Prc-bon Core Competency Standards.nle Test Framework.06.07.student Edition.mst

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, LEGAL CONCERNS, LEGISLATION

LICENSURE & OATHTAKIN G

• Le gal Matt er s

• PRC Cen tr al & Reg iona l Off ices

•

• Secu rity Agen cies ,

• NE Program

-

issu e/revo ke certifica tes of registratio n

• Code o f Ethic s • La ws & Legis lat ion • IRR

• PNA, • ADPCN

NURSING EDUCATION

NE Sta nda rds

• RLE

NURSING SERVICE

• CPE • Cr eden tialin g

Req ui remen ts • Recomme nd the ope ni ng & closure of nu rsi ng prog rams to CHED • Ac cr edi tatio n

• Mon itor ing of Stan dar ds o f nur sing pr ac tic e • Accredita tio

LINKAGES LOCAL & INTERNATIONAL

• Loc al : P NA, ADP CN, ANS AP, V ar ious Spec ia lty & In ter es t G roups , DO H, L GU s, NB I, DO LE , POEA, DFA , AIM, et c. • In ter nat ional: Re gulat ory 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 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 1.

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 competencybased curriculum and competency-based test framework  Regular reference to objectives of the BSN Curriculum  Proper implementation of the Competencybased 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 Safe and quality nursing care  Communication  Collaboration and teamwork  Health Education

Patient Care Competencies



Empowering



Enhancing Enabling

Legal responsibility  Ethico-moral responsibility  Personal and professional development  Record management  Management of resources and environment  Quality Improvement  Research

Safe And Quality Nursing Care Co re 1: Dem ons traette ency s Comp

kno wl edge ba se on t he hea lth / ill ness sta tu s o f individu al / gro up s 2. Pro vides sou nd dec isio n ma king in t he car e of indiv idu als / gro up s c ons idering th eir beli efs and v alues 3. Pro mot es saf ety an d com for t of pa tient s

Indicator s •Identifies the health needs of the patients / groups • Explains the health status of the patients / groups •Identifies the problem •Gathers data related to the problem •Analyses the data gathered •Selects appropriate action •Monitors the progress of the action taken •Performs age-specific safety measures in 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 nu rs in g car e ba sed on pa tie nt s’ nee ds

• Identifies the priority needs of patients • Analyses the needs of patients • Determines appropriate nursing care to be provided

5. En su re s c ontinu ity of car e

• Refers identified problem to appropriate individuals / agencies • Establishes means of providing continuous patient care

6. Ad min ister s med ica tions an d ot her h ea lth the ra pe utic s

• Conforms to the 10 golden rules in medication administration and health therapeutics

Safe And Quality Nursing Care 7.

Cor e Com ncrsying Ut ili zespete the nu

pr oc ess a s fra me wo rk f or nu rs in g 7. 1 Pe rf orm s com pre he nsiv e and sys tem atic n urs ing as sessm ent 7. 2 F or mu lat es a plan of ca re in collab ora tion wi th pat ient s an d oth er memb er s o f t he

Indicator s • • • • • •

Obtains consent Completes appropriate assessment forms Performs effective assessment techniques Obtains comprehensive client information Maintains privacy and confidentiality Identifies health needs

• Includes patient and his family in care planning • States expected outcomes of nursing intervention • Develops comprehensive patient care plan • Accomplishes patient centered discharge plan

Safe And Quality Nursing Care 7.3 Impl eme nts pl ann ed nursin g ca re t o achie ve iden tified ou tco mes

• 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

• Monitors effectiveness of nursing interventions 7.4 Eval ua tes • Revises care plan when necessary pro gress towar d expe ct ed outco mes • Identifies sudden changes in the patient’s health 8 . Re spon ds t o the conditions urgen cy of the • Implements immediate and appropriate patien t’s co nd ition intervention

COMMUNICATION 1. Es ta blish es ra ppo rt wi th p at ien ts , sig nif icant o th ers a nd mem be rs of th e h ea lth te am 2. Id ent ifies v erb al an d no n-v er ba l cue s 3. Utili zes for ma l and info rm al c han ne ls

