Excerpts from FGD focusing on Patient Care Competencies CR Narrative Statements Data Markers 6:02 I can say that

I'm a competent nurse because I give proper interventions to every patient that I deal with. I make sure that in every conversation I establish rapport. 6:03 Rapport Effective & efficient care Establishment of Rapport Performance of nursing activities effectively Initial Code Giving appropriate interventions Code Implementation of Planned Care

Rapport

Establishment of Rapport

7:11-12 That means as a nurse graduate one can be competent if he/she can handle every situation efficiently and effectively. Being efficient by knowing the pros and cons of every nursing procedures performed and effective by being considerate to the patients feelings and concerns without violating your nursing responsibility

7:12-13

Understanding on the Providing sound decision in negative and positive the care effects of intervention

7:14

Prioritization

Setting nursing care priorities based on patients needs and concers

I believe that I am a competent nurse graduate because of four reasons: First, I have successfully completed four years in college, comprising 3 years of intensive training where we handled different cases of patients with different cultures and socio economic status. I have undergone comprehensive lectures handled by a group of highly competent clinical instructors and professors. Second, I successfully passed the Nurses' Licensure Examination which is needed to acquire the additional and meaningful two letters to be included at the end of my name. Third, I am a graduate of a prestigious school, known for its discipline and competency in training highly qualified nurses for 97 years with a based hospital, serving their patients for more than 400 years applying their vision and mission in all of their actions and it is where most of my clinical learning experiences were acquired. Lastly, I am a competent nurse because i continuously strive for excellence.

7:24-26

Giving appropriate interventions based on the client's background

Providing sound decision in the care based on client's culture

I am trained well and will apply what i have gained from my experiences. I have inculcated in me the lessons i had learned and how I was molded by my Alma Mater to be a compassionate nurse rendering quality service, responsive to the needs of my patients across the life span. Patients' rights serve as the basis for practice. Being competent, does not only apply on what you know intellectually, and as a saying goes, "IQ will bring you to the top, but EQ will make you stay there."

8:17-19

Providing nurse care based on the clients needs and age

Promotion of age-specific nursing care

As a nurse, I know my duties, responsibilities and rights as well.

9:7-8

Understanding on the duties and responsibilities

Demonstrates knowledgebased practice and responsibilities

I know how to work independently, dependently and collaboratively

9:8-9

Understanding on the Collaborates care to other different nursing members of the health team functions

I can qualify myself that i have achieve the 11 key areas of responsibilities because I know how to ensure my safety of my patient generally and I know how to maintain a safety therapeutic manner in approaching my clients

17:1-3

Safety

Implementation of Safe Nursing Care

...also I am able to educate them about their illness...

17:05

Health teaching

Implementation of health education based on identified need Establish rapport with other member of the health team Application of nursing process

as well as to established communication with my fellow classmates, staff nurses and doctors. Always taking into consideration the nursing process

18:15-16

Rapport

18:26-27

Nursing process

When we were in college, were having a pre and post conference before exposure in the clinical area in which we are reviewing the cases and important endorsement of each client, not for the nurse assigned alone but for everybody in the area.

31:26-30

Endorsement

Implementation of Safe Nursing Care

It also includes the fact that we consider the 10 rights of patients in giving medications, treatment and etc

32:22-23

Ten rights of drug administration

Administration of medications and other health therapeutics Therapeutic relationship with clients Therapeutic communication

Our clinical instructors observe how we deal with patients. It was highly emphasized in our psyche nursing the use therapeutic communication

33:27-28

Nurse-patient relationship Therapeutic communication Therapeutic communication with patient and health team

33:28-29

I am able to communicate with my patient well and not only on my patient but on my colleagues

34:10-12

Therapeutic communication

I am able to communicate with my patient well and not only on my patient but on my colleagues

34:10-12

Teamwork

Establishment of collaborative relationship with other members of the team

...knowing what my patient concerns and needs...

34:11-12

Providing nurse care based on the clients needs

Demonstrate knowledge based on patients needs

...being able to give health education...

34:13-14

Health teaching

Provision of Health Education

...right to provide them safe nursing practice such as giving right medication.

34:14-15

Ten rights of drug administration

Administration of medications and other health therapeutics Collaborates plan of care to other members of health team

...we are taught to whom is the proper referral must flow. As a student nurse first with the CI (clinical instructor) then d staff, ROD (resident on duty) and AP (attending physician)

35:4-7

Relationship with health team

I also learned to work with a team. Because in nursing, I learned that we always have to collaborate not only with doctors but also with other nurses and other members of the health team. We have to have an open communication for more efficient and effective care for the client.

