PRC – BON NURSING UPDATES

CARMENCITA MATIAS-ABAQUIN YOLANDA CORTEZ-ARUGAY LEONILA ALCANTARA-FAIRE BETTY FACTORA-MERRITT PERLA GONZALES-PO AMELIA BUENCAMINO-ROSALES MARCO ANTONIO CABRERA STO. TOMAS

OUTLINE 1. Nursing Education2. Nursing Core Competency Revisiting Project3. National Nursing Career Progression Program and

Council for Nursing Advancement, Recognition and Specialization

4. CPE5. NLE6. Nursing Research and Nursing Service Monitoring7. Philippine Nursing Profession Roadmap 8. Nursing Law Reform

PROFESSIONAL REGULATION COMMISSION

R.A. 8981 “PRC Modernization Act of 2000”

COMMISSION ON HIGHER EDUCATION

R.A. 722The Higher Education Act of 1994. 

The Professional Regulation CommissionBOARD OF NURSING

QUASI-LEGISLATIVE

QUASI-JUDICIAL

EXECUTIVE

R. A. 9173 “The Philippine Nursing Act

of 2002

THE BOARD OF NURSING

1

NURSING EDUCATION

2

NURSING SERVICE/ PRACTICE

3

LICENSURE

AND

OATHTAKING

4ETHICS, LEGAL

CONCERNS, AND

LEGISLATION

5DOMESTIC

AND INTERNATIONAL

LINKAGES

and its

5 PILLARS

• CPE•

Credentialing

• Monitoring Standards

• Code of Ethics

• Laws and Legislation• IRR• Legal Matters

• N.E. Standards

• Requirements for RLE• Accreditation

of N.E. Programs• Review

Centers

BON Chairman

Local: PNA, ADPCN, ANSAP, Various Specialty & Interest Groups, DOH, LGUs, NBI, DOLE, POEA, DFA, AIMInternational: Regulatory Boards, ICN, WHO, ASEAN

• 4 Ps To Integrity

NURSING EDUCATION

CHED PRC BON COLLABORATIVE ACTIVITIES

PRC-CHED Collaborative MOA On School Visitation All BON members will be part of the

School Visitation Team CHED- TCNE and CHED Regional

Directors and Supervisors – part of the Team

CHED PRC BON COLLABORATIVE ACTIVITIES CONT.

Unified CHED-PRC BON Monitoring Tool Now Available Schools are enjoined to do their self

monitoring using the tool Schedule of school monitoring to be

determined

CHED TECHNICAL PANEL COMPOSITION

Chairperson – DR. CARMELITA C. DIVINAGRACIA

Members: DR. CARMENCITA M. ABAQUIN DR. TERESITA I. BARCELO DR. FELY MARILYN E. LORENZO DR. LORENZANA SERAFICA DR. JOSEFINA A. TUAZON

CHED PRC BON COLLABORATIVE ACTIVITIES CONT.

CHED –PRC-BON Management Information System Collaboration This collaboration will facilitate data

exchange and retrieval

FEEDBACK RE - CMO NO 14 SERIES 2009

The Curriculum is competency based , competency is about actual performance of nursing care by type of client

Competency Appraisal - are courses that are used to ensure that the expected competencies are developed. This is not only classroom activities. You have to use clinical scenarios as testing conditions.

NURSING CORE COMPETENCY

REVISITING PROJECT

The Competency-based Framework in Curricular Design

Work-Setting Scenarios:Demographic ProfileHealth PictureSocio-Economic-Political- Cultural Context

Required

Professional Roles

Professional Responsibilities

Professional Tasks

SKA Analysis

Bases for Selecting Learning Experiences

Professional Competencies

Student Competencies

PractitionerManager/LeaderResearcher

WORK-SETTING SCENARIO ANALYSIS

Current Data and Projections

Cont. of Competency-based Framework

Student Competencies

Entry Competencies

Intermediate Competencies

Terminal Competencies

Competency-Based BSN Curriculum A Model Revised EditionCollege of Nursing Faculty, University of the Philippines Manila

Steps In Revisiting The Nursing Core Competencies

1) PHASE I (Feb. 2009) Work setting scenario inputs and analysis. The expected output: creation of health and health care scenarios affecting the nursing profession; identification of their roles and the responsibilities needed to perform each role;

2) PHASE IB ( April 2009) Benchmarking of Nursing Core Competencies.

