DOLE leaves ANA issue to local counterparts; partial retake to proceed as scheduled

Thursday, March 15, 2007

Labor and Employment Secretary Arturo D. Brion today said that the American Nurses Association's (ANA) resolution for the full retake of the June 2006 Nursing Board Examinations is a matter for its local counterpart, the Philippine Nurses Association (PNA) and the Philippine Board of Nursing (BON) to address at this point.

"We should first allow the Board of Nursing to whom the ANA addressed its letter, to address the professional issue raised after consultations with the PNA. Let us give the nursing profession the first crack at responding to the issues of their American counterpart," Brion said.

Brion said that amidst this development, the scheduled voluntary retake of Tests III and V for those who passed the June 2006 exam and who want to work in the United States will proceed as scheduled.

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Scope of the Nursing Licensure Examination

PROFESSIONAL REGULATION COMMISSION – BOARD OF NURSING

NURSING PRACTICE 1

Test Description:

Theories concepts, principles and process basic to the practice of nursing with emphasis on health promotion and health maintenance. It includes basic nursing skills in the care of clients across age groups in any setting.

Moreover, it compasses the varied roles, functions and responsibilities of the professional nurse in varied health care settings.

Test Scope:

I. Personal and Professional Growth and Development

a. Historical perspective in nursing
b. Nursing as a profession
c. Theoretical foundation of nursing applied in health care situations
d. Continuing professional education
e. Professional organizations in nursing
f. The nurse in health care

1. Eleven key areas of responsibilities
2. Fields of nursing
3. Roles and functions

II. Safe and Quality Care

a. The nursing process
b. Basic nursing skills

1. Admission and discharge
2. Vital signs
3. Physical examination and health assessment
4. Administration of medications
5. Asepsis and infection control
6. First aid measures
7. Wound care
8. Peri-operative care
9. Post-mortem care

c. Measures to meet physiological needs

i. Oxygenation
ii. Nutrition
iii. Activity, rest and sleep
iv. Fluid and electrolyte balance
v. Urinary elimination
vi. Bowel elimination
vii. Safety, comfort and hygiene
viii.Mobility and immobility

III. Health education

a. Teaching and learning principles in the care of clients
b. Health education in all levels of care
c. Discharge planning

IV. Ethico-Moral Responsibility

a. Bioethical principles

i. Beneficence
ii. Non-malefescence
iii. Justice
iv. Autonomy
v. Stewardship
vi. Truth telling
vii. Confidentiality
viii.Privacy
ix. Informed consent

b. Patient’s bill of rights
c. Code of ethics in nursing

V. Legal Responsibility

a. Legal aspects in the practice of nursing
b. The Philippine Nursing Law of 2002 (R.A. 9173)
c. Related laws affecting the practice of nursing

VI. Management of Environment and Resources

a. Theories and principles and management
b. Nursing administration and management
c. Theories, principles and styles of leadership
d. Concepts and principles of organization
e. Patient care classification
f. Nursing care systems
g. Delegation and accountability

VII. Records Management

a. Anecdotal report
b. Incident report
c. Memorandum
d. Hospital manual
e. Documentation
f. Endorsement and end-shift report
g. Referral

VIII. Quality Improvement

a. Standards of nursing practice
b. Nursing audit
c. Accreditation/certification in nursing practice
d. Quality assurance

IX. Research

a. Problem identification
b. Ethics and science of research
c. The scientific approach
d. Research process
e. Research designs and methodology
i. Qualitative
ii. Quantitative

X. Communication

a. Dynamics of communication
b. Nurse-client relationship
c. Professional-professional relationship
d. Therapeutic use of self
e. Use of information technology

XI. Collaboration and teamwork

a. Networking
b. Inter-agency partnership
c. Teamwork strategies
d. Nursing and partnership with other professions and agencies



NURSING PRACTICE II

Test descriptions:

Theories, principles and processes in the care of individuals, families, groups and communities to promote health and illness and alleviate pain and discomfort, utilizing the nursing process as framework. This include care of high risk and at-risk mothers, children and families during the various stages of the life cycle.