35:15-20

Teamwork

Collaborates plan of care to other members of health team

We were taught how to chart correctly, documenting every care we had to our client, and practicing good charting by avoiding errors and documenting date and time, place, every dosage, name, all the assessment and every necessary things

36:14-18

Documentation

Proper documentation

We were assigned weekly to do health teaching, because of that overtime we do our teaching we have learned how to assess the learning needs and capabilities of our clients ...we have extended our limitations in teaching and have used different teaching methods like pic, posters, song, drama, skit, dance, etc We were taught how to make a lesson plan and implement and evaluate the learning

37:15-18

Health teaching

Assessment and implementation of health education needs Development of learning materials based on different nursing needs Implementation and evaluation of learning outcome

37:18-20

Health teaching and strategies

37:21-22

Health teaching and planning

Collaboration with other health care team is also one in which it is essential for serving clients

42:11-14

Teamwork

Collaboration with other members of the health team

...we use therapeutic communication, to establish caring relationship and positive environment.

42:12-16

Therapeutic communication and Establishment of rapoort with nurse-patient others relationship

The use of the primary tool of the nursing profession- the nursing process, being a generalist nurse, rendering care to alleviate the physiological and psychosocial l disturbances experienced by the patient- but all the intervention is within the context of nursing...and above all, the BSN curriculum teaches me to be flexible, in the sense that i can serve humanity in different settings and situations

42:19-24

Nursing process

Utilizing nursing process as framework of care

and above all, the BSN curriculum teaches me to be flexible, in the sense that i can serve humanity in different settings and situations

42:24-26

Providing nurse care based on the clients needs

Setting nursing care priorities based on patients needs and concers

Excerpts from Facebook responses

You learn you co-exist with co-workers and improve yourself for growth attitude. In order to become competent, one must understand all the clients basic needs and not only that we need to continue and enhance our skill through learning new ways to take care of our client.

55:1-2

Teamwork

Collaboration with other members of the health team

55:7-10

Health teaching

Assessment and implementation of health education needs

I also learned how to plan and prioritize

56:29-30

Providing nurse care based on the clients needs

Setting nursing care priorities based on patients needs and concers

there were time when we had to handle multiple patients with different conditions ADPIE

57:12:00

Nursing process

Application of nursing process

i also learned to work with a teambecause in nursing, i learned that we always have to collaborate...not only with doctors but also with other nurses and other members of the health team we have to have an open communication for more efficient and effective care for the client ...health education sir.

57-5-9

Teamwork

Collaboration with other members of the health team

57:10-11

Rapport and open communication Health teaching Ten rights of drug administration

Establishment of rapport Implementation of health education Administers medication and other therapeutics

57:27-28

...10 r's of giving meds.

58:4-5

10

...the most important knowledge I've learned was how to share your knowledge with others, even i our house i do the health teaching

58:25-27

Health teaching

Implementation of health education

12

Care of patient in terms of their situation or disease

58:13-14

Providing nurse care based on the clients needs Therapeutic communication Providing nurse care based on the clients needs

Demonstrate knowledge based on patients needs Therapeutic communication Demonstrates knowledgebased practice and responsibilities

12

Therapeutic Communication Basic Knowledge about diagnostic procedures, Drugs and solution, Community nurse Practice... Background about disease process

58:14-15

12

58:15-19

13

We were also taught how to set priorities in nursing care based on the patients need. This was our everyday practice from Hospital duty NCP was there, CHN. Formulating NCP, Community Diagnosis, Family Care Plan, Case studies, theses things which intoxicated our brains had taught us how to assess fairly, plan a set of intervention and implement these intervention and finally evaluate our care... this everyday assignment and requirement thaught me how to care clients with safe and efficacy community diagnosis is also there. BSN introduced to us the nursing process which is very essential in providing safe care to our clients

60:23-30; 61:1-5

Nursing process

Application of nursing process

Comments Provision of interventions for patient is a sign of quality.

Category Safe & Quality Nursing Care

Rapport building is essential in Safe & Quality Nursing Care the delivery of quality care. Communication entails establishment of nurse-patient relationship. Efficient and effective care means quality nursing. Communication

Safe & Quality Nursing Care

Deciding based on the existing condition will provide safe Safe & Quality Nursing Care actions towards patients.

