Publications A-Z
Please be advised that you can download all electronic publications listed below free of charge. If you wish to order a hard copy of a publication we would be pleased to send you a copy but this will entail a small charge. For more details and to order a hard copy publication please call: 0845 7726100 and select 'option 4.
All publications are in PDF format - see how to access PDF files.
Copyright
For permission to reproduce RCN copyrighted text, please complete the request form (Word 596KB) and return to the RCN Communications department.
For specific titles relating to work the RCN has done in conjunction with the National Institute for Health and Clinical Excellence please visit our clinical guidelines section.
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A
A decisive decade: the UK nursing labout market review 2011 (PDF 2.5 MB)
Publication code: 004170
Publication date: 30 September 2011
ISBN:
Abstract:
The Labour Market Review 2011 has also been submitted as part of the RCN evidence to the Pay Review Body. This warns that the NHS risks not paying enough attention to workforce planning for the nursing profession. Nursing has an ageing workforce, yet not enough is being done to ensure sufficient numbers of well-trained, motivated, well-paid nurses in the future.
A shift in the right direction: RCN guidance (PDF 728.0 KB)
Publication code: 004 285
Publication date: 4 October 2012
ISBN: 978-1-908782-22-9
Abstract:
The reality of 24-hour health care delivery means many health care workers are required to work shifts. The health and safety impacts of shift work are widely recognised. Long hours, fatigue and lack of rest breaks or time to recuperate between shifts are associated with an increased risk of errors. In addition, long-term exposure to shift work, particularly night shifts, has been associated with a whole range of health issues for workers ranging from gastrointestinal problems, cardiovascular problems and an increased susceptibility to minor illnesses such as colds. This publication is primarily aimed at RCN safety representatives to assist them in their work with employers to protect members and patients from the negative impacts of shift working. It is also a useful resource for health care managers or specialist advisers responsible for managing shift systems or supporting the health, safety and wellbeing of health care workers. Ideally, this publication should be read in conjunction with the RCN’s Spinning plates, guidance on flexible working. There are two versions of A shift in the right direction available, full length version, publication code 004 285 and short version, publication code 004 286.
A shift in the right direction: RCN short guidance (PDF 829.8 KB)
Publication code: 004 286
Publication date: 4 October 2012
ISBN: 978-1-908782-21-2
Abstract:
The reality of 24-hour health care delivery means many health care workers are required to work shifts. The health and safety impacts of shift work are widely recognised. Long hours, fatigue and lack of rest breaks or time to recuperate between shifts are associated with an increased risk of errors. In addition, long-term exposure to shift work, particularly night shifts, has been associated with a whole range of health issues for workers ranging from gastrointestinal problems, cardiovascular problems and an increased susceptibility to minor illnesses such as colds. This publication is primarily aimed at RCN safety representatives to assist them in their work with employers to protect members and patients from the negative impacts of shift working. It is also a useful resource for health care managers or specialist advisers responsible for managing shift systems or supporting the health, safety and wellbeing of health care workers. Ideally, this publication should be read in conjunction with the RCN’s Spinning plates, guidance on flexible working. There are two versions of A shift in the right direction available, full length version, publication code 004 285 and short version, publication code 004 284.
Abortion care. RCN guidance for nurses, midwives and specialist community public health nurses (PDF 1.1 MB)
Publication code: 003270
Publication date: 27 October 2008
ISBN:
Abstract:
This publication is an update of previous work by the RCN around the issue of abortion care. The guidance aims to provide clear and accurate information for nurses; to improve knowledge about abortion and abortion care; to empower nurses to develop their roles in abortion care and to protect the public by identifying relevant legislation and standards of care.
Accountability and delegation: What you need to know (PDF 478.9 KB)
Publication code: 003 942
Publication date: 1 October 2011
ISBN:
Abstract:
The principles of accountability and delegation for nurses, students, health care assistants and assistant practitioners. The purpose of this paper is to encourage staff engaged in the delivery of health care to reflect collaboratively on tasks proposed for delegation, in order to ensure that clients receive safe and effective care from the most appropriate person. Patients/clients have the right to know who is treating them and expect that those who provide their care are knowledgeable and competent; support workers need to feel confident of their abilities in this new and changing environment; and registered practitioners need to feel confident in delegating activities to their support workers. This paper has therefore been developed to help clarify the delegation process for registered practitioners and support workers and the associated issues of accountability and supervision. This publication replaces 003 093: Supervision, accountability and delegation of activities to support workers: a guide for registered practitioners and support workers.
Activist Role descriptor - generic (PDF 1.1 MB)
Publication code: 003 151
Publication date: 3 July 2007
ISBN: n/a
Abstract:
RCN generic role descriptor for stewards, learning and safety representatives.
Activist role descriptor - learning representative (PDF 456.1 KB)
Publication code: 003 154
Publication date: 27 September 2007
ISBN: N/A
Abstract:
Role descriptor for RCN accredited trade union learning representatives.
Activist role descriptor - safety representative (PDF 456.0 KB)
Publication code: 003 153
Publication date: 27 September 2007
ISBN: N/A
Abstract:
Role descriptor for RCN accredited trade union safety representatives.
Activist role descriptor - steward (PDF 837.8 KB)
Publication code: 003 152
Publication date: 18 April 2007
ISBN: N/A
Abstract:
Role descriptor for RCN accredited trade union stewards.
Administering subcutaneous methotrexate for inflammatory arthritis. RCN guidance - new edition (PDF 768.3 KB)
Publication code: 004 377
Publication date: 28 March 2013
ISBN: 978-1-908782-35-9
Abstract:
This evidence-based guidance has been developed to help support practitioners in the safe and confident administration of subcutaneous methotrexate for a number of rheumatological conditions, in a variety of health care settings, community environments and at home. The publication contains separate guidance for adults and children, and covers some key areas such as risk management; supply, storage and disposal; and patient education and training. It also has a comprehensive framework to help patients administer treatment at home.
Adolescence: boundaries and connections. An RCN guide for working with young people. (PDF 870.7 KB)
Publication code: 003256
Publication date: 1 August 2008
ISBN: 978-1-904114-96-3
Abstract:
Adolescence boundaries and connections - an RCN guide is designed to support all nurses and health care practitioners in their work with young people and to demystify the process, it may be particularly helpful to those who do not routinely work with young people. The guide resulted from the RCN survey Adolescence: boundaries, connections and dilemmas (publication code 003 225). The survey highlighted the need for person-centred, adolescent care and has resulted in this publication being a useful and insightful resource for practitioners. It aims to support the care of young people as they move in to the adult world. The guide includes practical tips that nurses can use in their daily work and addresses issues such as adolescent development, confidentiality, consent and local resources. It also includes comments from young people themselves.
Adolescence: boundaries, connections and dilemmas (PDF 373.6 KB)
Publication code: 003 225
Publication date: 16 April 2008
ISBN: 978-1-904114-88-8
Abstract:
This publication is the report of an RCN Adolescent Health Forum commissioned survey into how nurses support young people across all health care settings, and provides an insight into how health care professionals work with young people. The survey's main aim is to feed into the development of a national pocket guide for publication later in 2008. It includes first hand examples of issues faced by practitioners and approaches utilised to develop relationships with young people and their families. The survey highlighted the need for person-centred, adolescent care and has resulted in this publication being a useful and insightful resource for practitioners.
Adolescent transition care. Guidance for nursing staff (PDF 1.9 MB)
Publication code: 002 313
Publication date: 1 July 2004
ISBN:
Abstract:
With a large number of children with chronic illnesses and disabilities surviving into adulthood, there is a growing need for specialised care to ensure a seamless transfer and transition from children¿s to adult health care services. This guidance will help you to achieve a seamless transfer using a national clinical pathway framework. The guide is divided into two parts - the first provides an overview of the issues to consider when planning transition services, and the second provides a practical framework for working with young people at each of the major phases of adolescence. This guidance is based on the most reliable evidence that is currently available.
Agenda for change: Making a pay claim if you work outside of the NHS. Guidance for nurses (PDF 140.5 KB)
Publication code: 002 763
Publication date: 13 June 2005
ISBN:
Abstract:
The RCN recommends Agenda for Change (AfC) pay rates for all nursing staff wherever they maywork.Where the RCN is recognised we will work closely with the employer to explore the possibilitiesof implementing AfC.Where there is no recognition agreement, we will support individuals or groupsin making pay claims. This document is the first step in making that pay claim.
An ageing population: Education and practice preparation for nursing students learning to work with older people. A resource pack for nursing students (PDF 1.4 MB)
Publication code: 003 222
Publication date: 4 March 2008
ISBN: 978-1-904114 -85-7
Abstract:
This resource pack is a result of a joint project between the RCN and Age Concern England (ACE) following negative reports regarding the standards of nursing care for older people who are inpatients in acute hospitals. The resource considers the education and practice preparation of nursing students in the context of an ageing population and its aim is to promote the need for leadership, effective mentoring, best practice and positive images of nursing older people. It contains ideas and resources which can be used by nursing students, including organisation and government websites.
An ageing population: Mentorship A5 card for nursing students (PDF 358.3 KB)
Publication code: 003 230
Publication date: 4 March 2008
ISBN:
Abstract:
This laminated A5 card is a result of a joint project between the RCN and Age Concern England (ACE) following negative reports regarding the standards of nursing care for older people who are inpatients in acute hospitals. It identifies the positive aspects of mentorship as well as mentoring rights and responsibilities. A full resource pack for students is available from www.rcn.org.uk/publications (publication code 003 222): An ageing population: Education and practice preparation for nursing students learning to work with older people.
An RCN guide to the National Service Framework for Diabetes (PDF 132.8 KB)
Publication code: 002 011
Publication date: 22 April 2003
ISBN:
Abstract:
The National Service Framework for Diabetes sets 12 national standards for England and aims to improve health care and make it consistent across the country. This RCN guide summarises the standards, offers practical tips on achieving them and outlines the delivery strategy, as well as what is going on elsewhere in the UK.
Annual employment survey: nurses in the independent sector (PDF 208.0 KB)
Publication code: 003 019
Publication date: 31 January 2006
ISBN:
Abstract:
This report describes the results for the independent sector from the 19th employment survey of a sample of RCN members. For the full UK report, see Managing to work differently: results from the RCN Employment Survey 2005, publication code 003 006.
Annual report and accounts 06/07 (PDF 1.1 MB)
Publication code: 003 188
Publication date: 30 September 2007
ISBN:
Abstract:
This annual report highlights key areas and achievements in the RCN's work during the financial year, 2006-2007, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients. It includes the Report of Council and the full financial accounts for the review period.
Annual Report and accounts 07/08 (PDF 1.9 MB)
Publication code: 003262
Publication date: 2 September 2008
ISBN:
Abstract:
The annual report of the RCN for 2007 - 2008. The report reviews the year's events including our internal modernisation, major campaigns and focuses on the contribution made by members and staff to deliver a better deal for nurses. It includes the Report of Council and the full financial accounts for the review period.
Annual Report and Accounts 2005-2006 (PDF 2.2 MB)
Publication code: 003 088
Publication date: 11 September 2006
ISBN:
Abstract:
This annual report highlights key areas and achievements in the RCN's work during the financial year, 2005-2006, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients. It includes the Report of Council and the full financial accounts for the review period.
Annual report and accounts 2008/2009 (PDF 574.2 KB)
Publication code: 003 555
Publication date: 29 September 2009
ISBN:
Abstract:
The annual report of the RCN for 2007 - 2008. The report reviews the year's events. It includes the Report of Council and the full financial accounts for the review period.
Annual report and accounts 2011-12 (PDF 1.8 MB)
Publication code: 004260
Publication date: 8 October 2012
ISBN:
Abstract:
This annual report highlights key areas and achievements in the RCN's work during the financial year 2011-2012, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients. The report reviews the year's events. It includes the Report of Council and the full financial accounts for the review period.
Annual report and consolidated accounts 2009/2010 (PDF 2.4 MB)
Publication code: 003 836
Publication date: 9 September 2010
ISBN:
Abstract:
This annual report highlights key areas and achievements in the RCN's work during the financial year 2009-2010, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients. The report reviews the year's events. It includes the Report of Council and the full financial accounts for the review period.
Annual report and consolidated accounts 2010/2011 (PDF 3.3 MB)
Publication code: 004 161
Publication date: 26 September 2011
ISBN:
Abstract:
This annual report highlights key areas and achievements in the RCN's work during the financial year 2010-2011, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients. The report reviews the year's events. It includes the Report of Council and the full financial accounts for the review period. Annual report. RCN Annual Report
Assessing, managing and monitoring biologic therapies for inflammatory arthritis (PDF 856.4 KB)
Publication code: 001 984
Publication date: 1 April 2003
ISBN:
Abstract:
The role of biologic therapies in the treatment and management of patients with inflammatory joint disease is an evolving area that has significant implications for all practitioners. This guidance also contains a practitioners' workbook to aid a standardised assessment and management process, and part two of the publication covers specific issues for the care of children and young people. It has its own reference section and appendices that refer specifically to paediatric care.
Assessment of toilet training readiness and the issuing of products. An RCN care pathway (PDF 846.4 KB)
Publication code: 003103
Publication date: 18 March 2013
ISBN: 1-904114-41-5
Abstract:
This RCN guidance has been developed to help manage children with incontinence and delayed toilet training in a structured, practical way.
Assistant practitioner scoping project (PDF 198.4 KB)
Publication code: 003880
Publication date: 6 May 2011
ISBN:
Abstract:
The scoping project reviews up-to-date information relating to the development of assistant practitioners (APs) and maps the current UK wide support workforce. Analysing areas including the numbers of APs in the NHS and independent sectors and the demographics of this workforce; whilst also exploring the career pathways into, and beyond, the role of the AP.
At breaking point? A survey of the wellbeing and working lives of nurses in 2005 (PDF 698.9 KB)
Publication code: 003 021
Publication date: 28 February 2006
ISBN:
Abstract:
Five years after the Working well survey explored nurses¿ wellbeing and working lives, the RCN commissioned a second survey to look at a similar range of issues and to compare and contrast changes in the nursing workforce since 2000.This survey examines exposure to stressors at work, and attempts to discover if there has been an overall improvement in the quality of nurses¿ working lives. Results highlight the changing demographics in the nursing workforce, changing modes of delivery of care, and the increased stress levels that nurses experience in relation to the general working population. It also identifies concerning trends such as the rise of violent and abusive attacks by patients and relatives, bullying and worsening psychological wellbeing.
eHealth: Abbreviations and other short forms in patient/client records (PDF 201.4 KB)
Publication code: 003 595
Publication date: 13 July 2010
ISBN:
Abstract:
To support safe, effective care and communication, patient/client records must be up to date, factual, accurate, and written so that the meaning is clear to everyone who uses the record. The Nursing and Midwifery Council (NMC) in the UK advises that patient/client records should not include abbreviations as these, and other short forms such as acronyms and initialisations, can be misinterpreted with significant risks to quality of care and patient safety. Indeed, some abbreviations are known to lead to an increase in errors. Despite these concerns, the use of abbreviations in patient records is common practice and guidance on the matter is often conflicting. The RCN supports the introduction of electronic records but is concerned to ensure the protection of both patients/clients and nursing staff (nurses and other health care workers) in their use. This booklet is aimed at nursing staff that come into contact with patient/client records. It reflects the RCN position on the use of abbreviations and other short forms in patient/client records, and includes specific guidance on electronic records.
The assistant practitioner role in children and young people's services (PDF 738.4 KB)
Publication code: 004225
Publication date: 5 September 2012
ISBN: 978-1-908782-18-2
Abstract:
The health care support worker (HCSW) workforce is expanding, and the role needs to be developed within a recognised framework in order to meet the needs of children and young people. The assistant practitioner role was implemented to complement the work of registered professionals across health and social care in acute and community settings. Job descriptions, competences and recruitment criteria need to be underpinned by a generic understanding of the assistant practitioner (child) role and matched to Agenda for Change criteria. This publication examines the background and development of the assistant practitioner role in children and young people’s services and looks at key policy issues as well as detailing recommendations for future development and implementation. The unique needs of children and young people are central throughout.
B
Background briefing on the RCN’s position on industrial action (PDF 159.1 KB)
Publication code: 004 113
Publication date: 6 April 2011
ISBN:
Abstract:
This is a briefing which details the background of the RCN’s position on industrial action.
Be part of our future. Stand for election to an RCN role. RCN elections 2013 (PDF 1004.4 KB)
Publication code: 004 400
Publication date: 24 April 2013
ISBN:
Abstract:
Information on RCN elections to be held in 2013 and how to stand for election.
Becoming and being a nurse consultant (PDF 2.2 MB)
Publication code: 003574
Publication date: 13 April 2012
ISBN: 978-1-906633-97-4
Abstract:
This important study examines the developing role of nurse consultants. It explores how these nurses can further improve their practice, and that of their colleagues, in order to benefit patient care and build on the patient experience. Unlike any other study, it also involved aspiring nurse consultants to see how they could be more fully prepared to take on such critical roles. It also looks at how the role of nurse consultants – still relatively new in today’s health service – can be embedded into the culture of health providers. It explores how organisations can take maximum advantage of the expertise and influence that these nurses have in bringing about change at both a strategic and dayto- day level. The study demonstrates how nurse consultants achieved real change, and answers the all important question: “how did they do it?”
Behind the headlines: A review of the Uk nursing labour market in 2001 (PDF 676.5 KB)
Publication code: 001 752
Publication date: 19 February 2002
ISBN:
Abstract:
This annual review, commissioned by the RCN, is an objective briefing on the UK nursing labour market, with key facts, figures and commentary on the main changes influencing student supply and demand, the changing characteristics of the nursing and midwif
Benchmarks for children's orthopaedic nursing care. RCN guidance (PDF 2.5 MB)
Publication code: 003 209
Publication date: 18 December 2007
ISBN: 978-1-904114-80-2
Abstract:
This publication offers a portfolio of evidence-based benchmarks which define best practice in key elements of paediatric orthopaedic nursing care. It is hoped the benchmarks will help stimulate discussion, measure individual practice and guide staff to review the various issues surrounding each benchmark. The publication is very user-friendly and can be used to inform and update practice.
Best practice guidance on pregnancy testing prior to diagnostic imaging (PDF 395.2 KB)
Publication code: 003 063
Publication date: 28 June 2006
ISBN:
Abstract:
In the interests of promoting best practices within imaging, the RCN Imaging Nurses Forum has produced these guidelines to provide direction on current best practice relating to pregnancy testing prior to diagnostic imaging. The guidance details the appropriate protocol for dealing with women of reproductive age who present for imaging, particularly in relation to how nurses should proceed when the possibility of pregnancy cannot be excluded.
Best practice guidance on radiation protection and the use of radiation protective equipment (PDF 295.4 KB)
Publication code: 003 062
Publication date: 28 June 2006
ISBN:
Abstract:
It is imperative that all nursing staff working in areas where ionising radiation is a risk are protected against excessive exposure. The RCN Nurses Imaging Forum has produced these guidelines to promote best practice in relation to radiation protection and the use of radiation protective equipment. This guidance discusses current legislation and implications for the working environment, the different types of protective equipment available and when it should be worn as well as advice for pregnant staff.
Better medicines management poster (PDF 183.6 KB)
Publication code: 004 404
Publication date: 23 April 2013
ISBN:
Abstract:
This poster is designed to raise awareness of medicines wastage and promote the role both nurses and patients play in reducing waste. There is a leaflet in conjuction with this poster (004 393). This project is supported by MSD.
Better medicines management. Advice for nursing staff and patients (PDF 758.9 KB)
Publication code: 004 393
Publication date: 22 April 2013
ISBN:
Abstract:
This leaflet includes some headline tips for clinicians with a view to optimising the use of medicines and avoiding wastage. Included is a tool to help clinicians assess their effectiveness in talking to patients about medicines as well as a tear-off guide for patients with tips on how to avoid waste and get the most from their medications. The poster is designed to raise awareness of medicines wastage and promote the role both nurses and patients play in reducing waste. (004 404) This project is supported by MSD.
Black and minority ethnic and internationally recruited nurses. Results from the RCN Employment/Working Well Surveys 2005 and 2002 (PDF 357.8 KB)
Publication code: 003 104
Publication date: 31 January 2007
ISBN: 9.7819E+12
Abstract:
Comparing commentary and analysis from previous surveys, the RCN commissioned research to look at data covering IRNs and BME nurses with the intention of comparing areas where there are gaps in knowledge of the working lives of these two groups.This publication presents the results and reveals some interesting statistics around pay and grading; working hours, professional development, careers in an equal opportunity context, professional development, ethnicity and working well, and ethnicity and feeling valued.¿Compared to white UK qualified nurses, black and minority ethnic nurses and internationally recruited nurses are more likely to: work full-time, and to work internal rotation; live in London; be in a main `bread winner¿ role; work longer hours; have additional jobs; feel their grade is inappropriate relative to their role and responsibility; have been bullied and harassed at work; have changed jobs due to negative pressures.¿Jane Ball and Geoff Pike (2007) Black and minority ethnic nurses ¿ RCN Employment Surveys 2005 and 2002. RCN: London.
Blowing the whistle:Information for nurses (PDF 112.1 KB)
Publication code: 001 510
Publication date: 25 January 2004
ISBN:
Abstract:
A difficulty some nursing staff face is not being able to speak out when they believe something is seriously wrong in their workplace. Many feel they may be victimised and that they need protection if they are to raise their concerns. This leaflet summarises the whistle-blowing legislation and describes how nursing staff can disclose facts about work situations that are causing them concern.
Breaking down barriers, driving up standards. The role of the ward sister and charge nurse. (PDF 884.5 KB)
Publication code: 003312
Publication date: 26 February 2009
ISBN: 978-1-90663307-3
Abstract:
Ward sisters and charge nurses have many roles, but their responsibility is clear – to oversee patient care on a ward. This Royal College of Nursing report looks at how the role is working across different types of hospital trusts in England, including mental health, children and adult wards.The importance of the ward sister and charge nurse role applies universally, and where the role is supervisory, patient care benefits. The RCN worked with focus groups of charge nurses and ward sisters across England and the findings were validated by further groups of ward sisters and nurse directors. The report findings highlight that work urgently needs to done to strengthen and support the role for the delivery of high-quality nursing.
Breastfeeding in children’s wards and departments. Guidance for good practice (PDF 1.9 MB)
Publication code: 003 544
Publication date: 15 September 2009
ISBN: 978-1-906633-23-3
Abstract:
This publication aims to improve the care of mothers and their babies by providing information which supports breastfeeding in neonatal units, children’s wards and departments. It provides nurses with the information needed to promote breastfeeding and to support breastfeeding mothers while their baby is in hospital (the guidance focuses on inpatient children’s services). After exploring key policies, the guidance looks at circumstances where breastfeeding is contraindicated, the usage of growth charts with breastfed babies, and at using breastfeeding as pain relief during procedures.
Bullying and harassment at work: a good practice guide for RCN negotiators and health care managers (PDF 735.3 KB)
Publication code: 000 926
Publication date: 14 November 2002
ISBN:
Abstract:
This document draws on the RCN's involvement with a wide range of health care organisations in the NHS and independent sector. It provides guidance for managers and RCN negotiators on good practice in dealing with workplace bullying and harassment.
Challenging harassment and bullying: guidance for RCN representatives, stewards and officers (PDF 716.1 KB)
Publication code: 001 303
Publication date: 14 November 2002
ISBN:
Abstract:
This document draws on the RCN's involvement with a wide range of health care organisations in the NHS and independent sector. It provides guidance for managers and RCN negotiators on good practice in dealing with workplace bullying and harassment.
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Caring for children and young people with atopic eczema. Guidance for nurses. (PDF 236.7 KB)
Publication code: 003 228
Publication date: 4 April 2008
ISBN: 978-1-904114-91-8
Abstract:
Every nurse who works with children, whether in the community, in school, in emergency care, in children's wards or outpatient departments, is likely to care for children and young people with atopic eczema at some stage in their career. This guidance highlights the wealth of information available on managing childhood eczema, signposts resources and outlines some of the practical issues nurses need to address when working with children, young people and their families.
Caring for children with fever. RCN good practice guidance for nurses working with infants, children and young people (PDF 1.0 MB)
Publication code: 003267
Publication date: 1 September 2008
ISBN: 978-1-904114-98-7
Abstract:
Caring for children with a fever. RCN good practice guidance for nurses working with infants, children and young people aims to help every nurse give up-to-date evidence-based care to infants, children and young people who are experiencing fever. It contains information on commonly used nursing interventions, in particular the use of antipyretics and tepid sponging. The guidance is aimed at those working with infants, children and young people, in either a community or hospital setting.
Caring for children: Guidance for nurses working in the independent sector (PDF 121.6 KB)
Publication code: 001 448
Publication date: 22 April 2002
ISBN:
Abstract:
This leaflet has been written by the RCN Paediatric Nurse Managers Forum following a survey into the care of children in the acute independent sector. It sets out key points for organising children¿s service provision in independent sector hospitals/clini
Caring for patients with ovarian hyperstimulation syndrome: RCN guidance for fertility nurses (PDF 2.0 MB)
Publication code: 002 796
Publication date: 25 February 2006
ISBN:
Abstract:
This guidance booklet is aimed at fertility nurses caring for women who are at risk of or who develop ovarian hyperstimulation syndrome (OHSS). It outlines some of the key areas that fertility nurses need to be aware of, including requirements of the role, training protocols and the importance of good communication with patients
Caring for people with liver disease (PDF 4.7 MB)
Publication code: 004 376
Publication date: 12 February 2013
ISBN:
Abstract:
Liver disease is emerging to become the fifth most common cause of death in the UK and its prevalence has risen year on year in recent times. Public awareness of liver disease needs to be raised, and nurses are key to its prevention. This competence framework describes the professional standards expected of practitioners when caring for people with liver disease - adults and young people - across England.
Caring for young people: guidance for nursing staff (PDF 101.4 KB)
Publication code: 001 824
Publication date: 30 December 2003
ISBN:
Abstract:
The RCN Adolescent Health Forum has developed this information to offer guidance to nurses who are involved in caring for the needs of young people. Topics covered include: consent to treatment, primary care and nurse training.
Caring in partnership 2 years on: older people (PDF 1.5 MB)
Publication code: 003 102
Publication date: 6 December 2006
ISBN: 1904114407
Abstract:
This booklet is to complement Caring in partnership: older people and nursing staff working towards the future, the RCN's strategy to promote the contribution nurses can make to meeting the needs of older people and ensuring their health and wellbeing, which was published by the RCN in May 2004. This latest report details the progress made during 2005/06 in implementing the strategy and identifies the actions to be taken in 2006/07.
Caring in partnership: older people and nursing staff working towards the future. An RCN nursing older people strategy progress and evaluation report (PDF 1.4 MB)
Publication code: 003 195
Publication date: 19 December 2007
ISBN: 978-1-904114-83-3
Abstract:
This publication emphasises the importance the RCN places on promoting nurses' contribution to meeting the needs of older people and ensuring their health and wellbeing, and reviews the progress of work surrounding the RCN's Nursing Older People Strategy, which was launched in 2004. The strategy has ensured that the RCN works to achieve an integrated, consistent and inclusive way of working that focuses on maximising the potential of nursing staff and older people.
Catheter care: RCN guidance for nurses (PDF 625.0 KB)
Publication code: 003 237
Publication date: 14 April 2008
ISBN: 978-1-904114-93-2
Abstract:
Continence is one of the fundamentals of basic nursing care and ensuring continence can significantly increase quality of life and patient dignity. Through this publication, the RCN aims to encourage widespread adoption of the new National Occupational Standards across all NHS and independent health care sectors, by enabling a full understanding of the standards and providing quality care for patients.
Cervical Screening - RCN guidance for good practice (PDF 2.7 MB)
Publication code: 003 105
Publication date: 3 December 2006
ISBN: 9.7819E+12
Abstract:
This booklet is aimed at qualified nurses and midwives and describes good practice for taking cervical samples. It sets cervical screening in context, considering issues such as professional accountability, consent and confidentiality. It then goes through a consultation in detail, including details such as preparing for the test, equipment required, environment and the examination itself. It also includes detailed recommendations for further reading and useful websites.Supported by an unrestricted educational grant from GlaxoSmithKline and Sanofi Pasteur MSD.
Changing patients' worlds through nursing practice expertise (PDF 575.7 KB)
Publication code: 002 512
Publication date: 6 May 2005
ISBN:
Abstract:
This research publication reports on the RCN's Expertise in Practice Project (EPP). It presents the background, experiences and findings of an innovative six-year project that explores the nature of nursing practice expertise throughout the United Kingdom (UK).The project also set out to develop a pilot process for recognising, through professional accreditation, expertise in UK nursing practice.
Chaperoning - the role of the nurse and the rights of patients:guidance for nurses (PDF 1.9 MB)
Publication code: 001 446
Publication date: 30 November 2003
ISBN:
Abstract:
The apparent intimate nature of many nursing, midwifery and medical interventions, if not carried out in a sensitive and respectful manner, can lead to misinterpretation and, occasionally, allegations of abuse. It is important that health care professionals are sensitive and alert to such issues. This leaflet, prepared by the RCN Outpatients Nurses Forum, outlines the role of the nurse and the principles of good practice
A charter for rheumatology nursing (PDF 50.2 KB)
Publication code: 000 762
Publication date: 1 April 2002
ISBN:
Abstract:
This document is for all people with arthritis, health professionals in the UK caring for patients suffering from rheumatic diseases, trusts, directly managed units, the Department of Health and the public at large, in order to improve knowedge and understanding of all the aspects of rheumatic diseases.
