STANDARDS OF

PROFESSIONAL
NURSING
PRACTICE
 The professional nurses can:
• Have a better understanding of their professional
obligation;
• Use nursing standards as basis for enhancing their
competence and professional development;
• Advocate for changes in policies and practice; and
• Define and resolve professional practice issues and
concerns.
 The Employers can develop systems that support
nurses to meet prescribed standards of practice
focusing on:

• Developing job descriptions;

• Developing orientation and in-service programs; and
• Creating performance appraisal tool.
For Nursing Education Leaders to serve as guide
in the setting of nursing curriculum standards.

• The public can be assured of competent, safe, quality

nursing care and ethical practice
The PRBON can use these as bases for legal
responsibility to protect the public by
regulating nursing practice by:
• Recognizing the entry level education program;
• Providing guidance to nurses of their professional
obligations;
• Providing a foundation for the assessment of their
professional performance;
• Clarifying to the public and other health care
professionals what the profession expects of its members;
and
• Serving as a basis in addressing incompetent and
unethical nursing practice.
 PHILIPPINE
PROFESSIONAL
NURSING
PRACTICE
STANDARDS
 Value-based Nursing Practice
Standards
• Is a clinical decision-making process guided by empirical
body of knowledge, ethico-moral values and practices,
rules and regulations, combined with appropriate
competencies in client care reflecting personal and
professional values when engaging with others of diverse
culture.
 STANDARD A1- CARE OF
CLIENTS
• Is the provision of professional nursing services to varied
clients: individuals across the lifespan with varying health-
illness status and gender; to healthy or at-risk families,
population groups and communities.
 Competencies:
• Provide quality and safe nursing care utilizing the nursing
process.
• Demonstrate appropriate knowledge and skills based on
the health/illness status of individual, families, population
groups and/or communities.
• Provide sound decision making in the care of
individuals/families/population groups and communities
considering their beliefs and values.
• Promotes client safety.
• Sets priorities in nursing care based on client’s needs.
• Implement sound nursing care to achieve identified client
outcomes.
• Ensures continuity of care.
• Participates in quality improvement activities (e.g.
feedback on client’s satisfaction, accreditation, quality
assurance and related activities).
 STANDARD A2 – ETHICAL,
MORAL, AND LEGAL PRACTICE
• Adheres to ethical, moral, and legal standards in the
provision of care.
• ETHICAL – refers to principles that encourage universal
values such as trust, respect, fairness, and benevolence
• MORAL – refers to beliefs of what is right and wrong.
• LEGAL – refers to conformity to the provisions relevant to
laws and jurisprudence.
 Competencies:
• Adheres to ethico-moral and legal considerations when providing safe
and quality care.
• Protects client’s rights based on Patient’s Bill of Rights and Obligations.
• Applies ethical reasoning and decision-making process to address
situations of ethical and moral dilemma.
• Adheres to the established norms of conduct based on the Philippine
Nursing Law and other legal, regulatory and institutional requirements
relevant to safe nursing practice.
• Accepts responsibility and accountability for own decisions and actions.
 STANDARD A3 – PERSONAL AND
PROFESSIONAL VALUES
• PERSONAL VALUES – are a set of individual’s principles,
standards, concepts, beliefs and ideas that are
internalized from the society or culture in which one lives.
• PROFESSIONAL VALUES – are beliefs and principles that
guide nursing practice and which influence one’s work
behavior.
 Competencies:
• Assumes responsibility and accountability for personal
and professional development and for lifelong learning.
• Demonstrates continual competencies and professional
growth.
• Engages in advocacy activities to influence health and
social care services.
• Models personal and professional behavior.
 KNOWLEDGE-DRIVEN NURSING
PRACTICE STANDARDS
• Refers to the consistent application of a scientific body of
knowledge and skills through the interrogation of the
different patterns of knowing such as aesthetics, ethics,
and personal relationships as bases for safe and sound
judgment to appropriate care of clients.
 STANDARD B1 - RESEARCH
• Is a scientific process that validates existing
theories/models and generates new knowledge to improve
nursing practice, client outcomes, and health care
delivery system.
 Competencies:
• Plan research activities individually or in groups to
generate relevant areas of study.
• Conducts relevant research studies.
• Uses research results/findings to improve nursing
practice.
 STANDARD B2 – EVIDENCE
BASED NURSING
• Is a problem-solving approach that integrates current best
evidence, clinical expertise, and client’s preference and
values in making decisions.
 Competencies:
• Uses the current best evidence in providing safe and
quality care.
• Collaborates with the health care team and other
stakeholders in the application of best research evidence
in client care.
• Integrates client’s values, preferences, best evidences and
clinical expertise in decision making for client care.
 STANDARD B3 – CONTINUAL
QUALITY IMPROVEMENT
• Is the analysis of performance, monitoring of the outcome
of processes, and application of strategies for the
improvement of safe and quality nursing practice.
 Competencies:
• Participates in quality improvement programs and
