NCM 110 Theoretical Foundation of Nursing PDF

NCM 110 THEORETICAL FOUNDATION OF NURSING 11 Key Areas of Responsibility Key Area of Core Competencies Indicators Responsibility SAFE AND Demonstrates 1. identifies the health needs of the patients or group QU...

NCM 110 THEORETICAL FOUNDATION OF NURSING 11 Key Areas of Responsibility Key Area of Core Competencies Indicators Responsibility SAFE AND Demonstrates 1. identifies the health needs of the patients or group QUALITY NURSING knowledge base on 2. explains the health status of the patients or groups CARE the health or illness status of an individual or groups Provides sound 1. identifies the problem decision making in 2. gathers data related to the problem the care of 3. analyzes the data gathered individuals or groups 4. selects appropriate action considering their 5. monitors the progress of the action taken values and beliefs Promotes safety, 1. performs age-specific safety measures, comfort comfort and privacy measures, measures to ensure privacy in all aspects of of the patient patient care. Sets priorities in 1. identifies the priority needs of patients nursing care based 2. analyzes the needs of the patient on patient’s needs 3. determines appropriate nursing care to be provided Ensures continuity of 1. refers identified problem to appropriate individuals or care agencies 2. establishes means of providing continuous patient care Administers 1. conforms to the 10 golden rules in medication medications and administration and health therapeutics other health therapeutics Utilizes the nursing process as framework for nursing Performs 1. obtains consent comprehensive & 2. completes appropriate assessment forms systematic nursing 3. performs appropriate assessment techniques assessment 4. obtains comprehensive client information 5. maintains privacy and confidentiality 6. identifies health needs Formulates a plan of 1. includes patient and his family in care planning care in collaboration 2. states expected outcomes of nursing intervention with patients and 3. develops comprehensive patient care plan other members of 4. accomplishes patient centered discharge plan the health team Implements planned 1. explains interventions to patients and his family before nursing care to carrying them out achieve identified 2. implements nursing intervention that is safe and outcomes comfortable 3. acts according to client’s health condition and needs 4. performs nursing activities effectively and in a timely manner Evaluates progress 1. monitors effectiveness of nursing interventions revises towards expected care plan when necessary outcomes MANAGEMENT Organizes work load 1. identifies the task or activities that need to be OF RESOURCES to facilitate patient accomplished AND care 2. plans the performance of tasks or activities based on ENVIRONMENT priorities 3. finishes work assignment on time Utilizes resources to 1. determines the resources needed to deliver patient support patient care care 1  2. controls the use of supplies and equipment Ensures functioning 1. checks proper functioning of equipment of resources 2. refers malfunctioning equipment to appropriate unit Checks proper 1. establishes mechanism to ensure proper functioning of functioning of equipment equipment 2. determines tasks and procedures that can be safely assigned to other members of the team 3. verifies the competency of the staff prior to delegating tasks Maintains a safe 1. observes proper disposal of wastes environment 2. adheres to policies, procedures and protocols on prevention and control of infection 3. defines steps to follow in case of fire, earthquake and other emergency situations HEALTH Assesses the learning 1. obtains learning information through interview, EDUCATION needs of the patient observation and validation 2. Identifies priority needs 3. completes assessment records completely 4. defines relevant information Develops health 1. considers the nature of learner in relation to: social, education plan based cultural, political, economic, educational, and religious on assessed & factors anticipated needs Implements the 1. provides for a conducive learning situation in terms of health education plan time and place 2. considers client and family preparedness 3. utilizes appropriate strategies Evaluates the 1. utilizes evaluation parameters outcome of health 2. documents outcome of care education 3. revises health education plan when necessary LEGAL Adheres to practices 1. fulfills legal requirements in nursing practice RESPONSIBILITY in accordance with 2. holds current professional license the nursing law and 3. acts in accordance with the terms of contract of other relevant employment and other rules and regulations legislation including 4. complies with required continuing professional contracts, informed education consent 5. confirms information given by the doctor for informed consent 6. secures waiver of responsibility for refusal to undergo treatment or procedure 7. checks the completeness of informed consent and other legal forms Adheres to 1. articulates the vision, mission of the institution where organizational one belongs policies and 2. acts in accordance with the established norms of procedures, local and conduct of the institution or organization national Documents care 1. utilizes appropriate patient care records and reports rendered to patients 2. accomplishes accurate documentation in all matters concerning patient care in accordance with the standards of nursing practice ETHICO-MORAL Respects the rights of 1. renders nursing care consistent with the patients bill of RESPONSIBILITY individuals or groups rights Accepts responsibility 1. meets nursing accountability requirements as and accountability for embodied in the job description own decision actions 2. justifies basis for nursing actions and judgment 3. projects a positive image of the profession Adheres to the 1. adheres to the