          

          
Unit VI
Emerging Opportunities

NURSING ASSOCIATIONS
 Alumni Associations
 1st association a nurse joins upon graduation
 Fosters loyalty among its members
 Provides graduates of institutions with opportunities for :
 Keeping abreast of school activities, program/s, problems to assist the
school in developing sound lines
 Becoming interested, well informed active members of their profession
 Keeping school friendships alive
 Assisting members in job placement
 Assisting in securing funds/money for procurement of loans or
scholarships
 Recognizing alumni through an achievement award program
 Becoming part of an organization through w/c their alma mater
continues to be of service to them after graduation through cooperative
programs of continuing education
 Helping to interpret the program of the school to recruitable students
 Philippine Nurses
Association (PNA)
 Was organized on October 22, 1922 upon the initiation
of Mrs. Anastacia Giron Tupas
 First president was Mrs. Rosario Delgado
 Formerly known as Filipino Nurses Association, and its
journal, the Filipino Nurse
 PNA yearly recognizes outstanding nurses in the fields
of nursing administration, nursing education and
community health nursing
 First male president, Dean Marco Antonio Sto. Tomas,
elected 1991
 Present PNA president, Mrs. Teresita I. Barcelo
 Purpose of Association
 To attain optimal level of professional standards
 To work for the welfare of member nurses
 To respond to the changing health needs of the
Philippine society
 To establish linkages with the government,
national and international agencies in the
attainment of national health goals and welfare of
member nurses
 National League of
Philippine Government
Nurses (NLPGN)
 A duly incorporated organization of the
professional nurses employed by the
government of the Philippines
 Formerly known as Department of Health
National League of Nurses (DHNLN)
 Founder: Annie Sand – Nursing Consultant
of the DOH on January 16, 1961
 Annie Sand Leadership Award is given to
an outstanding nurse or retiree who has
contributed to the improvement of nurses
and nursing in the government agencies
 Objectives of the
Association
 To promote and maintain the highest standards
of nursing in government
 To address problems concerning nurses and
nursing participation in formulation of all
policies, guidelines, programs and laws affecting
nurses and nursing practice in the Philippines
 To continuously upgrade professional
competence through research, training and
scholarship grants both foreign and local and
dissemination of information through nursing
publications
 Objectives of the
Association
 To collaborate with government, non
government and other allied professional groups
for the promotion of health services
 To foster national and international goodwill
among nurses and harness all energies towards
the attainment of common goals
 To help advance the science and art of nursing in
the Philippines to meet the needs of a changing
society
 To recognize the exemplary performance and
accomplishments of members
 Categories of
Membership
 REGULAR MEMBER– nurses employed in the
government service and retirees who have
rendered a minimum of 5 years in any
government agency
 LIFE MEMBER – nurses who have been regular
for at least 3 consecutive years and who have
paid the required life membership fee
 HONORARY MEMBER – are persons, who
because of their outstanding service to the
cause of nurses and nursing, are elected to
such honorary membership by the Board but
have no voting privileges
 Benefits of Being a
Member
1. May attend updates, seminar, conventions
organized by the organization and earn CEU
for license renewal
2. May be represented to the proper authorities
on matters concerning nursing practice
3. May be recognized for exemplary
performance with such awards as the Annie
Sand Leadership Awards and other
4. May be given assistance-in cash or in kind-
when sick or when she becomes victim of
calamities and national disasters
5. May receive a copy of the Newsletter, the
NLPGN’s official publication
 Benefits of Being a
Member
6. Member’s family will receive 3,000.00 for
regular members and 5,000 for life
members as death benefits
7. May vote and be voted upon
8. May avail of a copy of its 2 published
books at a discounted price
9. May be helped in the renewal of his/her
PRC license upon request
10. May avail of post graduate scholarships
offered by the DOH through the
recommendation of the NLPGN
 Association of Nursing Service
Administrators of the
Philippines (ANSAP)
 Founded in 1963 but was reorganized 10 years later in
1973
 Composed of nursing service administrators both in
government and private agencies
 Initiated the development of Standards of Nursing
Service and Nursing Practice in 1976
 The Standards of Nursing Service and Nursing Practice
were published as joint projects of the PNA and ANSAP
 Additional nursing standards in critical care,
community health, operating room, psychiatric
nursing practice were developed
 In partnership with B-Brawn Company, ANSAP
recognizes outstanding nursing administrators and
nursing practitioners yearly starting 2002
 Association of Deans of
Philippine Colleges of Nursing
(ADPCN)
 Established in April 1959 with Deans of the
Colleges of Nursing as its members
 Its main purpose is to promote, elevate, and
maintain standards of clinical instruction
program of nursing students and to improve
nursing service and facilities of the clinical
field in hospitals and public health agencies
 Association’s main interests are in the
improvement of clinical instruction programs
and the nursing service and the maintenance
of a standard of nursing school administration
 Purpose of ADPCN
 To participate in the formulation of legislations
affecting nursing education

