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 R. A. 9173
“The Philippine Nursing Act
of 2002”

R.A. 8981
“PRC Modernization
Act of 2000”
 BOARD OF NURSING
(R.A. 9173)
 Operations (BoN “efficiency” – (d))
 Finance
 Information and Communications
 Newsletter
GOOD GOVERNANCE
 Research (HHRD - Art. VII, Sec. 30)
PRINCIPLES AND PROCESSESS
 Linkages

LICENSURE
STANDARDS REGULATION
EXAMINATION
(c) (Sec. 9)
(a)

Nurse Licensure Examination Development of Legal Administration

System (Art. IV, Sec. 12) Technical/Professional  Issuance/suspension/rev
Standards of Nursing ocation of license (b)
Practice (Art. V-VI)  Hearings & Investigation
 General Nursing of Admin. Cases (e)
Services (c)
 Hospital Monitoring and enforcement
 Community of quality Nursing Standards
 Entrep. Practice (c)
Oath of Professionals  Nursing Education (d)
(Art. IV, Sec. 16)  Nursing Specialties (g)
Prescription/adoption/issuan
ce/promulgation of
Development of Ethico- measures/decisions for the
Moral Standards improvement/advancement
 Code of Ethics
of the profession & enforce
(for all Nursing Practice 4
Fields)(f) Nursing Act. (h)
 THE BOARD OF NURSING FUNCTIONS

ETHICS, LEGAL LICENSURE & NURSING NURSING LINKAGES LOCAL

CONCERNS, OATHTAKING EDUCATION SERVICE & INTERNATIONAL
LEGISLATION

• Legal Matters • PRC Central • NE Standards • CPE • Local: PNA,

- issue/revoke & Regional ADPCN, ANSAP,
• RLE • Credentialing
Offices Various Specialty &
certificates Requirements
• Security • Monitoring of Interest Groups,
of registration • NE Program
Agencies, Standards of DOH, LGUs, NBI,
• Code of • Recommend the nursing DOLE, POEA, DFA,
• PNA,
Ethics opening & closure of
practice AIM, etc.
nursing programs to
• Laws & • ADPCN
CHED
Legislation • Accreditation • International:
• IRR • Accreditation Regulatory Boards,
ICN, WHO, ASEAN,
 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.
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 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

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Competency
Based Test
Framework
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.

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 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.

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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.

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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.

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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.

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 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

Enabling  Record management

 Management of resources and environment

Enhancing  Quality Improvement

 Research
 Safe And Quality Nursing Care
Core Competency
1: Demonstrates knowledge
base on the health /illness
status of individual / groups
2. Provides sound decision
making in the care of
individuals / groups
considering their beliefs and
values
Indicators
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

3. Promotes safety and comfort Performs age-specific safety measures in

of patients all aspects of patient care
Performs age-specific comfort measures in
all aspects of patient care
 Safe And Quality Nursing Care
Core Competency Indicators
4. Sets priorities in nursing  Identifies the priority needs of patients
care based on patients’  Analyses the needs of patients
needs  Determines appropriate nursing care to
be provided
5. Ensures continuity of care  Refers identified problem to appropriate
individuals / agencies
 Establishes means of providing
continuous patient care
6. Administers medications  Conforms to the 10 golden rules in
and other health medication administration and health
therapeutics therapeutics
 Safe And Quality Nursing Care
Core Competency Indicators
7. Utilizes the nursing  Obtains consent
process as framework  Completes appropriate assessment forms
for nursing  Performs effective assessment techniques
7.1 Performs  Obtains comprehensive client information
comprehensive and  Maintains privacy and confidentiality
systematic nursing  Identifies health needs
assessment
7.2 Formulates a plan of  Includes patient and his family in care
care in collaboration planning
with patients and other  States expected outcomes of nursing
members of the health intervention
team  Develops comprehensive patient care plan
 Accomplishes patient centered discharge plan
 Safe And Quality Nursing Care
7.3 Implements  Explains interventions to patients and his family
planned nursing before carrying them out
care to achieve  Implements nursing intervention that is safe and
identified outcomes comfortable
 Acts according to clients’ health condition and
needs
 Performs nursing activities effectively and in a
timely manner
7.4 Evaluates  Monitors effectiveness of nursing interventions
progress  Revises care plan when necessary
toward expected
outcomes
8. Responds to the urgency  Identifies sudden changes in the patient’s health
of the patient’s condition conditions
 Implements immediate and appropriate
intervention
 COMMUNICATION
1. Establishes rapport with
patients, significant others
and members of the health
team
2. Identifies verbal and non-
verbal cues
3. Utilizes formal and informal
channels
 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. Responds to needs of
individuals, family, group
and community
5. Uses appropriate
information technology to
facilitate communication
 Provides reassurance through
therapeutic, touch, warmth and
comforting words of encouragement
 Readily smiles
 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
 COLLABORATION AND TEAMWORK

