View
232
Download
1
Category
Preview:
Citation preview
90th Foundation Anniversary 55th Nurses
Week Celebration, 2012 National Annual
Convention
“Inspiring The Filipino Nursing
Workforce Towards Equity and
Access to health Care”
PHILIPPINE NURSES ASSOCIATION INC.
NURSING PROFESSION NURSING PROFESSION NURSING PROFESSION NURSING PROFESSION
COMPETITIVENESS ROADMAP COMPETITIVENESS ROADMAP COMPETITIVENESS ROADMAP COMPETITIVENESS ROADMAP
PROFESSIONAL REGULATORY BOARD
OF NURSING
CARMENCITA MATIAS-ABAQUIN , RN, PhD
Chairperson, PRBON
OUTLINE
I. Vision
II. Background To The Competitiveness Roadmap
III. Competitiveness Assessment
� Current Nursing Scenarios
� Nursing Issues and Concerns
� Criteria And Measurable Indicators Of Professional Competitiveness
IV. Action Agenda
V. Summary and Recommendation
I. VISION
• PRBON VISION – Under the guidance of the
Almighty, the PRBON will be the ULTIMATE
AUTHORITY in regulating the nursing profession
in collaboration with PRC
• NURSING PROFESSION VISION – Philippine
Professional Nursing Care will be the BEST for the
Filipino and the CHOICE of the World
II. Background To The Competitiveness Roadmap
1. Development of the Nursing Profession Roadmap Towards
Good Governance
2. Competitiveness Conference I and II in 2008 and 2009
3. Revision of the Nursing Core Competency Standard Project
4. Development of the National Nursing Career Progression
Program and the CNARS
5. Reactivation of the Nursing Continuing Professional
Education Program
6. Revision of the Nursing Law
7. Presentation of the Philippine Development Plan 2011-2016
8. Development of the AJCCN Roadmap
9. PRC ‘s Trade Related Technical Assistance Project 2
1. Development of the
Nursing Profession
Roadmap Towards
Good Governance
II. Background To The Competitiveness Roadmap
Executive Order 25
(Governance Advisory Council)
Good Governance for the
Professions in the
Philippines Mandated by
Executive Order 220
Creation of the Coordinating Body
for Good Governance of the
Nursing Profession
PRC
BON
PNA
ADPCN
ANSAP
BON
ISA
II. Background To The Competitiveness Roadmap
II. Background To The Competitiveness Roadmap
We, the Filipino
nurses, responding
to the needs of
society, are engaged
in providing humane
and globally
competent nursing
care.
Love of God
Caring
Integrity
Excellence
Nationalism
Core Values
Mission
Philippine
Professional
Nursing Care: the
BEST for the Filipino
and the CHOICE of
the World by 2030
Vision 2030
PHILIPPINE NURSING PROFESSION ROADMAP 2030
DYNAMIC LEADERSHIPCULTURE OF EXCELLENCE
The Filipino
Nurse
Collaborative
Partnerships
Service
Excellence
Competency
EnhancementLinkages/
Networking
Social
Impact
(4) To actively participate in the
critical socio-economic and
political issues of the country
(5) To engage stakeholders
and make them co-owners of
nursing issues and concerns
(3) To advocate collegiality
and mutual respect that cut
across all health disciplines
(14) Ensure “positive practice
environments” for nurses
(15) Philippine Nursing
Profession as a recognized
leader in primary health care &
the “Choice of the World”
(13) Empowered clients to
maintain the highest level of
wellness and well-being
(11) To forge linkages to
generate funds from
governments and NGOs
(12) To adopt local and global
best practices in the
management of resources
(10) To institutionalize best
practice on internal
generation of resource
(9) To institutionalize a sustainable and effective
continuing professional education and
development for individual nurses and institutions
(8) To promote functional integration between
education and service
(7) To institutionalize sustainable organizational
support structure for nursing career progression(6) To enforce the quality standards in
education and nursing service
(2) Foster sense of accountability
among all nurses
(1) To live the core values and to manifest the
desired qualities of a Filipino Nurse
3. Service Excellence Perspective Objectives Measures Targets Initiatives
2030 2020 2015 2011
1. To enforce
the quality
standards in
education
and nursing
service
% of nursing
schools for
undergraduate
and graduate
levels that are
compliant with
Commission on
Higher
Education -
Policies,
Standards and
Guidelines
(CHED-PSG)
100% 90% 80% 40% A. NURSE WATCH INITIATIVE:
(Organize a Nursing Education
Watch)
B. NURSING CAREER PROGRESSION
PROGRAM INITIATIVE:
C. FUNCTIONAL INTEGRATION
INITIATIVE: (Strengthen organized
training programs for nursing
faculty ; Develop transformative
leadership programs for nurses in
leadership positions )
D. NURSING LAW AMENDMENT
INITIATIVE: (Amend the Nursing law
to strengthen regulation of nursing
schools )
E. CORE VALUES INITIVATIVE:
(Institutionalize a mechanism of
self-regulation of nursing schools
that embody a professional code of
ethics that translate into action
(2012))
II. Background To The Competitiveness Roadmap
Nursing Roadmap Initiatives in Cluster1. Professionalism
1.1 Nurse Watch (vanguard)
1.2.Core Values Program
1.3 Positive Practice Environment
1.4 State of Philippine Nursing
1.5 Nursing Image
2. Nurse-Led Centers
2.1 Primary Health Care
2.2 Independent Nursing Practice
3. Nursing Human Resource
Development & Management
3.1Competency Enhancement for
Education and Service
3.2 Functional Integration between
Education and Service
3.3 National Career Progression Plan
3.4 Nursing Management Information
System (NMIS)
3.5 Nursing Deployment Programs
5. Center for Nursing
Governance5.1 Fully Functional OSM
5.2 Nursing Organizations’ Roadmap
and Scorecard Alignment
5.3 Resource Generation for Philippine
