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April 6, 2009 2008 Volume 4

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OATHTAKING CEREMONY FOR NEW PROFESSIONAL NURSES N.A.R.S. THE INSIDE STORY
Successful passers of the Nurse Licensure Examination from the National Capital Region (NCR) and adjoining areas given by the Board of Nursing last November 29 and 30, 2008 will take their Oath of Professionals on April 6 and 7, 2009 at SMX Convention Center, Mall of Asia, Pasay City. A total of 39,455 new nurses will take their Oath of Professionals nationwide. As in the previous Oathtaking Ceremony, this activity is a joint undertaking of the Board Of Nursing (BON) and the Philippine Nurses Association (PNA) being the Accredited Professional Organization, who will take charge of logistical management for the ceremony. Likewise, the Association of Deans of Philippine Colleges of Nursing (ADPCN) was requested to provide the support for program management. These activities strengthens the collaborative partnership of PRC and the BON with the PNA and ADPCN as well as the other professional nursing organizations.
The Top Performing Schools and the 75 Top Ten NLE Passers will be honored during the Oathtaking Ceremony.

The over-all chairperson for the ceremony is Hon. Yolanda C. Arugay.


The new nurses will likewise take their oath as new members of PNA

Similar activities will be conducted at the PRC regional offices and various parts of the country: AREA Bacolod Baguio Bohol Cagayan de Oro Caraga Cebu Davao Iloilo Ilocos Legaspi Lucena Pangasinan Roxas City Tacloban Tuguegarao Zamboanga BON ASSIGNMENT Perla G. Po Leonila A. Faire Leonila A. Faire Marco Antonio C. Sto. Tomas Marco Antonio C. Sto. Tomas Yolanda C. Arugay Amelia B. Rosales Perla G. Po Leonila A. Faire Marco Antonio C. Sto. Tomas Yolanda C. Arugay Marco Antonio C. Sto. Tomas Perla G. Po Carmencita M. Abaquin Perla G. Po Betty F. Merritt DATE April 18, 2009 April 12, 2009 April 16, 2009 April 27, 2009 April 16, 2009 April 15, 2009 April 18, 2009 April 19, 2009 April 17, 2009 April 11, 2009 April 21, 2009 April 13, 2009 April 18, 2009 April 16, 2009 April 14, 2009 April 14, 2009 April 14, 2009

General Santos City Leonila A. Faire

Inside this issue:


April 2009 Oath Taking Ceremony NARS The Inside Story
CHEDImproved PS 4-Year BSN Program

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BON School Monitoring.

Research Update Bon Pronouncements CPE

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BON NEWSLETTER
Board of Nursing
Professional Regulation Commission

CHED PROPOSED PS FOR THE 4-YEAR IMPROVED BSN PROGRAM BON SCHOOL MONITORING SCHEME
The Commission on Higher Education (CHED) has announced a schedule for the public hearing of the Proposed Policies and Standards for the 4-Year Improved BSN Program. This will take the place of CMO No. 5 Series 2008 which was withdrawn by CHED based on the Commission En Banc Special meeting on December 23, 2008. CMO NO. 5 Series 2008 was withdrawn effective end of School Year 20082009. The new members of the Technical Committee for Nursing Education (TCNE) were appointed by the CHED Chairman Atty. Emmanuel Y. Angeles . They are: Dr. Marilyn Yap Chairperson TCNE Members are: 1. Dr. Carmencita M. Abaquin 1. Dr. Teresita I. Barcelo 1. Ms. Vicenta E. Borja 1. Dr. Glenda A. Vargas 1. Dr. Leah Primitiva Samaco-Paquiz The TCNE was given the task to review existing and develop

A Memorandum of Agreement (MOA) was made and executed last November 4, 2008 between CHED represented by its Chairman, Emmanuel Y. Angeles and PRC represented by its Chairman, Nicolas P. Lapena Jr. The purpose of the MOA is to implement effectively and efficiently the intent of the respective charters of the Parties, specifically, in the regulation of board programs, conduct of monitoring and ocular inspections in higher education institutions(HEIs), publication of board performance, prescription of faculty qualifications and standards, registration of professionals and other related activities. The MOA is likewise envisioned to facilitate the cooperation and coordination between the PARTIES and among the various Boards, the HEIs, professional societies and other stakeholders in higher education. Pursuant to the provision of RA 9173 the Board of Nursing is mandated to monitor and enforce quality standards of Nursing Practice and Nursing Education and the above MOA between CHED and PRC, the BON has developed a school monitoring scheme which will be submitted to CHED. The BON assures that every college of nursing will be able to communicate directly and relate consistently with a member of the Board of Nursing team who shall continuously guide and monitor the implementation of nursing education and regulatory standards. The BON also desires to empower nursing educators by instituting a mechanism of a continuing self-monitoring process which can serve as basis for a nursing education development program. The BON has set guidelines in prioritizing school visitation and procedures to follow. A monitoring tool will be provided to encourage school self-assessment which can guide to identify areas of strengths and weaknesses. While the BON aims to ensure adherence to minimum nursing education standards, it likewise encourages each and every college of nursing to undergo voluntary program/school accreditation with existing accreditation agencies.