1. Establishes  Contributes to decision making regarding patients’

collaborative needs and concerns
relationship with  Participates actively in patient care management
colleagues and including audit
 Recommends appropriate intervention to improve
other members of
patient care
the health team  Respect the role of other members of the health
team
 Maintains good interpersonal relationship with
patients, colleagues and other members of the
health team
2. Collaborates plan of  Refers patients to allied health team partners
care with other  Acts as liaison / advocate of the patient
members of the  Prepares accurate documentation for efficient
health team communication of services
 HEALTH EDUCATION
1. Assesses the learning  Obtains learning information through interview,
needs of the patient observation and validation
and family  Defines relevant information
 Completes assessment records appropriately
 Identifies priority needs
2. Develops health  Considers nature of learner in relation to: social,
education plan based cultural, political, economic, educational and
on assessed and religious factors.
anticipated needs
3. Develops learning  Involves the patient, family, significant others
materials for health and other resources
education  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. Implements the health  Provides for a conducive learning
education plan 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
5. Evaluates the outcome  Utilizes evaluation parameters
of health education  Documents outcome of care
 Revises health education plan when
necessary
 LEGAL RESPONSIBILITY
1. Adheres to practices in  Fulfils legal requirements in nursing practice
accordance with the  Holds current professional license
nursing law and other  Acts in accordance with the terms of contract of employment
and other rules and regulations
relevant legislation
 Complies with required continuing professional education
including contracts,  Confirms information given by the doctor for informed consent
informed consent.  Secures waiver of responsibility for refusal to undergo
treatment or procedure
 Checks the completeness of informed consent and other
legal forms

2. Adheres to organizational  Articulates the vision, mission of the institution where one
policies and procedures, belongs
local and national  Acts in accordance with the established norms of conduct of
the institution / organization

3. Documents care  Utilizes appropriate patient care records and reports.

rendered to patients  Accomplishes accurate documentation in all matters
concerning patient care in accordance to the standards of
nursing practice.
 ETHICO-MORAL RESPONSIBILITY
1. Respects the rights of
individual / groups
2. Accepts responsibility and
accountability for own
decision and actions
3. Adheres to the national and
international code of ethics
for nurses
 Renders nursing care consistent with
the patient’s bill of rights: (i.e.
confidentiality of information, privacy,
etc.)
 Meets nursing accountability
requirements as embodied in the job
description
 Justifies basis for nursing actions
and judgment
 Projects a positive image of the
profession
 Adheres to the Code of Ethics for
Nurses and abides by its provision
 Reports unethical and immoral
incidents to proper authorities
 PERSONAL AND PROFESSIONAL DEVELOPMENT

1. Identifies own learning  Verbalizes strengths, weaknesses,

needs limitations
 Determines personal and professional
goals and aspirations
2. Pursues continuing  Participates in formal and non-formal
education education
 Applies learned information for the
improvement of care
3. Gets involved in  Participates actively in professional,
professional social, civic, and religious activities
organizations and civic  Maintains membership to professional
activities organizations
 Support activities related to nursing and
health issues
 PERSONAL & PROFESSIONAL DEVELOPMENT

4. Projects a professional  Demonstrates good manners and right

image of the nurse conduct at all times
 Dresses appropriately
 Demonstrates congruence of words and
action
 Behaves appropriately at all times
5. Possesses positive  Listens to suggestions and recommendations
attitude towards  Tries new strategies or approaches
change and criticism  Adapts to changes willingly
6. Performs function  Assesses own performance against standards
according to of practice
professional standards  Sets attainable objectives to enhance nursing
knowledge and skills
 Explains current nursing practices, when
situations call for it
 RECORDS MANAGEMENT
1. Maintains accurate and  Completes updated documentation
updated documentation of patient care.
of patient care
2. Records outcome of  Utilizes a records system ex. Kardex
patient care or Hospital Information System (HIS)

3. Observes legal  Observes confidentially and privacy

imperatives in record of the patient’s records.
keeping  Maintains an organized system of
filing and keeping patients’ records in
a designated area.
 Refrains from releasing records and
other information without proper
authority.
 Management Of Resources And Environment

1. Organizes work load to  Identifies tasks or activities that need to

facilitate patient care be accomplished
 Plans the performance of tasks or
activities based on priorities
 Finishes work assignment on time
2. Utilizes resources to  Determines the resources needed to
support patient care deliver patient care
 Controls the use of supplies and
equipment
3. Ensures functioning of  Checks proper functioning of equipment
resources  Refers malfunctioning equipment to
appropriate unit
 Management Of Resources And Environment

