LEVEL OF COMPLIANCE ON THE LEGAL AND ETHICO MORAL RESPONSIBILITIES OF STAFF NURSES ON SELECTED TERTIARY HOSPITALS IN LUCENA CITY:

: A BASIS FOR DEVELOPMENT OF NURSES HANDBOOK

Questionnaire: for Staff Nurses Direction: Put a check (/) on the box of the word or group of words that corresponds to your answer. A. Demographic Profile Age ( ) 21 30 years old ( ) 31 50 years old ( ) 51 years old & above Gender ( ) Male ( ) Female Employment Status ( ) Regular or Permanent ( ) Probationary Educational Attainment ( ) Bachelors degree ( ) With Masters Unit ( ) Masters Degree Length in Service ( ) 0 2 years ( ) 3 5 years ( ) 6 years - above

B. Listed Below are the 2 Core Competencies Standards expected as a Nurse. Please make an honest assessment of your performance in the clinical area utilizing the scale below: 4 Performed all the time 3 Performed most of the times 2 Performed sometimes 1 Never

Legal Responsibility
1. Represents self by name and professional designation (protected title) to clients and health care team members. 2. Is accountable and accepts responsibility for own actions and decisions. 3. Recognizes limitations of practice and seeks assistance as necessary 4. Articulates the role and responsibilities of a registered nurse as a member of the nursing and health care teams 5. Acts in accordance with the terms of contracts of employment and other rules and regulation 6. Demonstrates leadership in client care by promoting healthy and culturally safe work environments. 7. Displays initiative, a beginning confidence, self awareness, and encourages collaborative interactions within the health care team 8. Demonstrates critical inquiry in relation to new knowledge and technologies that change, enhance or support nursing practice 9. Exercises professional judgment when using agency policy and procedures. 10. Organizes own workload and develops time management skills for meeting responsibilities 11. Demonstrates responsibility in completing assigned work and communicates honestly about work completed and not completed 12. Uses basic conflict resolution strategies in which situations of conflict are transformed into healthier interpersonal interactions 13. Adheres to the duty to report unsafe practice in the context of professional self regulation 14. Protects clients through recognizing and reporting unsafe practices when client or staff safety and well being are potentially or actually compromised 15. Questions and challenges unclear or questionable orders, decision, or actions, made by other health care team

members 16. Recognizes and reports near misses and errors (own and others) and take action to stop and minimize harm arising from adverse effect 17. Check the completeness of informed consent and other legal forms 18. Identifies, reports and takes action on actual and potential safety risk to clients, self or others 19. Utilizes appropriate patient care records and reports 20. Participates in the analysis, development, implementation and evaluation of practice and policy that guide delivery of care 21. Integrates quality improvement principles and activities into nursing practice 22. Participates in a variety of professional activities related to the practice of registered nurse 23. Undertake nursing and health human resource development training and research

Ethico Moral Responsibility

1. Establishes and maintains a caring environment that supports clients to achieve optimal health outcomes, goals to manage illness or a peaceful death 2. Identifies effect of own values, beliefs and experience concerning relationships with clients, and uses this self awareness to support compassionate and culturally safe client care 3. Establishes and maintains appropriate professional boundaries with client and other health care team members, including the distinction between social interaction and therapeutic relationships 4. Protects a positive image of the profession 5. Promotes a safe environment for clients, self, health care workers and the public that address the unique needs of clients within the context of care 6. Demonstrates consideration of the spiritual and religious belief and practices of clients 7. Demonstrated knowledge of the distinction between ethical responsibilities and legal rights and their relevance when providing nursing care 8. Respects and preserves clients rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent and ethical care; informed decision making; dignity; privacy and confidentiality; and being

accountable) 9. Demonstrates an understanding on informed consent as it applies in multiple context (e.g., consent of care, refusal, treatment, release of health information and consent for participation in research) 10. Uses an ethical reasoning and decision-making process address situations of ethical distress and dilemmas 11. Accepts and provides care for all clients being respectful of diverse health status, diagnosis, experiences, beliefs, and health practices 12. Demonstrates support for clients in making informed decision about their health care, and respects those decision 13. Advocates for clients or their representative especially when they are unable to advocate for themselves 14. Demonstrates an understanding of ethical and legal considerations related to maintaining client confidentiality in all forms of communication 15. Uses relational knowledge and ethical principles and working with health care team members to maximize collaborative client care. 16. Adheres to the Code of Ethics for Nurses and abides by its provisions

*Adapted in The Competency Standards for Nursing Practice in the Philippines, PRC BON Resolution No. 112, s. 2005 and National Competencies in the Context of Entry Level Registered Nurse by the College of Nurses of Ontario.

LEVEL OF COMPLIANCE ON THE LEGAL AND ETHICO MORAL RESPONSIBILITIES OF STAFF NURSES ON SELECTED TERTIARY HOSPITALS IN LUCENA CITY: A BASIS FOR DEVELOPMENT OF NURSES HANDBOOK

Questionnaire: for Head Nurses Put a check (/) on the box of the word or group of words that corresponds to your answer. Below are the 2 Core Competencies Standards expected of a Nurse. Please rate the performance of staff nurses who had been under your supervision utilizing the scale below: 4 Complied all the time 3 Complied most of the times or often 2 Complied sometimes 1 Never Complied

Legal Responsibility
1. Represents self by name and professional designation (protected title) to clients and health care team members.

