PROFESSIONAL ADJUSTMENT In Nursing PDF

JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT PROFESSIONAL ADJUSTMENT IN NURSING: Ø Meron tayong sariling batas - 9173 v OUTLINE: WHAT EVERY NURSE MUST KNOW?...

JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT PROFESSIONAL ADJUSTMENT IN NURSING: Ø Meron tayong sariling batas - 9173 v OUTLINE: WHAT EVERY NURSE MUST KNOW? § WE HAVE OUR OWN “Board of Nursing”, THAT REGULATES Ø Philippine Nursing Act and Related Laws POLICIES AND PRACTICE OF NURSING § RA 9173 SPECIALIZED KNOWLEDGE AND SKILLS § Health-Related Laws – laws that were passed related to practice in nursing ¨ Yung skills ng nursing hindi kinokopya sa ibang professions § Standards of Practice – competency, standards of nursing practice in the PH ¨ Ratio: NURSING PROCESS – ADPIE Ø Code of Ethics (COE) Ø Wala ganito ang ibang profession § BON Res. 220 s. 2004 Ø Our OWN TOOL to deliver care § Ethical Principles EDUCATED IN HIGHER EDUCATION INSTITUTION (CHED) Ø Nursing Jurisprudence ¨ All universities that have a College of Nursing is under CHED § Jurisprudence CODE OF ETHICS § Negligence, Misdemeanor, Torts, Offenses, Crimes, etc. ¨ It is the: BON RES. 220 S. 2004 v PROFESSIONAL ADJUSTMENT Ø Promulgated the CODE OF ETHICS of practice of nursing in the Ø The growth of the individual and the development of all his capacities – physical, Philippines mental, emotional, social, and spiritual aspects. Ø PRC-BON Resolution No. 220 Series of 2004 Code of Ethics for § These are the stages of becoming a full pledged professionals Registered Nurses § From student days, you will adopt or change to become a full pledged RN! Ø BON – 90th anniversary (lumabas sa Boards) Ø PROFESSION § 2009, since 1919 sila nagawa § An occupation or calling requiring advanced training and experience in some LONG-TERM COMMITMENT TO THE PROFESSION specific or specialized body of knowledge which provides service to society in ¨ We must have the COMMITMENT, until the end of reaching the “RN” that specific field ¨ Dapat loyal ka sa nursing! HAHAHAH (kahti mababa sweldo) You can’t practice your profession, unless you underwent training and ¨ Ito problema ng GEN Z nurses (cancel culture, etc.) magreresign na sila experience agad, or aalis ng bansa Occupation/Profession – It’s called as such kasi PAID KA ¨ CONTINUITY IS A MUST ¨ Any profession is regulated by PRC PROFESSIONAL ASSOCIATION Vocation/Calling – means you find JOY or FULFILLMENT ¨ PHILIPPINE NURSES ASSOCIATION (PNA) ¨ Example: Taking care of the elderly Ø Only official ACCREDITED PROFESSIONAL ORGANIZATION (APO) § CRITERIA OF A PROFESSION: Ø It was founded by Anastacia Giron-Tupas in 1922 SERVICE TO HUMAN WELFARE § Last 2022, nacelebrate ang 100 years of PNA ¨ NURSES SERVE HUMANS OR SOCIETY § The headquarters is located at 1663 F.T. Benitez Street, in AUTONOMY Malate, Manila ¨ Nursing is AUTONOMOUS Ø Requirement – more than 50% of RNs are members of PNA ¨ Ratio: We are regulated by BOARD OF NURSING Ø WHAT IS NURSING? Ø Hindi tayo pinapakailaman ng ibang professions (Medicine, etc) § FLORENCE NIGHTINGALE – “Nursing is putting the patient in the best condition for and even the PRC nature to act upon him.” 1  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Florence Nightingale: Ø Educator - We help prepare a better future for the next ¨ “ENVIRONMENTAL THEORY” generations Ø She provided care even to the families of wounded soldiers § They will eventually replace us in the future Make the environment conducive to healing ¨ As a MISSION ¨ Example: Ø We have reverence for the gift of life Ø Stretching the bed linen, so the pt will be comfortable Ø RESPECT FOR THE DIGNITY OF EACH HUMAN BEING Ø Allowing clean air to enter the window and promote ventilation § PROBLEM: There are many cases that are happening without § ANA – “A helping profession and, as such, provides services which co tribute to regard of dignity of life of others the health and well-being or people” CAREER § VIRGINIA HENDERSON – “Assisting the patient; sick or well, in the performance of ¨ WE CAN BE: activities of daily living, which he/she could have done unaided, if he/she has Ø SPECIALIZED IN ONE AREA OF NURSING the necessary strength, will or knowledge, and if this is not possible, then assisting Ø SEVERAL PRACTICE AREAS the patient towards a peaceful death” § Bedside Nursing – most common In the nursing law, IT WAS CITED IN THE SCOPE OF NURSING PRACTICE § Public Health Nursing ¨ Towards a peaceful death – part ng scope of nursing (No.17) § School Nursing PART OF THIS WAS ALSO INCLUDED IN THE PREAMBLE IN CODE OF ETHICS § Occupational Nursing Assist the patient sa ADLs, since ikaw yung nasa bedside § Military Nursing ¨ Hindi kaya ng patient: § Nurse Researcher Ø Kumain Ø PROFESSIONAL PREPARATION Ø Magambulate § LICENSE TO PRACTICE NURSING THE COUNTRY Ø Pababain yung fever HOW: PASSING THE BOARD EXAM ¨ Anything the patient can’t do by himself § A DEGREE OF BACHELOR OF SCIENCE IN NURSING (BSN) ¨ Naghihina sila or wala silang will to care for themselves (depressed) – We only have 1 educational preparation for nurses in the PH: BSN NURSES MUST HELP WITH ADLs ¨ Before: GN (graduate nurse) not BSN § NURSING IS A: Ø It is a diploma course, not a degree course PROFESSION Ø To be a BSN, need mo pang magsupplemental course of 1 year ¨ It fulfills the different criteria of a profession Ø They take the same BOARD EXAM/LICENSURE EXAM ¨ It addresses the responses of individuals and families to health Ø PROGRAM CEASED TO BE IMPLEMENTED IN 1984 promotion, health maintenance and health problems Attempt to fix shortage of nurses: EXIT COMPETENCY MISSION/VOCATION ¨ Example: ¨ As a VOCATION: Ø If 1st year and di mo kaya ituloy, magchoose ka ng ibang Ø May mga bagay na we voluntarily do/serve others without profession (NA/Midwife/etc..) payment ¨ NOT AFFECTIVE AS A MEASURE TO ADDRESS SHORTAGE! Ø WE FIND JOY BY HELPING OTHERS OR EVEN THE ENVIRONMENT WE ENJOY OUR PROFESSION Sa ibang bansa madami silang types of educational preparation for nurses 2  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT ¨ LPN ¨ It is empathy and sensitivity to human pain and joy that allows one to ¨ CNA enter into the experience of another. ¨ BSN ¨ It is the UNDERSTANDING OF WHOM THAT PERSON TRULY IS FOR WHOM § BE PHYSICALLY AND MENTALLY FIT ONE IS CARING. You can’t help others if you have your own issues ¨ “With compassion, one becomes a colleague of humanity” (Roach, Ø 6 ATTRIBUTES OF PROFESSIONAL CARING (MARY SIMONE ROACH) 1992). ¨ It is an essential component of the nurse patient relationship. We understand the feelings of others, be with them, help them solve their issues Not only those persons close to you, but even with your patients ¨ Naiintindihan mo yung ugali and behavior nila, pain nila ¨ Alam mo bakit ganon problema nila § COMMITMENT: It is maintaining and elevating the standards and obligations of the nursing profession and assuring the delivery of excellence in nursing care. ¨ It is the LOYAL ENDEAVOR TO DEVOTE OURSELVES to the welfare of § A professional nurse practices the 6 C’s! patients. § COMPETENCE: ¨ It assures that caring will be part of every nurse patient interaction. Integration of knowledge, attitude, skills, and values that demonstrate ¨ It is a conscious effort to grow within the nursing profession through effective performance dedication to continuing education, life-long learning, and becoming ¨ It is acquiring and using evidence-based scientific and humanistic more skilled, socially conscious, ethical, politically competent and knowledge and skill in the application of therapeutic interventions in caring the current practice of nursing Kulang tayo ngayon – nagkukulang tuloy ng nurses kahit madami ¨ It is reflected in the cognitive, affective and psychomotor domains of pumapasa sa board exam learning ¨ They tend to leave the country or hindi sila nagtutuloy sa mag nurse ¨ It is the knowledge of the role of the nurse in the health care delivery ¨ They are not committed to work as a nurse! systems of the hospital and the community ¨ Causes: When you are competent, you can do what is expected of you Ø Exhausted from studying ¨ Within the standards of the profession Ø Payment ¨ Very caring ka pero hindi mo alam gagawin mo – NOT A GOOD NURSE Ø Benefits BOARD EXAM – done to segregate the competent within incompetent Ø Workload ¨ To protect the PUBLIC SAFETY Commit yourself to the practice of nursing ¨ If not, disturbance sila to society ¨ Hindi lang enough na magaling ka § COMPASSION: § CONFIDENCE: It means to be with another in their suffering. Confidence is TRUST in one’s ability to care for others. 3  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT ¨ It is the belief that our skilled, professional presence can make a ¨ It is the increased awareness of local, national and global health difference. concerns and current trends in health care that affect all ages and ¨ It is necessary to effectively implement the roles of the nurse as populations. caregiver, teacher, counsellor, advocate, leader, manager and ¨ It is the sense of accountability, responsibility and leadership for patient researcher. care. ¨ Confidence in OUR OWN ABILITY to create caring environments serves Ø The BSN Curriculum (CHED Memo No. 15, series of 2017) as a catalyst for change. § Educational Preparation ¨ It empowers both us and others to define and accomplish goals. § Promulgated through the BON ¨ It is developed through the successful utilization of knowledge and § 4-year program experience. § OUTCOME-based Dapat be confident According to law, the test to be given will come from the objectives of the ¨ Show yourself in a confident manner! curriculum which is now called the “PROGRAM OUTCOME” ¨ Show them that you know what you are doing, what you are saying is Sa curriculum objectives huhugot ang BON ng mga questions for board right exam § COMPORTMENT: Dapat lahat ng subjects na under Program Outcome ay included sa It is the PROFESSIONAL PRESENTATION of us as nurses to others in behavior, curriculum ng mga CONs ng Universities attitude, appearance, dress and language that communicate a caring § New subjects: presence. Disaster preparedness ¨ It includes the need for self-awareness, awareness of impact of self on Geriatric nursing others, and accepting responsibility for our actions. Nursing informatics ¨ This extends to responsibility for the healthcare environment and the Entrepreneurial nursing behavior of others who contribute to it. Decent work and transcultural nursing The way we show ourselves: Ø PROGRAM OUTCOMES: ¨ By talking – dapat hindi ka bastos makipagusap § Found in the CHED Memo No. 15, series of 2017 ¨ Dressing up – since we belong a to a health profession § Also known as OBJECTIVES OF NURSING CURRICULUM Ø There are certain requirements in the profession § 14 in total, basis of board exam of BON: Ø Dapat maayos ka tignan Apply knowledge of physical, social, natural, and health sciences and § CONSCIENCE: humanities in the practice of nursing It directs MORAL, ETHICAL and LEGAL decision-making. ¨ We apply different bodies of science to nursing: ¨ It motivates us to increase the knowledge and skills needed to respond Ø Biochemistry appropriately to moral, ethical and legal issues faced by one and Ø Anatomy and Physiology others. Ø Microbiology and Parasitology ¨ It directs us to adhere to the standards of professional nursing practice. Ø Biology ¨ It directs us to RESPOND TO SOCIAL INJUSTICES. Ø Physics ¨ Hindi lang sila minor, kailangan mo sila! 4  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Provide safe, appropriate, and holistic care to individuals, families, § Follow the Philippine Nursing Code of Ethics (2004) or its population groups, and community utilization the nursing processes equivalent, which emphasizes compassion, competence, ¨ MOST IMPORTANT and respect. Ø The ESSENCE OF NURSING Ø Advocacy: ¨ Essence mo sa pagiging nurse – TO SERVE OTHERS § Advocate for patient welfare, even in the face of Apply guidelines and principles of evidence-based practice in delivery of organizational or systemic challenges. care Ø Accountability: ¨ Evidence Based Practice – should serve as your basis as a nurse § Take responsibility for your actions, decisions, and their Ø In doing your RLE or skills outcomes. ¨ You have a rationale for the interventions you render to your patients Ø Cultural Sensitivity: Ø Mas SAFE yun since may proof based on research § Respect cultural and religious beliefs, adapting care to align Practice nursing in accordance with existing laws, legal, ethical, and moral with these values when possible. principles Communicate effectively in speaking, writing, and presenting using ¨ PROGRAM-OUTCOME – ito dapat ang BASIS culturally-appropriate language ¨ Adherence to Laws and Regulations ¨ You use communication in all of your interventions! Ø Know Nursing Laws: ¨ Verbal Communication § Familiarize yourself with the Nursing Act of 2002 (RA 9173) or Ø Use Clear Language: other governing laws in your jurisdiction. § Speak in a manner that is easy to understand, avoiding § These laws outline the scope of practice, duties, and medical jargon when talking to patients. Use layman's terms responsibilities of nurses. when explaining procedures or conditions. Ø Patient Rights: Ø Tone and Empathy: § Uphold patient rights as per Republic Act 9439 (Anti-Hospital § Maintain a calm and respectful tone. Show empathy by Detention Law) and ensure confidentiality according to RA listening actively and responding with care. 10173 (Data Privacy Act of 2012). Ø Cultural Sensitivity: Ø Licensure Requirements: § Be aware of cultural nuances in communication, such as § Maintain an active professional nursing license and renew it preferred greetings, gestures, or levels of formality. For as required by regulatory bodies. example, address patients by their titles (e.g., "Mr." or "Ms.") if Ø Documentation and Reporting: culturally appropriate. § Ensure accurate, timely, and complete documentation. Ø Active Listening: Report any unsafe or illegal activities, including child abuse § Encourage patients and colleagues to express themselves or workplace violence. fully, showing attentiveness through eye contact and ¨ Professional and Moral Integrity nodding (if culturally acceptable). Ø Code of Ethics: ¨ Nonverbal Communication Ø Body Language: 5  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT § Be mindful of your gestures, facial expressions, and posture. ¨ Practice being a leader kahti nurse ka! Ensure they align with your words to convey sincerity and Conduct research with an experienced researcher understanding. ¨ Yung mga undergrad dapat may RN na researcher when conducting Ø Personal Space: a reserach § Respect cultural differences in personal space and touch. Engage in life-long learning with a passion to keep current with national and Some cultures may prefer less physical contact, while others global developments in general and nursing and health development in may find touch comforting. particular ¨ Written Communication ¨ Hindi tumitigil ang pagaaral Ø Professional Language: ¨ Continuing Professional Development (CPD) activities § Use professional yet straightforward language in Ø It refers to the ongoing process of learning, acquiring new skills, documentation, emails, or reports. Avoid slang or colloquial and enhancing existing ones to keep up with the fast-evolving terms. landscape of healthcare. Ø Accuracy: Ø It builds on the rigorous education and training nurses undergo § Ensure that written communication is free from errors and before they become professionals, ensuring that they remain provides clear, concise information. knowledgeable and competent in delivering safe and effective Ø Cultural Consideration: care. § Be mindful of cultural sensitivities when discussing topics in Ø Requirement (From BON): written materials, avoiding any language that may seem § Nurses must earn 15 CREDIT UNITS EVERY THREE YEARS in order biased or offensive. to renew their licenses Report and document up-to-date client care accurately and § This means that nurses must earn at least five units every year comprehensively Ø Ways on How Registered Nurses Can Earn CPD units: § Non-Formal Learning Activities Participating in a seminar, workshop, training, or a capacity building event Participating in in-service training sponsored by an employer ¨ Different standards of documentations – FUNDAMENTALS OF NURSING Acting as a resource speaker, panelist, facilitator, or Work effectively in collaboration with itner-intra-and multi-disiplinary, multi- monitor of a seminar, workshop, training, or capacity- cultural teams building activity ¨ COLLABORATION WITH OTHER PROFESSIONALS § Formal Learning Activities Ø INTER – Nurse with other professionals Pursuing a postgraduate degree § doctor, PT, medtech Peer review, edit, or publish research or an article in a Ø INTRA – Among nurses themselves reputable journal Practice beginning management and leadership skills in the delivery of Development of training module/s client care Joining study tours 6  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Consultancy services (without professional fee) § Respect and provide for the spiritual needs of patients, Joining a socio-civic activity as a nurse whether through prayer, listening, or arranging chaplain visit Recognitions/awards/titles ¨ Love of Country: Nationalism Completion of non-degree courses, such as clinical skills Ø Patriotic Service: training § Contribute to the nation’s health by participating in public Taking on an online CPD for nurses from an accredited health programs, disaster relief, and community outreach. CPD provider Ø Advocacy for Filipinos: § Self-Directed Learning Activities § Promote healthcare equity, ensuring that marginalized and Acting as professional chair, professor, or thesis adviser underserved communities receive adequate care. at an academic institution or a CPD provider Ø Cultural Pride: Participating or acting as a resource speaker or § Uphold and promote Filipino values such as bayanihan and researcher in a fellowship grant hospitality in patient care, showcasing the warmth and Attendance in prestigious