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PROFESSIONAL ADJUSTMENT
by MARK CYRUSS D. DICANG, RN

Definition of Terms
Profession
 calling or occupation in which the members profess to have
acquired special knowledge, by training or by experience or by
both, so that they may guide or advice or serve others in that
special field
Professional Adjustment
 the growth of the whole individual and development of all his
capacities – physical, mental, emotional, social and spiritual.
Professional Conduct
 conduct comfortable to the accepted standards of a profession;
behavior expected of a reputable member of a profession
Professional Nurse
 a person who has completed nursing education program and is
licensed in his/her country or state to practice professional nursing
Professional Nursing
 practice of nursing at professional level, within the scope of the
professional services specified by law as constituting practice of
nursing, and predicated on the ideals of service aimed at the
prevention of diseases and conservation and promotion of health
Criteria of Profession
by William Shepard
 satisfy an indispensable social need and based on well-
established and socially accepted scientific principles
 demand adequate pre-professional and cultural
training
 demand possession of a body of specialized and
systematized training
 give evidence of needed skills which public does not
possess
 developed a scientific technique thru tested
experience
 require exercise of discretion and judgment as
to time and manner of the performance of duty
 have a group of consciousness designed to
extend scientific knowledge in technical
language
 have sufficient self-impelling power to retain its
members throughout life.
 recognize its obligations to society thru its code
of ethics
Qualifications of a Professional Nurse
 Must have a license to practice nursing in the country
 Must have a BSN
 Must be physically and mentally fit
Personal Qualities and Professional Proficiencies
 Interest and willingness to work and learn with
individuals/groups in a variety of settings
 a warm personality and concern for people
 resourcefulness and creativity as well as a well-balanced
emotional condition
 capacity and ability to work cooperatively with others
 initiative to improve self and service
 competence in performing work through the use of the nursing
process
 skill in decision-making, communicating and relating with others
and being research-oriented
 active participation in issues confronting nurses and nursing
BASIC EDUCATIONAL NURSING PROGRAM
 offers a competency-based community
oriented curriculum to educate future nurse
practitioners to assume their roles and
responsibilities in the Philippine Health Care
System
 aims to prepare nurses for ENTRY level
positions in the country's health care setting
LICENSE
 legal document given by the government that permits a person to offer to
the public his or her skills and knowledge in a particular jurisdiction
 granted by the appropriate authority to applicants or candidates who have
fulfilled certain established requirements
 LICENSURE: the most important tool for legal control and enforcement of
nursing practice
PROFESSIONAL REGULATION COMMISSION

- appropriate authority to administer, implement and enforce the regulatory
policies of government with respect to the regulation and licensing of the
various professions and occupations
REGISTRATION
 recording of names of person who have qualified
under the law to practice their respective profession.
 Shown thru a certificate issued by PRC
 PRIMARY PURPOSE: protect the health of the people
by establishing minimum standards which qualified
practitioners must meet.
REGISTRY
1. Full name
2. Number and Date of registration
3. Age, sex and place of birth
4. Place of Business
5. Post office address
6. Name of school, college or university
7. Date of graduation
8. All other degrees earned
REGISTRATION REQUIRED
A. Registration by Reciprocity
 mutuality in the grant and employment of privileges between persons or
nations
 based on the principle of “do ut des” (favor for a favor)
QUALIFICATIONS
 applicant should have resided in the Philippines for at least 3 consecutive
years
 Petition showing reciprocal practice
 BSN curriculum
B. Registration by Examination
QUALIFICATIONS
- Filipino Citizen
- Good Moral Character
- BSN holder
REQUIREMENTS
- TOR
- RLE
- Birth Certificate
- Marriage Certificate
- Alien Certificate of Naturalization
- Court Clearance
SCOPE OF EXAMINATION
1. Fundamentals of Nursing
2. Maternal and Child Nursing
3. Community Health Nursing
4. Nursing of Adolescents, Adults and Aged
5. Mental Health and Psychiatric Nursing
RATINGS
 general average of at least 75% with a rating of not below 60% in any
subject
 If above 75% but with a subject below 60%, must repeat that subject with a
rating above 75%
 Retake should be within 2 years
BOARD CERTIFICATE OF REGISTRATION
BOARD RATING CERTIFICATE
BOARD CERTIFICATE OF DISTINCTION
Request for Reconsideration
 filed within 90 days from the date of official release