Below is the composition of the Team who will be monitoring and working closely with CHED to ensure that the standards of nursing education are implemented well. It is

BON NEWSLETTER Board of Nursing Professional Regulation Commission

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BON PRONOUNCEMENTS AND ADPCN COMMITMENT UPDATE RESEARCH UPDATE


the conduct and completion of the research project: Dr. Carmelita Divinagracia of ADPCN, Dr. Linda Buhat of ANSAP, Mrs Imelda Javier and Mrs. Marie Therese Pacabis of MCNAP, and Mr. Ronnie Pajilagutan of ORNAP. The Board of Nursing also extended gratitude to the Deans, faculty, clinical instructors and the nursing students of the schools who participated in the research study as respondents. The Board of Nursing also acknowledged the services of Dr. Hipolito Palcon, Professor of the Philippine Womens University, for his kind assistance in the statistical treatment of data. Also acknowledged was Dr. Milagros Ibe, Consultant of the Professional Regulation Commission. The Board of Nursing was most grateful for Dr. Ibes unselfish sharing of her expertise and for her comments and suggestions which helped improve and guide the research project to proper directions.

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The findings of the research project, Intraoperative, Intrapartal and Immediate Care of the Newborn Competencies as Performed by Nursing Students in Selected Colleges of Nursing, was presented by Dr. Yolanda C. Arugay and Dr. Amelia B. Rosales, both members of the Board of Nursing, during the annual convention of the Association of Deans of Philippine Colleges of Nursing (ADPCN) held last October 16, 2008 at the Fiesta Pavilion of the Manila Hotel. The research study showed that there are variations in the number of completed cases in the operating room (OR), delivery room (DR) and nursery during the initial experience of the nursing students. in the respective clinical areas. The expected number of cases in each category which is 5 was not completed. When given the initial experience in the operating room, delivery room and nursery, with the corresponding number of weeks and

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BON PLANS TO PUT IN PLACE A NATIONAL CAREER PROGRESSION PROGRAM


RA 9173, Article II, Section 2 states It is hereby declared the policy of the State to assume responsibility for the protection and improvement of the nursing profession by instituting measures that will result in relevant nursing education, human working conditions, better career prospects and a dignified existence of our nurses. In line with this Declaration of Policy embodied in the Nursing Law of 2002, the Board of Nursing is preparing a plan to put in place a National Career Progression Program for the professional development of Filipino Nurses. The BON envisions setting-up rational training
programs as Continuing Professional Education/ Development (CPE/CPD) that will look into the development of every Filipino nurse from General Nurse Practitioner (novice level) up to those who decide to pursue Specialty Nursing Practice (expert practitioner). This approach is seen by the BON as a vital response to the demand that the nursing sector generate a pool of world-class quality Filipino nurses to meet both local and global demands whose skills devel-

> the 2009 Commission key directions, thrusts and priori ties.
1.

To craft Operational Plans (through a workshop) in support of the attainment of the thrust on Anti-Red Tape and institutionalizing Quality Management Assurance System in the Government. To enhance coordination, support and esprit de corps between and among Professional Regulatory Boards and PRC officials and employees.

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Hon. Nilo L. Rosas, Commissioner, presented the conference overview, objectives and 2009 commission thrusts and priorities. Hon. Ruth Rana-Padilla introduced the keynote speaker. Hon. Nicolas P. Lapena, Jr. delivered the keynote ad-dress highlighting the accomplishment

Policies and Standards for the 4- Year Improved BSN Program. The CHED with the (TCNE) reviewed the BSN curriculum considering the current situations affecting nursing, our country and the world. Likewise, benchmarking done by the previous TCNE with other progressive countries was reviewed. Feedback regarding weakness and limitations of nurses from employers and clients locally and abroad were also considered in designing the various professional courses. What are the Strengths of the Proposed 4-Year BSN Program?
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The Core Competencies with their indicators are spelled out in the various professional courses. Common core values identified by the Board of Nursing and the various professional organizations during the workshop on good governance were also included in the curriculum. Total General Education Courses is 90 Units 1.

1. 1.

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focused on Anti-Red Tape and Institutionalizing Quality Management System in the government. The two day seminarworkshop satisfactory fulfilled the set objectives. Operational Plans that supporter the main thrusts of the conference were initiated. It is hoped that the coordination and support between the Professional Regulatory Boards and PRC officials and employees will be strengthened, united in purpose and commitment as envisioned by the Commission. ment of the Commission over the past year primarily on Service Excellence, Licensure, Regulation, Finance and Administration, Human Resource Development and Electronic Modernization. He encouraged everyone present to actively participate in the conference and to work in unity, teamwork and cooperation to serve the Filipino professionals as one solid, committed organization. Resource persons were experts from the Development Academy of the Philippines and the Civil Service Commission whose talks

our sincere hope that through this collaboration the quality of nursing education will improve for the wellbeing of all concerned.

plans to create such National Career Progression Program. This is in keeping with the governments thrust to keep its registered professionals remain in good standing and globally competitive. This exciting plan will allow the nursing sector to have an identifiable pool of nurses in the various levels of the career path from novice, advanced beginner, competent practitioner, proficient and expert practitioner. This will assist the nursing profession to create and maintain a correct and accurate data base about its pool of professionals in the country and assist nurses needing employment and deployment.