healthcare fora, summits, or empathy of Filipino nurses. conferences ¨ Love of Nursing Demonstrate responsible citizenship and pride of being a Filipino Ø Excellence ¨ It reflects a commitment to serving both the community and the § Commit to Lifelong Learning: Continuously enhance skills and profession with excellence, compassion, and patriotism knowledge to provide evidence-based, high-quality care. ¨ Filipino nurses not only serve as healthcare providers but also as § Deliver Superior Patient Care: Strive to exceed expectations ambassadors of Filipino values, contributing to the well-being of the in all aspects of nursing, ensuring patients receive the best nation and promoting pride in their identity possible outcomes. Apply techno-intelligent care systems and processes in healthcare delivery § Be a Role Model: Uphold professionalism in every action, ¨ Used for interventions, today: inspiring others in the nursing field. Ø Technologies and innovations Ø Integrity Ø AI – dapat you don’t use it as only source of your work, just cite it § Adhere to Ethical Principles: Follow nursing ethics, ensuring but not everything honesty and transparency in interactions with patients, Apply core values in the practice of nursing profession colleagues, and the healthcare system. ¨ Love of God § Respect Patient Autonomy: Advocate for patients' rights and Ø Compassionate Care: decisions while maintaining confidentiality and trust. § Treat every patient with love and kindness, seeing them as a § Accountability in Practice: Own up to mistakes, learn from reflection of God’s creation. them, and take responsibility for all actions in nursing care. Ø Ethical Nursing Practice: Ø Collaboration § Follow moral principles and uphold the dignity of every § Teamwork with Healthcare Providers: Work seamlessly with individual as a testament to faith. interdisciplinary teams to deliver holistic care. Ø Spiritual Support: § Involve Patients and Families: Foster open communication to engage patients and their families as partners in care. 7  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT § Promote Unity in the Workplace: Support colleagues and ¨ Personal and Professional Development encourage a positive, cooperative environment to enhance Ø Para hindi tayo inadequate sa pagsolve ng mga patients teamwork and morale. Ø Improve your skills through CPD Apply entrepreneurial skills in the delivery of nursing care ¨ Recording and Reporting System ¨ Elective (you may or may not include it sa CON niyo) course Ø Lahat dapat DOCUMENTED (sa care of patients) ¨ Part pa rin ng board exam, pero hindi ito ang essence ng nursing Ø IF NOT DOCUMENTED, IT IS NOT DONE! Ø CORE COMPETENCY STANDARDS FOR NUSING PRACTICE Ø COMPLETE, LEGIBLE, AND TRUTHFUL § Lifespan: LEADER-MANAGER Only 5 years ¨ Leading an organization or a team Dapat marevise na ¨ Manage facility, health program, nursing service Pero hindi pa nababago yung current since 2012 Ø Facility – not the whole hospital, maybe just: § Versions: § Patient unit 2005 – Core Competency Standards for Nursing Practice in the Philippines § Center ¨ BON Res. #112 s. of 2005 § Section of a primary hospital ¨ 1st Competency Standards Ø Health program – nasa health center si nurse, these are the Ø Kahit 2005, it was being fixed ng 2001 na programs that can be managed: 2012 – NATIONAL NURSING CORE COMPETENCY STANDARDS § Safe motherhood programs ¨ BON Res. # 24 s. of 2012 § Dengue prevention programs ¨ CURRENT COMPETENCY STANDARDS § EPI/Immunizations § 3 ROLES OF NURSES (according to competency standard): § Vaccination CLIENT CARE PROVIDER Ø Nursing Service ¨ Basic role of a nurse § REMEMBER: Wag ka maghandle ng ward na hindi mo hawak ¨ Application of Nursing Process § Beginning leader-manager ka palang Ø ADPIE ¨ Provide safe nursing practice Ø Utilized as tool in delivering care ¨ Accountability for safe nursing practice ¨ Legal and Code of Ethics (COE) Ø If you did it, ikaw ang accountable sa nangyari Ø While doing the interventions, we should follow the RA 9173 and Ø Accountable vs. Responsible laws of nurses, and COE § ACCOUNTABLE : Ø Alamin mo yung batas and moral, ethics It is about owning the outcomes of our actions and their Ø Kailangan alam mo yung pwede mong gawin according sa batas impact on others and COE ¨ Yung head yung mananagot pag hindi mo ginawa ¨ Collaboration or mali yung nangyari sa patient Ø You can’t survive alone ¨ It is the obligation to answer for your actions, Ø Work with your co-nurses, other members of the health teams, and decisions, and their outcomes, including with other professionals consequences. 8  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Focus: Deliver health programs and services ¨ Centered on outcomes and ensuring that Networking, linkage building and referrals responsibilities are carried out effectively. ¨ Marunong ka dapat makisama or may connections ka Ownership: § RESEARCHER ¨ Goes beyond performing tasks—it involves taking Conduct of research ownership of the results and being answerable for ¨ Under supervision of a nurse researcher success or failure. ¨ BSN: Example in Nursing: Ø Research 1 ¨ If a medication error occurs, the nurse is Ø Research 2 accountable for reporting it, reflecting on what ¨ Ipre-present ng undergrad ang research nila happened, and taking steps to prevent similar Research Critique incidents in the future. ¨ To determine the strengths and weaknesses of a research paper Nahulog ang patient sa duty mo ¨ To evaluate whether the researchers have complied with the Ø RESPONSIBILITY: guidance and standards in their whole research process It is embracing your obligations, commitments, choices, Ø From title to recommendation and attitude Research Application in Quality Improvement ¨ Ikaw yung assigned sa task ¨ Quality Improvement (QI): ¨ It refers to the obligations and duties assigned to an Ø Yung hospital meron nito; sila yung gumagawa ng mga individual. It’s about performing tasks or fulfilling standards to be followed roles as expected. Ø Monitoring whether nurses are complying with the