Nursing Development
4. Nursing Regulation
4.1 Nursing Law Amendments
4.2 Nursing Practice Standards
4.3. Strengthening Nursing Regulation
II. Background To The Competitiveness Roadmap
Nursing Roadmap Developments
1. A multi-sectoral governance coalition has been
formed referred to as Philippine Nursing
Profession Roadmap Coalition” to manage the
implementation of Nursing Roadmap 2030
2. Complete the Balanced Scorecard (BSC)
3. Increase awareness of Nursing Roadmap 2030
as the Nursing Profession’s transformation
initiative and capacitate members towards
organizational alignment and implementation of
the Nursing Roadmap
II. Background To The Competitiveness Roadmap
Nursing Roadmap Aspirations
1. Establish a FULLY functional Office of
Strategy Management to manage the strategy
2. Work towards generating and managing
resources for the implementation and
sustainability of Nursing Roadmap 2030
II. Background To The Competitiveness Roadmap
3. Before the year ends, 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
II. Background To The Competitiveness Roadmap
Nursing Roadmap Aspirations Cont
2. Philippine Nursing
Competitiveness
Conference
2008 and 2009
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness Conference I (2008)
NURSING ISSUES AND INITIATIVES
1. Regulation and Employment of Filipino Nurses (Nurses’
Unemployment; Exploitative Employment; And Low Salary Grade )
2. Nurse Migration Management and Ethical Recruitment (Human Resources for Health Master Plan; Nursing Information System; Ethical Recruitment Framework and “brain circulation” in nursing.)
3. Qualification Issues of Filipino Nurses ( Performance of Philippine educated nurses in foreign licensure examinations and the Philippine Nurse Licensure Examination )
4. Competency Development and Technology Transfer (Nursing Education; Reintegration Program For “Nurse Returnees”)
II. Background To The Competitiveness Roadmap
II. PNCC 2008 Recommendation
� A post-conference workshop was held to translate the
strategies generated during the conference into a work plan.
� This work plan was integrated into and aligned with the
initiatives that were undertaken to address the issues and
Problems in Philippine nursing competitiveness e.g. the
Strategic Plan of the Nursing Sector Roadmap; the Human
Resources for Health Master Plan and the Plans for Nursing
Development undertaken by the PRBON.
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness
Conference II 2009• The “2nd 2009 Philippine Nursing Competitiveness Conference” was
held Dec. 2009 to ensure the continuation of the goals and plans set in 2008 and to further understand the various issues affecting Philippine Nursing Competitiveness, as well as to identify feasible strategies to address such.
• The generation of policy directions and strategies from the various stakeholders in nursing were envisioned to contribute to national development by ensuring global competitiveness in nursing. This goal is in accordance with the original vision set by the Board of Nursing of the Philippines: By 2030, Philippine Nursing shall be a top provider of world class, EXCELLENT CARING, significantly contributing to the well-being of Filipinos and people of the world.
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness
Conference II 2009
• B. Workshops -The aim of the workshops was to evaluate
how well the previous year’s work plans were implemented and
to identify the most pertinent issues in Philippine nursing,
corresponding strategies and activities to address such and to
strengthen the various aspects of Nursing Leadership and
Governance in the country.
II. Background To The Competitiveness Roadmap
Nursing Issues & Concerns as of 2009
NURSING
PROFESSION
Nurse
Migration
Management
and Ethical
Recruitment
Employment
of Filipino
Nurses
Education,
Training, and
Development of
Filipino Nurses
Regulation of
Filipino Nurses
Nursing
Practice
2. Philippine Nursing Competitiveness Conference II 2009
ISSUES/CONCERNS AND INITIATIVES:
1. Regulation of Filipino Nurses – which includes issues and
initiatives in the
� Licensure Exams,
� Regulation Of Nursing Schools
� Regulation of Review Centers,
� Education Standards,
� Ethical And Legal Concerns,
� Nursing Management Information System
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness Conference II 2009
ISSUES/CONCERNS AND INITIATIVES:
2. Employment of Filipino Nurses - which includes issues and
initiatives on
� Nurses’ Unemployment;
� Exploitative Employment;
� Low Salary Grade,
� Other Possible Employment Opportunities For Nurses
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness Conference II 2009
ISSUES/CONCERNS AND INITIATIVES:
3. Education, Training, and Development of Filipino Nurses
which includes issues and initiatives in
�Competency Development and Technology Transfer,
�Reintegration Program For “Nurse Returnees”
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness Conference II 2009
ISSUES/CONCERNS AND INITIATIVES:
4. Nursing Practice which includes issues and initiatives on
� Nurses’ Rights,
� Safe And Competitive Nursing Practice,
� Development Of Organizational Leadership In Nursing,
� Nurse Empowerment
II. Background To The Competitiveness Roadmap
2. Philippine Nursing Competitiveness Conference II 2009
ISSUES/CONCERNS AND INITIATIVES:
5. Nurse Migration Management and Ethical Recruitment which includes issues and initiatives on the
� Human Resources for Health Master Plan;
� Ethical Recruitment Framework
� “Brain Circulation” in Nursing.
