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  • CMO No. 15 Series of 2017 Policies Standards and Guidelines For The Bachelor of Science in Nursing BSN Program

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    Wilton Norman Jvmantoc
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    BSN CMO No. 15

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    CMO No. 15 Series of 2017 Policies Standards and Guidelines for the Bachelor of Science in Nursing BSN Program

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    BSN CMO No. 15

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    CMO No. 15 Series of 2017 Policies Standards and Guidelines For The Bachelor of Science in Nursing BSN Program

    Caricato da

    Wilton Norman Jvmantoc
    BSN CMO No. 15

    Copyright:

    © All Rights Reserved
    Scarica in formato PDF o leggi online su Scribd
    Segnala contenuti inappropriati
    di 62
    Republic of the Philippines OFFICE OF THE PRESIDENT COMMISSION ON HIGHER EDUCATION 5 Of 2017 SUBJECT: POLICIES, STANDARDS AND GUIDELINES FOR THE BACHELOR OF SCIENCE IN NURSING (BSN) PROGRAM In accordance with the pertinent provisions of Republic Act (RA) No.7722, otherwise known as the “Higher Education Act of 1994", in pursuance of an outcomes-based quality assurance system as advocated under CMO No. 46 s. 2012 entitled “Policy Standards to Enhance Quality Assurance (QA) in Philippine Higher Education Through an Outcomes-Based and Typology-Based QA", and by virtue of ‘Commission en bane Resolution No, 231-2017 dated March 28, 2017 the following policies, standards, and guidelines (PSGs) are hereby adopted and promulgated by the Commission. ARTICLE | INTRODUCTION Section 1. Rationale Based on the Guidelines for the Implementation of CMO No. 46 s. 2012, this PSG implements the “shift from competency-based standards to outcomes-based education.” It specifies the “core competencies” expected of BS Nursing graduates ‘regardless of the type of HEI they graduate from.” However, in “recognition of the spirit of outcomes-based education and the typology of HEls,” this PSG also provides “ample space for HEIs offering BS Nursing program to innovate in the curriculum in line with the assessment of how best to achieve learning outcomes in their particular contexts and their respective missions. ARTICLE Il AUTHORITY TO OPERATE Section 2. Government Authority All private Higher Education Institutions (PHE!s) intending to offer BS Nursing program must first secure proper authority from the Commission in accordance with this PSG. All PHEIs with an existing BS Nursing program are required to shift to an outcomes-based approach based on this PSG and must secure approval for such a shift. State Universities and Colleges (SUCs), and Local Universities and Colleges (LCUs) should likewise strictly adhere to the provisions of these policies and standards. Higher Education Development Center Building, C.P Garcia Ave., UP Campus, Diliman, Quezon City Philippines _ Web Site: www.ched.gov.ph Tel. Nos. 441-1177, 385-4391, 441-1169, 441-1149, 441-1170, 441-1216, 392-5296, 441-1220 441-1228, 988-0002, 441-0750, 441-1254, 441-1235, 441-1255, 411-8910, 441-1171, 382-1871 ARTICLE Ill GENERAL PROVISIONS Per Section 13 of RA No. 7722, the higher education institutions shall exercise academic freedom in its curricular offerings but must comply with the minimum requirements for specific academic programs, the general education distribution requirements and the specific professional courses. Section 3. The Articles that follow give minimum standards and other requirements for the implementation of outcomes-based education (OBE) of the BSN program. Outcomes-based education is an approach that focuses and organizes the educational system around what is essential for all learners to know, value, and be able to do, to achieve a desired level of competence The minimum standards are expressed as a minimum set of desired program outcomes which are stated in Article IV Section 6. CHED designed a curriculum to attain such outcomes. This curriculum is shown in Article V Section 9 as a sample curriculum. The number of units of this curriculum is hereby prescribed as the “minimum unit requirement” under Section 13 of RA 7722. In designing the curriculum the CHED employed a curriculum map which is shown in Article V Section 11 Using a learner-centered/outcomes-based approach, the CHED also determined appropriate curriculum delivery methods as shown in Article \V Section 11.4 Instructional Design. Based on the curriculum and means of its delivery, the CHED determined the physical resource requirements for the library, laboratories and other facilities and the human resource requirements in terms of administration and faculty. See Article V1 Section 4. The HEIs are allowed to design curricula suited to their own contexts and Section 5. missions provided that they can demonstrate that the same leads to the attainment of the required minimum professional nursing outcomes, albeit by a different route, provided that the curriculum delivery facilitates the attainment of the program outcomes. ‘The HEls can use the CHED Implementation Handbook for Qutcomes- Based Education (OBE) and the Institutional Sustainability Assessment (ISA) as @ guide in making their submissions for Sections 16, 17 and 18 of Article Vil. ARTICLE IV PROGRAM SPECIFICATIONS Program Description 5.1 Degree Name The degree shall be Bachelor of Science in Nursing (BSN). To ensure the quality of the nursing graduate, the degree is conferred upon completion of at least four-year BSN program offered by a college, professional institution or university duly recognized by the Commission on Higher Education. In the Philippines, the BSN degree is equivalent to Level 6 of the Philippine Qualifications Framework Page 2 of 63 5.2. Nature of the Field of Study The BSN is @ four-year program consisting of general education and professional courses. Professional courses are threaded through from the first year thru the fourth year with emphasis on the nursing concepts with corresponding Related Learning Experiences (RLE). The BSN program provides an intensive nursing practicum that will refine further the nursing competencies to ensure achievement of the BSN program outcomes required of an entry level nurse. 