nursing core competency
TRANSCRIPT
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COLLEGE OF NURSINGNotre Dame of Dadiangas University
Academic Orientation“ Mein Benennen 2010”
June 08, 2009
University Auditorium
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CORE COMPETENCIES FOR NURSING PRACTICES
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INTRODUCTION
Over the past two decades, the health care industry has been undergoing profound transformational events, not only within the Philippines, but also in other countries worldwide.
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These changes are spawned by the multitudes of forces converging in the national as well as international levels, which impact on the quality of nursing practice in the country.
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Due to the foregoing, new expectations for contemporary nursing practice competencies are emerging, which is heightened by the escalating complexity of globalization, the dynamics of health science and information technology, demographic changes, healthcare policy reforms and the increasing and more exacting demands from the consumers of health care.
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Moreover, the surge of overseas employment opportunities for Filipino nurses creates depletion in the reservoir of competent professionals to serve the health needs of the country.
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The Board of Nursing created the Committee on Core Competency Standards Development in collaboration with the Commission on Higher Education Technical Committee on Nursing Education with the primary goal to develop the Core Competency Standards for Nursing Practice in the Country.The Committee was composed of leaders from the nursing education, nursing practice and nursing regulation.
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The whole gamut of developing the standards were made possible through the participation of representatives of professional nursing organizations, consumers of nursing practice such as doctors, administrators and patients, senior nursing students, and in consultation with nurse executives from regulatory authorities in three countries.
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The project was conceptualized in April 2001 as one of the key projects of the Board of Nursing as a commitment to the call for the development of regional core competency standards for the Western Pacific and South East Asian Regions, as well as the International Council of Nurses.
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Article 3 Section 9 of RA 9173 known as the Philippine Act of 2002 states that the Board shall monitor and enforce quality standards of nursing practice necessary to ensure the maintenance of efficient, ethical, and technical, moral and professional standards in the practice of nursing taking into account the health needs of the nation.
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It is incumbent upon the Board of Nursing therefore to take the lead in the development and implementation of the core competency standards to warrant the health of the public, maintain public trust and promote the integrity of the nursing profession.
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Phases of Developing Competency Standards
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The key phases in the development of core competency standards involved the following:
The first phase involved identifying the competencies through a Developing A Curriculum (DACUM) workshop and series of focus group discussions with the participation of nurse experts, and consumers of nursing practice such as administrators, doctors and clients.
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The second phase include verification of the identified competencies among nursing experts from the different regions of the country.
The third phase was pilot testing the competencies among senior nursing students of eight colleges of nursing and
The fourth phase was benchmarking with the existing standards from three countries as well as with the International Council of Nurses.
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Significance of the Core Competency Standards
The core competency standards will serve as a unifying framework for nursing education, regulation and practice. Specifically, it will serve as; guide in developing curriculum in
nursing
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framework in developing test syllabus for entrants into the nursing profession
tool for performance evaluation among nurses
basis for advanced practice and specialization
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framework for developing a training curriculum for nurses
protect the public from incompetent practitioners
yardstick for unethical and unprofessional practice of nursing
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The Core Competencies for the Entry-Level
There are eleven (11) core competency areas for nursing practice that were identified which include the following:
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I. SAFE AND QUALITY NURSING CARE
II. MANAGEMENT OF RESOURCES AND
ENVIRONMENT
III. HEALTH EDUCATION
IV. LEGAL RESPONSIBILITY
V. ETHICO-MORAL
RESPONSIBILITY
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VI. PERSONAL AND PROFESSIONAL
DEVELOPMENTVII. QUALITY IMPROVEMENTVIII. RESEACRHIX. RECORD MANAGEMENTX. COMMUNICATIONXI. COLLABORATION AND TEAMWORK
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Key Area of Responsibility:
I. SAFE AND QUALITY NURSING CARE 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
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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
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Core Competency 3: Promotes safety and comfort of PatientsIndicators:
Performs age-specific safety measures in all aspects of the patient care
Performs age-specific comfort measures in all aspects of the patient care
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Core Competency 4: Sets priorities in nursing care based on patients’ needsIndicators:
Identifies the priority needs of the patients
Analyzes the needs of the patients
Determine appropriate nursing care to be provided
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Core Competency 5: Ensures continuity of careIndicators:
Refers identified problem to appropriate individuals/agencies
