Care Competency

2012 NATIONAL NURSING CORE COMPETENCY
STANDARDS
Presented by: Hanna Grace G.
Olvido
LIST AT LEAST 3 NURSING ROLES
BASED ON YOUR PROFESSIONAL
NURSING EXPERIENCE THAT YOU
USUALLY ENCOUNTER
2012 NATIONAL NURSING CORE
COMPETENCY STANDARDS
WHEREAS:
Professional Regulatory Board of Nursing

Amend Res. No. 112 Series of 2005
“Revisiting” of the same standards in 2007
In accordance with Sec. 9 (c), Art. III of R.A.
9173.
THEREFORE:
Amend Board Res. No. 112, Series of
2005.
Three roles of the entry level nurse -
Beginning nurses Role on client care and
management and leadership.
Beginning Nurse’s Role on Client Care.
Beginning Nurse’s Role on leadership and
Management
Beginning Nurse’s Role on Research
THEREFORE:
Amend Board Res. No. 112, Series of
2005.
Responsibilities and competencies needed
to performed each role with corresponding
performance indicators.
Key Areas of Responsibility
Types of clients served by the nurse.
SIGNIFICANCE:
Basic Nursing Education Program in the
Philippines through CHED
Competency-based test framework development of
course syllabi and test questions for “entry level”
nursing practice in the board licensure examination
for nurses
Standards of professional nursing practice in
various setting in the Philippines
All related evaluation tools in various practice
settings in the Philippines
10 KEY PHASES:
Phase 1 – Work Setting scenario

Phase 2 – Validation studies of roles and
responsibilities/Benchmarking
Phase 3 – Integrative review of outputs from the
validation strategies
Phase 4 – Core competency consensual validation
Phase 5 – Conduct of public hearing
10 KEY PHASES:
Phase 6 – Promulgation of the revised and modified
core competency standards.
Phase 7 – Printing of the revised and modified core
competency standards.
Phase 8 – Training in the implementation of the
revised core competency standards.
Phase 9 – Implementation of the revised core
competency standards.
Phase 10 – Evaluation of effectiveness of the revised
core competency standards.
Care of individuals, families,

population, groups, and
communities in varied settings
1. BEGINNING NURSE’S ROLE ON CLIENT CARE

 Responsibility 1: Practices in accordance with legal
principles and the code of ethics in making personal and
professional judgment.
 Responsibility 2: Utilizes the nursing Process in the
interdisciplinary care of clients that empowers the clients
and promotes safe quality care.
 Responsibility 3: Maintains complete and up to date
recording and reporting system.
 Responsibility 4: Establishes collaborative relationship
with colleagues and other members of the team to enhance
nursing and other health care services.
 Responsibility 5: Promotes professional and personal
growth and development.
2. BEGINNING NURSE’S ROLE ON MANAGEMENT

AND LEADERSHIP
 Responsibility 1: Demonstrates management and
leadership skills to provide safe and quality care.
 Responsibility 2: Demonstrates accountability for safe
nursing practice.
 Responsibility 3: Demonstrates management and
leadership skills to deliver health programs and services
effectively to specific client groups in the community setting.
 Responsibility 4: Manages a community/village based
health facility/component of health program or nursing
service.
2. BEGINNING NURSE’S ROLE ON MANAGEMENT

AND LEADERSHIP
 Responsibility 5: Demonstrates ability to lead and

supervise nursing support staff.
 Responsibility 6: Utilizes appropriate mechanisms for
networking, linkage, building and referrals.
3. BEGINNING NURSE’S ROLE ON RESEARCH

 Responsibility 1: Engage in nursing or health related
research with or under the supervision of an experienced
researcher.
 Responsibility 2: Evaluates research study/report
utilizing guidelines in the conduct of a written research
critique.
 Responsibility 3: Applies the research process in
improving client care in partnership with a quality
improvement/quality assurance/nursing audit team.
BEGINNING NURSES ROLE ON

CLIENT CARE
RESPONSIBILITY 1- PRACTICES IN ACCORDANCE WITH
LEGAL PRINCIPLES AND THE CODE OF ETHICS IN MAKING
PERSONAL AND PROFESSIONAL JUDGMENT

CLIENT CARE
RESPONSIBILITY 1
1.1. Adheres to ethico-legal considerations when
providing safe, quality and professional nursing
care.
1.2. Applies ethical reasoning and decision making
process to address situation of ethical distress
and moral dilemma

CLIENT CARE
RESPONSIBILITY 1
1.3. Adheres to established norms of conduct based
on the Philippine Nursing Law and other legal,
regulatory and institutional requirements relevant
to safe nursing practice.
1.4. Protects clients rights based on “Patient’s Bill of
Rights and Obligations”.

