PROPOSED ENHANCEMENT ACTIVITIES TO ADDRESS THE NEEDS OF THE LEVEL III NURSING STUDENTS

ALONG THE 11 AREAS OF COMPETENCY

Key Areas of
Responsibility
Core Competency
Indicators
I. PATIENT CARE COMPETENCIES
1. Safe and
!ality
N!rsin" Care
Core Competency 1: Demonstrates knowledge
base on the health /illness status of individual /
groups
Identifies the health
needs of the clients (individuals, families,
population groups and/or communities
!"plains the health
status of the clients/ groups
Core Competency #$ %rovides sound decision
making in the care of individuals /
families/groups considering their beliefs and
values
Identifies clients&
wellness potential and/or health problem
'athers data related to
the health condition
(naly)es the data
gathered
*elects appropriate
action to support/ enhance wellness response+
manage the health problem
,onitors the progress
of the action taken
Core Competency -: %romotes safety and
comfort and privacy of clients
%erforms age.specific
safety measures in all aspects of client care
%erforms age.specific
comfort measures in all aspects of client care
%erforms age.specific
measures to ensure privacy in all aspects of
client care
Core Competency /: *ets priorities in nursing Identifies the priority
1
care based on clients& needs needs of clients
(naly)es the needs of
clients
Determines appropriate
nursing care to address priority
needs/problems
Core Competency 0: !nsures continuity of
care
1efers identified
problem to appropriate individuals / agencies
!stablishes means of
providing continuous client care
Core Competency 2: (dministers medications
and other health therapeutics
Conforms to the 13
golden rules in medication administration and
health therapeutics
2
Core Competency 4: 5tili)es the nursing
process as framework for nursing
4$1 %erforms comprehensive and
systematic nursing assessment
4$# 6ormulates a plan of care in collaboration
with clients and other members of the health
team
4$- Implements planned nursing care to
achieve identified outcomes
4$/ !valuates progress toward e"pected
outcomes
7 8btains informed consent
7 Completes appropriate assessment forms
7 %erforms appropriate assessment techni9ues
7 8btains comprehensive client information
7 ,aintains privacy and confidentiality
7 Identifies health needs
Includes client and his
family in care planning
Collaborates with other
members of the health team
*tates e"pected
outcomes of nursing intervention ma"imi)ing
clients& competence
Develops
comprehensive client care plan ma"imi)ing
opportunities for prevention of problems and/or
enhancing wellness response
(ccomplishes client.
centered discharge plan
!"plains interventions
to clients and family before carrying them out
to achieve identified outcomes
Implements nursing
intervention that is safe and comfortable
(cts to improve clients&
health condition or human response
%erforms nursing activities effectively and in a
timely manner
5ses the participatory approach to enhance
client.partners empowering potential for
3
healthy life style/wellness
,onitors effectiveness
of nursing interventions
1evises care plan based on e"pected
outcomes
#. Comm!nication
Core Competency 1: !stablishes rapport with
client, significant others and members of the
health team
Creates trust and confidence
*pends time with the client/significant others
and members of the health team to facilitate
interaction
:istens actively to client&s concerns/significant
others and members of the health team
Core Competency #: Identifies verbal and non.
verbal cues
Interprets and validates
client&s body language and facial e"pressions
4
Core Competency -: 5tili)es formal and
informal channels
,akes use of available
visual aids
5tili)es effective channels
of communication relevant to client care
management
Core Competency /: 1esponds to needs of
individuals, family, group and community
%rovides reassurance
through therapeutic touch, warmth and
comforting words of encouragement
%rovides therapeutic bio.
