Core Values, Health Problems, National Health Goals, Health Care

Strategies, Nursing Roles and Responsibilities and 11 Key Areas of

Responsibility

By: BSN 1A-02 (group 4) 2010

Core Values

Health Problems

Health Problems

• HIV/AIDS, malaria and other diseases

• environmental sustainability• General health status of the

population• Mortality, morbidity, disability• Health insurance• Cost of essential medicines

National Health Goals

Health in the Millennium Development Goals

• Goal 1: Eradicate extreme poverty and hunger• Goal 2: Achieve universal primary education• Goal 3: Promote gender equality and empower

women• Goal 4: Reduce child mortality• Goal 5: Improve maternal health• Goal 6: Combat HIV/AIDS, malaria and other diseases• Goal 7: Ensure environmental sustainability• Goal 8: Develop a global partnership for development

Health Care Strategies

•HEALTH FINANCING•HEALTH REGULATION•HEALTH SERVICE DELIVERY•GOOD GOVERNANCE IN HEALTH

HEALTH FINANCING

Mobilizing resources from extra budgetary sources

Coordinating local and national health spending Focusing direct subsidies to priority programs Adopting a performance based financing system Expanding the national health insurance program

HEALTH REGULATION

• Harmonizing licensing, accreditation and certification

• Issuance of quality seals

• Assuring the availability of low-priced quality essential medicines commonly used by the poor

HEALTH SERVICE DELIVERY

• ensuring the availability of providers of basic and essential health services in localities

• designating providers of specific and specialized services in localities

• intensifying public health programs in targeted localities

GOOD GOVERNANCE IN HEALTH

• establishing FOUR-IN-ONE advanced implementation sites

• developing on LGU FOURmula ONE for Health Scorecard

• institutionalizing a FOURmula ONE for Health Expanded Professional Career Track

Roles of Nurse and Responsibilities

Caregiver / Care provider CommunicatorTeacherCounselorChange agentClient advocateManager/ Administer/ LeaderResearcherRole Model

Caregiver / Care provider

• functions as nurturer, comforter, provider

• provides direct care and promotes comfort of client

• shows concern for client welfare and acceptance of the client as a person

Teacher> provides information and

helps the client to learn or acquire new knowledge and technical skills

• encourages compliance with prescribed therapy

• promotes healthy lifestyle

• interprets information to the client

Communicator • Integral to all nursing roles

• Nurses communicate with the client, support persons, other health professionals, and people in the community

• Nurses identify client problems and then communicate these verbally or in writing to other members of the health team

Counselor

• helps client to recognize and cope with stressful psychological orsocial problems; to develop an improve interpersonal relationships and topromote personal growth

Change Agent• Initiate changes or assist

clients to make modifications in themselves or in the system of care

• Nurses also often act to make changes in a system if it is not helping client return to health

• Assisting others to make modifications in their own behavior.

Client Advocate

• Acts to protect the client

• involves concern for and actions in behalf of the client to bring about a change.

• promotes what is best for the client, ensuring that the client’s needs are met and protecting the client’s right.

• provides explanation in clients language and support clients decisions

Manager/ Administer/ Leader

• Makes decisions, coordinates activities of others, allocate resources, evaluate care and personnel

• . Demonstrates competence in the management of:1.1 nursing services/unit1.2 health care unit

• Leads in the change process and advocate for policy changes towards nursing health development.

• Utilizes appropriate principles/ theories on quality management.

• .Utilizes appropriate mechanisms for networking, linkage building, and referrals.

Researcher

• Conducts research to address problems/generate new knowledge related to Nursing Administration.

participates in identifying significant researchable problems

• must be aware of the research process, language of research, a sensitive to issues related to protecting the rights of human subjects.

Role Model

• Has good physical appearance

• Practices proper hygiene

• Practices healthy lifestyle

11 Key Areas of Responsibility• Safe Quality Nursing Care• Management of Resources and environment

• Health Education• Legal Responsibility• Ethico-moral Responsibility• Personal and Professional Development• Quality Improvement• Research• Records Management• Communication• Collaboration and Teamwork

Under the CHED Memorandum Order (CMO) article IV: Competency Standards:

“Graduates of Bachelor of Science in Nursing program must be able to apply analytical and critical thinking in the nursing practice. The nurse must be competent in the following Key Areas of Responsibility with their respective core competency standards and indicators”

Safe Quality Nursing Care

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

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

• Promotes safety and comfort and privacy of patients• Sets priorities in nursing care based on patients’ needs• Ensures continuity of care• Administers medications and other health

therapeutics

• Utilizes the nursing process as framework for nursing

> Performs nursing assessment

> Formulates a plan

>Implements planned nursing care

>Evaluates progress

Management of Resources and Environment

• Organizes work load to facilitate patient care

• Utilizes resources to support patient care

• Ensures functioning of resources

• Checks proper functioning of equipment

• Maintains a safe environment

Health Education

• Assesses the learning needs of the patient and family

• Develops health education plan based on assessed and anticipated needs

• Develops learning materials for health education

• Implements the health education plan• Evaluates the outcome of health education

Legal Responsibility

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

• Adheres to organizational policies and procedures, local and national

• Documents care rendered to patients

Ethico-moral Responsibility

• Respects the rights of individual / groups

• Accepts responsibility and accountability for own decision and actions

• Adheres to the national and international code of ethics for nurses

Personal and Professional Development

• Identifies own learning needs• Pursues continuing education• Gets involved in professional organizations and

civic activities• Projects a professional image of the nurse• Possesses positive attitude towards change and

criticism• Performs function according to professional

standards

Quality Improvement

• Gathers data for quality improvement

• Participates in nursing audits and rounds

• Identifies and reports variances

• Recommends solutions to identified problems

Research

• Gather data using different methodologies

• Recommends actions for implementation

• Disseminates results of research findings

• Applies research findings in nursing practice

Records Management

• Maintains accurate and updated documentation of patient care

• Records outcome of patient care

• Observes legal imperatives in record keeping

Communication

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

• Identifies verbal and non-verbal cues• Utilizes formal and informal channels• Responds to needs of individuals, family,

group and community• Uses appropriate information technology to

facilitate communication

Collaboration and Teamwork

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

• Collaborates plan of care with other members of the health team