• Creates trust and confidence • Listens attentively to client’s queries and requests • Spends time with the client to facilitate conversation that allows client to express concerns • Interprets and validates client’s body language and facial expressions • Makes use of available visual aids

COMMUNICATION 4. Res pon ds to ne ed s o f individu als , fam ily , gr ou p a nd co mmun ity

• Provides reassurance through therapeutic, touch, warmth and comforting words of encouragement • Readily smiles

5. Us es app ro priat e info rm atio n te chno logy to fa cili tate co mmun ica tion

• Utilizes telephone, mobile phone, email and internet, and informatics • Identifies significant others so that 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 coll abo ra tive re lations hip wi th coll eag ues an d ot her m emb ers of th e h ea lth tea m

2. Collab or at es pla n of ca re wi th o th er mem ber s of th e he alth tea m

• Contributes to decision making regarding patients’ 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 patients, colleagues and other members of the health team • Refers patients to allied health team partners • Acts as liaison / advocate of the patient • Prepares accurate documentation for efficient communication of services

HEALTH EDUCATION • Obtains learning information through interview, observation and validation • Defines relevant information • Completes assessment records appropriately • Identifies priority needs • Considers nature of learner in relation to: social, 2. Devel op s healt h cultural, political, economic, educational and educ atio n pla n religious factors. based on ass essed

1. As sesses the le arnin g need s of the pa tie nt and family

and antic ip ated 3. need Devels op s lea rni ng • Involves the patient, family, significant others and other resources ma teria ls for • Formulates a comprehensive health education heal th educat ion

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 he alth e du cat ion pla n

5. E valua te s t he ou tco me o f hea lth ed ucat ion

• Provides for a conducive learning situation in terms of time and place • 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 • Utilizes evaluation parameters • Documents outcome of care • Revises health education plan when necessary

LEG AL RES PONSI BILITY 1. Adheres t o pract ic es in ac cordanc e with the nurs ing law and ot her relev ant legis lat ion inc ludi ng contracts, inf ormed cons ent .

• • • • • • •

2. Adheres t o organi zati onal pol ic ies and procedures , l oc al nat ionals care 3. and Document rendered to pat ients

• • • •

Fulfils 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 or procedure Checks the completeness of informed consent and other legal forms Articulates the vision, mission of the institution where one belongs Acts in accordance with the established norms of conduct of the institution / organization Utilizes appropriate patient care records and reports. 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

• Renders nursing care consistent with the patient’s bill of rights: (i.e. confidentiality of information, privacy, etc.) • Meets nursing accountability 2. Ac ce pts re sp ons ibil it y an d a cco unt ab il ity fo r requirements as embodied in the job own de cision a nd description • Justifies basis for nursing actions ac tions 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 • Reports unethical and immoral of et hic s f or n urs es incidents to proper authorities

1. Res pec ts t he r ights of individu al / gr ou ps

PERS ONA L AND P ROFE SSI ON AL DEV ELOPM EN T • Verbalizes strengths, weaknesses, 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 • Participates actively in professional, 3. Get s in vo lved in pr of ess ion al social, civic, and religious activities • Maintains membership to professional or ga nizatio ns an d civic act ivit ies organizations • Support activities related to nursing and health issues

1. Id ent ifies own learn ing ne eds

PERS ON AL & P RO FES SION AL DE VELOP ME NT • Demonstrates good manners and right 4. Pro jects a conduct at all times pr of ess ion al ima ge • Dresses appropriately of th e n ur se

• Demonstrates congruence of words and action • Behaves appropriately at all times 5. Po ss esse s p ositiv e • Listens to suggestions and recommendations • Tries new strategies or approaches at titud e t owa rd s • Adapts to changes willingly cha nge a nd

m fu nct ion 6. criticis Pe rf or ms ac cord ing to pr of ess ion al sta nd ard s

• 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

RECORDS MANAGEMENT 1. Maint ain s a ccu ra te an d u pd ate d do cum ent ation of pa tient ca re 2. Rec ord s o ut com e o f pa tient ca re

• Completes updated documentation of patient care.