Children and young people with diabetes. RCN guidance for newly-appointed nurse specialists (PDF 1.1 MB)
Publication code: 002 474
Publication date: 26 November 2004
ISBN: 978-1-906633-73-8
Abstract:
Specialist diabetes nurses play a key role in supporting children, young people and their families. Numerous research studies and audits demonstrate the significant impact they can have in achieving good diabetic control and overall management. However, many specialist nurses work in isolation. This guidance sign posts those new to a specialist nurse role to resources and sources of support. It also highlights issues that need to be considered by the individual as well as their employing organisation.
Children and young people's mental health - every nurse¿s business. (PDF 202.0 KB)
Publication code: 002 239
Publication date: 11 February 2004
ISBN:
Abstract:
The RCN believes that the current state of children's and young people's mental health service provision requires urgent attention. This leaflet is aimed at those individuals who shape child and adolescent mental health service provision or influence pre and post-registration nursing education. The leaflet highlights the importance of: an urgent review of service provision; its integration across all health care sectors; the establishment of a career framework to attract and retain child and adolescent mental health nurses, and involving young people in shaping service provision.
Children and young people's nursing: a philosophy of care (PDF 293.2 KB)
Publication code: 002 012
Publication date: 22 April 2003
ISBN:
Abstract:
The principles and commitment set out in this document form the basis of all RCN policies relating to the care of children and young people. The RCN Children and Young People's Field of Practice believes that the nurse's primary focus is to assist the child or young person and their family to prevent or manage the physiological, physical, social, psychological and spiritual effects of a health problem or condition and its treatment.
Children at risk of malnutrition (PDF 1.2 MB)
Publication code: 003 032
Publication date: 26 April 2006
ISBN:
Abstract:
Malnutrition refers to both under- and over-nutrition. It can affect proper growth and development in children and young people which may lead to problems in adulthood. Nurses working with children and young people have an important role in identifying those who are at risk of malnutrition and monitoring it.This position statement, which is aimed at nurses in GP practices, outpatient departments, hospitals, health centres and schools, looks at the possible causes of malnutrition in children, how to recognise major or minor problems that might be related to poor nutrition and what steps should be taken.
Children's and young people's services: pre-registration nursing education (PDF 320.6 KB)
Publication code: 001 996
Publication date: 11 April 2003
ISBN:
Abstract:
The RCN Children's Leadership and Management Forum undertook a postal survey to find out opinions of the potential impact of a transition towards a generalist pre-registration nurse education programme, particularly to find out the impact on several key aspects of children and young people's services. The report outlines the main findings of the survey and areas of concern, for example, increasing problems with the recruitment, skill mix and retention of children's nurses.
Children's community nursing: promoting effective teamworking for children and their families (PDF 700.7 KB)
Publication code: 000 878
Publication date: 1 January 2003
ISBN:
Abstract:
This publication is a guide to planning and developing community children's nursing services. It begins with ways in which to identify service needs by describing various models of service delivery which have been established to meet those needs and ends with ways to evaluate CCN services.
Clearing the air 2: Guidance for nurses (PDF 2.0 MB)
Publication code: 001 945
Publication date: 20 November 2002
ISBN:
Abstract:
This updated guide will help increase knowledge about the impact of smoking on public health, support you if you are providing smoking cessation advice and help if you want to stop smoking. Please note: Non-members can order from the GASP, tel/fax: 0117 942 5185. Email: gasp@gasp.org.uk (these are £1.75 each).
Clinical imaging requests from non-medically qualified professionals (PDF 523.4 KB)
Publication code: 003 101
Publication date: 1 March 2008
ISBN: 1904114393
Abstract:
This updated edition provides advice and good practice recommendations for employers and health care professionals involved in clinical imaging processes, regarding requests from non-medically qualified referrers including nurses and allied health care professionals. It has been revised in light of the new advice and guidance from the Health Protection Agency and Nursing and Midwifery Council, as well as The Ionising Radiation (Medical Exposure) (Amendment) regulations 2006. This joint publication will help nurses and others to extend their skill set, whilst improving clinical practice to benefit patients.
Clinical nurse specialists: adding value to care - an executive summary (PDF 848.7 KB)
Publication code: 003 598
Publication date: 6 May 2010
ISBN:
Abstract:
Of all the developments in nursing over the last few decades, the role of the specialist nurse has been one of the most exciting, but also one of the least understood and valued. This report shows the findings of a study by the RCN Rheumatology Nursing Forum, which recorded and analysed the work of rheumatology nurse specialists. The results show that these nurses produce efficiency savings to the NHS worth hundreds of thousands of pounds each, as well as improving patients’ quality of life.
Clinical nurse specialists: Stoma care (PDF 940.5 KB)
Publication code: 003 520
Publication date: 1 October 2009
ISBN:
Abstract:
The surgical treatment of serious bowel and bladder conditions often requires the formation of a stoma – an artificial opening on the abdomen to divert the flow of faeces or urine into an external pouch located outside the body. Stoma formation is a major event, and will have an impact on the wellbeing and lifestyle of the patient and their family. The stoma nurse specialist has a key role in offering patients reassurance, support and guidance on how best to manage these issues and achieve a successful rehabilitation. This publication looks at elements of the invaluable role of the stoma nurse specialist, including education, management, consultancy and research. It also presents a series of case studies and patient stories which highlight the significant contribution, support and care given by stoma nurse specialists. The publication can be downloaded from www.rcn.org.uk/publications or copies can be purchased from RCN Direct by calling 0345 772 6100 and quoting the publication code. Each copy is priced at £4 for RCN members or £5 for non-members.
Clinical practice guideline for the assessment and prevention of falls in older people (PDF 5.1 MB)
Publication code: 002 771
Publication date: 2 November 2007
ISBN:
Abstract:
Clinical practice guideline for the management of inadvertent perioperative hypothermia in adults (PDF 6.9 MB)
Publication code: 003282
Publication date: 20 November 2008
ISBN:
Abstract:
This guideline was developed by the National Collaborating Centre for Nursing and Supportive Care (NCC-NSC) on behalf of the National Institute for Health and Clinical Excellence (NICE). The guideline was commissioned and funded by NICE, and developed in accordance with NICE processes and methodologies. Inadvertent perioperative hypothermia (IPH) is a preventable complication of perioperative procedures. The main aim of this guideline is to indicate the optimal clinical and cost-effective management of adult surgical patients in both preventing and managing IPH.
Clinical practice guideline: Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care (PDF 5.6 MB)
Publication code: 003283
Publication date: 20 November 2008
ISBN:
Abstract:
This guideline was developed by the National Collaborating Centre for Nursing and Supportive Care (NCC-NSC) on behalf of the National Institute for Health and Clinical Excellence (NICE). The guideline was commissioned and funded by NICE, and developed in accordance with NICE processes and methodologies. One of the main aims of this guideline is to identify diagnostic criteria for people presenting with symptoms suggestive of IBS and to ensure that primary care clinicians and people who may have IBS have a reference tool that is both sensitive and specific, with high predictive value of the syndrome. This is an area of health care practice which is currently absent, and creates great uncertainty for both clinicians and people who may have IBS.
Clinical practice guideline: Patients undergoing vascular intervention: best practice guideline for nursing staff (PDF 3.9 MB)
Publication code: 002 764
Publication date: 17 March 2006
ISBN:
Abstract:
Developed by the RCN Imaging Nurses Forum, this guidance aims to support radiology nurses when assisting with procedures that provide diagnostic images of patients' blood vessels and treatment of vascular problems. It gives advice on providing a clinically safe and effective environment, and follows through a sequence of actions; before, during and after the procedure.The guidance aims is to facilitate consistency throughout radiology departments and to provide a base upon which radiology nurses can organise and develop their own services and departments.
Clinical practice guideline: Perioperative fasting in adults and children (PDF 387.6 KB)
Publication code: 002 778
Publication date: 2 November 2007
ISBN:
Abstract:
Clinical practice guideline: Perioperative fasting in adults and children: an RCN guideline for the multidisciplinary team (PDF 328.7 KB)
Publication code: 002 779
Publication date: 21 November 2005
ISBN:
Abstract:
Until recently, surgical patients were fasted routinely from food and drink for periods of eight to 12 hours before anaesthesia, despite evidence that shortened perioperative fasts do not increase the risk of a harmful event for the patient. This publication looks at the management of pre- and post-operative fasting in adults and children and provides recommendations for good practice based on the best available evidence of clinical effectiveness. A quick reference poster is enclosed in the back of the guideline.
Clinical practice guideline: Perioperative fasting in adults and children: an RCN guideline for the multidisciplinary team (full version) (PDF 2.4 MB)
Publication code: 002 800
Publication date: 23 December 2005
ISBN:
Abstract:
Until recently, surgical patients were fasted routinely from food and drink for periods of eight to 12 hours before anaesthesia, despite evidence that shortened perioperative fasts do not increase the risk of a harmful event for the patient. This publication looks at the management of pre- and post-operative fasting in adults and children and provides recommendations for good practice based on the best available evidence of clinical effectiveness.
Clinical practice guideline: Pressure ulcer risk assessment and prevention: Implementation guide and audit protocol 2003 (PDF 1.4 MB)
Publication code: 002 166
Publication date: 2 November 2007
ISBN:
Abstract:
Clinical practice guideline: The nursing management of patients with venous leg ulcers: audit protocol (PDF 2.7 MB)
Publication code: 001 269
Publication date: 25 October 2007
ISBN: 1-873853-89-0
Abstract:
Audit protocol for the management of patients with venous leg ulcers
Clinical practice guideline: The nursing management of patients with venous leg ulcers: recommendations (PDF 2.2 MB)
Publication code: 003 020
Publication date: 25 October 2007
ISBN: 1-904114-22-9
Abstract:
Recommendations for assessment, compression therapy, cleansing, debridement, dressings, skin grafts and skin replacements, contact sensitivity, therapeutic ultrasound, laser, electrotherapy, topical negative pressure and pharmacological agents, training/education and quality assurance.
Clinical practice guideline: The recognition and assessment of acute pain in children: update of full guideline (PDF 5.2 MB)
Publication code: 003 542
Publication date: 9 September 2009
ISBN: 978-1-90663321-9
Abstract:
In 2000, the RCN produced guidance on how to measure, assess and appropriately respond to acute pain in children. Following a full review of the published evidence, the guidelines have now been completely revised and updated, and now include a new section on assessing pain in children with cognitive impairments. Endorsed by the Association of Paediatric Anaesthetists, the British Pain Society and the Royal College of Paediatrics and Child Health, the guidance is aimed at professionals, patients and carers who may be involved in the assessment and management of children’s pain. It is relevant in all care settings and identifies reliable and valid measures of pain intensity appropriate for neonates, preverbal infants, and verbal and non-verbal children. The guidelines also help practitioners to select the right measurement tools to use in different situations.
Clinical practice guideline: The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care (PDF 1.7 MB)
Publication code: 002 444
Publication date: 2 November 2007
ISBN:
Abstract:
Clinical practice guideline: Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments (PDF 1.6 MB)
Publication code: 003 017
Publication date: 2 November 2007
ISBN:
Abstract:
Clinical practice guidelines: Pressure ulcer risk assessment and prevention: recommendations 2001 (PDF 1.7 MB)
Publication code: 001 252
Publication date: 1 April 2001
ISBN: 1873853742
Abstract:
A guideline on pressure ulcers with recommendations that help early identification of patients at risk of developing pressure ulcers, suggest preventive interventions and point out practice that maybe harmful or ineffective. The aim of the guideline is to help reduce the occurrence of pressure ulcers.
Clinical standards for working in a breast specialty. RCN guidance for nursing staff (PDF 703.9 KB)
Publication code: 003 110
Publication date: 28 February 2007
ISBN: 9.7819E+12
Abstract:
Developments in interventions for the management of people with breast cancer in recent years have pointed to the importance of maintaining optimum bone health. This document aims to provide a comprehensive guide for all nurses working in breast care and to promote their knowledge and understanding of the significance of issues relating to breast cancer and bone health. It is hoped that improvements in knowledge and appreciation of the implications for nurses will result in improved quality of care for people at risk of, or living with, osteoporosis or bone metastases after a diagnosis of breast cancer.
Clinical supervision in the workplace: guidance for occupational health nurses (PDF 255.6 KB)
Publication code: 001 549
Publication date: 1 December 2003
ISBN:
Abstract:
Clinical supervision was introduced as way of using reflective practice and shared experiences as a part of continuing professional development. This leaflet aims to stimulate ideas and to encourage occupational health nurses to set up supervision practices in their workplaces.
Commissioning for equality (PDF 876.7 KB)
Publication code: 004222
Publication date: 22 August 2012
ISBN:
Abstract:
Good commissioning improves health; reduces health inequalities; ensures high-quality service provision; and protects patients’ dignity. This guide to commissioning for equality analyses how we assess people’s needs and introduce services to meet these needs. It considers how to achieve equality through knowledge, timeliness, consideration and review. The guide provides an overview of The Equality Act 2010 and what it means for the public sector and gives advice for service providers to develop a framework on which to measure their equality outcomes.
Commissioning health care services for children and young people: increasing nurses' influence (PDF 188.2 KB)
Publication code: 002 169
Publication date: 12 May 2004
ISBN:
Abstract:
If you are a children's nurse this publication will help you to take the initiative to shape future care to truly meet the needs of your young patients. As a children's nurse it is your duty to monitor the quality of services provided to children and their families and to influence processes for service enhancements by feeding in to the commissioning process. This document will help you do this by outlining how you can increase your influence with key stakeholders and how you can make your voice heard with colleagues at local, regional and national level.
Commissioning health services. A guide for RCN activists and nurses (PDF 658.9 KB)
Publication code: 003 853
Publication date: 25 January 2011
ISBN: 978-1-906633-62-2
Abstract:
Commissioners are increasingly under pressure to deliver improved services with fewer resources and hard decisions need to be made in the current economic climate. Activists who understand the commissioning process are in a strong position to influence decisions and protect the interests of patients and RCN members. The earlier activists and nurses get involved in these decision-making processes, the more likely it is that they will have a positive influence on behalf of patients and nurses. This publication covers what commissioning is, who leads commissioning and where it takes place, as well as detailing six keys to help activists and nurses in unlocking and understanding the commissioning process.
Community children's nursing: information for primary care organisations, strategic health authorities and all professionals working with children in community settings. (PDF 202.0 KB)
Publication code: 001 959
Publication date: 31 December 2002
ISBN:
Abstract:
This leaflet sets out why the provision of community children's nursing (CCN) services has grown, the role of these services, and, more specifically, the role of the community children's nurse. A number of examples of good practice from around the UK are are also included.
Community nursing: transforming health care (PDF 776.5 KB)
Publication code: 004 165
Publication date: 18 November 2011
ISBN: 978-1-906633-89-9
Abstract:
Nurses who work in the community are facing significant challenges during this time of health reform and demands to make financial savings. While this is so for all nurses, regardless of their workplace, media and political attention is often focussed on hospital care, and community services remain less visible. As a result there is little understanding of what constitutes community nursing, the range of roles covered, and the principles that underpin the development of nursing services that are suitable to serve their communities well. Within this publication, the RCN highlights the excellent work carried out by community nurses 52 weeks a year and seven days a week so that they have a chance of acquiring a similar profile to those nurses who do equally important, but different work in hospitals. The RCN wants these case studies of excellent community nursing to inform, inspire and persuade people to scrutinise their current community nursing services and identify how they can be both expanded and enhanced – for the benefit of their local population.
Competences: a competence framework for nurses working in the field of menopause (PDF 563.7 KB)
Publication code: 003 528
Publication date: 28 July 2009
ISBN: 978-1-906633-16-5
Abstract:
The evolving role of the menopause nurse is essential to the provision of expert clinical care, and for the education of both patients and health care professionals. Menopause nurses work in many different settings including outpatients, ward areas and primary care, with roles that vary according to service and patient needs. These updated competences provide guidance for nurses working in the field of menopause and can be used to ensure practice is safe, effective and accountable. Using the competences will help you identify your level of practice, plan your career in a more structured way and pinpoint education and development needs, while increasing the effectiveness of service provision.
Competences: an education and training framework for aural care nursing and treatment provision (PDF 765.1 KB)
Publication code: 004 266
Publication date: 3 July 2012
ISBN: 978-1-908782-12-0
Abstract:
Aural care is a common and frequently practiced skill in both primary and secondary care. This education and training framework has been developed by nurses in the RCN ENT/Maxillofacial Nursing Forum to acknowledge the scope of the aural care practitioner. The competences aim to support practitioners in career planning and personal development, inform future pay negotiations and support managers in workforce planning and development of role descriptors.
Competences: an education and training framework for ear, nose and throat (ENT) nursing (PDF 642.4 KB)
Publication code: 004 267
Publication date: 3 July 2012
ISBN: 978-1-908782-13-7
Abstract:
Ear, nose and throat (ENT) disorders can vary from minor transient conditions such as tonsillitis, otitis externa and sinus problems. This education and training framework for ENT nursing has been developed by nurses in the RCN ENT/Maxillofacial Nursing Forum to establish explicit, nationally-agreed role profiles for adult ENT specialist nursing roles. The competences aim to support practitioners in career planning and personal development, inform future pay negotiations and support managers in workforce planning and development of role descriptors.
Competences: an education and training framework for paediatric dermatological nursing (PDF 1.8 MB)
Publication code: 003317
Publication date: 6 July 2009
ISBN: 978-1-906633-10-3
Abstract:
Skin disorders are common in children and young people and many of them will be cared for entirely in primary care, including through out of hours services, walk-in clinics and GP surgeries. Health care professionals in these settings must be able to demonstrate relevant knowledge, competence, skills and experience in nursing children with skin disease. Recognising this need, children’s dermatology nurses from across the UK have developed this RCN competence framework. The framework aims to establish explicit, nationally-agreed role profiles for children’s dermatology specialist nursing roles.
Competences: an integrated career and competence framework for nurses working in the field of long-term follow-up and late effects care of children and young people after cancer (PDF 737.3 KB)
Publication code: 004 172
Publication date: 7 October 2011
ISBN: 978-1-906633-85-1
Abstract:
This is the first competence framework for nurses in the UK involved in the long-term follow-up care of children and young people after cancer. It builds upon the recommendations of the National Institute for Health and Clinical Excellence (NICE) children and young people’s (CYP) improving outcomes guidance (IOG) (NICE, 2005).The NICE CYP IOG addresses the care of children and young people diagnosed with cancer up to the age of 25 years. This spans the care of children and young people across children’s, adolescent, and adult health care services. This competence framework addresses issues related to long-term follow-up care (including late effects care and survivorship) for survivors of childhood, adolescent and young people’s cancer. However, with the exception of those competences which deal with the physical and emotional developmental stages in children and young people, these competences may also be useful to nurses working across the wider cancer population.
Competences: Caring for people with sickle cell and thalassaemia syndromes. A framework for nursing staff (PDF 2.0 MB)
Publication code: 003 874
Publication date: 8 April 2011
ISBN:
Abstract:
It is vital that nursing staff understand sickle cell and thalassaemia syndromes and are trained about what to do in different situations and when, how and to whom you refer patients on when necessary. This publication, produced in partnership with the NHS Sickle Cell and Thalassaemia Screening Programme, is designed to assist nurses who wish to specialise in the care of patients with sickle cell and thalassaemia syndromes. It contains a framework against which nurses can measure and develop their own knowledge and competence levels in this area.
Competences: Children's and young people's cardiac nursing (PDF 1.0 MB)
Publication code: 004 121
Publication date: 10 July 2011
ISBN: 987-1-906633-72-1
Abstract:
These competence frameworks and role descriptions were developed to enhance the clinical care that children and young people with congenital heart disease receive. Nurses must function at an optimal level to deliver appropriate care and evaluating clinical competence is essential to ensure the confidence of children and their families in cardiac nursing provision.
Competences: finding, using and managing information. Nursing, midwifery health and social care information literacy competences (PDF 1.4 MB)
Publication code: 003 847
Publication date: 12 January 2011
ISBN: 978-1-906633-56-1
Abstract:
The RCN recognised the need for information literacy competences to complement its clinical competence framework, helping nurses, midwives, health care assistants and nursing students develop their skills in using information and knowledge and apply this to their practice. These competences are intended to support the individual and the nursing team’s thinking about the information required to inform activities of varying complexity and are intended for use by staff in NHS career bands 1-9. For example, a nursing student on placement in a nursing home may use the competences to develop their understanding of the effects of a stroke and improve their patient care, a health care assistant might use them to support the development of their portfolio on competent record keeping for NVQ level 2 in Health and Social Care, while a consultant nurse might use them to develop innovative evidence-based local protocols. Online resources which demonstrate how these competences can be used in practice by different members of the nursing team will be available later this year.
Competences: for nurses assessing and counselling women who request and/or receive long-acting reversible methods of contraception (LARC) (PDF 735.9 KB)
Publication code: 004 122
Publication date: 24 November 2011
ISBN: 987-1-906633-80-6
Abstract:
Aimed at sexual and reproductive health practitioners this new set of competences is aimed at nurses who are assessing and counselling women who have requested or received long-acting reversible methods of contraception (LARC). The purpose of this competency framework is to ensure such women are cared for safely and helps professionals to identify their training needs, ensuring they have the skills and knowledge to undertake the delivery of contraception services competently and safely.
Competences: for nursing children and young people (PDF 726.8 KB)
Publication code: 004 202
Publication date: 2 April 2012
ISBN: 978-1-906633-96-7
Abstract:
The RCN publication Services for children and young people: preparing nurses for future roles (2004) identified core children and young people (CYP) nursing role descriptors and competences. These were used as a starting point and mapped against Knowledge and Skills Framework (KSF) dimensions to identify potential competences for inclusion in these new nursing competences. This publication presents a detailed explanation of six areas of competence that are specific to the nursing care of children and young people. These provide a useful resource for undertaking a review of educational curricula and for anyone seeking to develop, review or influence career and competence framework development in this area of practice. It also provides the basis for competence frameworks for specialist areas of children’s and young people’s nursing.
Competences: Ophthalmic nursing: an integrated career and competence framework (PDF 1.9 MB)
Publication code: 004350
Publication date: 12 November 2012
ISBN: 978-1-908782-26-7
Abstract:
This competence framework has been revised and updated by ophthalmic nurses who are keen to share their knowledge and expertise with other colleagues within the specialty. It should provide the busy ophthalmic nurse with a structured framework against which they can map their own competences, plus help integrate them into a professional portfolio to show growth and development (both personally and professionally).This competence framework will work across a variety of ophthalmic care settings. Novartis UK Limited provided an educational grant to support this publication, but had no influence over the content. Kindly sponsored by SD Healthcare Ltd.
Competences: orthopaedic and trauma practitoners (PDF 670.3 KB)
Publication code: 004 316
Publication date: 14 September 2012
ISBN: 978-1-908782-16-8
Abstract:
Orthopaedic and trauma nursing competences were first published in 2005 by the RCN to provide an overarching framework to enable trauma and orthopaedic practitioners to enhance their knowledge and skills in order to increase the safety and quality of patient care. This updated competence framework has been further developed by a competence development group representing both adult and children’s orthopaedic and trauma nursing. It also includes health care assistants and assistant/associate practitioners. The framework aims to provide clarity for organisations as to what they can expect from orthopaedic and trauma care practitioners and can also be used as a benchmark for organisations to use in recruitment and selection of practitioners The four key competences identified are: the relationship between patient and health care professional and the unique role the health care professional plays in guiding the patient through their journey in orthopaedic and trauma health care; comfort during orthopaedic and trauma care; assessment and management of risks in the delivery of care; and the technical aspects of orthopaedic and trauma care, for example the knowledge, understanding and skill required for specialised devices used to treat patients.
Competences: specialist competences for fertility nurses (PDF 683.4 KB)
Publication code: 003 135
Publication date: 13 June 2007
ISBN: 978-1-904114-37-6
Abstract:
By focussing on the specific care treatments used in fertility nursing, this publication gives nurses the support they need to achieve the skills and knowledge necessary to provide a high standard of care. Covering all key areas, including causes/classification of infertility; investigating the causes of infertility; treatment; follow-up care, and specific psychological/psycho-social intervention, this document will help you to achieve an holistic approach through compassionate, informed and evidence-based practice.
Competencies Advanced nurse practitioners an RCN guide (PDF 460.5 KB)
Publication code: 003 207
Publication date: 1 May 2012
ISBN: 978-1-908782-09-0
Abstract:
The nurse practitioner role is becoming more prevalent, with increasing numbers of nurse practitioners now working in secondary and tertiary care settings such as A&E departments, minor injury units, medical assessment units and within specialties such as paediatrics and oncology. The term advanced nurse practitioner (ANP) is increasingly being used in the UK to acknowledge the advanced level of the role, the scope of practice and its associated competencies. This revised publication is divided into three main sections and includes a definition of the ANP role, the RCN's revised domains and competencies for ANPs in the UK, and the standards which collaborating higher education institutions must meet for their ANP educational programmes to receive RCN accreditation.
Competencies: a competency framework and guidance for developing paediatric epilepsy nurse specialist services (PDF 597.9 KB)
Publication code: 002 792
Publication date: 2 December 2005
ISBN:
Abstract:
The overall goal of managing epilepsy is to enable the child or young person and their family to lead a life as free as possible from clinical and psychosocial complications. This is achieved through access to specialist paediatric epilepsy services that have effective links to schools, primary care and other relevant services. This competency document can be used as a tool to support self-assessment, personal development plans and mentorship, and is intended to be developmental, empowering and aspirational.
Competencies: an education and training competency framework for administering medicines intravenously to children and young people (PDF 422.3 KB)
Publication code: 003 005
Publication date: 30 November 2005
ISBN:
Abstract:
The use of intravenous medicines for children and young people is commonplace in both hospital and community settings, and is an important skill for nurses caring for children and young people to develop and maintain. This updated framework identifies the competences, learning outcomes and the indicative content necessary for education and training programmes to meet the needs of children and young people, and should be used to develop new programmes and review and revise existing ones.
Competencies: an education and training competency framework for capillary blood sampling and venepuncture in children and young people (PDF 440.4 KB)
Publication code: 003 004
Publication date: 30 November 2005
ISBN:
Abstract:
Developing skills in performing capillary blood sampling and venepuncture can facilitate holistic care and timely treatment, which, for nurses working with children and young people, is regarded as an expanded role. This updated framework identifies the competences, learning outcomes and the indicative content necessary for education and training programmes to meet the needs of children and young people, and should be used to develop new programmes and review and revise existing ones.
Competencies: an education and training competency framework for peripheral venous cannulation in children and young people (PDF 436.7 KB)
Publication code: 003 003
Publication date: 30 November 2005
ISBN:
Abstract:
To facilitate holistic and timely treatment for patients, nurses increasingly need to develop their competence in inserting peripheral venous cannuale, which, for nurses working with children and young people, is regarded as an extended role. This updated framework identifies the competences, learning outcomes and the indicative content necessary for education and training programmes to meet the needs of children and young people, and should be used to develop new programmes and review and revise existing ones.
Competencies: an integrated career and competency framework for in-flight nurses (PDF 493.2 KB)
Publication code: 003 141
Publication date: 12 April 2007
ISBN: 9.7819E+12
Abstract:
In-flight nursing is a dynamic and rapidly advancing field. As innovations and new techniques are adopted, nursing staff need to respond by developing their roles. This competency publication has been developed in this context and provides comprehensive information for in-flight nurses throughout the UK.
Competencies: an integrated career and competency framework for paediatric endocrine nurse specialists (PDF 1.7 MB)
Publication code: 003264
Publication date: 1 October 2008
ISBN: 978-1-904114-55-0
Abstract:
Paediatric endocrinology - children's hormones - covers a wide range of illnesses and disorders, varying from minor disorders to life-threatening conditions. Most children or young people can maintain a normal, healthy lifestyle with the assistance of hormone replacement. However, this can only be gained through accessing specialist paediatric endocrinology services, where the position of a nurse specialist is paramount. This competency framework was developed to enhance the clinical care that children and young people with an endocrine disorder receive. The framework focuses on knowledge, skills and interventions that are heightened or specific to nurses working in paediatric endocrine nursing. This framework identifies the competencies, learning outcomes and the indicative content necessary for education and training programmes to meet the needs of children and young people, and should be used to develop new programmes and review and revise existing ones.
Continence care in care homes - a framework to gather and share key information. (PDF 986.5 KB)
Publication code: 003 139
Publication date: 20 March 2007
ISBN: N/A
Abstract:
A continence care framework developed by the RCN, providing key questions and suggestions where residents of a care home may have continence problems.
Core competences for imaging nursing (PDF 1.2 MB)
Publication code: 004265
Publication date: 7 September 2012
ISBN: 978-1-908782-14-4
Abstract:
A lack of nationally agreed competences for imaging nurses has led to uncertainty in the expectations of imaging nurses and their managers. Core competences for imaging nursing, supported by Cook Medical, has been developed as a framework for imaging nurses in clinical practice. Six core competences, which cover all modalities across imaging nursing, have been identified: prepares the patient effectively for imaging procedures; supports the patient through imaging procedures; safely cares for the patient following imaging procedures; assists with imaging procedures; maintains a safe environment within the imaging department; and undertakes specific interventions within the imaging environment.
Council's report to members (PDF 1.0 MB)
Publication code: 004 251
Publication date: 27 April 2012
ISBN:
Abstract:
This report details the work that has been completed over the last year on Congress 2011’s agenda items. The report also includes the formal results from these items and progress on items from Congresses in 2006-2010, on which work is still being undertaken. Key debates from 2011 comprise the RCN’s opposition to the proposed pay cuts in the NHS; the campaign for legally enforceable staffing levels; and the issue of appropriately recognising and accrediting nursing qualifications and experience.