4: Checks proper  Determines tasks and procedures that can be

functioning of safely assigned to other member of the team.
equipment  Verifies the competency of the staff prior to
delegating tasks
5: Maintains a safe  Observes proper disposal of wastes
environment  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. Gathers data for  Demonstrate knowledge of method appropriate for the clinical
quality problems identified
 Detects variation in the vital signs of the patient from day to day
improvement  Reports necessary elements at the bedside to improve patient
stay at hospital
 Solicits feedback from patient and significant others regarding
care rendered

2. Participates in  Contributes relevant information about patient condition as well as

nursing audits unit condition and patient current reactions
 Shares with the team current information regarding particular
and rounds 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. Gathers data for  Demonstrate knowledge of method appropriate for the clinical
quality problems identified
 Detects variation in the vital signs of the patient from day to day
improvement  Reports necessary elements at the bedside to improve patient stay
at hospital
 Solicits feedback from patient and significant others regarding care
rendered

2. Participates in  Contributes relevant information about patient condition as well as

nursing audits unit condition and patient current reactions
 Shares with the team current information regarding particular patients
and rounds 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
3. Identifies and reports  Documents observed variance regarding patient
variances 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. Recommends  Gives appropriate suggestions on corrective and
solutions to identified preventive measures
problems  Communicates and discusses with appropriate
groups.
 Gives an objective and accurate report on what
was observed rather than an interpretation of the
event.

1. Gather data using
different methodologies
2. Recommends actions
for implementation
RESEARCH
 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
• Based on the analysis of data gathered, recommends
practical solutions appropriate for the problem

3. Disseminates results of  Able to talk about the results of findings to

research findings colleagues / patients / family and to others
 Endeavours to publish research
 Submits research findings to own agencies and
others as appropriate
4. Applies research findings  Utilizes findings in research in the provision of nursing
in nursing practice care to individuals / groups / communities
 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
PATIENT
COMUNICATION
CARE C C
P COLLABORATION AND TEAMWORK
U
COMPETENCIES
R
HEALTH EDUCATION
R U
RESEARCH
O QUALITY IMPROVEMENT
ENHANCING A R
M ETHICO –MORAL RESPONSIBILITY T A
EMPOWERINGI
O LEGAL RESPONSIBILITY
T
T PERSONAL AND PROFESSIONAL DEVELOPMENT V
ENABLING
E I
I RECORDS MANAGEMENT

V MANAGEMENT OF RESOURCES AND ENVIRONMENT V

Basic Foundation CHN & Care of Care of Clients w/ Care of Clients w/ Care of Clients w/
E of Nursing and Mother & Child Physiologic & Physiologic & Physiologic & E
Professional Psychosocial Psychosocial Psychosocial
Practice Alterations Alterations Alterations
Part A Part B Part C
REHABILITATIVE
ACROSS THE LIFESPAN
 NOW

SAFE AND QUALITY NURSING CARE Patient Care SQC 50%

COMUNICATION Competencies Com 5%
COLLABORATION AND TEAMWORK 65% Col & TW 5%
HEALTH EDUCATION HE 5%
RESEARCH Enhancing 10% R 5%
QUALITY IMPROVEMENT QI 5%
ETHICO –MORAL RESPONSIBILITY
Empowering 15% EM 5%
LEGAL RESPONSIBILITY Legal 5%
PERSONAL AND PROFESSIONAL PPD 5%
DEVELOPMENT
RECORDS MANAGEMENT
Enabling 10% RM 5%
MANAGEMENT OF RESOURCES AND MRE 5%
ENVIRONMENT
 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
38
 ICN PHILIPPINES WPSEAR

 Care provision &  Safe and  Management of

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

39
 ICN PHILIPPINES WPSEAR

 Professional  Personal &  Personal and

development professional professional
development advancement &
development
 Quality
improvement

 Research

40
 Management of Resources and
Research (5%)
environment (5%)
GUIDE FOR 100 Items Quality Improvement (5%)
And
(in 20 Situations)
I. PCC – 65% Records Management (5%)
50% - 10 Situations in SQC
3 Situations N

En
SQC
E

)
in:

ha
5% 1 Communications
(50%) W

0
5% 1 Collaboration & TW

(1
Communication

n
5% 1 Situations in Health
(5%)

cin
g
V
lin
Education Collaboration & TW
E

g
II. EMPOWERING – 10% (5%)
ab
5% 1 Situation in Ethico- Health R

(10
Moral
En

Education
S

%)
5% 1 Legal
Responsibilities
5% 1 Personal
Patient Care (5%)
Competencies I
& Professional Dev’t.’
(65%) O
III. ENABLING – 10%
5% 1 Situation in N
Management of
Resources & Empowering (15% )
Environment; and
5% 1 Situation in Records • Ethico-moral (5%)
Management
(15%)
IV. Enhancing – 10% • Legal responsibilities (5%)
5% 1 Situation in Research
and
• Personal and Professional development (5%)
5% 1 Situation in
Quality Improvement
Competency-Based Test Framework 41
THANK YOU
Republic of the Philippines
Professional Regulation Commission
Board of Nursing