3) PHASE II A, B, C, (June 2010, Nov.2010 and Feb.2011) Validation strategies of the identified nurses’ roles. Methodology – focus-group discussion, Participant Observation, Modified Delphi. Clinical Exemplar

Steps In Revisiting The Nursing Core Competencies

3) PHASE III –Integrative review of outputs from the validation strategies: Specify the responsibilities needed to perform each role

Identify the functions/tasks for each responsibility per role

For each task: Specify the skills needed to perform the task. Identify the knowledge needed to perform each skill. List the values and attributes needed to perform the skills based on standards of practice (e.g. accuracy, efficiency, completeness, trust, respect)

Steps In Revisiting The Nursing Core Competencies Cont.

Specify the condition/s under which the skills, knowledge and attitudes are to be demonstrated as competencies

OUTPUT - Revised Nursing Core Competency Document (May 13, 2011)

4. PHASE IV- Pilot Testing Of Nursing Core Competency ( Aug. – Sept. 2011)

5. PHASE V – Public Hearing . Output Final Nursing Core Competency

Steps In Revisiting The Nursing Core Competencies Cont.

PHASE VI - Promulgation Of The Revised Nursing Core Competency Standard

Phase VII - Training In The Use Of The Revised Nursing Core Competency Standard

Phase VIII - Implementation Of The Revised Nursing Core Competency Standard

Phase IX - Evaluation

NNCPP AND CNARS

BOARD OF NURSING

C-NARSCouncil for Advancement,

Recognition, and Specialization(as per BoN Resolution No. 22, S. 2009)

1. Policy-Development Initiatives - recommendatory to the BoN

2. Oversight

FUNCTIONS1. Recognize – Organized Nursing Group

2. Accredit – Specialty Programs

3. Credential - People

TASKS1. Set Standards2. Establish Mechanisms3. Develop Criteria

Specialty Certification Boards

1. Leadership/Governance 2. Service/Practice/Clinical 3. Education

Appeals Panel

Recognizes Specialty andInterest Nursing Organizations

Nominations Committee

creates the

RECOGNIZES

SEEKS NOMINEES FOR MEMBERSHIPTO THE SPECIALTY BOARDS

SENDS NOMINEES FOR THE SPECIALTY BOARDS

CAREER PROGRESSION PATHWAYSNursing Practice/Service Nurse Clinician Education Leadership/Governance• Beginning Nurse Practitioner (Novice) • Junior Nurse (Advanced Beginner)• Senior Nurse (Competent) Nurse Clinician 1 ? ?• Proficient Nurse Nurrse Clinician 2 ? ? • Expert Nurse Clinical Nurse Specialist ? ?

COMMUNITYHEALTH NURSINGSPECIALTY

MOTHER AND CHILD NURSING SPECIALTY

MEDICAL –SURGICALNURSING SPECIALTY

MENTAL HEALTH AND PSYCHIATRICNURSING SPECIALTY

creates the

IMPLEMENTING MECHANISMS FOR THE NATIONAL NURSING CAREER PROGRESSION PROGRAMNNCPP.2011

NATIONAL NURSING CAREER PROGRESSION PROGRAM (NNCPP) AND COUNCIL FOR

NURSING ADVANCEMENT, RECOGNITION, AND SPECIALIZATION (CNARS)

Implementation now for mainstreaming with help from Dr. Federico Macaranas as consultant on the areas Public Private Partnership /Government Owned and Controlled Corporation (PPP/GOCC)

Core Group meeting regularly to discuss mechanics and guidelines

CONTINUING PROFESSIONAL

EDUCATION

CPE COUNCIL FOR NURSING

The CPE COUNCIL - working closely and collaboratively with the COUNCIL FOR NURSING ADVANCEMENT, RECOGNITION, AND SPECIALIZATION (CNARS) and the NATIONAL NURSING CAREER PROGRESSION PROGRAM (NNCPP) as provided for in BON Resolution 22, Series 2009.

CPE COUNCIL FOR NURSING CONT.

The CPE Council intends to dovetail its work with (CNARS) guidelines to make possible the approval of CPE activities that facilitates one’s career progression in nursing. This is in response to the clamour of many nurse practitioners to come up with immediate action on the career progression and specialization program of the Board of Nursing.