behavioral interventions to meet the needs of
clients
Core Competency 0: 5ses appropriate
information technology to facilitate
communication
5tili)es telephone, mobile
phone, electronic media
5tili)es informatics to
support the delivery of healthcare
$. Collaboration
and
Team%or&
Core Competency 1: !stablishes collaborative
relationship with colleagues and other
members of the health team
Core Competency #: Collaborates plan of care
with other members of the health team
Contributes to decision
making regarding clients& needs and concerns
%articipates actively in
client care management including audit
1ecommends appropriate
intervention to improve client care
1espect the role of other
members of the health team
,aintains good
interpersonal relationship with clients ,
colleagues and other members of the health
team
1efers clients to allied
health team partners
(cts as liaison / advocate
5
of the client
%repares accurate documentation for efficient
communication of services
'. (ealt)
Ed!cation
Core Competency 1: (ssesses the learning
needs of the client.partner/s
8btains learning
information through interview, observation and
validation
(naly)es relevant
information
Completes
assessment records appropriately
Identifies priority needs
Core Competency #: Develops health
education plan based on assessed and
anticipated needs
Considers nature of
learner in relation to: social, cultural, political,
economic, educational and religious factors$
Involves the client,
family, significant others and other resources in
identifying learning needs on behavior change
for wellness, healthy lifestyle or management
of health problems
6ormulates a
comprehensive health education plan with the
following components: ob;ectives, content, time
allotment, teaching.learning resources and
evaluation parameters
%rovides for feedback
6
to finali)e the plan
Core Competency -: Develops learning
materials for health education
Develops information
education materials appropriate to the level of
the client
(pplies health
education principles in the development of
information education materials
Core Competency /: Implements the health
education plan
%rovides for a
conducive learning situation in terms of time
and place
Considers client and
family&s preparedness
5tili)es appropriate
strategies that ma"imi)e opportunities for
behavior change for wellness/healthy life style
%rovides reassuring
presence through active listening, touch, facial
e"pression and gestures
,onitors client and
family&s responses to health education
Core Competency 0: !valuates the outcome
of health education
5tili)es evaluation
parameters
Documents outcome of
care
1evises health education plan based on client
response/outcome/s
II. EMPO*ERIN+ COMPETENCIES
5. ,e"al
Responsibility
Core Competency 1: (dheres to practices in
accordance with the nursing law and other
relevant legislation including contracts,
informed consent$
6ulfills legal
re9uirements in nursing practice
<olds current
professional license
7
(cts in accordance
with the terms of contract of employment and
other rules and regulations
Complies with re9uired
continuing professional education
Confirms information
given by the doctor for informed consent
*ecures waiver of
responsibility for refusal to undergo treatment
or procedure
Checks the completeness of informed
consent and other legal forms
Core Competency #: (dheres to organi)ational
policies and procedures, local and national
(rticulates the vision,
mission of the institution where one belongs
(cts in accordance
with the established norms of conduct of the
institution / organi)ation/legal and regulatory
re9uirements
Core Competency -: Documents care
rendered to clients
5tili)es appropriate
client care records and reports$
(ccomplishes accurate
documentation in all matters concerning client
care in accordance to the standards of
nursing practice$
-. Et)ico.moral
Responsibility
Core Competency 1: 1espects the rights of
individual / groups
1enders nursing care consistent with the
client&s bill of rights: (i$e$ confidentiality of
information, privacy, etc$
Core Competency #: (ccepts responsibility
and accountability for own decision and
actions
,eets nursing
accountability re9uirements as embodied in
the ;ob description
=ustifies basis for
nursing actions and ;udgment
8
%ro;ects a positive
image of the profession
Core Competency -: (dheres to the national
and international code of ethics for nurses
(dheres to the Code of
!thics for >urses and abides by its provision
1eports unethical and
immoral incidents to proper authorities
/. Personal and
Professional
0e1elopment
Core Competency 1: Identifies own learning
needs
Identifies one&s
strengths, weaknesses/ limitations
Determines personal
and professional goals and aspirations
Core Competency #: %ursues continuing
education
%articipates in formal
and non.formal education
(pplies learned
information for the improvement of care
Core Competency -: 'ets involved in
professional organi)ations and civic activities
%articipates actively in
professional, social, civic, and religious
activities
,aintains membership
to professional organi)ations
*upport activities
related to nursing and health issues
Core Competency /: %ro;ects a professional
image of the nurse
Demonstrates good
manners and right conduct at all times
Dresses appropriately