Priorities should be considered Safe & Quality Nursing Care to give care to patients.

Client's needs, disease state or priorities should be assessed first before initiating an action. Safe & Quality Nursing Care Actions should be based from their conditions to give quality and positive outcomes.

Nursing must consider the age of the patient as to provide the Safe & Quality Nursing Care necessary intervention appropriate for the client.

Understanding on the duties and responsbilities of the profession guides the nurse in the execution of her functions,

Safe & Quality Nursing Care

Nurses functions together with the heatlh team and must understand its essentiality.

Teamwork & Collaboration

Safety is considered one of the most important aspect of Safe & Quality Nursing Care nursing.

Health education should be based on the client's learning needs. Communication is needed for the patient's well-being. Nursing process guides the nurse to deliberately perform her functions.

Health Education

Communication

Safe & Quality Nursing Care

Endorsement is considered safe and quality nursing care Safe & Quality Nursing Care and is essential for continuity of care.

Administration of medications with its principle of 10 rights ensures safety of the patient. Dealing with patients is a must for a beginning nurse to learn. Communication is needed in dealing with patient.

Safe & Quality Nursing Care

Communication

Communication

Communication builds nurse patient relationship.

Communication

Communication must also observe among the health team to promote holistic care.

Teamwork & Collaboration

Understanding on the needs of patients is a must to provide nursing care that is individualistic Health education must be executed properly by the nurse and it is her primary responsbility. Administration of medications with its principle of 10 rights ensures safety of the patient.

Safe and Quality Nursing Care

Health Education

Safe and Quality Nursing Care

Referral system initiates teamwork and collaboration

Teamwork & Collaboration

Teamwork provides open communication for the benefit of patients

Teamwork & Collaboration

Correct documentation is a legal and nursing responsibility Safe & Quality Nursing Care that should be mastered by the nurse.

Health education is based on the needs of the patient.

Heallth Education

Teaching strategies and other techniques must be included in the plan during health teaching. Lesson plans and its implementation and evaluation is a process of health education. Essentialitt of collaboration is evident expressed in the execution of nursing functions

Heallth Education

Heallth Education

Teamwork & Collaboration

Rapport building is first step to establish positive environment for the nurse and patients.

Communication

Nursing process is an essential tool for the practice of the Safe & Quality Nursing Care profession.

Diverse settings entails flexibity Safe & Quality Nursing Care on the part of the nurse.

Learning co-existence is needed for harmonious team relationship.

Teamwork & Collaboration

Needs of the patient is the basis for health teaching.

Safe & Quality Nursing Care

Client's needs, disease state or priorities should be assessed first before initiating an action. Safe & Quality Nursing Care Actions should be based from their conditions to give quality and positive outcomes.

Nursing process is needed for the delivery of safe and quality Safe & Quality Nursing Care nursing care

Working with a team means competency.

Teamwork & Collaboration

Open communication provides positive environment for the nurse and patient. Health education

Communication

Health Education

Drug administration with ten rights ensures safe and quality Safe & Quality Nursing Care nursing care.

Sharing knowledge is health education to patients.

Health Education

Needs of the patient is the basis for care. Communication Needs of the patient is the basis for care.

Safe & Quality Nursing Care

Communication

Safe & Quality Nursing Care

Nursing process is needed for the delivery of safe and quality Safe & Quality Nursing Care nursing care

Excerpts from FGD focusing on Enhancing Competencies CR 3 Narrative Statements ...record them legally in coordination with the SOP (Standard Operating Procedures) of the hospital. Data Markers 17:5-6 Initial Code Legal documentation Code Observes legal imperative in documentation

On my duty as student nurse we were train to record legibly and legally the patients progress to maintain accurate and updated care

18:12-14

Accurate documentation

Observation of legal imperatives in documentation

We are also obliged to make a written documentation out of the patients' cases including care [that is]appropriate. NCP can be a best example. During the fourth year, our teachers emphasized time management. We are informed according to what we can expect. They taught how to make a written documentation in the hospital

32:24-25

Obligation of Maintains accurate patient written documents record

33:2-4

Time management

Organizes workload and time management

33:26-27

Written documentation

Documentation of care

I remember we have our duty bag and CHN bag wherever we go for duty.. This bags contains I say necessary thing needed to provide care for clients. Managing resources for me is simply making available every possible things a patient needs in his care.