5.3 Program Goals The BSN program aims to develop a professional nurse who is able to assume entry level positions in health facilities or community settings. The professional nurse is capable of providing safe, humane, quality and holistic care to individuals in varying age. gender and health-iliness status; healthy or at risk families Population groups; and community; singly or in collaboration with other health care providers to promote health, prevent illness, restore health, alleviate suffering and provide end of life care. 5.4. Specific Roles and Careers for Graduates The National Nursing Core Competencies Standards of 2012 includes the three (3) major roles of the professional nurse. As a nurse generalist, they can assume the following roles on: 1. Client Care Utilize the nursing process in the care of: Mothers, newborns, children, adolescents, adults and older persons; Family, ‘community, population groups, and persons with special needs 2. Leadership and Management Serve as Managers and Leaders of Nursing service units and health services and programs 3, Research Engage in nursing and health-related research; Evaluate research studies; Apply research process in improving client care Beyond the beginning professional roles, the nurse can pursue any of the following career options: 1. Advanced Practice Nursing 1.1. Include the following roles but not limited to: Ambulatory Care, Cardiovascular Nursing, Critical Care Nursing, Diabetes Educator, Emergency Care Nursing, Enterostomal and Wound Care Nursing, Entrepreneurial Nursing, Gerontology Nursing, Hospice/Palliative Nursing, Nephrology Nursing, Neurologic Nursing, Nursing Informatics, Oncology Nursing, Orthopedic Nursing, Renal Nursing and Telehealth Nursing Page 3 of 63 2. Public Health ‘Community Health Nursing 2.1 Include the following roles but not limited to: Occupational Health Nursing, School Nursing, Home Health Nursing, Health and Wellness Nursing, Miltary Nursing 3. Nursing Education Serves as Nurse Educator and Nurse Education Specialist 4. Leadership and Governance Serve as Middle Nurse Manager and Nurse Executive 5.5 Allied Fields ‘The BSN program is allied to the following health related programs: 1, Health Related Program Dentistry Medical Technology Medicine Nutrition and Dietetics Occupational Therapy Optometry Pharmacy Physical Therapy Public Health Radiologic Technology Respiratory Therapy ‘Speech Language Pathology rx seseaoge 2. Social Sciences a. Anthropology b. Psychology c. Sociology Section 6. Program Outcomes Program outcomes are the sets of competencies (related knowiedge, skills, and attitudes) that all learners are expected to demonstrate upon graduation. ‘The minimum standards for the BS Nursing program are expressed in the following minimum set of program nursing outcomes: 6.1 Common to all programs in all types of schools a) Articulate and discuss the latest developments in the specific field of practice. (POF level 6 descriptor) b) Effectively communicate orally and in writing using both English and Filipino, ©) Work effectively and independently in multi-disciplinary and multi- cultural teams. (POF level 6 descriptor) d) Act in recognition of professional, social, and ethical responsibilty {based on RA 7722) €) Preserve and promote “Filipino historical and cultural heritage’. 6.2 Common to Health Professions a) Demonstrates clinical competence in specific profession b) Observes ethical conduct in the practice of the profession ©) Pursues inter-professional education Page 4 of 64 d) Communicates effectively skills orally and in writing e) Engages in self-directed lifelong learning 1) Assumes leadership and management role 9) Promotes the use of health systems approach in the delivery of health care h) Participates in the conduct of researches i) Acts asa social advocate / mobilizer 6.3 Specific to BSN a) Apply knowledge of physical, social, natural and heaith sciences, and humanities in the practice of nursing b) Provide safe, appropriate and holistic care to individuals, families, population group and community utilizing nursing process ©) Apply guidelines and principles of evidence-based practice in the delivery of care d) Practice nursing in accordance with existing laws, legal, ethical and moral principles e) Communicate effectively in speaking, writing and presenting using culturally-appropriate language ) Document to include reporting up-to-date client care accurately and comprehensively 9) Work effectively in collaboration with inter-, intra- and multi- disciplinary and multi-cultural teams h) Practice beginning management and leadership skills in the delivery of client care using a systems approach i) Conduct research with an experienced researcher j) Engage in lifelong learning with a passion to keep current with national and global developments in general, and nursing and health developments in particular k) Demonstrate responsible citizenship and pride of being a Filipino 1) Apply techno-inteliigent care systems and processes in health care delivery m) Adopt the nursing core values in the practice of the profession 1) Apply entrepreneurial skills in the delivery of nursing care 6.4 Common to a Horizontal Type as defined in CMO No. 46 s. 2012 ‘CHED's horizontal typology is based on the functional differentiation of HEIs vis-a-vis their service to the nation. Each type is distinguished on the basis of a transparent set of distinguishing features and measurable indicators relevant to national development goals. In particular, HEIs may be differentiated functionally along, 1) the qualifications’ and corresponding competencies of their Graduates; 2) the nature of the degree programs offered; 3) the qualifications of faculty members; 4) the types of available learning resources and support structures available; and 5) the nature of linkages and community outreach activities. (CMO 46, s. 2012, Article V, Section 21-22) Professional Institutions contribute to nation building by providing educational experiences to develop technical knowledge and skills at the graduate and undergraduate levels, which lead to professional Practice, e.g., Engineering, Medicine, Law, IT, Management, Teacher Education, Maritime Education). Professional institutions develop adults who will have the technical and practical know-how to staff the various professional sectors that are required to sustain the economic and social development of the country and the rest of e Page 5 of 64 @& a the world, as well as to contribute to innovation in their respective areas Colleges contribute to nation building by providing educational experiences to develop adults who have the thinking, problem solving, decision-making, communication, technical, and social skills to participate in various types of employment, development activities land public discourses, particularly in response to the needs of the communities they serve. Universities contribute to nation building by providing highly specialized educational experiences to train experts in the various technical and disciplinal areas and by emphasizing the development of new knowledge and skills