Test Scope:

PART I: CHN

I. Safe and Quality Care, Health Education and Communication, Collaboration and Teamwork

a. Principles and standards of CHN
b. Levels of care
c. Type is clientele
d. Health care delivery system
e. PHC as a strategy
f. Family-based nursing services/community health nursing process
g. Population group-based nursing services
h. Community organizing
i. Public health programs

II. Research ad Quality Improvement

a. Research in the community
b. National health situation
c. Vital statistics
d. Epidemiology
e. Demography

III. Management Of Resources And Environment And Records Management

a. Field health services and information system
b. Target-setting
c. Environmental sanitation

IV. Ethico-Moral Legal Responsibility

a. Socio-cultural values, beliefs and practices of individuals, families, groups and communities
b. Code of ethics for government workers
c. WHO, DOH, LGU policies on health
d. Local government code
e. Issues

IV. Personal and Professional Development

a. Self-assessment of CHN competencies, importance, methods and tools
b. Strategies and methods of updating one’s self, enhancing competence in community health nursing and related areas

PART II: MCN

I. Safe and Quality Care, Health Education and Communication, Collaboration and Teamwork

a. Principles and theories of growth and development
b. Nursing care in the different stages of growth and development including

i. Nutrition
ii. Safety
iii. Language development
iv. Discipline
v. Play
vi. Immunization
vii. Anticipatory guidance
viii. Values formation

c. Human sexuality and reproduction including family planning
d. Nursing care of women during normal labor, delivery and postpartum
e. Nursing care of the newborn

i. APGAR scoring
ii. Newborn screening
iii. Maintenance of body processes (oxygenation, temperature, etc.)

f. Nursing care of women with complications of pregnancy, labor, delivery and postpartum period (high-risk conditions)
g. Nursing care of high-risk newborn

i. Prematurity
ii. Congenital defects
iii. Infections
h. Nursing care of women with disturbances in reproduction and gynecology

II. Research and Quality Improvement

a. Fertility statistics
b. Infant morbidity and mortality
c. Maternal mortality
d. Standards of maternal and child nursing practice

III. Ethico-Moral-Legal Responsibility

a. Socio-cultural values, beliefs and practices of individuals, families related to MCN
b. WHO, DOH, LGU policies on health women and children
c. Family code
d. Child and youth welfare code
e. Issues related to MCN

IV. Personal and Professional Development

a. Self-assessment of MCN competencies, importance, methods and tools
b. Strategies and methods of updating one’s self, enhancing competencies in MCN and related areas


NURSING PRACTICE III, IV, V

Test Description:

Theories, concepts, principles and processes in the care of clients with altered health patterns, utilizing the nursing process and integrating the key areas of nursing competencies.

Test Scope:

I. Safe and Quality Care, Health Education, Management of Environment and Resources and Quality Improvement


TEST III

a. Client in pain
b. Perioperative care
c. Alterations in human functioning
1. Disturbances in oxygenation
2. Disturbances in metabolic and endocrine functioning
3. Disturbances in elimination


TEST IV

a. Alterations in human functioning

1. Disturbance in fluids and electrolytes
2. Inflammatory and infectious disturbances
3. Disturbances in immunologic functioning
4. Disturbances in cellular functioning

b. Client in biologic crisis
c. Emergency and disaster nursing


TEST V

a. Disturbances in perception and coordination

i. Neurologic disorders
ii. Sensory disorders
iii. Musculo-skeletal disorders
iv. Degenerative disorders

b. Maladaptive patterns of behavior

i. Anxiety response and anxiety related disorders
ii. Psychophysiologic responses, somatoform and sleep disorders
iii. Abuse and violence
iv. Emotional responses and mood disorders
v. Schizophrenia and other psychotic and mood disorders
vi. Social responses and personality disorders
vii. Substance related disorders
viii. Eating disorders
ix. Sexual disorders
x. Emotional disorders of infants, children and adolescents