CPE COUNCIL FOR NURSING CONT.

In its meeting last April 19, 2011, the CPE Council agreed to hold a seminar workshop for CPE Providers in response to the need to fast track the submission of correct application data as CPE PROVIDER or for Course Programs. This will be held sometime in the last quarter of 2011, details to be announced.

Tips To Facilitate Processing Of CPE Program Application

1) Requirements must be submitted/sent to CPE Office, STANDARDS Division, Professional Regulation Commission, Cor. Nicanor Reyes and P.Paredes St., Sampaloc, Manila, (not to the Board of Nursing) accompanied by an official receipt for payment of appropriate fees for initial processing. Payment can be made at the central or regional office and requirements mailed to PRC central office. DO NOT SEND CASH OR CHECK TO THE BOARD OF NURSING. Non-compliance will cause delays in reaching the CPE Council for actual evaluation

Tips To Facilitate Processing Of CPE Program Application Cont.

2) Completely fill up the CPE Program Application form for NURSING stating contact person/s & contact numbers of Provider for immediate feedback about requirements if needed. Use of the form that is NOT SPECIFIC to nursing shall not be accepted for processing.

Tips To Facilitate Processing Of CPE Program Application Cont.

3) State specific course objectives that identify expected behavioural outcomes that must be spelled out in the specific evaluation tool for the course after participation/attendance in the CPE program. Include instrument used; tests administered if any, to participants of the course /program.

Tips To Facilitate Processing Of CPE Program Application Cont.

4) A copy of the actual program of activities should be submitted showing time allotment for the topics listed in the instructional design for assignment of credit units. Time allotted for return demonstrations of participants is given half credit.

Tips To Facilitate Processing Of CPE Program Application Cont.

5) Proof of expertise in a given field should accompany the resume of speakers along with their current/valid PRC license. Mere attendance to a training program does not imply expertise.

6) Tabs must be used in submitted documents for evaluator to identify the different sections of the documents submitted to facilitate processing.

CPE COUNCIL FOR NURSING

Announcement of the guidelines and updates on CPE will be posted at the BON Website: www.bonphilippines.org

COVERAGE OF THE SYSTEM

C R E O E X R L A R E M E A C S R T E E I S O O U N F L T S

APPLICATION

TEST QUESTION DATABANKINGSYSTEM (TQDS)

E

N C O D I G

M E R G I N G

EXTRACTION

PRINTING

ADMIN

OF

EXAMS

1. TEST DEVELOPMENT

Regular Analysis of the 4 Ps to maintain Integrity, Credibility and Quality of NLE

Review of Competency-based Test Framework

BON Peer Test Development and Editing

BON Group Key Answer Determination

Preparation for the New NLE Test Framework for Graduates of CMO No. 14

DEVELOPMENTS IN NLE

BON OLAP in now integrated with PRC-LERIS for pilot testing by July post NLE

BON MIS will be fully set up after full implementation of PRC-BON OLAP-LERIS Project

Started ground works towards improvement of NLE Venues for NCR (SMX-PICC-WTC) as complementary measure to NLE On Line Application

 

The Competency Based Test Framework

NURSING PROCESS

NP I NP II NP III NP IV NP V

Basic Foundation of Nursing and Professional

Practice

Community Health

Nursing and Care of

Healthy/At Risk

Mother and Child

Care of Clients with Physiologic

and Psychosocial

Alterations[A]

Care of Clients with Physiologic and Psycho-

social Alterations

[B]

Care of Clients with Physiologic

and Psycho-social

Alterations[C]

ACROSS THE LIFESPAN

INDIVIDUALS, FAMILIES, GROUPS, COMMUNITY IN VARIED SETTINGS

PREVENTIVE

REHABILITATIVE

PROMOTIVE

CURATIVE

NURSING PROCESS

NP I NP II NP III NP IV NP V SAFE AND QUALITY NURSING CARE

COMUNICATION

COLLABORATION AND TEAMWORK

HEALTH EDUCATION

RESEARCH

QUALITY IMPROVEMENT

ETHICO –MORAL RESPONSIBILITY

LEGAL RESPONSIBILITY

PERSONAL AND PROFESSIONAL DEVELOPMENT

RECORDS MANAGEMENT

MANAGEMENT OF RESOURCES AND ENVIRONMENT

Basic Foundation of Nursing and Professional

Practice

CHN & Care of Normal Mother &

Child

Care of Clients w/ Physiologic & Psychosocial

AlterationsPart A

Care of Clients w/ Physiologic & Psychosocial

AlterationsPart B

Care of Clients w/ Physiologic &

Psychosocial Alterations

Part C

ACROSS THE LIFESPANINDIVIDUALS, FAMILIES, POP. GROUPS, COMMUNITY

IN VARIED SETTINGS

CURATIVE

PATIENT CARE

COMPETENCIES

ENHANCING

EMPOWERING

ENABLING

SQC, Comm, Collaboration

& HE

Enab

ling (10)