through research and development. The focus on developing new knowledge is emphasized from the basic post-secondary (ie., baccalaureate) academic programs through the doctoral programs; thus, a research orientation is emphasized in the Bachelor, Masters and doctoral degree Programs. Universities contribute to nation building by producing experts, knowledge, and technological innovations that can be fesources for long-term development processes in a globalized context. Graduates of State Universities and Colleges must, in addition, have the competencies to support ‘national, regional and local development plans.” (RA 7722) ‘An HEI, at its option, may adopt mission-related program outcomes that are not included in the minimum set. To distinguish among HEIs according to horizontal typology types, HEIs are encouraged to develop Bachelor of Science in Nursing curricula that provide enhancements in selected program outcomes, such as but not limited to: Horizontal Typology Types PROGRAM OUTCOMES Professional | Colleg | University | Institution |e ‘Apply knowledge of physical, social, natural and health sciences, and + + + humanities in the practice of nursing - Provide safe, appropriate and holistic care to individuals, families, + i se Population groups and community utilizing nursing process. ‘Apply guidelines and principles of evidence-based practice in the + + + delivery of care. Practice nursing in accordance with ‘existing laws, legal, ethical and moral + + + principles, ‘Communicate effectively in speaking, writing and presenting using + + + culturally-appropriate language. | Document to include reporting up-to- date client care accurately and + + + ‘comprehensively Page 6 of 63 7. Work effectively in collaboration with inter, intra- and multi-disciplinary and + + + multi-cultural teams 8. Practice beginning management and leadership skills in the delivery of en “ 4 client care using a systems ‘approach _| 9. Conduct research with an | experienced researcher. | + + + 70. Engage in lifelong learning with a passion to keep current with national and global developments in general, + + + and nursing and health developments in particular. | 11. Demonstrate responsible citizenship . |__ D[D|b| |o|b/o/o}o/o[o 7. Work effectively in collaboration with [1 [1 |P|P/P/D |P|P|D|P [0] |P /b]}0|D{P]D|b|D}D}D|/ DTD teams. 8. Practice beginning management and |T |P |P/P/P]P |P|P|P|P D |P }D |0|D|D|D|D|D/D|b|b} DTD leadership skills 8. Conduct research with an 1 7 TP |P /Pli |PyPlP|P| jo] jo} experienced researcher 10. Engage in lifelong learning 1 PIPIT [> |P|P|D|P [Dd |D [Dd |D[ DD] D| 0} o/b bl Dolo 11. Demonstrate responsible lyr [PTP) |D |P|P|D]P [> D/0]/0}D)dJof DD] D} oj ojo Citizenship 12. Apply techno-inteligent care Tyr rir yPyP ler lPyr [P [o [bd |D[P| Db] 0] bo] bb] o/b) ojo systems. 13. Adopt the nursing core values, Tp [plete iP [Piel Pl |P | |p 1D) P|D|D[ o/b] o| 5/0 / blo 414. Apply entrepreneurial skills | TP P D D Legend: |-introduced concepts/principles; P-practiced with supervision; D demonstrated across different clinical settings with minimal Supervision. Specify the highest level of attainment of the program outcome for each course & Page 30 of 62 = Appendix D SAMPLE CURRICULUM MAP OF PROGRAM OUTCOMES AND THE PERFORMANCE INDICATORS Course | PO1 | PO2 P| Poa Pos | POS i POT Pos a | alo 4d) «| dd dye deo dale| da deldaal[plo|ago|r rere oofo|nrerotao te lolo d/o {P| |o}Pyje aa Page 31 of 63 NOM 117 OG oO NCM 118 og NCM 119. OG 3° ° o ol oO o| o| of of a NCM 120 NCM 121 PA oe of of of a] 9] =| of of of a) gl olololofa 9 of eolo odo o| o[ 2 ol ol ol) of aol ooo 9] x of ol of oe of of oo) a a of ofa od of x ofofofad' 9] 2 of ol] of a] 9 >] of of of 2 x of of oo go 3° 9 a oO a | eof of ofa) of 2] of of of a NCM 122 [ol ol ol 9} of of [ol ol of of of of o oO 9 Lol [ol og o>] a Course PB Pos Po10 Pot [PO | PO 42/13 B4. |B. B4. B4. Ba BS BS. BS. BS. BS. BS. BS. BS. Bé cA Gi C2. 62. C2 2. AS. AS. AS. AS. Be. A B A B A B c Nem 100 | |i T ee NCM 10% T i 7 NCM 102 T T NCM 103 o| uy 4 a Nem 104 [1 [1 |i 1 |r fi T T NCM 105 T T NCM 106 T T Nem i07 [PY TT |T NCM 108 T 3] 0] “| 0] 0] 0] i) i i i lolol ao og] of oO] a A OF Nem tos [P{t|T |T |i i P T Nom 110 |P|P/P|P|P|P|P|P/P|P]D| |D | of | | |] | >| | oof of of of a a Of a] o] 2 of of of of a a 9] of of of of a | of a | NCM 177 P|P |PIP|P |P|P iP & Page 32 of 63 a a a a. a a elolelalalelaljajo a fojelelolo6|olalale ja [a [a fo a a aja fala ja je [ee [oo 6 [a fa [ale fa AIGIGNGICNCHCNCHGNGNG a [ojala jajalela fala ae lelelolalole afefoeofelelnle @ jefe ojo olalala jo @ [2 ja fa oo ojo lola lo a. [a fo fo fo fo JoJo fo fa fo oo fa fa fo [a [a fo [ofa la afl lelo| flo a fa la la ia a 3° le ia [a a a a. [a lo a | a lo jo aa alalola| fale ao o a [a lo a [a la ajo a ao a a [o 3 ao ia ei-| eel ele a |—le| [ele lo} ele a i-| lle} jeje ai-| efeele| (je ei-j| eee} je aj-ja| @jejejo| [je i fe (ee ele ie |e le is ie = |2 [3 [3 |2 [2 |e |e |e |e I= SSSESESIESE(S Zi2\2\2 2 2 2e Pie eo Page 33 of 63 AppendixE SAMPLE ALIGNMENT MATRIX OF Program Outcomes, Course Outcomes and Learning Outcomes N 119 Alignment of Program Outcomes, Course Outcomes and Learning Outcomes PROGRAM OUTCOMES (PO) | COURSE OUTCOMES (co) LEARNING OUTCOMES (LO) | 1 Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing Apply knowledge of physical, social, natural and health sciences and humanities in managing clients, teams and programs in any setting Integrate principles and concepts of human behavior in managing clients and teams Distinguish the different concepts used in nursing management 2.Provide safe, appropriate and holistic care to individuals, families, population, group ‘and community utilizing nursing process; Utilizes the nursing process in managing a group of clients/nursing service unit/ program in any setting Implements strategies/interventions to ensure healthy population/s in the school and work settings, Implements participatory and empowerment strategies for community competence to identify and collaborate effectively in addressing needs and problems related with health resource availablity, access or use, environment protection, safety and security, Implements interventions guided by prescribed context of specific health programs/services. Determines the health education planning models appropriate to target clientele/expected learning outcomes and outcomes. Evaluates process/expected outcomes of nurse-client working relationship. Documents nursing care services rendered and processes/outcomes of the nurse client working relationship, e% Page 34 of 63 Institutes appropriate corrective actions to prevent or minimize harm arising from adverse effects S.Apply guidelines and principles of evidence-based