PHILIPPINE NURSES ASSOCIATION INC.

90th Foundation Anniversary 55th Nurses Week Celebration, 2012 National Annual Convention Inspiring The Filipino Nursing Workforce Towards Equity and Access to health Care

NURSING PROFESSION 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

II. Background To The Competitiveness Roadmap

1. Development of the Nursing Profession Roadmap Towards Good Governance

II. Background To The Competitiveness Roadmap

PRC ISA BON

ADPCN BON PNA ANSAP

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

II. Background To The Competitiveness Roadmap

PHILIPPINE NURSING PROFESSION ROADMAP 2030

CULTURE OF EXCELLENCE DYNAMIC LEADERSHIP
(15) Philippine Nursing

Social Impact

Vision 2030
Philippine Professional Nursing Care: the BEST for the Filipino and the CHOICE of the World by 2030

(13) Empowered clients to maintain the highest level of wellness and well-being

Profession as a recognized leader in primary health care & the Choice of the World (12) To adopt local and global best practices in the management of resources

(14) Ensure positive practice environments for nurses

Competency Linkages/ The Filipino Collaborative Service Nurse Partnerships Excellence Enhancement Networking

(10) To institutionalize best practice on internal generation of resource

(11) To forge linkages to generate funds from governments and NGOs

Mission
We, the Filipino nurses, responding to the needs of society, are engaged in providing humane and globally competent nursing care.

(8) To promote functional integration between education and service

(9) To institutionalize a sustainable and effective continuing professional education and development for individual nurses and institutions

(6) To enforce the quality standards in education and nursing service

(7) To institutionalize sustainable organizational support structure for nursing career progression

Core Values
Love of God Caring Integrity Excellence Nationalism

(3) To advocate collegiality and mutual respect that cut across all health disciplines

(5) To engage stakeholders and make them co-owners of nursing issues and concerns

(4) To actively participate in the critical socio-economic and political issues of the country

(1) To live the core values and to manifest the desired qualities of a Filipino Nurse

(2) Foster sense of accountability among all nurses

II. Background To The Competitiveness Roadmap

3. Service Excellence Perspective

Objectives 1. To enforce the quality standards in education and nursing service

Measures
2030

Targets
2020 90% 2015 80% 2011 100%

Initiatives
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))

% of nursing schools for undergraduate and graduate levels that are compliant with Commission on Higher Education Policies, Standards and Guidelines (CHED-PSG)

II. Background To The Competitiveness Roadmap

Nursing Roadmap Initiatives in Cluster

1. 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 3. Nursing Human Resource

2.1 Primary Health Care 2.2 Independent Nursing Practice 5. Center for Nursing Governance
5.1 Fully Functional OSM 5.2 Nursing Organizations Roadmap and Scorecard Alignment 5.3 Resource Generation for Philippine Nursing Development

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

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 Professions 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

Nursing Roadmap Aspirations Cont

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

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 years 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.

Nursing Issues & Concerns as of 2009

Regulation of Filipino Nurses Nursing Practice Nurse Migration Management and Ethical Recruitment
NURSING PROFESSION

Employment of Filipino Nurses Education, Training, and Development of Filipino Nurses

II. Background To The Competitiveness Roadmap

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

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

3. Revision of the Nursing Core Competency Standard Project

The Competency-based Framework in Curricular Design

WORK-SETTING SCENARIO ANALYSIS Current Data and Projections

Work-Setting Scenarios: Demographic Profile Health Picture Socio-EconomicPolitical- Cultural Context Bases for Selecting Learning Experiences

Professional Roles Required Professional Responsibilities Professional Tasks SKA Analysis Professional Competencies Student Competencies

Practitioner Manager/Leader Researcher

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

3. Revision of the Nursing Core Competency Standard Project

CLIENTS OF THE NURSE

INDIVIDUAL

FAMILY

POPULATION GROUPS

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. 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

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 NURSING ANSAP

CHED TCNE

NURSING SPECIALTY GROUPS

ADPCN

PNA

WHOCC

INTEREST GROUPS

COMMITTEES
1. 2. 3. 4. 5. 6. Steering and Oversight Committee Selection Committee Resource Generation Committee Logistics Committee Training Committee Information, Communications, and Media Relations Committee 7. Continuous Quality Improvement Committee 8. Curricular Change Committee 9. Research Committee

II. Background To The Competitiveness Roadmap

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.

CAREER PATHWAY FOR GENERAL NURSING PRACTICE

NOVICE ADVANCED BEGINNER COMPETENT PRACTITIONER PROFICIENT PRACTITIONER EXPERT PRACTITIONER

CAREER PATHWAY FOR NURSING SERVICE ADMINISTRATORS

Head Nurse

Supervisor

Director of Nursing

CAREER PATHWAY FOR SPECIALTY/INDEPENDENT NURSING PRACTICE Nurse Clinician I

Nurse Clinician II
Clinical Nurse Specialist

CAREER PATHWAY FOR NURSING EDUCATION

Faculty / Nurse Instructor
FOLLOW ACADEMIC RANKING

Dean

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.