 To make representations in discussions of

problems and solutions of the same to the
DOH, Evaluation Committee on Accreditation of
Training and the Student Affiliation, Budget
Office/Congress, as the case may be
 Military Nurses Association of
the Philippines (MNAP)
 Officially organized on September 5, 1965 in V.
Luna Hospital AFP in Quezon City
 By a group of dynamic nurses and corps officers
both active, inactive and retired who felt the need
for putting up a medium wherein they can express
their ideals and aspirations to better serve their
country
 MNAP is doing its share in programs of national
interest like the family planning projects, nutrition
programs, environmental sanitation, and tree
planting, among others
 Official organ: Philippine Military Nursing Journal
 Occupational Health Nurses
Association of the
Philippines (OHNAP)
 The Industrial Nursing Unit of the PNA was
organized on November 21, 1950 through
the initiative of Mrs. Magdalena Valenzuela
of the DOH
 For the purpose of promoting friendship
and to organize nurses in industrial and
commercial enterprises into an Industrial
Nursing Unit
 September 20, 1969 this unit was renamed
the Occupational Health Nurses Association
of the Philippines
 Philippine Association of
Public Health Nursing
Faculty
 This association was organized in
September 1961
 Dedicated to the maintenance of
high standards of objectives to
standardize and broaden instruction
in Public Health Nursing and to
undertake that which will enhance
professional growth
 Private Duty Nurses
Association of the Philippines
 Private duty nursing existed before as a
section of the PNA
 In 1975, the Philippine Hospital Association
had the agenda of its monthly meeting the
problems of the hospitals regarding private
duty nurses
 Problems: the need to increase the number
of PDN, provision of definite policies or
guidelines in employment, uniformity in rate
of pay and correct unprofessional practices
 Private Duty Nurses
Association of the
Philippines
 The need for an organized association
for private duty nurses emerged
during the conference with PNA Board
member Mrs. Mary Vita B. Jackson and
ANSAP President Dr. Perla B. Sanchez
 Mrs. Grace Oppus Villanueva, a private
duty nurse based in MMC was its
founding president
 Operating Room Nurses
Association of the
Philippines
 Composed of professional nurses working in the
OR of different hospitals in the Philippines
 Committed to the improvement of OR
management techniques and facilities
 To ensure maximum service to all patients
 To promote the professional development,
personal growth and well being of its members
by keeping them abreast with the new and
sophisticated methods in the field of OR
management
 Psychiatric Nursing Specialists
Foundation of the Philippines
 Views mental health and illness as states of
adaptation used by the individual in coping with
the circumstances in life
 PNSI subscribe to the belief that the psychiatric
nurse (a RN possessing at least a Master’s
degree in Psychiatric Nursing) can interact with
an individual, family and community and assist
them to use their own resources to maintain
mental illness occurs
 Psychiatric Nursing
Specialists Foundation of
the Philippines
 OBJECTIVES:
 .to provide for therapeutic and supportive services
needed to help the client and his family in the
formers relearning to live in the community
 .to help client identify and develop potentials in
his efforts toward self-reliance and success
 .to undertake research studies
 .to offer educational programs in mental health-
psychiatric nursing
 Services of the PNSI
 Nursing Supportive Care
 Child Day Care
 Adult Day Care
 Continuing Education
 Psychological Testing and Evaluation
 Nursing Researches
 Training and Extension Services
 Library
 Publications
 The Catholic Nurses
Guild
 The movement to organize the Guild began
sometime in 1956 at the instance of the
Apostolic Nuncio of the Philippines
 The organization of the Guild was subsequently
sanctioned by the Vatican Secretariat State
 Headquarters: 9988 Gen Solano St San Miguel
Manila
 Publication: Catholic Nurses Guild Magazine
 The Catholic Nurses
Guild
 OBJECTIVES:
 .promote spiritual welfare of the nurses
and to aid them in promoting the spiritual
welfare of those under their care
 .scientific progress following Christian
principles
 .study and coordinate governmental
legislation affecting hospitals and colleges
of nursing and public health
 Integrated Registered
Nurses of the Philippines
(IRNUP)
 Integration is a means of bringing together all
individual RN’s in the country under one
corporate body, parallel to the integration of the
Philippine Bar.
 The IRNUP has direct relationship with the PRC-
BON since the latter, by virtue of RA 7164
 IRNUP serves as the official national and
regional coordinator for nurses and nursing
 IRNUP was created Dec 28, 1995 at the Lung
Center of the Philippines
 THE INTERNATIONAL
COUNCIL OF NURSES
composed of national nursing associations all over
the world
all nurses collaborate in strengthening nursing
service, nursing education and professional ethics
sharing of common interest by working together
 PROFESSIONAL
ADJUSTMENT
growth of the individual and
development of his
capacities- physical,
mental, emotional, social
and spiritual.
 Characteristics of a
profession

