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CARMENCITA MATIAS-ABAQUIN YOLANDA CORTEZ-ARUGAY LEONILA ALCANTARA-FAIRE BETTY FACTORA-MERRITT PERLA GONZALES-PO AMELIA BUENCAMINO-ROSALES MARCO ANTONIO CABRERA STO. TOMAS
OUTLINE
1. Nursing Education 2. 3.
4.
5.
6. 7. 8.
Nursing Core Competency Revisiting Project National Nursing Career Progression Program and Council for Nursing Advancement, Recognition and Specialization CPE NLE Nursing Research and Nursing Service Monitoring Philippine Nursing Profession Roadmap Nursing Law Reform
R. A. 9173 The Philippine Nursing Act of 2002 The Professional Regulation Commission
BOARD OF NURSING
QUASIJUDICIAL
QUASILEGISLATIVE
EXECUTIVE
4
ETHICS, LEGAL CONCERNS, AND LEGISLATION
Code of Ethics
5
DOMESTIC AND INTERNATIONAL LINKAGES
Local: PNA, ADPCN,
ANSAP, Various Specialty & Interest Groups, DOH, LGUs, NBI, DOLE, POEA, DFA, AIM
NURSING EDUCATION
N.E.
CPE
4 Ps To Integrity
NURSING EDUCATION
Members:
DR. CARMENCITA M. ABAQUIN DR. TERESITA I. BARCELO
Entry Competencies
Intermediate Competencies
Terminal Competencies
Competency-Based BSN Curriculum A Model Revised Edition College of Nursing Faculty, University of the Philippines Manila
4. PHASE IV- Pilot Testing Of Nursing Core Competency ( Aug. Sept. 2011) 5. PHASE V Public Hearing . Output Final Nursing Core Competency
BOARD OF NURSING
creates the
R E C O G N I Z E S
C-NARS
Council for Advancement, Recognition, and Specialization
(as per BoN Resolution No. 22, S. 2009)
1. 2. SEEKS NOMINEES FOR MEMBERSHIP TO THE SPECIALTY BOARDS Policy-Development Initiatives recommendatory to the BoN Oversight
FUNCTIONS
1. 2. 3. Recognize Organized Nursing Group Accredit Specialty Programs Credential - People
TASKS
1. 2. 3. Set Standards Establish Mechanisms Develop Criteria
Appeals Panel
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
Announcement of the guidelines and updates on CPE will be posted at the BON Website: www.bonphilippines.org
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
Community Health Basic Nursing and Foundation of Care of Nursing and Healthy/At Professional Risk Practice Mother and Child
Care of Care of Care of Clients with Clients with Clients with Physiologic Physiologic Physiologic and and and PsychoPsychoPsychosocial social social Alterations Alterations Alterations [A] [B] [C]
PREVENTIVE
NP I NURSING PROCESS NP II NP III NP IV
SAFE AND QUALITY NURSING CARE COMUNICATION COLLABORATION AND TEAMWORK HEALTH EDUCATION RESEARCH QUALITY IMPROVEMENT ETHICO MORAL RESPONSIBILITY LEGAL RESPONSIBILITY PERSONAL AND PROFESSIONAL DEVELOPMENT RECORDS MANAGEMENT MANAGEMENT OF RESOURCES AND ENVIRONMENT
NP V
P R O M O T I V E
A ENHANCINGT I V EMPOWERING E
ENABLING
Care of Clients w/ Physiologic & Psychosocial Alterations Part B Care of Clients w/ Physiologic & Psychosocial Alterations Part C
C U R A T I V E
REHABILITATIVE
ACROSS THE LIFESPAN
Record management
NURSING PRACTICE I
I. PATIENT CARE COMPETENCIES (65%) A. 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 range A 4. 1 Situation - Care of clients requiring medication/drug management A 5. 1 Situation - Care of clients to promote & maintain safety, and those with risk for infection A 6. 1 Situation - Care of clients with mild oxygenation problems 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 Focus :Nurse Client interaction
NURSING PRACTICE II
I. PATIENT CARE COMPETENCIES (65%)
A. 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/illness A 8. 1 Situation - Care of the client with sexuality, reproductive health, & fertility problems A 9. 1 Situation - Care of the normal pregnant woman going through the various stages of pregnancy A 10. 1 Situation - Care of the pregnant woman with complications of pregnancy A. 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
