Week_7_lecture

Faculty and Course Information

• Instructor: Glenda Galang-Atienza, RN

• Course: NCM 116

• Focus: Government Mandated Policies for Nurses and Patients

• Week: 7

Philippine Nursing Act of 1991 (Republic Act No. 7164)

• Date of Enactment: November 21, 1991

• Main Aim: Regulate the practice of nursing in the Philippines

  • Protect and improve the nursing profession

  • Ensure relevant nursing education and humane working conditions

  • Aim for better career prospects and a dignified existence for nurses

  • Guarantee delivery of basic health services through adequate nursing personnel

Key Provisions of RA 7164

• Board of Nursing: Organization and functions defined

• Qualifications: For board members and nurses

• Licensure Examination and Registration:

  • Minimum passing average: 75% with at least 60% in each subject

• Reciprocity and Employment Abroad:

  • Nurses must serve one year in the Philippines before working overseas

• Ethical Conduct: Professional standards established

Nursing Education (1973)

• General Entrance Requirements: Applicants must be in the upper 40% of their secondary class

• Education Program: Should provide a sound academic and professional foundation

• Learning Experiences: Must meet specific curriculum requirements and last at least six units

• Qualifications of Faculty:

  • Must be a Filipino citizen and registered nurse

  • Minimum of three years clinical practice and a master’s degree in nursing or related fields

  • Dean qualifications include at least three years of teaching experience in nursing education

Update on Philippine Nursing Act

• Philippine Nursing Act, 2002 (Republic Act No. 9173): Comprehensive legislation to regulate nursing

  • Focus on education, humane working conditions, career prospects, and professional improvement

  • Repeals the 1991 Nursing Act

Examination Ratings Guidelines (Republic Act No. 9173)

• Passing Criteria:

  • General average of at least 75%, minimum of 60% in each subject

  • If below 60% is scored, retest is required only for that subject

Nursing Education Framework

• Nursing Education Program Requirements: Provide foundational knowledge and adhere to standards set by the Commission on Higher Education

• Inactive Nurses Re-entering Practice: Must complete one month of training and three months of practicum if inactive for five years

• Faculty Requirements:

  • Must hold a master’s degree in nursing, have clinical practice experience, and be a member of a professional organization

Magna Carta of Patient’s Rights and Obligations

• Key Introductions:

  • Senate Bill No. 151 and Senate Bill No. 1402 in 2013 and 2017 respectively, promoting health rights and obligations

  • Affirmation of the state’s role in protecting health rights and ensuring humane healthcare quality

Individual Patient Rights

• Entitlement to:

  1. Quality healthcare and humane treatment

  2. Choice of physician/institution

  3. Informed consent

  4. Right to refuse treatment

  5. Religious beliefs and access

  6. Medical records and health education

  7. Correspondence and visitors

  8. Leave against medical advice

  9. File grievances

Societal Rights of Patients

• Fundamental Rights:

  1. Right to overall health

  2. Access to quality public healthcare

  3. Healthy and safe environment

  4. Ongoing health education programs

  5. Participation in health policy decisions

  6. Continuous health care accessibility

Patient Obligations

• Responsibilities:

  1. Know and understand rights

  2. Provide complete medical information

  3. Report health changes

  4. Understand treatment costs

  5. Acknowledge consequences of informed consent

  6. Settle financial obligations

  7. Respect others in healthcare settings

  8. Ensure personal health and privacy

Informed Consent

• Definition: Mandatory permission required before invasive tests or treatments, obtained in an informed and voluntary manner

• Patient Rights in Informed Consent: Access to information on risks, benefits, and alternatives to treatments

Refusal of Care

• Legal Rights: Patients can legally refuse treatment, even if it is life-threatening

  • Discussions should be initiated by healthcare providers to understand refusal reasons

  • Refusal does not equate to suicidality or clinical incapacity; rather, it is a decision grounded in autonomy

Ethical Implications of Refusal

• Community Impact: Refusal may pose risks to public health, primarily with infectious diseases

• Guidelines for Healthcare Providers: Consultation with ethical and legal experts when refusal affects others' health

Nursing Legal and Ethics

• Importance: Philippine Nursing Acts have significantly shaped the nursing profession, supporting the growth of a skilled and ethical workforce

• Ongoing Revisions: Nursing legislation continues to evolve, addressing contemporary challenges in the healthcare landscape.