11 Key Areas of Responsibility / Core Competency / Indicators

11 Key Areas of Responsibility

1. Safe and  Quality  Nursing Care

Core Competency 1:

 Demonstrates knowledge base on the health /illness status of individual / groups

Indicators

• Identifies the health needs of the clients (individuals, families, population groups and/or communities)

•  Explains the health status of the clients/ groups

 Core Competency 2.

Provides sound decision making in the care of individuals / families/groups considering their beliefs and values

Indicators

• Identifies clients’ wellness potential and/or health problem

• Gathers data related to the health condition

• Analyzes the data gathered

• Selects appropriate action to support/enhance wellness response; manage the health problem

• Monitors the progress of the action taken

Core Competency 3:

Promotes safety and comfort and privacy of clients

Indicators

• Performs age-specific safety measures in all aspects of client care

• Performs age-specific comfort measures in all aspects of client care

• Performs age-specific measures to ensure privacy in all aspects of client care

 Core Competency 4:

Sets priorities in nursing care based on clients’ needs

Indicators

• Identifies the priority needs of clients

• Analyzes the needs of clients

• Determines appropriate nursing care to address priority needs/problems

 Core Competency 5:

Ensures continuity of care

Indicators

• Refers identified problem to appropriate individuals / agencies

• Establishes means of providing continuous client care

 Core Competency 6:

Administers medications and other health therapeutics

Indicators

• Conforms to the 10 golden rules in medication administration and health therapeutics

 Core Competency 7:

Utilizes the nursing process as framework for nursing

 

 7.1 Performs comprehensive and systematic nursing assessment

• Obtains informed consent

• Completes appropriate assessment forms

• Performs appropriate assessment techniques

• Obtains comprehensive client information

• Maintains privacy and confidentiality

• Identifies health needs 

 7.2   Formulates a plan of care in collaboration with clients and other members of the health team

• Includes client and his family in care planning

• Collaborates with other members of the health team

• States expected outcomes of nursing intervention maximizing clients’ competence

• Develops comprehensive client care plan maximizing opportunities for prevention of problems and/or enhancing wellness response

• Accomplishes client-centered discharge plan

7.3   Implements planned nursing care to achieve identified outcomes

• Explains interventions to clients and family before carrying them out to achieve identified outcomes

• Implements nursing intervention that is safe and comfortable

• Acts to improve clients’ health condition or human response

• Performs nursing activities effectively and in a timely manner

• Uses the participatory approach to enhance client-partners empowering potential for healthy life style/wellness

 7.4   Evaluates progress toward expected outcomes

• Monitors effectiveness of nursing interventions

• Revises care plan based on expected outcomes

2.  Management of Resources and Environment

Core Competency 1:

Organizes work load to facilitate client care

Indicators

• Identifies tasks or activities that need to be accomplished

• Plans the performance of tasks or activities based on priorities

• Verifies the competency of the staff prior to delegating tasks

• Determines tasks and procedures that can be safely assigned to other members of the  team

• Finishes work assignment on time 6

 Core Competency 2:

Utilizes financial resources to support client care

Indicators

• Identifies the cost-effectiveness in the utilization of resources 

• Develops budget considering existing resources for nursing care

Core Competency 3:

Establishes mechanism to ensure proper functioning of equipment

Indicators

• Plans for preventive maintenance program

• Checks proper functioning of equipment considering the:

- intended use

- cost benefits

- infection control

- safety

- waste creation and disposal storage

• Refers malfunctioning equipment to appropriate unit

  

Core Competency 4: 

Maintains a safe environment

Indicators

• Complies with standards and safety codes prescribed by laws

• Adheres to policies, procedures and protocols on prevention and control of infection

• Observes protocols on pollution-control (water, air and noise)

• Observes proper disposal of wastes

• Defines steps to follow in case of fire, earthquake and other emergency situations.

3. Health Education

Core Competency 1:

Assesses the learning needs of the clientpartner/s

Indicators

• Obtains learning information through interview, observation and validation

• Analyzes relevant information

• Completes assessment records appropriately

• Identifies priority needs

 Core Competency 2: 

Develops health education plan based on assessed and anticipated needs

Indicators

• Considers nature of learner in relation to: social, cultural, political, economic, educational and religious factors.

