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nursing process nursing process recipes society.
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Showing posts with label
nursing process nursing process recipes society.
Show all posts
IV. ENABLING COMPETENCIES
10. Quality Improvement
Core Competency 1: Gathers data for quality improvement
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
Solicits feedback from client and significant others regarding care rendered
Core Competency 2: Participates in nursing audits and rounds
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
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
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
11. Research
Core Competency 1: Gather data using different methodologies
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
Analyzes data gathered using appropriate statistical tool
Interprets data gathered based on significant findings
Core Competency 3: Recommends actions for implementation
Recommends practical solutions appropriate to the problem based on the interpretation of significant findings
Core Competency 4: Disseminates results of research findings
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
Utilizes findings in research in the provision of nursing care to individuals groups / communities
Makes use of evidence-based nursing to enhance nursing practice
III. ENHANCING COMPETENCIES
8. Records Management
Core Competency 1: Maintains accurate and updated documentation of client care
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
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
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
9. Management of Resources and Environment
Core Competency 1: Organizes work load to facilitate client care
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
Core Competency 2: Utilizes financial resources to support client care
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
Plans for preventive maintenance program
Checks proper functioning of equipment considering the:
intended use - safety
cost benefits - waste creation and disposal storage
infection control
Refers malfunctioning equipment to appropriate unit
Core Competency 4: Maintains a safe environment
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.
II. EMPOWERING COMPETENCIES
5. LEGAL RESPONSIBILITY
Core Competency 1: Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent.
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
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
Utilizes appropriate client care records and reports.
Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice.
6. Ethico-moral Responsibility
Core Competency 1: Respects the rights of individual / groups
Renders nursing care consistent with the client’s bill of rights: (i.e.confidentiality of information, privacy, etc.)
Core Competency 2: Accepts responsibility and accountability for own decision and actions
Meets nursing accountability requirements as embodied in the jobdescription
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
Adheres to the Code of Ethics for Nurses and abides by its provision
Reports unethical and immoral incidents to proper authorities
7. Personal and Professional Development
Core Competency 1: Identifies own learning needs
Identifies one’s strengths, weaknesses/ limitations
Determines personal and professional goals and aspirations
Core Competency 2: Pursues continuing education
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
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
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
Listens to suggestions and recommendations
Tries new strategies or approaches
Adapts to changes willingly
Core Competency 6: Performs function according to professional standards
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
I. PATIENT CARE COMPETENCIES
1. Safe and Quality Nursing Care
Core Competency 1: Demonstrates knowledge base on the health /illness status of individual / groups
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
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
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
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
Refers identified problem to appropriate individuals / agencies
Establishes means of providing continuous client care
Core Competency 6: Administers medications and other health therapeutics
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
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
7.3 Evaluates progress toward expected outcomes
Monitors effectiveness of nursing interventions
Revises care plan based on expected outcomes
2. Communication
Core Competency 1: Establishes rapport with client, significant others and members of the health team
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
Interprets and validates client’s body language and facial expressions
Core Competency 3: Utilizes formal and informal channels
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
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
Utilizes telephone, mobile phone, electronic media
Utilizes informatics to support the delivery of healthcare
3. Collaboration and Teamwork
Core Competency 1: Establishes collaborative relationship with colleagues and other members of the health team
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
Refers clients to allied health team partners
Acts as liaison / advocate of the client
Prepares accurate documentation for efficient communication of services
4. Health Education
Core Competency 1: Assesses the learning needs of the client-partner/s
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
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, teaching-learning resources and evaluation parameters
Provides for feedback to finalize the plan
Core Competency 3: Develops learning materials for health education
Develops information education materials appropriate to the level of the client
Applies health education principles in the development of information education materials
Core Competency 4: Implements the health education plan
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
Utilizes evaluation parameters
Documents outcome of care
Revises health education plan based on client response/outcome/s