II. Background To The Competitiveness Roadmap
3. Revision of the
Nursing Core
Competency Standards
2012
II. Background To The Competitiveness Roadmap
CURRENT CORE COMPETENCY STANDARDS
CORE COMPETENCY STANDARDS OF
NURSING PRACTICE IN THE
PHILIPPINES
BON RESOLUTION NO. 112, Series 2005
2012 NATIONAL NURSING
CORE COMPETENCY STANDARDS(NNCCS)
PROMULGATED THROUGH
BON RESOLUTION NO. 24 , SERIES 2012
The Competency-based Framework in Curricular Design
Work-Setting
Scenarios:
Demographic
Profile
Health Picture
Socio-Economic-
Political- Cultural
Context
Required
Professional Roles
Professional Responsibilities
Professional Tasks
SKA Analysis
Bases for Selecting
Learning ExperiencesProfessional Competencies
Student Competencies
Practitioner
Manager/Leader
Researcher
WORK-SETTING SCENARIO ANALYSIS
Current Data and Projections
3. Revision of the Nursing Core Competency Standard Project
Cont. of Competency-based Framework
Student Competencies
Entry
Competencies
Intermediate
Competencies
Terminal
Competencies
Competency-Based BSN Curriculum A Model Revised Edition
College of Nursing Faculty, University of the Philippines Manila
The Process of Revisiting the National Core
Competency Standards
I. Work setting Scenario Analysis
II. Validation Studies of roles and responsibilities in various setting/Benchmarking
III. Integrative review of the outputs from the validation strategies
IV. Core competency Consensual Validation
V. Conduct of Public Hearing ( Luzon, Visayas and Mindanao
VI. Promulgation of the Revised Core Competency Standards
The Process of Revisiting the National Core
Competency Standards
VII. Printing of the Revised Core Competency Standards
VIII. Training in the Implementation of the Revised Core
Competency Standards
IX. Implementation of the Revised Core Competency
Standards
X. Evaluation of the Effectiveness of the Revised Core
Competency Standards
3. Revision of the Nursing Core Competency Standard Project
CLIENTS OF THE NURSE
FAMILY
POPULATION
GROUPS
INDIVIDUAL
NURSE COMMUNITY
3. Revision of the Nursing Core Competency Standard Project
BEGINNING NURSES’ ROLE ON CLIENT CARE
1. Practices in accordance with legal principles and code of ethics in making personal and professional judgment.
2. Utilizes the nursing process in the interdisciplinary care of clients that empowers the clients and promotes safe quality care.
3. Maintains complete, accurate and up-to-date recording and reporting system.
4 Establishes a collaborative relationship with colleagues and other members of the team to enhance nursing and other health care services.
5 Promotes professional and personal growth and development
• 5
• 31
• 3
• 2
• 3
3. Revision of the Nursing Core Competency Standard Project
BEGINNING NURSES’ ROLE ON MANAGEMENT AND LEADERSHIP
Responsibility Competency
1. Demonstrates management and leadership skills to
provide safe and quality care.
2. Demonstrates accountability for safe nursing practice.
3. Demonstrates management and leadership skills to
deliver health programs and services effectively to
specific client groups in the community setting
4. Manages a community/village based health facility
component of a health program or a nursing service
5. Demonstrates ability to lead and supervise nursing
support staff.
6. Utilizes appropriate mechanisms of networking, linkage
building and referrals.
• 4
• 4
• 2
• 7
• 8
• 4
3. Revision of the Nursing Core Competency Standard Project
BEGINNING NURSES’ ROLE ON RESEARCH
RESPONSIBILITY
1. Engages in nursing or health related research with or under the supervision of an experienced researcher
2. Evaluates a research study/report utilizing guidelines in the conduct of a written research critique.
3. Applies the research process in improving patient care in partnership with a quality improvement/ quality assurance/ nursing audit team.
COMPETENCY
• 4
• 4
• 4
3. Revision of the Nursing Core Competency Standard Project
Significance of the 2012 National Nursing
Core Competency Standards
It will serve as guide for the development of the following in the Philippines:
• Basic Nursing Education Program through CHED
• Competency-based NLE Test Framework syllabi and test questions for entry level nursing practice
• Standard of Professional Nursing Practice various settings
• National Nursing career Progression Program for nursing practice
• Any or related evaluation tools in various practice settings
IMPLEMENTATION PHASE
GOAL -
To effectively and efficiently
Implement the 2012 National
Nursing Core Competencies in all
work settings.
TARGET
FULL IMPLEMENTATION
� NURSING SERVICE (Hospital and
Community)
� NURSING EDUCATION
� NURSE LICENSURE EXAMINATION
2014
COLLABORATIVE EFFORTS AMONG THE FOLLOWING
PRC
BOARD OF NURSINGCHED
TCNEANSAP
ADPCN PNANURSING
SPECIALTY
GROUPS
INTEREST
GROUPSWHOCC
COMMITTEES1. Steering and Oversight Committee
2. Selection Committee
3. Resource Generation Committee
4. Logistics Committee
5. Training Committee
6. Information, Communications, and Media Relations Committee
7. Continuous Quality Improvement Committee
8. Curricular Change Committee
9. Research Committee
4. Development of the
National Nursing
Career Progression
Program (NNCPP) and
CNARS
II. Background To The Competitiveness Roadmap
National Nursing Career Progression Program (NNCPP)
• The PRBON has adopted Resolution Number 22 - A
Competency-Based National Nursing Career Progression
Program or NNCPP aimed toward a more directed and
rational training.
• Under this resolution, nurses can pursue career pathways in
General Nursing Practice, Nursing Leadership and
Governance, Nursing Specialty /Independent Nursing
Practice And Nursing Education.
• With the NNCPP, nurses can pursue the pathway that best
embodies their areas of career development.