Counselling for staff in health service settings - a guide for employeres and managers. (PDF 1.4 MB)
Publication code: 001 759
Publication date: 22 April 2002
ISBN:
Abstract:
''There is a clear and growing evidence base demonstrating that counselling is highly cost-effective, helping to reduce work-related symptoms and stress and lowering sickness absence.'' This is one of the key messages of this new publication from the RCN which aims to help health service employers and managers have a more informed view of how to provide staff counselling services and the resources that are needed. It covers a number of different areas including: evidence highlighting the significant contribution of a counselling service to staff health and organisational effectiveness; the core elements and key principles to getting started; conducting an audit and evaluation of counselling provision. This guidance also aims to raise awareness of the legal standards that need to be met.
eHealth: Consent to create, amend, access and share eHealth records (PDF 636.3 KB)
Publication code: 003 593
Publication date: 13 July 2010
ISBN:
Abstract:
Record keeping is an essential element of nursing practice; it is an important method of communication, is used to monitor the quality of patient/client care, and serves as a legal record of a practitioner’s care. The principles of good record keeping in nursing are well established and apply equally to computerised or paper records. The RCN supports the introduction of electronic records, but is concerned to ensure the protection of both patients and nursing staff (nurses and other health care workers) in their use. As electronic records become increasingly commonplace nursing staff need to familiarise themselves with the key concerns associated with their use. Many of these relate to issues of consent – what information is going to be included, who will see it, who it will be shared with, and what rights apply. The governments of all four UK countries have produced and publicised information for patients/clients about their rights and the answers to these questions. This booklet has been prepared to clarify the RCN position on these issues, and to help nursing staff to understand the issues and their responsibilities so that they can help patients to make choices in relation to their personal records. It sets out basic principles, and offers guidance to front line practitioners involved in making decisions about their own use of electronic patient records, and who have responsibility for explaining the position to patients and helping them to make their decisions. The booklet is framed around several principal questions that practitioners might have about using electronic patient records, but it does not provide an exhaustive review of all the issues. For ease of reference, key RCN position statements are highlighted.
Health and nursing care in the criminal justice service. RCN guidance for nursing staff (PDF 523.9 KB)
Publication code: 003 307
Publication date: 11 May 2009
ISBN: 978-1-906633-05-9
Abstract:
The role of health care nurses in the criminal justice service is varied, complex and often challenging. This guide will help you to access up to date information, toolkits and sources of advice to assist you in your work. It is a resource to support the delivery of high quality services to people in a broad range of environments, from police custody to high security prisons in all four UK countries. This guide replaces the 2002 Royal College of Nursing publication, Nursing in Prisons, and highlights the specific health and nursing care needs of offenders.
Inserting and removing subdermal contraceptive implants. Accreditation and training guidance for nurses (PDF 1.1 MB)
Publication code: 002 240
Publication date: 31 March 2010
ISBN: 978-1-906633-04-2
Abstract:
The RCN Accreditation Unit accredits nurses in the insertion and removal of sub-dermal contraceptive implants (SDI). If you work at a higher or specialist level within the area of contraception/sexual health and hold a recognised post- registration qualification in the specialty this publication provides information on how to acquire the clinical skills and competence you need to become accredited. The RCN recommends that nurses follow this guidance to ensure best practice and to protect the safety of women. Sixth edition July 2012.
Clinical practice guideline: The management of patients with venous leg ulcers: technical report (PDF 5.1 MB)
Publication code: 000 989
Publication date: 1 January 1998
ISBN:
Abstract:
Provides a reference for health professionals requiring information about current recommendations on the assessment and management of leg ulcers. The report covers the psychosocial implications of leg ulcer disease, the assessment of a patient with a leg ulcer. Please note that this publication is a scanned copy. The original is available in the RCN library.
RCN Competences. Competence, education and careers in neonatal nursing: RCN guidance (PDF 1.0 MB)
Publication code: 004 118
Publication date: 18 August 2011
ISBN: 978-1-906633-71-4
Abstract:
This RCN competency and education framework is aimed at all health care professionals working within neonatal nursing and should be used by nurses, employers, managers, higher education institutes and policy leads. The publication aims to ensure equity in the expectations of neonatal nurses at different levels/stages of careers and in different geographical locations.
RCN competences: an integrated career and competence framework for nurses working in the field of children and young people's cancer care (PDF 507.1 KB)
Publication code: 003 845
Publication date: 15 September 2010
ISBN: 978-1-906633-50-9
Abstract:
Paediatric oncology is a complex speciality, for which specific skills are required in order to meet the needs of children and young people. This competence framework replaces and broadens the previous RCN publication, Competences: An integrated competency framework for training programmes in the safe administration of chemotherapy to children and young people (RCN, March 2005) publication code 002 501. The framework encompasses Agenda for Change and the Knowledge and Skills Framework (KSF) implemented across the UK in December 2004. The framework uses an outcomes competence model and addresses a number of political and professional issues and initiatives.
Safeguarding children and young people-every nurse's responsibility. Guidance for nursing staff. (PDF 916.7 KB)
Publication code: 002 045
Publication date: 30 January 2004
ISBN:
Abstract:
This guidance is aimed at all nurses and highlights the issues that help you to recognise the warning signs of abuse. As a nurse you are well placed to identify children and young people who may be at risk and act to safeguard their welfare. This leaflet outlines how to identify a vulnerable child; the signs of abuse that nurses should learn to recognise; your role and responsibilities as a nurse who has direct or indirect contact with children, and your employer¿s responsibilities in this area.
The RCN complaints procedure (PDF 232.2 KB)
Publication code: 003 885
Publication date: 31 May 2011
ISBN:
Abstract:
The RCN is committed to delivering the best possible services and support to you. To enable us to do this we need your assistance in letting us know what works well and what we can improve further. This publication explains the complaints procedure including how to complain, who can complain and the processes and timescales involved.
The RCN Congress 2010 Fringe Guide (PDF 5.9 MB)
Publication code: 003 586
Publication date: 13 April 2010
ISBN:
Abstract:
Your guide to professional, social and educational events at RCN Congress 2010. Congress is the most important event in the RCN calendar, when more than 4,000 members of the nursing community get together to meet, learn, listen, debate and have fun. The fringes and educational seminars are a great opportunity for personal and professional development – take a look through this guide for what we have to offer to help you in developing your clinical and practice skills, your career, and your understanding of key nursing and health issues.
D
A decisive decade - mapping the future NHS workforce (PDF 741.4 KB)
Publication code: 004 158
Publication date: 15 July 2011
ISBN:
Abstract:
This interim report is taken from the forthcoming Royal College of Nursing Labour Market Review (LMR) 2011. This looks at the challenges facing nursing and the nursing workforce across the UK in 2011 which we believe are the greatest for a generation. In order to shed some light on the current and future status of NHS nursing, this report examines different scenarios of the supply of NHS nurses in England over the next ten years. This scenario analysis enables us to examine a number of “what if” situations and model their effects on the NHS nursing workforce in England, allowing the examination of potential future changes, such as changes in retirement decisions, or the numbers of new nurses being trained.
A Dignity Charter for RCN members (PDF 56.0 KB)
Publication code: 003 587
Publication date: 12 May 2010
ISBN:
Abstract:
Dignity has been a core theme for the RCN for some time. Members and staff should treat each other with dignity and respect, care and consideration, as well as valuing the rich diversity that everyone brings to the RCN. This charter sets out the rights and responsibilities of all RCN members in relation to their interaction with each other and with RCN staff. It also includes some specific rights and responsibilities of all RCN activists. This document replaces the RCN Code of Conduct.
Commitment to the care of people with dementia in general hospitals: a pocket guide (PDF 295.6 KB)
Publication code: 004 178
Publication date: 20 September 2011
ISBN:
Abstract:
This pocket guide gives background information on the commitment to the care of people with dementia in general hospitals, lists the principles in full and includes references for further information. General hospital environments can be particularly confusing for people living with dementia. When treatment is required in a hospital setting, people with dementia need to have their dementia recognised so that appropriate care and treatment is delivered, irrespective of the reason for admission. The RCN and a range of stakeholders have developed principles for the care of people with dementia in general hospital settings, they form a shared commitment to improving care. They have been identified by people with dementia, family carers and friends, as well as by professionals. They are intended for all those people responsible for care, not just nursing staff. Each principle is considered essential to ensure the appropriate delivery of care, and factors are identified which will support their delivery based on guidance and best practice.
Commitment to the care of people with dementia in general hospitals: A3 poster (PDF 273.0 KB)
Publication code: 004 176
Publication date: 20 September 2011
ISBN:
Abstract:
This poster lists the principles included in the commitment to the care of people with dementia in general hospitals. General hospital environments can be particularly confusing for people living with dementia. When treatment is required in a hospital setting, people with dementia need to have their dementia recognised so that appropriate care and treatment is delivered, irrespective of the reason for admission. The RCN and a range of stakeholders have developed principles for the care of people with dementia in general hospital settings, they form a shared commitment to improving care. They have been identified by people with dementia, family carers and friends, as well as by professionals. They are intended for all those people responsible for care, not just nursing staff. Each principle is considered essential to ensure the appropriate delivery of care, and factors are identified which will support their delivery based on guidance and best practice. Available as a download only.
Commitment to the care of people with dementia in general hospitals: checklist to identify achievements and areas for further development (PDF 154.1 KB)
Publication code: 004 177
Publication date: 20 September 2011
ISBN:
Abstract:
This checklist lists the principles included in the commitment to the care of people with dementia in general hospitals in full, and can be used to identify achievements and areas for further development. General hospital environments can be particularly confusing for people living with dementia. When treatment is required in a hospital setting, people with dementia need to have their dementia recognised so that appropriate care and treatment is delivered, irrespective of the reason for admission. The RCN and a range of stakeholders have developed principles for the care of people with dementia in general hospital settings, they form a shared commitment to improving care. They have been identified by people with dementia, family carers and friends, as well as by professionals. They are intended for all those people responsible for care, not just nursing staff. Each principle is considered essential to ensure the appropriate delivery of care, and factors are identified which will support their delivery based on guidance and best practice. Available as a download only.
Day of Action A4 event poster (PDF 121.8 KB)
Publication code: 004 193
Publication date: 3 November 2011
ISBN:
Abstract:
Day of Action poster with a blank space where members can enter local event details.
Day of Action A4 poster (PDF 157.9 KB)
Publication code: 004 190
Publication date: 3 November 2011
ISBN:
Abstract:
Poster promoting RCN support for the Day of Action and how to find out more about getting involved and the RCN position on pensions.
Day surgery information - Children/young people in day surgery (sheet 3) (PDF 108.7 KB)
Publication code: 001 374
Publication date: 30 November 2004
ISBN:
Abstract:
Paper providing guidance for nurses, in relation to which protocols to follow whilst looking after children in day surgery.
Day surgery information - Discharge planning (sheet 4) (PDF 76.7 KB)
Publication code: 001 376
Publication date: 30 November 2004
ISBN:
Abstract:
Paper discussing the discharge procedures for day care patients.
Day surgery information - Managing patients undergoing sedation (sheet 5) (PDF 64.9 KB)
Publication code: 002 436
Publication date: 30 November 2004
ISBN: N/A
Abstract:
Guidance for nurses on safe practice concerning the sedation of patients, covering pre-op, inter-op, first stage and discharge.
Day surgery information - Patient information and the role of the carer (sheet 2) (PDF 94.6 KB)
Publication code: 001 375
Publication date: 30 November 2004
ISBN:
Abstract:
A document that advises on the information that needs to be provided to the patient, concentrating on the care that the patient will receive on visits to the day surgery. Topics covered include the procedure specification, clinical risks, and general anae
Day surgery information - Selection criteria and suitable procedures (sheet 1) (PDF 101.2 KB)
Publication code: 001 436
Publication date: 30 November 2004
ISBN:
Abstract:
Day surgery information - Selection criteria and suitable procedures (sheet 1)
Dealing with a drop in income (PDF 338.3 KB)
Publication code: 003 543
Publication date: 6 October 2009
ISBN:
Abstract:
Being faced with a change in circumstances, such as ill health, the loss of a job or cut backs on extra shifts can make it difficult to stay on top of your finances. This publication is designed to assist people going through such uncertainty and provides advice on the steps that can be taken to alleviate some of the problems that may arise from an unexpected drop in income. It introduces the RCN Welfare Rights and Guidance Service, outlining how an adviser can assist people in financial difficulties. It covers advice on mortgage and rent payments, introducing creditor payment proposals, individual voluntary arrangements and debt relief orders. This publication is invaluable for people facing short term concerns or longer term difficulties.
Decisions relating to cardiopulmonary resuscitation (PDF 337.2 KB)
Publication code: 003206
Publication date: 26 October 2007
ISBN: N/A
Abstract:
Health professionals are aware that decisions about attempting cardiopulmonary resuscitation (CPR) raise sensitive and potentially distressing issues for patients and people emotionally close to them. These guidelines identify the key ethical and legal issues that should inform all CPR decisions and provide a framework to support decisions relating to CPR and communicating them effectively.The guidelines also provide the general principles that enable CPR policies to be tailored to local circumstances.
Defending Dignity - Challenges and opportunities for nursing (PDF 2.2 MB)
Publication code: 003257
Publication date: 25 June 2008
ISBN:
Abstract:
Published on 25 June 2008 and written by Leslie Baillie, Ann Gallagher and Paul Wainwright, this report is based on an RCN membership survey of more than more than 2,000 nurses, students and health care assistants. Carried out in February-March 2008, the survey investigated participants' awareness of dignity and the barriers that prevent dignified care being given to patients and clients in a wide range of environments. It includes recommendations for action from government, organisations and individuals. This poster can be ordered free of charge from RCN Direct.
Defining Nursing (full document) (PDF 1.0 MB)
Publication code: 001 998
Publication date: 22 April 2003
ISBN:
Abstract:
Written for nurses and others to help them to describe what nursing is, Defining nursing incorporates a definition of nursing that can be used in developing policy and legislation, determining skill-mix, and resource management. This publication incorporates the results of wide consultation and participation by RCN members and others. It describes why and how this definition was developed, and explains its key concepts.
Defining Nursing (summary leaflet) (PDF 199.9 KB)
Publication code: 001 983
Publication date: 22 April 2003
ISBN:
Abstract:
The information in this leaflet forms part of a position statement. The full document can be found on the RCN website, www.rcn.org.uk.
Defining staffing levels for children's and young people's services (PDF 2.3 MB)
Publication code: 002 172
Publication date: 11 September 2003
ISBN:
Abstract:
This publication follows on from the Skill-mix and staffing in children's wards and departments (1999, 001 054) and gives further information and specific guidance on staffing levels, based on the outcome of a Delphi study undertaken by the RCN Paediatric Nurses Managers Forum in 2002. It relates to neonatal and paediatric intensive care services as well as the 'average' general children's ward, and discusses the factors that indicate when a review of nurse staffing should be undertaken.
Delegating record keeping and countersigning records: Guidance for nursing staff (PDF 607.7 KB)
Publication code: 004337
Publication date: 14 November 2012
ISBN: 978-1-908782-25-0
Abstract:
As members of the wider health care team, HCAs and APs take personal accountability for good record keeping. This new short guidance from the RCN aims to clarify the issues of delegating record keeping and countersigning records for nursing staff and employers.
Dementia guide: commitment to the care of people with dementia in hospital settings (PDF 565.1 KB)
Publication code: 004235
Publication date: 9 October 2012
ISBN:
Abstract:
Dementia is a challenge for hospitals. Surveys show that around a quarter of hospital beds are occupied by somebody with dementia; a figure which increases in older people and individuals with a superimposed delirium. This important resource supports the further implementation of the RCN’s five principles for improving the quality of care for people with dementia and enabling the best possible support for their carers. This guide supplements the RCN’s film: Dementia: Commitment to the care of people with dementia in hospital settings.
Developing an effective clinical governance framework for children's acute health care services: guidance for clinical professionals and managers (PDF 491.2 KB)
Publication code: 001 390
Publication date: 1 March 2001
ISBN:
Abstract:
The RCN Paediatric Nurse Managers Forum has written this document in response to enquiries from members and colleagues following a conference presentation on clinical risk within children's acute health care services. It is designed as a checklist to be u
Developing and sustaining effective teams (PDF 663.5 KB)
Publication code: 003 115
Publication date: 27 September 2007
ISBN: 9.7819E+12
Abstract:
These guides are aimed at anyone who works in a team and who wishes to improve the way the team operates. They contain practical, useful and thought-provoking ideas to increase team effectiveness and initiate change.Following the introduction booklet, Getting Started, each guide addresses a specific aspect of team working, including: What are you there for? Setting team objectives; Who does what? Team roles; Effective meetings and Some thoughts about conflict.The guides grew out of the Clinical Teams Programme, a multidisciplinary team development programme designed and delivered by the RCN's clinical leadership team and commissioned by the NHS Leadership Centre. The guides were funded by a grant from the NHS Institute for Innovation and Improvement. This publication can be ordered from RCN Direct (0845 772 6100) as either a set of 9 booklets (code 003 115) or a CD-Rom (code 003 116).
Developing effective teams. Developing effective services. Executive Summary. (PDF 508.3 KB)
Publication code: 003 067
Publication date: 11 October 2006
ISBN: 1904114342
Abstract:
A summary account of the Clinical Teams Programme (CTP), a team development programme designed to increase the effectiveness and functioning of health care teams, improve client care and service delivery, and contribute to organisations achieving relevant strategic objectives in relation to their wider modernisation agenda. The document is a summary of the key outcomes of the CTP. A more detailed report of evaluation outcomes and findings is available.
Developing integrated health and social care services for long-term conditions (PDF 275.2 KB)
Publication code: 003 051
Publication date: 1 May 2006
ISBN:
Abstract:
Long term conditions (LTC) present a challenge for the NHS, the numbers of people living with LTC is growing due to increasing obesity, sendentary lifestyles and an ageing population. Community matrons are central to the Government strategy on the management of LTC, but there has been some confusion as to how other nurses fit in the management of LTC and the future role of the nurse specialist. This document details proceedings from a symposium held at the RCN to examine the interface between specialist nurses and community matrons. It outlines how all nurses need to work together collaboratively for the benefit of patients with LTC. The event was jointly sponsored by the Parkinson's Disease Society and Multiple Sclerosis Society.
Difficult times, difficult choices: The UK nursing labour market review 2009 (PDF 218.1 KB)
Publication code: 003554
Publication date: 22 September 2009
ISBN:
Abstract:
This report considers current approaches to workforce planning; reviews recent trends in the nursing workforce and identifies key drivers for change. It also reports on the next generation of nurses and identifies some of the challenges which face NHS nursing. These include the impact of the recession on the labour market, possible restrictions on funding in the NHS, restrictions on migration and the international recruitment of nurses, as well as the challenges of the ageing nursing workforce and the need to develop the right workforce profile to support an all graduate entry route.
Digital rectal examination. Guidance for nursing staff working with children and young people (PDF 2.3 MB)
Publication code: 002 062
Publication date: 4 August 2003
ISBN:
Abstract:
Many nurses are concerned about the professional and legal aspects of digital rectal examination (DRE) and the manual removal of faeces. For a limited number of children and young people, particularly those with spinal injuries, these procedures will form an important component of their bowel management routine. This guidance sets out the professional and legal background against which all nurses are required to act, giving some examples of legal issues that may arise in this procedure. It looks in detail at the importance of listening to and involving the child or young person in obtaining informed consent. Finally, it answers some important questions about the procedures.
Dignity - a pocket guide (PDF 1.8 MB)
Publication code: 003292
Publication date: 13 October 2008
ISBN:
Abstract:
Quick portable reference to make dignity a priority when on the go, contains the RCN definition of dignity and quick and simple ideas to get you thinking about how dignity relates to ‘places, people and processes’. Members £1.90 Non Members £2.20 Orders of 10 or more guides: Members £1.50 Non-members £1.80
Dignity - A&E Poster: Welsh (PDF 180.0 KB)
Publication code: 003259
Publication date: 25 June 2008
ISBN:
Abstract:
This A3 Welsh and English poster has been developed by the RCN’s Emergency Care Association in collaboration with the Patient’s Association and outlines a set of basic dignity care principles. The principles are designed to reinforce the minimum standards that patients can expect when accessing emergency health care. The poster is designed to be displayed prominently in the waiting rooms of emergency departments, minor injury units and walk-in centres. This poster can be ordered free of charge from RCN Direct.
Dignity - A&E Poster:English (PDF 560.5 KB)
Publication code: 003258
Publication date: 25 June 2008
ISBN:
Abstract:
This A3 poster has been developed by the RCN’s Emergency Care Association in collaboration with the Patient’s Association and outlines a set of basic dignity care principles. The principles are designed to reinforce the minimum standards that patients can expect when accessing emergency health care. The poster is designed to be displayed prominently in the waiting rooms of emergency departments, minor injury units and walk-in centres. This poster can be ordered free of charge from RCN Direct.
Dignity - dignity workshop certificate of attendance (PDF 98.0 KB)
Publication code: 003296
Publication date: 13 October 2008
ISBN:
Abstract:
Accompanying support material for dignity workshops for use with Delivering dignified care: a practice support pack for workshop facilitators.
Dignity - dignity workshop poster (PDF 133.0 KB)
Publication code: 003295
Publication date: 13 October 2008
ISBN:
Abstract:
Accompanying support material for dignity workshops for use with Delivering dignified care: a practice support pack for workshop facilitators.
Dignity - Information Poster 1 (PDF 133.5 KB)
Publication code: 003290
Publication date: 13 October 2008
ISBN:
Abstract:
To be put up on notice board in any care setting to promote dignity. Download here or order for free from RCNDirect publications@rcn.org.uk or phone 0845 772 6100
Dignity - RCN Definition of Dignity (PDF 77.2 KB)
Publication code: 003298
Publication date: 13 October 2008
ISBN:
Abstract:
This flyer is part of the RCN Dignity Campaign. It can be downloaded free of charge from this website www.rcn.org.uk/dignity
Dignity in health care for people with learning disabilities (PDF 1.1 MB)
Publication code: 003 553
Publication date: 26 January 2010
ISBN: 978-1-906633-27-1
Abstract:
This publication aims to improve dignity in health care for people with learning disabilities. Whilst it is designed primarily to support the nursing workforce, other health care and social care staff may also find it a useful resource. This guidance focuses on the experiences of people with learning disabilities, areas for improvement in relation to dignity, practical ideas on what nurses can do to improve dignity and sources of further information and support. It also includes information relating to the particular health needs that people with learning disabilities may have, and provides guidance on working in collaboration with other service providers.
Dignity: dignity workshop worksheet (PDF 90.8 KB)
Publication code: 003297
Publication date: 13 October 2008
ISBN:
Abstract:
Accompanying support material for dignity workshops for use with Delivering dignified care: a practice support pack for workshop facilitators.
Dignity: Information Poster 2 (PDF 268.7 KB)
Publication code: 003289
Publication date: 13 October 2008
ISBN:
Abstract:
To be put up on notice board in any care setting to promote dignity. Download here or order for free from RCNDirect publications@rcn.org.uk or phone 0845 772 6100
Dignity: Small changes make a big difference (PDF 314.3 KB)
Publication code: 003285
Publication date: 13 October 2008
ISBN:
Abstract:
Our influencing resource aims to help members of the nursing team develop their influencing skills and take practical steps towards maintaining and promoting dignity in their workplace. The pack can be purchased from RCN Direct (0345 772 6100) - £5 for non-members, £4 for RCN members. There is also a discount for bulk orders of over 10 packs: £3.75 for non-members, £3 for members.
Disability equality scheme - ability counts (PDF 151.5 KB)
Publication code: 003 132
Publication date: 7 March 2007
ISBN: 9.7819E+12
Abstract:
This document outlines how the Royal College of Nursing intends to meet the requirements of the disability equality duty under the Disability Discrimination Act 2005. The RCN has voluntarily placed itself under the obligations created by the act in order to champion disability equality in all areas of its day to day and strategic work.
Discussing and preparing evidence at your first personal development review. Guidance for RCN members on the NHS Knowledge and Skills Framework (PDF 312.4 KB)
Publication code: 003 061
Publication date: 12 July 2006
ISBN:
Abstract:
The Knowledge and Skills Framework (KSF) was developed as part of the Agenda for Change process for updating the way NHS staff posts are defined and developed. This KSF requires staff to collect evidence to demonstrate that they have met the requirements of their role at an annual personal development review (PDR) . Following on from the previous RCN publication NHS Knowledge and Skills Framework outlines for nursing posts (002 775), this latest publication will help members prepare for, and make the most of, their first PDR. This guidance explains how to shape a portfolio of evidence in order to document practice and professional development, and to help staff and managers identify learning and development needs. It details the sort of evidence portfolios should contain, and how the evidence should be recorded and presented. The guidance concludes with examples of evidence that may be used for core dimensions of the KSF.
District nursing - harnessing the potential. The RCN’s UK position on district nursing (PDF 237.8 KB)
Publication code: 004 366
Publication date: 21 March 2013
ISBN:
Abstract:
The UK’s population is living longer and an increasing number of people are living with long-term conditions. District nursing therefore has a major role to play in the NHS, empowering people to be cared for in their own homes and in the community. This position statement builds on the RCN’s Pillars of the community (2010), which detailed the position on the development of the registered nurse workforce in the community. This publication sets out the RCN’s view of current day district nursing and the potential contribution of district nurses in managing demand for health services and enabling effective and efficient care in the community.
Diversity appraisal resource guide: helping employers, RCN officers and representatives promote diversity in the workplace (PDF 280.7 KB)
Publication code: 001 825
Publication date: 21 October 2002
ISBN:
Abstract:
This guide will help you to support an organisation-wide culture where differences and diversity are valued. The guide contains an appraisal tool that identifies key elements of good practice and details a number of core diversity issues - these are set
Documentation in colorectal and stoma care nursing. RCN guidance for nursing staff (PDF 2.8 MB)
Publication code: 002 212
Publication date: 13 November 2003
ISBN:
Abstract:
This guidance aims to minimise the risks that all nurses face every day when they document care. It sets out a range of issues you, as a nurse, need to consider, and highlights good practice points. The publication looks at how you can keep accurate and detailed records about a patient¿s care and how you can influence the development of more efficient systems of record-keeping in your team or workplace. Topics covered include: legal implications, recording informed consent, computerised records and creating and using service records.
Domestic violence: guidance for nurses (PDF 992.9 KB)
Publication code: 001 207
Publication date: 1 August 2000
ISBN:
Abstract:
The aim of this publication is to help guide nurses through the complex and difficult area of domestic violence, to raise awareness of violence against women in relationships. It also provides a guide for identification and treatment and offers a list of resources and contacts.
Dyslexia, dyspraxia and dyscalculia: a guide for managers and practitioners (PDF 518.5 KB)
Publication code: 003 833
Publication date: 10 August 2010
ISBN: 978-1-906633-48-3
Abstract:
This guide gives practical information on dyslexia, dyspraxia and dyscalculia and their potential impact on an individual; for managers, human resources and nursing staff. This guidance will help them to support nursing staff with specific learning differences to realise their full potential so they can continue to make a valuable contribution to health care. It also sets out to raise awareness of the legal and professional responsibilities in respect of these conditions.
Dyslexia, dyspraxia and dyscalculia: a pocket guide (PDF 409.4 KB)
Publication code: 003851
Publication date: 8 April 2011
ISBN:
Abstract:
For many years the Royal College of Nursing has recognised the impact of dyslexia, dyspraxia and dyscalculia on its members. In 2010 the RCN published a toolkit for nursing staff and a detailed guide for managers and practitioners designed to raise awareness and provide advice and support to help those affected to reach their potential in whatever role or setting they work. This pocket guide provides a brief overview of the three conditions and provides top tips for dealing with some of the most commonly encountered areas of difficulty.
Dyslexia, dyspraxia and dyscalculia: a summary guide for managers (PDF 45.8 KB)
Publication code: 003 834
Publication date: 10 August 2010
ISBN: 978-1-906633-49-3
Abstract:
For many years the Royal College of Nursing (RCN) has recognised the impact of dyslexia, dyspraxia and dyscalculia on its members, and has sought ways of supporting individuals with these conditions to help them to reach their potential in whatever role or setting they work. In 2009 RCN Congress accepted a resolution which called on RCN Council to “influence employers to recognise and provide for the needs of nursing staff with dyslexia and similar conditions.” This led the RCN Nursing Department to commission an in-depth Dyslexia, dyspraxia and dyscalculia: a guide for managers and practitioners (pub code: 003 833) and an accompanying Dyslexia, dyspraxia and dyscalculia: a toolkit for nursing staff (pub code: 003 835). This summary contains excerpts from the more detailed guide, and is designed as a quick point of reference for managers.
Dyslexia, dyspraxia and dyscalculia: a toolkit for nursing staff (PDF 655.7 KB)
Publication code: 003 835
Publication date: 10 August 2010
ISBN: 978-1-906633-47-9
Abstract:
This toolkit provides a practical guide to dyslexia, dyspraxia and dyscalculia. It aims to orientate the user on the nature of these conditions and their potential impact on an individual. The main focus of the toolkit is to suggest practical strategies and tips that might help. Linked to each area of potential difficulty are two sets of tips; the first are self help strategies that individuals can try themselves, the second is a complementary list of strategies to help colleagues which will hopefully be invaluable to those working as mentors, preceptors or indeed anyone who cares about those they work with, and who wants to help them reach their potential. The toolkit has been designed to be used by anyone working as a health care assistant, associate practitioner, student or registered nurse and acknowledges the diverse settings in which nursing staff work. It also sets out to raise awareness of our legal and professional responsibilities in respect of these conditions.
