Alagar, Mariana Mikaela
Communication is the key to a good
The 6 C’s in Nursing
The 6Cs of nursing stand for the
professional commitment to always deliver
excellent care. Each value is equal, not one
is more important than the other. They
focus on putting the person being cared for
at the heart of the care they are given.
 Care
Care is our core business and that of our
organizations, and the care we deliver
helps the individual person and
improves the health of the whole
community. Caring defines us and our
work. People receiving care expect it to
be right for them, consistently,
throughout every stage of their life.
 Compassion
Compassion is how care is given through
relationships based on empathy, respect
and dignity - it can also be described as
intelligent kindness, and is central to
how people perceive their care.
 Competence
Competence means all those in caring
roles must have the ability to
understand an individual’s health and
social needs and the expertise, clinical
and technical knowledge to deliver
effective care and treatments based on
research and evidence.
 Communication
Communication is central to successful
caring relationships and to effective
team working. Listening is as important
as what we say and do and essential for
"no decision about me without me".
workplace with benefits for those in our
care and staff alike.
 Courage
Courage enables us to do the right thing
for the people we care for, to speak up
when we have concerns and to have the
personal strength and vision to innovate
and to embrace new ways of working.
 Commitment
A commitment to our patients and
populations is a cornerstone of what we
do. We need to build on our
commitment to improve the care and
experience of our patients, to take
action to make this vision and strategy a
reality for all and meet the health, care
and support challenges ahead.
11 Core Competencies and its Indicators
CORE COMPETENCY STANDARDS FOR
NURSING PRACTICE IN THE PHILIPPINES
○ Safe & quality nursing practice
○ Management of resources & environment
○ Health education
○ Legal responsibility
○ Ethic – moral responsibility
○ Personal & professional development
○ Quality improvement
○ Research
○ Record management
○ Communication
○ Collaboration & teamwork
LEGAL BASES
Article 3 Sec.9 (c) of R.A. 9173/ “Philippine
Nursing Act 2002”
Board shall monitor & enforce quality
standards of nursing practice necessary to
ensure the maintenance of efficient, ethical
and technical, moral and professional
standards in the practice of nursing taking
into account the health needs of the nation.
SIGNIFICANCE OF CORE COMPETENCY
STANDARDS
 Unifying framework for nursing
practice, education, regulation
 Guide in nursing curriculum
development
 Framework in developing test
syllabus for nursing profession
entrants
 Tool for nurses’ performance
evaluation
 Basis for advanced nursing practice,
specialization
 Framework for developing nursing
training curriculum
 Public protection from incompetent
practitioners
 Yardstick for unethical,
unprofessional nursing practice
Phases of developing competency
standards:
○ 1st Phase
Competency identification through DACUM
○ 2nd Phase
Verification of identified competencies
○ 3rd Phase
Pilot testing (senior student in 8 nursing
colleges)
○ 4th Phase
Benchmarking with exiting standards from 3
countries + ICN
Posted by Chief Nurse
I. SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 1:
Demonstrate knowledge based on
health/illness status of individual/ groups
Indicators:
○ Identifies health needs of patients/groups
○ Explains patient/group status
CORE COMPETENCY 2:
Provides sound decision making in care of
individual/groups considering their beliefs,
values
Indicators:
○ Problem identification
○ Data gathering related to problem
○ Data analysis
○ Selection appropriate action
○ Monitor progress of action taken
CORE COMPETENCY 3:
Promotes patient safety and comfort
Indicators:
○ Performs age-specific safety measures
and comfort measure in all aspects of
patient care
CORE COMPETENCY 4: CORE COMPETENCY 8:
Priority setting in nursing care based on Formulates care plan in collaboration with
patients’ needs patients, other health team members
Indicators: Indicators:
○ Identifies priority needs of patients ○ Includes patients, family in care planning
○ Analysis of patients’ needs ○ States expected outcomes in nursing
○ Determine appropriate nursing care to be interventions
provided ○ Develops comprehensive patient care
plan
CORE COMPETENCY 5: ○ Accomplishes patient centered discharge
Ensures continuity of care plan
Indicators:
○ Refers identified problems to appropriate CORE COMPETENCY 9:
individuals/ agencies Implements NCP to achieve identified
○ Establish means of providing continuous outcomes
patient care Indicators:
○ Explain interventions to patient, family
CORE COMPETENCY 6: before carrying them out
Administers medications and other health ○ Implement safe, comfortable nursing
therapeutics interventions
Indicators: ○ Acts according to client’s health
○ Conforms to the 10 golden rules in conditions, needs
medication administration and health ○ Performs nursing interventions effectively
therapeutics and in timely manner

CORE COMPETENCY 7: CORE COMPETENCY 10:

Utilizes nursing process as framework for Implements NCP progress toward expected
nursing. Performs comprehensive, outcomes
systematic nursing assessment Indicators:
Indicators: ○ Monitors effectiveness of nursing
○ Obtains consent interventions
○ Complete appropriate assessment forms ○ Revises care plan PRN
○ Performs effective assessment techniques
○ Obtains comprehensive client information CORE COMPETENCY 11:
○ Maintains privacy and confidentiality Responds to urgency of patient’s condition
○ Identifies health needs Indicators:
○ Identifies sudden changes in patient’s
health conditions
○ Implements immediate, appropriate ○ Verifies the competence of the staff prior
interventions to delegating tasks