 Altruism- work for the good of society

 Autonomy- self- determination
 Authority- based on knowledge
Accountability- answerable for their conduct
and responsible for their practice.
 Code of Ethics- relevance to social values
 Distinct identity
 TRENDS IN NURSING
PRACTICE
1. Automation
2. Independent Practice
3. Specialization
4. Primary Care Nursing
5. Team teaching
 FIELDS OF PRACTICE

1. Hospital or Institutional Nursing

- First level position - staff nurse
2. Community Health Nursing or Public Health
Nursing
3. Private Duty or Special Duty Nursing
4. Industrial or Occupational Health Nursing
5. Nursing Education
6. Military Nursing
7. School Nursing
 FIELDS OF PRACTICE

8. Entrepreneur- care centers,

nursing homes, review centers
9. Independent Nursing Practice
 Institutional Nursing

 Institutional nursing practice refers to a

nursing employment in a health care
setting (in-patient or out-patient)
 Providing nursing care to the individual,
family or community
 Often work under direct supervision of a
superior which may be a nurse or a
doctor and as a member of
multidisciplinary team
 Institutional Nursing

 Staff nurses, clinic nurses

 Nurses working in nursing homes,
rehabilitation nurses and other
extended health care facilities
 Public Health Nurse
/Community Health Nurse
 Community health nursing is defined as
“synthesis of nursing theory and public
health practice applied to promoting and
preserving the health of populations”
 Population: individuals, groups, family and
community
 Community health settings: ambulatory
health clinics, home health care, pre natal
and well baby clinics, rural health units and
city health offices
 Goals

 Improve the over all health of the

community
 Health promotion
 Health maintenance
 Health education
 Management
 Continuity and coordination of care