The Selection and use of disinfectant wipes (PDF 477.6 KB)
Publication code: 003873
Publication date: 27 May 2011
ISBN:
Abstract:
Pre-prepared wipes are increasingly being used in clinical situations for the cleaning or disinfectation of low risk equipment and the near-patient environment. This technical guidance document aims to support informed decision making on current knowledge and standards on the selection and use of wipes.
E
eHealth position statement (PDF 964.5 KB)
Publication code: 004186
Publication date: 13 June 2012
ISBN:
Abstract:
Health and IT systems are now an integral part of professional nursing practice, and used by the majority of nursing staff for many reasons, including managing the large amounts of information generated and used when caring for patients. This document looks at what eHealth is, recording usage using electronic means, examples of benefits, and gives examples of eHealth from around the UK.
eHealth: survey 2010 results (PDF 2.0 MB)
Publication code: 004 115
Publication date: 24 June 2011
ISBN:
Abstract:
The 2010 eHealth survey was commissioned by the RCN to explore knowledge and understanding of eHealth among nursing staff. The report includes their views on electronic patient records, social networking, training in ehealth, computer access, IT support, supporting patients to use IT and telehealth. Recommendations confirm that further communication, education and training are required.
Emotions in practice. A study of Balint seminar training as experiential learning for qualified nurses (PDF 583.4 KB)
Publication code: 001 933
Publication date: 1 February 2003
ISBN:
Abstract:
This study documents the work of a group of expert nurses who are referred patients with psychosexual problems for short term counselling. Using an experiential approach to learning known as Balint seminar training, their focus is on recognising the emoti
Employing nurses in independent schools. RCN guidance for nurses and employers: Guidance for nurses (PDF 318.9 KB)
Publication code: 002 301
Publication date: 25 August 2004
ISBN:
Abstract:
Independent school nurses are responsible for the health and welfare of children, staff and visitors at a school, and so must ensure their personal and professional responsibility is at the highest level of skill-based care. This guidance shows how independent schools can recognise, reward and develop the skills and expertise of these nurses. Topics covered include: good employment practice; child protection issues; drug testing; and staffing levels. In addition, the guidance also includes a specimen contract, job description and job advert.
Engaging with The Principles of Nursing Practice. Guided reflection for nursing students (PDF 309.5 KB)
Publication code: 004 432
Publication date: 10 April 2013
ISBN:
Abstract:
This short workbook will help nursing students understand the Principles of Nursing Practice (PNP) and support them in ensuring that they are integrated into their practice as it develops.
Essence of care - continence care for people with Parkinson's Disease (PDF 416.5 KB)
Publication code: 003 025
Publication date: 19 April 2006
ISBN:
Abstract:
Essence of Care has been designed to support the measures to improve quality and contributes to the process of clinical governance. It looks at a variety of fundamental and essential aspects of care one of which is Continence Bladder and Bowel Care.An RCN working group have identified key indicators for best practice in continence care for people with Parkinson¿s Disease to guide nurses when evaluating the practice within their clinical area. The Essence of Care process involves patients, service users, carers and their representatives. The resource pack aims to raise standards of care and encourage parity of best practice in Continence Care.
Essential practice for infection prevention and control (PDF 669.4 KB)
Publication code: 004 166
Publication date: 23 January 2012
ISBN: 978-1-906633-92-9
Abstract:
The prevention and management of infection is the responsibility of all staff working in health and social care, and is an integral element of patient safety programmes. Health and social care settings can provide a challenging environment in which to manage risks associated with the transfer of micro-organisms from patient to patient or between the environment, equipment, staff and patients. Understanding how infections occur and how different micro-organisms act and spread is crucial to preventing infections. This publication provides important information and guidance on the essential principles of infection prevention and control and highlights why other issues, such as hydration and nutrition, should be viewed as an essential complementary component of nursing practice. It provides an overview of the core elements and rationale for infection practice and associated activities and is applicable to all nurses, midwives and health care assistants, regardless of their practice setting.
Evaluation of the modern matron role in a sample of NHS trusts: A report to the Department of Health (PDF 1.5 MB)
Publication code: 002 493
Publication date: 1 December 2004
ISBN:
Abstract:
The report was commissioned by the Department of Health Policy Research Programme. The research was done in two stages: a national survey of Directors of Nursing in all NHS Trusts in England, followed by fieldwork in ten selected Trusts. The study took place between Feb 2003 and March 2004. The authors discuss the impact of `modern matrons' on patient care, and make a number of detailed recommendations to employers about giving matrons the appropriate authority and resources to improve patients' experience of care.
Evaluation of the modern matron role in a sample of NHS trusts: exec. summary (PDF 131.8 KB)
Publication code: 003 197
Publication date: 1 December 2004
ISBN:
Abstract:
Exec summary of 002 493. The report was commissioned by the Department of Health Policy Research Programme. The research was done in two stages: a national survey of Directors of Nursing in all NHS Trusts in England, followed by fieldwork in ten selected Trusts. The study took place between Feb 2003 and March 2004. The authors discuss the impact of `modern matrons' on patient care, and make a number of detailed recommendations to employers about giving matrons the appropriate authority and resources to improve patients' experience of care.
Evaluation of the modern matron role in a sample of NHS trusts:briefing (PDF 68.9 KB)
Publication code: 003 198
Publication date: 1 December 2004
ISBN:
Abstract:
Briefing for 002 493. The report was commissioned by the Department of Health Policy Research Programme. The research was done in two stages: a national survey of Directors of Nursing in all NHS Trusts in England, followed by fieldwork in ten selected Trusts. The study took place between Feb 2003 and March 2004. The authors discuss the impact of `modern matrons' on patient care, and make a number of detailed recommendations to employers about giving matrons the appropriate authority and resources to improve patients' experience of care.
Evidence to the NHS pay review body 2013-14 (PDF 344.7 KB)
Publication code: 004336
Publication date: 22 October 2012
ISBN:
Abstract:
This submission to the Pay Review Body accompanies the evidence presented by the staff side trade unions (Staff side evidence to the NHS pay review body 2013-14 (004 335)) and calls for an above inflation pay rise for nursing staff for 2013-14. It draws on key findings in the RCN Labour market review (Overstretched. Under-resourced. The UK nursing labour market review 2012 (004 332)).
RCN policy position: evidence-based nurse staffing levels (PDF 1.8 MB)
Publication code: 003 870
Publication date: 7 December 2010
ISBN: 978-1-906633-61-5
Abstract:
Everybody – governments, regulators, managers, nurses and perhaps most of all, patients – recognise that having enough nursing staff is critical. In every setting in every specialty, nursing staff are the primary deliverers of health care. Clearly having enough nurses is essential. But how many is enough? And enough for what? Enough to deliver care safely, to meet basic needs, prevent complications and avoid unnecessary deaths? Or enough to deliver care to a recognised level of quality? This paper discusses these questions and outlines the Royal College of Nursing’s position on evidence-based nurse staffing levels.
F
Female genital mutilation: an educational resource for nurses and midwives (PDF 1.0 MB)
Publication code: 003 037
Publication date: 25 April 2006
ISBN:
Abstract:
As our society becomes increasingly diverse, so grows the opportunity to learn about and appreciate different cultures and customs. On the whole, this has proved to be a very positive and enriching experience but it does bring some challenges, particularly in relation to accommodating certain customs and cultural practices, such as female genital mutilation (FGM), within health care provision and human rights legislation. Although the practice is illegal in the UK it is estimated that as many as 86,000 girls and women are cut each year. Those who have been cut require specialist support and health care, and those at risk need identifying and protecting.This educational resource introduces readers to FGM, explaining the historical and social context, and why it is performed. Additionally, the resource covers health risks and complications of FGM, clinical issues and procedures, legal aspects and professional learning requirements. The resource also lists useful sources for further reading and contact details for a number of related services, organisations and support groups.This educational resource introduces readers to FGM, explaining the historical and social context, and why it is performed.
Formula feeds. RCN guidance for nurses caring for infants and mothers (PDF 201.3 KB)
Publication code: 003 137
Publication date: 16 April 2007
ISBN: 978-1-904114-56-7
Abstract:
Exclusive breastfeeding is recommended for the first six months of a baby's life. However, the 2000 Infant feeding survey (DH, 2002) shows that after six months, breastfeeding figures drop significantly. While nurses should continue to promote breastfeeding, they also need to be able to advise parents and help with formula feeding.This guidance provides basic information to help nurses caring for infants and their mothers, whether in hospital or community settings. It is set out as a question and answer leaflet, covering why some infants are given formula feeds; what the NMC and the Baby Friendly Initiative say about formula feeding; what are the differences between formulas, and how they should be prepared and stored.This publication has been supported by an unrestricted educational grant from SMA Nutrition.
Forum annual report 2011-12 (PDF 772.8 KB)
Publication code: 004330
Publication date: 9 October 2012
ISBN:
Abstract:
This report highlights some of the key pieces of work undertaken by RCN forums throughout the year 2011-12, to improve nursing practice, influence policies, and develop and support nursing care. It also lists projects currently being delivered. Details of 2011-12 forum expenditure and sponsorship received are also listed.
Fragile future? A review of the UK nursing labour market in 2003 (PDF 453.0 KB)
Publication code: 002 468
Publication date: 1 November 2004
ISBN:
Abstract:
This annual overview of the UK-wide nursing labour market identifies growing demands for nursing staff, driven by expanding and improving NHS services. The report reveals new evidence from the USA about the links between staffing levels and patient outcomes. The report also highlights the NHS¿s increasing reliance on bank and agency nursing staff.
A framework for developing practice in paediatric oncology nursing (PDF 216.4 KB)
Publication code: 001 062
Publication date: 1 March 2000
ISBN:
Abstract:
This document provides information for developing paediatric oncology nurses. Outlining some of the defining characteristics of paediatric oncology and developments in professional practice.
Freedom of information report on waste management (PDF 2.1 MB)
Publication code: 004 108
Publication date: 5 April 2011
ISBN:
Abstract:
This report presents the findings of a Freedom of Information Act (FOI) survey on waste management in the NHS, conducted by the RCN in November 2010. It was developed to provide a snapshot of waste segregation of three main waste streams for bagged waste (municipal, offensive and infectious waste) and comparative costs for the period 2008-09 and 2009-10. These streams were selected as a starting point to raise awareness and influence changes in practice that could result in environmental benefits and net savings for the NHS. Nurses make up approximately 70 per cent of the health care workforce in the United Kingdom and are therefore the largest producers of clinical waste. They are both the purchasers and users of consumables. Nurses are responsible for the management of waste as producers and participants in waste disposal procedures.
From Boom to Bust? The UK Nursing Labour Market Review 2005/06 (PDF 208.7 KB)
Publication code: 003 095
Publication date: 11 October 2006
ISBN:
Abstract:
The RCN commissions this major annual review of the labour market in the UK, setting the context for the current pay round for nurses. The research, by Professor Jim Buchan¿, forms part of the RCN¿s evidence to the Pay Review Body.
Frontline First interim report (PDF 383.4 KB)
Publication code: 003 867
Publication date: 11 November 2010
ISBN:
Abstract:
In July 2010, the Royal College of Nursing launched one of the most important campaigns in its history – Frontline First. We asked our 410,000 members to tell us about the state of the NHS; the cuts impacting on care, the waste in the system and the innovations that improve services and save money. This interim report provides a snapshot of the state of the NHS in October 2010 and the challenges that lie ahead.
Frontline First November 2011 update (PDF 1.3 MB)
Publication code: 004 199
Publication date: 18 November 2011
ISBN:
Abstract:
Despite Government assurances that frontline health care services are being protected, the RCN’s Frontline First campaign continues to identify more and more posts across the UK that have been lost or are at risk. This update from November 2011 contains the latest figures and outlines the RCN’s chief concerns.
Frontline First poster A3 (PDF 403.4 KB)
Publication code: 003 827
Publication date: 9 July 2010
ISBN:
Abstract:
Frontline First is the UK-wide campaign to expose NHS budget cuts that are harming patient care, find waste in the NHS and champion nurse-led innovations. Frontline First will empower all members to share what is going on in their workplace and help us to defend care, services and jobs.
Frontline First poster A3. Welsh version (PDF 366.0 KB)
Publication code: 003 848
Publication date: 21 September 2010
ISBN:
Abstract:
Frontline First is the UK-wide campaign to expose NHS budget cuts that are harming patient care, find waste in the NHS and champion nurse-led innovations. Frontline First will empower all members to share what is going on in their workplace and help us to defend care, services and jobs.
Frontline First poster A4 (PDF 399.3 KB)
Publication code: 003 826
Publication date: 9 July 2010
ISBN:
Abstract:
Frontline First is the UK-wide campaign to expose NHS budget cuts that are harming patient care, find waste in the NHS and champion nurse-led innovations. Frontline First will empower all members to share what is going on in their workplace and help us to defend care, services and jobs.
Frontline first. Nursing on red alert (PDF 887.8 KB)
Publication code: 004 446
Publication date: 23 April 2013
ISBN:
Abstract:
The RCN has been examining the impact of financial pressures on the NHS since 2010 through the Frontline First campaign. This is the first report following the publication of Robert Francis QC’s findings into the scandal at Stafford Hospital. This new report warns that the UK is heading for a nursing shortage, identifying six ‘warning lights’ that shouldn’t be ignored as they could have serious implications for health services and patients. The report stresses, that just like at Stafford, there are now numerous and obvious warning signs. However, the RCN has identified eight recommendations that governments and health care organisations across the UK should follow.
Future congress - the conversation continues (PDF 362.9 KB)
Publication code: 003882
Publication date: 28 April 2011
ISBN:
Abstract:
The Future Congress consultation was launched at Congress 2010, in which membership groups, individual members and staff members were asked for their ideas on how to make nursing’s biggest event even better. This report was presented at Congress 2011, and shows the results of the consultation and how RCN Council will take forward the work.
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Genital examination in women: A resource for skills development and assessment (PDF 388.8 KB)
Publication code: 004368
Publication date: 26 March 2013
ISBN: 978-1-908782-42-7
Abstract:
The ability to carry out genital and bimanual examinations is now a key requirement for many nurses working in primary, secondary and community care settings. In 2004, the Royal College of Nursing (RCN) undertook a scoping exercise with relevant stakeholders and the results of this exercise have been built on and developed to create this guidance document. The purpose of this document is to provide standards and sample assessment tools for training in genital examination in women for nurses working in sexual and reproductive health settings, and related health and social care settings. This guidance will enable suitably qualified health care professionals to undertake genital examination in a competent and safe manner; to help trainers and assessors in the training process; and to ensure safe practice for women needing a genital examination.
Getting it right for children and young people. A self-assessment toolkit for practice nurses. (PDF 1.7 MB)
Publication code: 002 777
Publication date: 25 April 2006
ISBN:
Abstract:
Children and young people are the highest users of general practice, and practice nurses may be the first point of contact that a child and family has with the health service. Therefore, it is critically important that they are able to meet the health needs of babies, children and young people. Following the Chief Nursing Officer's recommendation, the Royal College of Nursing and other key professional organisations have produced this toolkit with the support of the Department of Health and Department for Education and Skills.The self-assessment tool has been divided into two sections; the first outlines a common set of knowledge and skills for all people working with children and young people, and the second highlights the key clinical skills and knowledge required. It is hoped that the toolkit will be a means of improving practice in working with children and young people and to help ensure better outcomes for the most vulnerable.
Getting it right for teenagers in your practice (PDF 137.4 KB)
Publication code: 001 798
Publication date: 1 March 2002
ISBN:
Abstract:
This leaflet has been produced in conjunction with the Royal College of General Practitioners and provides guidance on how to make your practice more teenage friendly so as to encourage teenagers to seek advice on sexual health as well as other issues suc
Going upstream: nursing's contribution to public health. Prevent. promote and protect. RCN guidance for nurses (PDF 342.0 KB)
Publication code: 004 203
Publication date: 16 February 2012
ISBN: 978-1-906633-95-0
Abstract:
Since the 1850s, the promotion of good health and prevention of disease has been a feature of public health care. Over the last 30 years, the UK governments have signalled a commitment to address the underlying causes of ill health such as social inequalities and unhealthy lifestyles. Given the significant public health challenges that prevail in the UK, there is now a need to make nursing’s contribution more visible and increase the profile of all nurses in tackling the root causes of ill health. The RCN believes nurses have a key role to play in ‘going upstream’ and initiating care to prevent people becoming ill in the first place. This publication aims to help RCN members and other health professionals navigate their way upstream, particularly service planners and commissioners of health services, tasked with finding cost effective solutions to the problems caused by unhealthy lifestyles and behaviours. The use of case studies contained in this publication can help service planners and commissioners exploit the power of nursing to help shift the overall performance in the NHS in moving away from episodic acute care towards prevention and self-care.
Graft versus host disease. A guide for families (PDF 151.8 KB)
Publication code: 003310
Publication date: 5 December 2008
ISBN: 978-1-90 6633-02-8
Abstract:
Graft versus host disease (GVHD) is a complication of allogenic stem cell transplantation (SCT) in which the cells from the bone marrow or stem cell donor (graft) react to the cells in the patient (host. This booklet aims to give parents and children undergoing SCT a clear understanding of GVHD, its implications and possible treatments. This new edition replaces publication 001 009 (RCN, 2000).
Guidance for mentors of student nurses and midwives. An RCN toolkit (PDF 194.9 KB)
Publication code: 002 797
Publication date: 5 October 2005
ISBN:
Abstract:
A mentors role is critical in helping to facilitate the development of future generations of nurses and midwives. This toolkit has been designed to assist mentors in their role and outlines the responsibilities of the mentor and those of the student. It also provides information on effective practice placements, mentoring students with special needs and the support available for mentors.This toolkit complements Helping students get the best from their practice placements: an RCN toolkit (publication code 001 815).
Guidance on nurse staffing in critical care: Guidance for nurses (PDF 667.8 KB)
Publication code: 001 976
Publication date: 10 February 2003
ISBN:
Abstract:
Critically ill patients are nursed in a variety of locations, such as wards, high dependency units and intensive care units. Providing the right nursing care for these patients is not simply about applying standard nurse-to-patient ratios. This publication looks at the role of the critical care nurse and offers guidance in recognising the aspects of nursing care that need to be taken into account when determining nursing requirements. Some of these aspects include measuring patient dependency, staffing levels and skills mix, flexible working and professional development.
Guidance on pin site care. Report and recommendations from the 2010 Consensus Project on Pin Site Care (PDF 1.3 MB)
Publication code: 004 137
Publication date: 8 November 2011
ISBN: 978-1-906633-85-1
Abstract:
External fixation and limb reconstruction procedures are a vital part of trauma and orthopaedic treatment and care, and have a massive physical and psychological impact on the patient. There is a pressing need for research which can drive future practice in this area. In recognition of this need the RCN Society of Orthopaedic and Trauma Nursing brought together a group of multidisciplinary clinical experts for a consensus project, which included a meeting and subsequent survey. This publication has been produced as a result of the project and offers guidance for the practice of pin site care based on expert opinion. It can be used to support clinicians in their day-to-day practice and is designed for those wishing to ensure their care delivery meets current views on practice, whether they care for orthopaedic patients with external fixation on a daily or intermittent basis.
Guidance on safe nurse staffing levels in the UK (PDF 1.7 MB)
Publication code: 003 860
Publication date: 7 December 2010
ISBN: 978-1-906633-60-8
Abstract:
Staffing levels have always been an issue. “What is the optimal level and mix of nurses required to deliver quality care as cost-effectively as possible?” is a perennial question. This report sets out the range of different factors that influence the total demand for staff and highlights the variety of methods for planning or reviewing staffing levels.
Guidance on traumatic stress management in the health care sector (PDF 145.0 KB)
Publication code: 001 804
Publication date: 1 June 2002
ISBN:
Abstract:
Following a debate at RCN Congress 2000 the following guidance has been produced so that all employers, occupational health departments, safety representatives, and stewards are able to develop a system for managing post traumatic stress disorders (PTSDs)
Guidance on uniforms and work wear (PDF 318.4 KB)
Publication code: 002 724
Publication date: 11 May 2009
ISBN:
Abstract:
This updated guidance sets out information on issues related to the selection, wearing and decontamination of uniforms or clothing worn in the delivery of patient care and is aimed at nurses and their employers. It can be applied to all settings in which health care takes place and for any clothing worn when undertaking patient care activities.
Guide to fully funded NHS care (PDF 296.3 KB)
Publication code: 003 031
Publication date: 5 March 2006
ISBN:
Abstract:
Age Concern, the Alzheimer's Society, Help the Aged and the Royal College of Nursing are campaigning for the Department of Health to issue clear and effective guidance on fully funded NHS care and have launched their own `Guide to Fully Funded NHS Care¿ which helps people better understand the issue.
A Guide to Genetics - Progress Educational Trust (PDF 3.0 MB)
Publication code: 003 010
Publication date: 3 March 2006
ISBN: 953394905
Abstract:
This booklet is aimed at non-specialist nurses, midwives, teachers, and patients, those working in genetic counselling services and anyone wishing to increase their understanding of what genes are and how they work. Contents include genetic testing, gene therapy, preimplantation genetic diagnosis, genetic testing in pregnancy, genetic counselling and ethical issues, plus a comprehensive glossary and details of support groups and genetic centres in the UK. The booklet is published by the charity Progress Educational Trust in partnership with the RCN.
Gynaecological cancer: guidance for nursing staff (PDF 309.9 KB)
Publication code: 002 518
Publication date: 31 October 2005
ISBN:
Abstract:
There has been a sharp increase in the number of specialist nurses and nurse practitioners in the field of gynaecological cancer, with many nurses taking on extended roles. Also, the management of women with gynaecological cancer has been improved with multidisciplinary team working and specialist referral.This publication provides information on various types of gynaecological cancer, including signs and symptoms and the treatments that are available, and aims to assist nurses working in this specialist field to improve and standardise patient care.
H
A history of nursing in the North East and Cumbria (PDF 1.9 MB)
Publication code: 004 435
Publication date: 2 May 2013
ISBN:
Abstract:
As part of our celebrations for International Nurses’ Day 2013, the RCN Northern region has invited retired nurses from across the North East and Cumbria to share their memories and experiences of working on the frontline of care, and compiled this testament to local nursing history.
A history of the Royal College of Nursing 1916-1990. A voice for nurses (PDF 1.1 MB)
Publication code: 003 551
Publication date: 26 November 2009
ISBN:
Abstract:
The Royal College of Nursing is one of the largest nursing organisations in the world. This book documents the College’s beginnings as a small organisation in 1916 and traces its evolution into the organisation known today as the ‘voice of nursing’. Drawing on the archives of the RCN, the book provides a new understanding of why and how nursing changed so radically in the twentieth century. The themes covered include the struggle to achieve professional status for nurses, gender relations within the profession and between nurses, their employers and other health professionals, the radicalisation of nurses from the 1960s, and the effect of immigration on nursing as a workforce. The book’s authors are Susan McGann, Professor Anne Crowther and Dr Rona Dougall and it is published by Manchester University Press. Print only - available to purchase from RCN Direct on 0345 772 6100 at £10.99 plus postage and packaging.
Health care service standards in caring for neonates, children and young people (PDF 424.7 KB)
Publication code: 003823
Publication date: 28 April 2011
ISBN: 978-1-906633-43-1
Abstract:
This RCN guidance document outlines standards to promote the highest level of care and wellbeing for all children, young people and their families in health care services wherever they are in the four countries of the UK
Helping students get the best from their practice placements: an RCN toolkit (PDF 1.7 MB)
Publication code: 001 815
Publication date: 31 March 2004
ISBN:
Abstract:
A practice placement is where learning opportunities are available to undertake practice under supervision. A practice placement has a direct bearing on a nursing student's ability to work effectively and integrate theory to practice. This new toolkit has been designed to enable students to get the best from their practice placement and will help them to think about their placement, looking at what they bring to it and what can be expected in terms of learning experience.
Here to stay? International nurses in the UK (PDF 334.3 KB)
Publication code: 001 982
Publication date: 19 February 2003
ISBN:
Abstract:
This document examines the employment policy and practice implications of the rapid growth in the number of internationally recruited nurses working in the UK.(web only - this publication is only available to download)
Holding on: Independent sector nurses. Results by sector from the RCN annual employment survey 2007 (PDF 626.1 KB)
Publication code: 003 220
Publication date: 11 December 2007
ISBN:
Abstract:
This report was commissioned by the Royal College of Nursing as part of the 2007 Annual Employment Survey and produced by Jane Ball and Geoff Pike of Employment Research. The purpose of this report is to provide a summary of the main statistics produced in the full 2007 Employment Survey by employment sector, to allow some comparison between the non-NHS and NHS sectors. With 9,000 nurses from across the UK being covered by the survey, there are sufficient numbers of important subgroups of nurses working outside the NHS to allow detailed analysis and comparisons with the 2005 and 2001 data. The RCN membership is broadly representative of the nursing workforce as a whole, thus the results of this survey of members can be taken to broadly reflect the experiences and views of independent and non-NHS nurses throughout the UK. For the full UK report, see Holding On: results from the RCN Employment Survey 2007, publication code 003 181.
Holding on: Northern Ireland: annual employment survey 07 (PDF 749.5 KB)
Publication code: 003 191
Publication date: 20 November 2007
ISBN:
Abstract:
Pro Abstract
Holding on: nurses' employment and morale in 2007 (PDF 1.1 MB)
Publication code: 003 181
Publication date: 1 August 2007
ISBN:
Abstract:
This report describes the results from the 2007 employment survey of a sample of RCN members. For results from the RCN Employment Survey 2007 in Scotland see publication code 003 189, Wales see publication code 003 190, Northern Ireland 003 191.
Holding on: Scotland: annual employment survey 07 (PDF 762.5 KB)
Publication code: 003 189
Publication date: 3 September 2007
ISBN:
Abstract:
This report describes the results for Scotland from the 2007 employment survey of a sample of RCN members. For the full UK report, see Holding On: results from the RCN Employment Survey 2007, publication code 003 181.
Holding on: Wales: annual employment survey 07 (PDF 744.0 KB)
Publication code: 003 190
Publication date: 3 September 2007
ISBN:
Abstract:
This report describes the results for Wales from the 2007 employment survey of a sample of RCN members. For the full UK report, see Holding On: results from the RCN Employment Survey 2007, publication code 003 181.
How nurses can help you: an RCN guide for older people and their families (PDF 899.5 KB)
Publication code: 000 725
Publication date: 5 October 2001
ISBN:
Abstract:
This booklet is aimed at older people and their families to help them decide when they need a nurse, what to ask for when they do need one and also what to expect.
Human papillomavirus (HPV) and cervical cancer - the facts (PDF 120.4 KB)
Publication code: 003 083
Publication date: 10 January 2013
ISBN: 1904114318
Abstract:
Worldwide, after breast cancer, cervical cancer is the second most common cancer that affects women. This publication provides up-to-date information about human papillomavirus (HPV) infection and its causative association with cervical cancer, together with information on the latest developments related to the identification and treatment of HPV. Designed to enable practitioners to deliver informed care to patients and clients, the publication contains guidance to uphold good practice and facilitate open and supportive communication with patients about HPV.
Human rights and nursing. RCN position statement (PDF 507.4 KB)
Publication code: 004249
Publication date: 17 May 2012
ISBN:
Abstract:
The RCN and its members have long been involved in human rights activities, both nationally and internationally. The RCN is committed to supporting and advocating human rights for the positive and practical difference they make to people, patients and nursing. This document sets out the RCN’s position on nursing, health and human rights and also provides the legal and ethical background to the position.
I
An incomplete plan. The UK nursing labour market review 2008 (PDF 210.5 KB)
Publication code: 003302
Publication date: 12 December 2008
ISBN:
Abstract:
This report is the 2008 review of the UK nursing labour market (LMR) commissioned by the Royal College of Nursing. The shape and structure of NHS workforce planning in each of the four countries of the UK is changing, notably in England. The report considers current approaches to workforce planning; reviews recent trends in the nursing workforce and identifies key drivers for change; reports on the next generation of nurses and concludes by identifying the two critical challenges which face NHS nursing - the ageing of the workforce, and the shift to community care - and discusses how these can be met.
I am at the heart of health care (PDF 5.1 MB)
Publication code: 003 997
Publication date: 6 October 2011
ISBN:
Abstract:
HCAs are at the heart of health care and these comic book stories about the daily work of HCAs show how HCAs make a difference. The RCN is here to support HCAs, assisting with studies, career progression and offering advice.
Immigration advice service leaflet (PDF 510.6 KB)
Publication code: 000 702
Publication date: 22 December 2011
ISBN:
Abstract:
Information on where to get advice about immigration and work permit matters for nurses.
Impact of Agenda for Change: Results from a survey of RCN members working in the NHS/GP practices, Employment Research Limited (PDF 407.7 KB)
Publication code: 003 097
Publication date: 27 September 2007
ISBN:
Abstract:
This research into the views of RCN members on the implementation and impact of Agenda for Change was undertaken by the independent researchers Employment Research Ltd. The findings form part of the RCN¿s Evidence to the Pay Review Body.
Improving continence care for patients: the role of the nurse (PDF 195.4 KB)
Publication code: 001 952
Publication date: 7 November 2002
ISBN:
Abstract:
This RCN document looks at the key roles of nurse specialist and consultant nurse, examining their potential influence on continence services - whether in a hospital or community setting - and the impact of the Government's new initiatives.
