CORE COMPETENCY STANDARDS: ITS APPLICATION TO NURSING PRACTICE

Raymund Christopher R. dela Pea, RN, RM Clinical Faculty UNP-College of Nursing

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Significance of the Core Competency Standards

The core competency standards will serve as a unifying framework for nursing education, regulation and practice.

International, National & Institutional Contexts

Nursing Regulation

11 Nursing Core Competen cies

Nursing Education NOVICE Nursing Practice

SIGNIFICANCE OF THE CORE COMPETENCY STANDARDS

guide in developing curriculum in nursing framework in developing test syllabus for entrants into the nursing profession tool for performance evaluation among nurses basis for advanced practice and specialization framework for developing a training curriculum for nurses protect the public from incompetent practitioners yardstick for unethical and unprofessional practice of nursing

The Core Competencies for the Entry-Level

There are eleven-(11) core competency areas for nursing practice that were identified which include the following:

The Core Competencies for the Entry-Level

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

SAFE AND QUALITY NURSING CARE MANAGEMENT OF RESOURCES AND ENVIRONMENT HEALTH EDUCATION LEGAL RESPONSIBILITY ETHICO-MORAL RESPONSIBILITY PERSONAL AND PROFESSIONAL DEVELOPMENT QUALITY IMPROVEMENT RESEARCH RECORD MANAGEMENT COMMUNICATION COLLABORATION AND TEAMWORK

Key Area of Responsibility

A.

SAFE AND QUALITY NURSING CARE

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Core Competency 1:
Demonstrates knowledge base on the health/illness status of individual/groups

Indicators:
lIdentifies

the health needs of the patients / groups lExplains the health status of the patients / groups

Core Competency 2:
Provides sound decision making in the care of individuals/ groups

Indicators:
lIdentifies

the problem lGathers data related to the problem lAnalyzes the data gathered lSelects appropriate action lMonitors the progress of the action taken

Core Competency 3: Promotes safety and comfort of patients

Indicators: lPerforms age-specific safety measures in all aspects of patient care lPerforms age-specific comfort measures in all aspects of patient care

Core Competency 4:

Indicators: lIdentifies the priority needs Sets priorities in nursing of patients care based on patients lAnalyzes the needs of needs patients lDetermines appropriate nursing care to be provided

Core Competency 5: Ensures continuity of care

Indicators: lRefers identified problem to appropriate individuals/agencies lEstablishes means of providing continuous patient care

Core Competency 6:

Indicator: lConforms to the 10 golden Administers rules in medication medications and other administration and health health therapeutics therapeutics

Core Competency 7:

Indicators: lObtains consent Utilizes nursing lCompletes appropriate process framework forassessment forms nursing lPerforms effective assessment techniques Performs lObtains comprehensive client Comprehensive and information systematic nursing lMaintains privacy and assessment confidentiality lIdentifies health needs

Indicators: lIncludes patient and his Formulates a plan of family in care planning care in collaboration lStates expected with patients and other outcomes of nursing members of the health intervention team lDevelops comprehensive patient care plan lAccomplishes patient centered discharge plan
Core Competency 8:

Indicators: lExplains interventions to Implements planned patients and his family nursing care to achieve before carrying them out identified outcomes lImplements nursing intervention that is safe and comfortable lActs according to clients health condition and needs lPerforms nursing activities effectively and in a timely manner
Core Competency 9:

Core Competency 10: Evaluates progress toward expected outcomes

Indicators: lMonitors effectiveness of nursing interventions lRevises care plan when necessary

Core Competency 11:

Indicators: lIdentifies sudden changes Respond to the in the patients health urgency of the patientsconditions condition lImplements immediate and appropriate intervention

Key Area of Responsibility

B. MANAGEMENT OF RESOURCES AND ENVIRONMENT

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Core Competency 1:

Indicators: lIdentifies tasks or activities Organizes work load to that need to be facilitate patient care accomplished lPlans the performance of tasks or activities based on priorities lFinishes work assignment on time Core Competency 2: Utilizes resources to support patient care Indicators: lDetermines the resources needed to deliver patient care lControls the use of supplies and equipment

Core Competency 3: Ensures functioning of resources

Indicators: lChecks proper functioning of equipment lRefers malfunctioning equipment to appropriate unit

Core Competency 4:

