NURSING CORE COMPETENCY STANDARDS (NCCS 2012)

CON 3 Professional Adjustment in Nursing and Nursing Jurisprudence

Facilitator: Mrs. Ma. Lorna A. Ignacio, RN, MSN

2012 NATIONAL NURSING CORE COMPETENCY  Responsibility 1: Practices in

STANDARDS accordance with legal principles and
Whereas: the code of ethics in making personal
 Professional Regulatory Board of Nursing and professional judgments.
 Amend Res. No. 112 Series of 2005 1.1.Adheres to ethico-legal
 ‘Revisiting’ of the same standards in considerations when providing
2007 safe, quality and professional
 In accordance with Sec. 9 ©, Art. III of nursing care.
R.A 9173 1.2.Applies ethical reasoning and
decision-making process to address
Therefore: situations of ethical distress and
 Amend Board Res. No. 112, Series of 2005 moral dilemma.
 Three Roles of the Entry Level Nurse 1.3.Adheres to established norms of
 Beginning Nurse’s Role on conduct based on the Philippine
Client Care Nursing Law and other legal,
 Beginning Nurse’s Role on regulatory and institutional
Leadership and Management requirements relevant to safe
 Beginning Nurse’s Role on nursing practice.
Research 1.4.Protects clients’ rights based on
 Responsibilities and competencies “Patient’s Bill of Rights and
needed to perform each role with Obligations”.
corresponding performance indicators. 1.5.Implement strategies/policies
 Key Areas of Responsibility related to informed consent as it
 Types of Clients served by the nurse. applies in multiple contexts.

Significance:  Responsibility 2: Utilizes the nursing

 Basic Nursing Education Program in the process in the interdisciplinary care of
Philippines through CHED clients that empowers the clients and
 Competency-based test framework promotes safe quality care.
development of course syllabi and test 2.1. Ensures a working relationship with
questions for “entry level” nursing practice in the client and/or support system based
the board licensure examination for nurses on trust, respect, and shared decision-
 Standards of professional nursing practice in making.
various setting in the Philippines 2.1.1. Establishes rapport with client
 All related evaluation tools in various practice and/or support system ensuring
setting in the Philippines. adequate information about each other
as partners in a working relationship.
TEN (10) KEY PHASES 2.1.2. Formulates with the client-
 PHASE 1 – work setting scenario partner the objectives and expectations
 PHASE 2 – validation studies of roles and of the nurse-client working relationship.
responsibilities/benchmarking 2.1.3. Maintains shared decision-
 PHASE 3 – integrative review of outputs from making and client’s participatory
the validation strategies capability throughout the nurse-client
 PHASE 4 – core competency consensual working relationship.
validation 2.1.4. Enhances client-partner’s
 PHASE 5 – conduct of public hearing readiness for taking over/begin in-
 PHASE 6 – promulgation of the revised and charge when objectives and
modified core competency standards expectations of the working
 PHASE 7 – printing of the revised and modified relationship have been achieved.
core competency standards
 PHASE 8 – training in the implementation of 2.2 Assesses with client (individual,
the revised core competency standards family, population group, and/or
 PHASE 9 - implementation of the revised core community) one’s health
competency standards status/competence.
 PHASE 10 – evaluation of effectiveness of the 2.2.1. Develops the data gathering plan
revised core competency standards with the client. Specifying methods and
tools.
2.2.2. Obtains assessment data
utilizing appropriate data gathering
methods and tools guided by type of
client and work setting requisites.
2.2.3. Analyzes data gathered.
2.2.4. Synthesizes data gathered.
2.2.5. Specifies client’s
status/conditions problems to be
addressed identifying reasons
(etiology) for the existing of the
condition or problem.