BON NEWSLETTER Board of Nursing Professional Regulation Commission

APPLICATION AS CPE PROVIDERS

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The Continuing Professional Education (CPE) Council for Nursing composed of members: Dr. Teresita I. Barcelo (President, Philippine Nurses Association), Dr. Carmelita C. Divinagracia (President Association of Deans of Philippine Colleges of Nursing) and Chairman, Hon. Perla G.Po (member, Board of Nursing) and the Standards & Inspection Division of the Professional Regulation Commission announce that PRC is now accepting applications from individuals or organizations interested to become CPE providers. Application forms may be requested from the Standards & Inspection Division, Ground floor, PRC central office or any regional

office. PRC Resolution No. 2008-465 Series of 2008 has decided to make attendance to the CPE Council and PRC Accredited Continuing Professional Education courses mandatory for registered professional to maintain their status in good standing and globally competitive, as soon as the list of accredited CPE courses and service providers have been officially released by the PRC. All applicants as CPE providers start the process with an accomplished CPE application form no. 05-2008, payment of accreditation fee of P5000.00 and the submission of supporting documents to PRC CPE Secretariat (at Standards & Inspection Division) for evaluation.

When submitted documents are satisfactory to the CPE Secretariat, these are forwarded to the CPE Council for further evaluation. If approved by CPE Council, the Certificate of Accreditation is issued. If the application form/documents are deemed deficient, the CPE Council sends letter of information to the applicant to correct deficiencies or comply with requirements within thirty (30) days. Upon accreditation as CPE Provider, CPE programs may be submitted for accreditation at least thirty (30) days prior to the date of conduct with payment of corresponding fees (depending upon desired validity period): three thousand pesos (P3000.00) for proprograms with validity period of three (3) years; two thousand pesos (P2000.00) with a validity period of two (2) years, and One thousand pesos (P1000.00) with a validity period of one (1) year. After offering an approved program, the CPE Provider submits completion report with attendance sheet of participants (within 2 weeks after offering the course) to PRC for encoding of names and PRC license numbers to the data base by CPE Secretariat. For further information, please contact the Standards and Inspection division at PRC or refer to the PRC website.

NURSING PRACTICE STANDARDS


The Board of Nursing (BON) as mandated by R.A. 9173, Article III, Section 9 includes the following powers, duties and functions: (c) Monitor and enforce quality standards of nursing practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical and technical, moral and professional standards in the practice of nursing taking into account the health needs of the nation. Stated as such, the crafting of a Standards of Nursing Service, was the BONs priority project not only to harmonize nursing practice in health facilities nationwide but to bring to fruition one of the initiatives of the NURSING ROADMAP 2030 envisioned by the nursing sector.
In collaboration with the Association of the Nursing Service Administrators of the Philippines (ANSAP) the huge project started with a brainstorming workshop in Baguio City in June 12- 14 2007 attended by the Board of Directors of ANSAP and the BON members: Hon. Leonila A. Faire and Hon. Perla G. Po.

Accepting the challenge of developing the Standards for Hospital Nursing Service, the ANSAP Committee on Nursing Standards continued to write drafts which were subjected to strict scrutiny. The BON invited nursing experts all over the country for their feedback on the first draft which was presented to 13 experts from the nursing education and nursing practice sectors at the Manila Hotel on July 10 2008. PhilHealth as an accrediting body of hospitals was represented in the meeting with the experts. The presentation was fruitful as all experts gave their observations, suggestions and comments objectively. The next step was to present the refined draft for a public hearing to a bigger body representing the stakeholders: nursing leaders, representatives of the health care industry, -

and officers of the different health care organizations. This public hearing was held at the Philippine Heart Center on September 16, 2008. During this public hearing, it was suggested by the representative from the Standard and Moniitoring Department of the Philippine Health Insurance Company (PhilHealth) to further test the acceptability of the Standards. This was complied with by the ANSAP when on December 6, 2008, at the Lung Center of the Philippines, pilot testing was conducted among nurse administrators from both private and government institutions, representing 14 regions of the country. The same tools were sent to far areas of the country but responses were not received within the time frame designated for the study. The Cebu ANSAP chapter conducted the survey among the chief nurses of Cebu hospitals with the supervision of Hon. Leonila A. Faire, BON lead for Nursing Practice ANSAP reported that further development and refining of the draft continued after the initial testing of acceptability was done among middle level administrators in selected hospitals using the Pearson Product Moment Correlation coefficient. Result yielded a coefficient of 0.77 which is interpreted as moderately high relationship. To date, the Board of Nursing has received the final copy of the Standards of Nursing Service. More collaboration between the Board of Nursing and the ANSAP is ongoing for the promulgation of the Standards of Nursing Service for adaptation and implementation nationwide.