Indicators: lDetermines tasks and Checks proper procedures that can be safely functioning of equipment assigned to other member of the team lVerifies the competency of the staff prior to delegating tasks

Core Competency 5: Indicators: lObserves proper disposal of Maintains a safe wastes environment lAdheres to policies, procedures and protocols on prevention and control of infection lDefines steps to follow in case of fire, earthquake and other emergency situations

Key Area of Responsibility C. HEALTH EDUCATION

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Core Competency 1: Indicators: Assesses the learning lObtains learning information needs of the patient through interview, observation and and family validation lDefines relevant information lCompletes assessment records appropriately lIdentifies priority needs Core Competency 2: Develops health education plan based on assessed and anticipated needs Indicator: lConsiders nature of learner in relation to: social, cultural, political, economic, educational and religious factors.

Core competency 3: Indicators: Develops learning lInvolves the patient, family, materials for health significant others and other education resources lFormulates a comprehensive health education plan with the following components: objectives, content, time allotment, teaching-learning resources and evaluation parameters lProviders for feedback to finalize the plan

Core Indicators: Competency 4: lProvides for a conducive learning situation Implements the in terms of time and place health education lConsiders client and familys preparedness lUtilizes appropriate strategies plan
lProvides

reassuring presence through active listening, touch, facial expression and gestures lMonitors client and familys responses to health education

Core Indicators: Competency 5: lUtilizes evaluation parameters Evaluates the lDocuments outcome outcome of lRevises health education plan when health education necessary

Key Area of Responsibility D. LEGAL RESPONSIBILITY

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Core Competency 1: Indicators: Adheres to practices lFulfills legal requirements in nursing in accordance with practice lHolds current professional license the nursing and lActs in accordance with the terms of other relevant legislation including contract of employment and other rules contracts, informed and regulations lComplies with required continuing consent.
professional education lConfirms information given by the doctor for informed consent lSecures waiver of responsibility for refusal to undergo treatment of procedure lChecks the completeness of informed consent and other legal forms

Core Competency 2: Adheres to organizational policies and procedures, local and national

Indicators: lArticulates the vision, mission of the institution where one belongs lBehaves in accordance with the established norms of conduct of the institution/organization lShows membership of the accredited professional organization and a professional organization relevant

Indicators: Core competency 3: lUtilizes appropriate patient care records and Documents carereports lAccomplishes accurate documentation in all rendered to matters concerning patient care in patients accordance to the standards of nursing practice.

Key Area Responsibility E. ETHICO-MORAL RESPONSIBILITY

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Core Competency 1: Indicators: lRenders nursing care consistent with Respects the rights the patients bill of rights: of individual/groups (1i.e.confidentiality of information, privacy, etc.) Core Competency 2: Indicators: lMeets nursing accountability Accepts requirements as embodied in the job responsibility and description accountability for lJustifies basis for nursing actions own decision and and judgments actions lProjects a positive image of the profession

Core Competency 3:

Indicators: lRecites the code of ethics for Adheres to the national Nurses and abides by its and international code of provision ethics for nurses lReports unethical and immoral incidents to proper authorities

Key Area of Responsibility F. PERSONAL AND PROFESSIONAL DEVELOPMENT

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Core Competency Indicators: 1: lVerbalizes strengths, weaknesses, Identifies own limitations learning needs lDetermines personal and professional goals and aspirations Core Competency Indicators: 2: lAttends formal and non-formal Pursues education continuing lEarns required continuing education education units

Core Competency Indicators: 3: lParticipates actively in professional, Gets involved in social, civic, and religious activities professional lMaintains membership to professional organizations and organizations civic activities lSupport activities related to nursing and health issues Core Competency Indicators: 4: lDemonstrates a good manners and Projects a right conduct at all times professional lDresses appropriately image of the lDemonstrates congruence of words and nurse action lBehaves appropriately at all times

Core Competency Indicators 5: Possesses lListens to suggestions and positive attitude recommendations towards change lTries new strategies or approaches and criticism lAdapts to changes willingly Core Competency Indicators: 6: lAssesses own performance against Performs function standards of practice according to lSets attainable objectives to enhance professional nursing knowledge and skills standards lExplains current nursing practices, when situations call for it