2.3. Formulates with the client a plan of

care to address the health conditions,
needs, problems, and issues based on
1. BEGINNING NURSE’S ROLE ON CLIENT priorities.
CARE

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 NURSING CORE COMPETENCY STANDARDS (NCCS 2012)
CON 3 Professional Adjustment in Nursing and Nursing Jurisprudence
Facilitator: Mrs. Ma. Lorna A. Ignacio, RN, MSN

2.4. Implements safe and quality 2.4.12. Implements appropriate nursing

interventions with the client to address interventions to help client and support
health needs, problems, and issues. system address spiritual needs.
2.4.1. Implements appropriate 2.4.13. Manages client load to ensure
psychosocial/therapeutic interventions health program service coverage.
to render holistic nursing care in any
setting. 2.5. Provides health education using
2.4.2 Provides appropriate evidence- selected planning models to target
based nursing care using a clientele (individuals, family, population
participatory approach based on: group or community).
a. variety of theories and standards 2.5.1. Determines the health education
relevant to health and healing planning models appropriate to target
b. research clientele/experienced objective and
c. clinical practice outcomes.
d. client preference 2.5.2. Utilizes health education process
e. client and staff safety to accomplish the plan to meet
f. customer care standards identified client’s learning needs.
2.4.3. Applies safety principles,
evidence-based practice, infection 2.6. Evaluate with the client the health
control measures and appropriate status/competence and/or
protective devices consistently, when process/expected outcomes of nurse-
providing nursing care and preventing client working relationship.
injury to clients, self, other health care
workers and the public. 2.7. Documents client’s
2.4.4. Implements strategies related to responses/nursing care services
the safe preparation and administration rendered and process outcomes of the
of medications based on institutional nurse client working relationship.
policies and protocol.
2.4.5. Applies evidence-based practices  Responsibility 3: Maintains complete,
on pain prevention and management of accurate and up to date recording and
client using pharmacologic and non- reporting system.
pharmacologic measures. 3.1. Ensures completeness, integrity,
2.4.6. Implements safe, adequate, safety, accessibility, and security of
evidence-based care on clients during information.
the pre-intra and post diagnostic and 3.2. Adheres to protocol and principles
treatment procedures. of confidentiality in safe keeping and
2.4.7. Implements safe and quality releasing of records and other
nursing interventions addressing health information.
needs, problems and issues affecting 3.3. Implements system of informatics
pregnant woman during the peripartal to support the delivery of health care.
to neonatal stage.
2.4.8. Applies appropriate and  Responsibility 4: Establishes
evidence-based nursing intervention collaborative relationships with
for physiologic and related colleagues and other members of the
psychosocial needs of patients/clients team to enhance nursing and other
to preserve physiologic integrity and health care services.
prevent complications of problems of 4.1. Ensures intra-agency, inter-agency,
oxygenation (ventilation, transport, multidisciplinary and sectoral
perfusion); fluid and electrolyte collaboration in the delivery of health
imbalance and acid-base imbalances; care.
nutrition and metabolism; 4.2. Implements strategies/approaches
gastrointestinal (indigestion, digestion, to enhance/support the capability of
absorption, coordination, and altered the client and care providers to
sensation; inflammation, infection, and participate in decision-making by the
immune responses; cellular inter-professional team.
aberrations, altered genetic conditions;
and reproductive problems).  Responsibility 5: Promotes
2.4.9. Implements participatory and professional and personal growth and
empowerment strategies related to development.
promotion of health, healthy 5.1. Assumes responsibility for lifelong
lifestyle/adaptation, wellness, disease learning, own personal development,
management environmental sanitation, and maintenance of competence.
environment protection and health 5.2. Demonstrates continued
resource generation, use of access competence and professional growth.
within the context of primary health 5.3. Engage in advocacy activities to
care. influence health and social care service
2.4.10. Implements interventions policies and access to services.
guided by prescribed context of 5.4. Models’ professional behavior.
specific health programs services.
2.4.11. Implements appropriate care to 2. BEGINNING NURSE’S ROLE ON
individuals, families, vulnerable groups, MANAGEMENT AND LEADERSHIP
and communities during the three  Responsibility 1: Demonstrates
phases of disaster situations such as management and leadership skills to
(pre-incident, incident, post incident). provide safe and quality care.

