Professional Documents
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vCARMENCITA MATIAS - ABAQUIN vYOLANDA CORTEZ - ARUGAY vLEONILA ALCANTARA - FAIRE vBETTY FACTORA - MERRITT vPERLA GONZALES - PO vAMELIA BUENCAMINO - ROSALES vMARCO ANTONIO CABRERA STO . TOMAS
1. Nursing Education 2. Nursing Core Competency Revisiting Project 3. National Nursing Career Progression Program and Council for Nursing Advancement, Recognition and Specialization 4. CPE 5. NLE 6. Nursing Research and Nursing Service Monitoring 7. Philippine Nursing Profession Roadmap 8. Nursing Law Reform
OUTLINE
R. A. 9173 The Philippine Nursing Act of 2002 The Professional Regulation Commission
BOARD OF NURSING
QUASILEGISLATIVE
QUASIJUDICIAL
EXECUTIVE
NURSING EDUCATIO N
N . E . Standards Requiremen ts for RLE Accreditat ion of N.E. Programs Review Centers
ADPCN , ANSAP , Various Specialty & Interest Groups , DOH , LGUs , NBI , DOLE , POEA , DFA , AIM
NURSING EDUCATION
PRC-CHED Collaborative MOA On School Visitation All BON members will be part of the School Visitation Team CHED- TCNE and CHED Regional Directors and Supervisors part of the Team
Unified CHED-PRC BON Monitoring Tool Now Available Schools are enjoined to do their self monitoring using the tool Schedule of school monitoring to be determined
Members:
DR. CARMENCITA M. ABAQUIN DR. TERESITA I. BARCELO DR. FELY MARILYN E. LORENZO DR. LORENZANA SERAFICA DR. JOSEFINA A. TUAZON
CHED PRC-BON Management Information System Collaboration This collaboration will facilitate data exchange and retrieval
Work - Setting Professional Scenarios : Roles Demographic Requir Profile Professional ed Health Responsibilities Picture Socio Professional Economic Tasks Political SKA Analysis Cultural Context Selecting Learning Experiences Professional Competencies Student Competencies
A Model Revised
inputs and analysis. The expected output: creation of health and health care scenarios affecting the nursing profession; identification of their roles and the responsibilities needed to perform each role; 2) PHASE IB ( April 2009) Benchmarking of Nursing Core Competencies. 3) PHASE II A, B, C, (June 2010, Nov.2010 and Feb.2011) Validation strategies of the identified nurses roles. Methodology focus-group discussion, Participant
4. PHASE IV- Pilot Testing Of Nursing Core Competency ( Aug. Sept. 2011) 5. PHASE V Public Hearing . Output Final Nursing Core Competency
PHASE VI - Promulgation Of The Revised Nursing Core Competency Standard Phase VII - Training In The Use Of The Revised Nursing Core Competency Standard Phase VIII - Implementation Of The Revised Nursing Core Competency Standard Phase IX - Evaluation
BOARD OF NURSING
creates the
R E C O G NI ZE S
C-NARS
(as per BoN Resolution No. 22, S. 2009)
FUNCTIONS
TASKS
Appeals Panel
1. Leadership/Governance 2. Service/Practice/Clinical
COMMUNITY HEALTH NURSING SPECIALTY MOTHER AND CHILD NURSING SPECIALTY MEDICAL SURGICAL NURSING SPECIALTY MENTAL HEALTH AND PSYCHIATRIC NURSING SPECIALTY
IMPLEMENTING MECHANISMS FOR THE NATIONAL NURSING CAREER PROGRESSION PROGRAM NNCPP.2011
NATIONAL NURSING CAREER PROGRESSION PROGRAM ( NNCPP ) AND COUNCIL FOR NURSING ADVANCEMENT , RECOGNITION , AND SPECIALIZATION ( CNARS )
Implementation now for mainstreaming with help from Dr. Federico Macaranas as consultant on the areas Public Private Partnership /Government Owned and Controlled Corporation (PPP/GOCC) Core Group meeting regularly to discuss mechanics and guidelines
The CPE COUNCIL - working closely and collaboratively with the COUNCIL FOR NURSING ADVANCEMENT, RECOGNITION, AND SPECIALIZATION (CNARS) and the NATIONAL NURSING CAREER PROGRESSION PROGRAM (NNCPP) as provided for in BON Resolution 22, Series 2009.