II. Background To The Competitiveness Roadmap
NOVICE ADVANCED
BEGINNERCOMPETENT
PRACTITIONER
PROFICIENT
PRACTITIONER
EXPERT
PRACTITIONER
CAREER PATHWAY FOR GENERAL NURSING PRACTICE
CAREER PATHWAY FOR SPECIALTY/INDEPENDENT NURSING PRACTICE
At every level there should be an appropriate program prescribed, qualified trainers and training facilities for the rigorous job of “progressive nurse-human resource development.”
Nurse Clinician I
Nurse Clinician II
Clinical Nurse
Specialist
CAREER PATHWAY FOR NURSING EDUCATION
Faculty / Nurse Instructor
FOLLOW ACADEMIC RANKING
Dean
CAREER PATHWAY FOR NURSING SERVICE ADMINISTRATORS
Head Nurse SupervisorDirector of
Nursing
4. Development of the National Nursing Career
Progression Program and the CNARS ON GOING ACTIVITIES
• Development of the Competencies per Track and level
• Official recognition of the CNARS Council
• Presentation of the Competencies
• Training of Trainors for the Implementation of the NNCPP
• Implementation Phase
• Evaluation Phase
II. Background To The Competitiveness Roadmap
5. Reactivation of the
Continuing Professional
Education Program for
Nursing
II. Background To The Competitiveness Roadmap
CONTINUING PROFESSIONAL EDUCATION
• The PRBON has adopted the advocacy of Continuing Professional Education or CPE. At this time, CPE is not a requirement for renewal of the nursing professional ID.
• The pursuit of CPE goes hand in hand with the NNCPP.
• This provides a career roadmap that will offer clearer directions as to the proper CPE courses for pursuing a chosen career progression pathway.
II. Background To The Competitiveness Roadmap
6. Revision of the
Nursing Law
II. Background To The Competitiveness Roadmap
• The revisions seeks to initiate reforms
in Nursing Practice to further protect
and develop the nursing profession to
make nurses responsive to the needs
of the clients and the public and
private health systems locally and
globally.
Attain the vision of Philippine Nursing:
“PHILIPPINE NURSING CARE: THE BEST FOR THE FILIPINO AND THE CHOICE OF THE WORLD”
7. Presentation of the
Philippine Development
Plan 2011-2016
II. Background To The Competitiveness Roadmap
The role of professional regulation
Phil Development Plan 2011-2016
* Serves as a guide in formulating
policies and implementing development
programs for the next six years. It enables the
government, in partnership with the private
sector and the civil society, to work
systematically to give the Filipino people a
better chance to find their way out of poverty,
inequality and the poor state of human
development
Good Governance and Professional Regulation
• Common Principles of the Various Professions in the Philippines
� Service to Others
� Integrity and Objectivity
� Professional Competence
� Solidarity and Teamwork
� Social and Civic Responsibility
� Global Competitiveness
� Equality of Professions
• Code of Ethics
• Professional Regulatory Laws
Good Governance and the PRC
�PRC ID in Minutes
�Upgraded website with 24/7 access
�Licensure Examination and Registration Information
System (LERIS)
�Computerized Official Receipt System
�War against syndicates, fixers, and fake professionals
�Customer Service Centers
�Feedback System
�Implementation of the e-Government Accounting System
�Code of Ethics for various professions
8. Implementation
of ASEAN
Healthcare
MRAs
II. Background To The Competitiveness Roadmap
ARTICLE I OBJECTIVES OF MRA
1. Facilitate mobility of nursing professionals
within ASEAN;
2. Exchange information and expertise on
standards and qualifications;
3. Promote adoption of best practices on
professional nursing services; and
4. Provide opportunities for capacity building
and training of nurses.
II. Background To The Competitiveness Roadmap
How to Implement the Healthcare MRAs?
Exchange of Information
Compilation
Adoption of Best
Practices
StandardisedProcedures
Publication through website
Facilitate Mobility
Registration through AJCCs
PRAs Process
(Evaluation , Registration etc)
Capacity Building
Visits Conferences
OBJECTIVES
AJCC Roles
• Better understanding of Domestic Regulations ���� to develop strategy for Implementing the MRAs
• Standardise Procedures /Mechanism
• Exchange information � towards harmonisation in accordance with international standards
• Develop mechanism for continued exchange of information
II. Background To The Competitiveness Roadmap
Exchange of Information• Qualifications (technical, ethical & legal)• Domestic Laws and regulations• Core Competencies
• Code of Professional Conduct• CPD (Continuing Professional
Development)
Best Practices
• Registration Process
• Licensing Process
• Recognition of foreign healthcare professionals
StandardisedProcedures
• Recognised Institutions
• Foreign Professionals Database
II. Background To The Competitiveness Roadmap
Facilitate Mobility
• Registration through AJCCs:• Each AMS’ PRA can nominate their registered healthcare
professionals through its AJCC representative to be considered by other AMS PRA for registration and recognition
• After each AJCC Meeting , AJCC reps bring back nominations from other AMS for their PRAs consideration
• Professional Regulatory Authority • Evaluate qualifications and experience of nominated foreign
professionals
• Register and grant recognition to nominated foreign professionals
• Monitor their practice
• Take necessary action for any violation to ensure high standard of practice
II. Background To The Competitiveness Roadmap
Capacity Building
• Visits to healthcare facilities /institutions
• Conferences/ Forums
• Attachments programmes
• Countries in need for capacity building can arrange local seminars, inviting resource persons from more developed AMS
• Countries with developed system assist the less developed countries through various programmes
II. Background To The Competitiveness Roadmap
ASEAN AJCCN ROADMAP
II. Background To The Competitiveness Roadmap
ROADMAP FOR IMPLEMENTATION OF ASEAN MRA ON
NURSING SERVICES
MRA Objective and Detailed Activities
1. Exchange information and expertise in order to promote adoption of best
practices on standards and qualifications
A. Compilation of required information:
1 Recognised Basic Qualifications (local &foreign)
2 List of Recognised Institutions (local &foreign)
3 Domestic Laws and Regulations pertaining to Registration
4 Requirements for Post Basic Nursing Practice
5 Requirements for Credentialing for Specialisation in Host Country
6 Code of Ethics & Professional Conduct and Nursing Practice Safety
Guidelines
7 CPD (Continuing Professional Development) requirements in Host Country
8 Registration Policy and Procedures in Host Country
II. Background To The Competitiveness Roadmap
Roadmap for Implementation of ASEAN MRA on
Nursing ServicesMRA Objective and Detailed Activities
9 Process for License to Practise
10. Criteria for Recognition of Foreign Nurses
11. Number of Foreign Registered Nurses in Host Country (by
country)
12. Contact Details of Professional Regulatory Authority of Host
Country
13. Information on certificate of good standing, period of
registration and verification of registration documents (only upon
request among the PRAs of AMS)
B. Publication of the compiled information through national and ASEAN
website
1. Website address of Professional Regulatory Authority
2. Linking the National websites to the ASEAN Healthcare Services
II. Background To The Competitiveness Roadmap
Roadmap for Implementation of ASEAN MRA on Nursing Services
MRA Objective and Detailed Activities2. Facilitate Mobility of Registered Nurses within ASEAN