3. Obs erv es legal impera tiv es in r ec ord kee ping

• Observes confidentially and privacy of the patient’s records. • Maintains an organized system of filing and keeping patients’ records in a designated area. • Refrains from releasing records and other information without proper authority.

• Utilizes a records system ex. Kardex or Hospital Information System (HIS)

Managem ent O f Re sou rc es And Env ironm ent 1. Org anize s w or k loa d to fa cil ita te pat ient car e

2. Ut ili zes res ou rc es to sup po rt pa tien t car e 3. E ns ure s fun ct ion ing o f re sou rc es

• Identifies tasks or activities that need to be accomplished • Plans the performance of tasks or activities based on priorities • Finishes work assignment on time • Determines the resources needed to deliver patient care • Controls the use of supplies and equipment • Checks proper functioning of equipment • Refers malfunctioning equipment to appropriate unit

Manage ment O f Re sou rc es And Environm en t 4: Che cks pro pe r fu nc tioning of eq uipme nt

• Determines tasks and procedures that can be safely assigned to other member of the team. • Verifies the competency of the staff prior to delegating tasks

5: M aintains a saf e • Observes proper disposal of wastes • Adheres to policies, procedures and protocols en viron men t 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 for qu al it y improve men t

• • • •

2. Particip ates in nursin g au dits and rou nds

• • • • • • •

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 others regarding care rendered Contributes relevant information about patient condition as well as unit condition and patient current reactions Shares with the team current information regarding particular 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 clinic al pr oblems ident ified for qu al it y • 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 • •

2. Part icip ates in nursi ng au di ts an d rou nd s

• • • • • • •

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 Co ntr ibut es r elev ant info rma tion abou t p atien t c onditio n 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 par ti cular pa tient s c on dition 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 re po rt s va rian ces

4. Rec omme nds solut ion s to ident ified pr ob lem s

• 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 • Gives appropriate suggestions on corrective and preventive measures • Communicates and discusses with appropriate 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 diff ere nt metho dolo gi es

• 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

2. Recomme nd s act ions f or menates tation 3. Diimple ssemin re sults of re search fin di ngs

•

4. Appl ie s re sea rch fin di ngs in nu rsin g practice

• Utilizes findings in research in the provision of nursing care to individuals / groups / communities • Makes use of evidence-based nursing to ameliorate nursing practice.

Based on the analysis of data gathered, recommends practical solutions appropriate for the problem

• Able to talk about the results of findings to colleagues / patients / family and to others • Endeavours to publish research • Submits research findings to own agencies and others as appropriate

PREVENTIVE

NURSING PROCESS NP I

NP II

NP III

NP IV

C PATIEN T U CA RE CO MPE TE NCI ES R

SAFE AND QUALITY NURSING CARE

P R O M O T I V E

NP V

COMUNICATION COLLABORATION AND TEAMWORK HEALTH EDUCATION

A ENHANCI NGT I EM PO WERIV NG E ENAB LI NG

RESEARCH QUALITY IMPROVEMENT ETHICO –MORAL RESPONSIBILITY LEGAL RESPONSIBILITY PERSONAL AND PROFESSIONAL DEVELOPMENT RECORDS MANAGEMENT MANAGEMENT OF RESOURCES AND ENVIRONMENT