Improving hospital care for older people: a call for action (PDF 569.4 KB)
Publication code: 004362
Publication date: 30 November 2012
ISBN:
Abstract:
From the "Improving hospital care for older people" summit event held on 26 October 2012 by the RCN, in partnership with Age UK, the NHS Institute for Innovation and Improvement, NHS London and Macmillan Cancer Support.
In-flight Medicines (PDF 396.4 KB)
Publication code: 004 120
Publication date: 27 April 2012
ISBN: 978-1-906633-87-5
Abstract:
There is significant confusion around issues of drug administration in the in-flight or aeromedical setting. This guidance aims to clarify the issue of medicines management and the administration of medicines in the in-flight setting, and advises on the best practice required to work within the current UK law at time of writing. The aim of this guidance paper is to clarify the issues around drug administration by outlining: • the classes and categories of medicines and the implications of these • the practice and legal issues around drug administration • the risks associated with drug administration in the in-flight environment • the options for best practice to enhance patient care and maintain safety.
Industrial action guide for members (PDF 34.7 KB)
Publication code: 003 117
Publication date: 12 April 2007
ISBN:
Abstract:
This brief guidance is a summary of the arrangements within the RCN for approval and authorisation of industrial action. Where members want to take industrial action, they must seek advice and support from their RCN Board office at the earliest possible opportunity. Members should read the RCN `Code on Industrial Action¿. Nothing in this guidance overrides or limits the procedure and guidance contained in the RCN Code.
Infection prevention and control commissioning toolkit (PDF 627.6 KB)
Publication code: 004270
Publication date: 17 October 2012
ISBN:
Abstract:
Joint publication with the Infection Prevention Society (IPS) Reducing health care associated infections (HCAIs) remains high on the Government's safety and quality agenda and in the general public's expectations of quality of care. Since 2008, there has been a legal requirement on all NHS organisations to implement the Health and Social Care Act (2008) and the Code of Practice for the NHS on the prevention and control of HCAIs. This toolkit, developed collaboratively with the IPS, provides information for professionals in England involved in the commissioning of infection prevention and control services and forms the basis of an HCAI reduction plan for emerging commissioning organisations. It also suggests indicators to support performance management and assurance against provider contracts.
Infection prevention and control. Information and learning resources for health care staff (PDF 441.4 KB)
Publication code: 003 876
Publication date: 14 July 2011
ISBN: 978-1-906633-68-4
Abstract:
Infection prevention and control practice is an essential component of care, and policy and guidance is constantly evolving as research helps to inform the evidence base for this important area of nursing practice. This resource gives health care staff guidance on how to search and find evidence-based information to keep their infection prevention knowledge and practice up to date. It also signposts staff to further resources which can save precious time and help to expand their understanding of this specialist area.
Infertility provision in England. Policy Briefing 16/2009 (PDF 419.5 KB)
Publication code: 003 571
Publication date: 14 December 2009
ISBN:
Abstract:
This policy briefing looks at the provision of infertility treatment in England. Around one in six couples in the UK have problems conceiving and over three million babies have been born world-wide as a result of IVF. This new policy briefing says that full implementation of the NICE guidelines on IVF treatment would help many couples who are unable to conceive naturally. The briefing discusses how patient safety would be improved by implementing the NICE guidelines. It also highlights the key role that specialist nurses play in IVF, as they care for and inform the patient during what can be a highly emotional and stressful treatment.
Inflammatory bowel disease nursing. Results of an audit exploring the roles, responsibilities and activity of nurses with specialist/advanced roles (PDF 2.2 MB)
Publication code: 004197
Publication date: 16 February 2012
ISBN:
Abstract:
This report provides the results of the first national audit of inflammatory bowel disease (IBD) nursing roles, based on the RCN's 2007 roles descriptives for IBD nurse specialists publication. The audit was carried out by the RCN Gastrointestinal Nursing Forum in 2011 and includes recommendations for workforce service providers and commissioners of IBD services. The results from the audit demonstrate the very significant activity being carried out by IBD nurses over large numbers of patients in every area of their hospital experience. Supported by an unrestricted educational grant by Shire Pharmaceuticals.
Information for nurses: What a difference a nurse makes: An RCN report on the benefits of expert nusing to the clinical outcomes in the continuing care of older people (PDF 474.4 KB)
Publication code: 000 632
Publication date: 1 May 2004
ISBN:
Abstract:
This report looks at the importance of focussing predominantly on disease-specific measures. It provides a framework for analysing case examples, and when looking at continuing care for older people identifies specific nursing intervention outcomes, with suggestions on the overall quality of care measures to be used.
Information for nursing students. Outlining the NHS Knowledge and Skills Framework (PDF 165.9 KB)
Publication code: 003 221
Publication date: 20 December 2007
ISBN: 978-1-904114-84-0
Abstract:
If you are a final year nursing and midwifery student and intend to work in the NHS after graduation, this publication who help prepare you for your first year in post. It explains some of the jargon you will encounter and gives you an insight into what is expected of you. The NHS Knowledge and Skills Framework (KSF) is explained in detail and highlights how it will be a critical tool for you and your manager in supporting your early career and development needs. The personal development review process, producing a portfolio of evidence and pay points under Agenda for Change are all also explained.
Informed consent in health and social care research (PDF 1.4 MB)
Publication code: 002 267
Publication date: 2 December 2005
ISBN:
Abstract:
Nurses are taking an increasingly active role in research, developing new knowledge and creating a stronger evidence base to inform their practice. Gaining informed consent from research participants is central to the research process. It is therefore important for nurses to understand the principles associated with informed consent and the process of obtaining such consent before embarking on, or becoming involved in, any research activity. This second edition includes information on the concept of informed consent for research, informed consent in special circumstances, obtaining consent from vulnerable groups and the responsibilities of those involved in undertaking research. It also incorporates a number of amendments and additions that reflect significant changes in both UK law and ethical review processes.
Integrated core career and competence framework for registered nurses (PDF 1.5 MB)
Publication code: 003 053
Publication date: 16 October 2009
ISBN: 978-1-906633-31-8
Abstract:
This framework brings together the core and specific dimensions of the Knowledge and Skills Framework (KSF) that are relevant to nursing. It positions nursing practice at its heart and links to the other functions necessary to ensure safe and effective quality care and services. It provides the basis for other specialised competences that have been developed by RCN membership groups working in collaboration with patients, users and other colleagues. It is based on many years of mapping against different policy agendas and other key influences, and has been developed in collaboration with Skills for Health. The framework will help nurses and health care assistants guide their own development as well as capture evidence that will support the development of KSF profiles, demonstrate readiness for career progression and support ongoing registration with the Nursing and Midwifery Council.
International recruitment of nurses: United Kingdom case study (PDF 302.9 KB)
Publication code: 001 814
Publication date: 17 July 2002
ISBN:
Abstract:
This report draws from research funded by the World Health Organisation, the International Council of Nurses and the Royal College of Nursing. It assesses the reasons for recent growth in recruitment of registered nurses from other countries to the United Kingdom. While the primary focus is on the UK, general lessons related to international recruitment and migration of nurses are also highlighted. THIS PUBLICATION IS ONLY AVAILABLE TO DOWNLOAD FROM THE WEBSITE.
International work for nursing and nurses wallet card (PDF 48.5 KB)
Publication code: 003 238
Publication date: 7 April 2008
ISBN:
Abstract:
Wallet card from the RCN International Department for nurses who plan to work abroad, come to work in the UK or want to keep abreast of EU and international health developments.
Interpreting accountability: an ethnographic study of practice nurses, accountability and multidisciplinary team decisionmaking in the context of clinical governance. (PDF 644.7 KB)
Publication code: 002 249
Publication date: 1 March 2004
ISBN:
Abstract:
Government policy concerned with the modernisation of the NHS has urged nurses and others working in the health services to become more collaborative, adopt a flexible approach to role boundaries and establish clear lines of accountability for the quality
Intrauterine techniques. RCN accreditation and training guidance for nurses and midwives (PDF 508.1 KB)
Publication code: 003179
Publication date: 1 August 2010
ISBN: 978-1-906633-03-5
Abstract:
The RCN Accreditation Unit accredits nurses in intrauterine techniques (IUT). If you work at a higher or specialist level within the area of contraception/sexual health and hold a recognised post- registration qualification in the specialty this publication provides information on how to acquire the clinical skills and competence you need to become accredited. The RCN recommends that nurses follow this guidance to ensure best practice and to protect the safety of women. Sixth edition July 2012.
Is policy translated into action? A national survey undertaken by the RCN and Continence Foundation to examine how policy relating to the development of Integrated Continence Services in England is progressing. (PDF 330.5 KB)
Publication code: 002 224
Publication date: 22 January 2004
ISBN:
Abstract:
As a result of lobbying by the RCN Continence Care Forum, ContinenceFoundation and other continence stakeholders `Good Practice in Continence Services¿ was launched by the Department of Health. This document explores the impact of the DH guidance in pri
Needlestick injuries. The point of prevention (PDF 1.4 MB)
Publication code: 003 313
Publication date: 19 February 2009
ISBN:
Abstract:
Every day, nurses and other health care workers risk exposure to deadly viruses such as hepatitis and human immunodeficiency virus (HIV) as a result of injury from a used medical sharp, such as a needle or scalpel blade. These injuries expose workers to over 20 different blood borne diseases. However, the reality is that the majority of these injuries could be prevented. The RCN is calling for a legislative solution to this ongoing problem.
Needlestick injury in 2008. Results from a survey of RCN members. (PDF 83.4 KB)
Publication code: 003304
Publication date: 30 November 2008
ISBN:
Abstract:
Almost half of all nursing staff have been stuck by a needlestick that had previously been used on a patient, according to a new survey on nearly 5,000 RCN members. The survey also found that 50 % of them are working in fear of being injured by a needlestick. ‘Needlestick injury in 2008’ survey aimes to establish the prevalence of needlestick injury and looks at nurses’ perceptions of the risk they face whilst also exploring the measures taken to prevent injury. Mirroring the approaches taken, the report presents an overview of needlestick injury before exploring in greater detail nurses’ experience of injury through the online survey data.
RCN Career Service. Interview skills (PDF 715.6 KB)
Publication code: 002 768
Publication date: 16 August 2011
ISBN:
Abstract:
An interview is essentially a performance, and, like all performances, success depends on careful preparation and practice. The following guidance offers advice, tips and examples for a successful interview; including breathing techniques, body language and sample interview questions.
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A joint statement on continuing professional development for health and social care practitioners (PDF 164.6 KB)
Publication code: 003 064
Publication date: 21 February 2007
ISBN: 9781904114423
Abstract:
As a result of a resolution at Congress 2005 the RCN has worked with midwifery and allied health professional bodies to develop a joint statement on the importance of continuing professional development. This statement makes clear that continual professional development is fundamental to the development of all health and social care practitioners, and to the enhancement of quality patient care and calls for: ¿¿ six days per year should be the minimum time granted by employers to facilitate CPD¿¿. It is hoped that this statement will influence health and social care employers as well as UK-wide health and social care policymakers.
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The Knowledge and Skills Framework and appraisal guidance for members and employers outside of the NHS (PDF 167.7 KB)
Publication code: 003550
Publication date: 17 September 2009
ISBN: 978-1-906633-25-7
Abstract:
The Knowledge and Skills Framework (KSF) requires staff to collect evidence to demonstrate that they have met the requirements of their role at an annual personal development review (PDR). This publication will help members who do not work in the NHS prepare for appraisal and PDRs carried out in their workplace. It gives pointers on discussing with your reviewer what evidence you should gather so that you can maximise your professional development and competencies, working towards future appraisals and development reviews.
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Learning agreements - a guide for RCN staff and activists (PDF 949.9 KB)
Publication code: 004236
Publication date: 26 September 2012
ISBN:
Abstract:
The RCN believes that access to learning and development is vital to ensure our members are able to practise safely and effectively, especially in the currency climate of economic uncertainty and organisation change. A learning agreement is a partnership arrangement between a trade union and an employer that is positioned within a framework of mutual gains. This guide, supported by the Union Learning Fund in England, offers practical and detailed information on how to formulate a learning agreement that is specific to the needs of an organisation. Our aim is to offer guidance that enables you to facilitate a constructive partnership between your organisation and the RCN, and helps you work with staff and managers to write a learning agreement that realistically meets the learning needs of members and colleagues across the full workforce.
Learning agreements - the benefits for employers in the NHS (PDF 823.3 KB)
Publication code: 004 237
Publication date: 26 September 2012
ISBN:
Abstract:
Learning is vital for a high performing workplace that delivers the very best patient care. A learning agreement is a partnership arrangement between a trade union and an employer that is positioned within a framework of mutual gains. Where an effective learning agreement is in place, staff are engaged at a personal level, but have a voice at a strategic level. The RCN has made it easy to start a learning partnership thanks to agreement templates that form the basis for negotiation and the development of your unique action plan.
Learning agreements - the benefits for independent health care sector employers (PDF 916.3 KB)
Publication code: 004 252
Publication date: 26 September 2012
ISBN:
Abstract:
The RCN can help increase training and development which will attract and retain a skilled work force. A learning agreement, supported by RCN learning representatives and a committee, offers your organisation facilitated access to all the resources and opportunities that the RCN offers its members.
Learning agreements for RCN branches and activists (PDF 431.4 KB)
Publication code: 004 182
Publication date: 30 September 2011
ISBN:
Abstract:
As part of our commitment to the lifelong learning of members, the RCN has secured funding from the Union Learning Fund (ULF) to support the development of learning agreements in all nine English regions. This leaflet outlines the RCN union learning fund project and how learning agreements can benefit our members.
Learning from the past – setting out the future: developing learning disabilities nursing in the United Kingdom (PDF 142.5 KB)
Publication code: 003 871
Publication date: 26 January 2011
ISBN: 978-1-906633-63-9
Abstract:
The population of children, adults and older people with learning disabilities is increasing and there is a higher number of people living into adulthood with a range of complex needs. This is resulting in children, young people and adults presenting with patterns of complex learning disabilities unlike those experienced by existing services and healthcare services will experience higher demand from this group in the future. Learning disability nurses play a central role in the lives of people with learning disabilities, from developing and implementing care plans to providing advice, education and support to people throughout their care journey. This publication sets out the key issues and actions required, both now and in the future, to enable learning disability nursing to develop and progress in line with the increased demand on its services. It also details areas of priority for the RCN.
Learning representatives handbook (PDF 1003.2 KB)
Publication code: 002 039
Publication date: 30 January 2008
ISBN:
Abstract:
This handbook has been designed to help learning reps carry out their role. It suggests ways of getting started and gives information about key RCN services and resources. In addition, it will help learning reps work in partnership; tackle discrimination at work and promote diversity; and promote continuing professional development initiatives and lifelong learning.
Learning the lessons: a summary of the RCN's response to the Bristol inquiry (PDF 40.8 KB)
Publication code: 001 602
Publication date: 22 October 2001
ISBN:
Abstract:
The RCN has developed five major themes to address within its nursing membership after the Bristol Royal Infirmary Inquiry into paediatric cardiac service. These themes are fostering a partnership with patients, boosting communication, developing expert practice, valuing the nursing workforce and improving services for vulnerable people.
Learning the lessons: full report of the RCN's response to the Bristol inquiry (PDF 352.2 KB)
Publication code: 001 606
Publication date: 1 October 2001
ISBN:
Abstract:
The RCN has developed five major themes to address within its nursing membership after the Bristol Royal Infirmary Inquiry into paediatric cardiac service. These themes are fostering a partnership with patients, boosting communication, developing expert
Legal advice for RCN members using the internet (PDF 167.4 KB)
Publication code: 003 557
Publication date: 28 September 2009
ISBN: 978-1-906633-28-8
Abstract:
Information technology, and the internet in particular, is now an integral part of our daily lives, and almost every nurse or health care worker will have access to a computer at work, and very often at home as well. However, employers and professional bodies are becoming increasingly alert to the potential abuse of the internet. The growing popularity of social networking sites like MySpace, Facebook, Bebo and Twitter has raised the risks of a health care worker experiencing potentially serious legal and professional repercussions through the inappropriate use (if only inadvertently) of this recent technology. This guide gives RCN members a list of do’s and don’ts for using the internet – and information on the risks and repercussions if used inappropriately.
Let's talk about restraint: Rights, risks and responsibility (PDF 383.0 KB)
Publication code: 003 208
Publication date: 15 April 2008
ISBN: 978-1-904114-79-6
Abstract:
This new publication is aimed at nurses working with adults, with examples and case studies particularly geared towards the care of older people. It sets out what restraint is, the ethical and legal frameworks surrounding restraint, and the support and guidance nursing staff should expect their employers to provide. Distinctions are made, where appropriate, between the roles and responsibilities of registered nurses, nursing students and health care assistants. Nurses will find this publication of particular use in establishing the provision of patient-centred care that minimises the need for restraint. It will also help nurses' understanding of what to do if they suspect inappropriate or abusive use of restraint and to reduce the risks if restraint is used.
LGBT patients or clients: guidance for nursing staff on next of kin issues (PDF 81.7 KB)
Publication code: 002017
Publication date: 7 May 2013
ISBN:
Abstract:
The Royal College of Nursing (RCN) celebrates diversity through a commitment to developing and promoting good practice and equal care to all patients.this publication gives guidance on dealing with next of kin issues, and on promoting sexual equality and working against discrimination.
Linking together - A guide to RCN Council, committees and groups (PDF 306.7 KB)
Publication code: 003886
Publication date: 28 April 2011
ISBN:
Abstract:
There are many committees and groups in the RCN governance structure, but what do they do? This guide explains their roles and how they work together to ensure the RCN is run properly for members and meets its objectives, and to develop policy. It also includes a handy map of the governance structure.
Lone worker survey (PDF 179.3 KB)
Publication code: 003 167
Publication date: 9 July 2007
ISBN: 978-1-904114-44-4
Abstract:
Up to 100, 000 health care professionals are working on their own in the NHS every day. More than half of those taking part in an RCN survey said they thought the risk of violence or abuse had risen over the last two years."I was assaulted and subjected to high levels of aggression and threats to kill us on a home visit with a social worker. The social worker sustained a serious injury and we were both traumatised for months" said one district nurse working in the North East of England.Now the RCN is calling upon trusts to comply with their legal duty to protect nurses, by implementing a five-point plan of action covering: risk assessments, prevention, policy, training, and support from the employer. It is essential that employers support staff and the RCN believes that employers should:1. provide information to help health care professionals assess risks and ensure safety2. invest in mobile devices that help nurses to call discretely for help3. provide a clear policy for lone workers4. provide training, for example, on conflict management5. take action to put preventive measures in place as well as creating systems that provide immediate support in the event of violence.By ensuring the above are in place demonstrates a clear commitment to protecting nurses, so patients benefit too.
Lone worker survey 2011 (PDF 1.9 MB)
Publication code: 004 192
Publication date: 4 January 2012
ISBN: 978-1-906633-94-3
Abstract:
A new survey was commissioned by the RCN in 2011, supported by a grant from Reliance High-Tech Ltd and Connexion2 (the organisations awarded with government contracts to provide lone worker solutions to the NHS). The survey was undertaken jointly by the RCN and Sheffield Hallam University. The results from this survey are reported in this publication and will be used to inform future RCN action and policy developments around improving lone worker safety. The results of the survey show that over 60 per cent of nurses surveyed (nearly 800 RCN members) have been subjected to abuse in the past two years while working in the community. Six in ten (60.3 percent) nurses had suffered verbal abuse in the last two years, while one in ten (10.7 percent) had been victims of physical abuse. Almost nine out of ten (89 percent) nurses said that their employer had a lone worker policy in place and of those, over three quarters (77.6 percent) had been provided with a copy. Therefore, while some progress has made around lone working policies and prevention strategies over the last four years, there is clearly still more to be done.
Lone working. Guidance for RCN representatives (PDF 305.3 KB)
Publication code: 003 872
Publication date: 19 July 2011
ISBN:
Abstract:
One of the key roles of RCN representatives is to represent members, individually or collectively, on matters relating to their employment. Some of these members may be absent from the workplace through ill health, following a workplace accident, or as a result of suspension. While contact can be made over the telephone, there will be occasions when a face-to-face meeting is necessary. This meeting may be in the workplace or in an environment outside the workplace, for example at an RCN regional office, in a cafe or at the member’s home. In some cases members may feel that it is not ‘safe’ to be seen speaking with their representatives at work. This publication gives RCN representatives guidance on lone working.
Lost in transition. Moving young people between child and adult health services (PDF 125.7 KB)
Publication code: 003 227
Publication date: 16 April 2008
ISBN: 978-1-904114-90-1
Abstract:
Children and young people experience many significant transition points between health care services, as well as those between schools, university and other educational settings. All these transitional phases can have an impact on adherence to therapeutic regimes and retention by supportive health care services. This publication is aimed at health professionals who work with children and young people and includes information on the principles of good practice in arranging transitions, keyworkers' roles in transition, young people's involvement and processes and protocols. There are also case studies throughout the publication, along with a list of RCN recommendations to make the transition for children and young people to adult services smoother.
The nursing care of lesbian, gay and bisexual clients. Guidance for nursing staff (PDF 91.5 KB)
Publication code: 002018
Publication date: 7 May 2013
ISBN:
Abstract:
Celebrating diversity and the inclusion of all people is central to the ethos of the Royal College of Nursing (RCN). Through work undertaken by its members, the RCN recognises that discrimination and prejudice towards lesbian, gay and bisexual patients still exists in some nursing and health care services. This guidance aims to support nursing staff in developing and promoting good practice in this area.
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eHealth: Making IT SAFER (PDF 282.4 KB)
Publication code: 003 594
Publication date: 13 July 2010
ISBN:
Abstract:
Whenever you use something for the first time, it makes sense to check the item is safe and that it works. It is the same with computer systems and other types of information technology in health care. Computers are widely used in clinical environments and new systems, such as for electronic patient records and electronic prescriptions, are currently being developed to support the care that nursing staff (nurses and other health care workers) provide. This technology has the potential to improve the quality of care that patients and clients receive and the flow of information between clinical teams. But there are also risks. Any technology must first be subjected to rigorous assessment and testing before it is incorporated into patient and client care. All systems and the way they are used must be SAFE. Safe for nursing staff and safe for patients. When people’s health and safety and the confidentiality of their personal information are at stake, this quality assurance is vital. This booklet has been produced by the Royal College of Nursing to help nursing staff, working in any sector within or outside the UK, to assess the safety and effectiveness of systems that have been or will be introduced into clinical practice. It emphasises the need for risk management of all IT systems so that potential hazards are identified and addressed as systems are introduced and used to support care.
Making nursing visible: valuing nursing’s contribution to high quality patient-centred care (PDF 654.5 KB)
Publication code: 003 877
Publication date: 8 April 2011
ISBN:
Abstract:
This publication aims to raise awareness of electronic patient records (EPRs) and the structured information needed to make them effective. It provides guidance and clarifies the language and issues relating to structured information and standardised terminology. It also describes the value of ensuring that nursing concepts can be captured within EPRs in order to make nursing visible and valued.
Making the business case for ward sisters/team leader to be supervisory to practice (PDF 2.2 MB)
Publication code: 004 188
Publication date: 10 November 2011
ISBN:
Abstract:
The Royal College of Nursing has developed this guidance to help nurse leaders and our members make the business case for ward sisters and team leaders to take up a supervisory role. The guidance looks at the evidence nurse leaders need to complete the business case and is underpinned by the RCN definition of supervisory practice. The publication contains helpful and practical steps for making an effective case to ensure ward sisters and team leaders have dedicated time for improving the quality of care experienced by service users and patients.
Management of lower bowel dysfunction, including DRE and DRF (PDF 665.5 KB)
Publication code: 003 226
Publication date: 15 November 2012
ISBN: 978-1-908782-19-9
Abstract:
Bowel care is of paramount importance for the quality of life of patients and this new edition provides a review of lower bowel dysfunction in adults, digital rectal examination (DRE) and guidance on the digital removal of faeces (DRF). It aims to help nurses understand the functions of the bowel and the need for appropriate assessment. It provides guidance on how nurses can positively help patients with bowel disorders and maps out the wide range of skills required for specific aspects of bowel care, while helping to facilitate best practice. This publication is supported by Coloplast and Skills for Health.
Managing the fertility of male cancer patients: RCN guidance for oncology and haematology nurses (PDF 842.2 KB)
Publication code: 002 426
Publication date: 27 October 2004
ISBN:
Abstract:
Advances in assisted reproduction techniques offer greater opportunities to treat infertility in people with cancer. This also means that nurses have to manage many more issues at the time of a new diagnosis and referral. This guidance aims to provide information to oncology and haematology nurses on the options available to men who may wish to freeze their sperm, and focuses on counselling, consent issues, developing a comprehensive information service and referral recommendations.
Managing to work differently. RCN annual employment survey 2005 (PDF 514.9 KB)
Publication code: 003 006
Publication date: 6 October 2005
ISBN:
Abstract:
The 2005 Annual Employment Survey (AES) looks at what change means for the typical nurse and finds that while nurse morale may be improving, retention is still a problem. The survey demonstrates that it is not just the services, and how they are being delivered, that have been changing - results indicate that the profile of the people delivering care has also changed. The age increase is due to both an ageing workforce and the fact that nurses are entering the profession later. The survey findings also indicate that larger proportions of nurses in 2005 consider that they could be paid more for less effort if they left nursing - 71% in 2005 compared to 60% in 1995.
Maxi nurses: nurses working in advanced and extended roles promoting and developing patient-centred health care (PDF 1.1 MB)
Publication code: 002 511
Publication date: 12 May 2005
ISBN:
Abstract:
Following on from a joint RCN and Department of Health survey, this publication looks in detail at a number of nurses from across the UK that are pushing forward the boundaries of nursing. They describe in their own words what they do, why they are excited about their jobs and the impact they are having on patient care.
Maximising independence: the role of the nurse in supporting the rehabilitation of older people (PDF 182.0 KB)
Publication code: 003 186
Publication date: 30 October 2007
ISBN: 9781904114772
Abstract:
Promoting independence for older people is a key theme in current health and social care policy and has led to an increased focus on rehabilitation services. This publication has been updated to reflect current trends and research in relation to the rehabilitation of older people. It aims to clarify the role of the nurse in rehabilitation and to offer thoughts on issues which nurses should consider when working in practice. The role of the nurse in rehabilitation should be person-focused, and nurses are encouraged to work in a facilitating role to maximise the independence of the older person.
Maximising nursing skills in caring for children in emergency departments (PDF 737.6 KB)
Publication code: 003 821
Publication date: 10 June 2010
ISBN:
Abstract:
Produced in conjunction with the Royal College of Paediatrics and Child Health. Registered adult nurses usually require additional education, experience and training to be competent in the recognition and management of minor and major injuries, adolescent issues, and emergency department skills. This publication, developed by the RCPCH in conjunction with the RCN, is aimed at emergency department managers, lead consultants and lead nurses. It provides guidance on competence development for staff in a variety of ways including practical experience, work shadowing and peer review opportunities, as well as detailing recommendations for setting competence levels.
Meeting the health needs of people with learning disabilities. (PDF 1.7 MB)
Publication code: 003 024
Publication date: 24 April 2006
ISBN: 1-90411445
Abstract:
The health of people with learning disabilities has steadily improved over the last three decades, although they still have higher mortality rates and face an increased chance of developing certain conditions than other people. This new edition has been developed to support nurses and nursing students in delivering quality health care to people with learning disabilities. The guidance defines learning disabilities, outlines some specific health needs and explains relevant legislation, which includes obtaining consent. It also details specialist services, how to support people accessing services and lists a number of helpful resources and organisations.
Menopause: lifestyle and therapeutic approaches. RCN guidance for nurses, midwives and health visitors (PDF 834.1 KB)
Publication code: 003 839
Publication date: 18 November 2010
ISBN:
Abstract:
In order for nursing staff to provide support and advice to women it is important that they understand the changes that women face at the time of their menopause and the issues related to improving health after menopause. This guidance aims to help nurses gain awareness of all the issues facing women by reviewing what happens to the body during menopause and in the post-menopausal stage, examining the impact of these changes on women, and outlining the options for health after menopause. This publication is based on, and replaces, two previous RCN publications – Women’s health and the menopause: RCN guidance for nurses, midwives and health visitors (2005) and Complementary approaches to menopausal symptoms: RCN guidance for nurses, midwives and health visitors (2006).
Mental health in children and young people: An RCN toolkit for nurses who are not mental health specialists (PDF 282.5 KB)
Publication code: 003311
Publication date: 18 March 2009
ISBN: 978-1-906633-06-6
Abstract:
One in 10 children and young people will experience behavioural, emotional and mental health problems at some point in their lives. However, identifying mental health problems and responding appropriately can prove challenging for nurses working with children and young people. The RCN has prepared this publication to assist those nurses who are not mental health specialists who work with children and young people in community and hospital settings. It will help them in identifying the skills and knowledge they need to recognise and, if necessary, refer children who have problems affecting their mental health.
Mental health nursing of adults with learning disabilities. RCN guidance (PDF 472.0 KB)
Publication code: 003 184
Publication date: 21 September 2007
ISBN:
Abstract:
Learning disability is one of the most common forms of disability and affects up to 1.5 million people in the UK. People with learning disabilities vary widely in their abilities, affecting the kind of support each person needs. First published in 2007, this new edition provides guidance for nurses and nursing students in mental health services in delivering high quality health care to people with learning disabilities. The publication highlights the vulnerability of people with learning disabilities to mental health problems, how they present, and are assessed and treated. It also gives examples of good practice and partnership working. While this publication is primarily focused on adults with learning disabilities, those working with children may also find it useful.
