MODULE 4: EVIDENCE-BASED NURSING PRACTICE IN

NURSING MANAGEMENT

Evidence-Based Practice Process

 Melnyk and Fineout-Overholt 2014 from Barbara A.
Brunt; Melanie M. Morris, 2023
Encouraging
and supporting Asking Searching for Appraising the
a spirit of questions evidence evidence
inquiry

Philippine Qualifications Framework (PQF)

Integrating
Evaluating
Sharing results evidence into
outcomes
practice

 Asking questions: should be specific

ASEAN Qualifications Reference Framework (AQRF)

 Systematic Review or Meta-Analysis: analysis of

several researches

Two Points of its Importance to Nurse

1) Produces evidence
2) Nurse as a Consumer

National Nursing Core Competency Standards (NNCCS)

 Complements local and international initiatives for
Professional Qualifications
1) ASEAN Mutual Recognition Arrangement (MRA)
2) Philippine Qualifications Framework (PQF)
3) ASEAN Qualifications Reference Framework
(AQRF)
 Features of the Philippine Qualifications Framework  A common regional reference framework, that functions
1) Shift to outcomes-based education and use of as a device to enable comparisons of educational
learning outcomes qualifications across ASEAN Member States
2) Implementation of quality assurance mechanisms  The AQRF addresses education and training sectors
3) Ensuring international alignment of qualifications (incorporates informal, nonformal and formal learning)
and the wider objective of promoting lifelong learning
ASEAN Mutual Recognition Arrangement (MRA)
1. Brunei 6. Myanmar The NNCCS is a guide for the development of the ff:
1) Basic Nursing Education Program in the Philippines
2. Cambodia 7. Philippines
through the Commission on Higher Education (CHED)
3. Indonesia 8. Singapore
2) Competency-based Test Framework as the basis for the
4. Lao 9. Thailand
development of course syllabi and test questions for
5. Malaysia 10. Vietnam “entry level” nursing practice in the Philippine Nurse
Licensure Examination
3) Standards of Professional Nursing Practice in various o Responsibility 6: Utilizes appropriate mechanisms
settings in the Philippines for networking, linkage building and referrals
4) National Career Progression Program (NCPP) for nursing C. Beginning Nurse’s Role on Research
practice in the Philippines o Responsibility 1: Engages in nursing or health
5) Any or related evaluation tools in various practice settings related research with or under the supervision of an
in the Philippines experienced researcher.
o Responsibility 2: Evaluates research study/report
utilizing guidelines in the conduct of a written
research critique
o Responsibility 3: Applies the research process in
improving client care in partnership with a quality
improvement / quality assurance / nursing audit team.

Philippine Professional Nursing Practice Standards

 PRC Resolution No. 22 (Series of 2017)
A. Value-based Nursing Practice
o Value-Based Nursing Practice is a clinical
decision-making process guided by empirical
body of knowledge, ethico-moral values and
practices, rules and regulations, combined with
appropriate competencies in client care reflecting
personal and professional values when engaging
with others of diverse cultures
A. Beginning Nurse’s Role on Client Care
o Responsibility 1: Practices in accordance with legal
principles and the code of ethics in making personal
and professional judgment
o Responsibility 2: Utilizes the nursing process in the
interdisciplinary care of clients that empowers the
clients and promotes safe quality care
o Responsibility 3: Maintains complete and up to date B. Knowledge-driven Nursing Practice Standards
recording and reporting system o Knowledge-driven nursing practice refers to the
o Responsibility 4: Established collaborative consistent application of a scientific body of
relationship with colleagues and other members of knowledge and skills through the integration of
the team to enhance nursing and other health care the different patterns of knowing (Carper, 1978)
services such as esthetics, ethics, and personal
o Responsibility 5: Promotes professional and personal relationships as bases for safe ad sound judgment
to appropriate care of clients
growth and development
B. Beginning Nurse’s Role on Management and
Leadership
o Responsibility 1: Demonstrates management and
leadership skills to provide safe and quality care
o Responsibility 2: Demonstrates accountability for
safe nursing practice C. Outcome-oriented Professional Relationships
o Responsibility 3: Demonstrates management and o Outcome-oriented professional relationships
leadership skills to deliver health programs and refer to intra- and inter-professional relationships
services effectively to specific client groups in the that lead to an enhancement of one’s role through
community settings communication, collaboration, and
o Responsibility 4: Manages a community/village- understanding of cultural context to achieve
based health facility/component of a health program mutually-agreed upon outcomes for client care
or a nursing service
o Responsibility 5: Demonstrates ability to lead and
supervise nursing support staff
 D. Leadership and Governance Standards
o Leadership and governance is influencing other
people through the exercise of authority,
direction, control, and regulation in the practice
of the nursing profession to achieve desired
goals

Patient Safety Standards

 World Health Organization
o “The absence of preventable harm to a patient and
reduction of risk of unnecessary harm associated with  DOH Admin Order No. 2008-0023
health care to an acceptable minimum." o GOAL: To ensure that patient safety is
o “A framework of organized activities that creates institutionalized as a fundamental principle of the
cultures, processes, procedures, behaviours, health care delivery system in improving health
technologies and environments in health care that outcomes
consistently and sustainably lower risks, reduce the o OBJECTIVE:
occurrence of avoidable harm, make error less likely 1. To establish a comprehensive patient safety
and reduce impact of harm when it does occur." program in all levels of the health care delivery
 Joint Commission International system through effective governance.
o Gives objective evaluation to improve performance 2. To develop the critical capacity of the health care
of health care organizations workers in the health facilities for the
o Standards focus on important client and organization implementation of standards, guidelines,
functions that are essential to providing safe, high systems, training programs, relative. to patient
quality care.” safety.
3. To sustain and continuously improve
mechanisms that nurtures a culture of safety
through appropriate strategies.

Standards of Nursing Practice

1) ICN Code of Ethics
2) International Classification of Nursing Practice
3) National Standards of Nursing Practice (Region-based)
 Philippines
 ASEAN
 American
 WHO Patient Safety, 2023
 European
4) Evidence-Based Nursing Practice