Three Roles of Entry Level Nursing:

- Beginning nurses role on client care and management and leadership

o Beginning Nurse’s Role on Client Care
o Beginning Nurse’s Role on leadership and Management
o Beginning Nurse’s Role on Research

Keys Areas of Responsibility (10)

- Phase 1
o Work setting Scenario
- Phase 2
o Validation studies of roles and responsibilities/Benchmaking
- Phase 3
o Integrative Review of outputs from the validation strategies
- Phase 4
o Competency consensual validation
- Phase 5
o Conduct of public hearing
- Phase 6
o Promulgation of the revised and modified core competency
- Phase 7
o Printing of the revised and modified core competency standards
- Phase 8
o Training in the implementation of the revised core competency standards
- Phase 9
o Implementation of the revised core competency standards
- Phase 10
o Evaluation of effectiveness of the revised core competency standards

Beginning Nurse’s Role on Client Care (5 Responsibilities)

- Responsibility 1
o Practices in accordance with legal principles and the code of ethics in making personal and
professional judgment
 1.1. 1 - Adhere to ethico-legal (morally legal) considerations when providing safe,
quality and professional care
 1.1.2 - Applies ethical reasoning (moral reasoning) and decision making process to
address situation of ethical distress and moral dilemma
 1.1.3 - Adheres to established norms of conduct based on the Philippine Nursing Law
and other legal, regulatory and institutional requirements relevant to safe nursing
practice
 1.1. 4 - Protect clients rights based on the Patient’s Bill of Rights and Obligations
  1.1.5 - Implements strategies/policies related to informed consent as it applies in
multiple contexts
- Responsibility 2
o Utilizes the nursing Process in the interdisciplinary care of clients that empowers the clients
and promotes safe quality care
 2.1 – Ensures a working relationship with client and/or support system based on trust,
respect and shared decision making
 2.1.1 – Establishes rapport with client and/or support system ensuring
adequate information about each other as partners in a working relationship
 2.1.2 - Formulates with the client-partner the objectives and expectations of
the nursing client working relationship
 2.1.3 - Maintains shared decision making and client’s participatory capability
throughout the nurse-client working relationship
 2.1.4 – Enhances client partner’s readiness for taking over/begin in-charge
when objectives and expectations of the working relationship have been
achieved .
 2.2 Assesses with client (either them, the family, population group and community)
ones health status/ competence
 2.2.1 – Develops the data gathering plan with the client. Specifies methods
and tools
 2.2.2 – Obtains assessment data utilizing appropriate data gathering method
and tools guided by type of client and work setting requisites
 2.2.3 – Analyzes data gathered
 2.2.4 Synthesizes data gathered
 2.2.5 – Specifies client’s status/ conditions problems to be addressed to
identify reasons (etiology) for the existing of the condition or problem
 2.3 Formulates with the client a plan of care to address the health condition, needs,
problems, and issues based on priorities
 2.4 Implements safe and quality interventions with the client to address the health
needs, problem, and issues
 2.4.1 – Implements appropriate pycho-social/therapeutic interventions to
render holistic nursing care in any setting
 2.4.2 – Provides appropriate evidence-based nursing care using a participatory
approach based on
o Variety of theories and standards relevant to health and healing
o Research
o Clinical practice
o Client preference
o Client and staff safety
o Customer care standards
 2.4.3 – Applies safety principles, evidence based practice infection control
measures and appropriate protective devices consistently, when providing
nursing care and preventing injury to clients, self, public and colleagues
  2.4.3 – Implements strategies related to the safe preparation administration of
medications based on institutional policies and protocol
 2.4.5 – Applies evidence based practices on pain prevention and management
of clients pharmacologic and non-pharmacologic measures
 Implements safe, adequate, evidence based care on clients during the pre-intra
and post diagnostic and treatment procedures
 2.4.7 – Implements safe and quality nursing interventions addressing health
needs, problems, and issues affecting pregnant women during the peri-partal
to neonatal stage
 2.4.8 – Apply appropriate and evidence – based nursing interventions for
physiologic and related psychosocial needs of patient to preserve the pysch.
Integrity and prevent complications (26)
 2.5 Provides health education using selected planning models to targeted clients
 2.5.1 – Determine health education planning models that are appropriate to
patients objective and their outcome
 2.5.2 – Utilizes the health education process to meet/accomplish identified
client’s learning need
 2.6 Evaluates with the client the health status/comp. and expected outcomes
 2.7 Documents client’s response to nursing care services which renders and processes
the outcomes of the nurse client working relationship
- Responsibility 3
o Maintains complete and up to date recording and reporting system
 3.1 Ensures completeness, integrity, safety, accessibility and security of information
 3.2 Follows protocols and principles of confidentiality in safe keeping of records and
information
 3.3 Implements system of informatics to support the delivery of health care
- Responsibility 4
o Establishes collaborative relationships with colleagues and other members of the team to
enhance nursing and other health care services
 4.1 Ensures intra/inter-agency, multidisciplinary and sectional collaboration in the
delivery of health care
 4.2 Implements approaches to enhance the capability of the client and care providers
to participate in the decision making by inter professional team
- Responsibility 5
o Promotes professional and personal growth and development
 5.1 Assumes responsibility for lifelong learning, own personal development and
maintenance of competence
 5.2 Demonstrates and continued competence and professional growth
 5.3 Engage in advocacy activities to influence health and social care service policies
and access to services
 5.4 Models professional behavior