Multimedia: Developing and using websites (PDF 1.0 MB)
Publication code: 004 231
Publication date: 10 May 2012
ISBN: 978-1-908782-01-4
Abstract:
This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. The publications cover telephone advice lines (publication code 004 229), text messaging (publication code 004 230), websites (publication code 004 231) and telehealth monitoring (publication code: 004 232).
Multimedia: Using technology to complement nursing practice (PDF 1.1 MB)
Publication code: 004 228
Publication date: 10 May 2012
ISBN: 978-1-906633-98-1
Abstract:
This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. The publications cover telephone advice lines (publication code 004 229), text messaging (publication code 004 230), websites (publication code 004 231) and telehealth monitoring (publication code: 004 232).
Multimedia: Using telehealth to monitor patients remotely (PDF 2.9 MB)
Publication code: 004 232
Publication date: 10 May 2012
ISBN: 978-1-908782-02-1
Abstract:
This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. The publications cover telephone advice lines (publication code 004 229), text messaging (publication code 004 230), websites (publication code 004 231) and telehealth monitoring (publication code: 004 232).
Multimedia: Using telephone advice for patients with long-term conditions (PDF 1.4 MB)
Publication code: 004 229
Publication date: 10 May 2012
ISBN: 978-1-906633-99-8
Abstract:
This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. The publications cover telephone advice lines (publication code 004 229), text messaging (publication code 004 230), websites (publication code 004 231) and telehealth monitoring (publication code: 004 232).
Multimedia: Using text messaging services (PDF 723.6 KB)
Publication code: 004 230
Publication date: 10 May 2012
ISBN: 978-1-908782-00-7
Abstract:
This range of publications has been developed to help nursing staff utilise technology to complement their clinical practice. The publications cover telephone advice lines (publication code 004 229), text messaging (publication code 004 230), websites (publication code 004 231) and telehealth monitoring (publication code: 004 232).
RCN mentorship resources. 1: An overview of the RCN mentoring framework (PDF 464.5 KB)
Publication code: 003 808
Publication date: 12 October 2010
ISBN:
Abstract:
Part 1 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 2: RCN mentoring relationship standards (PDF 275.5 KB)
Publication code: 003 809
Publication date: 12 October 2010
ISBN:
Abstract:
Part 2 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 3: The RCN mentorship development programme (PDF 236.6 KB)
Publication code: 003 810
Publication date: 12 October 2010
ISBN:
Abstract:
Part 3 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 4: Lifelong learning in practice - achieving practice standards (PDF 404.6 KB)
Publication code: 003 811
Publication date: 12 October 2010
ISBN:
Abstract:
Part 4 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 5: The mentorship contract and toolkit (PDF 438.2 KB)
Publication code: 003 812
Publication date: 12 October 2010
ISBN:
Abstract:
Part 5 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 6: Strengthening working partnerships (PDF 227.7 KB)
Publication code: 003 813
Publication date: 12 October 2010
ISBN:
Abstract:
Part 6 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 7: RCN representatives' practice standards (PDF 255.2 KB)
Publication code: 003 814
Publication date: 12 October 2010
ISBN:
Abstract:
Part 7 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
RCN mentorship resources. 8: Mentor and mentee relationship standards (PDF 285.5 KB)
Publication code: 003 815
Publication date: 12 October 2010
ISBN:
Abstract:
Part 8 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.
The management of diarrhoea in adults. RCN guidance for nursing staff (PDF 946.2 KB)
Publication code: 004 371
Publication date: 14 March 2013
ISBN: 978-1-908782-37-3
Abstract:
Diarrhoea is a common and debilitating condition. Patients often feel embarrassed and find their ability to lead normal active lives severely affected, which can result in isolation and depression for those with chronic conditions. The impact of managing diarrhoea, whether acute or chronic, can also be felt by all those supporting or caring for patients, including family, carers or members of the health care team. This guidance has been developed with patients and health care workers as a holistic document to recognise and support the management of acute diarrhoea in adult patients, regardless of the care setting. It can be used in its entirety, or for specific sections as required and may be useful in supporting the development of health care organisations, local policies and procedures and should be used to complement local policies on the management of diarrhoea.
N
eHealth: Nursing content of eHealth records (PDF 156.9 KB)
Publication code: 003 596
Publication date: 13 July 2010
ISBN:
Abstract:
To support safe, effective care and communication, patient/client records must be up to date, factual, accurate, and written so that the meaning is clear to everyone who uses the record. The Nursing and Midwifery Council (NMC) in the UK advises that patient/client records should not include abbreviations as these, and other short forms such as acronyms and initialisations, can be misinterpreted with significant risks to quality of care and patient safety. Indeed, some abbreviations are known to lead to an increase in errors. Despite these concerns, the use of abbreviations in patient records is common practice and guidance on the matter is often conflicting. The RCN supports the introduction of electronic records but is concerned to ensure the protection of both patients/clients and nursing staff (nurses and other health care workers) in their use. This booklet is aimed at nursing staff that come into contact with patient/client records. It reflects the RCN position on the use of abbreviations and other short forms in patient/client records, and includes specific guidance on electronic records.
NHS Agenda for Change pay scales card 2011/2012 (PDF 116.8 KB)
Publication code: 004 106
Publication date: 8 April 2011
ISBN:
Abstract:
This is the RCN's pay scales card with clinical grades and Agenda for Change pay bands for the forthcoming year (2011/2012).
NHS Agenda for Change pay scales – 2012/2013 (PDF 118.5 KB)
Publication code: 004 239
Publication date: 17 April 2012
ISBN:
Abstract:
This is the RCN's pay scales card with clinical grades and Agenda for Change pay bands for the forthcoming year (2012/2013).
NHS Black and Minority Ethnic Leadership Forum Report 2003 - 2006 (PDF 146.7 KB)
Publication code: 003 171
Publication date: 21 June 2007
ISBN: 978-1-904414-45-1
Abstract:
This is a report from the national NHS Black and Minority Ethnic Leadership Forum which was launched with the support of the NHS Confederation and RCN in 2003. The forum drives the development of black and Minority ethnic (BME) leadership and ensures a stronger voice for BME leaders and managers in the NHS. This report sets out the main achievements of the forum over the past four years.
NHS knowledge and skills outlines for nursing posts RCN guidance for nurses and managers in creating KSF outlines in the NHS: Guidance for nurses (PDF 124.6 KB)
Publication code: 002 775
Publication date: 8 September 2005
ISBN:
Abstract:
This guidance provides broad information about how to develop NHS knowledge and skills framework (KSF) outlines for nursing posts in the NHS. It will help RCN members and their managers select KSF dimensions that might be appropriate for different roles and at different stages in a nurse¿s career. The guidance should be read in conjunction with the NHS KSF handbook.
NHS staff survey on pay and conditions. A report for the joint staff-side NHS trade unions (PDF 1.6 MB)
Publication code: 004333
Publication date: 22 October 2012
ISBN:
Abstract:
This report was produced by Income Data Services (IDS) for NHS staff-side unions, including the Royal College of Nursing. Results have been drawn from a survey sent out to members across all of the NHS unions, supplemented by detailed telephone interviews with a cross-section of NHS staff.
Nurse entrepreneurs - turning initiative into independence (PDF 678.9 KB)
Publication code: 003 215
Publication date: 20 December 2007
ISBN: 978-1-904114-82-6
Abstract:
This publication is for nurses who are considering branching out on their own. Specifically aimed at nurses in clinical practice, educational or managerial roles, the publication includes a wealth of information to help becoming self-employed a less daunting prospect. Areas covered include information on money matters, different business opportunities, tips for success and useful organisations and contacts, making it is a useful resource aimed at pointing nurses in the right direction and helping them make a success of their new enterprise.
Nurse Practitioners 2006 - The results of a survey of Nurse Practitioners conducted on behalf of the RCN Nurse Practitioner Association (PDF 138.2 KB)
Publication code: 003 183
Publication date: 1 July 2007
ISBN: N/A
Abstract:
The results of a survey of Nurse Practitioners conducted on behalf of the RCN Nurse Practitioner Association. The RCN Nurse Practitioner Association (NPA) commissioned Employment Research toundertake a survey of all 3,196 of its members. A postal survey (with on-line completionas an option) was conducted in spring 2006. At the close of the survey, 1,201 responseshad been received (38% of the membership). Most of the results reported are based onthe 1,021 respondents who are in nurse practitioner roles (i.e. analysis excludesrespondents who are members of the NPA but not currently in NP roles).
Nurses and NHS IT developments - IT survey 2006 (PDF 148.2 KB)
Publication code: 003 079
Publication date: 23 August 2006
ISBN:
Abstract:
This survey was commissioned by the RCN to investigate the views of UK nurses about NHS IT developments. 4,451 nurses responded. The objectives were (a) to investigate nurses' views about NHS IT developments, especially the proposed integrated electronic patient record system, known in England (and in this report) as the Care Records Service or CRS, and (b) to consider how those views had changed over the past two and a half years.
Nurses as partners in delivering public health (PDF 157.8 KB)
Publication code: 003 114
Publication date: 30 May 2007
ISBN: 978-1-904114-47-5
Abstract:
Authors: Amicus, Community Practitioners¿ and Health Visitors¿ Association, Nursing and Midwifery Council, Royal College of Nursing, The Queen¿s Nursing Institute, UK Public Health AssociationThis publication has been produced by an alliance of organisations and supports the nursing contribution to public health, as well as highlighting how nurses can strengthen their positions so that they can better influence the health of communities. It contains a number of examples of innovative work already taking place, for example, how in Wrexham, school nurses are working collaboratively across organisations to deliver a targeted preventative service to help young people stop smoking. The publication also lists a number of organisations and websites that can provide further help and inspiration.
Nurses employed by GPs. RCN guidance on good employment practice (PDF 166.5 KB)
Publication code: 002 435
Publication date: 25 August 2004
ISBN:
Abstract:
The RCN believes that nurses employed by GPs should be employed on Agenda for Change (AfC) terms and conditions. This guidance provides GPs, practice managers, practice nurses, nurse practitioners, and primary care organisations with key elements of both It details a framework of best employment practice as well as highlighting the benefits of introducing AfC.
Nurses in Northern Ireland 2005: Results for Northern Ireland from the RCN Employment Survey 2005 (PDF 799.3 KB)
Publication code: 003 012
Publication date: 1 November 2005
ISBN:
Abstract:
This report describes the results for Northern Ireland from the 19th employment survey of a sample of RCN members. For the full UK report, see Managing to work differently: results from the RCN Employment Survey 2005, publication code 003 006.
Nurses in Scotland 2005: Results for Scotland from the RCN Employment Survey 2005 (PDF 828.6 KB)
Publication code: 003 013
Publication date: 1 November 2005
ISBN:
Abstract:
This report describes the results for Scotland from the 19th employment survey of a sample of RCN members. For the full UK report, see Managing to work differently: results from the RCN Employment Survey 2005, publication code 003 006.
Nurses in the independent sector. Results from the RCN membership surveys 2001/2002 (PDF 576.5 KB)
Publication code: 002 187
Publication date: 1 December 2003
ISBN:
Abstract:
The results of this survey have given us an insight into the working lives of nurses in the independent sector, who make up 27% of RCN membership. Nurses in the independent sector reveals a workforce that is older than the average compared to NHS colleag
Nurses in Wales 2005: Results for Wales from the RCN Employment Survey 2005 (PDF 794.3 KB)
Publication code: 003 014
Publication date: 1 November 2005
ISBN:
Abstract:
This report describes the results for Wales from the 19th employment survey of a sample of RCN members. For the full UK report, see Managing to work differently: results from the RCN Employment Survey 2005, publication code 003 006.
Nurses' business. An introduction to costing and coding health care (PDF 229.3 KB)
Publication code: 003 187
Publication date: 26 September 2007
ISBN: 978-1-904114-53-6
Abstract:
Nursing is moving into an increasingly consumer orientated and business focused environment. This guidance should help you to understand how funding flows around, in and out of the NHS, and what role nurses can play in explaining what happens in between and how nurses can influence service redesign.It covers the basic steps that can be taken to raise understanding around nursing activity and offers a useful starting point for discussions around improving the quality of care, the efficiency of the service and help to reduce the amount of time and resources wasted ¿ both yours and that of patients.Although aimed at nurses working at ward manager level and above this publication has been designed to be accessible to all levels of nurses including health care assistants and nursing students.
Nurses' employment and morale: Scotland 2009. Employment Survey (PDF 615.3 KB)
Publication code: 003 565
Publication date: 30 October 2009
ISBN: 978-1-906633-32-5
Abstract:
This report describes the findings for Scotland from the 22nd RCN employment survey of a sample of RCN members. This year, as in 2007, 9,000 nurses from across the UK were surveyed (including 1400 identified as living in Scotland). The RCN membership is broadly representative of the nursing workforce as a whole, thus the results of this survey of members in Scotland can be taken to broadly reflect the UK and Scotland nursing populations more generally. This report seeks to describe the employment characteristics of nurses in 2009, and identify changes in the employment behaviour and morale of the nursing workforce in Scotland.
Nurses' employment and morale: Wales 2009. Employment Survey (PDF 631.3 KB)
Publication code: 003 567
Publication date: 6 November 2009
ISBN: 978-1-906633-33-2
Abstract:
This report describes the findings for Wales from the 22nd RCN employment survey of a sample of RCN members. This year, as in 2007, 9,000 nurses from across the UK were surveyed. The RCN membership is broadly representative of the nursing workforce as a whole, thus the results of this survey of members in Wales can be taken to broadly reflect the UK and Wales nursing populations more generally. This report seeks to describe the employment characteristics of nurses in 2009, and identify changes in the employment behaviour and morale of the nursing workforce in Wales.
Nurses' employment and morals: Northern Ireland 2009. Employment Survey (PDF 634.4 KB)
Publication code:
Publication date: 7 December 2009
ISBN: 978-1-906633-34-9
Abstract:
This report describes the findings for Northern Ireland from the 22nd RCN employment survey of a sample of RCN members. This year 9,000 nurses from across the UK were surveyed (including 1400 identified as living in Northern Ireland). The RCN membership is broadly representative of the nursing workforce as a whole, thus the results of this survey of members in Northern Ireland can be taken to broadly reflect the UK and Northern Ireland nursing populations more generally.
Nursing and the economic downturn a roundtable discussion (PDF 572.1 KB)
Publication code: 003 559
Publication date: 10 November 2009
ISBN: 978-1-906633-29-5
Abstract:
This is a summary of the roundtable discussion on Nursing and the economic downturn which was held on 25 August 2009 at RCN headquarters in London.
Nursing assessment and older people: a Royal College of Nursing toolkit (PDF 296.4 KB)
Publication code: 002 310
Publication date: 1 May 2004
ISBN:
Abstract:
Designed to be used as part of the overall assessment of a resident in a care home, this toolkit will assist nursing staff to both articulate and quantify their contribution to the health and social wellbeing of older people and to make effective use of a all available skills and resources. It describes the role of the expert nurse in the care of older people, and outlines how the debate about continuing care affects nursing. The tool is divided into five stages, and assessment sheets at the back of the publication have been designed to be photocopied or downloaded from the website, and completed for each resident. This toolkit draws on the work of the RCN report What a difference a nurse makes (publication code 000 632).
Nursing dashboards - measuring quality (PDF 1.1 MB)
Publication code: 004 198
Publication date: 26 January 2012
ISBN:
Abstract:
This report summarises key messages from the nursing dashboard summit held by the RCN on 3 June 2011. The objective of a clinical dashboard is to provide a realtime, or near realtime, measure of nursing quality. Feedback from the summit also helped to detail how the RCN's Principles of Nursing Practice can be used to align and underpin dashboards, as they are applicable to all nursing staff across all four countries.
Nursing on the move – specialist nursing for patients requiring repatriation and retrieval. RCN guidance (PDF 777.4 KB)
Publication code: 004 364
Publication date: 22 April 2013
ISBN: 978-1-908782-34-2
Abstract:
Repatriation and retrieval nursing is an extremely complex and challenging field. This RCN publication outlines recommendations about educational preparation, plus reinforces the role nurses have at the forefront of patient transportation – especially in the context of increasing centralisation of care and worldwide travel. Nursing on the move covers four main areas of nursing: commercial flight, air ambulance, retrieval, and military. Designed for use by nurses, managers and commissioners, this guidance will help you develop your role or develop a new or existing service, as well as assist in identifying needs within commissioning.
Nursing our future. An RCN study into the challenges facing today's nursing students in Wales (PDF 100.4 KB)
Publication code: 003 309
Publication date: 12 November 2009
ISBN:
Abstract:
An RCN survey, Nursing our future aims to uncover the realities of being a nursing student in Wales. By reporting their own experiences, the study demonstrated the many financial, personal or educational challenges nursing students face today. Over 4500 nursing students across the UK responded to an online survey between August and October 2008 including 190 nursing students in Wales.
Nursing our future: an RCN study into the challenges facing today's nursing students in the UK (PDF 125.0 KB)
Publication code: 003306
Publication date: 26 November 2008
ISBN:
Abstract:
A new RCN survey, Nursing our future aims to uncover the realities of being a nursing student in the UK. By reporting their own experiences, the study demonstrated the many financial, personal or educational challenges nursing students face today. Over 4,500 nursing students across the UK responded to this survey sharing their knowledge, concerns and experiences.
Nursing staff using personal mobile phones for work purposes (PDF 257.6 KB)
Publication code: 004259
Publication date: 22 August 2012
ISBN:
Abstract:
This RCN guidance addresses the issues in health and social care introduced by mobile phone use. 73 per cent of nurses and midwives now carry a mobile phone while a work and 80 per cent of those use their own mobile phone for work purposes. The guidance focuses on the RCN’s position on nursing staff using their own mobile phone for work-related purposes, drawing attention to issues such as: employer’s policy; security and confidentiality of patient information; staff safety; and cost implications.
Nutrition in children and young people with cancer (PDF 325.8 KB)
Publication code: 003 805
Publication date: 15 September 2010
ISBN: 978-1-906633-51-6
Abstract:
Nutritional status affects the prognosis for children and young people with cancer. Well nourished patients are better able to resist infection and tolerate treatment. This RCN document gives guidance about nutrition for children and young people with cancer, and is aimed at nurses and other health professionals. It examines the particular problems faced by children with cancer in obtaining good nutrition, and recommends ways in which hospitals can improve food provision to offset some of these problems. It looks at the management of nutrition in young cancer patients in detail. This guidance has been developed in conjunction with members of a multidisciplinary team including specialist paediatric dieticians and paediatric oncologists.
Nutrition Now: Enhancing Nutritional Care (PDF 840.8 KB)
Publication code: 003 284
Publication date: 17 September 2008
ISBN:
Abstract:
Nutrition Now was an RCN managed campaign, which ran from 2007-09 with the main aim of raising standards of nutrition and hydration in hospitals and the community. It empowered nurses on the frontline to play an influential role in driving up standards, while also affecting national policy, and providing practical tools, support and evidence to make nutrition a priority in the workplace. This booklet summarises the outcomes of the campaign and provides information on implementing sustainable changes to enhance people’s experience of food and hydration in health and social care.
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Occupational Health Forum Newsletter - E-SOHN on OSCAR (PDF 466.4 KB)
Publication code: 003 204
Publication date: 19 October 2007
ISBN:
Abstract:
Occupational Health Forum Newsletter Spring 08 - E-SOHN on OSCAR (PDF 362.8 KB)
Publication code: 003 229
Publication date: 20 February 2008
ISBN:
Abstract:
The spring 2008 edition of the RCN Society Occupational Health Nursing newsletter. This issue includes updates from the forum chair, news on the NICE guidance for the workplace, and a report on the 2007 SOHN/SOM conference in Cardiff.
Occupational health nursing: career and competence development (PDF 699.2 KB)
Publication code: 004 123
Publication date: 14 October 2011
ISBN: 978-1-906633-82-0
Abstract:
Providing signposts to a scope of practice at key points in career development and progression, the framework is a guide to occupational health nurses and their employers for decisions on practice competency; personal and professional development; and career and pay progression. This publication now maps occupational health nursing against the six core NHS KSF competences and sixteen of the specific NHS KSF competences. This will provide occupational health nursing practitioners and curriculum leaders with a benchmark which will assist them to plan developments for practice, and to determine which of the competency statements best reflect their practice. This is a revision of the 2004 guidance.
Older people in care homes: sex, sexuality and intimate relationships (PDF 421.8 KB)
Publication code: 004 136
Publication date: 10 August 2011
ISBN: 978-1-906633-75-2
Abstract:
Issues concerning sex, sexuality and intimate relationships in care homes are complex, and dealing with these can pose difficulties for older people, partners, families and staff. However, the fundamental principles of individual autonomy, choice and consent are established in law and underpinned by the Human Rights Act 1998 and assumptions and stereotypes should be challenged. This guidance has been developed to help nurses and care staff work effectively with issues of sexuality, intimate relationships and sex, particularly for older people living in care homes. It aims to facilitate learning, support best practice and serve as a resource to help nurses and care staff address the needs of older service users in a professional, sensitive, legal and practical way.
On the case: advice, support and representation from the RCN. A guide for members (PDF 262.0 KB)
Publication code: 002 481
Publication date: 30 September 2009
ISBN:
Abstract:
The need for better mental health care in prisons has been evident for some time. Reports throughout the last two decades have shown that prisoners have dramatically higher rates of the whole range of mental health problems compared to the general population. This publication aims to examine what has been achieved in prison mental health over recent years from a number of different personal perspectives and individual observations of working in England. It looks at the specific achievements of inreach teams and of efforts to divert offenders from custody. It also looks more broadly at the rapid growth of the prison population during the same period and the treatment of offenders with mental health problems outside as well as inside prison. This is a joint publication from the Royal College of Nursing, the Centre for Mental Health and Nacro; the crime reduction charity.
Overstretched. Under-resourced. The UK nursing labour market review 2012 (PDF 1.1 MB)
Publication code: 004332
Publication date: 22 October 2012
ISBN:
Abstract:
This report highlights the impact of financial pressures on the current and future NHS nursing workforce. It is submitted to the NHS Pay Body Review as part of the RCN’s evidence on pay and conditions in the NHS (004 336). It also provides an overview of different systems of workforce planning in place across the four UK countries and highlights the very real risk of nursing under-supply due to developments in workforce planning.
RCN Response to the: Open Public Services White Paper (PDF 363.5 KB)
Publication code: 004 185
Publication date: 30 September 2011
ISBN:
Abstract:
This document forms the RCN’s response to the Government’s Open Public Services White Paper. The full response includes an executive summary, responses to individual chapters and references to the consultation survey carried out by the RCN.
The nature, scope and value of ophthalmic nursing (PDF 1.9 MB)
Publication code: 003521
Publication date: 2 July 2009
ISBN: 978-1-906636-15-8
Abstract:
This third edition from the RCN Ophthalmic Nursing Forum represents the strategic vision of ophthalmic nursing. It has been revised to reflect the current climate of clinical ophthalmic nursing care delivery. The document discusses the fundamental nature of ophthalmic nursing, asks how ophthalmic nurses can contribute to health care and looks at the value of the role. It also includes standards which are based on current empirical evidence, an audit tool and useful reading lists.
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eHealth: Putting information at the heart of nursing care (PDF 293.3 KB)
Publication code: 003 592
Publication date: 13 July 2010
ISBN:
Abstract:
Now technology, and the way we use it, is revolutionising health care. In just the same way as IT has made an enormous difference to commerce and industry, it will just as surely change the practice of every nurse, health visitor, midwife and health care assistant and affect nursing students while on clinical placements. Nursing staff (nurses and other health care workers) will have to learn new skills. And if IT is to fulfil its promise nursing staff will need to be involved, letting systems developers know what information these systems must contain and how these should fit with nursing practice. This booklet provides an introduction to eHealth for nursing staff. It describes key concepts associated with eHealth, including the electronic patient record. It also explains the importance of eHealth to nursing and why it is vital for nursing staff to get involved.
NHS Agenda for Change pay scales-2010/2011 (PDF 73.4 KB)
Publication code: 003303
Publication date: 11 March 2009
ISBN:
Abstract:
Nurses' pay flyer with clinical grades and Agenda for Change pay bands for 2010/2011
Paediatric assessment of toilet training readiness and the issuing of products. An RCN care pathway (PDF 3.7 MB)
Publication code: 003 103
Publication date: 1 November 2006
ISBN: 190411415
Abstract:
Paediatric continence promotion services should provide open access support, advice and information for all children aged 0-19 years, and their families. This RCN guidance provides a structured and practical way to help manage children with incontinence and delayed toilet training using a care pathway. Also included: what is normal bowel and bladder development; the supply of paediatric continence products; a toileting chart, and toilet training checklist.
Palliative care for children and young people (PDF 731.8 KB)
Publication code: 004328
Publication date: 26 November 2012
ISBN:
Abstract:
Across the UK, there are a small number of children and young people who require palliative care, beginning at the time of diagnosis of a life-limiting or life-threatening condition. Because of the diversity of conditions and individual needs, specialist care provision is required in the home, hospital and hospice. Therefore specific competences are required for the nursing and support staff who will work closely with families and other care providers to ensure the best possible quality of life for the child/young person and support for their family. This framework supports the delivery of high quality, evidence-based care by nurses and health care support workers involved in the care of children and young people requiring palliative care.
Panton-Valentine Leukocidin positive Staphylococcus aureus (PVL-SA). Guidance for health professionals (PDF 978.6 KB)
Publication code: 003 850
Publication date: 14 December 2010
ISBN:
Abstract:
Staphylococcus aureus (SA) is the most common pathogen responsible for skin and soft tissue infections (SSTIs). PVL-SA caused infections are usually more severe and the impact on the patient can be considerable due to the need for prolonged treatment. This poster has been designed to assist health care professionals in identifying symptoms of PVL-SA, so advice and treatment can be given in order to reduce transmission to others within the household, wider community or health care setting.
Panton-Valentine Leukocidin-positive Staphylococcus aureus (PVL-SA). RCN guidance for health (PDF 509.1 KB)
Publication code: 004 128
Publication date: 17 August 2011
ISBN: 978-1-906633-78-3
Abstract:
PVL-SA is a toxin produced by some strains of staphylococcus aureus which is associated with an increased ability to cause disease. Skin and soft tissue infections caused by PVL-SA are usually more severe and often recurrent and the impact on the patient can be considerable due to the need for prolonged or repeated courses of treatment. This guidance has been developed to assist nurses and health care assistants in their assessment, diagnosis, management and prevention of suspected or confirmed PVL-SA infections within the household, wider community and health and social care settings (including care homes). It can also be used by other health and social care professionals, for example, GPs or nursery workers. This guidance can be used in conjunction with the RCN’s PVL-SA guidance poster (publication code: 003 850).
Parkinson's Disease Competency (PDF 377.7 KB)
Publication code: 003 065
Publication date: 7 April 2008
ISBN:
Abstract:
This is the second edition of a joint publication from the Parkinson's Disease Society, Parkinson's Disease Nurse Specialist Association and the Royal College of Nursing. It is a competency framework for nurses working in Parkinson's Disease management. This revised competency framework describes the knowledge and skills required by nurses to manage the care of people living with Parkinson’s disease in any healthcare setting and offers signposts for good practice. It addresses a number of political and professional issues, including Agenda for Change (DH, 1999), the need for leadership in nursing, the need for the development of standards, fi tness for practice and the increased focus on work-based and lifelong learning and clinical supervision for nurses. This revised document has now also been mapped to the NHS Knowledge and Skills Framework.
Past imperfect, future tense. Nurses' employment and morale in 2009 (PDF 522.7 KB)
Publication code: 003545
Publication date: 23 September 2009
ISBN:
Abstract:
This report describes the findings from the 22nd RCN employment survey of a sample of RCN members. Nine thousand nurses from across the UK were surveyed, using a methodology which builds on a longstanding series of surveys (with many parts of the questionnaire standardised since 1992) so changes over time can be reported. 54% responded to the survey.
Past trends, future imperfect? A review of the UK nursing labour market in 2004/2005 (PDF 460.4 KB)
Publication code: 002 760
Publication date: 18 November 2005
ISBN:
Abstract:
This annual overview of the UK-wide nursing labour market identifies trends in nurse staffing growth and change in the NHS, and examines the profile of the current UK nursing workforce. The report focuses on the current and future supply of nursing students, and highlights issues around the next critical challenge - the ageing of the UK nursing workforce.
Patient group directions: guidance and information for nurses (PDF 1.2 MB)
Publication code: 001 370
Publication date: 10 August 2006
ISBN:
Abstract:
As a result of legislative change, group protocols are now called patient group directions (PGDs). This booklet explains what a PGD is and offers guidance and information on their use. This publication replaces all previous RCN information concerning the supply and administration of medicines under group protocol arrangements.
Patient outcomes of specialist nursing services (PDF 1.2 MB)
Publication code: 4269
Publication date: 2 October 2012
ISBN: 978-1-908782-24-3
Abstract:
This report describes the implementation of Phase 1 of a quality improvement project to develop a range of measures to assess the quality of specialist nursing services. Phase 1 was the development of a patient evaluation measure to assess the impact of the specialist nurse on patient outcomes, as determined by patients. This work is closely linked to the development of the RCN’s Principles of Nursing Practice launched in 2010.
Patients undergoing interventional biopsies. RCN Guidance for nursing staff (PDF 724.5 KB)
Publication code: 003 150
Publication date: 6 July 2007
ISBN: 978-1-904114-40-6
Abstract:
This is a best practice guidance developed by the RCN Imaging Nurses Forum to help radiology nurses in providing a clinically effective and safe environment when assisting and monitoring patients during interventional procedures. It is divided into three parts: pre-procedure; peri-procedure and post procedure. It is hoped the guidance will help promote consistency throughout radiology departments nationally but should be used alongside local policy and practice.
