NATIONAL CORE COMPETENCY FOR MALAYSIAN NURSES 1.

ETHICS AND LEGAL PRACTICE

Key areas of responsibility

Core competency

Strategies Nursing Practice is guided by the Code of Professional Conduct. Involves in ethical decision-making with respect to own professional responsibilities or where ethical issues arises. Acts as advocator to protect the clients rights and maintains confidentiality in terms of written, verbal and electronic clientsinformation Respects the clients right for selfdetermination and informed consent during nursing research. Respects and maintains the clients right for privacy and dignity. Respects and demonstrates sensitivity to diversity (cultural and religious beliefs, race, age, gender, physical/mental state, and other). Collaborates with other healthcare professionals to ensure ethical practice

Performance Indicator

Ethical Practice Provides nursing care and practices within an ethical framework and a socio-cultural context.

100% : nurses provide care according to the Malaysian Code of Professional Conduct 100% : Implementation of the 10 S PRINCIPLES in daily practice: Sensitive, polite, greet, prompt, liveliness, touch, gracious, supervise, smile and investigate.

NATIONAL CORE COMPETENCY FOR MALAYSIAN NURSES 1. ETHICS AND LEGAL PRACTICE
Key areas of responsibility Legal Practice Core competency Strategies Practice according to policies and procedures that guide nursing practice. Performance Indicator

Functions according to legislative, Practice according to relevant laws regulatory and policy guidelines and regulations that govern nursing relevant to the Malaysian practice. Registered Nursing Practice Maintains current valid registration and licensure to practice. Identify and acts upon breaches of laws and regulations relating to the professional code of conduct. Think analytically, critically and reflectively and integrate professional knowledge into practice assessing the health needs of the individual, groupsand community using a bio-psycho-social-spiritual framework Perform nursing techniques Proficiently Respond appropriately to instances of unsafe practice tosafeguard the client's health.

100% : Nurses practice according to the - Code of Professional Conduct for Nurses, MALAYSIA. - Nurses Act Malaysia - Midwifery Act Malaysia 100% : Registered with the Nursing Board Malaysia 100% Posses the Annual Practice Certificate (APC) 100%: Yearly renewal of APC

CORE COMPETENCY STANDARDS FOR MALAYSIAN NURSES 2. PROFESSIONAL NURSING AND MIDWIFERY
Key Areas of Responsibility General Nursing Midwifery Strategies GOAL Deliver safe and quality nursing care Use a variety of nursing interventions to treat effects of disease and minimize or prevent consequences related to the disease process Perform comprehensive assessment to formulate nursing diagnosis, coordinate and manage care holistically according to patients needs: eg Administration of medication Care of pressure areas Assessment during admission and continue with ongoing reassessment whenever the need arises Perform regular observations according to patient needs Observe, report and record objective/subjective signs and symptoms Performance Indicator 100 % :assessment of patients during admission using the nursing assessment form 100% :patients have their observations taken and documented accordingly

Core Competency Systematic and continuing assessment and monitoring of patients health status

100% of patients receive holistic nursing through the use of the nursing process. Nursing care is provided according to standard set/ safe operating procedure (SOP)

CORE COMPETENCY STANDARDS FOR MALAYSIAN NURSES 2. PROFESSIONAL NURSING AND MIDWIFERY Key Area of Responsibility
General Nursing Midwifery

Core Competency

Strategies

Performance Indicator

Provide accurate and timely information to other health care providers

GOAL Deliver safe and quality nursing care Document nursing care and related activities

Follow ward rounds and verbalize patient conditions Inform immediately when patients general condition deteriorates Communicate with other healthcare professionals for continuity of care Accurate and complete documentation of all nursing care rendered.

Incidence of complaints from other health care professional about failure to communicate timely accurate and or pertinent information about patients progress Incidence of incomplete and or inaccurate documentation in case notes

Educate patients and families

Provide patients/ cares family members with information to make informed choices

Incidences of patient dissatisfaction due to inadequate information during stay in the ward or when discharge.