Key Area Responsibility G. QUALITY IMPROVEMENT

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Core Competency 1: Indicators: lDemonstrate knowledge of Gathers data for method appropriate for the quality improvement clinical problems identified lDetects variation in the vital signs of the patient from day to day lReports necessary elements at the bedside to improve patient stay at hospital lSolicits feedback from patient and significant other regarding care rendered

Indicators: Core Competency 2: lContributes relevant information about Participates in patient condition as well as unit condition nursing adults and patient current reactions lShares with the team current information and rounds

regarding particular patients condition lSpeaks for the patient what is relevant to his condition lDocuments and records all nursing care and actions lPerforms daily check of patients records / condition lCompletes patients records lActively contributes relevant information of patients during rounds thru readings and sharing with others

Core Competency 3: Indicators: lDocuments observed variance Identifies and regarding patient care and reports variances
submits to appropriate group within 24 hours lIdentifies actual and potential variance to patient care lReports actual and potential variance to patient care lSubmits reports to appropriate groups within 24 hours

Core Competency 4: Recommends solutions to identified problems

Indicators:
lGives

appropriate suggestions on corrective and preventive measures lCommunicates and discusses with appropriate groups lGives an objective and accurate report on what was observed rather than an interpretation of the event.

Key Area of Responsibility H. RESEARCH

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Core Competency 1: Gather data using different methodologies

Indicators: lAble to identify researchable problems regarding patient care and community health lIdentify appropriate methods of research for a particular patient/community problem lCombines quantitative and qualitative nursing design thru simple explanation on the phenomena observed lAnalyzes data gathered

Core Competency 2: Indicator: Recommends lBased on the analysis of data actions for gathered, recommends practical implementation solutions appropriate for the problem.

Core Competency 3: Indicators: Disseminates lAble to talk about the results of results of research findings to colleagues/patients/family findings and to others lEndeavors to publish research lSubmits research findings to own agencies and others as appropriate

Core Competency 4: Applies research findings in nursing practice

Indicators: lIncorporates findings in research in the provision of nursing care to individuals/groups/communities lAble to make meta-analysis of research findings to ameliorate nursing practice.

Key Area of Responsibility I. RECORDS MANAGEMENT

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Core Competency 1: Indicators: Maintains accurate lCompletes updated documentation and updated of patient care. documentation of patient care Core Competency 2: Indicators: Records outcome of lUtilizes a records system ex. Kardex patient care or Hospital Information System (HIS)

Core Competency 3: Observes legal imperatives in record keeping

Indicators: lObserves confidentially and privacy of the patients records lMaintains an organized system of filing and keeping patients records in a designated area. lRefrains from releasing records and other information without proper authority

Key Area of Responsibility J. COMMUNICATION

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Core Competency 1: Establishes rapport with patients

Indicators: lCreates TRUST and CONFIDENCE lG reets client in an open and respectful manner lA sks client about themselves lT ells client about choices depending on clients needs lH elps client make an informed choice lE xplains fully how to choose options lR eturns visits for future consultation

Core Indicators: Competency 2: lSpends time with the client to facilitate Listens conversation that allows client to express attentively to concerns clients queries

Core Competency 3: Identifies verbal and non-verbal cues

Indicators: lInterprets and validates clients body language and facial expression (IEC materials)

Core Competency 4: Utilizes formal and informal channels

Indicators: lInterprets and validates clients body language and facial expression (IEC materials)

Core Competency 5: Indicators: Responds to needs of lProvides reassurance through individuals, family, therapeutic, touch, warmth and group and community

comforting words of encouragement lReadily smiles

Core Competency 6: Indicators: Uses appropriate lUtilizes telephone, cell phone, information email and internet for disease technology to information facilitate lIdentifies a significant other so communication

that follow up care can be obtained lProvides Holding or emergency numbers for services

Key Area of Responsibility K. COLLABORATION AND TEAMWORK

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Core Competency 1: Establishes collaborative relationship with colleagues and other members of the health team

Indicators: lContributes to decision making regarding clients needs and concerns lParticipates actively in patient care management including audit lRecommends appropriate intervention to improve patient care lRespect the role of other members of the health team lMaintains good interpersonal relationship with clients, colleagues and other members of the health team

Core Competency 2: Indicators: Collaborates plan of lRefers clients to allied health care with other team partners members of the health lActs as liaison / advocate of the team

client lPrepares accurate documentation for efficient communication of services

APPLICATION OF CORE COMPETENCY IN NURSING PRACTICE

The End