Beginning Nurse’s Role on Management and Leadership (6 Responsibilities)

- Responsibility 1
o Demonstrates management and leadership skills to provide safe and quality care
 1.1 Utilizes appropriate and efficient methods (tools) to manage multiple nursing
interventions for clients with health status with consultation needed
 1.2 Coordinated care by organizing use of human material financial and other
resources to achieve expected health outcomes
 1.3 Maintains a harmonious and collegial relationship among members of the health
team for effective, efficient and safe client care
 1.4 Creates a safe environment of care through the use of quality assurance,
continuous quality improvement and risk management strategies
- Responsibility 2
o Demonstrates accountability for safe nursing practice
 2.1 Participates in the development of policies and standards regarding safe nursing
practice
 2.2 Organizes own workload demonstrating time management skills for meeting
responsibilities and achieving outcomes
 2.3 Institutes appropriate corrective actions to prevent or minimize harm arising from
adverse effect
- Responsibility 3
o Demonstrates management and leadership skills to deliver health programs and services
effectively to specific client groups in the community setting
 3.1 Applies management and leadership principles in providing direction to manage a
community based:
 Health facility
 Component of health program
 Nursing service
 3.2 Uses appropriate strategies/ approaches to plan community health programs and
nursing services
- Responsibility 4
o Manages a community / village based health facility/component of health program or nursing
service (principles and up to date documentation)
 Coordinates the tasks/functions of other nursing personnel
 Collaborates with other members of the health team in the implementation of
programs and services
 Ensures adequate resources to effectively implement programs based on
requirements, ratio, and standards
 Mobilizes resources for effective program implementation (service) delivery
 Supervises the implementation of nursing component of the health services/ programs
 Ensures all nursing personnel adhere to the standards of safety bioethical principles
and evidence based nursing practice
 Evaluates specific components of health programs and nursing services based on
parameters/ criteria
 Maintains a positive practice environment
- Responsibility 5
 o Demonstrates ability to lead and supervise nursing support staff
 5.1 Applies principles of supervision for effective and efficient delivery of health
program and services
 5.2 Assesses supervisory needs of the nursing support staff
 5.3 Participates in the planning and implementation of staff development activities to
enhance performance of the nursing support staff
 5.4 Monitors the performance of the nursing support staff
 5.5 Evaluates performance of nursing support staff using a standard evaluation tool
 5.6 Participates in improving policies and standards of nursing practice
 5.7 Disseminates policies, regulations, circulars and programs among nurses and
nursing support staff
 5.8 Participates in developing policies and procedures
- Responsibility 6
o Utilize appropriate mechanisms for networking, linkage, building, and referrals
 6.1 Applies principles of partnership and collaboration to improve delivery of health
services
 6.2 Determines resources available for networking, linkage building, and referral
necessary for improving delivery of health services
 6.3 Collaborated with GOs, NGOs, and other sociocivic agencies to improve health
care services, support environment, protection policies and strategies along with
safety and security mechanism in the community
 6.4 Engages in advocacy activities to deal with health related concerns and adopts
policies that foster the growth and development of the nursing profession

Beginning Nurse’s Role on Research (3 Responsibilities)

- Responsibility 1
o Engaged in nursing or health related research with or under the supervision of an experienced
researcher
 1.1 Participates in preparing a research proposal complying with the ethical principles
in nursing research
 1.2 Conducts a research study as a member of a research team
 1.3 Presents the research study conducted in partnership with a research team
 1.3.1 – Prepares a written research report
 1.3.2 – Conducts an oral and or poster presentation
- Responsibility 2
o Evaluates research study/report utilizing guidelines in the conduct of a written research
critique
 2.1 Determines if the research problems, objectives and hypotheses are clearly
logically linked to the research purpose, concepts and relationships generated from
the study framework
 2.2 Analyzes if the conceptual framework of the summary of the review of the related
literature, research design and data analysis procedure.
  2.3 Establishes if the interpretation, implications and recommendations are consistent
with the result considering the limitation of the study
 2.4 Analyzes the research report for adherence to standards of writing mechanics
ethical principles and guidelines in all phases of the research study
- Responsibility 3
o Applies the research process in improving client care in partnership with a quality
improvement/quality assurance/nursing audit team
 3.1 Participates as a member of a quality team in implementing the appropriate
quality improvement process on identifies improvement opportunities
 3.1.1 – Prepares a data collection and analysis plan as a member of the quality
improvement for the nursing audit team
 3.1.2 Conducts collection and analysis of the date with the team member
based on the agreed plan
 3.1.3 – Implements with the team the developed action plan for the identified
variance to improve the system or process
 3.1.4 – Communicates both in oral and written form, results of the quality
improvement team/quality audit team