• Involves the client, family, significant others and other resources in identifying learning needs on behavior change for wellness, healthy lifestyle or management of health problems

• Formulates a comprehensive health education plan with the following components: objectives, content, time allotment, teachinglearning resources and evaluation parameters

• Provides for feedback to finalize the plan

 Core Competency 3:

Develops learning materials for health

Indicators

• Develops information education materials appropriate to the level of the client

• Applies health education principles in the education  development of information education materials

Core Competency 4: 

Implements the health education plan

Indicators

• Provides for a conducive learning situation in terms of time and place

• Considers client and family’s preparedness

• Utilizes appropriate strategies that  maximize opportunities for behavior change for wellness/healthy life style

• Provides reassuring presence through active listening, touch, facial expression and gestures

• Monitors client and family’s responses to health education

 Core Competency 5: 

Evaluates the outcome of health education

Indicators

• Utilizes evaluation parameters

• Documents outcome of care

• Revises health education plan based on client response/outcome/s

4. Legal Responsibility

Core Competency 1:

Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent.

Indicators

• Fulfills legal requirements in nursing practice

• Holds current professional license

• Acts in accordance with the terms of contract of employment and other rules and regulations

• Complies with required continuing professional education

• Confirms information given by the doctor for informed consent

• Secures waiver of responsibility for refusal to undergo treatment or procedure

• Checks the completeness of informed consent and other legal forms

 Core Competency 2:

Adheres to organizational policies and procedures, local and national  

Indicators

• Articulates the vision, mission of the institution where one belongs

• Acts in accordance with the established norms of conduct of the institution / organization/legal and regulatory requirements 

Core Competency 3: 

Documents care rendered to clients

Indicators

• Utilizes appropriate client care records and reports.

• Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice.

5. Ethico-moral Responsibility

Core Competency 1:

Respects the rights of individual / groups

Indicators

• Renders nursing care consistent with the client’s bill of rights: (i.e. confidentiality of information, privacy, etc.)

 Core Competency 2:

Accepts responsibility

Indicators

• Meets nursing accountability requirements as embodied in the job description and accountability for

own decision and actions

• Justifies basis for nursing actions and judgment

• Projects a positive image of the profession

 Core Competency 3:

Adheres to the national and international code of ethics for nurses

Indicators

• Adheres to the Code of Ethics for Nurses and abides by its provision

• Reports unethical and immoral incidents to proper authorities

 6. Personal and Professional Development

Core Competency 1:

Identifies own learning needs

Indicators

• Identifies one’s strengths, weaknesses/ limitations

• Determines personal and professional goals and aspirations 

 Core Competency 2: 

Pursues continuing education

Indicators

• Participates in formal and non-formal education

• Applies learned information for the improvement of care 

 Core Competency 3:

Gets involved in professional organizations and civic activities

Indicators

• Participates actively in professional, social, civic, and religious activities

• Maintains membership to professional organizations

• Support activities related to nursing and health issues

 Core Competency 4:

Projects a professional image of the nurse

Indicators

• Demonstrates good manners and right conduct at all times

• Dresses appropriately

• Demonstrates congruence of words and action

• Behaves appropriately at all times

 Core Competency 5:

Possesses positive attitude towards change and criticism

Indicators

• Listens to suggestions and recommendations

• Tries new strategies or approaches 

• Adapts to changes willingly

 Core Competency 6:

Performs function according to professional standards 

Indicators

• Assesses own performance against standards of practice

• Sets attainable objectives to enhance nursing knowledge and skills

• Explains current nursing practices, when situations call for it

7. Quality Improvement

Core Competency 1: 

Gathers data for quality improvement

Indicators

• Identifies appropriate quality improvement methodologies for the clinical problems

• Detects variation in specific parameters i.e vital signs of the client from day to day

• Reports significant changes in clients’ condition/environment to improve stay  in the hospital 9

• Solicits feedback from client and significant others regarding care rendered

 Core Competency 2:

Participates in nursing audits and rounds

Indicators

• Shares with the team relevant information regarding  clients’ condition and significant changes in clients’ environment

• Encourages the client to verbalize relevant changes in his/her condition

• Performs daily check of clients’ records / condition 

• Documents and records all nursing care and actions implemented

 Core Competency 3:

Identifies and reports variances

Indicators

• Reports to appropriate person/s significant variances/changes/occurrences immediately

•  Documents and reports observed variances regarding client care 

Core Competency 4:

Recommends solutions to identified problems

Indicators

• Gives an objective and accurate report on what was observed rather than an interpretation of the event 

• Provides appropriate suggestions on corrective and preventive measures

• Communicates solutions with appropriate groups

8. Research

Core Competency 1:

Gather data using different methodologies

Indicators

• Specifies researchable problems regarding client care and community health

• Identifies appropriate methods of research for a particular client / community problem

• Combines quantitative and qualitative nursing design through simple explanation on the phenomena observed

 Core Competency 2: 

Analyzes and interprets data gathered 

Indicators

• Analyzes data gathered using appropriate statistical tool

• Interprets data gathered based on significant findings

 Core Competency 3: 

Recommends actions for implementation 

Indicators

•  Recommends practical solutions appropriate to the problem based on the interpretation of significant findings

 Core Competency 4:

Disseminates results of research findings

Indicators

• Shares/presents results of findings to colleagues / clients/ family and to others

• Endeavors to publish research

• Submits research findings to own agencies and others as appropriate

 Core Competency 5:

Applies research findings in nursing practice 

Indicators

• Utilizes findings in research in the provision of nursing care to individuals / groups / communities

• Makes use of evidence-based nursing to enhance nursing practice 10

9. Records Management

Core Competency 1:

Maintains accurate and updated documentation   of client care 

Indicators

• Completes updated documentation of client  care

• Applies principles of record management

• Monitors and improves accuracy, completeness and reliability of relevant data

• Makes record readily accessible to facilitate client care

 Core Competency 2:

Records outcome of client care 

Indicators

• Utilizes a records system ex. Kardex or Hospital Information System (HIS)

• Uses data in their decision and policy making activities

 Core Competency 3:

Observes legal imperatives in record keeping 

Indicators

• Maintains integrity, safety, access and security of records

• Documents/monitors proper record storage, retention and disposal

• Observes confidentially and privacy of the clients’ records

• Maintains an organized system of filing and keeping clients’ records in a designated area

• Follows protocol in releasing records and other information

 

10. Communication

 Core Competency 1:

Establishes rapport with client, significant others and members of the health team

Indicators

• Creates trust and confidence

• Spends time with the client/significant others and members of the health team to facilitate interaction 

• Listens actively to client’s concerns/significant others and members of the health team

 Core Competency 2:

Identifies verbal and non-verbal cues 

Indicators

• Interprets and validates client’s body language and facial expressions

 Core Competency 3:

Utilizes formal and informal channels

Indicators

• Makes use of available visual aids 

• Utilizes effective channels of communication relevant to client care management

 Core Competency 4:

Responds to needs of individuals, family, group and community

Indicators

• Provides reassurance through therapeutic touch, warmth and comforting words of encouragement 

• Provides therapeutic bio-behavioral  interventions to meet the needs of clients

 Core Competency 5: 

Uses appropriate information technology to facilitate communication

Indicators

• Utilizes telephone, mobile phone, electronic media 

• Utilizes informatics to support the delivery of healthcare

11. Collaboration and Teamwork

Core Competency 1:

Establishes collaborative relationship with colleagues and other members of the health team

Indicators

• Contributes to decision making regarding clients’ needs and concerns

• Participates actively in client care management including audit

• Recommends appropriate intervention to improve client care

• Respect the role of other members of the health team

• Maintains good interpersonal relationship with clients , colleagues and other members of the health team

 Core Competency 2:

Collaborates plan of care with other members of the health team

Indicators

• Refers clients to allied health team partners

• Acts as liaison / advocate of the client

• Prepares accurate documentation for efficient communication of services