II. Personal and Professional Development

a. Nurse-client relationship
b. Continuing education

III. Communication, Collaboration and Teamwork

a. Team approach
b. Referral
c. Network/linkage
d. Therapeutic communication

IV. Ethico-Moral-Legal Responsibility

a. Confidentiality
b. Client’s rights

1. Informed consent
2. Refusal to take medications, treatment and admission procedures

c. Nursing accountability
d. Documentation/charting
e. Culture sensitivity

DOLE: Partial retake of nursing exams to proceed

By Veronica Uy
INQUIRER.net
Last updated 06:23pm (Mla time) 03/15/2007

MANILA, Philippines -- The partial retake of the leakage-tainted nursing tests will proceed as scheduled in June and December even as the American Nurses Association (ANA) has asked for a complete retake of the licensure examination, the Department of Labor and Employment said Thursday.

Labor Secretary Arturo Brion said he would leave it to the local counterparts of ANA -- the Philippine Nurses Association and the Philippine Board of Nursing -- to address the full retake recommendation of the US group.

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P20 million allocated for nursing test retake

By Sam Mediavilla, Reporter

President Arroyo on Wednesday formally ordered Labor and Employment Secretary Arturo Brion to administer the voluntary retake of Tests 3 and 5 of the June 2006 nursing examinations.

The President, in Executive Order 609 she signed March 12, also directed the Department of Budget and Management to allocate P20 million for the administration of the voluntary, special and partial nursing licensure exam.

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Nursing exam retake set on June 11-12

The Department of Labor has scheduled the voluntary retake of last year's leakage-ridden nursing board exam on June 11 and 12, dzBB radio said.

Labor Secretary Arturo Brion was quoted as saying that the retake will cover two subjects, identified in earlier interviews as Tests 3 (Medical Surgical Nursing) and 5 (Psychiatric Mental Health).

He said the retake will be the central topic of discussion among government officials and deans of participating schools. The discussion will be held on March 17 at the University of the Philippines School of Nursing.

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ANA's Statement on the June 2006 PNLE

AMERICAN NURSES ASSOCIATION URGES NEW TESTS FOR PHILIPPINE NURSES SEEKING TO PRACTICE IN THE U.S.
EARLIER EXAMS COMPROMISED, QUESTIONS LEARNED PRIOR TO TESTING

SILVER SPRING, MD – The American Nurses Association (ANA) is urging the Philippine government to facilitate a retake of the nurse licensure exam without penalty for the nurses who passed the June 2006 examination. Following investigations by both the Commission on Graduates of Foreign Nursing Schools (CGFNS) and the Philippine government, it was discovered at least 110 questions (22 percent) of the 500 question exam were known by large numbers of examinees and test-preparation operators at least two days prior to commencement of the examination.

“It is clear that the exam was significantly compromised. In the interest of public health and safety, ANA believes that every effort must be made to protect the integrity of the professional exam and licensure process in order to uphold the public trust and confidence,” commented President Rebecca M. Patton, MSN, RN, CNOR.
ANA has resolved that all passing applicants of the June 2006 Philippine nurse licensure exam wishing to be considered for entrance into the United States to practice nursing should be required to retake a new and different nurse licensure test and obtain a passing score. ANA recognizes the June 2006 applicants who passed the examination are lawfully licensed to practice nursing in the Philippines. However, U.S. law requires that all non-U.S. licensed registered nurses applicants be reviewed to determine if the foreign educated nurse’s education, training license and experience is comparable to that of a registered nurse in the United States. Given the extent to which the June 2006 exam was compromised, there are significant questions as to whether the exam can be considered a reliable test of nursing knowledge.

Foreign educated nurses are required to be prescreened and certified as part of the temporary or permanent occupational visa application process, as detailed in the Illegal Immigration Reform and Immigrant Responsibility Act of 1996. ANA was one of the strongest proponents of the pre-screening provisions of that legislation as part of the association’s commitment to maintaining the highest professional standards, and ensuring a prescreening process that works to protect the public safety.