II. Background To The Competitiveness Roadmap

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

 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

II. Background To The Competitiveness Roadmap

7. Presentation of the Philippine Development Plan 2011-2016

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

II. Background To The Competitiveness Roadmap

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.

How to Implement the Healthcare MRAs?

OBJECTIVES

Exchange of Information

Facilitate Mobility
Registration through AJCCs

Capacity Building

Compilation

Publication through website

Visits

Conferences

Adoption of Best Practices

Standardised Procedures

PRAs Process (Evaluation , Registration etc)

II. Background To The Competitiveness Roadmap

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

Recognised Institutions Foreign Professionals Database

Standardised Procedures

II. Background To The Competitiveness Roadmap

Facilitate Mobility
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

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

II. Background To The Competitiveness Roadmap

Conferences/ Forums

Capacity Building

Visits to healthcare facilities /institutions Attachments programmes Countries with developed system assist the less developed countries through various programmes Countries in need for capacity building can arrange local seminars, inviting resource persons from more developed AMS

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 Services

MRA 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 Activities

2. 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 Activities
c. 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. PRCS 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

III. COMPETITIVENESS ASSESSMENT

III. COMPETITIVENESS ASSESSMENT

Criteria And Measurable Indicators Of Professional Competitiveness

1. 2. 3. 4. 5. Market Conditions and Trends Core Competency Standards Quality Assurance Salary/Fee Expectations Language Skills ad Personal Attributes

III. COMPETITIVENESS ASSESSMENT

CRITERION 1. MARKET CONDITIONS AND TRENDS Current Nursing Scenario

III. Competitiveness Assessment

Nursing Schools and Enrolment

Academic Year 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 Number of Schools 440 452 472 477 491 Enrolment
Increasing trend in the number of nursing schools from AY 20052006 to AY 2009-2010. Downward trend in enrolment since AY 20062007

399,441 463,993 421,278 410,362 341,367

III. Competitiveness Assessment

From 2001 to 2011, the number of nurse enrollees reached 2.6M with 487,491 graduating or 18.5% of the total enrollees.

Year 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006

No. of Enrollees

No. of Graduates

49,995 92,106 178,626 295,752 393,386 459,173 420,015 409,793 341,367 N.A.

5,425 8,596 14,383 34,589 57,698 79,304 94,688 103,361 89,447 N.A.

Annually, an average
16.2% of nurse enrollees graduate

2006-2007 2007-2008 2008-2009 2009-2010 2010-2011

Total
Source of data: CHED, PRC

2,640,213

487,491

III. Competitiveness Assessment

NLE Results From 2006 2012

Year of NLE Number of Schools % Passing
June 2006 Dec 2006 June 2007 Dec 2007 June 2008 Nov. 2008 June 2009 Nov. 2009 July 2010 Dec. 2010 June 2011 Dec. 2011 July 2012 348 279 504 405 426 442 470 473 463 470 490 480 41.23% 49.10% 51.83% 43.45% 43.07% 44.51% 41.87% 39.73% 41.40% 35.25% 48.01%
Lowest passing rate of 33.92% was registered on December 2011

478

33.92% 45.69%.

III. Competitiveness Assessment

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

Year

No. of Examinees

No. of Passers

No. of Non Passers

No. of Active Registran ts from 20072012

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 Total

9,449 15,625 25,325 50,287 82,153 146,311 153,108 173,183 175,285 145,230 975,956

4,228 7,528 12,581 25,951 37,030 69,650 67,220 69,617 67,390 60,273 421,468

5,221 8,097 12,744 24,336 45,123 76,661 85,888 103,566 107,895 84,957 554,488 N.A. 199,902

199,902

Source of data: CHED, PRC

III. COMPETITIVENESS ASSESSMENT

Number of Health and Related Workers in List of Registered Professionals of PRC: December 2011 Occupation Number

Dentist Midwives Nurses Optometrists Pharmacists Physicians Physical therapists Occupational therapists

51,275 167,765 733,020 10,585 59,830 113,577 23,919 2,784

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

III. Competitiveness Assessment

AVAILABLE HEALTH FACILITIES ALL OVER THE COUNTRY

HEALTH FACILITIES Hospitals GOVERNMENT No. Bed Capacity No.

PRIVATE Bed Capacity

Primary Care Secondary Care Tertiary Care

Other Health Facilities Infirmary Birthing Homes Acute Chronic Psychiatric Care Custodial Psychiatric Care Total

272 26 81
336 7 0 0 702

16,257 2,982 17,157

6,094 69 42,559

397 113 85
465 70 4 2 1,136

11,663 8,784 16,072

6,341 374 99 64 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 dont 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 hospitals round the clock.