 Grounds:
Mechanical
Clerical
Clear Errors
Malfeasance
OATH-TAKING
- required before the BON or any authorized
government official
- scheduled within 15 days upon the release of the
results
Renewal of Certificate of Registration
 every 3 years on the nurse's birth month
 Pay registration fee
 No payment: 20% /year
 No payment for 5 years: SUSPENSION
 CPE: 60 credits/year
PRACTICE THROUGH SPECIAL/TEMPORARY PERMIT
Granted to:
1. Well-known specialist
2. Medical mission
3. Exchange professors
Revocation and Suspension of the
Professional License
 Conviction by final judgment of any criminal offense
 Unprofessional and unethical conduct
 Gross incompetence or serious ignorance
 Malpractice or negligence
 Use of fraud, deceit or false statements in obtaining a
certificate of registration
 Violation of RA 9173 and Code of Ethics for nurses
 Practicing profession during suspension
Re-issuance of Revoked License
 may be re-issued after 4 years if:

1. cured, corrected or disappeared cause of revocation
2. proper application and payment of the required fees
Board of Nursing
 1 chairperson and 6 members
 appointed by the President of the Philippines
 Carmencita Abaquin – Chairman
 Leonila Faire, Betty Merritt, Perla Po, Marco Antonio
Sto. Tomas, Amelia Rosales, Yolanda Arugay
QUALIFICATIONS
RN-MAN
R.N. and holder of master's degree in nursing, education or
other allied medical professions
Not convicted of any offense
Member of good standing in an accredited professional
organization in the Philippines
At least 10 years of continuous practice, last five years of
which is in the Philippines
Natural born citizen and resident of the Philippines
Types of Appointment
Regular Appointment
– appointment by the President of the Philippines
PNA (12) PRC (6) President (1) (Confirmed by CA)
Ad Interim Appointment
– appointment to fill a vacancy
PNA (3/vacancy) PRC (2/vacancy) President
Doctrine of Hold-over
– continuation of function after the end of his lawful term
Term of Service
 3 years
 eligible for reappointment
 maximum of two terms only
POWERS, FUNCTIONS AND DUTIES
 Prescribe, adopt, issue and promulgate guidelines,
regulations and promulgate a code of ethics
 Issue, suspend or revoke certificates of registration
 Ensure quality nursing education
 Conduct NLE
 Conduct hearings and investigations
 Enforce quality standards of nursing practice and
recognize nursing specialty organization
REMOVAL OR SUSPENSION OF MEMBERS
 Incompetence or continuous neglect of duty

 Commission/Tolerance of irregularities in the
board examination
 Unprofessional, immoral, dishonorable conduct
REQUIREMENTS UPON QUALIFICATION
 Immediately resign from any teaching position in

any institution offering BSN and/or review
program
 Immediately resign from any government or
private employment
 Not have any pecuniary interest in, or
administrative supervision in any institution
offering BSN or review classes
The Philippine Nursing Law of 2002 (RA 9173)
EVOLUTION
1. Act 2493 (1915) – regulated practice of medicine
2. Act 2808 (1919) – First True Nursing Law

1920 – First board exam in Manila
1944 – First board exam outside Manila (IMH)
3. RA 877 – First Philippine Nursing Law (1953)
 3 members BON
4. RA 4704 – 4 members of BON (1966)
5. RA 7164 – 5 members of BON
5. RA 9173 – 7 members of BON

Scope of Nursing Practice (ICP's)
 Initiate and perform nursing services in any health
care setting
 Collaborate with other health care providers for the
preventive, curative and rehabilitative aspects of care
 Provide nursing care: covering different stages of life
(conception – old age)
 Promotion of Health
 Prevention of Illness
Duties of Nurses
 Utilize the nursing process in providing care