2.1 Recognise registration mechanism in all AMS.
2.2 Adherence to National Treatment for Foreign Registered
Nurses to ensure equal treatment for Local and Foreign
Registered Nurses including health and welfare insurance.
2.3 Mechanism of monitoring Foreign Registered Nurses in
compliance with Professional and Ethical Code and Standard
in the Host Country.
2.4 For Foreign Registered Nurse who fails to practice in
accordance with the Professional and Ethical Codes of
Conduct and standards of practice of the Host Country, PRA of
the Host Country can provide information upon request among
PRAs of AMS.
II. Background To The Competitiveness Roadmap
Roadmap for Implementation of ASEAN MRA on
Nursing Services
MRA Objective and Detailed Activities
3 Provide opportunities for capacity building and training of
Registered Nurses
a. Conferences/ Forums
1. List of Relevant Websites in Host Country
2. Websites announcing Regular Conferences/ Forums
of Registered Nurses
b. Visits to healthcare facilities /institutions
1. List of facilities/Institutions made available in the
website
II. Background To The Competitiveness Roadmap
Roadmap for Implementation of ASEAN MRA on
Nursing Services
MRA Objective and Detailed Activitiesc. Attachments programmes
� List of Institutions offering attachments programmes made available
in the website
d. Exchange of Resources among AMS
� Mechanism of exchange of resources (e.g. experts, students) to
facilitate capacity building and training among AMS.
• PRA of the Host Country provide temporary license upon request
• List of experts and their areas of expertise made available in the
website
• List of possible funding agencies/institutions
e. Malpractice Insurance (to be reviewed)
II. Background To The Competitiveness Roadmap
9. PRC’S TRADE
RELATED TECHNICAL
ASSISTANCE PROJECT
II. Background To The Competitiveness Roadmap
PRC ‘s Trade Related Technical Assistance Project 2
Orientation by PRC
Chairperson Manzala
• Philippine commitments
• Free mobility of professional
services by 2015
• Covered professions
• TRTA 2 under its Component
4.
• Beneficiaries
• Scope of Work
• Expected Output
II. Background To The Competitiveness Roadmap
III. COMPETITIVENESS III. COMPETITIVENESS III. COMPETITIVENESS III. COMPETITIVENESS
ASSESSMENT ASSESSMENT ASSESSMENT ASSESSMENT
Criteria And Measurable Indicators Of
Professional Competitiveness
1. Market Conditions and Trends
2. Core Competency Standards
3. Quality Assurance
4. Salary/Fee Expectations
5. Language Skills ad Personal Attributes
III. COMPETITIVENESS ASSESSMENT
Current Nursing Scenario
CRITERION 1.
MARKET CONDITIONS AND
TRENDS
III. COMPETITIVENESS ASSESSMENT
Academic
Year
Number
of
Schools
Enrolment
2005-2006 440 399,441
2006-2007 452 463,993
2007-2008 472 421,278
2008-2009 477 410,362
2009-2010 491 341,367
Nursing Schools and Enrolment
� Increasing trend in the number of nursing schools from AY 2005-2006 to AY 2009-2010.
� Downward trend in enrolment since AY 2006-2007
3
III. Competitiveness Assessment
• Source of data: CHED, PRC
� From 2001 to 2011, the number of nurse enrollees reached 2.6M with 487,491 graduating or 18.5% of the total enrollees.
� Annually, an average
16.2% of nurse enrollees graduate
YearNo. of
Enrollees
No. of
Graduates
2001-2002 49,995 5,425
2002-2003 92,106 8,596
2003-2004 178,626 14,383
2004-2005 295,752 34,589
2005-2006 393,386 57,698
2006-2007 459,173 79,304
2007-2008 420,015 94,688
2008-2009 409,793 103,361
2009-2010 341,367 89,447
2010-2011 N.A. N.A.
Total 2,640,213 487,491
III. Competitiveness Assessment
Year of NLE Number of Schools % Passing
June 2006 348 41.23%
Dec 2006 279 49.10%
June 2007 504 51.83%
Dec 2007 405 43.45%
June 2008 426 43.07%
Nov. 2008 442 44.51%
June 2009 470 41.87%
Nov. 2009 473 39.73%
July 2010 463 41.40%
Dec. 2010 470 35.25%
June 2011 490 48.01%
Dec. 2011 480 33.92%
July 2012 478 45.69%.