practice in the delivery of care; Apply guidelines and principles of evidence- based practice in nursing management; Provides appropriate evidence based nursing care using a participatory approach based on: a. clinical practice, b. client and staff safety, c. customer care standards, | d.nursing management and leadership 4,Practice nursing in accordance with existing laws, legal, ethical and moral principles; Practice nursing in accordance with existing laws, legal, ethical and moral principles; Adhere to ethico-legal considerations when providing safe, quality and professional nursing care, Applies ethical reasoning and decision making process to address situations of ethical distress and moral dilemma ‘Adheres to established norms of conduct based on the Philippine Nursing Law and other legal, regulatory and institutional requirements relevant to safe nursing Practice. Protects clients rights based on clients’ and Nurses’ Rights Implements strategies/policies related to Informed consent as it applies in multiple contexts. o Page 36 of 63 ‘5.Communicate effectively in speaking, writing and presenting using culturally- appropriate language; ‘Communicate effectively in speaking, writing and presenting using culturally. appropriate language to clients and teams Establishes rapport with client andfor support system ensuring adequate information about each other as partners in a working relationship. Addresses with respect, trust, and concern for safety, team needs, issues, or problems related with psychosocial adaptation using appropriate ‘communication/interpersonal techniques/strategies, Communicates, both in oral and written form, the results of the quality improvement project in partnership with the quality improvement team/quality assurance/nursing audit team 6.Report and document up-to-date client care accurately and comprehensively; Report and document up-to-date client care accurately and comprehensively; | Documents nursing care services rendered and processes/outcomes of the nurse- client and nurse-other health professionals working relationship. Ensures completeness, integrity, safety, accessibility and security of information. Adheres to protocol and principles of confidentiality in safekeeping and releasing of records and other information. Implements system of informatics to support the delivery of health care. 7.Work effectively in collaboration with inter-intra-and mutt disciplinary, multi- cultural teams; ‘Applies principles of partnership and collaboration to improve delivery of health services; Ensures intra-agency, inter-agency, multidisciplinary and sectoral collaboration in the delivery of health care. Implements strategies/approaches to enhance/support the capability of the client and care providers to participate in decision making by the inter-professional team, | Maintains a harmonious and collegial relationship among members of the health team for effective, efficient and safe client care. Coordinates the tasks/functions of other nursing personnel (midwife, BHW and utility worker) Collaborates with other members of the health team in the implementation of Page 36 of 63, 8 Practice beginning ‘management and leadership skills in the delivery of client care; Manage anursing service univ/health rogram in any setting programs and services Applies principles of partnership and collaboration to improve delivery of health services. Collaborates with GOs, NGOs and other socio-civic agencies to improve health care services, support environment protection policies and strategies, and safety land security mechanisms in the community. Participates as a member of a quality team in implementing the appropriate quality improvement process on identified improvement opportunities Discem the qualities of a good leader Critique the leadership theories as applied in nursing and health setting Develop a staffing schedule for a nursing team Apply patient classification systems/nursing care models Employ strategies to improve /promote motivation of the health team Manages client load to ensure health program /service coverage. Utilizes appropriate and efficient methods/strategies /tools to manage multiple Nursing interventions for clients with co- morbidities, complex and rapidly changing health status with consultation as needed. Coordinates care by organizing and prioritizing use of human, material, financial and other resources to achieve expected health outcomes. Creates a safe environment of care through the use of quality assurance, continuous quality improvement and risk management strategies. ae, éS Page 27 of 63 Participates in the development of policies and standards regarding safe nursing practice. Organizes own workload demonstrating time management skills for meeting responsibilities and achieving outcomes. Applies management and leadership principles in providing direction to manage a communityvillage-based Uses appropriate strategies/approaches to plan community health programs and nursing service Ensures adequate resources (e.g. human, material) to effectively implement programs/services based on requirements, ratio and standards. Mobilizes resources for effective program implementation/service delivery. Supervises the implementation of the nursing component of the health services/programs, Ensures that all nursing personnel adhere to standards of safety, bioethical principles and evidence based nursing practice. Evaluates specific components of health programs and nursing services based on parametersicriteria, Applies management and leadership principles to ensure a complete, accurate, and up-to-date documentation of activities and outcomes of managing a community! village-based facility, component of a health program and/or nursing service. Maintains a positive practice environment Demonstrates accountability for safe nursing practice: Page 38 of 63 | Applies principles of supervision for effective and efficient delivery of health programs and services ‘Assesses supervisory needs of the nursing support staff. Participates in the planning and implementation of staff development activities to enhance performance of nursing support staff. Monitors the performance of the nursing support staff. Evaluates performance of nursing support staff using a standard evaluation tool Participates in improving policies and standards of nursing practice. Disseminates policies, regulations, circulars and programs among nurses and nursing support staff. Participates in developing policies and procedures relevant to human resource management Determines resources available for networking, linkage building, and referral necessary for improving delivery of health services. ‘9.Conduct research with an experienced