Are the chief concerns of community

health nurse
 Role and Functions
ROLE FUNCTIONS
•identifies, needs priorities and problems of
Planner individuals, families and community
/Programmer •Formulate nursing component of health
plans. In doctor less area, she/he is
responsible for the formulation of the
municipal health plan
•Interprets and implements nursing plan,
program policies, memoranda and circulars
for the concerned staff/personnel
•Provides technical assistance to rural health
midwives in health matters like target
setting, etc
ROLE FUNCTIONS

Provider of •Provides direct nursing care

Nursing Care to the sick, disabled in the
home, clinic, school or place
of work
•Develops the family’s
capability to take care of the
sick, disabled or dependent
member
•Provides continuity of
patient care
Roles and Functions of Community Health Nurse / Public Health Nurse
ROLE FUNCTIONS
•Formulates individual, family, group and
Manager/ community centered care plan
Supervisor •Interprets and implements program policies,
memoranda, circulars
•Organizes work force, resources,
equipments and supplies and delivery of
health care at local levels
•Requisitions, allocates, distributes materials
(medicine and medical supplies, records and
reports equipment)
•Provides technical and administrative
support to RHM
•Conducts regular supervisory visits and
meetings to different RHM and gives
feedback on accomplishments/ performance

Roles and Functions of Community Health Nurse or Public Health Nurse

ROLE FUNCTIONS

Community •Responsible for motivating and

enhancing community
Organizer participation in terms of
planning , organizing and
implementing and evaluating
health programs/services
•Initiates and participates in
community development
activities

Roles and Functions of Community Health Nurse/ Public Health Nurse

 ROLE FUNCTIONS

Coordinator of •Coordinates with individuals,

families and groups for health
Services and related health services
provided by various members of
health team and other
Government Organizations(GO)
and Non Government
Organizations (NGO)
•Coordinates nursing program
with other health programs as
environmental sanitation, health
education, dental health and
mental health
Roles and Functions of Community Health Nurse/ Public Health Nurse
ROLE FUNCTIONS
•Identifies and interprets training needs of
Trainer/Health the RHM’s, BHW’s and hilots
Educator •Formulate appropriate training program
design for RHM’s, BHW’s and hilots
Counselor •Provides and arranges learning experience
for RHM’s, affilitaes (nursing and midwife)
and other health workers
•Conducts training for RHM and hilot on
health promotion and disease prevention
•Conducts pre and post consultation for clinic
patients
•Facilitates training for BHW
•Organizes orientation/training of concerned
groups including NGO’s
•Acts as a resource person on health and
health related services

Roles and Functions of Community Health Nurse/ Public Health Nurse

ROLE FUNCTIONS

Health Monitor •Detects deviation from health of

individuals, families, groups of
the community through
contacts/visits with them
•Uses symptomatic and objective
observation and other forms of
data gathering like morbidity,
registry, questionnaire, checklist,
and anecdo-report/record to
monitor growth and development
and health status of individuals,
families and communities

Roles and Functions of Community Health Nurse/ Public Health Nurse

ROLE FUNCTIONS
•Provides good example /model of healthful
Role Model living to the public /community

ROLE FUNCTIONS
•Motivates changes in health behavior of
Change Agent individuals, families, group and community
including lifestyle in order to promote and
maintain health
ROLE FUNCTIONS
•Participates/assists in the conduct of
Researcher surveys studies and researches on nursing
and health related subjects
•Coordinates with GO and NGO in the
implementation of studies/research
ROLE FUNCTIONS
and submits required reports and
Recorder/Repor •Prepares
records
ter •Maintain adequate, accurate and complete
recording and reporting
Statistician •Reviews, validates, consolidates, analyzes
and interprets all records and reports
Roles and Functions of Community Health Nurse / Public Health Nurse
 Occupational Health
Nurse
 Occupational Health Nursing is concerned with the
health and safety of people at work, their families,
and the general community
 Occupational Health Nurses are RN’s who observe
and assess the worker’s health status with respect
to job tasks and hazards
 OHN’s primary responsibility: promotion and
preservation of the health working population
 Skills of Occupational
Health Nurse