NLE Results From 2006 – 2012 � Lowest passing rate of
33.92% was registered
on December 2011
�
4
III. Competitiveness Assessment
• Source of data: CHED, PRC
� Between 2001-2011 the number of nurse board examinees accumulated to 975,956 with 421,468 passing the exams or 43.2% of total examinees.
� Average annual passing rate of 45.1% observed for the period
YearNo. of
ExamineesNo. of
PassersNo. of Non
Passers
No. of Active
Registrants from 2007-2012
2001-2002 9,449 4,228 5,221
2002-2003 15,625 7,528 8,097
2003-2004 25,325 12,581 12,744
2004-2005 50,287 25,951 24,336
2005-2006 82,153 37,030 45,123
2006-2007 146,311 69,650 76,661
2007-2008 153,108 67,220 85,888
199,9022008-2009 173,183 69,617 103,566
2009-2010 175,285 67,390 107,895
2010-2011 145,230 60,273 84,957 N.A.
Total 975,956 421,468 554,488 199,902
III. Competitiveness Assessment
�For TESDA, figures indicate 214,192 certified workers in the health,
social and other community development services (as of Dec. 2011) Note:
Figures from PRC are cumulative total of registered professionals as of Dec 2011
Source of data: NSO-LFS ; PRC; TESDA
Occupation Number
Dentist 51,275
Midwives 167,765
Nurses 733,020
Optometrists 10,585
Pharmacists 59,830
Physicians 113,577
Physical therapists 23,919
Occupational therapists 2,784
Number of Health and Related Workers in List of Registered Professionals of PRC: December 2011
III. COMPETITIVENESS ASSESSMENT
AVAILABLE HEALTH FACILITIES ALL OVER THE COUNTRY
HEALTH FACILITIES GOVERNMENTGOVERNMENTGOVERNMENTGOVERNMENT PRIVATEPRIVATEPRIVATEPRIVATENo. Bed Capacity No. Bed Capacity
Hospitals
Primary Care 272 16,257 397 11,663
Secondary Care 26 2,982 113 8,784
Tertiary Care 81 17,157 85 16,072
Other Health Facilities
Infirmary 336 6,094 465 6,341
Birthing Homes 7 69 70 374
Acute Chronic Psychiatric Care 0 - 4 99
Custodial Psychiatric Care 0 - 2 64
Total 702 42,559 1,136 43,397
• A total of 702 government hospitals and other health facilities with a capacity of 42,559 beds as of 2005 (DoH) Any
significant additions over the last 5 years?
1,136 private hospitals and other health facilities with a capacity of 43,397 beds as of 2005 (DoH). Any significant
expansions over the last 5 years?
A total of 16,191 barangay health stations nationwide A total of 60-70,000 RN Positions ONLY are available
III. Competitiveness Assessment
Employment Situation
�Total employed nurses for overseas covering the
period 2001 – 2011 accounted to 132,943
�Employed nurses locally is estimated at 67,202 for 2011
�The number of nurses employed both locally and
abroad is 200,145
�Using the board passers (421,468) as supply data, less
the employed nurses local and overseas (200,145), the
estimated unemployed/ underemployed nurses from
2001 – 2011 totaled 221,323
�
III. Competitiveness Assessment
Employment Situation
�Phil. Hospitals don’t have enough nurses.
Nurse/patient ratio are high. To meet the nursing
care needs of hospital, some have resorted to
exploitative practices e.g Nurses are hired on a
contractual basis; nurse volunteers in hospitalsround the clock.
III. Competitiveness Assessment
Destination 2006 2007 2008 2009 2010
All Destinations 8528 9004 12618 13465 12431
Saudi Arabia 5753 6633 8848 9965 8771
Singapore 86 276 667 745 723
UAE 796 616 435 572 478
Libya 158 66 104 276 417
Kuwait 354 393 458 423 409
UK 145 38 28 165 350
Qatar 141 214 245 133 294
Taiwan 273 174 231 202 252
Jordan 38 27 51 66 112
Bahrain 67 24 63 55 93
Number of Deployed Nurses by Top Ten Destinations, New Hires: 2006-2010
III. Competitiveness Assessment
• Source of data: POEA
Percent Share of Deployed Nurses by Top Ten Destinations, New Hires: 2010
III. Competitiveness Assessment
*Based on approved job orders from POEA
III. Competitiveness Assessment
MAJOR AREAS OF CONCERN `1. Regulation of nursing schools (CHED)
2. Regulation of students’ entry to nursing schools (CHED)
3. Licensure System (PRC/PRBON)
4. Regulation of review centers
5. Regulation of the nursing profession (PRC/PRBON)
6. Continuing Professional Education
7. Deployment and migration of RNs
8. Standards of nursing practice ( institutional and community)
9. Evidence based Practice
10. The lack of accurate and reliable data about nurses
11. A fully functional OSM for the nursing profession roadmap
CRITERION 2. Core
Competency Standards
III. COMPETITIVENESS ASSESSMENT
COMPETITIVENESS ASSESSMENT
CRITERION 2. CORE COMPETENCY STANDARDS• CHED has implemented CMO N014 Series of 2009 for the
BSN Program which is Competency Based
• A Unified Monitoring Tool is now in place and utilized for School Monitoring by CHED and PRC-PRBON
• CHED TCNE is in the process of finalizing the PSG for the Graduate Program in Nursing
• The 2012 National Nursing Core Competency Standards which is based on the roles and responsibilities of the entry level nurse in various setting has been promulgated and will eventually serve as basis for the development of standards in nursing education and practice and the NLE test framework and syllabi.
COMPETITIVENESS ASSESSMENT
CRITERION 2. CORE COMPETENCY STANDARDS
• Performance Indicators for each competencies have been spelled out.