Enhan

cing (10)

Empowering (15)

• Management of resources and environment

• Record management

• Research

• Quality improvement

• Legal responsibilities

• Ethico-moral responsibilities

• Personal and professional development

Competency-Based Test Framework

Patient Care Competencies (65)

NURSING PRACTICE II. PATIENT CARE COMPETENCIES (65%)

A. SAFE QUALITY CARE (50%) A1. 1 Situation - Care of clients during admission and discharge in any setting

A 2. 1 Situation - Care of client with problem in thermoregulationA 3. 1 Situation - Care of clients to maintain blood pressure and pulse within normal rangeA 4. 1 Situation - Care of clients requiring medication/drug management

A 5. 1 Situation - Care of clients to promote & maintain safety, and those with risk for infectionA 6. 1 Situation - Care of clients with mild oxygenation problemsA 7. 1 Situation - Care of clients requiring nutritional management & those with elimination problemsA 8. 1 Situation - Care of clients to promote comfort and hygieneA 9. 1 Situation - Care of clients with mobility / immobility problemsA 10. 1 Situation - Care of the dying person ( End of Life Care)

B. COMMUNICATION (5%) B1. 1 Situation Application Focus :Nurse –Client interaction

C. COLLABORATION & TEAM WORK (5%)

C1 1 Situation. Integration

D. HEALTH EDUCATION (5%)

D1.1 Situation Application Focus: Health Promotion, Healthy Life Style

NURSE LICENSURE

EXAMINATION

NURSING PRACTICE I CONT.II. EMPOWERING COMPETENCIES (15%)

E. ETHICO-MORAL RESPONSIBILITY (5%)

E1 1 Situations Application Focus: related to the above conceptsF. LEGAL (5%) F1 1 Situation Focus on Nursing LawG. PERSONAL AND PROFESSIONAL GROWTH (5%)

G1. 1 Situation Application: Focus: New graduate

III. ENABLING COMPETENCIES (10%)H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)

H1 1 Situation Application Focus-related to the above concepts

I. RECORD MANAGEMENT (5%) I1. 1 Situation Application: Focus - Documentation

IV ENHANCING COMPETENCIES (10%)J. RESEARCH (5%) J1.1 Situation Application: Evidence based – Clinical nursing procedures/ health promotion etc

K. QUALITY IMPROVEMENT (5%) K1. 1 Situation Application Focus-related to the above concepts

TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS

NURSING PRACTICE III. PATIENT CARE COMPETENCIES (65%)

A. SAFE QUALITY CARE (50%) PART I CHN (25%)

A1. 2 Situations - Care of normal and at risk familiesA 2. 1 Situation - Care of population groupsA 3. 2 Situations - Care of the communities

PART II MCN (25%)A 6. 1 Situation - Care of the newborn infant A 7. 1 Situation - Care of the normal child and those with common alterations/illness A 8. 1 Situation - Care of the client with sexuality, reproductive health, & fertility problems A 9. 1 Situation - Care of the normal pregnant woman going through the various stages of pregnancyA 10. 1 Situation - Care of the pregnant woman with complications of pregnancy

A. COMMUNICATION (5%) B1. 1 Situation Application: Focus – CHN, MCN C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application: Focus – CHN, MCN D. HEALTH EDUCATION (5%) D1. 1 Situation Application: Focus – Family, Popn Group, Community, Pregnant Mother,

NURSING PRCTICE II CONT.II. EMPOWERING COMPETENCIES (15%)

E. ETHICO-MORAL RESPONSIBILITY (5%) E1 1 Situation Application Focus – CHN, MCN

F. LEGAL (5%) F1 1 Situation Application Focus – CHN, MCN

G. PERSONAL AND PROFESSIONAL GROWTH (5%) G1. 1 Situation Application Focus-related to the above conceptsIII. ENABLING COMPETENCIES (10%)