PRC Planning Conf. BON To Put Up NCPP

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BON INBOX

The chairman and members of the Board of Nursing attended the 2009 Professional Regulation Commission (PRC) Planning Conference held on January 15-16, 2009 at the Tagaytay Country Hotel, Olivares Plaza, Tagaytay City. The theme of the conference was Strengthening the Image of PRC on Integrity, Transparency and Competence. This is in line with the core values of PRC namely: professionalism, integrity, responsibility, unity, accountability, competence and excellence. The objectives of the conference were: 1. To present the following: > new PRC Vision, Mission and Core Values that reflects the mandate and aspirations of the Commission. > the PRC Hymn.

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BON ATTENDS 2009 PRC PLANNING CONFERENCE


The Presidential Task Force on NCLEX, Commission on Filipino Overseas, Professional Regulation Commission, Philippine Nurses Association, Intellectual Property Office and the Association of Deans of Philippine Colleges of Nursing; and co-organized by IHPDS-National Institute of Health and the Department of Health.
ASEAN Nursing BON Capacity Building

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diate care of the newborn competencies, it is recommended that further research studies be conducted such as replication of the current study,

relating the performance of the intraoperative, intrapartal and immediate care of the newborn competencies to selected variables, and expand the research study involving other competencies, for example, preoperative and postoperative nursing care competencies. It was further recommended that the Board of Nursing ask the Commission on Higher Education (CHED) that the development of the intraoperative, intrapartal and immediate care of the newborn competencies be clearly stipulated in the Policies, Standards and Guidelines as part of the BSN curricular requirement specific to the related course. After the presentation, due recognition was given by the Board of Nursing to the following people who participated actively and contributed their invaluable support in

FIRST GLOBAL NURSING COMPETITIVENESS CONFERENCE


Various stakeholders in nursing attended the First Philippine Nursing Competitiveness Conference on September 26,2008 at the Pan-Pacific Hotel, Manila and tackled issues related to nursing practice regulation and employment, nursing leadership and governance, nurse migration and ethical recruitment,

nursing education, training and competency development. Responding to the challenges and opportunities of global competitiveness, nurses recognized the urgency to be proactive especially in policy development, supervision and regulation of nursing practice, strategic partnership and networking and enhancing the Office of the Board of Nursing with the much needed logistics support. The workshop outputs have been incorporated in the strategic plan in the Nursing Profession Roadmap 2030. The event was organized by

hours allotted by the school, as prescribed in the BSN curriculum, the nursing students complete an average number of 2-3 cases each It was recommended that the Association of Deans of Philippine Colleges of Nursing (ADPCN), in collaboration with the Operating Room Nurses Association of the Philippines (ORNAP), Maternal and Child Health Nurses Association of the Philippines (MCNAP), and the Association of Nursing Service Administrators of the Philippines (ANSAP) initiate a project to standardize the intraoperative, intrapartal and immediate care of the newborn competencies. It was also recommended that nursing education utilize the competency standards set for the specific areas of the OR, DR, and nursery by the specialty organization as basis for the improvement and redesign of the BSN curriculum. To expand knowledge regarding intraoperative, intrapartal and immeThe 57th ASEAN Coordinating Committee on Services (CCS) Meeting was held last February 9-11, 2009 at Kuala Lumpur. The first day consisted of simultaneous meetings of each ASEAN Joint Coordinating Committee (AJCC) for the Health Care and Architecture Sectors. The next 2 days consisted of a formal opening of the meeting through a plenary session followed by the simultaneous CCS leaders caucus and sectoral working groups meetings. It ended with another plenary session where outputs of the different sector working groups were presented to the CCS leaders.

57TH ASEAN COORDINATING COMMITTEE ON SERVICES MEETING HELD IN KL


After each presentation, comments and recommendations were given to each sectoral group by the CCS leaders for inclusion in the next sectoral working groups meeting. The CCS and the Sectoral Meetings were conducted to address issues/concerns related to the implementation of agreements contained in the ASEAN Framework Agreement on Services (AFAS). The BON chair joined AJCC on Nursing. ASEAN nursing competencies were presented. She also presented our Nursing Competencies. Commitment was obtained from the representatives not present during the 56th ASEAN CCS meeting held in Indonesia. The following were appointed coordinators and the target date for their accomplishment was end of March 2009:
1. 1. 1. Philippines - Development of ASEAN nursing webpage Malaysia - Development of nursing core competency and equivalences Brunei Darussalam - Database on healthcare infrastructure system Indonesia - Submission of laws and regulations related to nursing and midwives

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The plan for Webpage is being finalized. It will include all the above information The AJCCN meeting was an opportunity to establish linkage and do collaborative activities with ASEAN nursing leaders.
BON Chairperson and Over-all Chair of Oath Taking Ceremony with Com. Ruth Rana Padilla - Keynote Speaker during the August 6, Oathtaking Ceremony Dr. Fely Marilyn E. Lorenzo as Keynote Speaker during the August 7 Oathtaking Ceremony The Board of Nursing with PRC Commissioner Ruth Rana Padilla and Dr. Glenda A. Vargas of UST

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and awarding of Top Performing Schools and the NLE Topnotchers was done. Our new colleagues also took their oath as new members of the PNA. 1.