CLIENT CARE
RESPONSIBILITY 1
1.5. Implements strategies/policies related to
informed consent as it applies in multiple
contexts.

CLIENT CARE
RESPONSIBILITY 2- UTILIZES NURSING PROCESS IN THE
INTERDISCIPLINARY CARE OF CLIENTS THAT EMPOWERS
THE CLIENTS AND PROMOTES SAFE QUALITY CARE.

CLIENT CARE
RESPONSIBILITY 2
2.1 Ensures a working relationship with the client
and/or support system based on trust, respect
and shared decision making.
2.1.1. Establishes rapport with client and/or support system ensuring adequate
information about each other as partners in a working relationship.
2.1.2. Formulates with the client-partner the objectives and expectations of the nurse-
client working relationship.
2.1.3. Maintains shared decision making and client’s participatory capability throughout
the nurse-client working relationship.
2.1.4. Enhances client-partner’s readiness for taking over/begin in-charge when objectives
and expectations of the working relationship have been achieved.

CLIENT CARE
RESPONSIBILITY 2
2.2 Assesses with client (individual, family,
population group, and/or community) ones
health status/competence.
2.2.1 Develops the data gathering plan with the client. Specifying methods and
tools.
2.2.2 Obtains assessment data utilizing appropriate data gathering methods
and tools guided by type of client and work setting requisites.
2.2.3 Analyzes data gathered
2.2.4 Synthesizes data gathered
2.2.5 Specifies client’s status/conditions problems to be addressed identifying
reasons (etiology) for the existing of the condition or problem.

CLIENT CARE
RESPONSIBILITY 2
2.3 Formulates with the client a plan of care to
address the health conditions, needs, problems
and issues based on priorities.
2.4 Implements safe and quality interventions with
the client to address the health needs, problems
and issues.

CLIENT CARE
RESPONSIBILITY 2
2.4.1 Implements appropriate
psychosocial/therapeautic interventions to
render holistic nursing care in any setting.

CLIENT CARE
RESPONSIBILITY 2
2.4.2 Provides appropriate evidence-based nursing
care using a participatory approach based on;
a) Variety of theories and standards relevant to health and
healing.
b) Research
c) Clinical practice
d) Client preference
e) Client and staff safety
f) Customer care standards.

CLIENT CARE
RESPONSIBILITY 2
2.4.3 Applies safety principles, evidence based practice,
infection control measures and appropriate protective
devices consistently, when providing nursing care and
preventing injury to clients, self, other health care workers
and the public.
2.4.4 Implements strategies related to the safe preparation and
administration of medications based on institutional
policies and protocol.
2.4.5 Applies evidence based practices on pain prevention and
management of clients using pharmacologic and non-
pharmacologic measures.

CLIENT CARE
RESPONSIBILITY 2
2.4.6 Implements safe, adequate, evidence based care on
clients during the pre-intra and post diagnostic and
treatment procedures
2.4.7 Implements safe and quality nursing interventions
addressing health needs, problems and issues affecting
pregnant woman during the peripartal to neonatal stage.

CLIENT CARE
RESPONSIBILITY 2
2.4.8 Apples appropriate and evidence-based nursing
interventions for physiologic and related psychosocial
needs of patient/clients to preserve physiologic integrity
and prevent complications of problems of oxygenation
(ventilation, transport, perfusion); fluid and electrolyte
imbalance and acid-based imbalances; nutrition and
metabolism; gastrointestinal (indigestion, digestion,
absorption, coordination, and altered sensation;
inflammation, infection, and immune responses; cellular
aberration, altered genetic conditions; and reproductive
problems.

CLIENT CARE
RESPONSIBILITY 2
2.4.9 Implements participatory and empowerment strategies
related to promotion of health, healthy lifestyle/adaptation,
wellness, disease management environmental sanitation,
environment protection and health resource generation,
use of access within the context of primary health care.
2.4.10 Implements interventions guided by prescribed context

of specific health programs services.

CLIENT CARE
RESPONSIBILITY 2
2.4.11 Implements appropriate care to individuals, families,
vulnerable groups, and communities during the three
phases of disaster situations, such as 1) pre-incident
phase 2)incident phase 3)post incident phase.
2.4.12 Implements appropriate nursing interventions to help

clients and support system address spiritual needs.
2.4.13 Manages client load to ensure health program service

coverage.

CLIENT CARE
RESPONSIBILITY 2
2.5 Provides health education using selected planning
models to targeted clientele (individuals, family,
population group or community).
2.5.1 Determines the health education planning models
appropriate to target clientele/experienced objective and
outcomes.
2.5.2 Utilizes health education process to accomplish the plan
to meet identified client’s learning needs.