36:26-30

Utilization of CHN bag for effiicient Utilization of resources to and resourceful support patient care. care

We were also taught of how to be a steward of all the resources we have and making sure that these resources are readily available and functioning

37:6-8

Stewardship

Utilization of resources to support patient care.

Comments Documentation based on the SOP of the hospital is a responsibility Competency in the documentation of care and updating is an essential responsibility that a nurse must have.

Category Records Management

Records Management

Written documents is an obligation of a nurse. Managing time is a competency of efficiency and effectiveness Documents are needed as a basis of nursing function.

Records Management

Management of Resources and Environment

Records Management

Availability or accessibility of resources is an example Management of Resources of management of available & Environment resources.

Stewardship of resources and making those Management of Resources resources avaliable is & Environment proper management

Excerpts from FGD focusing on Enabling Competencies CR Data Markers Initial Code Code

Narrative Statements ...for me being competent can be define as an act that you have done your job base on what you have learned and had experienced justified by theories and research

26:14-17

Research-based skill

Application of research findings

(Include there the research with sleepless nights) Haha (laughs) We did our research study back then and defended our thesis before we graduated.

38:11-13

Conduct of research

Research conduct

Exceprts from responses from Facebook 1 But you see how to improve yourself, you explore research. 55:5-6 Improving self through research Utilization of research for caring

11

I did my best to achieve it, because even after graduating i still read books and as we all know medical courses are fast in innovation, new researched, medicines, and new machines, and new dses. In knowledge i still have to learn more but still confident to face unknown question for me to be able to learn, but in skills i would say I'm good as im giving my 100% and because i got satisfactory grade on my RLE.

59:1-10

Updating self for improvement of care

Utilization of research for caring

Comments Research based-skill should be very evident in the care for patients. Because evidencebased practice gives compentent nursing care to patients. Experiencing research inculcates the attitude of inquisitiveness and curiosity.

Category

Research

Resarch

Improving oneself through research is an essential characteristic of a competent nurse.

Research

Updating through research and other means makes a nurse competent and up-to-date in terms of recent trends in nursing care.

Research

Excerpts from FGD focusing on Empowering Competencies CR Narrative Statements Data Markers Initial Code Code Comments

Patients' rights serve as the basis for practice.

8:19

Respect

Respect of the rights of the patient

Rights of the patient should be respected as part of the moral responsibility of the nurse.

I am also able to respect the rights of my clients

17:8-9

Respect

Respects rights of clients

Respecting the rights of the clients is a moral resposbility of the nurse.

...accept the responsibility and accountability of my own actions especially my decisions.

17:9-10

Understanding on the responsbilities and duties of a nurse

Accepting one's decision and Accepts responsibility and its consequences increases the accountability accountability and responsbility of the nurse.

We were taught how to respect other people and to follow rules and policy. To avoid abortion and other unethical matters that will compromise our license

38:1-3

Respect

Respecting the rights of the Respect of the rights of the clients is a moral resposbility of patient the nurse.

Excerpts from responses using Facebook

You practice all this every day and gets better competence.

55:3-4

Manifestation of positive attitude

Competence through time

Manifestation of competence as time goes by should be maintained by any professional towards his or her profession

I also learned that as a nurse we are not just the side-kick of the doctor but a separate profession holding its own distinctive and responsibility. Therefore we hold such legal liability with each action that we do, that we are not only responsible but also accountable for the lives of those committed to our care.

56:4-6

Appreciation of own Understanding on the Recognition of responsibility responsibilities distinct to other responsbilities and and accountability professions guide the nurse in duties of a nurse the execution of her functions.

As a nursing graduate and as a student before we are always reminded by our professors of the key competencies that we should not only have but to continuously hone as we practice our profession

56:13-16

Manifestation of positive attitude

Possession of positive attitude towards excellene and the profession

Key competencies should constantly remind the nurse on her actions. Attitude towards the profession should always be inclined towards one's development

Although i can say that there are a lot more to learn like in special areas. that's why i enrolled in the ICU nursing because i want to learn more and when i apply and work as a nurse in a hospital, i will be more knowledgeable in that area

57:15-19

Continuous learning

Pursuance of continuing education

Attending various trainings are evidences towards professional development.

