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National Nursing Core Competency Standards

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National Nursing Core Competency Standards “This publication has been produced with the assistance of the European Union. The contents of this publication are the sole responsibility of the contributors listed in this publication and the Commission on Higher Education of the Philippines, consultant to the International Labour Organization and can in no way be taken to reflect the views of the European Union”. NATIONAL NURSING CORE COMPETENCY STANDARDS TRAINING MODULES PHILIPPINES Copyright © International Labour Organization 2014 Publications of the International Labour Office enjoy copyright under Protocol 2 of the Universal Copyright Convention. Nevertheless, short excerpts from them may be reproduced without authorization, on condition that the source is indicated. For rights of reproduction or translation, application should be made to ILO Publications (Rights and Permissions), International Labour Office, CH-1211 Geneva 22, Switzerland, or by email: [email protected]. The International Labour Office welcomes such applications. Libraries, institutions and other users registered with reproduction rights organizations may make copies in accordance with the licences issued to them for this purpose. Visit www.ifrro.org to find the reproduction rights organization in your country. ILO Cataloguing in Publication Data National nursing: core competency standards: training modules: Philippines / International Labour Organization; ILO Country Office for the Philippines. - Makati City: ILO, 2014 ISBN: 9789221287360; 9789221287377 (web pdf); 9789221287384 (CD-ROM) International Labour Organization; ILO Country Office for the Philippines nurse / vocational education / level of qualification / medical care / certificate of competency / standard / training course / role of ILO / Philippines 13.11.2 The designations employed in ILO publications, which are in conformity with United Nations practice, and the presentation of material therein do not imply the expression of any opinion whatsoever on the part of the International Labour Office concerning the legal status of any country, area or territory or of its authorities, or concerning the delimitation of its frontiers. The responsibility for opinions expressed in signed articles, studies and other contributions rests solely with their authors, and publication does not constitute an endorsement by the International Labour Office of the opinions expressed in them. Reference to names of firms and commercial products and processes does not imply their endorsement by the International Labour Office, and any failure to mention a particular firm, commercial product or process is not a sign of disapproval. ILO publications and electronic products can be obtained through major booksellers or ILO local offices in many countries, or direct from ILO Publications, International Labour Office, CH-1211 Geneva 22, Switzerland. Catalogues or lists of new publications are available free of charge from the above address, or by email: [email protected] Visit our web site: www.ilo.org/publns Printed in the Philippines Foreword The International Labour Organization (ILO) is the United Nations’ specialized agency responsible for developing and overseeing international labour standards. It is also the UN agency with a constitutional mandate to protect migrant workers including migrant health professionals and skilled workers. ILO adopts a rights-based approach to labour migration and promotes tripartite - government, employers and workers participation in migration policy. The ILO has adopted two conventions and and associated recommendations focusing on migration issues. These are Migration for Employment Convention (Revised), 1949 (No. 97) Migration for Employment Recommendation (Revised), 1949 (No.86), Migrant Workers (Supplementary Provisions) Convention, 1975 (No. 143), and Migrant Workers Recommendation, 1975 (No. 151). To build bridges between ILO’s standard-setting role, programmes and services for its constituents, the ILO implements projects with funding from donors worldwide and partnerships with local stakeholders. In 2011, the European Union partnered with the ILO to implement a project on the migration of skilled workers. The ILO Decent Work Across Borders (DWAB) project: A Pilot project for Migrant Health Professionals and Skilled Workers seeks to better understand schemes in line with circular migration of health professionals. As part of DWAB’s aim to stengthen employment services for health professionals, it validated the need to conduct training courses on nursing qualification and competency frameworks and certification. Nursing skills and competencies mastery and recognition are the prerequisite conditions for migrant nurses to be treated fairly upon