standards § Focus: Ø It is a systematic, data-driven process aimed at enhancing ¨ Centered on tasks or actions. healthcare services, improving patient outcomes, and § Ownership: ensuring high standards of care ¨ A person is expected to complete assigned duties Ø It focuses on identifying gaps in practice, developing or roles, whether individually or as part of a team. interventions, and implementing evidence-based changes § Example in Nursing: to optimize the quality of nursing and healthcare delivery ¨ A nurse is responsible for administering § Unified framework for nursing education, nursing regulation, and nursing medications, monitoring patient vitals, and service documenting care provided. ¨ International, national, and institutional contexts Responsible si nurse sa pagtaas ng siderails Ø From NOVICE to EXPERT Lead/supervise nursing support staff § It covers both students and RNs ¨ Nursing aide Ø OUTCOME-BASED COMMITMENT ¨ Assistive personnel ¨ NURSING EDUCATION ¨ Orderly Ø Yun dapat ang basis ng board exam ¨ Janitors ¨ NURSING REGULATION 9  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Ø As basis in assessment of applicants ¨ Circumstances before and today are no longer the same ¨ NURSING SERVICE ¨ Due to influx of nurses, ito pa yung goal before Ø As performance evaluation of nurses ¨ Pwede naman to iupdate, pero wala pang need to update it Ø CORE VALUES OF NURSING: BEST FOR FILIPINO – those who stayed behind to care for Filipino clients These are just common values CHOICE OF THE WORLD – those who are want to leave the country § Love of God Ø Philippine Nursing Profession Roadmap (2030) Kahit student palang sila dapat may finofollow na sila sa CON about GOD ¨ Example: SAN BEDA UNIVERSITY – CON – Ora et Labora § Love of the Profession Caring Integrity Excellence § Love of Country Nationalism Apply mo pa rin ang natutunan mo sa pagiging nurse Promote integrity of the country ¨ Wag sisiraan sa ibang bansa ¨ Don’t discuss negative things about your country Ø MISSION AND VISION OF THE NURSING PROFESSION § MISSION – REASON FOR EXISTENCE It answers: ¨ Bakit may nursing sa PH? ¨ Bakit tayo nurse? We, the Filipino nurses, responding to the needs of society are engaged in providing humane and globally competent nursing care ¨ Other countries really trust FILIPINO nurses § THE FILIPINO NURSE: ¨ NUMBER 1 SOURCE OF NURSES AROUND THE WORLD: PHILIPPINES! To live the core values and to manifest the desired qualities of a Filipino nurse Ø Don’t say SUPPLIER – we are not commodities! Foster sense of accountability among all nurses Ø SOURCE – right term; WE ARE HUMANS RENDERING SERVICE TO ¨ Wag na isisi sa iba yung kasalanan or di mo nagawa FELLOW HUMANS § COLLABORATIVE PARTNERSHIPS: § VISION 2030 To advocate collegiality and mutual respect that cut across all health Philippine Professional Nursing Care: The BEST FOR THE FILIPINO and the disciplines CHOICE OF THE WORLD by 2030 ¨ Kung may issue, makialam ka, you should know it Published in 2003 pa! 10  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT To engage stakeholders and make them co-owners of nursing issues and Ensure “positive practice environments” for nurses concerns ¨ Dapat they have a good and conducive environment for working as a ¨ Kung may problema, whether national or local, as a nurse, you should nurse be able to participate Ø PROFESSIONAL NURSING ASSOCIATIONS - A nurse must join after graduation To actively participate in the critical socio-economic and political issues of § ALUMNI ASSOCATION the country First professional association a nurse joins after graduation ¨ May salary G15 na – Pagka-graduate, OATH TAKING, then you should join your alumni association Ø Since may problem before, but due to COVID, they realized how CONSIDERED AS THE 1ST PROFESSIONAL ORGANIZATION important nurses are GENERIC ORGANIZATION Ø The nurses also worked hard for this! Kung saan ka galing na University: ¨ Always know that you have your rights ¨ San Beda Alumni Association – OURS § SERVICE-EXCELLENCE Don’t enter others yet, like: To enforce the quality standards in education and nursing service ¨ PNA – only after you pass the board exam, not as a fresh graduate To institutionalize sustainable organizational support structure for nursing § PHILIPPINE NURSES ASSOCIATION (PNA) care progression The only accredited professional organization (APO) of the PRC ¨ Not yet promulgated, may be with corresponding salary increases ¨ PRC ¨ 3 TRACTS ONLY AT THE MOMENT: Ø The one that accredits the professional organizations Ø Leadership and Governance tracts Ø Where we apply for renewal of organization - PNA Ø Nursing Education tracts The NNA accredited by ICN Ø Advanced Nursing Practice tracts ¨ INTERNATIONAL COUNCIL OF NURSES § COMPETENCY ENHANCEMENT Ø Conglomeration of national nurses assocation around the world To promote functional integration between education and service Ø 113 APO around the world To institutionalize a sustainable and effective continuing professional Most outstanding Accredited Professional Organization (APO) in 2003, 2016, education and development for individual nurses and institutions 2020, 2021 § LINKAGE NETWORKING ¨ President of PNA (2015)- Mam Llanes :> To institutionalize best practice on internal generation of resource ¨ Hindi na oustanding nung 2022 To adopt local and global best practices in the management of resources ¨ This means lang na PNA is doing a good job HAHHA To forge linkages to generate funds from government and NGOs Celebrated its 100 (centenary) years on 2022 § SOCIAL IMPACT ¨ Theme: Inspired by a Caring Legacy, Transformed to Lead NURSES ARE THE MOST TRUSTED PROFESSIONALS IN THE PHILIPPINES § INTEGRATED REGISTERED NURSING IN THE PHILIPPINES (IRNUP) Empowered clients to maintain the highest level of wellness and well-being Members: ¨ The PATIENTS ARE THE FOCUS ¨ Registered nurses in the Philippines Philippine Nursing Profession as a recognized leader in primary health care Hindi na gaano ka-active ang IRNUP and the “Choice of the World” ¨ Since, the secretary general (member of the board