty &
• Secu rity • NE Program g
In ter es t G roups ,
of Agen cies , • Recomme nd • Mon itor ing DO H, L GU s,
registratio n the ope ni ng &
• PNA, of NB I, DO LE ,
• Code o f closure of
nu rsi ng prog rams Stan dar ds o f POEA, DFA ,
Ethic s • ADPCN
to CHED nur sing AIM, et c.
• La ws &
• Ac cr edi tatio n pr ac tic e
Legis lat ion • In ter nat ional:
• Re gulat ory
• IRR Accredita tio Boar ds , I CN,
Core
Competency
Guide for
Nursing Practice
in the Philippines
Four Levels of Care
Promotive, Preventive,
Curative and Rehabilitative
are integrated in each nursing
care management category
utilizing the nursing process in
varied settings from
individuals to families, groups
and communities.
5
The Eleven (11) Key Areas of
Responsibility/Core
Competencies
 Safe and Quality Care
 Management of Resources and
Environment
 Health education
 Legal responsibility
 Ethico-moral-spiritual responsibility
6
Key Areas of Responsibility / Core
Competencies

 Quality improvement
 Research
 Personal and professional growth

and development
7
Key Areas of Responsibility / Core
Competencies

 Records management
 Communication
 Collaboration and
team work

8
Core Competencies v.s. KEY AREAS
OF RESPONSIBILITIES
1. Safe and Quality Nursing
2. Management of Resources and
Environment
3. Health Education
4. Legal Responsibility
5. Ethico-moral Responsibility
6. Personal and Professional
Development
7. Quality Improvement
8. Research
9. Record Management
10. Communication
11. Collaboration and Teamwork
9
Competency
Based Test
Framework
Ho w to I ncrease NL E
Pa ssing???
 Orientation of faculty and preceptors and
nursing service training division on the
competency based curriculum
 Orientation of students on the competency-
based curriculum and competency-based
test framework
 Regular reference to objectives of the BSN
Curriculum
 Proper implementation of the Competency-
based BSN Curriculum
 Identifying the “must know” in terms of SKA
 Emphasizing principles and rationale behind
all the activities/procedures that students
are expected to do
Test questions constructed are real
situations in life aimed to measure the
competencies of a beginning safe
nurse practitioner. This is assessed
through application, interpretation,
analysis, decision-making and
problem solving of the specific
situation presented. This validates
and tests the competencies of the
beginning health care practitioner to
care for the clientele across age
groups and across gender safely. 12
Object ives: Th e B achelo r of
Sci ence in Nu rsing Cur riculum
It aims to produce a fully functioning nurse who:
2. practices legal, ethico-moral, social responsibilities,
and accountabilities
3. practices S-K-A’s for the promotion of health,
prevention of illness, restoration of health,
alleviation of suffering; assisting clients to face
death with dignity and in peace
4. prepares a creative and critical thinking nurse who
is abreast with local needs and the demands of
global competitiveness
5. demonstrates caring behavior
Objectives: The Bachelor of Science
in Nursing Curriculum Cont.
5. assumes responsibility for personal and
professional development
6. utilizes research findings in the practice
and development of the profession
7. contributes effectively to national health
development
8. demonstrates love of God, country and
profession
The Features of the
Competency Based Approach
• It will always be relevant.
• It is learner-centered not teacher
centered
• It is outcome-focused
• Evaluation focused on performance of
competencies, criterion-referenced
and summative
• Overlaps will be controlled
Glossary of Terms:
Patient Care Competencies is a
cluster of key areas of
responsibility which serves as
the core of competencies which
includes safe and quality care,
communication, collaboration
and teamwork and health
education.
16
Empowering
Competencies is a
cluster of key areas of
responsibility that
mandate compliance to
the standards of legal,
ethico-moral-spiritual
responsibilities and
personal and professional
development. 17
Enhancing Competencies is
a cluster of key areas of
responsibility that ensures
excellent performance of
the patient care
competencies which
includes research and
quality improvement.
18
Enabling Competencies is a
cluster of key areas of
responsibility that provide
support to the effective and
efficient performance of the
patient care competencies
which includes management of
resources and environment and
records management.
19
Key Areas of Responsibilities
Patient Care  Safe and quality nursing care
Competencies  Communication