researcher; Parlicipate in QUQA activities in a nursing service unit Prepares a data collection and analysis plan as a member of the quality improvementiquality assurance/nursing aucit team. Conducts collection and analysis of data with the team members based on the agreed plan. Implements with the team the developed action plan for the identified variance to improve the system or process. F " gm Page 29 of 63 - 70.Engage in life-long learning with a passion to keep current with national and global developments in general and nursing and health development in particular: Participate in varied continuing professional development activities Develop a personal philosophy and career goals as a professional nurse Demonstrates accountability and responsibilty or safe nursing practice: Develop a professional nursing portfolio Assumes responsibilty for lifelong learning, own personal development and maintenance of competence. Demonstrates continued competence and professional growth. Engages in advocacy activities to influence health and social care service policies and access to services. Models professional behavior. Engages in advocacy activities to deal with health related concerns and adopts policies that foster the growth and development of the nursing profession 11.Demonstrate Practices the core ‘Accepts the responsibilty in paying relevant taxes in the practice of the profession responsible values of the Phil Customized nursing interventions based on Phil culture and values citizenship and ‘nursing profession Project the good image of a Filipino nurse pride of being a Filipino. 12. Apply techno- ‘Apply techno-intelligent | Use appropriate technology to perform safe and efficient nursing activities intelligent care care systems and systems and processes in managing processes in health | Po curcos and care delivery programs 13.Adopt the nursing | Display nursing core Manifest caring as a core of nursing, including the love for God and people core values in the | yalues in nursing practice of the management and Pifession leadership 14. Apply ‘Apply entrepreneurial | Apply strategic entrepreneurial interventions to address management concerns any entrepreneurial | skills in management _| health care setting skill in the and leadership delivery of nursing care EVES Page 40 of 63 ies Appendix F SAMPLE INSTRUCTIONAL DESIGN AND SYLLABI Course Title Nursing Leadership and Management Course Code NCM 119 Course Description + Application of concepts, principles, theories and methods of management and leadership, as well a, the ethico-moral, legal and professional responsibilities of a nurse. The students are expected to perform beginning professional management and leadership skills, and apply sound ethico- moral and legal decision-making in the hospital and community-based settings. Students are likewise expected to comply to the professional standards of nursing practice. Course Credit Theory: 4 units (72 hours); RLE: 3 units ( 162 hours) Independent study 30-45 hours (20-30%) Placement : Fourth year, First Semester Pre-requisites : NGM 116, NCM 117 Program Outcomes: 1 2 Soenoose Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing Provide safe, appropriate and holistic care to individuals, families, population, group and community utilizing nursing process; ‘Apply guidelines and principles of evidence-based practice in the delivery of care; Practice nursing in accordance with existing laws, legal, ethical and moral principles Communicate effectively in speaking, writing and presenting using culturally-appropriate language; Report and document up-to-date client care accurately and comprehensively; ‘Work effectively in collaboration with inter-intra-and multi-disciplinary, multi-cultural teams; Practice beginning management and leadership skills in the delivery of client care; Conduct research with an experienced researcher, Engage in life-long learning with a passion to keep current with national and global developments in general and nursing and health development in particular; Demonstrate responsible citizenship and pride of being a Filipino. Apply techno-intelligent care systems and processes in managing resources and programs Display nursing core values in nursing management and leadership Apply entrepreneurial skils in management and leadership Page 41 of 63 Level Outcomes: Given groups of clients (individuals, families, population groups, and communities) with health problems, the student will apply principles of leadership and management effectively Course Outcomes: Given actual clients in the hospital/community setting the Level IV students will be able to: 1. Apply knowledge of physical, social, natural and health sciences and humanities in managing clients, teams and programs in any setting Utilize the nursing process in managing a group of clients/nursing service unil/ program in any setting Apply guidelines and principles of evidence-based practice in nursing management Practice nursing in accordance with existing laws, legal, ethical and moral principles Report and document up-to-date client care accurately and comprehensively Apply principles of partnership and collaboration to improve delivery of health services Manage a nursing service unit/health program in any setting Participate in QVUQA activities in a nursing service unit 10. Participate in varied continuing professional development activities 14. Practice the core values of the Phil nursing profession 12. Apply techno- intelligent care systems and processes in health care delivery 13. Adopt the nursing core values in the practice of the profession 14. Apply entrepreneurial skills in the delivery of nursing care Seno aeN Communicate effectively in speaking, writing and presenting using culturally-appropriate language to clients and teams Learning Strategies Learning Outcomes ContentTopic Related Learning Assessment | Classroom T Experience (SL, T A Hospital and A Community) Given actual clinical setting | Orientation to the Interactive Discussion [4 | Orientation/leveling of [8 | Paper and with minimal supervision | Course expectations in the pencil test the Level IV students will: | Leveling of expectations, clinical area and discussion of the intended learning Distinguish the different _| outcomes and the shift, “Buddy’ with a particular One-minute concepts used in nursing | to OBE approach for the RNinurse manager paper course Page 42 of 63 management Discem the qualities of a good leader Integrate principles and concepts of human behavior | in managing clients and teams Critique the leadership theories as applied in nursing and health setting | Concepts of leadership ‘& management a Management Organization Leadership Nursing Mat. b. Managerial Leadership