• International benchmarking of the BSN curricula and nursing core competencies has been done
• With all of these in place we hope to see an improvement in the NLE passing percentage
• Mapping out of the Current BSN curriculum (CMO No.14Series of 2009) and the nursing core competencies with Australia by Monash University has been favorable and we have an on going Bridging Program Project .
• Comparative analysis of our basic nursing curriculum with that of Belgium and EU nursing curriculum has been done
CRITERION 3. QUALITY
ASSURANCE
III. COMPETITIVENESS ASSESSMENT
COMPETITIVENESS ASSESSMENT
CRITERION 3. QUALITY ASSURANCE
Competitiveness generally requires visible
demonstrations of international confidence in
domestic regulatory systems
The PRBON is confident that the various on going
initiatives in the Nursing Profession Roadmap that were
presented earlier and the commitment of our nursing
partners/colleagues will move nursing towards our
vision.
COMPETITIVENESS ASSESSMENT
CRITERION 3. QUALITY ASSURANCE
• National Nursing Core Competency Standards;
National Nursing Career Progression Program and
CNARS; Nursing Profession Roadmap towards Good Governance and the CMO NO. 14 Series of 2009 complied
with international nursing standards e.g :
� ICN Nursing Competencies
�Western Pacific South East Asian Region
�WHO – Patient Safety and Public Safety Guidelines
� ASEAN Nursing Competency Domain
COMPETITIVENESS ASSESSMENT
CRITERION 3. QUALITY ASSURANCE Cont.
• The PRBON has undertaken two collaborative researches. The 2nd is entitled “An Analytical Study of the NLE Performance of Graduates of Colleges of Nursing In the Philippines” (NLE Dec. 2006-Dec 2011)
• A 3rd collaborative research is currently being done to determine compliance of nurses in hospital nursing services with standards.
• PRBON fully supports the Good Governance thrust of PRC
CRITERION 4. SALARY/FEE
EXPECTATION
III. COMPETITIVENESS ASSESSMENT
COMPETITIVENESS ASSESSMENT
CRITERION 4. SALARY /FEE EXPECTATIONS• Locally, the following have been noted:
� Non compliance with salary scheme specified in the nursing law and
� Non alignment of qualification standards set by the nursing law
• PRBON are concerned that monetary considerations may have a negative impact on our nurses caring attributes.
• Philippine nurses offshore have been reported to be relatively uninterested in taking on management responsibilities as this undermines their ability to take on additional part-time better compensated activities. Thus salary expectations do not seem to provide the nursing profession with a sustained competitive edge in offshore markets.
CRITERION 5. LANGUAGE
SKILLS AND PERSONAL
ATTRIBUTES
III. COMPETITIVENESS ASSESSMENT
COMPETITIVENESS ASSESSMENT
CRITERION 5 LANGUAGE SKILLS AND PERSONAL
ATTRIBUTES
• Medium of Instruction in our educational system is in
English
• Communication specifically recording and reporting in
most health institutions is in English
• Positive employer feedback related to caring and
compassionate attitude of Filipino nurses.
IV. ACTION AGENDA IV. ACTION AGENDA IV. ACTION AGENDA IV. ACTION AGENDA
ACTION AGENDA
MAJOR AREAS OF
CONCERN
STRATEGIES
1. Regulation of
Nursing Schools
�ISSUANCE OF
PERMIT
�REVOCATION OF
PERMIT
�ACCREDITATION
� Strict implementation of CHED Policies
Standards and Guidelines in nursing
education .
� Strict Adherence to Moratorium on the
Opening of Nursing Schools/Nursing
Programs
� Regular monitoring of compliance
� Apply sanctions as prescribed
� Closure of Poor Performing Nursing
Schools Based on NLE Results
� Pursue mandatory accreditation
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
2. Regulation of
students’ entry to
nursing schools �ADMISSION
POLICY
� PROMOTION
/RETENTION AND
DISMISSAL
POLICIES
� Pursue National Nursing Admission Test In
the proposed revision of the Nursing Law.
�Strict Implementation Of PSG On Admission
, Promotion, Retention And Dismissal
Policies
ACTION AGENDA MAJOR AREA OF
CONCERNS
STRATEGIES
3. Licensure
Examination
System�TEST
DEVELOPMENT
�APPLICATION
�TQDB SYSTEM
�ADMINISTRATION OF
NLE
�CORRECTION AND
RELEASE
�Align the current competency-based test
framework with the 2012 National Nursing Core
Competency Standards
�Full implementation of “On-line” application
system
�Upgrade TQDB system using state of the art
technology
�Develop a plan for the implementation of the
“Walk-in” Examination
�Collaborate with PRC to develop a plan to
upgrade standards for the administration of NLE
�Collaborate with PRC to fast track utilization of a
state of the art technology in the correction and
release of NLE results
ACTION AGENDA
MAJOR AREA OF
CONCERNS
STRATEGIES
3. Licensure
Examination System� INCREASING
NUMBER OF NLE
REPEATERS VIS A VIZ
THE FIRST TIMERS
Include in the Revision of the Nursing Law the
following:
� National Admission Policy for Nursing
Education (NNAT)
� Adoption of a policy to put a cap on the
number of repeating the NLE
ACTION AGENDA MAJOR AREA OF
CONCERN
STRATEGIES
4. Regulation Of
Nursing Review
Center
� DEPENDENCE OF
SOME HEIs ON
REVIEW CENTERS
DUE TO: �Inadequate
implementation of a
competency-based
curriculum
�Incorrect
implementation of the
course Competency
Appraisal 1 and 2
� Strict compliance to the correct
implementation of the curriculum e,g,
Competency Appraisal 1 And 2 In CMO 14
Series Of 2009
� PRC, BON, CHED and other Agencies to
recommend appropriate policy/ guidelines
and/or possible legislation on the regulation
of nursing review center
� Hold collaborative meeting of stakeholders
to recommend body that will regulate review
centers
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
5. Continuing
Professional
Education� ALIGNMENT OF CPE
WITH NNCPP
� MONITORING AND
EVALUATION
COMPONENT CPE
PROGRAMS
�Explore innovative ways of
conducting CPE, aligned with
National Nursing Career Progression
Program .