of nursing) passed ¨ We are always the best source for nurses away on 2016 11  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT ¨ Still, existing pa rin Funded by: § PHILIPPINE NATIONAL LEAGUE OF GOVERNMENT (PNLGN) ¨ Suppliers of OR materials Members: ¨ Donors of organization ¨ Public Hospital Nurses or Government Hospital Nurses § MOTHER AND CHILD NURSES ASSOCIATION OF THE PHILIPPINES (MCNAP) Ø Commonly found sa province sila Members: § OCCUPATIONAL HEALTH NURSES ASSOCIATION OF THE PHILIPPINES (OHNAP) ¨ Nurses in the DR Members: ¨ Nurses in the Nursery ¨ Company Nurses ¨ Nurses in the Pediatrics Benefits: ¨ Nurses in the Obstetrics ¨ Mataas ang salary grade nila Problem: Gusto nila ihiwalay na gawing MOTHER AND NEONATES, AND THEN ¨ Wala silang exposure to microorganisms, unlike hospitals CHILD ¨ They can choose their own schedule ¨ Pero magkasama pa rin up to now Companies that have 24/7 services to employees – cater OHN ¨ Yung pedia and ob magkasama pa rin ¨ Malalaking companies to handle their own healthcare services to their § CRITICAL CARE NURSES ASSOCIATION OF THE PHILIPPINES (CCNAP) employees Members: § ASSOCIATION OF DEANS OF PHILIPPINE COLLEGE OF NURSING INC (ADPCN) ¨ Critical Care nurses Members: § MENTAL HEALTH AND PSYCHIATRIC NURSES ASSOCIATION OF THE PHILIPPINES (MH ¨ DEANS ng mga CONs sa PH & PNAP) § ASSOCIATION OF NURSING SERVICE ADMINISTRATORS OF THE PHILIPPINES (ANSAP) Members: Members: ¨ Mental Health Nurses ¨ Nursing Adminstrators ¨ Psychiatric Nurses Original association of nursing administrators Those who work both public and private in the field of mental health and ¨ Recently, meron na bago: Society of Nursing Leaders of the Philippines psychiatry Ø 2 years ago § ASSOCIATION OF PRIVATE DUTY NURSE PRACTITIONERS OF THE PHILIPPINES Ø Membership (APDNPP) Ø Since di sila masaya sa current leaders and how they were Members: managed ¨ Private Duty Nurses Ø Hindi nadefine kung sino or ano yung specific ng “nursing leaders” When a patient is handled: ng anong field ¨ PDN – only a service provider; tumutulong lang siya Ø Breakaway sila sa ANSAP ¨ STAFF NURSE – you still have the duty to monitor the patient from time to § OPERATING ROOM NURSES ASSOCIATION OF THE PHILIPPINES (ORNAP) time Members: Ø Pag nagrounds, sumama kayo ¨ Nurses in the PACU Ø Para updated ka sa ginaga ng PDN ¨ Nurses in the Surgical Floors Ø ACCOUNTABILITY AND RESPONSIBILITY – with hospital ¨ OR Nurses § Accountability – with staff nurse pa rin 12  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT § MILITARY NURSES ASSOCIATION OF THE PHILIPPINES (MNAP) § SOCIETAL OF CARDIOVASCULAR NURSE PRACTITIONERS IN THE PHILIPPINES Member: Members: ¨ Military Nurses ¨ Nurses who are taking care of patients with cardiovascular disorders ¨ Nurse Corps like: Requirements: Ø Open heart surgery ¨ Single Applicants: Ø Any surgery that involves the cardiovascular system Ø Must be a natural born Filipino citizen Needs 2 YEARS TRAINING before you can graduate as a cardiovascular Ø Must have a pleasing personality and good moral character nurse Ø Registered nurse with a Board rating of 80% or above ¨ Done sa HEART CENTER § Below 80% may be admitted, but should pass a qualifying § PHILIPPINE SOCIETY OF EMERGENCY CARE NURSES examination to be conducted by the Office of the Chief Members: Nurse, AFP ¨ Emergency Room/Care nurses Ø Male and female applicants must be single or never been PGH married: ¨ Kung saan nagumpisa § For female applicants, must not be positively found to have ¨ Most of officers came from them given birth to a living stillborn child. § PHILIPPINE SOCIETY OF ORTHOPEDIC NURSES Ø Not more than 32 years old at the time of commission Members: Ø Must satisfy the following height requirements: ¨ Orthopedic nurses § Female - at least 5' 2" § NURSE INFORMATICS SOCIETY OF THE PHILIPPINES § Male - at least 5' 4" Members: Ø Must be physically and mentally and physically fit for military ¨ Nurse informaticists service and cleared by the appropriate security agencies. § NURSE AESTHETICS OF THE PHILIPPINES ¨ Married Applicants: Members: Ø First priority shall be given to Enlisted Personnel who are registered ¨ Interested in promoting aesthetics nurses by profession with at least three (3) years of active Tagabigay ng Gluta hehe military service and have successfully completed the Clinical § PHILIPPINE ONCOLOGY NURSES ASSOCIATION (PONA) Nursing Program for EP Nurses being conducted by the Office of Members: The Chief Nurse, AFP ¨ Oncology Nurses Ø Second priority shall be given to other applicants who Ø NURSING INTEREST GROUPS – Mga Advocacies and groups have satisfied the additional following additional requirements: § CATHOLIC NURSES GUILD OF THE PHILIPPINES (CNGP) § With at least three (3) years of current and continuous Members: professional experience in hospital/clinic settings and or as ¨ Catholic nurses member of a faculty of a recognized School of Nursing § CHRISTIAN NURSES ASSOCIATION OF THE PHILIPPINES § Preferably with Master in Nursing or at least nine (9) units of Members: post graduate studies leading to Master in Nursing ¨ Christian nurses 13  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT § NURSES FOR LIFE (SAMAHAN NG MGA NARS PARA SA BUHAY) Organization of nursing service in hospitals or facilities Member: Meeting standards in hospitals, facilities ¨ Pro-life counterpart for nurses § Military Nursing President: § Occupational Health Nursing ¨ Sister Pillar Versosa § Entrepreneurship – for a nurse putting up a business, like: Lately lang naging active Day care center § SOCIETY OF NURSES ENVIRONMENTALISTS OF THE PHILIPPINES Clinics Members: Home health ¨ Nurses who are inspired into taking care of the environment Review/recruitment centers § ANG NARS PARTY LIST Training centers Hindi na pwede today § Consultancy ¨ 1 party list na once natalo twice, hindi na pwede You need to have varied experiences, own educational preparation ¨ Nanalo nung una: Congresswoman na part na ng BON You will not be credible as a fresh graduate without prior experience ¨ When she ran again, hindi