Establishes means of providing continuous patient care
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Core Competency 6: Administers medications and other health therapeuticsIndicator:
Conforms to the 10 golden rules in medication administration and health therapeutics
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Core Competency 7: Utilizes the nursing process as framework for nursing
Performs comprehensive and systemic nursing assessment Indicators:
Obtains consent Completes appropriate
assessment forms
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Performs effective assessment techniques
Obtains comprehensive client information
Maintains privacy and confidentiality
Identifies health needs
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Core Competency 8: Formulates a plan of care in collaboration with patients and other members of the health teamIndicators:
Includes patient and his family in care planning
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States expected outcomes of nursing intervention
Develops comprehensive patient care plan
Accomplishes patient centered discharge plan
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Core Competency 9: Implements planned nursing care achieve identified outcomesIndicators:
Explains interventions to patients and his family before carrying them out
Implements nursing intervention that is safe and comfortable
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Acts according to clients’ health condition and needs
Performs nursing activities effectively and in timely manner
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Core Competency 10: Evaluates progress toward expected outcomesIndicators:
Monitors effectiveness of nursing interventions
Revises care plan when necessary
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Core Competency 11: Responds to the urgency of the patient’s conditionIndicators:
Identifies sudden changes in the patient’s health conditions
Implements immediate and appropriate intervention
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Key Area of Responsibility:
II. MANAGEMENT OF RESOURCES AND ENVIRONMENT Core Competency 1: Organizes
work load to facilitate patient care Indicators:
Identifies tasks or activities that need to be accomplished
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Finishes work assignment on time
Plans the performance of tasks or activities based on priorities
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Core Competency 2: Utilizes resources to support patient careIndicators:
Determines the resources needed to deliver patient care
Controls the use of supplies and equipment
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Core Competency 3: Ensures functioning of resourcesIndicators:
Checks proper functioning of equipment
Refers malfunctioning equipment to appropriate unit
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Core Competency 4: Checks proper functioning of equipment Indicators:
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
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Core Competency 5: Maintains a safe environment Indicators:
Observe proper disposal of wastes 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
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Key Area of Responsibility:
III. HEALTH EDUCATION Core Competency 1: Assess the
learning needs of the patient and Family Indicators:
Obtains learning information through interview, observation and validation
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Defines relevant information Completes assessment
records appropriately Identifies priority needs
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Core Competency 2: Develops health education plan based on assessed and anticipated needsIndicator:
Considers nature of learner in relation to: social, cultural, political, economic, educational and religious factors.
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Core Competency 3: Develops learning materials for health educationIndicators:
Involves the patient, family, significant others and other resources
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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
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Core Competency 4: Implements the health education plan Indicators:
Provides for a conducive learning situation in terms of time and place
Considers client and family’s preparedness
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Utilizes appropriate strategies Provides reassuring presence
through active listening, touch, facial expression and gestures
Monitors client and family’s responses to health education
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Core Competency 5: Evaluates the outcome of health education Indicators:
Utilizes evaluation parameters Documents outcome Revises health education plan
when necessary
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Key Area of Responsibility IV. LEGAL RESPONSIBILITY
Core Competency 1: Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent.Indicators:
Fulfills legal requirements in nursing practice
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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
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Confirms information given by the doctor for informed consent
Secures waiver of responsibility for refusal to undergo treatment procedure
Checks the completeness of informed consent and other legal forms
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Core Competency 2: Adheres to organizational policies and procedures, local and nationalIndicators:
Articulates the vision, mission of the institution where one belongs
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Behaves in accordance with the established norms of conduct of the institution/organization
Shows membership of the accredited professional organization relevant to her practice
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Core Competency 3: Documents care rendered to patients Indicators:
Utilizes appropriate patient care records and reports
Accomplishes accurate documentation in all matters concerning patient care in accordance to the standards of nursing practice
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Key Area of Responsibility: V. ETHICO-MORAL
RESPONSIBILITY Core Competency 1: Respects the
rights of individual/groupsIndicator:
Renders nursing care consistent with the patient’s bill of rights: (i.e. confidentiality of information, privacy, etc.)