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 NURSING CORE COMPETENCY STANDARDS (NCCS 2012)
CON 3 Professional Adjustment in Nursing and Nursing Jurisprudence
Facilitator: Mrs. Ma. Lorna A. Ignacio, RN, MSN

1.1.Maintains a harmonious and village-based facility component of a

collegial relationship among health program and/or nursing service.
members of the health team for 4.9. Maintains a positive practice
effective, efficient, and safe client environment.
care.
1.2.Creates a safe environment of care  Responsibility 5: Demonstrates
through the use of quality ability to lead and supervise nursing
assurance, continuous quality support staff.
improvement and risk management 5.1. Monitors the performance of the
strategies. nursing support staff.
5.2. Evaluates performance of nursing
 Responsibility 2: Demonstrates support staff using a standard
accountability for safe nursing practice. evaluation tool.
2.1.Participates in the development of 5.3. Participates in improving policies,
policies and standards regarding regulations, circulars and programs
safe nursing practice. among nurses and nursing support
2.2.Organizes own workload staff.
demonstrating time management 5.8. Participates in developing policies
skills for meeting responsibilities and procedures relevant to human
and achieving outcomes. resources management.
2.3.Institutes appropriate corrective
actions to prevent or minimize  Responsibility 6: Utilizes appropriate
harm arising from adverse effects. mechanisms for networking, linkage,
building and referrals.
 Responsibility 3: Demonstrates 6.1. Applies principles of partnership
management and leadership skills to and collaboration to improve delivery
deliver health programs and services of health services.
effectively to specific client groups in 6.2. Determines resources available for
the community setting. networking, linkage building, and
3.1. Apples management and referral necessary for improving
leadership principles in providing delivery of health services.
direction to manage a
community/village-based: 3. BEGINNING NURSE’S ROLE ON RESEARCH
- health facility  Responsibility 1: Engage in nursing
- component of health program or or health related research with or under
- nursing service the supervision of an experienced
3.2. Uses appropriate researcher.
strategies/approaches to plan 1.1.Participates in preparing a research
community health programs and proposal complying with the ethical
nursing services. principles in nursing research.
1.2.Conducts a research study as a
 Responsibility 4: Manages a member of the research team.
community/village-based health 1.3.Presents the research study
facility/component of health program or conducted in partnership with
nursing services. research team.
4.1. Coordinates the tasks/function of 1.3.1. Prepares a written research
other nursing personnel (midwife, BHW, report.
and utility worker). 1.3.2. Conducts an oral and/or poster
4.2. Collaborates with other members presentation.
of the health team in the
implementation of programs and  Responsibility 2: Evaluates research
services. study/report utilizing guidelines in the
4.3. Ensures adequate resources (e.g. conduct of a written research critique.
human, material) to effectively 2.1. Determines if the research
implement programs/services based on problems/questions, objective and/or
requirements, ratio, and standards. hypotheses are clearly logically linked
4.4 Mobilizes resources for effective to the research purpose, concepts and
program implementation/services relationship, and propositions
delivery. generated from the study framework.
4.5. Supervises the implementation of 2.2. Analyzes if the conceptual
nursing components of the health framework, the summary of review of
service/programs. related literature, research design, and
4.6. Ensures that all nursing personnel data analysis procedure are logically
adhere to standards of safety bioethical linked with the research purpose,
principles and evidence-based nursing problems/question, and hypotheses.
practice. 2.3. Establishes if the interpretation,
4.7. Evaluates specific components of implications, and recommendations are
health programs and nursing services consistent with the result considering
based on parameters/criteria. the limitation of the study.
4.8. Applies management and 2.4. Analyzes the research study/report
leadership principles to ensure a for adherence to standards of writing
complete accurate, and up-to-date mechanics, ethical principles, and
documentation of activities and guidelines in all phases of the research
outcomes of managing community study.

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 NURSING CORE COMPETENCY STANDARDS (NCCS 2012)
CON 3 Professional Adjustment in Nursing and Nursing Jurisprudence
Facilitator: Mrs. Ma. Lorna A. Ignacio, RN, MSN

 Responsibility 3: Applies the research

process in improving client care in
partnership with a quality
improvement/quality assurance/nursing
audit team.
3.1.Participates as a member of a
quality team in implementing the
appropriate quality improvement
process on identified improvement
opportunities.
3.1.1. Prepares a data collection and
analysis plan as a member of the
quality improvement/quality
assurance/nursing audit team.
3.1.2. Conducts collection and analysis
of the date with the team member
based on the agreed plan.
3.1.3. Implements with the team the
developed action plan for the identified
variance to improve the system or
process.
3.1.4. Communicates, both in oral and
written form, the results of the quality
improvement project in partnership
with the quality improvement
team/quality assurance/nursing audit
team.