The CPE Council intends to dovetail its work with (CNARS) guidelines to make possible the approval of CPE activities that facilitates ones career progression in nursing. This is in response to the clamour of many nurse practitioners to come up with immediate action on the career progression and specialization program of the Board of Nursing.
Tips To Facilitate Processing Of CPE Program Application 2) Completely fill up the CPE Program Cont.
Application form for NURSING stating contact person/s & contact numbers of Provider for immediate feedback about requirements if needed. Use of the form that is NOT SPECIFIC to nursing shall not be accepted for processing.
Tips To Facilitate Processing Of CPE Program Application 3) State specific course objectives that Cont.
identify expected behavioural outcomesthat must be spelled out in the specific evaluation tool for the course after participation/attendance in the CPE program. Include instrument used; tests administered if any, to participants of the course /program.
4) A copy of the actual program of activities should be submitted showing time allotment for the topics listed in the instructional design for assignment of credit units. Time allotted for return demonstrations of participants is given half credit.
Tips To Facilitate Processing Of CPE Program Application Cont. 5) Proof of expertisein a given field should
accompany the resume of speakers along with their current/valid PRC license. Mere attendance to a training program does not imply expertise. 6) Tabs must be used in submitted documents for evaluator to identify the different sections of the documents submitted to facilitate processing.
M E R G I N G
E X T R A C T I O N
A D M I N P
R I N T I N G
OF E X A M S
C O R R E C T I O N
R E L E A S E O F
E X A M R E S U L T S
1. TEST DEVELOPMENT
Regular Analysis of the 4 Ps to maintain Integrity, Credibility and Quality of NLE Review of Competency-based Test Framework BON Peer Test Development and Editing BON Group Key Answer Determination Preparation for the New NLE Test Framework for Graduates of CMO No. 14
DEVELOPMENTS IN NLE
BON OLAP in now integrated with PRCLERIS for pilot testing by July post NLE BON MIS will be fully set up after full implementation of PRC-BON OLAP-LERIS Project Started ground works towards improvement of NLE Venues for NCR (SMX-PICC-WTC) as complementary measure to NLE On Line Application
NURSING PROCESS NP I
Basic Foundation of Nursing and Professional Practice
NP II
Community Health Nursing and Care of Healthy/At Risk Mother and Child
NP III
Care of Clients with Physiologic and Psychosocial Alterations [A]
NP IV
Care of Clients with Physiologic and Psychosocial Alterations [B]
NP V
Care of Clients with Physiologic and Psychosocial Alterations [C]
NP I
PREVENTIVE
NP V
PATIENT CARE C U COMPETENCIES
P R O M O T I V E
PERSONAL AND PROFESSIONAL DEVELOPMENT RECORDS MANAGEMENT MANAGEMENT OF RESOURCES AND ENVIRONMENT
R ENHANCINGA T I EMPOWERING V E
Care of Clients w / Physiologic & Psychosocial Alterations Part C
ENABLING
Basic CHN & Care of Foundation Normal Mother of Nursing & Child and Professional Practice
C U R A T I V E
REHABILITATIVE
10
Record management
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NURSING PRACTICE I
SAFE QUALITY CARE ( 50 %) A1. 1 Situation - Care of clients during admission and discharge in any setting A 2. 1 Situation - Care of client with problem in thermoregulation A 3. 1 Situation - Care of clients to maintain blood pressure and pulse within normal Situation - Care of clients requiring medication/drug management A 4. 1 range
A 5. 1 Situation - Care of clients to promote & maintain safety, and those with 1 Situation - Care of clients with mild oxygenation problems A 6. risk for infection A 7. 1 Situation - Care of clients requiring nutritional management & those with elimination problems A 8. 1 Situation - Care of clients to promote comfort and hygiene A 9. 1 Situation - Care of clients with mobility / immobility problems A 10. 1 Situation - Care of the dying person ( End of Life Care) B . COMMUNICATION ( 5 %) B1. 1 Situation Application C . COLLABORATION & TEAM WORK ( 5 %) C1 1 Situation. Integration D . HEALTH EDUCATION ( 5 %) D1.1 Situation Application Focus: Health Promotion, Healthy Life Focus :Nurse Client interaction
concepts (5%) F. LEGAL F1 1 Situation Focus on Nursing Law G. PERSONAL AND PROFESSIONAL GROWTH (5%) G1 . 1 Situation Application : Focus : New graduate
NURSING PRACTICE II