activities.
• Contributes to continuing growth and development of the
profession and the nurse.
• Keeps abreast with trends and developments of health
care system and nursing profession.
 OUTCOME-ORIENTED
PROFESSIONAL RELATIONSHIPS
• Refers to intra- and inter – professional relationships that
lead to an enhancement of one’s role through
communication, collaboration and understanding of
cultural context to achieve mutually-agreed upon
outcomes for the client care.
 STANDARD C1 -
COMMUNICATION
• Is a relational process whereby messages are transmitted
and understood by both the sender and the recipient using
varied modes, skills and approaches including media and
information technology with the goal to facilitate effective
health care delivery.
 Competencies:
• Establishes working relationship with clients,
family/relatives, health team members, and other
stakeholders.
• Communicates effectively with clients, health team
members and other stakeholders to facilitate delivery of
care.
• Responds to needs od individuals, families, population
groups and communities.
• Uses safe, appropriate and secure technology to
facilitated communication.
STANDARD C2 – COLLABORATION
AND TEAMWORK
• COLLABORATION -refers to the process where there is
partnership among the health care professionals which is
reciprocal and founded on respect and trust, considering
each other’s expertise in achieving mutual goals.
• TEAMWORK – is to “function effectively within nursing
and interprofessional teams, fostering open
communication, mutual respect, and shared decision-
making to achieve quality patient care.”
 Competencies:
• Establishes collaborative relationships with colleagues and other health team members.
• Coordinates plan of care with inter-professional health team members.
• Applies principles of partnership and collaboration to improve delivery of health
services.
• Determines resources available for networking, linkage building, and referral necessary
for improving delivery of health services.
• Collaborates with government organization (GO’s), non government organizations
(NGO’s) and other socio-civic organizations on matters related to environmental and
community health.
• Engages in advocacy activities that foster the growth and development of the nursing
profession.
STANDARD C3 – TRANSCULTURAL
NURSING CARE
• Is the provision of safe, efficacious, responsible and
meaningful nursing services to people according to their
cultural values and health illness context.
• COMPETENCE – demonstrates better understanding of
the role of culture in the delivery of nursing care.
LEADERSHIP AND GOVERNANCE
STANDARDS
• Is influencing other people through the exercise of
authority, direction, control and regulation in the practice
of the nursing profession to achieve desired goals.
 STANDARD D1 – PERSONAL AND
PROFESSIONAL DEVELOPMENT
• Refers to the acquisition of knowledge and skills for
ensuring that one’s performance in the chosen area of
expertise is always at the highest possible level, in both
career and life roles.
 Competencies:
• Develop self-awareness towards personal and professional development.
• Determines one’s career path, considering the current and relevant
frameworks for development.
• Pursues continuing professional development.
• Adapts to changes in nursing and health.
• Gets involved in professional organizations and socio-civic activities
• Performs functions according to professional standards.
• Demonstrates positive attitude towards change and criticism.
 STANDARD D2 – RESPONSIBILITY
AND ACCOUNTABILITY
• RESPONSIBILTY – refers to the nurse’s obligations,
accountability and liability in carrying out the authority
accorded by the state through the Nursing Law and other
regulatory laws, policies and rules.
• ACCOUNTABILITY – is the nurse’s willingness to be
judged against performance expectations and live the
consequences of one’s actions.
 Competencies:
• Supervises the nursing care given by others, while
retaining accountability for the quality of care given to
clients.
• Seeks ways to promote nursing autonomy and
accountability.
• Participates in the development of policies and standards
regarding safe nursing practice.
 STANDARD D3 – POSITIVE
PRACTICE ENVIRONMENT
• Is one where the nurse performs in a supportive, safe,
caring, encouraging, and positively charged workplace
where the individual’s potential are maximally developed.
It included the physical, psychological, socio-political,
cultural, and spiritual dimensions of the work setting.
 Competencies:
• Promotes a healthy, safe and quality environment of care.
• Maintains professionalism in the workplace.
 STANDARD D4 – SOCIAL
RESPONSIBILITY
• Is an obligation to act in fulfilling one’s civic duty for the
benefit of society. The nurse is sensitive and responsive to
the social, cultural, economic, political, spiritual and
environmental issues.
 Competencies:
• Participates in activities that contribute to the attainment
of social goals and development.
• Empowers self, clients and society towards social
responsibility.
 STANDARD D5 – RESOURCE
MANAGEMENT
• Refers to the efficient and effective allocation of
resources, where and when they are needed, and which
include human, organizational, information, financial,
technical, equipment, materials and physical resources.
 Competencies:
• Utilizes resources necessary to deliver client care.
• Advocate for safe staffing pattern
• Utilizes financial, technical, physical and material
resources to support client care.
• Follows established mechanism to ensure proper
functioning of equipment.
• Maintains a safe work environment.