From 2001-2008, the number of board examinees was on the rise. The passing rate exhibited a declining trend from a high of 55.8% in 1998 to a low of 45.2% in 2006 or an annual average of 49.5%. In June 2008, the passing rate (43.1%) was lower than the average registered for the period 1998-2007. In addition, 1 out of every 5 colleges of nursing registers a zero passing mark, which is indicative of the questionable quality of education and/or decreasing quality of students admitted for the nursing profession. Source of data: PRC

4.From 1998 to June 2008, 224,961 did not pass the Philippines Nurse Licensure Examination. This figure is 32% higher than the 169,766 combined local and foreign demand for nurses. What could be done with this human resources in the country? 5. The migration of experienced nurses who are highly skilled (5-15 years) and specialists in their fields of expertise actually creates a vacuum in the local health care delivery system. Most nurses locally employed are new graduates who lack experience and skills which pose serious implications on the quality of health care

provided our own countrymen. One of the push factors for migration is the wide discrepancy in the salaries of our nurses employed One of the push factors for migration is the wide discrepancy in the salaries of our nurses employed locally and overseas (US$4,000- US; $700-1,500 in KSA; and US$180-220 in the Philippines) As the results of the November 2008 Nurse Licensure Examination was released where 39,455 out of 88,649 passed, the challenge now is to put in place real honest to goodness measures that will address long standing problems/concerns; measures that are proactive and meant to provide medium and long-term solutions and not temporary band-aid remedies. It is to be emphasized that the data listed above impacts not only the economic life of the nurses but the health and well-being of the country as well.

A vigilant watch on the current global economic conditions and the responses of host economies will help prepare us as Filipino OFW nurses get affected by the global economic crises. Now is the time for all Filipino nurses to close ranks and consider contingency measures for the collective good of the nursing sector to cushion the effects of the said global economic crisis which will definitely impact the Filipino nurses, their families, and the country as a whole.

UNEMPLOYMENT AMONG FILIPINO NURSES CLARIFIED


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The Oathtaking Ceremony for the new nurses was held for the second time at the SMX in collaboration with the PNA and the ADPCN last August 2008. The Over-all Chair for this affair was Hon. Marco Antonio C. Sto Tomas. The key note Speakers were: PRC Com. Ruth Rana Padilla for the first day and Dr. Fely Marilyn E. Lorenzo for the second day. Our speakers truly inspired and challenged our new nurses. Likewise, recognition was given to the Top

2006, when the demand for Filipino nurses started to plateau as a result of the retrogression in the US market and a change of nursing employment policy in the UK. The previous high demand for Filipino nurse has kept our nursing pool in the country relatively large. Despite the number of nurses reportedly deployed/employed there still is a slow-down in the hiring of newly passed nurses. While this is a fact, the actual unemployment and underemployment figures would only range to about 80,000 and the developments in the international job markets remain to be bright and still promising. Other data on nursing in the Philippines that are worthy to note are: 1. From 27,833 nursing enrolees recorded in academic year 2000-2001, there was a record high of 453,896 enrolees in academic year 2006-2007 or an annual average growth rate of 62%. (Source of data: CHED) 2. The number of nursing graduates showed an increasing trend for the period 2000 2005, with 140.5% increase in the number of graduates in SY 2004 - 2005 (Source of data: CHED)

A GLIMPSE OF THE NURSES OATHTAKING CEREMONY OF AUGUST 2008 2008


audit, assess and intervene in accordance with the Nursing Roadmap and the strategies that the profession decides to undertake. The engagement proposal and its details will be presented and discussed with the nursing organizations to ensure full involvement, participation and ownership of the Nursing Roadmap by the whole nursing profession now and in the future, even beyond 2030. If all nurses, as stakeholders, take on the commitment now, is there a certainty that future nursing leadership will do the same? The Nursing Roadmap addresses this by strengthening a multi-sector coalition that shall share resources, responsibilities and accountabilities which is also a means of guaranteeing commitment. Furthermore, the Nursing Roadmap will propel the profession to work towards institutionalization with a fully functioning Office of Strategy Management which shall regularly monitor the strategic performance of the profession. With the involvement and vigilance of every nurse in safeguarding the integrity and fulfillment of its mission and vision, we have reason to anticipate the success of the Nursing Roadmap 2030!