H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%) H1 1 Situation Application Focus – CHN, MCN

I. RECORD MANAGEMENT (5%) I1. 1 1 Situation Application Focus-related to the above conceptsIV ENHANCING COMPETENCIES (10%)

J. RESEARCH (5%) J1.1 Situation Application: Focused in QIK. QUALITY IMPROVEMENT (5%)

K1. 1 Situation Application Focus-related to the above concepts TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS

NURSING PRACTICE III

I. PATIENT CARE COMPETENCIES (65%)A. SAFE QUALITY CARE (50%)

A1. 2 Situations : Care of clients in pain A2. 2 Situations: Care of clients undergoing the peri-operative phases of care A3. 2 Situations : Care of clients with alterations in oxygenation A4. 2 Situations : Care of clients with alterations in endocrine & metabolism A5. 2 Situations : Care of clients with alterations in nutrition & metabolic function

B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application Focus -related to the above concepts D. HEALTH EDUCATION (5%) D1. 1 Situation Application Focus-related to the above concepts,

NURSING PRACTICE III CONT.II. EMPOWERING COMPETENCIES (15%)

E. ETHICO-MORAL RESPONSIBILITY (5%) E1 1 Situation Application Focus-related to the above concepts,

F. LEGAL (5%) F1 1 Situation Application Focus-related to the above concepts,

G. PERSONAL AND PROFESSIONAL GROWTH (5%) G1. 1 Situation Application Focus-related to the above concepts

III. ENABLING COMPETENCIES (10%)H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)

H1 1 Situation Application Focus-related to the above concepts,

I. RECORD MANAGEMENT (5%) I1. 1 1 Situation Application Focus-related to the above concepts

IV ENHANCING COMPETENCIES (10%)J. RESEARCH (5%) J1.1 Situation Application: Focused in QI

K. QUALITY IMPROVEMENT (5%)

K1. 1 Situation Application Focus-related to the above concepts

TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS

NURSING PRACTICE IVI. PATIENT CARE COMPETENCIES (65%)

A. SAFE QUALITY CARE (50%) A1. 2 Situations : Care of clients with alterations in fluid and electrolyte and acid base balance A2. 2 Situations: Care of clients with alterations in inflammatory & immunologic

response A3. 2 Situations : Care of clients with cellular aberrations A4. 2 Situations : Care of clients in acute biologic crisis A5. 2 Situations : Care of clients in emergency and disaster situations

B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts

C. COLLABORATION & TEAM WORK (5%)

C1 1 Situation Application Focus -related to the above concepts D. HEALTH EDUCATION (5%)

D1. 1 Situation Application Focus-related to the above concepts,

NURSING PRACTICE IV CONT.II. EMPOWERING COMPETENCIES (15%)

E. ETHICO-MORAL RESPONSIBILITY (5%) E1 1 Situation Application Focus-related to the above concepts,

F. LEGAL (5%) F1 1 Situation Application Focus-related to the above concepts,

G. PERSONAL AND PROFESSIONAL GROWTH (5%) G1. 1 Situation Application Focus-related to the above conceptsIII. ENABLING COMPETENCIES (10%)

H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%) H1 1 Situation Application Focus-related to the above concepts,

I. RECORD MANAGEMENT (5%) I1. 1 1 Situation Application Focus-related to the above concepts

IV. ENHANCING COMPETENCIES (10%)

J. RESEARCH (5%) J1.1 Situation Application: Focused in QI

K. QUALITY IMPROVEMENT (5%) K1. 1 Situation Application Focus-related to the above concepts TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS

NURSING PRACTICE V I. PATIENT CARE COMPETENCIES (65%)

A.SAFE QUALITY CARE (50%) PART I. Care of Clients with Alterations in Perception & Coordination A1.1 Situation Care of clients with alterations in neurologic functioning A2. 1Situation Care of clients with alterations in sensory functions A3. 1 Situation Care of clients with alterations in musculoskeletal functions A4. 1 Situation Care of clients with degenerative problems affecting perception& coordination PART II Care of clients with maladaptive patterns of behaviour

A5. 1 Situation Care of Clients with Age-related maladaptive patterns A6. 1 Situation Care of Clients with Alterations in thought & perception

