MODULE

06
R4 P
ELIZABETH R. ROXAS, RN, MSN
MODULE OBJECTIVES
The Roles of the Professional Nurse
CARMENCITA M. ABAQUIN, RN, PhD
INTRODUCTION
Welcome to this introductory module on The Roles of the Professional Nurse in Nursing Practice. I
believe that all of us who are going to utilize the 2012 National Nursing Core Competency Standards
(NNCCS) should know the various phases, processes and activities involved in its development. In
line with this, let me share with you a brief history of the development of the 2012 NNCCS.
In 2005 the Professional Regulatory Board of Nursing (PRBON) Resolution no. 112 Series of 2005,
adopted and promulgated the Core Competency Standards of Nursing Practice in the Philippines.
As mandated, the Professional Regulatory Board of Nursing ensured, through a monitoring and
evaluation scheme, that the core competency standards were implemented and utilized effectively in
nursing education, in the development of test questions for the Nurse Licensure Examination (NLE),
and in nursing service as a basis for orientation, training and performance appraisal.
Through the years of implementation, global and local developments in health and professional
nursing prompted the PRBON to conduct a revisiting of the Core Competency Standards of Nursing
Practice in the Philippines. In 2009, the PRBON created the Task force on Nursing Core Competencies
Revisiting Project in collaboration with the Commission on Higher Education -Technical Committee on
Nursing Education and selected nursing leaders from the various nursing professional organizations
with the primary goal of determining the relevance of the current nursing core competencies to
expected roles of the nurse and to its current and future work setting.
MODULE
2
INTRODUCTION
1
At the end of the module, you, as the Master Trainer, will be able to:
1. Describe the various phases involved in the development of the 2012 National Nursing Core
Competency Standards (NNCCS).
2. Discuss the conceptual framework of the 2012 NNCCS including the three distinct roles of the
nurse, responsibilities per roles and the competencies and performance indicators for each
responsibility in the care of the four types of clients.
The process of revisiting the core competency standards involved the following ten (10) key phases.
Please particular attention on the activities undertaken in each phase.
2 INTRODUCTION
PHASES DESCRIPTION
I A
(Feb. 2010)
Work setting scenario inputs
and analysis
Resource persons were invited to discuss global, regional
and local health scenarios, impact of nursing in achieving
health care goals, in the light of global and local health care
situations and the health human resource master plan as well
as the local health care industry.
After the work setting scenario inputs and analysis the group
had workshops to undertake the following:
creation of health and health care scenarios affecting
the nursing profession (current, 5 years and 10 years
projection);
identifcation of their roles and the responsibilities needed
to perform each role.
I B
(April 2010)
Benchmarking of
Nursing Core Competencies
Committees were formed to undertake benchmarking
of nursing core competency standards of selected
countries.
The output was consolidated and presented to the
nursing body.
II
Field Validation studies of role and
responsibilities and benchmarking
of core competencies with other
countries
II A, B, and C
(June 2010, Nov.2010, & Feb.2011)
Presentation of feld validation
studies of the identifed nurses
roles and responsibilities.
Several Field Validation studies of the identifed nurses
roles were undertaken by nursing partners in hospital
(government; private, tertiary, secondary); community
(urban and rural) settings using either of the following
methodologies: Focus-group Discussion, Participant
Observation, Modifed Delphi, and Clinical Exemplar.
Validation strategies of the specifed responsibilities and
tasks for each roles were likewise undertaken.
These were presented to the nursing community in
several fora.
III A
Integrative review of outputs from
the validation strategies
and SKA Analysis
Hospital and community research teams were formed
to undertake Integrative review of outputs from the
validation strategies and do SKA Analysis.
Workshops were undertaken to do the following for each
task:
specify the skills needed to perform each task,
identify the knowledge needed to perform each
skill,
list the values and attributes needed to perform the
skills.
III B
These include: Consolidation of
Parts I and II and Phase III A Outputs
and Content Validity Determination
and Identifcation of Roles
Consolidation and presentation of outputs by the
Research Teams (Community based Research Team