ISA as the consultant on strategy development and execution. A Series of meetings, discussions and exploratory talks with ISA ensued. ISA would provide the technology to process the strategy which is based on the Balanced Scorecard (BSC) framework and customize the process to ensure that it captures all the feasible and workable strategies that the nursing profession wishes to undertake. The Roadmap and the BSC is for the entire nursing profession to integrate and cascade the information and strategies to all stakeholders through alignment and subsidiary scorecards. Because this work is of great magnitude affecting the present and the future of the nursing profession in the Philippines,

it will necessitate the creation of an Office of Strategy Management. The main product of the roadmapping process is the Good Governance Pathway. As such, the Nursing Profession would need to progress in the public governance pathway from Compliant to Proficient status. To achieve this goal and assist the nursing profession in this journey would entail the formal engagement of ISA as consultant of the nursing sector for it to nursing interest groups. The nursing professions charter statement, i.e., mission, vision and values, shall be the banner, we, Filipino nurses shall hold together. In 2007, the Board of Nursing and representatives from nursing practice, education and nursing welfare formed the Coordinating Body for Good Governance of the Nursing Profession (CBGGN) and together with 16 nursing organizations committed to work together to uplift the status of Philippine nursing. With the Board of Nursing taking the lead, the nursing profession through the CBGGNP, enrolled in the Institute for Solidarity in Asia (ISA) Public Governance System (PGS) Program and earned the recognition of PGS Compliant for following the public governance system process in August 2007. The CBGGNP struggled in its efforts to create a comprehensive strategic plan. Concerns on organizational structure, administrative matters and logistics needed to be seriously addressed. As more questions were raised, the CBGGNP acknowledged the need for more guidance and decided to consult on the process of roadmapping. This would necessitate a formal engagement with

PAVING THE PATH OF GOOD GOVERNANCE: AN UPDATE ON THE NURSING ROADMAP

merritt
Whats new in the Nursing Roadmap? How is Road mapping an adaptive and proactive means to create the future of Philippine Nursing to be globally competitive? With the nursing professions vision of becoming the lead in promoting Philippine Nursing in the Asia Pacific Region by 2030, five strategic themes and four perspectives set the framework of the Balance Scorecard (BSC) that will determine the outcome measures that will have to be achieved. The five strategic themes are: Dynamic Leadership, Service Excellence, Operational Excellence, Strategic Partnerships and Social Responsibility. The performance of the nursing profession shall be measured across four balanced perspectives namely: Learning and Growth, Internal Processes, Customer and Financial Perspectives. These are the key areas of the nursing profession into which objectives naturally fit. The crafting of the Nursing Roadmap is a continuing work in progress participated in by three (3) clusters of organizations, namely: the Philippine Nurses Association (PNA) as the accredited professional organization, the nursing specialty organizations and

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Several months ago, news of unemployment among Filipino nurses remained afloat with the number reaching up to about 400,000. Statistics from the Department of Labor and Employment (DoLE), particularly on its Market Trend analysis, revealed that while unemployment and underemployment is a fact in Philippine Nursing, there is inaccuracy in these reports. The DOLE and the Board of Nursing (BON) acted with dispatch to review available data which revealed that from 1952 to 2008 the country has registered or licensed 480,992 Filipino nurses out of 523,272 who actually passed the Philippine Nurse Licensure Examinations.

According to DOLE data the total number of Filipino nurses employed between October 2001 & 2007 was 58,000 (fifty eight which represented 3.86% of the total employed professional workers (1.5 million) reflected in the National Statistics Office, Labor Force Survey as source of data. However, it is important to consider that there is actually a market slowdown starting

BON UNDERTAKES CAPACITY BUILDING ON AUDIT COURSE AND TEST DEVELOPMENT


In line with the monitoring and auditing functions of the Board of Nursing, Rosehall Management Consultants, Inc., was invited to conduct an Audit Course based on ISO 190011:2002 for its members last January 22, 2009 at the Conference Room of the Professional Regulation Commission. The speaker was Mrs. Charit Halili-deLara, the president and the senior consultant of Rosehall Management Consultants, Inc., a training and consulting firm specializing in TQM (Total Quality Management nd Management Systems on quality, environment, health and safety, and others areas where auditing is a standard requirement for continual improvement. The objective of the course was to enhance knowledge and skills on auditing. It was expected that at the end of the course, the members of the BON would be able to utilize the auditing skills for the effective and efficient conduct of school visitations and other possible applications in the performance of the BON duties.

Included in the course program were discussions on competency requirements and personal attributes of an auditor, audit terminologies, exercises on steps in basic auditing process and preparation of audit plan / checklist, and exercises on conduction of on-site audit activities. Exercises on writing audit findings focused on activities during school visitations were conducted.

Corrective action planning, root cause analysis tools, follow up and monitoring were also applied to some actual school visitations experienced by the participants. Some audit concerns related to conduction of school visitations were also discussed and solutions proposed. The guidelines and monitoring form being used in school visitations are currently being examined for modification taking into consideration principles of auditing. Hopefully, these will be used during the school visitations to be conducted by CHED and PRC-BON. The second capacity building activity of BON is part of an ongoing activity on test development in line with the BONs commitment to ensure NLE quality and preserve its integrity. The resource person invited was Dr. Leticia M. Azu-

sano, a PRC consultant who shared wholeheartedly her experiences and expertise in competency development and test development. Activities undertaken included: Review of the competency-based test framework. Some suggestions were voiced out in preparation for its possible modification. Focus of each Test was reviewed and suggestions on making them more specific were arrived at. Concerns regarding test specifications, item analysis and test evaluation were discussed. Sample questions were presented for clarifications. Workshop on test development was done in pairs.
The Philippine Delegation from DOH and PRC-BON and PRC-BOD

opment and progression can be plotted based on continuing education programs offered and taken in accordance with planned career progression. The current NARS Program may serve as the prototype of the first level program for all new RNs which may rightfully be referred to as NOVICE Program. Following the implementation of the NARS program, further refinement and possible modifications will be made so that the BON and CPE Council for Nursing may then firm up