 Collaboration and teamwork

 Health Education

Empowering  Legal responsibility


 Ethico-moral responsibility

 Personal and professional development

Enhancing  Record management

 Management of resources and environment

Enabling  Quality Improvement

 Research
Safe And Quality Nursing Care
Co re Indicator s
Comp
1: Dem ons traette ency
s •Identifies the health needs of the patients /
kno wl edge ba se on t he groups
hea lth / ill ness sta tu s o f • Explains the health status of the patients /
individu al / gro up s groups
2. Pro vides sou nd •Identifies the problem
dec isio n ma king in t he •Gathers data related to the problem
car e of indiv idu als / •Analyses the data gathered
gro up s c ons idering th eir •Selects appropriate action
beli efs and v alues •Monitors the progress of the action taken

3. Pro mot es saf ety an d •Performs age-specific safety measures in


com for t of pa tient s all aspects of patient care
•Performs age-specific comfort measures in
all aspects of patient care
Safe And Quality Nursing Care
Core Com peten cy In dicat ors
4. Se ts pr iorit ies in • Identifies the priority needs of patients
nu rs in g car e ba sed • Analyses the needs of patients
on pa tie nt s’ nee ds • Determines appropriate nursing care to
be provided
5. En su re s c ontinu ity • Refers identified problem to appropriate
of car e individuals / agencies
• Establishes means of providing
continuous patient care
6. Ad min ister s • Conforms to the 10 golden rules in
med ica tions an d medication administration and health
ot her h ea lth therapeutics
the ra pe utic s
Safe And Quality Nursing Care
Cor e Indicator s
7. Com
Ut ili zespete ncrsying
the nu • Obtains consent
pr oc ess a s • Completes appropriate assessment forms
fra me wo rk f or • Performs effective assessment techniques
nu rs in g • Obtains comprehensive client information
7. 1 Pe rf orm s • Maintains privacy and confidentiality
com pre he nsiv e and • Identifies health needs
sys tem atic n urs ing
as sessm ent
7. 2 F or mu lat es a • Includes patient and his family in care
plan of planning
ca re in • States expected outcomes of nursing
collab ora tion intervention
wi th pat ient s an d • Develops comprehensive patient care plan
oth er • Accomplishes patient centered discharge plan
memb er s o f t he
Safe And Quality Nursing Care
7.3 Impl eme nts • Explains interventions to patients and his family
pl ann ed nursin g before carrying them out
ca re t o achie ve • Implements nursing intervention that is safe and
iden tified comfortable
ou tco mes • Acts according to clients’ health condition and
needs
• Performs nursing activities effectively and in a
timely manner
7.4 Eval ua tes • Monitors effectiveness of nursing interventions
pro gress • Revises care plan when necessary
towar d expe ct ed
outco mes
8 . Re spon ds t o the • Identifies sudden changes in the patient’s health
urgen cy of the conditions
patien t’s co nd ition • Implements immediate and appropriate
intervention
COMMUNICATION

1. Es ta blish es ra ppo rt • Creates trust and confidence


wi th p at ien ts , • Listens attentively to client’s queries and
sig nif icant o th ers a nd requests
mem be rs of th e h ea lth • Spends time with the client to facilitate
te am conversation that allows client to
express concerns
2. Id ent ifies v erb al an d • Interprets and validates client’s body
no n-v er ba l cue s language and facial expressions

3. Utili zes for ma l and • Makes use of available visual aids


info rm al c han ne ls
COMMUNICATION

4. Res pon ds to ne ed s o f • Provides reassurance through


individu als , fam ily , therapeutic, touch, warmth and
gr ou p a nd co mmun ity comforting words of encouragement
• Readily smiles
5. Us es app ro priat e • Utilizes telephone, mobile phone, email
info rm atio n te chno logy and internet, and informatics
to fa cili tate • Identifies significant others so that
co mmun ica tion follow up care can be obtained
• Provides “ Holding” or emergency
numbers for services
COL LAB ORA TION AND TE AM WO RK