 Undertake nursing and health HR development
training and research
 Teach, guide and supervise student nurses
 Interrelationship or linkage with community resources
and health care team
 Educate individual , family and community
 Strict or duty bound adherence to the Code of Ethics
PROHIBITIONS OF NURSING PRACTICE
 without a certificate of registration/ professional license and
PRC card
 using invalid certificate
 using suspended or revoked certificate or expired or cancelled
permit
 who gives false evidence to board
 falsely poses or advertises or conveys the impression that is RN
 appends BSN, RN without authority
 who as RN, assists illegal practice of a non-qualified person
FACULTY OF NURSING
Qualifications (RAMP)
R – Registered nurse
A – at least 1 year clinical experience
M – Master's degree in Nursing/Education/Allied Health
Sciences
P – Professional Organization Member (PNA)
DEAN OF NURSING
 RAMP , at least 5 years experience

NURSING ADMINISTRATORS
 Supervisory or Managerial Positions – RN, at least 2 years
clinical exp, at least 9 units in management and administration,
PNA member
 Chief Nurse or Director – same with supervisors, at least 5

years of experience in supervisory or management position,
MAN
 Chief Nurse for Primary Hospital – 2 years experience in

general nursing service administration, 9 units management
and administration course
Nursing Associations
 Alumni – first association a nurse joins upon graduation
 National League of Government Nurses – RN working in
government hospitals
 Association of Nursing Service Administrators – nursing
administrators in public and private
 Association of Deans of Colleges of Nursing in the Phil. - deans
of colleges who maintain standards of clinical instruction
program
 International Council of Nurses – nurses all over the world
 PNA – org after passing board
Philippine Nurses Association
HISTORY:
 October 22, 1922 – meeting (150 nurses) presided by Anastacia Giron
Tupaz
 Filipino Nurses Association
 President: Francisca Delgado
 May 12, 1926 – National Hospital Day (birthday of Florence
Nightingale)
 1929 – PNA admitted as member of International Council of Nurses
during Congress held in Montreal, Canada July 8-13 1929
 1955 – Proclamation No. 539 (Pres. Carlos P. Garcia)
 last week of October as Nurses Week
 1962 – FNA to PNA
NURSING ETHICS
 Greek word “ethos” (moral duty)
 Refers to a standard to examine and understand moral life
 Studies how people make judgment in regard to right or wrong
MORALITY
- Greek word “moralis” ( social consensus about moral conduct)
- Morals: specific ways of behavior or accomplishing ethical pract
ETHICAL PRINCIPLES AND APPROACHES
 Teleological Approach / Utilitarianism
- “the right thing to do is the good thing to do”
 Deontological Approach / Duty Oriented Theory
- The basic rightness or wrongness of an act depends on the
intrinsic nature rather than the situation or consequences
 Virtue Ethics Approach / Aretaic Ethics
- Focused on the heart of the person performing the act
 Divine Command Ethics
- There is a Supreme or Divine being that sets down the rules
UNIVERSAL PRINCIPLES OF BIOMEDICAL ETHICS
 Autonomy
 Veracity
 Beneficence
 Nonmaleficence
 Justice

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PROFESSIONAL ADJUSTMENT

by MARK CYRUSS D. DICANG, RN

PROFESSIONAL REGULATION COMMISSION

 filed within 90 days from the date of official release

 may be re-issued after 4 years if:

 Incompetence or continuous neglect of duty

 Immediately resign from any teaching position in

2. Act 2808 (1919) – First True Nursing Law

4. RA 4704 – 4 members of BON (1966)

5. RA 7164 – 5 members of BON

5. RA 9173 – 7 members of BON

 Utilize the nursing process in providing care

 RAMP , at least 5 years experience

 Chief Nurse or Director – same with supervisors, at least 5

 Chief Nurse for Primary Hospital – 2 years experience in

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