A7. 1 Situation Care of Clients with Depression, Mania, & suicide A8. 1 Situation Care of Clients with Stress & anxiety, Aggression, Hostility, Violence A9. 1 Situation Care of Clients with Maladaptive patterns of personality; with Physiologic

Alterations, Psychosexual disturbances, Eating disturbances A10. I Situation Care of Clients with Substance Abuse

B. COMMUNICATION (5%) B1. 1 Situation Application Focus -related to the above concepts

C. COLLABORATION & TEAM WORK (5%) C1 1 Situation Application Focus -related to the above concepts D. HEALTH EDUCATION (5%) D1. 1 Situation Application Focus-related to the above concepts,

NURSING PRACTICE V CONT.II. EMPOWERING COMPETENCIES (15%)

E. ETHICO-MORAL RESPONSIBILITY (5%) E1 1 Situation Application Focus-related to the above concepts,

F. LEGAL (5%)

F1 1 Situation Application Focus-related to the above concepts,G. PERSONAL AND PROFESSIONAL GROWTH (5%)

G1. 1 Situation Application Focus-related to the above conceptsIII. ENABLING COMPETENCIES (10%)

H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%) H1 1 Situation Application Focus-related to the above concepts,

I. RECORD MANAGEMENT (5%) I1. 1 1 Situation Application Focus-related to the above concepts

IV. ENHANCING COMPETENCIES (10%)

J. RESEARCH (5%) J1.1 Situation Application: Focused in QIK. QUALITY IMPROVEMENT (5%)

K1. 1 Situation Application Focus-related to the above concepts TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS

NLE TABLE OF SPECIFICATIONTest Framework – is competency based. Thus we are testing the ability of the examinees to provide first level professional nursing care to varied clients and settings

Thus the testing conditions are hospital and community based clinical scenarios

Order of Learning in the Cognitive Domain that is given emphasis are Application, Analysis, Synthesis and Evaluation

Table of SpecificationsCOMPETENCY WEIGHT No. of

QuestsLEVEL OF DIFFICULTY

Easy Moderate Difficult

K C A A S E

Legend:K – KnowledgeC – ComprehensionA – Application A – AnalysisS – SynthesisE - Evaluation