Pensions A5 flyer (PDF 95.9 KB)
Publication code: 004 194
Publication date: 3 November 2011
ISBN:
Abstract:
A concise leaflet aimed at members summing up the RCN position on pensions and how to get involved in the Day of Action.
Performing intra-uterine insemination and embryo transfer. RCN guidance for fertility nurses (PDF 161.6 KB)
Publication code: 002 424
Publication date: 21 December 2004
ISBN:
Abstract:
Developments in fertility treatment have progressed quite rapidly over recent years, with the nursing role becoming more expanded. This RCN guidance outlines some of the key issues that fertility nurses need to be aware of whilst also providing specific information on how to perform intra-uterine insemination and embryo transfer.
Performing transvaginal ultrasound scanning: RCN guidance for fertility nurses (PDF 2.0 MB)
Publication code: 002 795
Publication date: 25 February 2006
ISBN:
Abstract:
It is essential that fertility nurses have appropriate training and experience to perform transvaginal ultrasound scans. This guidance booklet outlines some of the key areas that fertility nurses need to be aware of, including requirements of the role, training protocols and the importance of good communication with patients.
Performing ultrasound-guided oocyte retrieval. RCN guidance for fertility nurses (PDF 196.3 KB)
Publication code: 002 425
Publication date: 6 January 2005
ISBN:
Abstract:
Developments in fertility treatment have progressed quite rapidly over recent years, with the nursing role becoming more expanded. This RCN guidance outlines some of the key issues that fertility nurses need to be aware of whilst also providing specific information on how to perform ultrasound-guided oocyte retrieval.
Persistent challenges to providing quality care (PDF 1.5 MB)
Publication code: 004 227
Publication date: 20 March 2012
ISBN:
Abstract:
This report addresses the worrying trends related to the quality of care in care homes. With an ageing population people are living with long-term conditions for longer periods and there has recently been heightened media and public interest into the quality of care homes in England and the increasing pressure on care home staff. The report analyses the issues raised in RCN surveys in 2004 and 2010, and considers the picture one year on. Key problems include inadequate funding and staff levels; appropriate skill mix of staff, high turnover of staff; low levels of morale; and lack of equipment in homes. The RCN makes recommendations for action to address these issues based on the findings of the 2011 RCN care home survey.
Pillars of the community: the RCN’s UK position on the development of the registered nursing workforce in the community (PDF 310.8 KB)
Publication code: 003 843
Publication date: 25 August 2010
ISBN:
Abstract:
Nursing teams in the community are the mainstay of locally delivered health care across each of the four nations of the UK. The vast majority of contacts with the health services in the UK do not take place in hospitals; they take place in the home and in local community settings, such as health centres, care homes or schools, where nurses deliver care, treatment and support. In this time of shifting political and economic priorities, the community health and social care landscape is changing rapidly in each of the four UK nations. Whilst each government is mandated to respond individually to the health needs of its population, and structure its health services appropriately, the RCN’s position is that there is a set of core statements which must guide the development of community nursing across all parts of the UK. This paper sets out those statements.
Policies to support practice areas caring for neonates, children and young people (PDF 392.0 KB)
Publication code: 003 822
Publication date: 7 July 2010
ISBN:
Abstract:
This document is, in essence, a policy index outlining the policies that should be in place in organisations which undertake health-related care for babies, children, young people and their families. It provides guidance for those involved in policy management, helping to make sure that the full breadth of policies are in place to support clinical practice.
Position statement on HCAs (PDF 1.2 MB)
Publication code: 004 214
Publication date: 27 March 2012
ISBN:
Abstract:
Health care assistants (HCAs) are a valued and integral part of the nursing team, who should be supported to develop their knowledge and skills required to deliver competent and compassionate patient-centred care. The RCN recognises the need for a flexible workforce with the appropriate competences which can respond to the changing requirements of the health and social care sector. This position statement provides commissioners, education providers and employers with guidance on best practice in relation to the training and education of HCAs in the UK working at levels 2-3 of the Skills for Health Career Framework (2008).
Position statement on injection technique: Information for nurses (PDF 224.2 KB)
Publication code: 001 753
Publication date: 1 March 2002
ISBN:
Abstract:
The administration of vaccines should ensure the attainment of maximum immunity with the least possible harm. This joint publication provides recommendations on the site of the injection, needle size and length, and methods of skin cleansing.
Practice nurses and nurse practitioners recommended pay terms and conditions 2003 - 2004 (PDF 118.5 KB)
Publication code: 002 034
Publication date: 20 September 2003
ISBN:
Abstract:
This leaflet is for practice nurses, nurse practitioners and their employers. It provides recommendations for RCN practice nurse members¿ pay for 2003/04 and what should be included in their contracts. It also outlines the RCN¿s policy on practice nurses
Practice nurses in 2009: Results from the RCN annual employment surveys 2009 and 2003 (PDF 356.1 KB)
Publication code: 003 583
Publication date: 15 March 2010
ISBN: 978-1-906633-37-0
Abstract:
The purpose of this report is to provide a summary of employment related statistics as they pertain to practice nurses, comparing results for this group with all nurses using the 2009 employment survey and where possible, with those for 2003 the last year when the sample size was large enough to allow reliable analysis of the practice nurse sub-group. With 9,000 nurses from across the UK being covered by the survey, there are sufficient numbers of important sub-groups of nurses working outside the NHS to allow detailed analysis and comparisons with previous data sets. In addition a top-up sample of 300 practice nurses was also included in the 2009 methodology to enable analysis this key specialty of the nursing workforce.
Pregnancy and disability: RCN guidance for midwives and nurses (PDF 397.1 KB)
Publication code: 003 113
Publication date: 11 April 2007
ISBN: 9.7819E+12
Abstract:
This guidance has been designed to help midwives and nurses to provide evidence-based and client-led care to meet a disabled individual¿s needs during pregnancy, birth and beyond. Additionally, the guidance outlines the responsibilities of practitioners and public bodies to ensure equity of access to services.As well as clear and concise information on the statutory framework, also included are a number of case studies and examples of good practice.
Preparing nurses to care for children and young people. (PDF 1.1 MB)
Publication code: 001 997
Publication date: 22 April 2003
ISBN:
Abstract:
Professional codes, government policy, and guidance from the Platt Report through to the Kennedy and Carlile reports, all require that nurses, doctors and other professionals involved in the care of children and young people should have specific training to meet the special needs of this group. This statement presents a summary of the views of the RCN Children and Young People Field of Practice on how the nursing profession should meet this requirement for specific training.
Prison mental health: vision and reality (PDF 493.4 KB)
Publication code: 003 832
Publication date: 20 September 2010
ISBN: 978-1-906633-52-3
Abstract:
The need for better mental health care in prisons has been evident for some time. Reports throughout the last two decades have shown that prisoners have dramatically higher rates of the whole range of mental health problems compared to the general population. This publication aims to examine what has been achieved in prison mental health over recent years from a number of different personal perspectives and individual observations of working in England. It looks at the specific achievements of inreach teams and of efforts to divert offenders from custody. It also looks more broadly at the rapid growth of the prison population during the same period and the treatment of offenders with mental health problems outside as well as inside prison. This is a joint publication from the Royal College of Nursing, the Centre for Mental Health and Nacro; the crime reduction charity.
Professional activity at the RCN – A guide to the decision-making framework (PDF 95.8 KB)
Publication code: 003829
Publication date: 28 April 2011
ISBN:
Abstract:
RCN Forums are at the heart of the professional work of the College, shaping and influencing health policy and nursing practice. This leaflet explains how forums fit into the governance structure of the RCN and how they work in that structure. This will show how decisions are made and the roles of the groups involved.
Promoting excellence in care through research and development. An RCN position statement: Information for nurses (PDF 2.2 MB)
Publication code: 002 279
Publication date: 10 May 2004
ISBN:
Abstract:
The roles of both research and development are key to providing excellence in patient care, and without R&D health care practitioners would not be able to build upon the sound evidence base needed to underpin practice.The statement put forward in this publication addresses the need to expand the knowledge base on which nursing draws; to extend the research and development capacity and capability of nursing; and to identify and develop a culture that values, promotes, sustains and rewards research and development in nursing. The publication also contains examples of good practice which help highlight the potential of investment in R&D in nursing.
Protecting community staff from exposure to second-hand smoke (PDF 296.1 KB)
Publication code: 003 043
Publication date: 27 April 2006
ISBN:
Abstract:
The dangers of passive smoking, or second-hand smoke (SHS), are widely accepted by health care professionals and members of the public alike. For the last two years the RCN has been vigorously campaigning for a ban on smoking in enclosed spaces and MPs recently voted in favour of a ban starting in the summer 2007. The RCN have also voiced the need for a smoke free working environment for health care workers, and the NHS is currently working towards making all NHS premises smoke free by December 2006. However, community nurses will still remain exposed to SHS in the homes of patients. This guidance addresses the issue and provides a framework for dialogue between health care workers and patients about ways to protect community staff from SHS. It includes best practice guidelines for managers and staff, further reading and useful websites. The guidance also includes a useful set of appendices containing an example information leaflet for patients and actual smoke free policies from two care trusts.
Protection of nurses working with children and young people (PDF 93.8 KB)
Publication code: 001 741
Publication date: 8 December 2003
ISBN:
Abstract:
Regarding allegations of child abuse, this guidance looks specifically at sexual abuse and aims to raise awareness of nurses and their managers of the complex issues surrounding child abuse in the context of relationships between nurses and children
Public Health White Paper 'Healthy lives, healthy people: our strategy for public health in England' (PDF 284.0 KB)
Publication code: 004 110
Publication date: 31 March 2011
ISBN:
Abstract:
RCN response to the Public Health White Paper The full response of the RCN to the Public Health White Paper includes an executive summary, responses to individual chapters and specific consultations questions within the white paper and the results of the consultation survey carried out by the RCN.
Public Health White Paper 'Healthy lives, healthy people: our strategy for public health in England'. Executive summary (PDF 78.6 KB)
Publication code: 004 111
Publication date: 31 March 2011
ISBN:
Abstract:
RCN response to the Public Health White Paper – executive summary. A full response is also available – publication number 004 110
The Principles of Nursing Practice Card (PDF 894.0 KB)
Publication code: 003 863
Publication date: 17 November 2010
ISBN:
Abstract:
The Principles of Nursing Practice tell us what patients, colleagues, families and carers can expect from nursing. This A6 card gives the background information on what the Nursing Principles are, why we need them, how they were put together, who put them together and what they can be used for. The Principles themselves are printed in full on an attached pop-out card. The cards are available from RCND.
The Principles of Nursing Practice Card Scotland (PDF 170.1 KB)
Publication code: 004 141
Publication date: 10 August 2011
ISBN:
Abstract:
The Principles of Nursing Practice tell us what patients, colleagues, families and carers can expect from nursing. This card gives the background information on what the Nursing Principles are, why we need them, how they were put together, who put them together and what they can be used for. The Principles themselves are printed in full and on the card.
The Principles of Nursing Practice poster (PDF 635.6 KB)
Publication code: 003 864
Publication date: 17 November 2010
ISBN:
Abstract:
The Principles of Nursing Practice tell us what patients, colleagues, families and carers can expect from nursing. This A3 poster shows the full Principles, and can be displayed for patients, carers and nursing staff. The posters are available from RCND
The Principles of Nursing Practice poster Scotland (PDF 275.0 KB)
Publication code: 004 140
Publication date: 10 August 2011
ISBN:
Abstract:
The Principles of Nursing Practice tell us what patients, colleagues, families and carers can expect from nursing. This A3 poster shows the full Principles, and can be displayed for patients, carers and nursing staff. This is for Scotland.
The Principles of Nursing Practice: principles and measures consultation summary report for nurse leaders (PDF 59.2 KB)
Publication code: 003 875
Publication date: 17 November 2010
ISBN:
Abstract:
The Principles of Nursing Practice tell us what patients, colleagues, families and carers can expect from nursing. This summary of example measures is primarily designed for nurse leaders for the purpose of helping them to strengthen or complement the measures they may already be using in relation to the Principles of Nursing Practice, as a way of improving the quality of care or for influencing the content of local audits and the content of the electronic heath record.
Putting quality into the Care Quality Commission
Putting quality into the Care Quality Commission (PDF 604.8 KB)
Publication code: 004 208
Publication date: 16 January 2012
ISBN:
Abstract:
This report details the findings from a recent survey of more than 5,000 RCN members around the health care regulator, the Care Quality Commission (CQC). It found that although nurses support the CQC and welcome the improvements it has recently made, there is more work to do to fully understand issues such as staffing levels and skill mix when undertaking assessments.
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Measuring for quality in health and social care. An RCN position statement (PDF 67.9 KB)
Publication code: 003535
Publication date: 8 May 2009
ISBN:
Abstract:
This information sets out the RCN’s position in relation to quality and its measurement, and outlines the RCN’s input on this issue. Designed to be of value to those for whom quality and its measurement is integral to their day-to-day work, it will also assist the wider health and social community to understand the contribution that nursing makes in this arena.
R
An RCN training and education framework (PDF 399.9 KB)
Publication code: 004 322
Publication date: 7 March 2013
ISBN: 978-1-908782-29-8
Abstract:
The Royal College of Nursing (RCN) Midwifery and Fertility Nursing Forum recognised the need for clarity about the training and education requirements of nurses and midwives working at different levels of practice. In response, the forum commissioned an online survey to establish the current training and education available to support the increasing role extension and opportunities for career progression. A key finding was the need to provide career and professional development guidance for practitioners working in the area of fertility care (Peddie et al., 2011). This framework has been developed in consultation with experts (nursing, education, research and sonography) to ensure the vision for fertility nursing in the 21st century can be met across the UK.
Raising concerns poster A4 size (PDF 75.0 KB)
Publication code: 004 402
Publication date: 12 March 2013
ISBN:
Abstract:
A poster with contact details if you're an RCN member and need advice or support to raise a concern.
Raising concerns: a guide for RCN representatives (PDF 255.1 KB)
Publication code: 004 392
Publication date: 12 March 2013
ISBN:
Abstract:
A resource for RCN representatives and branches to help members discuss issues of concern and plan the next steps.
Raising concerns:a guide for RCN members (PDF 296.8 KB)
Publication code: 004 391
Publication date: 12 March 2013
ISBN:
Abstract:
This resource builds on previous guidance issued by the RCN, providing information to support you to raise concerns wherever you work in the NHS or independent sector.
RCN Annual review of the year and summary accounts 2002-2003. (PDF 6.5 MB)
Publication code: 002 059
Publication date: 10 September 2003
ISBN:
Abstract:
This review highlights key areas of the RCN's work during the financial year, 2002-2003, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients.
RCN care home survey 2004 Impact of low fees for care homes in the UK (PDF 318.3 KB)
Publication code: 002 455
Publication date: 29 October 2004
ISBN:
Abstract:
Following the 2003 Congress resolution concerning the closure of care homes, this survey was conducted to explore the impact of low fees on the quality of care. It investigated the views of nurses working in this sector on staffing, residents' needs, funding and their opinions of their jobs.The results of the survey are being used to inform the development of an RCN position statement and lobbying work will be centred on getting Government to ensure care home services are adequately resourced.
RCN Clinical Leadership Programme: transforming clinical leaders to become agents of positive change. Executive summary (PDF 158.3 KB)
Publication code: 002 524
Publication date: 1 April 2005
ISBN:
Abstract:
A summary account of a study which set out to explore if the RCN Clinical Leadership Programme is an effective programme of clinical leadership development. The full document can be found on the RCN website - A multiple case study evaluation of the RCN Clinical Leadership Programme in England (002 502)
RCN Foundation - supporting nursing, improving care (PDF 776.2 KB)
Publication code: 003893
Publication date: 5 May 2011
ISBN:
Abstract:
The RCN Foundation is a registered charity that supports nursing to improve the health and wellbeing of the public. This leaflet shows how the Foundation does this – through benevolent funding and its bursary scheme – and includes case studies from people that have been helped. It also includes a donation form so that you can support the Foundation’s important work.
RCN Paediatric Managers' Forum: Children's services: acute health care provision: Report of a UK Survey. (PDF 147.8 KB)
Publication code: 001 055
Publication date: 24 March 2003
ISBN:
Abstract:
This report by the RCN Paediatric Nurse Managers' Forum highlights key findings from a survey of 290 organisation which provide acute services for children. The aim of the survey was to look at how acute services for children meet national recommendations, to identify the availability of children's nursing leadership and to identify areas of concern for senior children's nurses.
RCN Paediatric nurse managers' forum: Children in acute independent sector hospitals (PDF 180.9 KB)
Publication code: 001 216
Publication date: 1 April 2002
ISBN:
Abstract:
This report was created as a guidance, in response to requests from the acute independent hospitals sector for advice and information concerning the care of children within independent hospitals. The survey was undertaken to identify the scale of concern and to address key areas such as highlighting examples of good practice.
RCN Paediatric Nurse Managers' Forum: Children's services: acute health care provision: A report of the follow-up UK survey with a focus upon children's nursing leadership (PDF 2.5 MB)
Publication code: 001 516
Publication date: 1 July 2001
ISBN:
Abstract:
The RCN Paediatric Managers Forum completed a UK-wide study during 2000. This report highlights the key findings from a survey of 200 organisations. The organisations provide acute services for children, mainly between 0-16 years, either on an in-patient, day case, ambulatory or outpatient basis.
RCN position statement on care home fees (PDF 123.7 KB)
Publication code: 002 475
Publication date: 10 March 2005
ISBN:
Abstract:
This document outlines the RCN¿s concerns about funding arrangements for care homes in the UK. It details the principles that will underpin our work with Government to ensure that care home fees reflect the need for adequate provision, choice and quality of care. It includes findings and quotations from a survey of 800 RCN members working in care homes.
RCN position statement. Mandatory drug and alcohol screening of nurses. (PDF 67.2 KB)
Publication code: 002 520
Publication date: 29 March 2005
ISBN:
Abstract:
The RCN does not support mandatory drug testing for nurses and believes that the implementation of mandatory drug testing for health care workers would have major implications with regard to civil liberties. This position statement outlines the RCN¿s stance as well as highlighting best practice in this area.
RCN principles to inform decision making: what do I need to know? (PDF 282.1 KB)
Publication code: 003 034
Publication date: 14 October 2008
ISBN: 978-1-906633-00-4
Abstract:
Following a resolution at the RCN Congress 2004 and a desire to be more inclusive of non-NHS providers, it was decided that a new framework of principles was needed to accurately assess and evaluate the proposed changes to health and social care policy. This updated document outlines the four main principles - quality, equality, accountability and partnership - and serves to highlight the those features which the RCN believes are fundamental to the evolving role of nurses and nursing care in a modern health and social care system.
RCN report and accounts 2001-2002 (PDF 82.6 KB)
Publication code: 001 927
Publication date: 1 September 2002
ISBN:
Abstract:
Full report and accounts for the financial year 2001-2002
RCN report and accounts 2003/2004 (PDF 140.5 KB)
Publication code: 002 438
Publication date: 10 September 2004
ISBN:
Abstract:
Report and accounts for the financial year 2003-2004.
RCN report and accounts 2004/5 (PDF 968.4 KB)
Publication code: 002 790
Publication date: 13 September 2005
ISBN:
Abstract:
Report and Accounts for financial year 2004/2005
RCN Reports and Accounts 2002/2003 (PDF 596.2 KB)
Publication code: 002 060
Publication date: 10 September 2003
ISBN:
Abstract:
Full report and accounts for the financial year 2002-2003.
RCN Representatives' statement of expectations. Future Activists Programme (PDF 1008.6 KB)
Publication code: 004 157
Publication date: 8 November 2011
ISBN:
Abstract:
The purpose of the RCN’s Representatives’ statement of expectations is to outline our commitment to you once you are elected and accredited as an RCN representative. It will support you in the development of your role and practice as a representative. It is for both experienced RCN representatives and those who are newly accredited.
RCN Reps IT Survey 2010/2011 (PDF 509.0 KB)
Publication code: 004 226
Publication date: 13 March 2012
ISBN:
Abstract:
A brief review of literature indicated that nurses generally have a high degree of access to ICT and the internet, although this is not uniform. Gaps in IT skills may limit the extent to which nurses can access and utilise information within their practice. The objectives of this survey were to explore RCN representatives' experience of using ICT.
RCN research report: A multiple-case study evaluation of the RCN Clinical Leadership Programme in England. Final Report to the Royal College of Nursing and the NHS Leadership Centre, England (PDF 2.1 MB)
Publication code: 002 502
Publication date: 3 March 2005
ISBN: 190411413X
Abstract:
The purpose of this multiple-case study evaluation was to establish how key stakeholders perceive the effectiveness and acceptability of the RCN Clinical Leadership Programme.
RCN Review of the year and summary accounts 2003/2004 (PDF 1.3 MB)
Publication code: 002 437
Publication date: 20 September 2004
ISBN:
Abstract:
This review highlights key areas of the RCN's work during the financial year, 2003-2004, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients.
RCN review of the year and summary accounts 2004-2005 (PDF 2.7 MB)
Publication code: 002 789
Publication date: 4 October 2005
ISBN:
Abstract:
This review highlights key areas of the RCN's work during the financial year, 2003-2004, and focuses on the contribution made by members and staff to deliver a better deal for nurses and for patients.
RCN signpost guide: nurse-led immunisation in school-aged children (PDF 272.2 KB)
Publication code: 002 483
Publication date: 23 March 2005
ISBN:
Abstract:
This short guide is for nurses working with young people who need to keep up-to-date with fast changing legislation, policy, and practice. This document is a signpost for nurses to access appropriate websites and documents for the latest information on immunisation.
RCN Strategic Plan 2003 - 2008 (PDF 1.7 MB)
Publication code: 001 987
Publication date: 29 April 2003
ISBN:
Abstract:
The Strategic Plan gives a clear picture of what is important to the RCN. It sets out our mission, describes our values and identifies our five key strategic aims.
Real choice in the health service. An RCN discussion document (PDF 167.3 KB)
Publication code: 002 488
Publication date: 25 April 2005
ISBN:
Abstract:
This publication consists of four essays from the RCN Policy Unit and Professional Nursing Department. They examine some of the key issues for nurses and patients as the Government rolls out its Choice initiative. The essays challenge us all to think through the implications of the policy for the way a national health service is funded and delivered. The essays are not intended to be exhaustive accounts of the debate. They represent current RCN thinking, at the time of publication (April 2005), on the issues of choice and consumerism, and pull the debate back to the reality of nurses' experience by highlighting the issues brought to our attention by our members.
Report of Congress 2010 (PDF 189.9 KB)
Publication code: 004 104
Publication date: 12 April 2011
ISBN:
Abstract:
Report of Congress 2010 from the forty-third meeting of RCN Congress. Held on 25 to 29 April 2010 at Bournemouth International Centre (BIC).
Research ethics. RCN guidance for nurses (PDF 884.8 KB)
Publication code: 003 138
Publication date: 8 June 2011
ISBN:
Abstract:
Many nurses are now responsible for initiating new and innovative therapies through research. Therefore it is important to ensure that any research you are involved in is safe, robust and ethical. There are many different types of research ¿ service evaluations, clinical trials or action research studies ¿ but the ethical principles that should guide those involved remain constant. This guidance provides an introduction to these as well as signposting the reader to further resources as needed.
Restrictive physical intervention and therapeutic holding for children and young people. Guidance for nurses (PDF 338.4 KB)
Publication code: 003 573
Publication date: 19 April 2010
ISBN: 978-1-906633-36-3
Abstract:
Nurses are bound by a duty of care and are accountable for promoting and protecting the rights and best interests of their patients. Where the use of restraint, holding still and containing children and young people is concerned, nurses must consider the rights of the child and the legal framework surrounding children’s rights. This guidance includes principles and key references which will help nurses develop policies, practices and educational programmes in their workplace, in conjunction with other members of the multidisciplinary team.
Rheumatology nursing:results of a survey exploring the performance and activity of rheumatology (PDF 334.6 KB)
Publication code: 003524
Publication date: 10 August 2009
ISBN: 978-1-906633-17-2
Abstract:
Rheumatology services have to date not been included in any national policy initiatives. This survey report provides preliminary data about the work and activity of nurses working in the rheumatology field. The publication provides an up to date snapshot of rheumatology nursing services in the UK and identifies the scope and breadth of nursing activity, while enabling nurses to compare their skills and competences against other specialists in their field of practice. It also provides an important resource for commissioners, seeking to understand and plan the provision of the specialist support and workforce needs, to commission and deliver high quality patient care.
Right blood, right patient, right time. RCN guidance for improving transfusion practice (PDF 343.9 KB)
Publication code: 002 306
Publication date: 25 June 2004
ISBN:
Abstract:
Blood transfusion is generally a safe process that saves lives and improves the quality of life for patients. However, there are a number of risks associated with transfusion, as with any other clinical intervention. This newly updated RCN guidance sets out advice for nursing staff in the administration of red blood cells and other components. It is not wholly evidence based but built on recommendations to improve the safety of blood ordering and administration from current national guidelines, including the Serious Hazards of Transfusion reports. This publication covers the transfusion process, the role of the nurse in this process, as well as the role of the transfusion practitioner. Each area includes lots of good practice advice, information on patient monitoring and what to do if you suspect a reaction, plus a comprehensive reference and useful website section.
Rights, risks and responsibilities in service redesign for vulnerable groups. RCN guidance (PDF 671.1 KB)
Publication code: 004 378
Publication date: 22 April 2013
ISBN: 978-1-908782-36-6
Abstract:
Designed to support RCN members engaged in service redesign, this publication will help identify issues and mitigate against risks. At 2012 Congress, members debated on the implications of service redesign – the potential loss and fragmentation of specialist knowledge, expertise and staff, and the consequent effect on delivery of high quality services for vulnerable groups such as children, older people and those with learning disabilities or mental health conditions. While aimed primarily at nurses working with vulnerable groups, the core principles identified may be helpful for any member going through a process of service redesign.
Role of the rehabilitation nurse RCN guidance (PDF 1.9 MB)
Publication code: 003 178
Publication date: 14 November 2007
ISBN:
Abstract:
This new edition has been revised, bringing it up-to-date and reflecting the changes in emphasis from hospital to community rehabilitative and intermediate care. Its aim is to help nurses reflect on rehabilitative aspects of their role, regardless of their area of practice or client group. The workbook has been designed to give you the opportunity to examine and extend your practice and experience in the field of rehabilitation nursing and can be used by all nurses in all care settings.
Roles and responsibilities of occupational health support workers (PDF 837.8 KB)
Publication code: 004 124
Publication date: 14 October 2011
ISBN: 978-1-906633-82-0
Abstract:
This document provides best practice guidance on the roles and responsibilities for occupational health support workers. It includes summary discussion of the RCN consultation process and the outcomes, definitions and parameters of the occupational health support worker role, training pathways and supervision.
Roles descriptives for inflammatory bowel disease nurse specialists (PDF 1.5 MB)
Publication code: 003194
Publication date: 25 October 2007
ISBN: N/A
Abstract:
Inflammatory bowel disease affects 1 in 400 people in the UK. Based on the experiences of IBD, gastroenterology and colorectal nurse specialists and nurse endoscopists, this guidance should be used to guide the development of best practice and the creation of specialist nurse roles within local organisations.As well as describing the role of the IBD nurse specialist, this publication focuses on the generic qualities needed for nurses in this specialty, plus the specialist skills needed to deliver an IBD nurse service.
The RCN's UK position on health visiting in the early years (PDF 576.0 KB)
Publication code: 004 125
Publication date: 30 June 2011
ISBN:
Abstract:
In August 2010 the RCN published Pillars of the community: the RCN UK position on the development of the registered nursing workforce in the community. This position statement builds on that document describing in more detail what this might mean for the future of health visiting in the early years across the UK. Case studies are encompassed in the publication showing exemplars of innovative practice. It is aimed at all RCN members and key stakeholders as well as policy and decision makers.
The RCN's UK position on school nursing (PDF 240.5 KB)
Publication code: 004209
Publication date: 14 February 2012
ISBN:
Abstract:
In a time of such shifting political and economic priorities, the community health and social care landscape is changing rapidly in each of the four UK countries. Whilst each government is mandated to respond individually to the health needs of its population and structure its health services appropriately, the RCN’s position is that there is a set of common core values in relation to the future of school nursing across all parts of the UK. This publication details the RCN’s position for school nursing across the UK and provides details on the context for reform throughout all four nations. It also provides information on the College’s position on the development of the school nursing workforce.
The role of a link nurse in infection prevention and control (IPC): developing a link nurse framework (PDF 232.9 KB)
Publication code: 004310
Publication date: 18 October 2012
ISBN: 978-1-908782-20-5
Abstract:
Link nurses (LNs) are commonly used to support many areas of specialist nursing practice within the UK. Practice areas which utilise LNs include diabetes, tissue viability, pain, nutrition and infection prevention and control (IPC). The RCN recognises the importance and popularity of LN systems in supporting clinical nurse specialists and IPC teams. This document forms part of a series of resources to support LNs, specialist teams, and managers who may be using or considering a LN system and specifically outlines the benefits of implementing LN roles for IPC. It describes the development of a role framework and associated competences in this area, based on the contribution of specialist infection control nurses and practising/aspiring LNs. Although this work has originated from, and uses, IPC examples, the principles of this work are relevant to LNs working in all specialties and a generic role framework has been provided for reference and adaptation (see Appendix 1).