I. PATIENT CARE COMPETENCIES (65%) A. SAFE QUALITY CARE (50%) A1. 2 Situations : Care of clients with alterations in fluid and electrolyte and acid base balance A2. 2 Situations: Care of clients with alterations in inflammatory & immunologic response A3. 2 Situations : Care of clients with cellular aberrations A4. 2 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
I. PATIENT CARE COMPETENCIES (65%) A.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 A5. 1 Situation Care of Clients with Age-related maladaptive patterns A6. 1 Situation Care of Clients with Alterations in thought & perception A7. 1 Situation Care of Clients with Depression, Mania, & suicide A8. 1 Situation Care of Clients with Stress & anxiety, Aggression, Hostility, Violence A9. 1 Situation Care of Clients with Maladaptive patterns of personality; with Physiologic Alterations, Psychosexual disturbances, Eating disturbances A10. I Situation Care of Clients with Substance Abuse B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts C. COLLABORATION & TEAM WORK (5%)
Table of Specifications
COMPETENCY WEIGHT No. of
LEVEL OF DIFFICULTY
Easy K C Moderate A A Difficult S E Quests
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 JUNE 2006 - DECEMBER 2010 FIRST TIMERS vs. REPEATERS
70,000 65,000 60,000 55,000 50,000 NO. OF EXAMINEES 45,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 FIRST TIMERS REPEATERS 06-06 32,454 7,847 12-06 19,328 19,549 06-07 48,817 14,893 12-07 36,241 29,781 06-08 40,323 23,595 11-08 59,218 29,431 06-09 47,399 30,499 11-09 54,360 40,086 07-10 52,458 38,545 12-10 41,054 43,231
NURSE LICENSURE EXAMINATION JUNE 2006 - DECEMBER 2010 PASSING PERCENTAGE (FIRST TIMERS vs. REPEATERS)
65.00% 60.00% 55.00% 50.00% PASSING PERCENTAGE 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% FT - %PASSED REP - %PASSED 06-06 50.65% 11.23% 12-06 57.35% 38.42% 06-07 56.52% 16.90% 12-07 52.96% 30.85% 06-08 60.21% 14.78% 11-08 52.95% 27.53% 06-09 57.40% 17.74% 11-09 49.36% 26.68% 07-10 58.04% 18.76% 12-10 48.68% 22.49%
NURSE LICENSURE EXAMINATION JUNE 2006 - JULY 2010 PASSING PERCENTAGE (FIRST TIMERS vs REPEATERS)
70.00% PASSING PERCENTAGE 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% *06-06 NAT'L - % PASSED 41.23% FT - % PASSED 50.65% REP - % PASSED 11.23% *12-06 49.10% 57.35% 38.42% *06-07 48.32% 56.52% 16.90% *12-07 43.45% 52.96% 30.85% *06-08 43.07% 60.21% 14.78% *11-08 44.51% 52.95% 27.53% *06-09 41.87% 57.40% 17.74% *11-09 39.73% 49.36% 26.68% *07-10 41.40% 58.04% 18.76%
NURSE LICENSURE EXAMINATION - DECEMBER 2010 FREQUENCY DISTRIBUTION OF SCHOOLS PER PASSING PERCENTAGE
60
50
NUMBER OF INSTITUTIONS/SCHOOLS
40
30
20
10
1115% 42
1620% 54
2125% 55
2630% 45
3135% 41
3640% 35
4145% 23
4650% 27
5155% 24
5660% 14
6165% 13
6670% 10
7175% 17
7680% 7
8185% 3
8690% 3
919695% 100% 8 14
NURSE LICENSURE EXAMINATION 2006-2010 NO. OF SCHOOLS WITH PASSING % OF 30% AND BELOW
MONTH/YEAR NO. OF SCHs. WITH 30% & BELOW PASSING PERCENTAGE 172 66 206 158 213 139 216 185 212 231 TOTAL NO, OF SCHOOLS 348 279 504 405 426 442 470 473 463 470 PERCENTAGE
JUNE 2006 Dec. 2006 JUNE 2007 DEC. 2007 JUNE 2008 NOV. 2008 JUNE 2009 NOV. 2009 JULY 2010 DEC 2010
49.43% 23.66% 40.87% 39.01% 50% 31% 46% 39.11% 45.78%. 49.14%^
Philippine Professional Nursing to be the BEST for the Filipino and the CHOICE of the World by 2030.
clearly defined deliverables time targets, and budget plans to finance implementation
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
Introduction
The
Board of Nursing was created to supervise and regulate the practice of the nursing profession in the Philippines. 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.
Next Steps
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
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
INTERAGENCY DOMESTIC LINKAGES NLE LEGAL NURSING EDUCATION NURSING PRACTICE INTERNATIONAL LINKAGES ASEAN ICN NCSBN WP/SEAR WHO
THANK YOU !