II. MANAGEMENT OF RESOURCES AND CORE COMPETENCY 5:

ENVIRONMENT Maintains safe environment
Indicators:
CORE COMPETENCY 1: ○ Observe proper disposal of waste
Organizes workload to facilitate patient care ○ Adheres to policies, procedures and
Indicators: protocols on prevention and control of
○ Identifies task or activities that need to be infection
accomplished ○ Defines steps to follow incase of fire,
○ Plans the performance of task or activities earthquake and other emergency situation
based on priority
○ Finishes work assignment on time III. HEALTH EDUCATION

CORE COMPETENCY 2: CORE COMPETENCY 1:

Utilizes resources to support patient care Assesses the learning needs of the patient
Indicators: and the family
○ Determines the resources needed to Indicators:
deliver patient care ○ Obtains learning information through
○ Control the use of equipment interview, observation and validation
○ Defines relevant information
CORE COMPETENCY 3: ○ Completes assessment records
Ensures the functioning of resources appropriately
Indicators: ○ Identify priority needs
○ Check proper functioning of the
equipment CORE COMPETENCY 2:
○ Refers Malfunctioning equipment to Develops Health Education plan based on
appropriate unit assessed and anticipated needs.
Indicators:
CORE COMPETENCY 4: ○ Considers nature of the learner in relation
Check the proper functioning of the to social, cultural, political, economic,
equipment educational, and religious factor
Indicators:
○ Determines the task and procedures that CORE COMPETENCY 3:
can be safely assigned to the other Develops learning material for health
members of the team education
Indicators:
○ Involves the patient, family and significant
others and other resources
○ Formulates a comprehensive health
educational plan with the following
components, objectives, content and time
allotment
○ Teaching-learning resources and
evaluation parameters
○ Provides for feedback to finalize plan
CORE COMPETENCY 4:
Implements the health Education Plan
Indicators:
○ Provides for conducive learning situation
in terms of timer and place
○ Considers client and family preparedness○
Utilize appropriate strategies
○ Provides reassuring presence through
active listening, touch and facial expression
and gestures
○ Monitors client and family’s responses to
health education
CORE COMPETENCY 5:
Evaluates the outcome of health Education
Indicators:
○ Utilizes evaluation parameters
○ Documents outcome of care
○ Revises health education plan when
necessary
IV. LEGAL RESPONSIBILITY
CORE COMPETENCY 1:
Adheres to practices in accordance with the
nursing law and other relevant legislation
including contract and informed consent.
Indicators:
○ Fulfill legal requirements in Nursing
Practice
○ Holds current professional license
○ Acts in accordance with the terms of
contract of employment and other rules
and regulation
○ Complies with the required CPE
○ Confirms information given by the doctor
for informed consent
○ Secures waiver of responsibility for refusal
to undergo treatment or procedures
○ Check the completeness of informed
consent and other legal forms
CORE COMPETENCY 2:
Adheres to organizational policies and
procedures, local and national
Indicators:
○ Articulates the vision and mission of the
institution where one belongs
○ Acts in accordance with the established
norms and conduct of the institution/
organization
CORE COMPETENCY 3:
Document care rendered to patients.
Indicators:
○ Utilizes appropriate patient care records
and reports
○ Accomplish accurate documentation in all
matters concerning patient care in
accordance with the standard of nursing
practice.
V. ETHICO-MORAL RESPONSIBILITY ○ Determines personal and professional
goals and aspirations.
CORE COMPETENCY 1:
Respects the rights of individual/ groups CORE COMPETENCY 2
Indicator: Pursues continuing education
○ Renders nursing care consistent with the
patient’s bill of rights (ie. confidentiality of Indicators:
information, privacy, etc.) ○ Participates in formal and non-formal
education.
CORE COMPETENCY 2 ○ Applies learned information for the
Accepts responsibility & accountability for improvement of care.
own decisions and actions
Indicators: CORE COMPETENCY 3
○ Meets nursing accountability Gets involved in professional organizations
requirements as embodied in the job and civic activities
description Indicators:
○ Justifies basis for nursing actions and ○ Participates actively in professional,
judgment social, civic and religious activities
○ Protects a positive image of the ○ Maintain membership to professional
profession organizations
○ Support activities related to nursing and
CORE COMPETENCY 3 health issues
○ Adheres to the national and international
code of ethics for nurses CORE COMPETENCY 4
Indicators: Projects a professional image of nurse
○ Adheres to the Code of Ethics for Nurses Indicators:
and abides by its provisions ○ Demonstrate good manners and right
○ Reports unethical and immoral incidents conduct at all times.
to proper authorities ○ Dresses appropriately.
○ Demonstrates congruence of words and
VI. PERSONAL & PROFESSIONAL actions.
DEVELOPMENT ○ Behaves appropriately at all times.