KNOWLEDGE

TECHNICAL SKILLS
 Skills of Occupational
Health Nurse

HUMAN SKILLS

CONCEPTUAL
SKILLS
 Roles of Occupational
Health Nurse
CASE MANAGEMENT

COUNSELING AND CRISIS

INTERVENTION

HEALTH PROMOTION

LEGAL AND REGULATORY

COMPLIANCE

WORKER AND WORKPLACE

HAZARD DETECTION
Priority areas that should
have OHN
 INDUSTRIAL AND COMMERCIAL
ESTABLISHMENTS WHERE:
 There are no nurses employed
 There are complaints of occupational hazards
 There are cases of occupational disease
 Where assistance is necessary in the
establishment and maintenance of a clinic
with a full time nurse
(Nisce et al, 2000)
 School Nurse

 Is a registered professional nurse

working in the school setting
 Focus:
 Strengthen and facilitate the educational
process by promoting normal
development
 Promoting health and safety
 Intervening with actual and potential
health problems of the students
 School Nurse

 Goals:
 Modification or removal of health related
barriers to learning by providing school
nursing services that focus on prevention
of illness and disability
 Early detection and correction of health
problems
 Promotion of optimum level of wellness
 Qualities of a School
Nurse
 Because of her unique role, the school
nurse needs:
 Expertise in pediatric, public health and
mental health nursing
 Competent in preventive health, health
assessment and referral procedures
 Knowledge of laws in education and health
care that impact children in school setting
 Self motivated
 Possess strong skills in decision making,
communication, individual and classroom
education
 Child advocacy
 Private Duty Nurse (PDN)

 Is a RN who contracts independently to

render full time comprehensive nursing
care to patients on a one on one ratio in
the hospital or in the patient’s home
 Expected to observe Code of Ethics for
Nurses, hospital policies which she is
connected or affiliated, wear the
prescribe uniform and always have the
complete paraphernalia
 Classifications of PDN

 General PDN
 BSN – RN
 Has at least 2 years of bedside
professional nursing experience
 Certified I.V. nurse therapist by ANSAP
 Possess basic nursing skills expected
from a general nurse practitioner
 Classifications of PDN

 PDN Specialist
 Has advance training and education
enabling her to perform more complex
and wider independent nursing functions
which includes:
 Handling medical devices and nursing
procedures that require advance training
such as HEMODIALYSIS and PERITONEAL
DIALYSIS
 Interpretation of ECG, EEG, laboratory
diagnostic results, pulse oxymetry results
 Qualifications of PDN
 Registered Nurse
 Possess the following documents: Professional
Tax Receipt (PTR), PRC ID, residence
certificate
 Can provide full time nursing care
 2 years bedside nursing care
 Certified IV nurse therapist by ANSAP
 Acceptable to the Director of Nursing Service
as suitable for orientation to do private duty
nursing
 Preferably has undergone Critical Care nursing
course
 Military Nurse
 Provides all aspects of traditional nursing care
and practice in both peace and war-time
settings through various branches of the
military service : ARMY, NAVY, AIR FORCE
 To military personnel and their dependents
 A nurse who works in the military enters active
duty as an officer with a rank as 2nd lieutenant
 Qualifications
 Natural born citizen
 Pleasing personality and of good moral character
 Registered nurse
 Single or never been married
 Not more than 32 years of age at time of
commission
 Minimum height of 62 inches for female; 64 inches
for male (Regular Force, Nurse Corps)
 60 inches for female; 62 inches for male (Reserve
Force, Nurse Corps)
 Mentally/ physically fit for military service and
cleared by appropriate security agencies
 Privileges and Benefits of
Military Nurse
1. High salary rate and allowances
according to rank