11

I did my best to achieve it, because even after graduating i still read books and as we all know medical courses are fast in innovation, new researched, medicines, and new machines, and new dses. In knowledge i still have to learn more but still confident to face unknown question for me to be able to learn, but in skills i would say I'm good as im giving my 100% and because i got satisfactory grade on my RLE.

59:1-10

Continuous learning

Pursuance of continuing education

Learning through different means should be considered even after graduation.

Category

Ethico-moral Responsibility

Ethico-moral responsibility

Ethico-moral Responsibility

Ethico-moral Responsibility

Personal & Professional Development

Legal Responsibility

Personal & Professional Development

Personal & Professional Development

Personal & Professional Development

FGD Excerpts about Barriers Categorical Definition Developmental - means and different aspects of a graduate nurse that leads to the inability to achieve of competency requirementsduring the BSN program Maturational - barriers that lead to the inability to acquire competency requirements after the BSN program Situational - personal values, individual characteristics and other attributes that inhibits achievement of competency. CR Narrative Statements They cannot come anymore. It is because they will run errands, Sir. But still there are more who wants to join us and they also dont have their jobs yet. I contacted some of my batch mates. They came from other schools. I will send a message thru text to them again Data Marker Initial Code Code

5:24-28

Unemployment

Inability to Practice Profession

Let us start already, Sir! I will cook our food [rice] later. I am now the great househelper!

6:11-12

Unemployment

Inability to Practice Profession

Try to evaluate how well you performed in your duty then from that you may evaluate yourself but real competence starts when you are already a registered nurse

12:15-18

Knowledge only applied after graduation

Application of theoretical knowledge in the profession only after BSN program

About that, I can say that my confidence as a competent nurse after I graduated from nursing or BSN is not that quite realistic or strong

16:10-12

Belief that competency is not strong or realistic

Negative individual attributes

Maybe the 11 Core Competencies

16:25

Lack of knowledge

Inadequate knowledge on the Core Competencies

We are able to understand the implications Sir. However, we are not caught doing it. And when shall we do it?)

24:9-11

Unethical conduct of profession

Feeling of competence in spite of misdeed

I feel more competent, Sir. Kasi (Because) I have done what other cannot.

24:17-18

Confidence means competency

Feeling of competence in spite of misdeed

...only few students can experience that. And the more we do nursing procedures at an early time, the more we are competent.

25:29-30

Early exposure means competency

Feeling of competence in spite of misdeed

That is safe and what was that?)

32:6-7

Lack of knowledge

Inadequate knowledge on the Core Competencies

I would like to qualify myself as a not so /not really a competent nurse because for me to be qualified as a competent nurse you must possess the skill, knowledge and experience. Absence from one of those makes someone incompetent. Thus, I may have the knowledge but I didn't acquire the best skill nor the experience.

42:28-30; 43:1-3

Feeling of inadequacy

Inadequate competencies

For me the core competencies are to develop skills, knowledge, quality of education and excellence . I achieved those competencies by added this competency to my process so that I can more quickly build the many necessary skills that required. Learned for them and require a great deal of time and effort thats the qualifiers that I will give to achieve it. And this will achieve further kapag may trabaho na ako. Haha. (This will be achieved if I will have my job! Laughs)

44:19-25

Knowledge only applied after graduation

Application of theoretical knowledge in the profession only after BSN program

49:5-10

Personality differences Organization of learning content not observed

Individual differences

50:1-2

Ineffective teaching strategies

12

I'm at the poor state because I have no idea on how can I rate/qualify my self because I have no experience yet ,so how would I know that I have possess it..

60:3-6

Unable to measure own's competency

Negative individual characteristics

SN program

Comments The co-researchers statement dictates that unemployment is prevalent among nurse graduates Since graduates are not able to practice their profession, their competency decreases as time goes by.

Category

Situational

Situational

If one believes that competency aftter graduation, a person was not able to achieve the terminal competency of a BSN.

Situational

Competency emanates from individual perception. If one believes she is not, she is really not. There are four core competencies not eleven though in nature they are just similar. The unethical conduct of the deed is aggrevated if the person committing such consideres her action as unethical.

Situational

Situational

Situational

Uniqueness of skill performed is not a good measurement of competency. Uniqueness of skill performed is not a good measurement of competency. Knowledge about the competencies are somewhat inadequate.

Situational

Situational

Situational

Incompleteness of the different competencies, even just one, may mean incompetency.