3. Is accountable and accepts responsibility for own actions and decisions. 4. Recognizes limitations of practice and seeks assistance as necessary. 5. Articulates the role and responsibilities of a registered nurse as a member of the nursing and health care teams 6. Acts in accordance with the terms of contracts of employment and other rules and regulations. 7. Demonstrates leadership in client care by promoting healthy and culturally safe work environments. 8. Displays initiative, a beginning confidence, self awareness, and encourages collaborative interactions within the health care team. 9. Demonstrates critical inquiry in relation to new knowledge and technologies that change, enhance or support nursing practice. 10. Exercises professional judgment when using agency policy and procedures. 11. Organizes own workload and develops time management skills for meeting responsibilities. 12. Demonstrates responsibility in completing assigned work and communicates honestly about work completed and not completed 13. Uses basic conflict resolution strategies in which situations

of conflict are transformed into healthier interpersonal interactions 14. Adheres to the duty to report unsafe practice in the context of professional self regulation 15. Protects clients through recognizing and reporting unsafe practices when client or staff safety and well being are potentially or actually compromised 16. Questions and challenges unclear or questionable orders, decision, or actions, made by other health care team members 17. Recognizes and reports near misses and errors (own and others) and take action to stop and minimize harm arising from adverse effect 18. Checks the completeness of informed consent and other legal forms 19. Identifies, reports and takes action on actual and potential safety risk to clients, self or others 20. Utilizes appropriate patient care records and reports 21. Participates in the analysis, development, implementation and evaluation of practice and policy that guide delivery of care 22. Integrates quality improvement principles and activities into nursing practice 23. Participates in a variety of professional activities related to the practice of registered nurse 24. Undertake nursing and health human resource development training and research

Ethico Moral Responsibility

1. Establishes and maintains a caring environment that supports clients to achieve optimal health outcomes, goals to manage illness or a peaceful death 2. Identifies effect of own values, beliefs and experience concerning relationships with clients, and uses this self awareness to support compassionate and culturally safe client care 3. Establishes and maintains appropriate professional boundaries including the distinction between social interaction and therapeutic relationships with; a. client b. other health care team members, 4. Protects a positive image of the profession 5. Promotes a safe environment that address the unique needs of clients within the context of care with;

a. clients b. self c. health care workers d. public 6. Demonstrates consideration of the spiritual and religious belief and practices of clients 7. Demonstrates knowledge of the distinction between ethical responsibilities and legal rights and their relevance when providing nursing care 8. Respects and preserves clients rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent and ethical care; informed decision making; dignity; privacy and confidentiality; and being accountable) 9. Demonstrates an understanding on informed consent as it applies in multiple context (e.g., consent of care, refusal, treatment, release of health information and consent for participation in research) 10. Uses an ethical reasoning and decision-making process address situations of ethical distress and dilemmas 11. Accepts and provides care for all clients being respectful of diverse health status, diagnosis, experiences, beliefs, and health practices 12. Demonstrates support for clients in making informed decision about their health care, and respects those decision 13. Advocates for clients or their representative especially when they are unable to advocate for themselves 14. Demonstrates an understanding of ethical and legal considerations related to maintaining client confidentiality in all forms of communication 15. Uses relational knowledge and ethical principles and working with health care team members to maximize collaborative client care. 16. Adheres to the Code of Ethics for Nurses and abides by its provisions
*Adapted in The Competency Standards for Nursing Practice in the Philippines, PRC BON Resolution No. 112, s. 2005 and National Competencies in the Context of Entry Level Registered Nurse by the College of Nurses of Ontario.

LEVEL OF COMPLIANCE ON THE LEGAL AND ETHICO MORAL RESPONSIBILITIES OF STAFF NURSES ON SELECTED TERTIARY HOSPITALS IN LUCENA CITY: A BASIS FOR DEVELOPMENT OF NURSES HANDBOOK

Statement of the Problem The study aimed to determine the level of compliance of staff nurses of selected tertiary hospitals in Lucena City to the legal responsibility and ethico moral responsibility basis for a monitoring guide. Specifically, it sought to answer the following questions; 1. What is the demographic profile of staff nurses of selected tertiary hospitals in Lucena City in terms of a. age? b. gender? c. employment status? d. educational attainment? e. length of service? 2. What is the level of compliance of staff nurses to the legal and ethico moral responsibilities as assessed by staff nurses themselves and the head nurses? 3. Is there a significant difference between the assessment made by the staff nurses themselves and that of the head nurses as to the level of compliance to the legal and ethico moral responsibilities. 4. Is there a significant relationship between the demographic profile and the level of compliance of staff nurses to the legal responsibility and ethico moral responsibility. 5. What implication can be derived from the findings of the study will become useful towards the monitoring guide. Hypotheses The following hypotheses were formulated to provide direction to the study: 1. There is no significant difference between the assessment made by the staff nurses themselves and that of the head nurses as to the level of compliance to the legal and ethico moral responsibilities. 2. There is no significant relationship between the demographic profile and the level of compliance of staff nurses to the legal responsibility and ethico moral responsibility.