na sinupport Ø ROLES OF A NURSE: § FILIPINO NURSES UNION § Direct Care Provider: Members: Responsibilities: ¨ Nurses who are advocating for welfare for nurses ¨ Deliver hands-on nursing care such as administering medications, Focus: LABOR UNION wound care, and monitoring vital signs. ¨ Negotiating for labor issues and practices ¨ Ensure the comfort, safety, and holistic well-being of patients. President/Highest Officer: Alyn Andamo Examples: ¨ Running for a seat in the senate – announced during nurses convention ¨ Managing IV lines and catheters. on October 2024 ¨ Performing health assessments. Ø FIELDS OF NURSING: § Clinical Decision Maker: § Nursing practice Nurse - Hindi tayo magdedecide for patients Ito muna pagkagraduate Patients - will be guided by nurses Bedside to, pinakacommon Responsibilities: At least 1 year before – nursing education ¨ Analyze patient data to make informed decisions about care plans § Nursing Education and interventions. Prepares students to become nurses ¨ Use critical thinking and evidence-based practice to prioritize care Example: needs. ¨ CI Examples: ¨ Professors ¨ Determining the best course of action in emergencies. § Nursing Research ¨ Modifying care plans based on patient responses. To gain new knowledge § Client and Family Advocate: § Nursing Administration We SPEAK UP for the patients and their family 14  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT Responsibilities: ¨ Ensure compliance with policies and regulations. ¨ Speak up for patients' rights and preferences. Examples: ¨ Ensure that patients and families are informed and involved in care ¨ Managing staffing schedules. decisions. ¨ Developing departmental policies to improve efficiency. Examples: § Forensic Analyst: ¨ Advocating for pain management adjustments. May mga nurses under NBI – hired as forensic candidates ¨ Addressing cultural or religious needs in treatment plans Responsibilities: § Researcher: ¨ Assist in investigations by collecting and preserving evidence from Responsibilities: patients. ¨ Participate in or conduct research to improve nursing practices and ¨ Work in cases involving abuse, trauma, or unexplained injuries. patient outcomes. Examples: ¨ Translate research findings into actionable healthcare improvements. ¨ Documenting injuries for legal cases. Examples: ¨ Providing courtroom testimony as a medical expert. ¨ Investigating the effects of a new medication on recovery times. § IT consultant: ¨ Evaluating the efficacy of a nursing intervention They translate clinical process in IT language § Educator: Sila nagdedevelop ng processes sa IT about health and clinical knowledge Responsibilities: Responsibilities: ¨ Teach patients, families, and communities about health promotion, ¨ Integrate nursing expertise into the design and implementation of disease prevention, and managing illnesses. healthcare technology. ¨ Educate peers and nursing students in clinical and academic settings. ¨ Train staff to use electronic health records (EHR) and other systems. Examples: Examples: ¨ Explaining a diabetes management plan to a patient. ¨ Assisting with the rollout of a new patient monitoring system. ¨ Conducting seminars for new nursing graduates. ¨ Evaluating the usability of clinical software tools. § Counselor: Ø COMMON ARES OF NURSING PRACTICE Responsibilities: § ACUTE CARE/HOSPITAL NURSING ¨ Provide emotional support and guidance to patients and families Staff Nursing during challenging times. ¨ Bago magisip ng specialties, magstart ka muna as STAFF NURSE ¨ Help patients cope with diagnoses, treatments, and lifestyle changes. ¨ 1-2 YEARS OF EXPERIENCE IS SUFFICIENT Examples: Ø 1-2 years: COMPETENT kana ¨ Counseling a patient with a terminal illness. Ø If magaabroad, you will be more mature to leave the family and ¨ Supporting a family after a traumatic event. country and be independent somewhere else since you are § Administrator: trained well Responsibilities: ¨ Direct care for patients in various units such as medical-surgical, ICU, ¨ Oversee nursing staff, budgets, and operational processes within ER, or pediatrics. healthcare settings. 15  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT ¨ Responsibilities include administering medications, monitoring vitals, ¨ Providing ongoing care for older adults with chronic illnesses or and collaborating with interdisciplinary teams. disabilities. Staff Education and Training ¨ Includes managing daily activities, medications, and emotional ¨ Sila nagoorient sa new nurses about the hospital rules and policies support in nursing homes or assisted living facilities. ¨ Turnover – FAST Rehabilitation Nursing Ø Effect: Training and recruitment is also done frequently since ¨ DRUG-REHABILITATION CENTERS THAT HAVE NURSES kailangan nila ireview ang staff requirement pag may umalis Ø Tagaytay – meron nito dati, pero baka lumipat na sila since ¨ Developing and delivering training programs for nurses pinaalis sila ¨ Ensures competency in new technologies, protocols, and evidence- Ø Lumipat sa NPI based practices ¨ Patients are DRUG-DEPENDENT Risk Management Ø Male and female ¨ This is for nurses in cases where they or the hospital may be at risk for Ø More common with famous people (artista) lawsuits ¨ Supporting recovery, improving quality of life, and fostering ¨ WE SHOULD BE PROACTIVE EVEN BEFORE ACCIDENTS OR PROBLEMS independence. OCCUR ¨ Focuses on addressing the physical, psychological, and social aspects ¨ It focuses on preventing adverse outcomes and reducing the likelihood of substance use disorders of lawsuits or liability claims by ensuring safety, compliance, and quality § OUTPATIENT NURSING OPPORTUNITIES care Outpatient Clinics and Physician’s Office Performance Improvement ¨ Yung mga hindi nakaassign sa bedside ¨ Quality improvement ¨ Clinics ng doctors, hospitals ¨ Address need for quality improvement in our hospitals, being mindful of ¨ Supporting physicians in diagnosing and treating patients in a non- standards, with newest trends and evidences in healthcare hospital setting. ¨ Analyzing