Core Competency Standards

7/30/2019 Core Competency Standards

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Raymund C

hristopher R. dela Pea,RN, RMClinical FacultyUNP-College of Nursing


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Significance of the Core Competency

Standards

The core competency standards will

serve as a unifying framework fornursing education, regulation and

practice.


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11 NursingCore

Competen

cies

Nursing

Regulation

NursingEducation

NursingPractice

International, National & Institutional Contexts

NOVICE


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The Core Competencies for theEntry-Level

There are eleven-(11) core competency

areas for nursing practice that wereidentified which include the following:


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The Core Competencies for the Entry-Level

1. SAFE AND QUALITY NURSING CARE2. MANAGEMENT OF RESOURCES AND

ENVIRONMENT3. HEALTH EDUCATION4. LEGAL RESPONSIBILITY5. ETHICO-MORAL RESPONSIBILITY6. PERSONAL AND PROFESSIONAL

DEVELOPMENT7. QUALITY IMPROVEMENT

8. RESEARCH9. RECORD MANAGEMENT10. COMMUNICATION11. COLLABORATION AND TEAMWORK


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Key Area of Responsibility

A. SAFE AND QUALITYNURSING CARE


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Core Competency 1:

Demonstrates knowledgebase on the health/illnessstatus of individual/groups

Indicators:lIdentifies the health needs of

the patients / groupslExplains the health status ofthe patients / groups

Core Competency 2:

Provides sound decisionmaking in the care ofindividuals/ groups

Indicators:lIdentifies the problemlGathers data related to theprobleml

Analyzes the data gatheredlSelects appropriate actionlMonitors the progress of theaction taken


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Core Competency 3:

Promotes safety and

comfort of patients

Indicators:lPerforms age-specific safetymeasures in all aspects of

patient carelPerforms age-specificcomfort measures in allaspects of patient care

Core Competency 4:

Sets priorities in nursing

care based on patientsneeds

Indicators:lIdentifies the priority needsof patients

lAnalyzes the needs ofpatientslDetermines appropriatenursing care to be provided


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Core Competency 5:

Ensures continuity ofcare

Indicators:lRefers identified problem to

appropriateindividuals/agencieslEstablishes means ofproviding continuous patient

care

Core Competency 6:

Administersmedications and otherhealth therapeutics

Indicator:l

Conforms to the 10 goldenrules in medicationadministration and healththerapeutics


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Core Competency 7:

Utilizes nursingprocess framework fornursing

PerformsComprehensive andsystematic nursingassessment

Indicators:lObtains consentl

Completes appropriateassessment formslPerforms effectiveassessment techniquesl

Obtains comprehensive clientinformationlMaintains privacy andconfidentialityl

Identifies health needs


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Core Competency 8:

Formulates a plan ofcare in collaborationwith patients and othermembers of the health

team

Indicators:l

Includes patient and hisfamily in care planninglStates expectedoutcomes of nursing

interventionlDevelops comprehensive

patient care planlAccomplishes patient

centered discharge plan


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Core Competency 9:

Implements plannednursing care to achieveidentified outcomes

Indicators:lExplains interventions to

patients and his familybefore carrying them outlImplements nursingintervention that is safe

and comfortablelActs according to clientshealth condition and needslPerforms nursing activities

effectively and in a timelymanner


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Core Competency 10:

Evaluates progresstoward expectedoutcomes

Indicators:lMonitors effectiveness ofnursing interventionslRevises care plan whennecessary

Core Competency 11:

Respond to the

urgency of the patientscondition

Indicators:lIdentifies sudden changesin the patients health

conditionslImplements immediate andappropriate intervention


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B. MANAGEMENT OF RESOURCES ANDENVIRONMENT


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C C t 3 I di t


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Core Competency 3:

Ensures functioning ofresources

Indicators:lChecks proper functioning ofequipmentlRefers malfunctioningequipment to appropriate unit

Core Competency 4:

Checks properfunctioning of equipment

Indicators:lDetermines tasks and

procedures that can be safelyassigned to other member ofthe teamlVerifies the competency of the

staff prior to delegating tasks


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Core Competency 5:

Maintains a safeenvironment

Indicators:lObserves proper disposal of

wasteslAdheres to policies, proceduresand protocols on prevention andcontrol of infection

lDefines steps to follow in caseof fire, earthquake and otheremergency situations


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C. HEALTH EDUCATION

Core Competency 1: Indicators:


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Core Competency 1:ssesses the learning

needs of the patientand family

Indicators:lObtains learning informationthrough interview, observation andvalidationlDefines relevant informationlCompletes assessment recordsappropriatelyl

Identifies priority needs

Core Competency 2:Develops healtheducation plan basedon assessed andanticipated needs

Indicator:lConsiders nature of learner in

relation to: social, cultural, political,economic, educational and religiousfactors.