NLE RESULTS FROM 2003 - 2010

Year of NLE No. of Examinees No. of Passers % Passing

June 2003 7,993 4,217 52.77%

Dec 2003 7,632 3,311 43.38%

June 2004 13,225 7,371 55,74%

Dec 2004 12,100 5,210 43.06%

June 2005 26,000 12,843 49.40%

Dec 2005 24,287 13,108 53.97%

June 2006 42,006 17,318 41.23%As per CA decision

Dec 2006 40,147 19,712 49.10%

June 2007 78,583 40,726 51.83%

Dec 2007 67,728 28,924 43.45%

June 2008Nov. 2008June 2009Nov. 2009

July 2010

Dec 2010

64,45988,64977,901

95,282 91, 000

84,285

27,76539,45532,61737,00037,679

29,711

43.07%44.51%41.87%39.73%41.40%

35.25%

06-06 12-06 06-07 12-07 06-08 11-08 06-09 11-09 07-10 12-10

FIRST TIMERS 32454 19328 48817 36241 40323 59218 47399 54360 52458 41054

REPEATERS 7847 19549 14893 29781 23595 29431 30499 40086 38545 43231

2,500

7,500

12,500

17,500

22,500

27,500

32,500

37,500

42,500

47,500

52,500

57,500

62,500

67,500

NURSE LICENSURE EXAMINATIONJUNE 2006 - DECEMBER 2010FIRST TIMERS vs. REPEATERS

NO

. O

F E

XA

MIN

EES

06-06 12-06 06-07 12-07 06-08 11-08 06-09 11-09 07-10 12-10

FT - %PASSED

0.506470696986504

0.573520281456949

0.56521293811582

0.529648740376921

0.602063338541279

0.529467391671444

0.574020548956729

0.493579838116262

0.580426245758505

0.486846592293082

REP - %PASSED

0.112272205938576

0.38416287278122

0.169005573088028

0.308485275847023

0.147827929646111

0.275253983894533

0.177350077051707

0.266826323404685

0.187598910364509

0.224931183641371

2.50%

7.50%

12.50%

17.50%

22.50%

27.50%

32.50%

37.50%

42.50%

47.50%

52.50%

57.50%

62.50%

NURSE LICENSURE EXAMINATIONJUNE 2006 - DECEMBER 2010

PASSING PERCENTAGE (FIRST TIMERS vs. REPEATERS)P

ASSIN

G P

ER

CEN

TA

GE

*06-06 *12-06 *06-07 *12-07 *06-08 *11-08 *06-09 *11-09 *07-10

NAT'L - % PASSED

0.4123000000000

04

0.491 0.4832 0.4345000000000

02

0.4307 0.4451 0.4187 0.3973000000000

06

0.414

FT - % PASSED

0.5065 0.5735 0.5652 0.5296 0.6021000000000

01

0.5295 0.574 0.4936 0.5804

REP - % PASSED

0.1123 0.3842 0.169 0.3085000000000

01

0.1478 0.2753 0.1774000000000

02

0.2668 0.1876

5.00%15.00%25.00%35.00%45.00%55.00%65.00%

NURSE LICENSURE EXAMINATIONJUNE 2006 - JULY 2010

PASSING PERCENTAGE (FIRST TIMERS vs REPEATERS)

PASS

ING

PER

CEN

TAG

E

Reference: Data from Rating Division February 2011.

0-5% 6-10%

11-15%

16-20%

21-25%

26-30%

31-35%

36-40%

41-45%

46-50%

51-55%

56-60%

61-65%

66-70%

71-75%

76-80%

81-85%

86-90%

91-95%

96-100%

NO. OF SCHOOLS

19 16 42 54 55 45 41 35 23 27 24 14 13 10 17 7 3 3 8 14

5

15

25

35

45

55

NURSE LICENSURE EXAMINATION - DECEMBER 2010FREQUENCY DISTRIBUTION OF SCHOOLS PER PASSING

PERCENTAGE

NU

MB

ER

OF I

NSTIT

UTIO

NS/S

CH

OO

LS

NURSE LICENSURE EXAMINATION 2006-2010NO. OF SCHOOLS WITH PASSING % OF 30% AND BELOW

MONTH/YEAR NO. OF SCHs. WITH 30% & BELOW PASSING PERCENTAGE

TOTAL NO, OF SCHOOLS

PERCENTAGE

JUNE 2006 172 348 49.43%

Dec. 2006 66 279 23.66%

JUNE 2007 206 504 40.87%

DEC. 2007 158 405 39.01%

JUNE 2008 213 426 50%

NOV. 2008 139 442 31%

JUNE 2009 216 470 46%

NOV. 2009 185 473 39.11%

JULY 2010 212 463 45.78%.

DEC 2010 231 470 49.14%^

REVIEW CENTER REGULATION

Now on stage of creating the Inter-Agency Regulatory Panel

NURSING RESEARCH AND

NURSING SERVICE MONITORING

Collaborative Nursing Research

The Collaborative Research is undertaken with ADPCN and Phil. Nursing Research Society (PNRS)

Entitled – Analytical Study of the NLE Performance of Graduates of Colleges of Nursing In the Philippines (NLE Dec. 2006-Dec 2011)

PHILIPPINE NURSING

PROFESSION ROADMAP

VISION OF THE NURSING PROFESSION ROADMAP TOWARDS

GOOD GPOVERNANCE 2030

Philippine Professional Nursing to be the “BEST for the Filipino and the CHOICE of the World by 2030”.

CLUSTERING OF THE INITIATIVESProfessionalism and Self-regulation Core Values Program Positive Practice Environment Program Nurse Watch Nursing Image State of Philippine Nursing

CLUSTERING OF THE INITIATIVESNursing Human Resource Management Program Competency Enhancement for Education

and Service Functional Integration between Education

and Service National Career Progression Plan Nursing Management Information System

(NMIS) Deployment Program of Nurses

CLUSTERING OF THE INITIATIVESNurse-led Centers Primary Health Care Independent Nursing Practice

Regulation of Nursing Practice Standard Practice Guidelines Review of the Nursing Law & other

related Laws

CLUSTERING OF THE INITIATIVESA Center for Nursing Governance Set up the Office of Strategy

Management (OSM) Nursing Organizations’ Roadmap &

Scorecard Alignment Resource Generation for Philippine

Nursing Development

For each Initiative, there are action plans or milestones with: clearly defined deliverables time targets, and budget plans to finance implementation

A core group, the Performance Governance System-Technical Working Group (PGS-TWG), continues to hold working sessions to polish the Initiatives, align with 23 Measures and prioritize implementation of the Initiatives.