clinical data to identify areas needing quality enhancement. ¨ Includes wound care, vaccinations, and patient education. ¨ Leading initiatives to improve patient care outcomes and staff Outpatient Surgery Centers efficiency. ¨ Preoperative and postoperative care for patients undergoing same- § EXTENDED CARE OPPORTUNITIES day surgical procedures. Elderly Long-Term Care ¨ Ensures safety, patient education, and discharge planning. ¨ Not yet popular in the PH Community Education Ø Cause: Close-Family Ties ¨ Teaching health promotion and disease prevention to the public. § A long-term tradition/culture of Filipinos ¨ Topics may include: § Ayaw iwan ang grandparents elderly home, we stay Ø Nutrition together Ø Smoking cessation § But, if di mo talaga kaya, wag pilitin alagaan lalo na kung di Ø Maternal health mo alam paano § BUSINESS OPPORTUNITIES Insurance and Managed Care Companies 16  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT ¨ May be employed by SSS/GSIS ¨ Benefits Ø To evaluate reimbursements Ø Madami Ø Nageevaluate ng heatlh records ang nurses ¨ Diversification ¨ Reviewing claims and ensuring appropriate use of healthcare Ø Pwede kang magachieve ng mga personal goals mo resources. Ø HINDI LANG PURO TRABAHO :> ¨ Educating patients about benefits and navigating insurance systems. ORGANIZATIONAL CLIMATE Consultancy ¨ Talk to the current employees if okay ang company ¨ Providing expert advice to healthcare facilities on policy development, Ø Sila makakapagsabi sayo kung okay talaga or hindi since sila yung clinical practices, or legal issues. nandon eh ¨ May specialize in areas like forensic nursing or healthcare informatics. Ø If positive: GOOD INSTITUTION Sales Ø If negative: TRY TO LOOK AGAIN ¨ Working for medical device, pharmaceutical, or healthcare ¨ Focus on: technology companies to market products. Ø Respect ¨ Providing training to healthcare professionals on using new products Ø Pride effectively. Ø Teamwork Occupational Health and Workers Compensation Ø Ownership ¨ Caring for employees injured on the job or developing wellness NURSING PRACTICE: programs for workplaces. ¨ Professional growth ¨ Includes ergonomics assessments and preventive care to reduce ¨ Currentness workplace injuries. ¨ Excellent skills § CRITERIA IN CHOOSING EMPLOYMENT v THE PHILPPINE NURSING LAW STRUCTURE - Check the structure of the hospital Ø CONCEPT OF LAW ¨ Nursing Prominence § The sum total of rules, and regulations by which society is governed Ø If they RECOGNIZE THE CONTRIBUTION OF NURSES? CHAOS – a society without laws Ø INDEPENDENT NURSING SERVICE § Rule of conduct pronounced by controlling authority § It’s a good institution GOVERNMENT – controlling authority § They recognize what nurses can do SENATE – gumagawa ng batas § They appreciate nurses EXECUTIVE BRANCH ¨ Open communication COURT RULING Ø No problems Ø 3 ESSENTIAL CHARACTERISTICS OF A LAW: Ø Wala masyadong hierarchical problems § Authority or the right to declare that the rule exists § They appreciate other levels of organization GOVERNMENT Ø They handle it well by means of kung sino boss mo, hindi yung ¨ May mga branches pinagchichismisan niyo yung problema HAHAHA ¨ LEGISLATIVE BRANCH – sila gumagawa ng batas § Pwede ka magreklamo if di maganda ang treatment 17  JOVELLANOS – 4BCN – PROFESSIONAL ADJUSTMENT (11-23-24) – ENHANCEMENT § Pronounced or expressed and the source can be identified (must be declared in § To promote lifelong learning and enhance pathways writing) between education, training, and employment. Dapat nakasulat, hindi pwedeng verbal lang ang batas! Ø Levels of Qualifications: § Right to enforce the same § The PQF organizes qualifications into levels, ranging from Ø PRINCIPAL SOURCES OF LAW Level 1 (basic education) to Level 8 (doctoral and equivalent § Constitution degrees). FUNDAMENTAL SOURCE § Each level defines expected knowledge, skills, and Hindi magiging law if it contradicts the fundamental law of the land competencies. § Statutes or Legislations (Republic Acts) Ø Key Stakeholders Involved: From Congress § The Department of Education (DepEd) § Regulations issued by the executive Branch of the government § The Commission on Higher Education (CHED) Executive Orders - FOR EMERGENCY CONDITIONS § The Technical Education and Skills Development Authority ¨ Regardless if may CONGRESS (TESDA) Ø Gumagawa ng Republic acts § The Department of Labor and Employment (DOLE) ¨ Nature of Law: § Professional Regulation Commission (PRC) Ø Dahil there are certain issues that are considered URGENT and Ø Global Recognition: needs to be legislated and can’t wait for a tedious time of § The PQF facilitates recognition of Philippine qualifications legislation abroad, enhancing opportunities for Filipino workers globally Ø If may EO, hindi na matagal ang pasa ng batas ¨ EO 922: EO 833 Ø Proclaiming a State of Public Health Emergency ¨ Philippine Qualifications Framework Ø Declaration of a Public Health Emergency: Ø Executive Order No. 833, signed by President Benigno S. Aquino III § The declaration empowered all government agencies and on October 1, 2010, established the Philippine Qualifications local government units (LGUs) to respond immediately to the Framework (PQF) COVID-19 threat. Ø This framework serves as a national policy that provides standards Ø Activation of the National Disaster Risk Reduction and for the qualifications of individuals across various education and Management Council (NDRRMC): training systems in the Philippines § The NDRRMC was tasked with coordinating and supervising Ø It aligns qualifications to job requirements and promotes lifelong measures to contain the virus. learning, employability, and global competitiveness. Ø Authority for Quick Procurement and Budget Allocation: Ø Purpose of PQF: § The order allowed for expedited procurement processes to § To create a unified qualifications framework for education acquire essential medical supplies and equipment. and training systems, aligning them with industry standards. § It facilitated the release of funds for emergency measures