Roles as a beginning Nurse Practitioner 1. Concepts 2. Theories 3. Qualities! competencies of a nurse managerfleader 4. Roles and Responsibilities Principles of Management Leadership and Management theories 1. Early leadership theories 2. Early management theories 3. Contemporary Leadership Management theories Vignette: identifying the characteristics of a managerlieader given a case scenario Web quest on 2012 NNCCS, roles and responsibilities of a nurse manager Sharing/critiquing of interview data, observations and experiences on leadership stylesitheories Reflective journaling on effective leadership and ‘management in nursing Peer critiquing the leadership/managemen tstyle of a specific nurse manager Rubric for the Reflection paper Rubric for a vignette Post- test Page 43 of 63 implement Fiscal Planning | Develop a personal ‘management of clients Rubric for programs/services based on | Types of budget monthly financial plan personal reqdiemnants, eaiirand Costing out of asa student financial senders nursing services : Budgeting of ward planicase Cost-effectiveness | Case analysis on cost- resources analysis! Organizes own workload Heath care effectiveness Inventory of ward concept enatiotratrg tre financing resources paper ‘management skills for Resource Management Post-conference meeting responsibilities and | ABC Inventory activity achieving outcomes. Critiquing a nursing Time Management financial plan Determines resources Maximizing personal Costing of nursing available for networking, | time services, linkage building, and referral |_ Maximizing necessary for improving | Managerial time Concept paper on lobicy of seth goroes Maximizing health care financing in organization time relation to quality Mobilizes resources for turppig mea services effective program implementation/service delivery. Apply strategic entrepreneurial interventions to address management concerns any health care setting ‘Analyze a given Organizing Interactive discussion | 4 | Head nursing activity: Performance organizational chart Organizational theories perform the job checklist ‘Types of Organizational Structure, — Hierarchy, Models descriptions of a head nurse Page 45 of 63 | Organizational chart Organizing Patient Care Force field analysis: students will assess the Critique an organizational chart of Rubric for ‘organization al critique Job design strengths and a health care facility Job description weaknesses of a health applying organizational care facility (hospital, and management Health care community) or a principles organizations nursing school, Organizational Culture | including external forces Develop a staffing schedule | Staffing Journal sharing and | 4 Head nursing activity: | 14 | Performance for a nursing team Recruitment, Selection, | critiquing on staffing 1. Compute the actual checklist Placement challenges, issues Patient acuity, FTE of Scheduling and problems staff-patient ratio in the Rubric for Predicting staffing assigned unit, journal Apply patient classification | needs Concept mapping of 2.Formulate a two- reaction systems/nursing care Skill mix patient classification week rotation schedule ede system’ nursing care for a specific unit Patient classification delivery model based 3.Categorize clients Manages client load to system ; on organizational based on Hospital ensure leah progr Predicting staffing model Protocol on Patient tence coverege models Classification Nursing care delivery systems Staffing activity: Adopt © Case method a patient classification © Functional system/nursing care nursing model co Team nursing ©. Primary nursing © Modular nursing © Nursing Case Management i si Page 46 of 63 S Participates in the planning] Staff Development | Web-quest inquiry: | 3) Management activity: Paper and and implementation of staff Sharing of best Staff development pencil test development activities to | Continuing Professional | practices on staff | planning for nurses ina enhance performance of __| Development development specific Rubric for staff programs ward/community based developmen. nursing support staff on learning needs plan’ Implements participatory | Directing 4 implement a community Rubrics for and empowerment Tools in Directing development plan program strategies for community Elements of Directing implementatio competence to idetty and Leading community 7 collaborate effectively in Shared Governance | Journal sharing and Head nursing activity: addressing needs and reaction on shared Implement managerial Performance problems related with health governance functions and delegate checklist resource availability, access tasks/patients to of use, environment Case analysis on student nurses ina Rubrics for protection; sefety and Power and Politics power and politics team journal sac). reaction and Delegation Effective Behavioral modeling case analysis Provides appropriate Selegation evidence based nursing care using a participatory ‘approach based on: a clinical practice, b. client and staff safety, c. customer care standards, d. nursing ‘management and leadership Utilizes appropriate and efficient Methods/strategies ‘ools to manage multiple nursing interventions complex and rapidly Page 47 of 63 ‘changing health status with consultation as needed. Applies management and leadership principles in providing direction to ‘manage a community/village-based Employ strategies to Motivation Interactive discussion Head nursing activity: | 8 | Performance improve /promote motivation Intrinsic and extrinsic initiate team building checklist of the health team motivation activity/ Action- Theories of motivation Vignette on motivation Reflection-Action Establishes rapport with Strategies in motivation strategies and ‘Sessions (ARAS) Rubric for the client and/or support system | Establishment of integrating Vignette ensuring adequate motivational conditions motivational theories —_ Poll Wgness a 3 intrinsic an iz {nforpston ebout.sech Team Work/Group extrinsic motivations of ier as eines er Processes hospital and community | | Self working relationship, nurses as basis for satisfaction Maintains a harmonious and | CfUP dynamics and action any as anurse rating cultural diversity manager/leader collegial relationship among members of the health team for effective, efficient and | safe client care. Evaluates process/expected outcomes of nurse-client and nurse-health professionals working relationship. Disseminates policies, regulations, circulars and programs among nurses and nursing support staff ‘Addresses with respect, trust, and concer for safety, team needs, issues, or problems related with Psychosocial adaptation using appropriate ‘communication/interpersona I techniquesistrategies, Documents nursing care services