�Apply competency -based evaluation
�Explore creative methods to improve
monitoring and evaluation of CPE
program
ACTION AGENDA
MAJORN AREA OF
CONCERN
STRATEGIES
6 Standards Of
Nursing Practice
(Institutional And
Community)
� No updated general
standards of
nursing practice
� Promulgate standards of nursing service
(institutional and community) in:
� General/basic
� Specialty
� Advanced practice
� Implement nursing standards
� Evaluate nursing standards for continuous
improvement
� Align credentialing program with NNCPP
taking into considerations competency
standards
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
6 Standards Of
Nursing Practice
(Institutional And
Community) Cont.�NON ALIGNMENT OF
CIVIL SERVICE RULES
WITH THE NURSING LAW
REGARDING
QUALIFICATIONS OF
NURSING
ADMINISTRATORS
� Strict implementation of the
provisions of the Nursing Law
� Have regular meetings with other
government regulatory agencies e.g.
DOH, PhilHealth, DILG, CSC to
discuss pertinent issues
�Make information more accessible in
the PRC and BON websites.
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
7. Evidence Based
Practice �Develop research agenda
�Organize a research team equipped with
appropriate infrastructure
�Conduct research studies for
improvement of nursing profession
� In collaboration with PRC establish a
system to publish all PRBON initiated
research studies
MAJOR AREA OF
CONCERN
STRATEGIES
8. The lack of
accurate and reliable
data about nurses
�Nursing Management
Information System
(NMIS)
� Design the Nursing Management
Information System which includes
collaborative activities with stakeholders
� Organize the NMIS team
� Implement a NMIS with the support of
PRC
� Evaluate effectiveness of the NMIS
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
9 FULLY
FUNCTIONAL
OFFICE OF THE
STRATEGY
MANAGEMENT
(OSM) FOR THE
NURSING
PROFESSION
ROADMAP
�Finalize roles, functions and
responsibilities of the Philippine
Nursing Profession Roadmap
Coalition
�Organize the Measurement, Core and
Leadership Team of The Office of
Strategy Management
�Execute Nursing Profession Roadmap
Towards Good Governance
ACTION AGENDA
ISSUES AND
CONCERNS
RECOMMENDATIONS
10. Employment
Concerns of RNs�UNEMPLOYMENT/UN
DEREM-PLOYMENT
AMONG NURSES
� Review Human Resource for Health
Master Plan
� Fill Up Plantilla Positions For RNs
� Upgrade Nurse: Patient Ratio based on
WHO Standards
�VOLUNTEERISM
FOR A FEE / NURSES
AS SERVICE
CONTRACTUAL
• Recommend to DOH Issuance of
Appropriate Guidelines and an increase
in the plantilla positions for nurses
•Professor, )
•College Secretary, )
Head - Teaching Program (TP)
ACTION AGENDA
MAJOR AREA OF
CONCERN
STRATEGIES
11. Deployment
And Migration of
RNs
�Continue to explore potentials job
market opportunities
�Pursue ethical recruitment in the
deployment and migration of RNs
�Expand market links
�Pursue Implementation of ASEAN
MRA
V. SUMMARY AND V. SUMMARY AND V. SUMMARY AND V. SUMMARY AND
RECOMMENDATIONS RECOMMENDATIONS RECOMMENDATIONS RECOMMENDATIONS
SUMMARY
• Issues and concerns as well as strategies have been
identified
• The various criterion for competitiveness assessment
have been taken into consideration as we reviewed our
accomplishments that were mentioned in the
background of activities
• Based on our assessment and the feedback given by
Miss Jane Brokman the nursing profession is competitive
in 3 criterion but for 1st Criterion on market conditions
and trends – medium term unemployment
/underemployment crisis despite huge and urgent
community needs..
SUMMARY
• A weakness on the 5th Criterion on Salary- Fee level expectation. (Traditional focus on migration rather than trade which has contributed to high salary expectation)
• We are trying our best to maintain our competitive standard despite the challenges that the nursing profession is currently experiencing.
• There are issues that are beyond our capability and control but may have policy implications.
RECOMMENDATIONS
• The Philippine Professional Nursing Roadmap on Good
Governance milestones, targets and initiatives the need to be
reviewed and once we have a fully functional OSM we will be
moving towards institutionalization phase of the PGS system.
• A Gantt chart of the strategies, measures and targets is being
finalized.
• The targets for the initiatives being undertaken by the PRBON
and partners like the National Nursing Core Competency
Standards, National Nursing Career Progression Program,
Revision of the Nursing Law, Collaborative Nursing Research
among others need to be incorporated in the Competitiveness
Roadmap Gant Chart
Recommendations
• Fast track the Implementation Plan for the ASEAN
Nursing Roadmap by finalizing mechanics to
facilitate the mobility of Registered Nurses in
ASEAN
• Continue to conduct information awareness
regarding the various initiatives of the nursing
profession.
We as a profession are determined and committed to
achieve our vision to have
“PHILIPPINE PROFESSIONAL NURSING CARE TO
BE THE BEST FOR THE FILIPINO AND THE
CHOICE OF THE WORLD.”
Recommended