The Balanced Scorecard (BSC) and Performance Governance System (PGS) of the Institute for Solidarity in Asia (ISA) provide the process framework of good governance, the thrust of the nursing profession roadmap.

The present challenge is to formally set up an Office of Strategy Management which shall be tasked to monitor the implementation of the nursing roadmap.

Likewise, a structural organization among the nursing organizations is necessary to handle administration and logistics of the whole program. This is the subject of ongoing meetings and discussions to be able to craft a MOU/A - to set up the organizational mechanics.

The complete program of Philippine Professional Nursing Roadmap 2030 to include: Charter Statement, Strategy Map, Initiatives and Measures, Structural organization and the OSM, shall be presented to all stakeholders for its final approval and adoption by the nursing profession.

Before the year ends, as soon as possible, it is hoped that the PPNR 2030 (Philippine Professional Nursing Roadmap) shall have been institutionalized as: One profession One Vision Having a unified strategy With clear targets Fully supported by Filipino nurses and other

stakeholders One in Journey to Nationhood: PHILIPPINES

2030

PHILIPPINE NURSING LAW

REVISION

Introduction The Board of Nursing was created to

supervise and regulate the practice of the nursing profession in the Philippines.

In line with this, the PRC – BON, with the help of the Institute for Solidarity in Asia (ISA), crafted the Nursing Roadmap 2030 to guide the profession towards its vision of “Philippine Professional Nursing Care: The Best for the Filipino and the Choice of the World”.

During the process, the pressing need to align the Philippine Nursing Act of 2002 (RA 9173) to this Roadmap was recognized by the Board.

Additionally, the updating of the Nursing law to become more relevant and responsive has always been one of the responsibilities of the Board, especially given the state of the profession today.

MethodologyA core group of key stakeholders in the Nursing profession in the country was formed and, from August 2010 onwards, a series of discussions and workshops was held to identify issues in Philippine Nursing, as well as to benchmark the Nursing Law with that of other professions in the Philippines and with Nursing Acts from other countries. The workshops also aimed to determine the sentiments of the various regarding the content and implementation gaps of RA 9173, and the changes to be established in the said Act.

After the separate workshops were conducted (BON, PNA, ANSAP, ADPCN, Clinical Specialty groups, Interest groups), the output derived from the workshops was presented to a plenary of over a hundred key stakeholders in the Nursing profession, including the executive committees of all Nursing organizations, as well as some representatives from Congress.

This was done to further determine the acceptable revisions to the Nursing Law, as part of the initiative towards participative policy-making.

Next StepsFinalize the content and brainstorm with

legislators to determine what should be legislated and what can be changed privately to prevent bureaucratic issues.

Search for legislative champions and authors

Policy discussions/debates – Need to provide evidence – statistics, position papers to support proposed revisions

Met with Congressman Padilla (March 28 and April 26)

Title – Phil. Nursing Practice Reform Act - House Bill 4567

Bill drafting in both chambers

Next Steps

Advocacy activities to show support to the proposed revisions (focused and purposeful)BON met to get reactions/ suggestionsOutput to be presented to the Core Group May 18, 2011 Meeting with Senator Angara to be arranged

Next Steps

Enacting the proposed legislation – only the beginning

Development of the Implementing Rules and Regulations

IMPLEMENTATION Evaluation of policy outcomes

after 3-5 years

Goals

IMPLEMENTATION OF THE NURSING LAW:◦To make Nursing a vital force to

promote national development;◦To improve health care delivery◦To contribute to health outcomes

including patient safety PROMOTE COMMON GOOD!ATTAIN THE VISION OF THE NURSING

PROFESSION

NURSING LAW REVISIONVision

“Philippine Professional Nursing

Care: The Best for the Filipino and the

Choice of the World”

LINKAGESINTERAGENCY DOMESTIC

LINKAGES NLE

LEGAL

NURSING EDUCATION

NURSING PRACTICE

INTERNATIONAL LINKAGESASEAN

ICN

NCSBN

WP/SEAR

WHO

THANK YOU !