CORE COMPETENCY STANDARDS FOR MALAYSIAN NURSES 2. PROFESSIONAL NURSING AND MIDWIFERY
Key Areas of Responsibility General Nursing Midwifery GOAL Deliver safe and quality nursing care Prevent deterioration Core Competency Help patient maintain independence Strategies Comprehensive physical assessment to determine level of care (I,II,III,IV) Risk assessment at admission and ongoing to determine potential fall Coordinate and manage care according to individual needs. Strict monitoring of vital signs according nursing policy Implementation of Individualized patient care Prompt care and interventions for acute conditions to prevent deter Mentoring all newly appointed nurses at the clinical settings Structured regular Clinical bedside teaching Credentialing and privileging of nurses for specialized procedures Ensure Attendance of continuing nursing education programs (CNE) Performance Indicator 100% :patient classification to determine level of care 100% :risk assessment using Morse fall Scale of all patients 100% :nursing care plan using nursing process for patients 100% risk assessment for all patients 100% :patient classification to determine level of care

Supervise other nursing personnel

100% of all new graduates have undergone mento- mentee program. 100% completion of procedure log book. 100% Credentialing and privileging program

CORE COMPETENCY FOR MALAYSIAN NURSES 3. LEADERSHIP AND MANAGEMENT

Key Areas Of Responsibility i. Leadership and Teamwork Core Competency Strategies Performance Indicator Annual performance appraisal Member of a professional body (MNA/MNF/MNU/NMSM)

Communicates with Provide professional appropriate leadership input on behalf of style and values that are nurses supportive of the nursing workforce. Represents and advocates for the interest of the nurses Maintains effectiveness in interpersonal relationships and good teamwork to achieve organizational strategies

Mentorship programme 10 S practice (soft skill)

ii. Partnership and Collaboration

Builds relationship locally / nationally and internationally in support of services for patients and nursing workforce

Utilise leadership, team building, negotiation and conflict resolution skills to build intra and interprofessional partnership towards quality care improvement and interest of nurses.

85% Annual performance Report Promotion exercises

CORE COMPETENCY FOR MALAYSIAN NURSES 3. LEADERSHIP AND MANAGEMENT

Key Areas Of Responsibility iii. Change Management Core Competency Works effectively in a dynamic health care system Strategies Able to analyse both the risks and opportunities associated with change process Builds capacity of the nursing workforce to both initiate & cope with changes in order to strengthen the workplace & improve health care delivery. Performance Indicator 85% Annual Performance Report Accreditation by professional bodies such as MQA, MSQH, ISO Certification by the accredited bodies

iv. Decision Making

Engages effectively in ethical decision making

Resolves conflicts / problems at workplace effectively

85% Annual Performance Appraisal Internal and External Client Satisfaction Survey

CORE COMPETENCY FOR MALAYSIAN NURSES 3. LEADERSHIP AND MANAGEMENT

Key Areas Of Responsibility RESOURCE MANAGEMENT i. Operational Planning Prepare and obtain adequate staffing and human resource allocation Utilize the Human Resource Estimation Budget and the One-off projects as a framework to develop the nursing service Redeployment of staff according to needs Place the right staff at the right area Review of staff allocation, redeployment and distribution according to needs Updating of service record books Annually Core Competency Strategies Performance Indicator

Human Resource Budget

ii.

Staff Allocation

iii. Personnel Systems and Records

Allocate staff rationally & equitably based on patients dependency, acuity, program requirements and nursing workforce skills Ensure accurate Personal information is available according to organizational & employment requirements

Annual Review of service record book

CORE COMPETENCY FOR MALAYSIAN NURSES 3. LEADERSHIP AND MANAGEMENT

Key Areas Of Responsibility Workforce Management 1. Manage Skill Supply Identify, plan and Implement strategies to ensure that the nursing workforce has the skills & competencies to meet emerging needs Develop key performance indicators Review any shortfall in quality in nursing practices 90% Review Training Curriculum 80% Passing Rate for Nursing Board Examination 100% Percentage of Nurses having Post Basic Courses Scheduled Supervisory & monitoring visits to hospitals Nursing Technical Meeting CPD points 7 days training /year Continuous Professional Development Hospital Accreditation Certification Quality Control Circle Innovation at State and National level Core Competency Strategies Performance Standard

2. Development and Innovation

Keeps abreast of developments in workforce planning for nursing & other human resources for health

Promotes care delivery using knowledge and skills in the delivery of high quality care Promotes quality activities

CORE COMPETENCY FOR MALAYSIAN NURSES 4.EDUCATION AND RESEARCH

Key Areas of Responsibility 1. EDUCATION Goal Statement & Rationale To ensure nurses of various levels have adequate knowledge and skills in their area of specialty in order to provide nursing care which is safe and of quality Core Competency i. Critical thinking Strategies Use clinical judgment and decision making skills in assessing timely actual and potential nursing problems and its appropriate individual care. Uses multiple approaches to decision- making Performance Indicator All nurses utilizes critical thinking during the delivery of care.