SAFE QUALITY CARE (50%) PART I CHN (25%) A1. 2 Situations - Care of normal and at risk families A 2. 1 Situation - Care of population groups A 3. 2 Situations - Care of the communities PART II MCN (25%) A 6. 1 Situation - Care of the newborn infant A 7. 1 Situation - Care of the normal child and those with common alterations/illnessCare of the client with sexuality, reproductive health, & A 8. 1 Situation fertility problems Care of the normal pregnant woman going through the various A 9. 1 Situation stages of pregnancy Care of the pregnant woman with complications of pregnancy A 10. 1 Situation COMMUNICATION (5%) B1. 1 Situation Application: Focus CHN, MCN C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application: Focus CHN, MCN D. HEALTH EDUCATION (5%) D1.1 Situation Application: Focus Family, Popn Group, Community, Pregnant Mother,
NURSING PRACTICE IV
PATIENT CARE COMPETENCIES (65%) SAFE QUALITY CARE (50%) A1. 2 Situations : Care of clients with alterations in fluid and electrolyte and acid A2. 2 Situations: Care of clients with alterations in base immunologic inflammatory & balance A3. 2 Situations : Care of clients with cellular aberrations A4. 2 response Situations : Care of clients in acute biologic crisis A5. 2 Situations : Care of clients in emergency and disaster situations B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application Focus -related to the above concepts D. HEALTH EDUCATION (5%) D1. 1 Situation Application Focus-related to the above concepts,
NURSING PRACTICE V
SAFE QUALITY CARE (50%) PART I . Care of Clients with Alterations in Perception & Coordination A1.1 Situation Care of clients with alterations in neurologic functioning A2. 1Situation Care of clients with alterations in sensory functions A3. 1 Situation Care of clients with alterations in musculoskeletal functions A4. 1 Situation Care of clients with degenerative problems affecting perception& coordination PART II Care of clients with maladaptive patterns of behaviour . 1 Situation Care of Clients with Age-related maladaptive A5 patterns 1 Situation Care of Clients with Alterations in thought & A6. perception A7. 1 Situation Care of Clients with Depression, Mania, & suicide A8. 1 Situation Care of Clients with Stress & anxiety, Aggression, Hostility, Situation Care of Clients with Maladaptive patterns of A9. 1 Violence personality;Situation Care of Clients with Psychosexual disturbances, Eating A10. I with Physiologic Alterations, Substance Abuse disturbances B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application Focus -related to the above concepts D. HEALTH EDUCATION (5%) D1. 1 Situation Application Focus-related to the above concepts,
Test Framework is competency based. Thus we are testing the ability of the examinees to provide first level professional nursing care to varied clients and settings Thus the testing conditions are hospital and community based clinical scenarios Order of Learning in the Cognitive Domain that is given emphasis are Application, Analysis, Synthesis and Evaluation
Table of Specifications
COMPETENCY
No. of Examinees
7,993 7,632 13,225 12,100 26,000 24,287 42,006 40,147 78,583 67,728 64,459 88,649 77,901 95,282 91, 000
No. of Passers
4,217 3,311 7,371 5,210 12,843 13,108 17,318 19,712 40,726 28,924 27,765 39,455 32,617 37,000 37,679
% Passing
52.77% 43.38% 55,74% 43.06% 49.40% 53.97% 41.23% As per CA decision 49.10% 51.83% 43.45% 43.07% 44.51% 41.87% 39.73% 41.40%
Dec 2010
84,285
29,711
35.25%
NURSE LICENSURE EXAMINATION 2006 - 2010 MONTH OF SCHOOLS WITH WITH 30 % TOTAL NO , OF PERCENTAGE NO . OF SCHs . PASSING % OF 30 % AND NO . / YEAR & BELOW PASSING SCHOOLS JUNE 2006 172 348 49.43% BELOW PERCENTAGE
Dec. 2006 JUNE 2007 DEC. 2007 JUNE 2008 NOV. 2008 JUNE 2009 NOV. 2009 JULY 2010 DEC 2010 66 206 158 213 139 216 185 212 231 279 504 405 426 442 470 473 463 470 23.66% 40.87% 39.01% 50% 31% 46% 39.11% 45.78%. 49.14%^
The Collaborative Research is undertaken with ADPCN and Phil. Nursing Research Society (PNRS) Entitled Analytical Study of the NLE Performance of Graduates of Colleges of Nursing In the Philippines (NLE Dec. 2006Dec 2011)
A core group, the Performance Governance System-Technical Working Group (PGS-TWG), continues to hold working sessions to polish the Initiatives, align with 23 Measures and prioritize implementation of the Initiatives. The Balanced Scorecard (BSC) and Performance Governance System (PGS) of the Institute for Solidarity in Asia (ISA) provide the process framework of good governance, the thrust of the nursing profession roadmap.
