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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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Key Area of Responsibility
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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Key Area of Responsibility
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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Key Area of Responsibility
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
Core Competency 1: Indicators:
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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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Key Area of Responsibility
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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Key Area of Responsibility
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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Key Area of Responsibility
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
Core Competency 3: Indicators:
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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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Key Area of Responsibility
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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