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Core competency 3:Develops learning

materials for healtheducation

Indicators:lInvolves the patient, family,significant others and otherresourceslFormulates a comprehensive healtheducation plan with the following

components: objectives, content,time allotment, teaching-learningresources and evaluationparameters

lProviders for feedback to finalizethe plan

Core Indicators:


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CoreCompetency 4:Implements thehealth education

plan

Indicators:lProvides for a conducive learning situationin terms of time and placelConsiders client and familys preparednesslUtilizes appropriate strategieslProvides reassuring presence throughactive listening, touch, facial expression andgestures

lMonitors client and familys responses tohealth education

CoreCompetency 5:Evaluates theoutcome of

health education

Indicators:lUtilizes evaluation parameterslDocuments outcomelRevises health education plan when

necessary


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D. LEGAL RESPONSIBILITY


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Core Competency 1:dheres to practices

in accordance with

the nursing andother relevantlegislation includingcontracts, informed

consent.

Indicators:lFulfills legal requirements in nursingpractice

lHolds current professional licenselActs in accordance with the terms ofcontract of employment and other rulesand regulations

lComplies with required continuingprofessional educationlConfirms information given by thedoctor for informed consentlSecures waiver of responsibility forrefusal to undergo treatment ofprocedurelChecks the completeness of informedconsent and other legal forms

Core Indicators:


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CoreCompetency 2:Adheres toorganizational

policies andprocedures,local andnational

Indicators:lArticulates the vision, mission of theinstitution where one belongslBehaves in accordance with the established

norms of conduct of theinstitution/organizationlShows membership of the accreditedprofessional organization and a professional

organization relevant

Core

competency 3:Documents carerendered topatients

Indicators:

lUtilizes appropriate patient care records andreportslAccomplishes accurate documentation in allmatters concerning patient care in

accordance to the standards of nursingpractice.


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Key Area Responsibility

E. ETHICO-MORALRESPONSIBILITY



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Core Competency 1:

Respects the rightsof individual/groups

Indicators:lRenders nursing care consistent withthe patients bill of rights:

(1i.e.confidentiality of information,privacy, etc.)

Core Competency 2:

cceptsresponsibility andaccountability forown decision andactions

Indicators:lMeets nursing accountabilityrequirements as embodied in the jobdescriptionlJustifies basis for nursing actionsand judgmentslProjects a positive image of theprofession


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Core Competency 3:

Adheres to the national

and international code ofethics for nurses

Indicators:lRecites the code of ethics forNurses and abides by its

provisionlReports unethical and immoralincidents to proper authorities


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Key Area of ResponsibilityF. PERSONAL AND PROFESSIONALDEVELOPMENT


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Core Competency Indicators:


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Core Competency3:Gets involved inprofessional

organizations andcivic activities

Indicators:lParticipates actively in professional,social, civic, and religious activitieslMaintains membership to professionalorganizationslSupport activities related to nursing andhealth issues

Core Competency4:Projects aprofessional

image of thenurse

Indicators:lDemonstrates a good manners andright conduct at all timeslDresses appropriatelylDemonstrates congruence of words andactionlBehaves appropriately at all times

Core Competency Indicators


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Core Competency5: Possessespositive attitudetowards change

and criticism

IndicatorslListens to suggestions andrecommendationslTries new strategies or approacheslAdapts to changes willingly

Core Competency6:Performs functionaccording toprofessional

standards

Indicators:lAssesses own performance againststandards of practicelSets attainable objectives to enhancenursing knowledge and skillslExplains current nursing practices,when situations call for it


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Key Area Responsibility

G. QUALITY IMPROVEMENT


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Core Competency 1:

Gathers data forquality improvement

Indicators:lDemonstrate knowledge of

method appropriate for theclinical problems identifiedlDetects variation in the vitalsigns of the patient from day to

daylReports necessary elements atthe bedside to improve patientstay at hospital

lSolicits feedback from patientand significant other regardingcare rendered

Core Indicators:


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CoreCompetency 2:Participates innursing adults

and rounds

Indicators:lContributes relevant information aboutpatient condition as well as unit conditionand patient current reactions

lShares with the team current informationregarding particular patients conditionlSpeaks for the patient what is relevant tohis condition

lDocuments and records all nursing careand actionslPerforms daily check of patients records /conditionl

Completes patients recordslActively contributes relevant information ofpatients during rounds thru readings andsharing with others


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Core Competency 3:Identifies and

reports variances

Indicators:lDocuments observed variance

regarding patient care andsubmits to appropriate groupwithin 24 hourslIdentifies actual and potential

variance to patient carelReports actual and potentialvariance to patient carelSubmits reports to appropriategroups within 24 hours


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Core Competency 4:Recommends

solutions toidentified problems

Indicators:lGives appropriate suggestions on

corrective and preventivemeasureslCommunicates and discusses withappropriate groupsl

Gives an objective and accuratereport on what was observedrather than an interpretation of theevent.


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H. RESEARCH


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Core Competency 1:Gather data using

differentmethodologies

Indicators:lAble to identify researchable

problems regarding patient careand community healthlIdentify appropriate methods ofresearch for a particular

patient/community problemlCombines quantitative andqualitative nursing design thrusimple explanation on the

phenomena observedlAnalyzes data gathered


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Core Competency 4:Applies research

findings in nursingpractice

Indicators:lIncorporates findings in

research in the provision ofnursing care toindividuals/groups/communitieslAble to make meta-analysis of

research findings to amelioratenursing practice.


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I. RECORDS MANAGEMENT


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Core Competency 1:Maintains accurateand updated

documentation ofpatient care

Indicators:lCompletes updated documentationof patient care.

Core Competency 2:Records outcome ofpatient care

Indicators:lUtilizes a records system ex. Kardexor Hospital Information System (HIS)


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Core Competency 3:Observes legal

imperatives in recordkeeping

Indicators:lObserves confidentially and

privacy of the patients recordslMaintains an organized systemof filing and keeping patientsrecords in a designated area.

lRefrains from releasing recordsand other information withoutproper authority


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J. COMMUNICATION

Core Indicators:


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Competency 1:Establishesrapport with

patients

lCreates TRUST and CONFIDENCElG reets client in an open and respectfulmannerlA sks client about themselveslT ells client about choices depending onclients needsl

H elps client make an informed choicelE xplains fully how to choose optionslR eturns visits for future consultation

CoreCompetency 2:Listensattentively to

clients queries

Indicators:lSpends time with the client to facilitateconversation that allows client to expressconcerns



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Core Competency 3:Identifies verbal andnon-verbal cues

Indicators:lInterprets and validatesclients body language and

facial expression (IECmaterials)

Core Competency 4:

Utilizes formal andinformal channels

Indicators:

lInterprets and validatesclients body language andfacial expression (IECmaterials)

C C t 5 I di t


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Core Competency 5:Responds to needs ofindividuals, family,

group and community

Indicators:lProvides reassurance throughtherapeutic, touch, warmth and

comforting words ofencouragementlReadily smiles

Core Competency 6:Uses appropriateinformationtechnology tofacilitatecommunication

Indicators:lUtilizes telephone, cell phone,email and internet for diseaseinformation

lIdentifies a significant other sothat follow up care can be obtainedlProvides Holding or emergencynumbers for services

K A f R ibilit


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K. COLLABORATION AND

TEAMWORK

C C t 1 I di t


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Core Competency 1:Establishescollaborative

relationship withcolleagues andother members of thehealth team

Indicators:lContributes to decision makingregarding clients needs and

concernslParticipates actively in patient caremanagement including auditlRecommends appropriate

intervention to improve patient carelRespect the role of other membersof the health teamlMaintains good interpersonal

relationship with clients, colleaguesand other members of the healthteam


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Core Competency 2:Collaborates plan of

care with othermembers of the healthteam

Indicators:lRefers clients to allied health

team partnerslActs as liaison / advocate of theclientlPrepares accurate

documentation for efficientcommunication of services


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APPLICATIONOF CORE

COMPETENCYIN NURSINGPRACTICE


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