CLIENT CARE
RESPONSIBILITY 2
2.6 Evaluate with the client the health
status/competence and/or process/expected outcomes
of nurse-client working relationship.
2.7 Documents client’s responses /nursing care
services rendered and process outcomes of the nurse
client working relationship.

CLIENT CARE
RESPONSIBILITY 3- MAINTAINS COMPLETE, ACCURATE AND
UP-TO-DATE RECORDING AND REPORTING SYSTEM.

CLIENT CARE
RESPONSIBILITY 3
3.1 Ensures completeness, integrity, safety,
accessibility and security of information.
3.2 Adheres to protocol and principles of confidentiality
in safe keeping and releasing of records and other
information
3.3 Implements system of informatics to support the
delivery of health care.

CLIENT CARE
RESPONSIBILITY 4- ESTABLISHES COLLABORATIVE
RELATIONSHIP WITH COLLEAGUES AND OTHER MEMBERS
OF THE TEAM TO ENHANCE NURSING AND HEALTH CARE
SERVICES

CLIENT CARE
RESPONSIBILITY 4
4.1 Ensures intra-agency, inter-agency, multidisciplinary
and sectoral collaboration in the delivery of health care.
4.2 Implements strategies/approaches to
enhance/support the capability of the client and care
providers to participate in decision making by the inter
professional team.

CLIENT CARE
RESPONSIBILITY 5- PROMOTES PROFESSIONAL AND
PERSONAL GROWTH AND DEVELOPEMNT

CLIENT CARE
RESPONSIBILITY 5
5.1 Assumes responsibility for lifelong learning, own personal
development and maintenance of competence.
5.2 Demonstrates continued competence and professional
growth.
5.3 Engage in advocacy activities to influence health and
social care service policies and access to services.
5.4 Models professional behavior

LEADERSHIP AND MANAGEMENT
RESPONSIBILITY 1 - DEMONSTRATES
MANAGEMENT AND LEADERSHIP SKILLS TO
PROVIDE SAFE AND QUALITY CARE

RESPONSIBILITY 1
1.1 Utilizes appropriate and efficient
methods/strategies/tools to manage multiple nursing
interventions for clients with co-morbidities, complex
and rapidly changing health status with consultation as
needed.
1.2 Coordinates care by organizing use of human,
material financial and other resources to achieve
expected health outcomes.

RESPONSIBILITY 1
1.3 Maintains a harmonious and collegial relationship
among members of the health team for effective,
efficient and safe client care.
1.4 Creates a safe environment of care through the use

of quality assurance, continuous quality improvement
and risk management strategies.

ACCOUNTIBILITY FOR SAFE NURSING PRACTICE

RESPONSIBILITY 2
2.1 Participates in the development of policies and
standards regarding safe nursing practice
2.2 Organizes own workload demonstrating time
management skills for meeting responsibilities and
achieving outcomes.
2.3 Institutes appropriate corrective actions to prevent
or minimize harm arising from adverse effects

MANAGEMENT AND LEADERSHIP SKILLS TO
DELIVER HEALTH PROGRAMS AND SERVICES
EFFECTIVELY TO SPECIFIC CLIENT GROUPS IN
THE COMMUNITY SETTING.

RESPONSIBILITY 3
3.1 Applies management and leadership principles in
providing direction to manage a community /village-
based:
• Health facility
• Component of health program or
• Nursing service
3.2 Uses appropriate strategies/approaches to plan
community health programs and nursing services.

RESPONSIBILITY 4 - MANAGES A
COMMUNITY/VILLAGE BASED HEALTH
FACILITY/COMPONENET OF HEALTH PROGRAMS
OR A NURSING SERVICE

RESPONSIBILITY 4
4.1 Coordinates the tasks/functions of other nursing
personnel (midwife, BHW and utility worker)
4.2 Collaborates with other members of the health team
in the implementation of programs and services
4.3 Ensures adequate resources (e.g. human, material)
to effectively implement programs/services based on
requirements, ratio, and standards

RESPONSIBILITY 4
4.4 Mobilizes resources for effective program
implementation/services delivery.
4.5 Supervises the implementation of nursing
component of the health services/programs
4.6 Ensures that all nursing personnel adhere to
standards of safety bioethical principles and evidence-
based nursing practice.

RESPONSIBILITY 4
4.7 Evaluates specific components of health programs
and nursing services based on parameters/criteria
4.8 Applies management and leadership principles to
ensure a complete accurate, and up-to-date
documentation of activities and outcomes of managing
community village-based facility component of a health
program and/or nursing service.
4.9 Maintains a positive practice environment.