The present challenge is to formally set up an Office of Strategy Management which shall be tasked to monitor the implementation of the nursing roadmap. Likewise, a structural organization among the nursing organizations is necessary to handle administration and logistics of the whole program. This is the subject of ongoing meetings and discussions to be able to craft a MOU/A - to set up the organizational mechanics.
The complete program of Philippine Professional Nursing Roadmap 2030 to include: Charter Statement, Strategy Map, Initiatives and Measures, Structural organization and the OSM, shall be presented to all stakeholders for its final approval and adoption by the nursing profession.
Before the year ends, as soon as possible, it is hoped that the PPNR 2030 (Philippine Professional Nursing Roadmap) shall have been institutionalized as:
One profession One Vision Having a unified strategy With clear targets Fully supported by Filipino nurses and other stakeholders One in Journey to Nationhood: PHILIPPINES 2030
Introduction
q The Board of Nursing was created to supervise and regulate the practice of the nursing profession in the Philippines. q In line with this, the PRC BON, with the help of the Institute for Solidarity in Asia (ISA), crafted the Nursing Roadmap 2030 to guide the profession towards its vision of Philippine Professional Nursing Care: The Best for the Filipino and the Choice of the World.
During the process, the pressing need to align the Philippine Nursing Act of 2002 (RA 9173) to this Roadmap was recognized by the Board. Additionally, the updating of the Nursing law to become more relevant and responsive has always been one of the responsibilities of the Board, especially given the state of the profession today.
Methodology
A core group of key stakeholders in the Nursing profession in the country was formed and, from August 2010 onwards, a series of discussions and workshops was held to identify issues in Philippine Nursing, as well as to benchmark the Nursing Law with that of other professions in the Philippines and with Nursing Acts from other countries. The workshops also aimed to determine the sentiments of the various regarding the content and implementation gaps of RA 9173, and the changes to be established in the said Act.
After the separate workshops were conducted (BON, PNA, ANSAP, ADPCN, Clinical Specialty groups, Interest groups), the output derived from the workshops was presented to a plenary of over a hundred key stakeholders in the Nursing profession, including the executive committees of all Nursing organizations, as well as some representatives from Congress. This was done to further determine the acceptable revisions to the Nursing Law, as part of the initiative towards participative policy-making.
Finalize
the content and brainstorm with legislators to determine what should be legislated and what can be changed privately to prevent bureaucratic issues. Search for legislative champions and authors Policy discussions/debates Need to provide evidence statistics , position papers to support proposed revisions Met with Congressman Padilla (March 28 and April 26) Title Phil . Nursing Practice Reform Act - House Bill 4567 Bill drafting in both chambers
Next Steps
Next Steps
Advocacy activities to show support to the proposed revisions (focused and purposeful) BON met to get reactions/ suggestions Output to be presented to the Core Group May 18, 2011 Meeting with Senator Angara to be arranged
Next Steps
Enacting the proposed legislation only the beginning
Development
of the Implementing Rules and Regulations IMPLEMENTATION Evaluation of policy outcomes after 3-5 years
Goals
IMPLEMENTATION
OF THE NURSING LAW: To make Nursing a vital force to promote national development; To improve health care delivery To contribute to health outcomes including patient safety PROMOTE COMMON GOOD! ATTAIN THE VISION OF THE NURSING PROFESSION
Professional Nursing Care : The Best for the Filipino and the Choice of the World
Philippine
LINKAGES
THANK YOU !