III. Competitiveness Assessment

Number of Deployed Nurses by Top Ten Destinations, New Hires: 2006-2010

Destination All Destinations Saudi Arabia Singapore UAE Libya Kuwait UK Qatar Taiwan Jordan Bahrain 2006 8528 5753 86 796 158 354 145 141 273 38 67 2007 9004 6633 276 616 66 393 38 214 174 27 24 2008 12618 8848 667 435 104 458 28 245 231 51 63 2009 13465 9965 745 572 276 423 165 133 202 66 55 2010 12431 8771 723 478 417 409 350 294 252 112 93

III. Competitiveness Assessment

Percent Share of Deployed Nurses by Top Ten Destinations, New Hires: 2010

Source of data: POEA

III. Competitiveness Assessment

*Based on approved job orders from

POEA

MAJOR AREAS OF CONCERN ` 1. Regulation of nursing schools (CHED)

2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Regulation of students entry to nursing schools (CHED) Licensure System (PRC/PRBON) Regulation of review centers Regulation of the nursing profession (PRC/PRBON) Continuing Professional Education Deployment and migration of RNs Standards of nursing practice ( institutional and community) Evidence based Practice The lack of accurate and reliable data about nurses A fully functional OSM for the nursing profession roadmap

III. COMPETITIVENESS ASSESSMENT

CRITERION 2. Core Competency Standards

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

III. COMPETITIVENESS ASSESSMENT

CRITERION 3. QUALITY ASSURANCE

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

III. COMPETITIVENESS ASSESSMENT

CRITERION 4. SALARY/FEE EXPECTATION

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.

III. COMPETITIVENESS ASSESSMENT

CRITERION 5. LANGUAGE SKILLS AND PERSONAL ATTRIBUTES

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

ACTION AGENDA
MAJOR AREAS OF CONCERN 1. Regulation of Nursing Schools ISSUANCE OF PERMIT STRATEGIES

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 2. Regulation of students entry to nursing schools
ADMISSION POLICY PROMOTION /RETENTION AND DISMISSAL POLICIES

STRATEGIES

Pursue National Nursing Admission Test In the proposed revision of the Nursing Law. Strict Implementation Of PSG On Admission , Promotion, Retention And Dismissal Policies

MAJOR AREA OF CONCERNS

ACTION AGENDA STRATEGIES

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

3. Licensure Examination System

TEST DEVELOPMENT

APPLICATION TQDB SYSTEM ADMINISTRATION OF NLE CORRECTION AND RELEASE

ACTION AGENDA
MAJOR AREA OF CONCERNS STRATEGIES

Include in the Revision of the Nursing Law the 3. Licensure Examination System following: INCREASING NUMBER OF NLE REPEATERS VIS A VIZ THE FIRST TIMERS National Admission Policy for Nursing Education (NNAT) Adoption of a policy to put a cap on the number of repeating the NLE

MAJOR AREA OF CONCERN 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

ACTION AGENDA

STRATEGIES

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 5. Continuing Professional Education
ALIGNMENT OF CPE WITH NNCPP

STRATEGIES

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 6 Standards Of Nursing Practice (Institutional And Community)
No updated general standards of nursing practice

STRATEGIES
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 6 Standards Of Nursing Practice (Institutional And Community) Cont.
NON ALIGNMENT OF CIVIL SERVICE RULES WITH THE NURSING LAW REGARDING QUALIFICATIONS OF NURSING ADMINISTRATORS

STRATEGIES 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 7. Evidence Based Practice STRATEGIES

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

ACTION AGENDA
MAJOR AREA OF CONCERN 8. The lack of accurate and reliable data about nurses Nursing Management Information System (NMIS) STRATEGIES 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 9 FULLY FUNCTIONAL OFFICE OF THE STRATEGY MANAGEMENT (OSM) FOR THE NURSING PROFESSION ROADMAP STRATEGIES

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

Professor, College Secretary, Head - Teaching Program (TP)

) )

ISSUES AND CONCERNS 10. Employment Concerns of RNs

UNEMPLOYMENT/UN DEREM-PLOYMENT AMONG NURSES

RECOMMENDATIONS

Review Human Resource for Health Master Plan Fill Up Plantilla Positions For RNs Upgrade Nurse: Patient Ratio based on WHO Standards VOLUNTEERISM Recommend to DOH Issuance of FOR A FEE / NURSES Appropriate Guidelines and an increase AS SERVICE in the plantilla positions for nurses
CONTRACTUAL

ACTION AGENDA
MAJOR AREA OF CONCERN 11. Deployment And Migration of RNs STRATEGIES

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 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.