Trends,

issues and
technology
Jester B. Rafols

Prof. Bea Cruz RN MAN DNM

Issues Affecting nursing

practice in
all setting
and
nursing education

Course Objectives:

At the end of the discussion the MAN students will be able to:

A.) Understand the past situation of Nursing Faculties a decade ago up

to the present day.

B.) Analyze the factors why the Quality of Nursing Faculties Change over
the years

C.) Gave insights on the present situation of Nursing Faculties in the

Philippines

Quality of nursing
faculties from the
year 2000
to the present

PHILIPPINE NURSING
LAW ARTICLE 5

Nursing Education
Section 25.Nursing Education Program.-Thenursingeducationprogramshallprovidesound
generalandprofessionalfoundationforthepracticeofnursing.
Thelearningexperiencesshalladherestrictlytospecificrequirementsembodiedintheprescribed
curriculumaspromulgatedbytheCommissiononHigherEducation'spoliciesandstandardsof
nursingeducation.
Section 26. Requirement for Inactive Nurses Returning to Practice.-Nurseswhohavenotactively
practicedtheprofessionforfive(5)consecutiveyearsarerequiredtoundergoone(1)monthof
didactictrainingandthree(3)monthsofpracticum.TheBoardshallaccredithospitalstoconductthe
saidtrainingprogram.
Section 27.Qualifications of the Faculty.-Amemberofthefacultyinacollegeofnursingteaching
professionalcoursesmust:
(a)BearegisterednurseinthePhilippines;
(b)Haveatleastone(1)yearofclinicalpracticeinafieldofspecialization;
(c)Beamemberofgoodstandingintheaccreditedprofessionalorganizationofnurses;and
(d)Beaholderofamaster'sdegreeinnursing,education,orotheralliedmedicalandhealth
sciencesconferredbyacollegeoruniversitydulyrecognizedbytheGovernmentoftheRepublicof
thePhilippines.
Inadditiontotheaforementionedqualifications,thedeanofacollegemusthaveamaster'sdegree
innursing.He/shemusthaveatleastfive(5)yearsofexperienceinnursing.

Quality of nursing faculties from the

year 2000 to the present

The Professional Regulatory Commission (PRC) expressed concern over

the quality of nursing education in the country, as reflected in the
plunging passing rates in recent nursing board examinations.

The low percentage of passers reflects the large number of poorperforming nursing schools, according to authorities. Many of those who
passed are almost surely headed for unemployment as the country has
an oversupply of nurses. Labor officials are urging students to avoid
nursing courses. (2011)

2011 December Licensure

Examination

Deteriorating Quality of Nursing

Education

The number of Nursing School have increased:

1970s: only 40

1990s: 170

June 2003: 251

April 2004: 370

June 2005: 441

June 2006: 470

By June 2006, almost 200 increase in nursing schools nationwide

since 2003
---(NIH

2004)

Deteriorating Quality of Nursing

Education

In 2001

116 nursing schools: passing rate of <50%

124 nursing schools: passing rate of >50%

In 2002, 150 nursing schools had a passing rate of <50%, which

wasc already 63% of the 237 nursing school then.

In NLE 2005, at least 20 schools consistently a <30% passing

rate.

---(NIH 2004)

Deteriorating Quality of Nursing

Education

At least 37 Philippine Nursing Schools offer abbreviated 2 year

courses for doctors to become nurses.

More than 60% of nursing schools are geared mainly for

second courses

--(HSA 2005, PNA 2005)

Deteriorating Quality of Nursing

Education

Initial HEAD estimates:

Around 30% of nursing students are second coursers

At least 80% are planning to work abroad

Between 75%-90% of faculty members are planning to work

abroad
--(HSA 2005, PNA 2005)

Deteriorating Quality of Nursing

Education

Review Centers:

Gapuz: P13400 for 3 weeks

Pentagon: P14,500 from September to December

Most nursing colleges have compulsory in house review

(separated from tuition fee)

P40,000 students spend for review

Deteriorating Quality of Nursing

Education

A Health Care System that

cannot maintain its own
health human resource is not
healthy at all

The Nursing Exam Leakage

A few days before the June 2006 NLE, INRESS held final coaching at one of the
cinema in SM North EDSA

Shortly after the NLE, the leakage was exposed in Baguio City. PRC-CAR
immediately informed PRC national office.