1. Es ta blis he s • Contributes to decision making regarding patients’


coll abo ra tive needs and concerns
re lations hip wi th • Participates actively in patient care management
coll eag ues an d including audit
• Recommends appropriate intervention to improve
ot her m emb ers
patient care
of th e h ea lth • Respect the role of other members of the health
tea m team
• Maintains good interpersonal relationship with
patients, colleagues and other members of the
health team
2. Collab or at es • Refers patients to allied health team partners
pla n of ca re • Acts as liaison / advocate of the patient
wi th o th er • Prepares accurate documentation for efficient
mem ber s of th e communication of services
he alth tea m
HEALTH EDUCATION
1. As sesses the • Obtains learning information through interview,
le arnin g need s of observation and validation
the pa tie nt and • Defines relevant information
family • Completes assessment records appropriately
• Identifies priority needs
2. Devel op s healt h • Considers nature of learner in relation to: social,
educ atio n pla n cultural, political, economic, educational and
based on ass essed religious factors.
and antic ip ated
3. need
Devels op s lea rni ng • Involves the patient, family, significant others
ma teria ls for and other resources
heal th educat ion • Formulates a comprehensive health education
plan with the following components: objectives,
content, time allotment, teaching-learning
resources and evaluation parameters
• Provides for feedback to finalize the plan
HEALTH EDUCATION
4. I mple men ts th e • Provides for a conducive learning
he alth e du cat ion situation in terms of time and place
pla n • Considers client and family’s
preparedness
• Utilizes appropriate strategies
• Provides reassuring presence through
active listening, touch, facial expression
and gestures
• Monitors client and family’s responses to
health education
5. E valua te s t he • Utilizes evaluation parameters
ou tco me o f hea lth • Documents outcome of care
ed ucat ion • Revises health education plan when
necessary
LEG AL RES PONSI BILITY
1. Adheres t o pract ic es • Fulfils legal requirements in nursing practice
in ac cordanc e with • Holds current professional license
the nurs ing law and • Acts in accordance with the terms of contract of employment
and other rules and regulations
ot her relev ant
• Complies with required continuing professional education
legis lat ion inc ludi ng • Confirms information given by the doctor for informed consent
contracts, inf ormed • Secures waiver of responsibility for refusal to undergo
cons ent . treatment or procedure
• Checks the completeness of informed consent and other legal
forms

2. Adheres t o • Articulates the vision, mission of the institution where one


organi zati onal belongs
pol ic ies and • Acts in accordance with the established norms of conduct of
the institution / organization
procedures , l oc al
3. and nat ionals care
Document • Utilizes appropriate patient care records and reports.
rendered to pat ients • Accomplishes accurate documentation in all matters
concerning patient care in accordance to the standards of
nursing practice.
ETHICO-MO RAL
RESPO NSI BI LIT Y
1. Res pec ts t he r ights of • Renders nursing care consistent with
individu al / gr ou ps the patient’s bill of rights: (i.e.
confidentiality of information, privacy,
etc.)
2. Ac ce pts re sp ons ibil it y • Meets nursing accountability
an d a cco unt ab il ity fo r requirements as embodied in the job
own de cision a nd description
ac tions • Justifies basis for nursing actions
and judgment
• Projects a positive image of the
profession
3. Adh ere s t o the n at ion al • Adheres to the Code of Ethics for
an d int ern at iona l c ode Nurses and abides by its provision
of et hic s f or n urs es • Reports unethical and immoral
incidents to proper authorities
PERS ONA L AND P ROFE SSI ON AL
DEV ELOPM EN T
1. Id ent ifies own • Verbalizes strengths, weaknesses,
learn ing ne eds limitations
• Determines personal and professional
goals and aspirations
2. P ur su es con tinuin g • Participates in formal and non-formal
ed ucat ion education
• Applies learned information for the
improvement of care
3. Get s in vo lved in • Participates actively in professional,
pr of ess ion al social, civic, and religious activities
or ga nizatio ns an d • Maintains membership to professional
civic act ivit ies organizations
• Support activities related to nursing and
health issues
PERS ON AL & P RO FES SION AL
DE VELOP ME NT
4. Pro jects a • Demonstrates good manners and right
pr of ess ion al ima ge conduct at all times
of th e n ur se • Dresses appropriately
• Demonstrates congruence of words and
action
• Behaves appropriately at all times
5. Po ss esse s p ositiv e • Listens to suggestions and recommendations
at titud e t owa rd s • Tries new strategies or approaches
cha nge a nd • Adapts to changes willingly
6. criticis m fu nct ion
Pe rf or ms • Assesses own performance against standards
ac cord ing to of practice
pr of ess ion al • Sets attainable objectives to enhance nursing
sta nd ard s knowledge and skills
• Explains current nursing practices, when
situations call for it
RECORDS MANAGEMENT
1. Maint ain s a ccu ra te • Completes updated documentation
an d u pd ate d of patient care.
do cum ent ation of
pa tient ca re
2. Rec ord s o ut com e o f • Utilizes a records system ex. Kardex
pa tient ca re or Hospital Information System (HIS)
3. Obs erv es legal • Observes confidentially and privacy
impera tiv es in r ec ord of the patient’s records.
kee ping • Maintains an organized system of
filing and keeping patients’ records in
a designated area.
• Refrains from releasing records and
other information without proper
authority.
Managem ent O f Re sou rc es And
Env ironm ent