Is a self directed, yet interactive lifelong process that empowers nurses to think critically and grow toward their potential as individuals and ii. Provides holistic contributing members nursing care to All nurses from of the profession and individuals in various novice to expert society. settings with the use should have Besides, nursing sufficient of nursing care plan. knowledge in knowledge and skill conjunction with to demonstrate their liberal education competencies. prepares nurses to enter their practice with identified core competencies

Comprehensive assessment of patients on admission and ongoing during the stay. Formulates nursing diagnosis and implements nursing care to achieve identified outcomes within scope of practice Evaluates progress towards expected outcomes and reviews and revises plans in accordance with evaluation data.

100% compliance where patient care is with help of nursing care plan.

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CORE COMPETENCY FOR MALAYSIAN NURSES 4.EDUCATION AND RESEARCH

Key Areas of Responsibility Goal Statement & Rationale Ongoing training and education enhance the knowledge and skills of nurses Core Competency iii. Acquisition and mastery of technical skills Strategies Carries out all procedures proficiently Identifies gaps between procedures and policies, protocols and guidelines Communicates deliberately which goal oriented. Performance Indicator 100% compliance to SOP for all procedures

iv. Autonomous professional communication

>85% patient satisfaction with the nursing care given. >85% for survey on soft skills between nurses and patients.

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CORE COMPETENCY FOR MALAYSIAN NURSES 4. EDUCATION AND RESEARCH

Key Areas of Responsibility Goal Statement & Rationale Core Competency Strategies Performance Indicator

2. RESEARCH

To support studies or research on patient safety and quality nursing care Research is an essential component of the evidencebased nursing movement and has a key role to play in enhancing patient safety and quality care. Research contributes to developments in nursing and improved standards of care

Gathering research data

Identifies issues/ problems in nursing practice as the basis for review and research related to nursing care Able to choose the appropriate design Able to gather data systematically Participates in the conduct of approved research where appropriate Has knowledge on data analysis Uses or chooses SPSS / appropriate program for data entry and analysis Able to interpret the findings

% of nurses with tertiary education carry out at least 1 study in a year To achieve a performance rate of >90%, nurses must produce at least 1 research /proposal paper.

Analyzing research data

All data analysis utilizes appropriate software

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Key Areas of Responsibility

Goal Statement & Rationale

Core Competency Sharing findings

Strategies Submit to local journals for publication Presents the papers in seminars/conferences/ journal clubs Ensures research findings are disseminated to colleagues Shares a depth of knowledge gained through CNE and experience Upgrades nursing care based on findings Does literature searches and utilizes the findings for quality care.

Performance Indicator Publications of studies and literature review in the local and international nursing journals Presentations by nurses in local and international conferences. Presentations journal clubs / CNE programs at local settings % of nurses carry out literature review for evidence based practice The curriculum of all advance diploma nursing courses has the evidence based nursing practice component

Applying findings to work functions

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CORE COMPETENCY FOR MALAYSIAN NURSES 5. PROFESSIONAL PERSONAL AND QUALITY IMPROVEMENT
Key Areas of Responsibility 3. Professional, Personal and Quality Development Core Competency Strategies Performance Indicator

1. Performs function according to professional standards 2. Projects a professional image of the nurse

Assesses own performance against CPD Points, Staff Nurse: 25 30 points standards of practice Apply established nursing care standards vigilantly and proficiency Demonstrates good manners and right conduct at all times Respond to challenges and changes with a positive attitude

Nursing Supervisor and Nursing Manager : 35 40 points 100% Post Basics Courses / Specialization Courses 100 %: All Registered Nurses must pass the examination in order to be posted to specialized areas. Mentor Mentee >85% of all newly appointed nurses from local learning institutions and foreign nurses Basic Life Support in A&E Department 5 yearly renewal after passing the test 100% Breast Feeding (B/F) >85 % of nurses working in Maternity and Child Health Clinics must attend the 20 hours B/F course within 6/12 of placement Neonatal Resuscitation Programme (NRP) 100 % Nurses working in Neonatal unit must attend NRP

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COMPETENCY FOR MALAYSIAN NURSES 5. PROFESSIONAL PERSONAL AND QUALITY IMPROVEMENT

Key Areas of Responsibility Core Competency Strategies Performance Indicator

Credentialing and Privileging Intensive Care Ophthalmology Coronary Care Peri-operative Care Obstetrics Credentialing: Without post- basic certificate, working continuously in the area over a period of 2 years or more years. Privileging All healthcare providers wishing to perform identified procedures or services must make an application to the Hospital Privileging Committee, setting out their qualifications, training experience and the details of the procedures / service they wish to perform. Customer Satisfaction Survey 2 times per year : 30% of total inpatient

10S programme 10% of the staff will be assessed yearly Standard >85%

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