PRC initially said it would investigate before releasing the list of those who passed

Mass resignation of the Technical Committee on Nursing Education on July 7 citing

that CHED has instead buckled down to pressure from poor performing schools,
politicians and Malacanang sacrificing quality for mediocrity and business interest

The Nursing Exam Leakage

Government Agencies Involved

PRC

BON

CHED

NBI

The Nursing Exam Leakage

Analysis
Leakage is only a symptom of the deteriorating quality of nursing
Education in the Philippines
The commercialization of nursing education has worsened the
quality of nursing education

Quality of Nursing Education

In 2009, theCommissiononHigherEducationof the Philippines released a report
showingtheTop20nursingschoolsincountrybasedonaveragepassingratesin
nursingboardexaminations.
Thetop20NursingSchoolsinthePhilippineswith1000ormoreexamineesarethe
following:SillimanUniversityclinched the top post having an average of 96.57
percent followed by theSaintLouisUniversity, 95.42;TrinityUniversityofAsiawith
95.06;UniversityofSto.Tomas, 95.06;CebuDoctors'University, 91.89;SaintPaul
University, 89.79;CentralPhilippineUniversity, 86.72;DeLaSalleUniversityHealthSciencescampus,85.26;SaintMarysUniversity,84.10;SanPedroCollege,
83. 10;ManilaDoctorsCollege, 82.56;CentroEscolarUniversity-Manila, 81.50;
AngelesUniversityFoundation, 76.37; Mariano Marcos University, 75.55;
UniversityofSanAgustin,
73.25;UniversityofCebu,
70.99;
MetropolitanHospitalCollegeofNursing,
70.54;AteneodeDavaoUniversity,
70.20; San Juan De Dios Education Foundation, 69. 91; and
UniversityofSt.LaSalle,67.55.
Source:Wikipedia.org

Quality of Nursing Education

Our Philippine nurses are in high demand globally due to our standardized and unified BSN
curriculum. Sadly, this globalized demand is driving the academe to come up with new
programs that also fit the modern age and needs.
This poses a threat to the image of Philippine nursing abroad, in relation to our economic
status as a thirdworld country. In addition, this also exacerbates the quality of the nursing
and health service in our own country.

Quality of Nursing Education

When one looks into the current state of nursing schools in our country, one
could see the trend that there is a continuous increase in the number of newly
opened nursing schools.
From 175 in the early 1990s, it has ballooned to a current 450 registered schools
and colleges of nursing.
This mushrooming of new schools is attributed to the high demand and high
paying jobs that nurses have in developed countries like the United States and
the United Kingdom.
Yet when one examines the quality of the program schools and colleges offer, a
feeling of shock and bewilderment comes. For instance, out of 2,392 faculty
surveyed in 2003, only 1,157 [58%] are BSN with MA units; 539 [22.53%] have
MAN and 198 [8.28%] have MAs in other fields.

Quality of Nursing Education

This alone shows that a majority of nursing faculty still lack advanced education and
training. Alas, this is also reflected in their salaries, because in spite of having a high
demand for clinical
instructors, most faculty members [64%] are paid P15,000 and below.
Half of them are paid less than P10,000 a month.
These two factors affect nursing education as new schools open without qualified deans
and faculty members. Less than 1% of the deans of colleges of nursing have doctorate
degrees, and due to the influx of nursing students, hospitals accept more than the required
affiliate nursing students.
Sadly, this translates to a high patienttonurse ratio of one patient to two nursing
students in the 1990s, to one patient to 15 nursing students. How then could nursing
students afford a quality experience in their practice when there are too many of them
attending to one patient?
Even the patient might feel exasperated by the sheer crowd of nurses attending to him or
her.

The Top 21 nursing

schools in the
Philippines (released on
the last quarter of
2013)
Romulo identified the top 5 schools with their passing rates in the
exams as follows:
1. West Visayas State University-La Paz (100%)
2. Cebu Normal College (100%)
3. University of the Philippines-Manila (100%)
4. Chinese General Hospital Colleges (99.30%)
5. Saint Paul University-Tuguegarao (99.28%)

The following complete the list of top 21 schools:

6. Benguet State University-La Trinidad (99.15%)
7. University of Santo Tomas (99.04%)
8. Trinity University of Asia (98.95%)
9. Saint Paul University-Dumaguete (98.36%)
10. Xavier University-Cagayan de Oro (98.15%)
11. Velez College-Cebu (98.01%)
12. Cebu City Medical Center (97.06%)
13. Saint Paul University-Manila (96.23%)
14. Pamantasan ng Lungsod ng Maynila (95.45%)
15. Saint Paul University-Iloilo (94.74 %)
16. University of Saint Louis-Tuguegarao (94.52%)
17. Remedios T. Romualdez Medical Foundation (94.51%)
18. Saint Louis University-Baguio (93.33%)
19. San Pedro College-Davao (89.41%)
20.Southern Luzon State University-Lucban (88.61%)
21. Saint Marys University-Bayombong (88.15%).