employment in the Philippines and in any receiving country. To support the dissemination of the nursing core competencies to improve and uphold the quality of nursing in the country and its graduates, the ILO DWAB project partnered with the Commission on Higher Education (CHED) and the Professional Regulatiion Commission (PRC) to implement this subproject entitled “Nursing Core Competencies Training for Master Trainers in Nursing Education and Practice”. This entailed the conduct of pilot training courses for nurse master trainers in key areas in Luzon, Visayas and Mindanao and the development and pilot of the training module. Together with CHED and PRC, ILO DWAB recognizes the importance of standardizing the competencies across the Philippines to make nursing education and practice more locally relevant and internationally competetive. This subproject was designed and implemented in the best interest of the nurses themselves, the Filipino people and the many people Filipino nurses serve worldwide. Lawrence Jeff Johnson Director International Labour Organization Country Office for the Philippines National Nursing Core Competency Standards - Training Modules i Preface Significant advances in the nursing profession made it imperative to define the competencies, performance indicators and standards for beginning nurses in their different roles. The promulgation of the Philippine Regulation Commission-Board of Nursing (PRC-BON)’s National Nursing Core Competency Standards (NNCCS) is a response to this situation. However, for effective and efficient implementation, training programs and materials aligned with the competency standards need to be developed. This set of training modules was prepared by expert nurses for the purpose of ensuring compliance with the NNCCS. The writers are experts from the academe, community and nursing service sectors so that situations and examples are realistic and relevant. These modules are primarily intended for Master Trainers (Mentors) and their nurse trainees. The focus is on enhancing skills for developing competencies such as critical thinking, problem solving and decision- making in applying legal and moral principles to nursing care, management and research. Case studies and scenarios in the workplace are used to illustrate the teaching of some topics. The modules are not intended to give a comprehensive discussion of the topics. Content can be learned from the books and articles in the reference list to which mentors and trainees are directed. As the readers go through the modules, they are encouraged to think, plan and reflect on the learning process that they should undertake and the outcomes to achieve. The collaborative efforts of Philippine Regulation Commission-Board of Nursing (PRC-BON), Commission on Higher Education – Technical Committee for Nursing Education (CHED-TCNE), International Labour Organization (ILO) and the dedicated writing team ensure that this undertaking will contribute to the enhancement of nursing education and practice. PATRICIA B. LICUANAN, Ph.D. Chairperson National Nursing Core Competency Standards - Training Modules ii Table of Contents i Foreword ii Preface iii Table of Contents vii List of Tables x List of Figures xi Abbreviations xvi Acknowledgement xvii Contributors xix Coaches and Mentors xx Master Trainers INTRODUCTION 1 Module 1: Introduction and Course Overview 8 Module 2: The Roles of the Professional Nurse 16 Module 3: Change Management BEGINNING NURSE’S ROLE ON CLIENT CARE 23 Module 4: Practicing Legal and Ethical Principles towards Personal and Professional Judgment 32 Module 5.1: Nursing Care of Children 46 Module 5.2: Care of Childbearing Women 57 Module 5.3: Health Promotion 68 Introduction to the Cluster and Case Report: Applied to Modules 5.5, 5.6 and 5.8 71 Module 5.4: Teaching the Care of the Chronically Ill Adult Patient 97 Module 5.5: Care of the Acutely Ill Adult Client 115 Module 5.6: Rehabilitation Nursing of Adult and Older Persons 132 Module 5.7: Care of Clients with Problems on Psychosocial Adaptation/Adjustment 147 Module 5.8 Care of the Older Person 165 Module 5.9: Levels of Clientele in Community Health Nursing Practice: Family, Specific Population Groups and Community National Nursing Core Competency Standards - Training Modules iii Table of Contents 207 Module 5.10: Emergency and Disaster Management 221 Module 6: Documentation, Recording and Reporting System 233 Module 7: Collaboration and Teamwork 244 Module 8: Self-Mastery and Professional Growth BEGINNING NURSE’S ROLE ON LEADERSHIP AND MANAGEMENT 253 Module 9.1: Leadership and Management in Safe and Quality Care (Hospital) 262 Module 9.2: Leadership and Management in the Community: Safe and Quality Care 275 Module 10: Nursing Leadership and Management in Safety and Accountability 285 Module 11.1: Leadership and Management Skills
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