Code of Ethics for Nurses and abides by national and its provision 2  international codes 2. reports unethical and immoral incidents to proper of ethics for nurses authorities PERSONAL Identifies own 1. verbalizes strengths, weaknesses and limitations AND learning needs 2. determines personal and professional goals and PROFESSIONAL aspirations DEVELOPMENT Pursues continuing 1. participates in formal and non-formal education education 2. applies learned information for the improvement of care Gets involved in 1. participates actively in professional, social, civic and professional religious activities organizations and 2. maintains membership to professional organizations civic activities 3. support activities related to nursing and health tissues Projects a 1. Demonstrates good manners and right conduct professional image of 2. dresses appropriately the nurse 3. demonstrates congruence of words and action 4. behaves appropriately at all times Possesses positive 1. listens to suggestions and recommendations attitude towards 2. tries new strategies or approaches change and criticisms 3. adapts to changes willingly Performs function 1. assesses own performance against standards of according to practice professional 2. sets attainable objectives to enhance nursing standards knowledge & skills 3. explains current nursing practices when situations calling for it QUALITY Gathers data for 1. demonstrates knowledge of method appropriate for IMPROVEMENT quality improvement clinical problems identified 2. detects variation in the vital signs of the patient from day to day 3. reports necessary elements at the bedside to improve patient stay at hospital 4. solicits feedback from patient & significant others regarding care rendered Participates in 1. contributes relevant information about patient nursing audits and condition as well as unit condition and patient current rounds reactions 2. shares with team current information regarding particular patient’s condition 3. encourage the patient to speak about what is relevant to his condition 4. documents and records all nursing care actions 5. performs daily check of patients records or condition 6. completes patient’s records 7. actively contributes relevant information of patients during rounds thru readings and sharing with others Identifies and reports 1. documents observed variance regarding patient care variances and submits to appropriate group within 24 hours 2. identifies actual and potential variance to patient care 3. reports actual and potential variance to patient care 4. submits reports to appropriate groups within 24 hours Recommends 1. gives appropriate suggestions on corrective and solutions to preventive measures identified problems 2. communicates and discusses with appropriate groups 3. gives an objective and accurate report on what was observed rather than an interpretation of the event RESEARCH Gather data using 1. able to identify research- able problems regarding different patient care & community health methodologies 2. identify appropriate methods of research for a particular patient or community problem 3  3. combines quantitative & qualitative nursing design thru simple explanation on the phenomena observed 4. analyzes data gathered Recommends actions 1. based on analysis of data gathered, recommends for implementation practical solutions appropriate for the problem Disseminates results 1. able to talk about the result findings to colleagues or of research findings patients or family and others 2. endeavors to publish research 3. submits research findings to own agencies and others as appropriate Applies research 1. utilizes findings in research in the provision of nursing findings in nursing care to individuals or groups or communities practice 2. makes use of evidence-based nursing to ameliorate nursing practice RECORDS Maintains accurate 1. completes updated documentation of patient care MANAGEMENT and updated documentation of patient care Records outcome of 1. utilizes a records system patient care Observes legal 1. observes confidentiality and privacy of the patients’ imperatives in record records keeping 2. maintains an organized system of filing and keeping patients’ records in a designated area 3. refrains from releasing records and other information without proper authority COMMUNICATION Establishes rapport 1. creates trust and confidence with patients, 2. listens attentively to client’s queries and requests significant others and 3. spends time with the client to facilitate conversation members of the that allows client express concerns health team Identifies verbal and 1. interprets and validates clients body language and facial non-verbal cues expressions Utilizes formal and 1. makes use of available visual aids informal channels responds to needs of 1. provides reassurance through therapeutic touch, individuals, family, warmth and comforting words of encouragement group and readily smiles community uses appropriate 1. utilizes telephone, mobile phone, email and internet, information and informatics technology to 2. identifies significant others so that follow up care can facilitate be obtained communication 3. provides “holding” or emergency numbers for services COLLABORATION Establishes 1. contributes to the decision-making regarding patients’ AND TEAMWORK collaborative needs and concerns relationship with 2. participates actively in patient care colleagues and other 3. recommends appropriate intervention to improve members of the patient care health team 4. respects the role of other members of the health team 5. maintains good interpersonal relationship with patients, colleagues and other members of the health team Collaborates plan of 1. refers patients to allied health team partners care with other 2. acts as liaison or advocate of the patient members of the 3. prepares accurate documentation for efficient health team communication of services 4