Demonstrates
congruence of words and action
?ehaves appropriately
at all times
Core Competency 0: %ossesses positive
attitude towards change and criticism
:istens to suggestions
and recommendations
9
@ries new strategies or
approaches
(dapts to changes
willingly
Core Competency 2: %erforms function
according to professional standards
(ssesses own
performance against standards of practice
*ets attainable
ob;ectives to enhance nursing knowledge and
skills
!"plains current
nursing practices, when situations call for it
III. EN(ANCIN+ COMPETENCIES
2. Records
Mana"ement
Core Competency 1: ,aintains accurate and
updated documentation of client care
Completes updated
documentation of client care
(pplies principles of
record management
,onitors and improves
accuracy, completeness and reliability of
relevant data
,akes record readily
accessible to facilitate client care
Core Competency #: 1ecords outcome of
client care
5tili)es a records
system e"$ Aarde" or <ospital Information
*ystem (<I*
5ses data in their
decision and policy making activities
Core Competency -: 8bserves legal
imperatives in record keeping
,aintains integrity,
safety, access and security of records
Documents/monitors
proper record storage, retention and disposal
8bserves
10
confidentially and privacy of the clients& records
,aintains an
organi)ed system of filing and keeping clients&
records in a designated area
6ollows protocol in
releasing records and other information
3. Mana"ement of
Reso!rces
and
En1ironment
Core Competency 1: 8rgani)es
work load to facilitate client care
Identifies tasks or activities that need to be accomplished
%lans the performance of tasks or activities based on priorities
Berifies the competency of the staff prior to delegating tasks
Determines tasks and procedures that can be safely assigned to
other members of the team
6inishes work assignment on time
Core Competency #: 5tili)es
financial resources to support client
care
Identifies the cost.effectiveness in the utili)ation of resources
Develops budget considering e"isting resources for nursing care
Core Competency -: !stablishes
mechanism to ensure proper
functioning of e9uipment
%lans for preventive maintenance program
Checks proper functioning of e9uipment considering the:
- intended use . safety
- cost benefits . waste creation and disposal storage
- infection control
1efers malfunctioning e9uipment to appropriate unit
Core Competency /: ,aintains a
safe environment
Complies with standards and safety codes prescribed by laws
(dheres to policies, procedures and protocols on prevention and
control of infection
8bserves protocols on pollution.control (water, air and noise
8bserves proper disposal of wastes
Defines steps to follow in case of fire, earth9uake and other
11
emergency situations$
I4. ENA5,IN+ COMPETENCIES
16. !ality
Impro1ement
Core Competency 1: 'athers data
for 9uality improvement
Identifies appropriate 9uality improvement methodologies for the
clinical problems
Detects variation in specific parameters i$e vital signs of the client
from day to day
1eports significant changes in clients& condition/environment to
improve stay in the hospital
*olicits feedback from client and significant others regarding care
rendered
Core Competency #: %articipates in
nursing audits and rounds
*hares with the team relevant information regarding clients&
condition and significant changes in clients& environment
!ncourages the client to verbali)e relevant changes in his/her
condition
%erforms daily check of clients& records / condition
Documents and records all nursing care and actions implemented
Core Competency -: Identifies and
reports variances
1eports to appropriate person/s significant variances/changes/occurrences
immediately
Documents and reports observed variances regarding client care
12
Core Competency /: 1ecommends
solutions to identified problems
'ives an ob;ective and accurate report on what was observed
rather than an interpretation of the event
%rovides appropriate suggestions on corrective and preventive
measures
Communicates solutions with appropriate groups
11. Researc) Core Competency 1: 'ather data
using different methodologies
*pecifies researchable problems regarding client care and
community health
Identifies appropriate methods of research for a particular client /
community problem
Combines 9uantitative and 9ualitative nursing design through
simple e"planation on the phenomena observed
Core Competency #: (naly)es and
interprets data gathered
(naly)es data gathered using appropriate statistical tool
Interprets data gathered based on significant findings
Core Competency -: 1ecommends
actions for implementation
1ecommends practical solutions appropriate to the problem based on the interpretation of
significant findings
Core Competency /: Disseminates
results of research findings
*hares/presents results of findings to colleagues / clients/ family
and to others
!ndeavors to publish research
*ubmits research findings to own agencies and others as
appropriate
Core Competency 0: (pplies
research findings in nursing practice
5tili)es findings in research in the provision of nursing care to
individuals / groups / communities
,akes use of evidence.based nursing to enhance nursing practice
Revised May 2009 (those in red are the latest additions to the Core Competencies and Indicators)
13