3. WHAT IS NURSING CORE COMPETENCY
STANDARD?
DEFINITION:
A standard set of
performance domains
and their corresponding
behavioural standards
which a nurse is required
to demonstrate the
necessary knowledge,
skills and attitudes a
nurse must possess in
order to perform a set of
defined activities to an
expected standard.
4. OBJECTIVES
• Purpose of nursing core competency.
The Core Competencies set the foundation for RNs to maintain
their competence and to acquire additional competencies or
advanced clinical skills to deliver safe client care in response to
changing healthcare needs and advancement in technology.
The skills needed by healthcare professionals were determined
by a collaborative effort of healthcare leaders organized under
the Healthcare Leadership Alliance. The skills are grouped
under five core competencies: communication, leadership,
professionalism, knowledge, and business skills.
To give guidelines to be submitted to CHED such as number of
cases needed to assist by the nurses on practice.
5. • Details of evidence based practice and informatics
core competencies.
Evidence-based practice (EBP) is necessary for improving the
quality of health care as well as patient outcomes. Evidence-
based practice is commonly integrated into the curricula of
undergraduate, postgraduate, and continuing professional
development health programs.
The American Medical Informatics Association (AMIA)
defines clinical informatics as the application of informatics
and information technology to deliver healthcare
services. The UK Faculty of Clinical Informatics (FCI) defines a
clinical informatician as: clinical knowledge and experience of
informatics concepts, methods and tools to promote patient
and population care that is person-centred, ethical, safe,
effective, efficient, timely, and equitable.
6. • Applies evidence of based practice and informatics core competencies to
nursing practice.
Informatics can improve patient safety through design of software with decision
support, which can alert staff to critical information. Evidence-based practice is a
combination of expert clinical opinion, scientific research, and patient- centered needs
and desires.
the practice and science of integrating nursing information and knowledge with
technology to manage and integrate health information. The goal of nursing informatics
is to improve the health of people and communities while reducing costs.
7. INTRODUCTION
Heightened by the escalating complexity of globalization, dynamics of information
technology, demographic changes, health care reforms and increasing demands for
quality nursing care from consumers, expectations for contemporary nursing practice
competencies emerged.
Thus, in 2005, as an output of a key project, Board of Nursing Resolution no. 112
Series 0f 2005, adopted and promulgated the Core Competency Standards of Nursing
Practice in the Philippines.
As mandated, the Board of Nursing ensured, through a monitoring and
evaluation scheme, that the core competency standards are implemented and utilized
effectively in nursing education , in the development of test questions for the Nurse
Licensure Examination (NLE),and in nursing service as a basis for orientation, training and
performance appraisal.
8. Through the years of implementation, global and local developments in health
and likewise, professional nursing developments prompted the Board of
Nursing to conduct a “ revisiting “ of the Core Competency Standards of
Nursing Practice in the Philippines.
In 2009, the Board of Nursing created the Task force on Nursing Core
Competencies Revisiting Project in collaboration with the Commission on
Higher Education Technical Committee on Nursing Education with the primary
goal of determining the relevance of the current nursing core competencies to
expected roles of the nurse and to its current and future work setting.
9. The process of revisiting the nursing core competencies included work setting
scenario analysis, benchmarking with nursing core competencies of other countries,
validation studies of roles and responsibilities, integrative review of outputs from
validation strategies, presentations of validation analysis, and core competency
consensual validation.
Public hearing on the revised and modified core competency standards of
nursing practice in the Philippines was conducted in January, 2012 in the cities of Manila,
Davao, Cebu and Baguio. Integrating all the comments, suggestions and
recommendations for the improvement of the revised and modified core competency
standards, the last phase of the refinement of the core competency standards was done
in May 2012
10. Article III, section 9 of Republic Act No. 9173 or the Philippine
Nursing Act of 2002, states that the Professional Regulatory Board of Nursing
is empowered to “monitor and enforce quality standards of nursing practice
in the Philippines and exercise the powers 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.”
LEGAL BASES
11. It is, therefore, incumbent
upon the Board of nursing
to take the lead in the
improvement and effective
implementation of the core
competency standards of
nursing practice in the
Philippines to ensure safe
and quality nursing care,
and maintain integrity of
the nursing profession.