and Hospital based Research Team)
Identifcation of the Nurses Roles:
Beginning Practitioner Role
Beginning Manager-Leader Role
Beginning Researcher Roles
Table 2.1 Ten Key Phases Involved in the Process of Revisiting the Core Competency Standards
MODULE 2 3
PHASES DESCRIPTION
Identifcation of the various clients of the nurse:
Individual with varying age group, gender and
health-illness status
Family well and at risk
Population groups
Community
Then merging of the outputs of the two research teams
was done.
III C
(August 24, 2011)
Initial Presentation of Core
Competency List
Presentation of Nursing Core Competency List to the BON
and Partners.
IV A
(Sept. - Oct. 2011)
Consensual Validation
of Core Competencies
Zamboanga, Iloilo, and Baguio
Consensual Validation tool was developed to ensure
relevance, importance and clarity of the statement.
Create with BON and Partners the scenario and work
plan on expanding the consensual validation team
represented by nurse leaders and colleagues as
stakeholders in Luzon, Visayas and Mindanao, to review/
evaluate the revised core competency list.
Data Processing, Analysis and Preparation of Full Report
on the Results of the Expanded Consensual Validation
on the revised core competencies
IV B
(Oct - Nov. 2011)
Presentation of Consolidated
Outputs of the Consensual
Validation and the Statistical
Implications
Presentation of the Consolidated outputs of the consensual
validation and the statistical implications to the research
teams to determine needed modifcations.
IV C
(Nov. Dec. 2011)
Finalization of Outputs by the
Formatting Team
Presentation of the Results to the Expanded Consensual
Validation Teams to prepare work plan for conducting and
facilitating Public Hearings.
V
(Jan. - Feb. 2012)
Conduct of Public hearing
Cebu, Davao, Baguio, & NCR
Teams for the Public Hearing were organized in
collaboration with our nursing partners in the various
regions.
Suggestions for changes in the statement of roles,
responsibilities, competencies and performance
indicators were considered.
The three identifed nurses roles were rephrased:
Beginning nurses role on client care
Beginning nurses role on management and
leadership
Beginning nurses role on research
4 INTRODUCTION
PHASES DESCRIPTION
After the consolidation of the outputs of the public hearing,
Resolution was submitted by the PRBON to the PRC for
the promulgation of the revised nursing core competency
standards (June 2012)
Resolution 24 Series of 2012 was approved on July 27,
2012 amending Board Resolution No 112 Series of 2005
and adopting the 2012 National Nursing Core Competency
Standards (2012 NNCCS)
VII
Printing of the 2012 National Nursing
Core Competency Standards
(2012 NNCCS)
Printing of the 2012 NNCCS was done and this is found in
the BON website.
VIII A
Training for the Implementation of
the 2012 National Nursing Core
Competency Standards
Initial Planning of the Implementation was done including
the formation of various committees.
Oversight and steering with the PRBON in
charge
Program and Design Committee
Selection Committee
Logistics Committee
Information and Media Relations Committee
Evaluation Committee
Program and design of the implementation was presented
and approved by the Implementation Team
PRBON organized two programs to update the nursing
community of the recent developments that can impact
the implementation of 2012 NNCCS
Philippine Qualifcations Framework
ASEAN Qualifcations Reference Framework
VI
Promulgation of the revised
and modifed Nursing Core
Competency Standards
VIII B
(until Dec. 2013)
ILO Funded Initial Implementation of
2012 NNCCS through CHED TCNE
ILO Funded the initial phase of the implementation phase
that included
Formation of the Committee
Module development and pilot testing of the modules
and evaluation of the Master Trainer and
Implementation Facilitator Program Design
VIII C
Training of Trainors for
Mainstreaming of the 2012
NNCCS (Spreading and
Imbedding) Target 2014
This phase will include
Modifcation of the program design based on the pilot
testing
Activating the various implementation committees
Establishing the program design for spreading and
imbedding 2012 NNCCS in nursing education and
service (hospital and community)
IX
Evaluation of the effectiveness of
the 2012 National Nursing Core
Competency Standards
(Target 2015-2018)
The evaluation phase will include both education and service.
MODULE 2 5
A competency based framework and a creation paradigm were utilized in planning the revision. (Please
see Figure 2.1 for the Competency Based Framework.). This ensures a systematic approach in developing
competence in nursing practice.
COMPETENCY-BASED FRAMEWORK IN CURRICULAR DESIGN