BON NEWSLETTER Board of Nursing Professional Regulation Commission BON NEWSLETTER Board of Nursing

Professional Regulation Commission


BON EDITORIAL BOARD
Hon. Carmencita M. Abaquiin Hon. Pearl G. Po CONTRIBUTORS : Hon. Yolanda C. Arugay Hon. Leonila A. Faire Hon. Betty F, Merritt Hon. Amelia B. Rosales Hon. Marco Antonio C. Sto. Tomas

The Project NARS or NURSES ASSIGNED IN RURAL SERVICE Project was launched by President Gloria Macapagal Arroyo on February 9, 2009 as part of the pump priming strategies under the Economic Resiliency Plan of the government to mitigate the impact of the global financial crisis and save and create as many jobs as possible and expand social protection. The NARS Project aims to increase the accessibility of health care services for the marginalized and poor sectors of various regions and also address the glut of inexperienced nurses in the country. NARS is a training cum employment program designed to mobilize registered nurses at an average of 5 per town in 1,000 poorest communities/municipalities of the country to improve the delivery of health care services. Upon completion of this program, encompassing both clinical and public health exposures, these nurses not only served their commu- nities but also have the potential of increased employability with their enhanced skills. The NARS trainees shall be known as warriors of wellness in their hometowns where they are expected to do the three (3) Is: Initiate primary health care, school nutrition, maternal health programs and first line diagnosis; Inform the public on community water sanitation practices and perform health surveillance, and Immunize children and mothers.

The direct beneficiaries of the NARS Program of Government will be


Nursing Roadmap
N.A.R.S. Cont.

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Unemployment
A Glimpse of August Oath ta Taking

The BON with Com. Ruth Rana Padilla during the PRC Planning Conference held at Tagaytay City
Some of the ANSAP Committee on Nursing Standards with Hon. Leonila A. Faire, lead BON on Standards on Nursing Practice

N.A.R.S. THE INSIDE STORY CONT.

a total of 10,000 NARS trainees for 12 months who will undergo training to enhance their competencies and increase their employability. Their families will also benefit from the stipends that they will receive monthly for a total of six (6) months. With the NARS program, one thousand (1,000) poorest municipalities will benefit from improved health care service in the areas of hospital nursing and community nursing. Through the partnership of the government agencies namely: Department of Labor and Employment (DOLE), Department of Health (DOH), Professional Regulation Commission (PRC) and Local Government Units (LGU), the NARS PRO Program began to take shape. The key people involved from these agencies are DOLE Undersecretary Lily Pineda, DOH Human Resource Development Head Dr. Kenneth Ronquillo, PRC Commissioner Ruth Padilla, Board of Nursing lead Hon. Marco Sto.Tomas. After several meetings of the key people, a meeting of the regional directors from DOLE, DOH, PRC and members of the BON and PNA was held at the Island Cove in Cavite last March 4-5, 2009 to introduce the NARS project and do some brainstorming to thresh out the mechanics of the program and address potential challenges in cascading and implementing the pro program at the local municipal levels.

Key people of the NARS Program tapped networks of resource persons to create the program for implementation starting April 1, 2009. To realize the training aspect of the NARS Program, the PRC-Board of Nursing acknowledges the rich human resources of the nursing sector through individuals and organizations who gave assistance: Association of Deans of Philippine Colleges of Nursing (ADPCN) headed by Dr. Carmelita Divinagracia; Dr.Teresita I. Barcelo, President of the Philippine Nurses Association (PNA) whose mission is address the

welfare conditions of our Filipino nurses; the National League of Philippine Government Nurses (NLPGN) led by President Lorie Serafica and Dr. Jean Reyala; Dr. Josefina Tuazon, Dean of the UP College of Nursing; Miss Melanie Salido and company of the Division of Nursing Education and Training of the Philippine General Hospital; Ms Alice Salamanca of the Jose Reyes Memorial Hospital Nurse Training program. The coming together of NARS training program is a proof that shows the nursing sectors capability to mobilize and put into good use its human resources for the higher good of service and the profession as a whole.

Global Ng. Competitiveness Conference

When you're a nurse you know that every day you will touch a life or a life will touch yours.
~Author Unknown

1. 1.

Total Professional Courses is 115 Units The following professional courses included in CMO NO. 5 were retained
> Theoretical Foundations in Nursing > Health Assessment > Pharmacology > Nutrition and Diet Therapy > Nursing Research

> Competency Appraisal

> IV Therapy is introduced in NCM 106 1. 1. 1. 1. Two Nursing Electives are included (6 Suggested Nursing Electives are included for the third year and senior year level) Intensive Nursing Practicum both for community-based and hospital-based experience are included Guide for RLE are incorporated The Intraoperative, Intrapartal and Immediate Care of the Newborn are spelled out as part of the

1.
curriculum 1. 1. More Specific Admission policies are encouraged Guide for Hospital Affiliation are more specific

1.