12. REVISITING THE CORE COMPETENCY STANDARDS
OF NURSING PRACTICE IN THE PHILIPPINES
The process of revisiting the core competency standards involved ten (10) key
phases.These are:
• Phase I – Work setting scenario analysis - Provides a rational and structured way to
analyse the future. This can help prevent nursing care from becoming fixated on a single,
over-optimistic view of the future and developing nursing plans that assume ideal
conditions and outcomes.
•
13. • Phase II –Validation
studies of roles and
responsibilities/
Benchmarking of core
competencies with other
System is designed to
help programs evaluate,
track, and document the
competencies the
program expects its
students to achieve.This
system is a key
component of a broader
approach to competency-
based education and
training in professional
nursing.
14. • Phase III- Integrative review of
outputs from the validation
strategies
To provide a greater comprehensive
understanding of a particular
phenomenon or healthcare problem.
To support new knowledge and
experiences. By doing this, learners
draw on their skills and apply them to
new experiences at a more complex
level.
• Phase IV- Consensual Validation of
Core Competency Standards
ConsensualValidation refers to the
agreement of two or more
perspectives on reality.This is when
two or more separate individuals
agree on observed events.
Similarly implies that we will enjoy
the same things with the other
person.
15. • PhaseV – Conduct of Public hearing
A formal proceeding held in order to receive testimony from all
interested parties – including the general public on a proposed issue or
action. Those interested in providing testimony will be sworn in usually
by a court stenographer and be allowed to present oral comments.
16. • Phase VI – Promulgation of the
Revised and Modified Core
Competency Standards
Formally putting it into effect, by
public declaration: Upon adoption,
signing, and promulgation of these
provisions in the established
procedure, they acquire the power of
law
• Phase VII- Printing of the Revised and
Modified core competency Standards
(2012 NNCCS)
This will serve as guide to ensure
proper embedding and spreading of
the 2012 National Nursing Core
Competency Standards (NNCCS) in
both nursing education and nursing
service (hospital-based and
community-based).
17. • Phase VIII- Training in the
implementation of the 2012
National Nursing Core
Competency Standards
The training modules were
prepared by nursing experts from
the academe, service and
community to ensure that
examples, case studies and
scenarios in the workplace were
realistic and relevant and to ensure
compliance with the NNCCS.
• Phase IX - Implementation of the
2012 National Nursing Core
Competency Standards
It is about putting a plan into
action and to practice the work of
nursing standard.
18. • Phase X – Evaluation of the effectiveness of the 2012 National
Nursing Core Competency Standards
To determine if the expected competencies on managing a nursing
services is effectively achieved.
19. SIGNIFICANCE OF THE 2012 NATIONAL
NURSING CORE COMPETENCY STANDARDS
(2012 NNCCS)
The 2012 National Nursing Core Competency Standards (2012 NNCCS)
will serve as a guide for the development of the following:
• Basic Nursing Education
Program in the Philippines
through the Commission on
Higher Education (CHED).
To promote relevant and
quality higher education,
ensuring access to quality
higher education, and
guaranteeing and protecting
academic freedom for
continuing intellectual growth,
development of responsible
and effective leadership
20. • Competency-basedTest
Framework as the basis for
the development of course
syllabi and test questions for
“entry level” nursing practice
in the Philippine Nurse
Licensure Examination.
To grants permission to
practice professional nursing
and ensure that the person
holding the license has met
the minimum, first, or entry-
level competencies to safely
perform nursing activities
within the scope of
professional nursing practice.
• Standards of Professional
Nursing Practice in various
settings in the Philippines.
The Standards of Professional
Nursing Practice
are authoritative statements
of the duties that all
registered nurses, regardless
of role, population or
specialty are expected to
perform competently .
21. • NationalCareer Progression Program (NCPP) for nursing practice in
the Philippines.
To help develop or move towards a more advanced state of a
person’s qualifications, job, title, position, or profession, it outlines
the route that one may follow in order to reach identified career
development goals.
22. • Any or related evaluation
tools in various practice settings
in the Philippines
The student evaluation of
nursing practice is the
primary instrument that the
nursing institution in the
Philippines uses to assess
competency level or
standard of care
performance especially
through return
demonstration practice in
actual hospital settings.
Other most commonly used
method of evaluation is
questionnaire in which an
individual attempts answers
in writing on a paper or even
surveys.