Situational

Unemployment still becomes an issue among graduate nurses. One can not achive competency if they do not have the job to test their competency after the graduation.

Situational

Personality differences should be set aside for a professional academic affiliation. Strategies should be modified as to create good learning climate.

Situational

Situational

Incapacity to measure one's competency is a poor impression of competency.

Situational

Narrative Excerpts Categorical Definition Developmental - means and different aspects of a graduate nurse that leads to the accomplishment of competency requirementsduring the BSN program Maturational - means and other aspects that leads to the accomplishment of competency requirements after the BSN program Situational - facilitates acquisition of competencies based on personal values, individual characteristics and other attributes that leads to competency. CR Narrative Statements Data Marker Initial Code Code

We will ask later after you tell us what is your research all about.

1:27

Familiarity in the Eagerness to understand conduct of research research purpose

I remembered that we are also doing qualitative research during our college. Is this your requirement sir?

2:3-5

Familiarity in the conduct of research

Familiarity with the research process and paradigm

Yes, Sir! [I know her - referring to Dr. Borromeo]

2:15

Familiarity with Familiarity with people people prominent in prominent in the nursing the nursing field society Accomplishing competency requirements before NLE Being a registered nurse Competency monitoring NLE Requirements as measurement of competency Certification of Board of Rating Evaluation of Competencies after BSN Program Application of theoretical knowledge to real setting

12:4-5 7 12:5-7

7 6

That is the reason why in my hospital where I am employed, they do a yearly competency test to monitor if the nurses are coping with the new services that we will be providing for patients ...for me being competent can be define as an act that you have done your job base on what you have learned and had experienced justified by theories and research

15:21-24

26:15-17

Applying concepts based on theories

My school gave me values, principles, and attitude to become competent nurse. As a result of taking this course, they gave me the ability to use knowledge, skills and personal, social and/ or methodological abilities, in work or study situations and in professional and personal development. In this, competencies to be developed during the course are outlined and explained, resulted in increased student performance. They build each student a foundation through quality and excellence in all areas.

43 : 7-15

Installation of values, principles and attitude

Good educational foundation/ background and academic affiliation

I found myself wanting to take care of others, and have considered a career in the medical field. This life has taught me that no matter what each day holds, there is always tomorrow. After completing my Bachelors Degree , I have found that once you set your mind to doing something and you complete what you set out to do, there isn't much you can talk yourself out of

43:19-25

Wanting to care for others

Positive individual characteristics

Excerpts from Facebook responses You learn from the book and you apply most of it in the hospital knowledge and skills. You learn that not all things in the book are done in the practice flexible and creative.

54:27-30

Able to apply what is Good educational learned in the school foundation/ background in the actual setting and academic affiliation

being a nurse to my family..being a nurse doesn't mean we should work in a hospital..we can be a nurse to our family to care for them..i qualify myself that i achieve the 11 key area of responsibilities, by making my family healthy and free from illness and diseases

55:13-17

Nursing as applied to own family

Positive individual characteristics

As a nursing graduate and having been taught in one of the best nursing schools in the country I can say that Im competent in the sense that I have gained the necessary skills, knowledge and attitude a nurse is expected to practice in the call of duty Since nursing is caring not only of the physical part of ones being but holistically I learned to value ones life in its totality, I learned to be sensitive to the needs of my client may it be in the hospital or in the community setting.

55:22-26

Excellent school background

Good educational foundation/ background and academic affiliation

56:1-4

Nursing the totality of a person

Provision of holistic care

Through our related learning experience in the hospital, community and other health care institutions we are given the opportunity to develop these competencies

56:17-19

Good educational Opportunity to foundation/ background develop competency and academic affiliation

...if we lack or fail to perform a certain competency our clinical preceptors gives us feedback through our PRS (Performance Rating Scale) as for me if there is a competency that I fail to develop in that certain rotation I make sure that I do better in the next one. I can say that I have achieved these competencies because I was able to pass and graduate from my nursing degree.

56:20-22

Monitoring of competency

Good educational foundation/ background and academic affiliation

56:22-26

Continuous personal learning

Positive individual characteristics

yes sir, as a general practitioner.