1. Org anize s w or k • Identifies tasks or activities that need to


loa d to fa cil ita te be accomplished
pat ient car e • Plans the performance of tasks or
activities based on priorities
• Finishes work assignment on time
2. Ut ili zes res ou rc es • Determines the resources needed to
to sup po rt pa tien t deliver patient care
car e • Controls the use of supplies and
equipment
3. E ns ure s • Checks proper functioning of equipment
fun ct ion ing o f • Refers malfunctioning equipment to
re sou rc es appropriate unit
Manage ment O f Re sou rc es And
Environm en t
4: Che cks pro pe r • Determines tasks and procedures that can be
fu nc tioning of safely assigned to other member of the team.
eq uipme nt • Verifies the competency of the staff prior to
delegating tasks
5: M aintains a saf e • Observes proper disposal of wastes
en viron men t • Adheres to policies, procedures and protocols
on prevention and control of infection
• Defines steps to follow in case of fire,
earthquake and other emergency situations.
QUALITY IMPROVEMENT
1. Gathe rs data • Demonstrate knowledge of method appropriate for the clinical
for qu al it y problems identified
• Detects variation in the vital signs of the patient from day to day
improve men t • Reports necessary elements at the bedside to improve patient
stay at hospital
• Solicits feedback from patient and significant others regarding
care rendered

2. Particip ates in • Contributes relevant information about patient condition as well as


nursin g au dits unit condition and patient current reactions
• Shares with the team current information regarding particular
and rou nds patients condition
• Encourage the patient to speak about 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
QUALITY IMPROVEMENT
1. Gathe rs data • De mo nstr at e k nowledg e of me thod appr opria te for the
for qu al it y clinic al pr oblems ident ified
• De tec ts v ar iat ion in the v it al s igns of th e pat ient fr om
improve men t day to day
• Re por ts neces sar y elements at t he be ds ide to impr ov e
pat ient stay at hos pital
• Solic it s fee dbac k f rom patie nt and s ignific an t other s
regar ding c ar e re nder ed
2. Part icip ates • Co ntr ibut es r elev ant info rma tion abou t p atien t c onditio n
in nursi ng as w ell as un it c onditio n an d pa tient c ur rent r eac tions
• Shar es wit h t he t eam cur re nt infor mat ion re gar ding
au di ts an d par ti cular pa tient s c on dition
rou nd s • Enc our age t he p atien t to speak about w hat is r elev ant
to his condit ion
• Do cument s and r ec or ds all nu rs ing c ar e and ac tion s
• Per fo rms daily c hec k o f pa tient s r ec ord s / condit ion
• Co mplete s pat ient s rec or ds
• Activ el y c ont ribute s r elev an t in for mat ion o f p atien ts
dur ing r ound s th ru r eadin gs an d s har in g w ith othe rs
QUALITY IMPROVEMENT
3. Id ent ifies an d • Documents observed variance regarding patient
re po rt s va rian ces 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
4. Rec omme nds • Gives appropriate suggestions on corrective and
solut ion s to preventive measures
ident ified • Communicates and discusses with appropriate
pr ob lem s groups.
• Gives an objective and accurate report on what
was observed rather than an interpretation of the
event.
RESEARCH
1. G ather da ta usi ng • Able to identify researchable problems regarding
diff ere nt patient care and community health
metho dolo gi es • 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
2. Recomme nd s • Based on the analysis of data gathered, recommends
act ions f or practical solutions appropriate for the problem
3. Diimple menates
ssemin tation • Able to talk about the results of findings to colleagues
re sults of re search / patients / family and to others
fin di ngs • Endeavours to publish research
• Submits research findings to own agencies and
others as appropriate
4. Appl ie s re sea rch • Utilizes findings in research in the provision of nursing
fin di ngs in nu rsin g care to individuals / groups / communities
practice • Makes use of evidence-based nursing to ameliorate
nursing practice.
PREVENTIVE
NURSING PROCESS
NP I NP II NP III NP IV NP V
SAFE AND QUALITY NURSING CARE
PATIEN T C
P COMUNICATION
CA RE U C
R COLLABORATION AND TEAMWORK
R
CO MPE TE NCI ES
O
HEALTH EDUCATION
A U
RESEARCH
M QUALITY IMPROVEMENT
ENHANCI NGT R
O ETHICO –MORAL RESPONSIBILITY I A
T EM PO WERIV
LEGAL RESPONSIBILITY
NG T
I PERSONAL AND PROFESSIONAL DEVELOPMENT E
ENAB LI NG
V RECORDS MANAGEMENT I
E MANAGEMENT OF RESOURCES AND ENVIRONMENT V
Basic CHN & Care of Care o f Clien ts Care o f Clien ts Care o f Clien ts
Fo un datio n o f Mo ther & Chil d w/ Physi olog ic w/ Ph ysiolo gic w/ Ph ysiolo gic E
Nursing an d & Psych oso cial & Psych oso cial & Psych oso cial
Profe ssio nal Alter ation s Alter ation s Alteration s
Pr ac tice Part A Par t B Part C
REHABILITATIVE
ACROSS THE LIFESPAN
BEFORE