WORK-SETTING SCENARIO ANALYSIS
Current Data and Projections
Work-Setting
Scenarios:
Demographic
Profile
Health Picture
Socio-Economic-
Political- Cultural
Context

Required
Professional Roles
Professional Responsibilities
Professional Tasks
SKA Analysis
Professional Competencies
Student Competencies
Bases for Selecting
Learning
Experiences

Practitioner
Manager/Leader
Researcher

Terminal
Competencies
Entry
Competencies
Intermediate
Competencies
Competency-Based BSN Curriculum: A Model Revised Edition
College of Nursing Faculty, University of the Philippines Manila

The 2012 National Nursing Core Competency Standards (2012 NNCCS) will serve as a guide for the
development of the following:
Basic Nursing Education Program in the Philippines through the Commission on Higher Education
(CHED).
Competency-based NLE Test Framework as the basis for the development of course syllabi and
test questions for entry level nursing practice in the Philippine Nurse Licensure Examination
Standards of the Professional Nursing Practice in various settings in the Philippines
National Career Progression Program (NCPP) for nursing practice in the Philippines.
Any or related evaluation tools in various practice settings in the Philippines.
Figure 2.1. Competency-Based Framework in Curricular Design
6 INTRODUCTION
2012 NATIONAL NURSING CORE COMPETENCY STANDARDS
(2012 NNCCS)
The various roles of the nurse including their responsibilities will be discussed in the various modules.
Please pay particular attention on the commonalities and uniqueness of the manner by which the roles and
responsibilities are presented depending on the setting as well as the health-illness status of the clients.
The various competencies and performance indicators are spelled out to serve as guide in the development
of our plan of care.
For The Beginning Nurses Role On Client Care, there are 5 responsibilities:
RESPONSIBILITY COMPETENCIES
I. BEGINNING NURSES ROLE ON CLIENT CARE
1: Practices in accordance with legal principles and the code of ethics
in making personal and professional judgment.
2: Utilizes the nursing process in the interdisciplinary care of clients
that empowers the clients and promotes safe quality care.
3: Maintains complete, accurate and up to date recording and
reporting system.
4: Establishes collaborative relationship with colleagues and other
members of the team to enhance nursing and other health care
services.
5: Promotes professional and personal growth and development.
TOTAL
5
7
3
2
4
21
RESPONSIBILITY COMPETENCIES
II. BEGINNING NURSES ROLE ON MANAGEMENT AND LEADERSHIP
1: Demonstrates management and leadership skills to provide safe
and quality care
2: Demonstrates accountability for safe nursing practice.
3: Demonstrates management and leadership skills to deliver health
programs and services effectively to specifc client groups in the
community settings.
4: Manages a community/village based health facility/component of a
health program or a nursing service.
5: Demonstrates ability to lead and supervise nursing support staff.
6: Utilizes appropriate mechanism for networking, linkage building
and referrals.
TOTAL
4
3
2
9
8
4
30
MODULE 2 7
RESPONSIBILITY COMPETENCIES
III. BEGINNING NURSES ROLE ON RESEARCH
1: Engages in nursing or health related research with or under the
supervision of an experienced researcher.
2: Evaluates research study/report utilizing guidelines in the conduct
of a written research critique.
3: Applies the research process in improving client care in partnership
with a quality improvement/quality assurance/nursing audit team.
TOTAL
4
4
4
12
1. Describe the three roles of a beginning nurse
2. Explain the roles as they impact the delivery of safe and high quality care
3. Discuss outcomes when these roles are performed poorly
MODULE OBJECTIVES AS TRAINING OUTCOMES
Figure 2.2. Conceptual Framework of the 2012 National Nursing Core Competency Standards
In order for you to develop better insights on the 2012 NNCCS details of the various phases of the
development of the 2012 NNCCS was presented.
Likewise the competency based framework was presented to give you a systematic way of developing
competence in nursing practice both in education and service.
The Conceptual Framework of the 2012 NNCCS and its description will help you appreciate that the
competencies expected of the nurse are derived from the needs of the industry or the work place and the
type of clients of the nurse.
Again please pay particular attention on assessment and interventions that are unique for each of the clients
as well as the performance indicators for each of the competencies to better evaluate the effectiveness of
the care given to your clients.
SUMMARY
DESCRIPTION
Work-setting scenario on local, regional and global health industry demands was determined after having
conducted assessments, benchmarking studies and application of the competency-based framework and
creation paradigm. This sets the stage for the beginning professional nursing competencies for the care
of clients especially performed in 3 distinct and clear ROLES: the Beginning Nurse Role on Client Care;
Beginning Nurse Role on Management and Leadership and Beginning Nurse Role on Research. These
roles set expected patterns of behavior for the professional nurse in society, performed within clearly
established and universally accepted processes the NURSING PROCESS.
In each of these roles are RESPONSIBILITIES. These are obligations explicitly carrying the authority
afforded by the state to every duly licensed professional nurse. It spells out very peculiar mandate in terms
of expected performances in order to decide and act based on scientifc evidences as well as ethico-
spiritual and legal basis for nursing care.
These are translated in what are to be recognized as CORE COMPETENCIES referred to as technical
capacities needed for doing the tasks and roles of every Filipino Professional Nurse. PERFORMANCE
INDICATORS are spelled out for each competencies to serve as guide in evaluating effectiveness of
competencies and this can ensure clients safety.
At the innermost circle is the raison detre (reason for being as nurses). These consists of individuals,
families, population groups and community as clients. They are the recipients of holistic health care provided
by nurses in any work setting.
Organized and put together, these now serve as the conceptual framework of the 2012 National Nursing
Core Competency Standards for the Nursing Practice in the Philippines.
8 INTRODUCTION