rendered and processesfoutcomes of the nurse client working relationship. Ensures completeness, integrity, safety, accessibility and security of informs ‘Adheres to protocol and principles of confidentiality in safekeeping and releasing of records and other information. ‘Applies management and leadership principles to ensure a complete, accurate, and up-to-date Communication Communication process Channels of ‘communication ‘Communication systems Barriers to communication Communication skills Organizational, interpersonal and group ‘communication Organizational ‘communication strategies Improving communication Record Management System Communication relay to identity facilitators and barriers to communication Concept paper on ethical and legal consideration in reporting and recording Staffing activity: Charting of nursing activities Critiquing nurses documentation Process documentation and critiquing of pt- nurse communication; nurse-nurse interaction, nurse-manager communication, nurse- ‘doctor interaction Head nursing activities Chart roundsireview Accomplishing ward/community records and reports 10 Performance checklist, Anecdotal observation s Rubric for concept paper Page 49 of 63 ‘documentation of activities and outcomes of managing a. community’ village-based facility implements system of informatics to support the delivery of health care Journal sharing on Rubric for Use appropriate technology | Nursing Informatics benchmarking journal sharing to perform safe and efficient initiatives on nursing nursing activities informatics Ensures inira-ageney, inter- | Collaboration Interactive discussion | 5 | Head nursing activity: | 74 | Performance agency, multidiscipinary 1. Referral of checklist land sectoral collaboration in | Coordination Case analysis on chen, 8 Coordination and 2. Neede: brie for Medeivepjonneatitcats collaboration skils of coordination! case analysis oontinalea the a nurse manager calaberaion | | and concert with members of map ‘taekefhinctions|of oties Delphi procedure: the health team, nursing personnel (midwife, getting consensus GOs, NGO and BHW and ulility worker) ‘decision through a other interest survey among nurses | | groups Collaborates with other and otfjer members members of the health team the health team of in the implementation of successful Staffing activity inrogramri ana 6aivfoss multidisciplinary 1. Coordinate with collaborations and other members of Applies principles of coordination the health team, partnership and other agencies for collaboration to improve — delivery of health services. 2. Coordinate nursing L_ _ L activities OM Page 50 of 63 Collaborates with GOs, NGOs and other sociocivic agencies to improve health care services, support environment protection policies and strategies, and safety and security mechanisms in the community. Coordinates care by organizing and prioritizing Use of human, material, financial and other resources to achieve expected health outcomes, Concept mapping of referralicoordination protocol both in the hospital and community Implements strategies/approaches to enhance/support the capability of the client and care providers to participate in decision making by the inter-professional team. Implements strategies/interventions to ensure healthy population/s Decision Making process Decision making tools and theories Change Process Handling resistance to change Planned change Conflict Management Types of contfl Managing conflict Work-related stress Enhancing self esteem Interactive discussion | 5 Fishbone analysis of a given problem case scenario Brainstorming technique: think and speak out freely and creatively about all Possible approaches and solutions to a specific nursing problem Head nursing activity 1 Analyzing clinical problems 2. presenting solutions for simple conflicts/clinical problems 2. solving simple clinical problems Staffing activity: Clinical reasoning theater (based on problem Performance checklist Rubric for brainstormin gand fishbone analysis, Brain writing writing down ideas in slips of paper Page 51 of 63 in the school and work encountered by the related toa settings student nurse) problem Cross-impact analysis: identification of possible causal relationships between and among various events/scenarios ina health care setting and to come up with an action plan ‘Assesses supervisory needs | Supervision Interactive discussion Clinical audit of 16 | Performance of the nursing support staff. supervision practices of | | checklist Psychological/structural | Debate on nurse managers ‘Supervises the ‘empowerment ‘empowerment of implementation of the nurses Paper and ‘rursing component of the Head nursing activ, pencil test a. Intentional modeling health services/programs. b supervision of Maintains a postive practice ea environment. . grand rounds Applies principles of supervision for effective and efficient delivery of health programs and services Monitors the performance of | Controlling Group dynamics: Critiquing a ® | Performance the nursing support staff Control Process developing criteria for performance evaluation checklist Development of evaluating role tool of nurses Evaluates specific Standards performance of nurses Rubric for components of health Employee discipline Head nursing activity: group feedback on! dynamics Programs ene nursing performance evaluation Page 62 of 63 services based on parameters/criteria, Evaluates performance of nursing support staff using 2 standard evaluation tool Performance evaluation Of student nurses in their team Prepares a data collection and analysis plan as a member of the quality improvementiquality assurance/nursing audit team Ensures that all nursing personnel adhere to standards of safety, bioethical principles and evidence based nursing practice. Institutes appropriate corrective actions to prevent or minimize harm arising from adverse effects Participates in the development of policies and standards regarding safe nursing practice implements with the team the developed action pian for the identified variance to Continuous Quality improvement and risk ‘Management Creating a patient safety culture Standards of Nursing Practice Quality ‘Assurance/Quality improvement Variance report/sentinel events, ‘Accreditation JCAHONICIA, Phil Health, Hospital ‘Accreditation ‘Commission Nursing audit Other CHED quality assurance initiatives Interactive session Debate on the ethical moral, professional and legal considerations in ‘Nurse AlertWatch’ and issue-based reporting Concept paper on Quality assurance/improvemen {initiatives for a given health sector ( academe, hospital, ‘community, DOH, etc) Staffing activity, 1 Prospective nursing audit of patients chart Reports variances/sentin el