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Core Competency 2: Accepts responsibility and accountability for own decision and actionsIndicators:
Meets nursing accountability requirements as embodied in the job description
Justifies basis for nursing actions and judgment
Projects a positive image of the profession
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Core Competency 3: Adheres to the national and international code of ethics for nurses.Indicators:
Recites the Code of Ethics for Nurses and abides by its provision
Reports unethical and immoral incidents to proper authorities
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Key Area of Responsibility: VI. PERSONAL AND PROFESSIONAL DEVELOPMENT
Core Competency 1: Identifies own learning needsIndicators:
Verbalizes strengths, weaknesses, limitations
Determines personal and professional goals and aspirations
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Core Competency 2: Pursues continuing educationIndicators:
Attends formal and non-formal education
Earns required continuing education units
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Core Competency 3: Gets involved in professional organizations and civic activities Indicators:
Participates actively in professional, social, civic and religious activities
Maintains membership to professional organizations
Support activities related to nursing and health issues
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Core Competency 4: Projects a professional image of the nurseIndicators:
Demonstrates good manners and right conduct at all times
Dresses appropriately Demonstrates congruence of
words and action Behaves appropriately at all times
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Core Competency 5: Possesses positive attitude towards change and CriticismIndicators:
Listen to suggestions and recommendations
Tries new strategies or approaches
Adapts to change willingly
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Core Competency 6: Performs function according to professional standardsIndicators:
Assesses own performance against standards of practice
Sets attainable objectives to enhance nursing knowledge and skills
Explains current practices, when situations call for it
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Key of Area of Responsibility:
VII. QUALITY IMPROVEMENT Core Competency 1: Gathers data
for quality improvementIndicators:
Demonstrate knowledge of method appropriate for clinical problems identified
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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
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Core Competency 2: Participates in nursing audits and roundsIndicators:
Contributes relevant information about patient condition as well as unit condition and patient current reactions
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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
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Performs daily check of patients records/condition
Completes patients records Actively contributes relevant
information of patients during rounds thru reading and sharing with others
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Core Competency 3: Identifies and reports varianceIndicators:
Documents observed variance regarding patient care an submits to appropriate group within 24 hours
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Identifies actual and potential variance to patient care
Reports actual and potential variance to patient care
Submits reports to appropriate groups with 24 hours
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Core Competency 4: Recommends solutions to identified problemsIndicators:
Gives appropriate suggestions on corrective and preventive measures
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Communicates and discusses with appropriate groups
Gives an objective and accurate report on what was observed rather than an interpretation of the event
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Key Area of Responsibility:
VIII. RESEARCH Core Competency 1: Gather data
using different methodologies Indicators:
Able to identify researchable problems regarding patient care and community health
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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
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Core Competency 2: Recommends actions for implementationIndicator:
Based on the analysis of data gathered, recommends practical solutions appropriate for the problem
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Core Competency 3: Disseminates results of research findings Indicators:
Able to talk about the results findings to colleague/patients/family and to others
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Endeavors to publish research
Submits research findings to own agencies and others as appropriate
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Core Competency 4: Applies research findings in nursing practiceIndicators:
Incorporate findings in research in the provision of nursing care to individuals/
groups/communities
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Able to make meta-analysis of research findings to ameliorate nursing practice
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Key Area of Responsibility: IX. RECORDS MANAGEMENT
Core Competency 1: Maintains accurate and updated documentation of patient care Indicator:
Completes updated documentation of patient care
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Core Competency 2: Records outcome of patient careIndicator;
Utilizes a record system ex. Kardex or Hospital information System (HIS)
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Core Competency 3: Observes legal imperatives in recording keeping
Indicators: Observes confidentiality 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
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Key Area of Responsibility:X. COMMUNICATION Core Competency 1: Establishes rapport with
patients Indicators:
Creates TRUST and CONFIDENCE Greets client in an open and respectful
manner Asks client about themselves Tells client about choices depending on
the clients needs Helps client make an informed choice Explains fully how to choose options Returns visits for future consultation
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Core Competency 2: Listens attentively to client’s queries and requestsIndicator:
Spends time with the client to facilitate conversation that allows client to express concerns
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Core Competency 3: identifies verbal and non-verbal cuesIndicator:
Interprets and validates client’s body language and facial expression (IEC materials)
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Core Competency 4: Utilizes formal and informal channelsIndicator:
Make use of available visual aids
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Core Competency 5: Responds to needs of individual, family, group and CommunityIndicators:
Provides reassurance through therapeutic, touch, warmth and comforting words of encouragement
Readily smiles
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Core Competency 6: Uses appropriate information technology to facilitate communicationIndicators:
Utilizes telephone, cellphone, e-mail and internet for disease information
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Identifies a significant other so that follow up care can be obtained
Provides “Holding” or emergency numbers for services
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Key Area of Responsibility:
XI. COLLABORATION AN TEAMWORK Core Competency 1: Establishes
collaborative relationship with colleagues and other members of the health team
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Indicators: Contributes to decision
making regarding clients’ needs and concerns
Participates actively in patient care management including audit
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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
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Core Competency 2: Collaborates plan of care with other members of the health teamIndicators:
Refers clients to allied health team partners
Acts as liaison/advocate to the client
Prepares accurate documentation for efficient communication of services