2nd Lieutenant receive the same BASE PAY as officers of

equivalent rank, incentive pay, subsistence allowance,
quarters allowance, clothing allowance and others when
applicable
FLIGHT PAY for flight nurses which is 50% of base pay
HAZARD PAY (radiation hazard pay) which is 20% of base
pay
COLD WEATHER CLOTHING ALLOWANCE for those assigned
in cold regions like PMA in Baguio, or areas abroad
OVERSEAS PAY when detailed to foreign countries on
schooling or on missions
PRIVILEGES AND BENEFITS OF A MILITARY
NURSE
2. Glamour and prestige of the UNIFORM, RANK, and
POSITION. All junior officers and enlisted personnel will
salute and accord them due military courtesy
3. Hospitalization and free medical benefits for parents,
dependents, authorized relatives with specialists’ care
4. Military schooling and basic training at the ARMED
FORCES MEDICAL SERVICE SCHOOL at the V. LUNA
MEDICAL CENTER (VLMC)
5. Opportunity to meet people who hold key positions in
the AFP and in the government
6. Opportunity to attend gala, social functions and parade

7. Opportunity to travel abroad

 Nurse Educators
 Nurse educators are responsible for
providing quality educational experiences
that prepare future generations of nurses
to provide quality patient care, and at the
same time ensuring competence and
advancement of practicing nurses
 Their work involve: lesson planning,
instructing, evaluating learning, helping
students to solve learning problems and
difficulties
 They design, implement, evaluate and
revise academic and continuing education
programs for nurses
 Practice settings
 Colleges and universities
 Hospital based schools of nursing
 Online (internet) using distance learning technology
 Government agencies responsible in maintaining
nursing education standards such as CHED and PRC
 Seminar companies providing continuing education
 Review centers
 Staff development departments in patient-care
centers
 Healthcare organizations
 Other institutions requiring expertise of a nurse
educator
 Independent Nurse
Practitioner
 Independent = self employed
 Provides professional nursing services to
clients/patients and their families
 Community based clinics /near hospital
 Offers services rather than expect clients to seek
their help
 Perform both independent and collaborative roles
 Scope of nursing practice: health care assessment,
formulating plans for health maintenance,
prevention strategies, continuation of supportive
activities in critical and complex health problems
 Make referrals and collaborate with physicians and
other discipline as needed
 Nurses with Post Graduate
Education and Specialization
 Post Graduate Nursing Degrees:
 Master’s Degree: MAN, MSN – prepares nurses for more
independent role such as Independent Nurse Practitioner,
Nursing instructor and Nursing Supervisor
 Doctoral Degree: (PhD) prepares nurses to assume
leadership roles within the profession, conduct research that
impacts nursing practice and health care, and to teach at
colleges and universities . Doctorally-prepared nurses serve
as health system executives, nursing school deans, nursing
administrators, researchers and policy analysts and
formulator
 Nurses with Post Graduate
Education and Specialization
 Post Doctoral Programs – provides
advance research training for nurses who
hold doctoral degrees
 Expanded Role of Nurses
 1)nurse practitioners who deliver front-line primary and acute
care in community clinics, schools, hospitals, and other settings,
and perform such services as diagnosing and treating common
acute illnesses and injuries, providing immunizations, conducting
physical exams, and managing high blood pressure, diabetes, and
other chronic problems;
 2) certified nurse-midwives, who provide prenatal and
gynecological care to normal healthy women, deliver babies in
hospitals, private homes, and birthing centers, and continue with
follow-up postpartum care;
 3) clinical nurse specialists, who provide care in a range of
specialty areas, such as cardiac, oncology, neonatal, pediatric, and
obstetric/gynecological nursing; and
 4) certified registered nurse anesthetists, who administer
more than 65 percent of all anesthetics given to patients each year
and are the sole providers of anesthesia in approximately one-third
of U.S. hospitals.
What lies behind us and what lies
before us are tiny matters
compared to what lies within us

-Ralph Waldo
Emerson