Basic Fo un datio n o f Nursing an d Profe ssio nal Pr ac tice

CHN & Care of Mo ther & Chil d

Care o f Clien ts w/ Physi olog ic & Psych oso cial Alter ation s Part A

Care o f Clien ts w/ Ph ysiolo gic & Psych oso cial Alter ation s Par t B

REHABILITATIVE ACROSS THE LIFESPAN

Care o f Clien ts w/ Ph ysiolo gic & Psych oso cial Alteration s Part C

C U R A T I V E

BEFORE SAFE AND QUALITY NURSING CARE COMUNICATION COLLABORATION AND TEAMWORK

Pat ient Care Compet enc ies 70%

SQC 50% Com 05% Col & TW 05% HE 10%

Enhanc ing 10%

R QI

Em pow ering 10%

EM & L 7. 5% PPD 2. 5%

HEALTH EDUCATION RESEARCH QUALITY IMPROVEMENT ETHICO –MORAL RESPONSIBILITY LEGAL RESPONSIBILITY

05% 05%

PERSONAL AND PROFESSIONAL DEVELOPMENT RECORDS MANAGEMENT MANAGEMENT OF RESOURCES AND ENVIRONMENT

Enabling

10%

RM MRE %

05% 05

NOW SAFE AND QUALITY NURSING CARE COMUNICATION COLLABORATION AND TEAMWORK

Pat ient Care Compet enc ies 65%

SQC 50% Com 5% Col & TW 5% HE 5%

Enhanc ing 10%

R QI

Em pow ering 15%

EM Legal PPD

5% 5% 5%

RM MRE

5% 5%

HEALTH EDUCATION RESEARCH QUALITY IMPROVEMENT ETHICO –MORAL RESPONSIBILITY LEGAL RESPONSIBILITY PERSONAL AND PROFESSIONAL DEVELOPMENT RECORDS MANAGEMENT MANAGEMENT OF RESOURCES AND ENVIRONMENT

Enabling

10%

5% 5%

NURSING PROCESS NP I

NP II

Community Health Basic Nursing and Foundation of Care of Nursing and Healthy/At Professional Risk Practice Mother and Child

NP III

NP IV

NP V

Care of Care of Care of Clients with Clients with Clients with Physiologic Physiologic Physiologic and and and PsychoPsychoPsychosocial social social Alterations Alterations Alterations [A] [B] [C]

ACROSS THE LIFESPAN INDIVIDUALS, FAMILIES, GROUPS, COMMUNITY IN VARIED SETTINGS

Domains of Nursing Competencies.. A Comparison ICN

 Professional

and legal practice

PHILIPPINES

 Legal

responsibility

Western Pacific/South East Asian Region  Legal & Ethical Framework

 Ethico-moral-

spiritual responsibility 45

ICN  Care provision &

management

PHILIPPINES  Safe and

quality care  Health education  Records management  Management of resources & environment  Communication  Collaboration & teamwork

WPSEAR  Management of

care

 Leadership &

nursing management  Communication  Consumer rights

46

ICN 

Professional development

PHILIPPINES  Personal &

professional development

WPSEAR  Personal and

professional advancement & development

 Quality

improvement  Research

47

GUIDE FOR 100 Items (in 20 Situations) PCC – 65% 50% - 10 Situations in SQC

) 0% (1

g li n

En

Hea lt h Educati on

Pa ti ent Care Comp eten cies

%)

IV.

(50%) Co mmunicati on (5%) Co ll ab orati on & TW (5 %)

(10

III .

N E W

i ng

Education EM PO WER ING – 10% 5% 1 Situation in EthicoMoral 5% 1 Legal Responsibilities 5% 1 Personal & Professional Dev’t.’ EN ABLIN G – 10% 5% 1 Situation in Management of Resources & Environment; and 5% 1 Situation in Records Management En hanci ng – 1 0% 5% 1 Situation in Research and 5% 1 Situation in Quality Improvement

SQ C

nc

3 Situations in: 1 Communications 1 Collaboration & TW 1 Situations in Health

ha

II.

Qua lity Impro vement (5% )

Records Management (5%)

En

5% 5% 5%

Re sear ch (5 %)

And

ab

III.

Management of Resources and environment (5%)

(5%)

(65%)

Emp ower ing (1 5%)

V E R S I O N

(1 5% )

• Ethico -mor al (5 %) • Le ga l r es ponsib ili ties (5 %)

• Pers onal and P rofes si onal d evelo pment (5 %)

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!