SAFE AND QUALITY NURSING CARE Pat ient Care SQC 50%
COMUNICATION Compet enc ies Com 05%
COLLABORATION AND TEAMWORK 70% Col & TW 05%
HEALTH EDUCATION HE 10%
RESEARCH Enhanc ing 10% R 05%
QUALITY IMPROVEMENT QI 05%
ETHICO –MORAL RESPONSIBILITY Em pow ering EM & L 7. 5%
LEGAL RESPONSIBILITY 10% PPD 2. 5%
PERSONAL AND PROFESSIONAL
DEVELOPMENT
RECORDS MANAGEMENT Enabling 10% RM 05%
MANAGEMENT OF RESOURCES AND MRE 05
ENVIRONMENT
%
NOW

SAFE AND QUALITY NURSING CARE Pat ient Care SQC 50%
COMUNICATION Compet enc ies Com 5%
COLLABORATION AND TEAMWORK 65% Col & TW 5%
HEALTH EDUCATION HE 5%
RESEARCH Enhanc ing 10% R 5%
QUALITY IMPROVEMENT QI 5%
ETHICO –MORAL RESPONSIBILITY Em pow ering EM 5%
LEGAL RESPONSIBILITY 15% Legal 5%
PERSONAL AND PROFESSIONAL PPD 5%
DEVELOPMENT
RECORDS MANAGEMENT Enabling 10% RM 5%
MANAGEMENT OF RESOURCES AND MRE 5%
ENVIRONMENT
NURSING PROCESS
NP I NP II NP III NP IV NP V
Community Care of
Care of Care of
Health Clients with
Basic Clients with Clients with
Nursing and Physiologic
Foundation of Physiologic Physiologic
Care of and
Nursing and and and Psycho-
Healthy/At Psycho-
Professional Psychosocial social
Practice Risk social
Alterations Alterations
Mother and Alterations
Child [A] [B]
[C]

ACROSS THE LIFESPAN


INDIVIDUALS, FAMILIES, GROUPS,
COMMUNITY IN VARIED SETTINGS
Domains of Nursing
Competencies.. A Comparison
Western
ICN PHILIPPINES Pacific/South
East Asian
Region
 Professional  Legal  Legal & Ethical
and legal responsibility Framework
practice
 Ethico-moral-
spiritual
responsibility
45
ICN PHILIPPINES WPSEAR

 Care provision &  Safe and  Management of


management quality care care
 Health
education
 Records
management  Leadership &
 Management of
nursing
resources &
management
environment
 Communication
 Communication
 Consumer
 Collaboration
& teamwork rights

46
ICN PHILIPPINES WPSEAR

 Professional  Personal &  Personal and


development professional professional
development advancement &
development
 Quality
improvement

 Research

47
Management of Resources
Re sear ch (5 %)
and environment (5%)
GUIDE FOR 100 Items
And
(in 20 Situations) Qua lity Impro vement (5% )
III. PCC – 65% Records Management (5%)
50% - 10 Situations in SQC
N

En
3 Situations in: SQ C
E

)
5% 1 Communications

0%

ha
5% 1 Collaboration & TW
5% 1 Situations in Health
(50%) W

(1

nc
Co mmunicati on
(5%)

g
Education
V

i ng
Co ll ab orati on
li n
II. EM PO WER ING – 10%
5% 1 Situation in Ethico- & TW E
Moral
ab
(5 %) R

(10
5% 1 Legal
Hea lt h Educati on
En

Responsibilities S

%)
5% 1 Personal
& Professional Dev’t.’
Pa ti ent Care Comp eten cies I
(5%)
III . EN ABLIN G – 10%
(65%) O
5% 1 Situation in
Management of N
Resources &
Environment; and Emp ower ing (1 5% )
5% 1 Situation in Records
Management • Ethico -mor al (5 %)
IV. En hanci ng – 1 0%
(1 5%)
5% 1 Situation in Research • Le ga l r es ponsib ili ties (5 %)
and
5% 1 Situation in Quality
• Pers onal and P rofes si onal d evelo pment (5 %)
Improvement

Com pe tenc y-B as ed Test Fra mework 48


SULONG
NURSES
SULONG

PA RA SA KA BUTIHA N NG
ATING BA YA N AT NG
ATING PRO FESY ON !! !!
PROUD
TO
BE A
FILIPINO!
PROUD
TO
BE A
FILIPINO
NURSE!