Proper Implementation of Nursing Education Standards is encouraged. However, sanctions for schools who are not performing well are spelled out. The pertinent suggestions during the public hearing will be incorporated in the program. The improved BSN Program will go through a process prescribed by CHED for its promulgation.

Once promulgated this will be presented to public fora where the school administrators and faculty members will be oriented for its implementation. The BON is committed to collaborate closely with the CHED to ensure that proper implementation of the nursing education standards is done.

As an off shoot of the above research presentation, the BON articulated the following concerns during the Interactive Session: 1. If we reduce the number of cases required, what is our assurance that the intraoperative, intrapartal and immediate care of the newborn competencies are complied with by the students enrolled in your colleges of nursing? 1. 1. 1. 1. What other measures need to be in place to assure our clients/stakeholders that our graduates can provide quality and safe practice? What are the implications of these globally? How will these affect our vision and mission as profession? What can the ADPCN do to ensure that the right competencies are

Likewise the BON posted the following challenges to the ADPCN:

1. 1. 1. 1.

developed for safe quality practice? What can the ADPCN do to ensure that the deans and faculty members are well equipped and qualified to ensure development of the right competencies and core values for safe quality practice? What can ADPCN do to ensure that the proper mechanisms and parameters are in place and continuous improvement is being done to ensure that the right competencies are developed for safe quality nursing practice. What can each of the Dean and the Faculty commit to ensure safety and quality patient care? What can our colleagues in nursing service commit?

THE BON PRONOUNCEMENT: In accordance with the results of the research and the commitments publicly made by the ADPCN through its President and governing board, the BON declared the following:

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The BON recognizes that intra-operative, intra-partal, and immediate care of the newborn competencies must be developed within the allotted hours and weeks prescribed by the curriculum. Based on the results of the study the average number of cases for O.R./DR/IMCNB is 3. We therefore recognize 3 as the rationale number. The competencies developed should be demonstrated within the course and as per commitments made today, the BON shall hold responsible and accountable each and every Dean and faculty who are involved in the development of these competencies. The effectivity of all these pronouncements is June of 2009 subject to the compliance and mutual ADPCN through its Governing Board. 1. In case of non-conformance the
BON in accordance with its mandate shall exercise its regulatory powers within the bounds of law.

agreements to all commitments made by the

1. 1.

1.

To date, the ADPCN has undertaken the following activities: Spelled out the core competencies for OR, DR and immediate care of the newborn clinical experiences Developed performance checklist for OR, DR, Immediate Care of the Newborn that is aligned to the core competency framework Developed a well structured, need based, contextualized series of training programs.

The ADPCN also plans to come up with a handbook to ensure standardization of competencies for safe patient care and to undertake collborative updates on technological trends for faculty members and nursing service personnel .

The BON is now finalizing the quidelines that will be implemented for the 2nd and 3rd year students who will enroll in the respective clinical courses. CPE

Standards of Nursing 4 Practice REGIONS/ TEAM / SCHOOLS MEMBERS


SUCS/LUCS I - C.M. ABAQUIN / M.A.C. STO. TOMAS I, II, III, IV-B II - B. F. MERRITT / Y. C. ARUGAY

IV-A, V, VI, VII III - P. G. PO / A. B. ROSALES VIII, IX, X, XI, IV - L.A. FAIRE / XII, CARAGA, M.A.C. STO. TOMAS ARMM NCR The 96 schools were randomly assigned to each BON

BON INBOX
A concerned nursing student from the south writes the Board of Nursing Our school enrolls second courser students who pay for their tuition but do not attend classes and go to the clinical areas. It is unfair for us students who undergo all the classroom and clinical requirements. How can the school evaluate these students who did not even attend classes .Please do something about this! Text message to the Chair, Board of Nursing, from a Dean of a College of Nursing .. I implemented the 3-3-3 even without your guidelines. Is that okay? From a provincial Governor I have deputized Mrs. to sign the OR/DR/Nursery forms of the nursing students because the chief nurse of the hospital has no masters degree.
A nursing student asks a mem-

ber of the Board of Nursing ..Mam, we would like to invite you to be our guest speaker. Member of the Board of Nursing responds, What is the topic? The nursing student says, Eh sabi ni Dean , Kung ano daw po ang gusto ninyo? Text message from the clinical instructor. Mam gud am po. Just want 2 get ur opinion po. F a stdnt handld a delivery and d woman also had episiorhapy, cud d same stdnt claim it as a minor or case n a dr case. D b pwd naman po dahl un tlaga ang gnawa sa ptient nya? Text message from CHED in charge of nursing education.. I have seen duplication of entries in RLE forms of some schools. Is ear piercing an acceptable minor ?

Did you know that the BON is celebrating its 90th Anniversary? The BON is planning a simple but memorable anniversary celebration during the PRC Week on June 2009.

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