57:6-14

General practitioner nurse

Competence as a nurse generalist

WITH MAGIC THREE WORDS; TENDER , LOVING AND CARE

57:22-23

TLC

Positive individual characteristics

I also became famous in our neighborhood they would asked me to clean their diabetic foot, take their BP they would even asked me to accompanied them for their check ups, because they say i know the questions to be asked with the doctor. I have learned a lot during my colleges days thanks to may CI, lets go to basic i have learned how to take vital signs (the proper way), how to insert IV, how to handle patient with mental disorders, and how to give IV drugs of course by supervision During our bsn knowledge on the health/illness are our everyday menu. As a student way back then we were taught of the physiology, pathophysiology health and illness perspective, as much as they could teach us everything we need to know for us to have knowledge based practice. Being a full pledge hematophobic person who can faint seeing a single drop of blood, an engineer and achiever yet knows nothing about nursing and considering it as my water loo well i can speak out

58:13-17

Nursing beyond the formal practice

Positive individual characteristics

10

58:20-24

Learnings from the institution

Good educational foundation/ background and academic affiliation

13

60:17-22

Good educational Nursing as a way of foundation/ background life during college and academic affiliation

14

60:9-12

Nursing from irrelevance

Positive individual characteristics

14

I worked hard with my knowledge, skills and attitude and I've successfully overcome it all. In BSN I learned the value of life and it's connections to all the Illness and the interventions to solve it with not merely waiting for a doctor but doing it with my own perceptives, prioritizations and critical thinking accomplishing all areas of exposures especially immersion in copar, NCMH affiliations, Rehab exposures and all hospital, community and psychiatric experiences

60:12-14

Working hard to achieve KSA Independence of profession to medicine Presence of variety of areas for experience

Positive individual characteristics Positive individual characteristics Good educational foundation/ background and academic affiliation Good educational foundation/ background and academic affiliation

14

61:17-24

14

61:21-23

14

I've use the 11 key areas of responsibilities and core competencies

61:23-24

Recognition of the core competencies

g the BSN program

o competency. Analytic Memos A person who has expertise with research is able to ask the research topic is all about. Asking what the research is topic is a sign of competence and experience in research Competence in doing research is manifested when a person is able to relate his/her experience about his/her skill. If a person able to recognize a person linked to his/her profession, it can be deduced that he/she is updated to the happenings related to the profession The accomplishment of requirements of NLE is considered a sign of competency reflecting basic requirements for BSN. Having the license, for many people, may mean achievement of basic competency. Consistent evaluation of self can lead to feeling of competence especially if it is given as a feedback. If the things learned from the classroom able to be applied in the actual setting, competency is imminent. Category

Maturational

Maturational

Maturational

Maturational

Maturational

Maturational

Maturational

Competencies are included in the course outlines and able to appreciate the school program regarding competency-based curriculum

Maturational

Even after the BSN program, if a person has a conviction or wanting to take care of other people, competenct can be evidently achieved, especially when motivated.

Maturational

The recognition of the appilication of different nursing skills in spite how diffiicult or toxic it is will lean competence.

Developmental

Knowing and applying nursing in different setting whether related or not is considered a positive attribute of a nurse.

Situational

Acquisition of competence done by the academic affiliation and being felt by student is a good measurement of competence. The belief that nursing encompasses every aspect of a person is a belief personally acquired and attributable to recognition of individual totality.

Developmental

Situational

Academic institutions is expected to provide necessary and relevant institutions in the skills execution of student nurses to achieve competency. If school is able to provide competency assessment scales for their student the better the monitoring of the competency being garnered during exposure. Competency can be achieved a person continually develo on his own. Doing more than what is being done and correcting what is done incorrectly. As the aim of the curriculum for BSN graduates states, a student after graduation must be considered a nurse for all facets. Instillment of caring attributes emanates for a person through belief on the concepts of caring by being vocal to it.

Developmental

Developmental

Situational

Maturational

Situational

Appreciation of the application of the profession, anywhere and any person is considered a competency.

Situational

Evidence of competency from the academic institution is considered a evident if one is able to manifest it even through verbalizations.

Developmental

The application of competencies through out the development of thinking and application during BSN programs may lead to competency acquisition. A person who is able to appreciate a profession away from her usual practice is considered a competency of its own.

Developmental

Situational

Personal effort to achieve competency is a good sign of responsibility. Appreciation of the difference of the profession to other members of the health team is considered a way to facilitate competency acquisition. As required by the core competencies, students should be able to expose themselves to areas related to nursing. Knowledge about the core competencies guides the graduate nurse in her action while doing nursing care.

Situational

Situational

Developmental

Developmental