Continue Reading... SOURCE http://nursingworld.org/pressrel/2007/statementPhilippine_Nurse_Exam.pdf
ANA's Letter to PRC Chair: http://nursingworld.org/inc/LetterPRC022807.pdf

The NURSING CONTROVERSY

Thursday, September 14, 2006

FOLLOWING my Manila Moods column two weeks ago about the leakage of the nursing board exam answers in the Philippines, I got a flood of angry emails from readers attacking me for saying that all the June 2006 exam takers should be asked to retake sections III and V of the exam, since it was answers to those questions which were leaked through several review centers.
A few days after that column appeared I received the following letter from Erlinda Castro-Palaganas, past governor of the Philippine Nursing Association for Region 1, in which she basically agreed with all of the points I had raised.
The letter is so good that I have decided to include it here in it's entirety:

Dear Rasheed,

Thank you for your holistic and analytical lens at looking at issues related to the nursing leakage. It is heartening and very comforting to note that there are still media advocates who believe in our cause. Comrades from all over the country call us, The Baguio Braves because we dared come out against the giants when we said, “there is a leakage” in the last June 11-12 nursing licensure examinations.

In one of our public statements, we, The Baguio Braves Alliance, whose members include those who exposed the leakage in the June 2006 local nursing board examination and nursing leaders, denounces in the strongest possible terms the reckless manner with which the Professional Regulation Commission handled the fraud that attended the said professional test. Particularly, we take notice of the following:

1. PRC exerted every possible effort to cover up the fraud. Even if it had overwhelming evidence thereof in its hand, it still audaciously claimed in a public statement that there was no leakage.
2. When it could not cover up the leakage, it insisted on conducting the investigation amidst resounding calls for an independent investigating body. What were the fruits of the PRC investigation? Nothing. It only acknowledged that there was leakage but it could not determine the culprits. Was this an admission of PRC incompetence? Or was its decision to turn over the investigation to the NBI occasioned by the fact that it stumbled upon evidences that could implicate “friends and associates” and did not want to be the one to nail them? Pontius Pilate still lives!

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Nursing Controvery

Update: inq7 Nursing Controversy

More News Online

www.filipinobsn.blogspot.com
www.themariannurse.blogspot.com

Visa Screen Update

FAQs:

• Does passage of the NCLEX or the CGFNS Exam make someone who passed only the June 2006 Exam
  eligible for a VisaScreen certificate?
• Does the CGFNS decision have an effect on the validity of the Philippine nursing licensure?

CGFNS Visa Screen Update

Further information on February 14 announcement: CGFNS denies VisaScreen^® certificates for Philippine nurses who passed the compromised June 2006 Philippine Licensure Examination

BY: Barbara L. Nichols, Chief Executive Officer, Commission on Graduates of Foreign Nursing Schools (CGFNS International)

PHILADELPHIA, PA — FEBRUARY 20, 2007 — The VisaScreen^® Certification Program is a federally mandated immigration screening program for certain foreign health professionals seeking an occupational visa to the United States. CGFNS is designated by U.S. immigration law to administer this program. Pursuant to its mandate under Section 212(a)(5)(C) of the U.S. Immigration Nationality Act, CGFNS has determined that those Philippine nurses who were sworn in as licensed nurses in the Philippines following their passing the compromised June 2006 licensure examination are not eligible for the issuance of a VisaScreen certificate. CGFNS has further determined that the June 2006 passers are able to overcome this bar and qualify for issuance of a VisaScreen certificate by taking the equivalent of Tests 3 and 5 on a future Philippine nursing exam.

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The Potential Use of Blogs in Nursing Education

Blogs in Nursing Education
The University of Wisconsin-Madison Medical School^[49] hosts a Student Organization page that contains students' blogs about different topics related to students' experiences in medical school. Instructors are encouraged to create their own blogs before introducing blogging as a classroom activity. A simple Google search for a specific health profession blog will allow the instructor to contact the author and dialogue about the challenges and successes of their specific site. Educators may create blog sites that serve as multidisciplinary forums for healthcare professionals.

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