RESPONSIBILITY 5- DEMONSTRATES TO LEAD
AND SUPERVISE NURSING SUPPORT STAFF.

RESPONSIBILITY 5
5.1 Applies principles of supervision for effective and
efficient delivery of health programs and services.
5.2 Assesses supervisory needs of the nursing support
staff.
5.3 Participates in the planning and implementation of
staff development activities to enhance performance of
nursing support staff.

RESPONSIBILITY 5
5.4 Monitors the performance of the nursing support staff.
5.5 Evaluates performance of nursing support staff using a
standard evaluation tool
5.6 Participates in improving policies and standards of nursing
practice.
5.7 Disseminates policies, regulations, circulars and programs
among nurses and nursing support staff
5.8 Participates in developing policies and procedures relevant to
human resources management.

RESPONSIBILITY 6- UTILIZES APPROPRIATE
MECHANISMS FOR NETWORKING, LINKAGE
BUILDING AND REFERRALS

RESPONSIBILITY 6
6.1 Applies principles of partnership and
collaboration to improve delivery of health
services.
6.2 Determines resources available for
networking, linkage building, and referral
necessary for improving delivery of health
services

RESPONSIBILITY 6
6.3 Collaborates with GOs, NGOs and other sociocivic
agencies to improve health care services, support
environment, protection policies and strategies, and
safety and security mechanisms in the community
6.4 Engages in advocacy activities to deal with health
related concerns and adopts policies that foster the
growth and development of the nursing profession.

RESEARCH
RESPONSIBILITY 1 - Engage in nursing or health
related research with or under the supervision of an
experienced researcher.

RESEARCH
RESPONSIBILITY 1
1.1 Participates in preparing a research proposal
complying with the ethical principles in
nursing research
1.2 Conducts a research study as a member of a
research team

RESEARCH
RESPONSIBILITY 1
1.3 Presents the research study conducted in
partnership with a research team.
1.3.1 Prepares a written research report
1.3.2 Conducts an oral and or poster presentation

RESEARCH
RESPONSIBILITY 2- EVALUATES RESEARCH
STUDY/REPORT UTILIZING GUIDELIENS IN THE
CONDUCT OF A WRITTEN RESEARCH CRITIQUE

RESEARCH
RESPONSIBILITY 2
2.1. Determines if the research problems/questions,
objective and/or hypotheses are clearly logically linked
to the research purpose, concepts and relationship,
and propositions generated from the study framework
2.2. Analyzes if the conceptual framework the summary of
review of related literature, research design, and data
analysis procedure are logically linked with the
research purpose, problems/question and hypotheses.

RESEARCH
RESPONSIBILITY 2
2.3. Establishes if the interpretation, implications,
and recommendations are consistent with the
result considering the limitation of the study
2.4. Analyzes the research study/report for
adherence to standards of writing mechanics,
ethical principles and guidelines in all phases
of the research study.
.

RESEARCH
RESPONSIBILITY 3- APPLIES THE RESEARCH
PROCESS IN IMPROVING CLIENT CARE IN
PARTNERSHIHP WITH A QUALITY
IMPROVEMENT/UALITY ASSURANCE/NURSING
AUDIT TEAM

RESEARCH
RESPONSIBILITY 3
3.1 Participates as a member of a quality team
in implementing the appropriate quality
improvement process on identified
improvement opportunities .
3.1.1 Prepares a data collection and analysis plan as
a member of the quality improvement/quality
assurance/nursing audit team.

RESEARCH
RESPONSIBILITY 3
3.1.2 Conducts collection and analysis of the

date with the team member based on the
agreed plan.
3.1.3 Implements with the team the developed
action plan for the identified variance to
improve the system or process.

RESEARCH
RESPONSIBILITY 3
3.1.4 Communicates, both in oral and written
form, the results of the quality improvement
project in partnership with the quality
improvement team/quality assurance//nursing
audit team.

Care Competency

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Care Competency

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2012 NATIONAL NURSING CORE COMPETENCY

Professional Regulatory Board of Nursing

Phase 1 – Work Setting scenario

Care of individuals, families,

1. BEGINNING NURSE’S ROLE ON CLIENT CARE

2. BEGINNING NURSE’S ROLE ON MANAGEMENT

2. BEGINNING NURSE’S ROLE ON MANAGEMENT

 Responsibility 5: Demonstrates ability to lead and

3. BEGINNING NURSE’S ROLE ON RESEARCH

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2.4.10 Implements interventions guided by prescribed context

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2.4.12 Implements appropriate nursing interventions to help

2.4.13 Manages client load to ensure health program service

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1.4 Creates a safe environment of care through the use

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3.1.2 Conducts collection and analysis of the