events Provide inputs cn policies, safely issues Head nursing activity: 1 Develop a manageable Quality improvement project with her nursing team Perform risk assessment and develop an action plan 16 Performance checklist, Rubric for debate and concept paper “ Page 83 of 63 improve the system or process, Creates a safe environment of care through the use of ‘quality assurance, ‘continuous quality improvement and risk management strategies. Participates as a member of @ quality team in implementing the appropriate quality improvement process on identified improvement ‘opportunities Participates in improving policies and standards of rursing practice. Participates in developing Policies and procedures relevant to human resource management Communicates, both in oral and written form, the results of the quality improvement project in partnership with the quality improvement teamiquality assurance! Page 54 of 63 nursing audit team Collaborates with GOs, NGOs and other socio-civie agencies to improve health care services, support environment protection policies and strategies, and safety and security mechanisms in the community Demonstrates accountability and responsibility for safe nursing practice L Learning Strategies Learning Outcomes | Content/Topic Related Learning Assessment Classroom TA | Experience (SL, TA Hospital and Community) ‘Adheres to ethico- ‘A. Ethico-moral 5 | Staffing activity @ | Paper pencil legal, considerations responsibility Everyday ethical 1. Reflective test when providing safe 1. Review dilemmas: present an journaling on and quality and 1.1 Basic ethical —_| abbreviated case ethico-moral Performance professional nursing principles study with an ethical considerations checklist care 1.2.Code of ethics | dilemma to nursing inthe care of for nurse and health and ask the clients Rubrios for Implements 1.3Various Rights _| students to 2. Nursing care ‘concept paper strategies/policies of clients identifyjustity ethical planning that telated to informed 2. Ethical decision- _| principle upheld and integrates & Page 85 of 63 < ‘consent as it appiies in multiple contexts Protects clients rights ‘making Ethical frameworks for decision-making 3. Ethical leadership in violated Concept paper on ethico-moral considerations. Head nursing activity: based on clients’ and nursing professional autonomy 1. Ethical decision Nurses’ Rights 4. Professional of nurses making in autonomy addressing Peer review Applies ethical 5. Personal Work concerns in the reasoning and decision ethics Critiquing of sample clinical setting making process to informed consent form 2. Behavioral address situations of ‘modelling of ethical distress and Psychoanalysis: ‘work ethics moral dilemma student will develop and present their own Customized nursing work ethics principle intervention based on Phil. Culture and values. ‘Adheres to established |B. Legal Responsibilities | Interactive session Conference-discussion Paper and norms of conduct on pencil test based on the Phil 1. Nursing Legislations 1. Legal rights of Nursing Law and legal, | 1.1. Philippine Nursing Law | Case studies on Filipino nurses Rubrics for regulatory and 1.2. Health related laws nursing jurisprudence | 2. Legal violations case study institutional affecting nursing and in health and and position requirements relevant health nursing paper to safe and nursing practice. Accepts responsibilty in paying relevant taxes in the practice of the profession. 1.3, Labor laws ‘work contracts collective bargaining furses and labor unions 1.4, Legal issues in nursing practice 41.1. Breach of contract 1.2. Negligence 1.3. professional negligence! Position paper on a policy Tecommendation on a relevant nursing/health concern Page 88 of 63 malpractice 1.4.Wills 1.5. Crimes related to nursing practice 1.6 Nurses and evidence Privileged ‘communication Nurses as witness ‘Assumes responsibilty | C. Personal and Professional | Panel-discussion: | Parlicipates in 8 | Performance for lifelong learning, | Responsibilities Invite professional advocacy activities on checklist ‘own personal 1. Nursing as a profession | nurse issues of nursing development and Professional Paper pencil maintenance of Decorum, Career orientation: Attendance to nursing test competence 2. Roles and invite accomplished fora on health and responsibilities of a alumni in various fields nursing issues Rubric for beginning nurse of practice to talk professional Demonstrates practitioner about their Self-assessment on rottotio continued competence | 3. Career development _| specialization attainment of the and professional Job search/job leads national Nursing Core growth Preparing for an Competency standards interview Models professional Developing a behaviour professional portfolio 4, Emerging opportunities Project the good image Fields of specialization ofa Filipino nurse Expanded roles of nurses Issues and Workshop on trends in nursing developing a 5. Nursing associations: | professional portfolio Develop a professional Accredited professional nursing portfolio nursing organization: PNA Speciality organizations Interest groups 6. Relevant PRBON J) Page 87 of 63 i SS 3 Manifest caring as a resolutions affecting | Web quest on relevant core of nursing, nursing practice nursing provisions including the love for e.g. 2012 national God and people nursing core ‘competency standards, Continuing Professional Development (CPD), National Nursing Career progression plan Engages in advocacy Professional advocacy | Writing of a position | 7 Rubric activities to influence paper on health or health and social care nursing issue service policies and access to services. Engages in advocacy activities to deal with health related concerns and adopts policies that foster the growth and development of nursing profession Learning Environment: Classroom: The teaching-learning environment must be as contained in the Policies, Standards and Guidelines of CHED. Related learning Experiences: Hospital : Students will be assigned in a CHED- accredited hospital¢health facility. Students will rotate in various clinical areas to perform management related activities supervised by a competent Clinical Instructor Community: Students will be exposed in the adopted community to implement and manage health clinic/DOH programs for a specific individual, families and population groups under the supervision of a competent Clinical Instructor Independent Study: Use of leamer’s time spent outside of the classroom/laboratory/clinical area for self-directed learning using available resources ( actual and online resources) equivalent to at least 30-45 hours (20-30%) of the total hours credited for the course.

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