CORE COMPETENCY 1 CORE COMPETENCY 5

Identifies own learning needs Possesses positive attitude towards change
Indicators: and criticism
○ Verbalizes strengths, weaknesses,
limitations.
Indicators:
○ Listens to suggestions and
recommendations.
○ Tries new strategies or approaches.
○ Adapts to changes willingly.
CORE COMPETENCY 6
Performs function according to professional
standards
Indicators:
○ Assesses own performance against
standards of practice.
○ Sets attainable objectives to enhance
nursing knowledge and skills.
○ Explains current nursing practices, when
situations call for it.
VII. QUALITY IMPROVEMENT
CORE COMPETENCY 1:
Gathers data for quality improvement
Indicators:
○ Demonstrates knowledge of method
appropriate for the clinical problems
identified
○ Detects variation in the vital signs of the
patient from day to day
○ Reports necessary elements at the
bedside to improve patient stay at hospital
○ Solicits feedback from patient and
significant others regarding care rendered
CORE COMPETENCY 2:
Participates in nursing audits and rounds
Indicators:
○ Contributes relevant information about
patient condition as well as unit condition
and patient current reactions
○ Shares with the team current information
regarding particular patients condition
○ Encourages the patient to speak about
what is relevant to his condition
○ Documents and records all nursing care
and actions
○ Performs daily check of patient
records/condition
○ Completes patient’s records
○ Actively contributes relevant information
of patients during rounds thru readings and
sharing with others
CORE COMPETENCY 3:
Identifies and reports variances
Indicators:
○ Documents observed variance regarding
patient care and submits to appropriate
group within 24 hours
○ Identifies actual and potential variance to
patient care
○ Reports actual and p otential variance to
patient care
○ Submits report to appropriate groups
within 24 hours
CORE COMPETENCY 4:
Recommends solutions to identified
problems
Indicators:
○ Gives appropriate suggestions on
corrective and preventive measures
○ Communicates and discusses with
appropriate groups
○ Gives and objective and accurate report
on what was observed rather than an
interpretation of the event.
VIII. RESEARCH
CORE COMPETENCY 1:
Gathers data using different methodologies
Indicators:
○ Identifies researchable problems
regarding patient care and community
health
○ Identifies appropriate methods of
research for a particular patient/community
problem
○ Combines quantitative and qualitative
nursing design thru simple explanation on
the phenomena observed
○ Analyzes data gathered
CORE COMPETENCY 2:
Recommends actions for implementation
Indicator:
○ Based on the analysis of data gathered,
recommends practical solutions appropriate
for the problem
CORE COMPETENCY 3:
Disseminates results of research findings
Indicators:
○ Communicates results of findings to
colleagues/patients/family and to others
○ Endeavors to publish research
○ Submits research findings to own
agencies and others as appropriate
CORE COMPETENCY 4:
Applies research findings in nursing practice
Indicators:
○ Utilizes and findings in research in the
provision of nursing care to
individuals/groups/communities
○ Makes use of evidence-based nursing to
ameliorate nursing practice
IX. RECORDS MANAGEMENT
CORE COMPETENCY 1:
Maintains accurate and updated
documentation of patient care
Indicator:
○ Completes updated documentation of
patient care
CORE COMPETENCY 2:
Records outcome of patient care
Indicator:
○ Utilizes a record system
CORE COMPETENCY 3:
Observes legal imperatives in recording
keeping
Indicators:
○ Observes confidentially and privacy of
patient’s records
○ Maintains an organized system of filing
and keeping patient’s records in a
designated area
○ Refrains from releasing records and other
information without proper authority
X. COMMUNICATION Indicator:
○ Utilizes telephone, mobile phone, email
CORE COMPETENCY 1: and internet, and informatics
Establishes rapport with patients, significant ○ Identifies a significant other so that follow
others and members of the health team. up care can be obtained
Indicators: ○ Provides “holding” or emergency
○ Creates trust and confidence numbers of services
○ Listens attentively to client’s queries and
requests XI. COLLABORATION and TEAMWORK
○ Spends time with the client to facilitate
conversation that allows client to express CORE COMPETENCY 1:
concern. Establishes collaborative relationship with
colleagues and other members of the
CORE COMPETENCY 2: health team
Identifies verbal and non-verbal cues Indicators:
Indicator: ○ Contributes to decision making regarding
○ Interprets and validates client’s body patients” needs and concerns
language and facial expression ○ Participates actively in patients care
management including audit
CORE COMPETENCY 3: ○ Recommends appropriate intervention to
Utilizes formal and informal channels improve patient care
Indicator: ○ Respects the role of the other members
○ Makes use of available visual aids of the health team
○ Maintains good interpersonal
CORE COMPETENCY 4: relationships with patients, colleagues and
Responds to needs of individuals, family, other members of the health team
group and community
Indicator: CORE COMPETENCY 2:
○ Provides re- assurance through Collaborates plan of care with other
therapeutic, touch, warmth and comforting members of the health team
words of encouragement Indicator:
○ Readily smiles ○ Refers patients to allied health team
partners
CORE COMPETENCY 5: ○ Acts liaison / advocate of the patients
Uses appropriate information technology to ○ Prepares accurate documentation of
facilitate communication efficient communication of services