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RCN safety representative case studies: dealing with stress in a PCT (PDF 186.0 KB)
Publication code: 003278
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. Dealing with stress in a primary care trust is the subject of this safety representative case study.
RCN safety representative case studies: health and safety issues in accident & emergency (PDF 214.8 KB)
Publication code: 003277
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. This case study depicts issues regarding health and safety in accident and emergency care.
RCN safety representative case studies: infection cotrol and other issues in an acute trust (PDF 288.9 KB)
Publication code: 003276
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. Infection control issues when working in an acute trust is the subject of this case study.
RCN safety representative case studies: issues in an acute NHS hospital (PDF 184.2 KB)
Publication code: 003280
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. Susan Lloyd concentrates on issues in an acute NHS hospital in this case study.
RCN safety representative case studies: manual handling in theatres and staff security (PDF 214.6 KB)
Publication code: 003279
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. This case study gives useful information on ways to improve manual handling in theatres and also staff security.
RCN safety representative case studies: risk assessment and other issues in a nursing home (PDF 234.1 KB)
Publication code: 003281
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. The case study number nine relates to a safety representative working in a nursing home and discusses risk assessment and other relating issues.
RCN safety representative case studies: staffing levels and other issues in a large NHS trust (PDF 235.6 KB)
Publication code: 003274
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. This case study explores the subject of dealing with staffing levels and other issues when working in a large NHS trust.
RCN safety representative case studies: staffing levels and stress at a walk-in centre (PDF 245.1 KB)
Publication code: 003275
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. Case study three in this series, deals with the topic of stress in a walk-in centre.
RCN safety representative case studies: work-related stress and sickness absence (PDF 273.0 KB)
Publication code: 003273
Publication date: 31 October 2008
ISBN:
Abstract:
RCN safety representative case studies highlight the important work that our safety representatives do. There are nine case studies and each gives a personal insight into the role and provides information on numerous issues including stress, risk assessment and safety. This particular case study gives useful information on work-related stress and sickness absence.
Safe management of health care waste RCN guidance (PDF 124.6 KB)
Publication code: 003 205
Publication date: 10 November 2007
ISBN:
Abstract:
The NHS produces an average of 250,000 tonnes of waste a year, at a cost of over £40 million, and so there is a very real need to reduce both the cost and environmental impact arising from the generation and disposal of waste in health care settings. There have been changes to legislation governing the management of waste, its storage, carriage, treatment and disposal that all health care organisations and staff should be aware of.This new RCN publication explains the key requirements contained in the Department of Health¿s Health technical memorandum 07-01: Safe management of health care waste. This guidance will help you apply, assess and communicate these key requirements in your day to day role.
Safe staffing for older people's wards calculator (PDF 89.5 KB)
Publication code: 004 302
Publication date: 4 October 2012
ISBN:
Abstract:
This calculator is a visual accompaniment to Safe staffing for older people’s wards: An RCN toolkit (004 301). It is a simple, practical way to explore nursing staff levels on older people’s wards, or wards where the large majority of patients are older people, and to determine whether they meet the RCN recommendations for safe care. These recommendations are set out in Safe staffing for older people’s ward: RCN full report and recommendations (004 280).
Safe staffing for older people's wards: An RCN toolkit (PDF 4.8 MB)
Publication code: 004301
Publication date: 3 October 2012
ISBN: 978-1-908782-18-2
Abstract:
Safe staffing for older people's wards: An RCN toolkit provides a simple, practical way to explore nursing staff levels on older people’s wards, or wards where the large majority of patients are older people, and to determine whether they meet the RCN recommendations for safe care. It is based on the RCN recommendations in Safe staffing for older people’s wards (RCN, 2012). The toolkit can be used to support a review of staffing on hospital wards where older people are cared for. It can also be used to help address any associated leadership and workforce issues and provides guidance on developing an action plan that will identify how, and to whom, actions should be addressed. The Safe staffing for older people’s ward calculator (004 302) is featured as an appendix in this toolkit (this is also available as a standalone resource).
Safe staffing for older people: RCN full report and recommendations (PDF 717.6 KB)
Publication code: 004280
Publication date: 17 September 2012
ISBN: 978-1-908782-15-1
Abstract:
Hospital care for older people is currently an area of intense public concern across the UK. Safe staffing for older people: RCN full report and recommendations sets out guidance and recommendations for the provision of good quality, compassionate and safe nursing care for older people in hospital. The report builds on the existing RCN guidance and the series of recommendations published earlier this year to address issues such as diluted skill-mix on older people's wards. It draws on further evidence from the RCN safe staffing for older people survey 2011, nurse focus groups, a panel of expert nurses from across the UK, stakeholder consultation and a literature review. Safe staffing for older people's wards: An RCN toolkit (004 301) and Safe staffing for older people's wards calculator (004 302) accompany this report.
Safe staffing for older people: RCN summary guidance and recommendations (PDF 1013.0 KB)
Publication code: 004 234
Publication date: 19 March 2012
ISBN: 978-1-908782-04-5
Abstract:
Hospital care for older people is currently an area of intense public concern across the UK. The publication brings together findings from the RCN's forthcoming report on safe staffing for older people's wards. Building on existing RCN guidance, this new publication lays out a series of recommendations to address issues such as diluted skill-mix on older people's wards.
Safety representative handbook (PDF 2.9 MB)
Publication code: 003868
Publication date: 5 May 2011
ISBN:
Abstract:
This new edition of the RCN Safety Representative handbook outlines how to operate as a RCN safety representative. Forming an integral part of the safety representative development package it aims to equip representatives for the work that they do and offers information on good practice for encouraging safety at work, accident prevention and the effects legislation has on health and safety.
School nurse toolkit (PDF 285.9 KB)
Publication code: 003223
Publication date: 15 December 2008
ISBN: 978-1-904114-86-4
Abstract:
The publication aims to highlight the role of the school nurse and to disseminate best practice. It includes guidance on school health profiling, which are the assessment of a whole school's health with action plans and questionnaires. The title also covers infection control, travel health, safeguarding children and risk assessment.
School Nurses- census survey of RCN school nurses in 2005: exec summary (PDF 681.1 KB)
Publication code: 003 199
Publication date: 15 September 2008
ISBN:
Abstract:
Following new government targets to ensure each primary and secondary school in the UK has access to a nurse, the RCN commissioned a survey to investigate the role of the school nurse. It compared the activities, workloads, concerns and career development of school nurses across the state and independent sectors. This document is the executive summary which relates to the survey results (publication code 002 793)The survey highlights the various issues that are currently hampering school nursing services, such as heavy workloads, low staffing levels and unmet training needs.
School Nurses. Results from a census survey of RCN school nurses in 2005 (PDF 825.2 KB)
Publication code: 002 793
Publication date: 15 September 2005
ISBN:
Abstract:
Following new government targets to ensure each primary and secondary school in the UK has access to a nurse, the RCN commissioned a survey to investigate the role of the school nurse. It compared the activities, workloads, concerns and career development of school nurses across the state and independent sectors.The survey highlights the various issues that are currently hampering school nursing services, such as heavy workloads, low staffing levels and unmet training needs.
School Nursing in 2009. Results from a survey of RCN members working in schools in 2009 (PDF 343.4 KB)
Publication code: 003 552
Publication date: 14 October 2009
ISBN: 978-1-906633-26-4
Abstract:
In 2005 the RCN published findings from the largest ever survey of school nurses in the UK. The survey (which covered 1,291 school nurses) helped to quantify the breadth and depth of the role, highlighting the wide range of activities undertaken and placing the school nurse at the centre of liaisons with numerous agencies and other professionals working with young people. But the survey also revealed heavy workloads, with school nurses being more likely than any other group of nurse to report regularly working excess hours. Four years on, the survey has been repeated to explore how school nursing has changed and what are the issues facing school nurses across the UK in 2009. Questionnaires were sent to every RCN member identified in the UK as having ‘school nursing’ job titles in February 2009, and the survey was made available online.
Scoping the role of the dementia nurse specialist in acute care (PDF 449.7 KB)
Publication code: 004 429
Publication date: 26 March 2013
ISBN:
Abstract:
Prepared by the University of Southampton on behalf of the Royal College of Nursing and the RCN Foundation, this report was developed in response to the Prime Minister’s Challenge on Dementia to scope the role of dementia nurse specialists working in the acute care setting and develop recommendations for future developments. The research report forms part of ongoing work at the RCN focusing on dementia care. This report highlights the significant contribution dementia nurse specialists could make in the acute care setting to deliver benefits for people with dementia and their families/carers. This includes improving patient and family experiences, optimising patient outcomes, including reducing length of stay and preventing adverse events such as falls and readmissions, and providing education and leadership to other staff. If dementia specialist nurses are able to reduce hospital stays for older people by one day on average, an annual return on investment of 37 per cent could be achieved with a net saving of nearly £11,000,000 nationally.
Scorecard - commisioning a patient-led NHS (PDF 90.6 KB)
Publication code: 003 016
Publication date: 16 December 2005
ISBN:
Abstract:
The RCN Policy Unit has produced a scorecard to help members analyse and respond to local consultations on plans to reshape primary care trusts and strategic health authorities. The results from the scorecard will help the RCN develop a national overview of the key issues, and will inform the RCN¿s policy and campaigning work around restructuring and reform. The scorecard is available as a PDF download from the RCN website.
Sensitive disposal of all fetal remains: guidance for nurses and midwives (PDF 607.0 KB)
Publication code: 001 248
Publication date: 7 March 2007
ISBN:
Abstract:
This document provides guidance to nurses and midwives on how to ensure arrangements are in place to provide sensitive disposal of all fetal remains, whether in a NHS trust hospital, private clinic or in a primary care setting.
Services for children and young people: preparing nurses for future roles. RCN guidance for nurses (PDF 364.6 KB)
Publication code: 002 454
Publication date: 18 October 2004
ISBN:
Abstract:
Developed by members of the RCN Children's and Young People's Field of Practice, this publication presents a role framework that specifies the core and additional competencies required for the nursing roles which deliver modern health services to children and young people.This role framework will help practitioners in career planning and personal development, guide future role development and educational preparation, support future pay negotiations, and support managers in workforce planning and in developing role requirements/job descriptions for specific posts.Developed by members of the RCN Children's and Young People's Field of Practice, this publication presents a role framework that specifies the core and additional competencies required for the nursing roles which deliver modern health services to children
Setting safe nurse staffing levels. An exploration of the issues (PDF 333.6 KB)
Publication code: 001 934
Publication date: 1 February 2003
ISBN:
Abstract:
The paper was written in response to the concern expressed by RCN members about the lack of an objective and rational `universal formula' for staffing, which could guarantee the delivery of safe and high quality nursing care. Although the main focus is on the nursing workforce in hospitals, many of the issues discussed are equally relevant to nurses in community and primary care services. (web only - this publication is only available to download)
Sexual health competences: an integrated career and competency framework for sexual and reproductive health nursing across the UK (PDF 986.9 KB)
Publication code: 002 469
Publication date: 22 June 2009
ISBN:
Abstract:
The sexual health of people in the UK today is a serious concern. Against this background there is now an increasing need for competencies for sexual and reproductive health nurses from primary, secondary and community care settings across the UK.This publication outlines a framework of competencies and is designed to help nurses to provide safe, effective and accountable care to clients. The framework is not prescriptive, but acts as a template that can be modified to suit local and individual need. It can be used to help managers and individual nurses to review their strengths and identify gaps in their competence and specific training and development needs.
Sharps safety (PDF 843.9 KB)
Publication code: 004 135
Publication date: 29 November 2011
ISBN: 978-1-906633-90-5
Abstract:
The RCN has a long history of campaigning on improved protection for nurses and other health care professionals exposed to the risk of needlestick and other sharps injuries. This guidance has been developed primarily for RCN safety representatives, but other members of the nursing team with a role in infection prevention and control of sharps injuries may also find it useful. The guidance covers the law on sharps injuries, including the European Directive 2010/32/EU and its underlying principles as well as its requirements on health care providers. It also includes information on preparing your organisation, introducing risk assessments, selecting and evaluating safety-engineered devices and it details what employers should be doing to comply with the directive and minimise the risk of sharps injuries. It also includes a checklist to help safety representatives assess organisational and ward/departmental level compliance with the directive.
Signpost guide for nurses working with young people: sex and relationships education (PDF 509.9 KB)
Publication code: 002 021
Publication date: 22 April 2003
ISBN:
Abstract:
If you work with young people you need to keep up to date with changing legislation, policy and practices. This document will help to signpost you towards appropriate resources where you can access the latest information on sexual health, contraception and sex and relationships education.
South West pay cartel (PDF 549.5 KB)
Publication code: 004321
Publication date: 6 September 2012
ISBN:
Abstract:
A group of 20 NHS trusts in the South West of England have formed a cartel (known as the “South West Pay, Terms and Conditions Consortium”) to move away from the national Agenda for Change (AfC) framework and towards a regional system for pay and conditions. In response to these proposals, the RCN Policy and International Department has looked at official workforce statistics, key indicators of health needs and our own data from the Frontline First campaign to analyse the current state of affairs in the South West.
Speaking out. Whistleblowing hotline (PDF 536.4 KB)
Publication code: 004 173
Publication date: 12 December 2011
ISBN:
Abstract:
The RCN is here to help you give the best care you can, to help you protect patients and to protect you if you raise concerns over patient care.
Speaking up: nurses and NHS IT developments (PDF 124.5 KB)
Publication code: 002 477
Publication date: 20 October 2004
ISBN:
Abstract:
This report presents the results of an online questionnaire on information technology developments in the NHS. It details nurses' awareness and perceptions of these developments and highlights the importance of IT in delivering high quality patient care.
Specialist nurses. Changing lives, saving money (PDF 577.9 KB)
Publication code: 003 581
Publication date: 23 February 2010
ISBN:
Abstract:
Specialist nurses add value to patient care, while generating efficiencies for organisations through new and innovative ways of working. As we enter another period of constrained public spending, many specialist nurses now face serious organisational and funding challenges that are inhibiting their ability to deliver high quality care, tailored to the needs of patients. This publication details a number of first hand case studies from specialist nurses and their patients alongside key recommendations the RCN has identified to enable specialist nurses to continue to deliver.
Specialist nursing services for children and young people with diabetes (PDF 1.4 MB)
Publication code: 003 015
Publication date: 8 February 2006
ISBN:
Abstract:
Diabetes is the most common metabolic disease in children and young people, and its incidence is increasing. A combination of specialist paediatric and diabetes care is required for children and young people with diabetes to be well-adjusted and to lead long, healthy lives.This publication sets out the qualification and role requirements of nurse specialising in paediatric care and makes recommendations about educational preparation. It also reinforces the necessity of these nurses to be at the forefront of providing services for children and young people with diabetes, especially in the context of the increasing incidence of the condition and the changing nature of health care provision. This publication sets out the qualification and role requirements of nurse specialising in paediatric care and makes recommendations about educational preparation. It also reinforces the necessity of these nurses to be at the forefront of providing services for children and young people with diabetes, especially in the context of the increasing incidence of the condition and the changing nature of health care provision.
Spinning plates: establishing a work-life balance - A guide for RCN representatives (PDF 403.2 KB)
Publication code: 003 214
Publication date: 7 April 2008
ISBN: 978-1-904114-94-9
Abstract:
For many people, achieving a good quality of life is dependent on striking a balance between the demands of employment and their responsibilities outside of work. This publication provides guidance to RCN representatives on the issues affecting work-life balance today. The RCN wants to ensure that representatives can influence employers and policy-makers in their workplaces, and provide appropriate representation to RCN members who may need support to gain access to flexible working. Information includes relevant legislation, ways to work flexibly and the benefits of employee-friendly policies for all workers.
Spirituality in nursing care: a pocket guide (PDF 407.7 KB)
Publication code: 003 887
Publication date: 8 April 2011
ISBN:
Abstract:
This is a guide to enable nursing staff to address questions about the spiritual part of care. In 2010, the RCN commissioned a survey on spirituality. It revealed that members wanted: • more education and guidance about spiritual care • clarification about personal and professional boundaries • support in dealing with spiritual issues. This guide hopes to achieve these by defining spiritual care, providing tips on preparing to give spiritual care and where to seek further information.
Spirituality survey 2010 (PDF 1.0 MB)
Publication code: 003 861
Publication date: 24 June 2011
ISBN:
Abstract:
In 2010 the Royal College of Nursing (RCN) commissioned an online survey to establish the understanding and attitudes of its members in relation to the concept of spirituality and the provision of spiritual care. Both the quantitative and qualitative analyses confirm that nurses across the full health economy in the UK consider spirituality to be a fundamental aspect of nursing and central to the delivery of high quality nursing care. Furthermore, the survey findings reveal nurses recognise that supporting patients with their spiritual needs has the potential to enhance the overall quality of nursing care. Yet, despite a growing focus on the spiritual dimension of care, many of the respondents feel more guidance and support from professional and governing bodies is necessary to enable them to engage more meaningfully and confidently with spiritual aspects of care.
Staff counselling in the health service - a guide for RCN members (PDF 849.7 KB)
Publication code: 001 761
Publication date: 22 April 2002
ISBN:
Abstract:
An increasing number of health service employers now provide counselling for their staff. This guide is intended to help you understand more about counselling, the kind of service your health service employer should be providing and what you should expect from it. Also includes a useful contact and resource section.
Staff side evidence to the NHS pay review body 2013-14 (PDF 503.5 KB)
Publication code: 004335
Publication date: 22 October 2012
ISBN:
Abstract:
This submission on behalf of all NHS trade unions call on the Pay Review Body to recommend an above inflation pay rise for 2013-14. It highlights the current experience of staff working in the NHS, who are dealing with job losses, pay freezes, budget cuts and an increase in unpaid overtime to fill gaps in service provision. It demonstrates how this combination of factors is having a clear detrimental impact on morale and motivation of the NHS workforce. It draws on the survey of over 30,000 members undertaken by Incomes Data Services on behalf of the trade unions (004333).
Staff side evidence to the pay review body for nursing and other professional staff 2005 (PDF 466.0 KB)
Publication code: 003 001
Publication date: 6 October 2005
ISBN:
Abstract:
This is the first submission of evidence to the Review Body made by the NHS Staff Side since the new pay system, Agenda for Change, started to be implemented across the NHS, and since the remit for the Review Body was changed to include health professional groups other than nursing staff, midwives, health visitors and allied health professionals. It provides evidence for the Staff Side recommendations to the Review Body for 2006 pay scales.
Standards for assessing, measuring and monitoring vital signs in infants, children and young people (PDF 515.1 KB)
Publication code: 003 196
Publication date: 6 December 2007
ISBN: 978-1-904114-75-8
Abstract:
The assessment, measurement and monitoring of vital signs are important skills for all practitioners working with infants, children and young people. The vital signs covered in this revised edition include temperature, heart/pulse rate, respiratory rate and effort, pain assessment and blood pressure. Important information gained by assessing and measuring vital signs can be indicators of health and ill health. These standards provide criteria for practitioners in achieving high quality nursing care. They will be of help in guiding local policies and procedures in relation to vital sign monitoring, performance improvement programmes and education programmes for registered nurses, nurses in training and health care assistants.
Standards for contingency management and delivery of critical care in a post anaesthesia care unit (PACU) (PDF 144.5 KB)
Publication code: 003 842
Publication date: 29 November 2010
ISBN: 978-1-906633-57-8
Abstract:
The delivery of safe and effective critical care of adults in a post anaesthesia care unit (PACU) requires input from medical, nursing and technical personnel. When demand for critical care outstrips the available human and material resources, there is a growing trend of using the operating department recovery room as an interim venue for the care of newly critically ill adults. It is therefore of great importance that the necessary training, education and skills are developed to cope with these scenarios. These standards, intended to apply to the care of critically ill adults only, have been designed to inform the development of an organisation-wide operational policy for the management of patient care and to help provide a clear and unambiguous framework for decision making.
Standards for infusion therapy (PDF 3.1 MB)
Publication code: 002 179
Publication date: 31 October 2003
ISBN: 978-1-906633-19-6
Abstract:
Infusion therapy continues to be associated with a relatively high risk of complications. To decrease this risk it is essential not only to develop standards but also to have practical guidance in implementing them. The first edition of the Standards for infusion therapy developed by the RCN and other multi-professional organisations fulfilled both these requirements, with clearly defined standards supported by practical guidance, and in this third edition these standards have been expanded and updated. The standards are provided as statements that can be readily incorporated into local infusion-related policies and procedures, performance improvement programmes, performance evaluations and educational approaches. The guidance section provides the health care professional with knowledge to assist in the development of infusion policies and procedures as well as presenting useful guidance on many supplementary areas. Each of the standard statements and guidance have been extensively peer reviewed with supportive literature where available, which acts as an additional resource for health professionals. The supportive literature is also graded to facilitate this process. The standards deal with all aspects of infusion therapy, ranging from products and documentation, infusion equipment, site selection and care, and prosthetic devices to infusion therapies and related complications. The format of the text is designed to allow ready access to various aspects of infusion therapy. In particular, unlike many guidelines, it also provides clear practical answers to many of the questions which health care workers raise when faced with a list of standards to apply. Without doubt, this document should become a standard in itself and be of value to all health care workers involved in infusion therapy.
Standards for the weighing of infants, children and young people in the acute health care setting (PDF 1.2 MB)
Publication code: 003 828
Publication date: 30 November 2010
ISBN: 978-1-906633-55-4
Abstract:
The weighing of children is an essential skill for nurses caring for children of all ages. This publication focuses primarily on the weighing of children in the acute hospital setting and its key aims are to identify best practice and to ensure consistency in practice across the UK. These aims are particularly important in light of the findings of a survey undertaken by members of the RCN Paediatric Benchmarking and Standards Community which highlighted wide variations in all aspects of practice, including the equipment used and whether clothing was removed or not. This publication outlines the RCN's position in relation to the weighing of infants, children and young people and includes guidance on preparing them for weighing, timing and frequency of measurement, record keeping and auditing and benchmarking.
Starting injectible treatment in adults with Type 2 diabetes: RCN guidance (PDF 541.6 KB)
Publication code: 002 254
Publication date: 10 May 2013
ISBN: 978-1-908782-11-3
Abstract:
Novo Nordisk provided an unrestricted educational grant to support the production of this publication. More than 90 per cent of people with diabetes have Type 2 diabetes and the introduction of GLP 1 therapies in recent years has further increased the challenge of identifying the appropriate injectable therapy for patients, and how to explain that decision to the individual with diabetes. This new edition provides information relating to GLP 1 therapy action, including the implications for use and the aspects of education that need to be addressed with users. This guidance is intended for nurses new to insulin therapy, and includes an overview of the underlying principles for starting insulin along with practical tips on education, adjustment of doses, and dealing with difficult situations.
Stepping stones. Results from the RCN membership survey 2003 (PDF 674.0 KB)
Publication code: 002 235
Publication date: 9 February 2004
ISBN:
Abstract:
Each year the RCN undertakes a UK-wide survey of a sample of its members. The results of this survey provides detailed statistical information on the employment characteristics of UK nurses and their views of working in nursing.The 2003 survey highlig
Strategic plan 2013-18 (PDF 359.3 KB)
Publication code: 004 427
Publication date: 19 April 2013
ISBN:
Abstract:
The Strategic Plan gives a clear picture of what is important to the RCN and this summarised version provides the main highlights. This new strategy sets out how we will seek to make progress over the next five years, from 2013 to 2018.
Strategic plan 2013-18. Pocket guide (PDF 165.9 KB)
Publication code: 004 428
Publication date: 19 April 2013
ISBN:
Abstract:
The Strategic Plan gives a clear picture of what is important to the RCN and this summarised version provides the main highlights. This new strategy sets out how we will seek to make progress over the next five years, from 2013 to 2018.
Strategic plan: Forward together - the RCN's strategic plan for 2008-2013 (PDF 217.0 KB)
Publication code: 003 250
Publication date: 25 April 2008
ISBN:
Abstract:
The Strategic Plan gives a clear picture of what is important to the RCN and this summarised version provides the main highlights. The plan maps out its goals, and keeps its short and medium term activities on track. The current plan (2003-2008) is at an end, and now, following a year of research, debate and consultation, we have a new strategic plan that sets out our aims, objectives and priorities for 2008-2013.
Strategic plan: Forward together - the RCN's strategic plan for 2008-2013 - summary roll fold (PDF 305.9 KB)
Publication code: 003 245
Publication date: 25 April 2008
ISBN:
Abstract:
The Strategic Plan gives a clear picture of what is important to the RCN. The plan maps out its goals, and keeps its short and medium term activities on track. The current plan (2003-2008) is at an end, and now, following a year of research, debate and consultation, we have a new strategic plan that sets out our aims, objectives and priorities for 2008-2013.
Submission to the Prime Minister's Commission on Nursing and Midwifery (PDF 658.7 KB)
Publication code: 003 548
Publication date: 30 September 2009
ISBN:
Abstract:
This publication from the Royal College of Nursing is the paper submitted for the Prime Minister’s Commission on the future of Nursing and Midwifery. It combines five submitted papers with a series of key themes and recommendations that run across all five papers and no individual paper should be considered in isolation. All the papers describe the role of the nurse now and in the future as well as commenting on the value of nursing, both qualitatively and economically, and its relationship with and influence upon wider society.
Success with internationally recruited nurses RCN good practice guidance for employers in recruiting and retaining (PDF 298.2 KB)
Publication code: 002 445
Publication date: 6 January 2005
ISBN:
Abstract:
This new RCN publication draws on research commissioned by the RCN which shows the many problems EU/international nurses encounter - problems which mean that they are often unhappy, under-performing and hard to retain.' Success with internationally recruited nurses' sets out some of the key issues faced by IRNs, and suggests good practice for managers in both the public and independent sectors in overcoming these problems to create a new workforce whose wellbeing and professional status is at the forefront of recruitment policies.
Supporting apprentices in the workplace (PDF 1.0 MB)
Publication code: 004329
Publication date: 13 November 2012
ISBN:
Abstract:
Supporting apprentices in the workplace defines an apprenticeship framework and looks at the employment of apprenticeships in health care among young workers and established older workers. The leaflet provides advice and information for RCN representatives to support apprentices in the workplaces and it identifies areas for concern, such as pay below the legal minimum, poor quality training and ‘pre-employment apprenticeships’ with no pay. Produced with the Union Learning Fund.
Supporting children and young people with diabetes: guidance for nurses in schools and early years settings (PDF 743.0 KB)
Publication code:
Publication date: 27 August 2009
ISBN: 978-1-906633-11-0
Abstract:
The prevalence of diabetes amongst children and young people is increasing, and requires different and more complex management than diabetes in adults. Although diabetes should not prevent a child from participating in school and extra-curricular activities, research shows that children with diabetes miss significantly more school than their non-diabetic peers. The RCN is aware of inequality in the care provision of children and young people with diabetes, and has outlined the principles that need to be put in place to ensure their needs are met. This guidance is aimed health care professionals and education staff who are caring for children and young people with diabetes. It includes key facts about the Disability Discrimination Act, how to draw up individualised care plans and emergency procedures, and how to access support. The aim is to ensure that children and young people receive appropriate care without prejudicing their health or education.
Supporting children's nurses working outside of a designated children's ward/ department. (PDF 203.5 KB)
Publication code: 001 594
Publication date: 20 December 2001
ISBN:
Abstract:
Guidance designed as a checklist that can be used when considering the support, guidance, management and education framework required for children's nurses working outside of a designated children's ward/department. Partly based on pilot survey results from children's nurses who felt isolated in their current posts.
Supporting learners: a quick guide to learning resources for RCN learning representatives (PDF 788.5 KB)
Publication code: 004 389
Publication date: 21 March 2013
ISBN: 978-1-908782-39-7
Abstract:
RCN learning representatives play a vital role in helping health care workers to develop their skills and knowledge, thus, ultimately, improving standards of care. This guide will help learning representatives find the key resources and guidance for some of the main areas of support offered to RCN members. It covers four main areas: starting out, safe and effective practice, career progression and barriers to learning. It offers a comprehensive list of essential resources and useful websites for health care workers at all stages of their career.
Sustaining the long view: the UK nursing labour market review 2010 (PDF 1.3 MB)
Publication code: 003 862
Publication date: 9 November 2010
ISBN:
Abstract:
This annual overview of the UK nursing labour market, commissioned by the RCN, considers the recessionary impact on the UK nursing labour market and current approaches to determining nurse workforce policy and planning. The report identifies factors which have impacted on the nursing workforce over the last twelve months and limitations on the available evidence. It highlights that policy makers need to make workforce planning decisions based on comprehensive understanding of the dynamics of the UK nursing labour market and its underlying trends, including the ageing workforce and progression to all-graduate nurse education.
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RCN Career Service. Tips for completing application forms and CVs (PDF 1.2 MB)
Publication code: 002 769
Publication date: 16 August 2011
ISBN:
Abstract:
The first step in convincing a potential employer to select you for a post in nursing is to write an effective application form or curriculum vitae. This leaflet has been compiled by the RCN Career Service to provide information and advice for producing that killer CV and application form. The leaflet covers format, style and language, and includes a sample CV and supporting information.
Telephone advice lines for people with long term conditions - guidance for nursing practitioners (PDF 293.0 KB)
Publication code: 003 033
Publication date: 28 April 2006
ISBN: 1904114253
Abstract:
Developed by the RCN Rheumatology Forum in collaboration with members of rheumatology patient and professional groups, this best practice guidance aims to support health care professionals who provide, or are developing, telephone advice line services. The guidance recognises the role of advice lines as important additions to care provision for patients with long term conditions. If implemented and delivered well, advice lines can empower patients and support self-management strategies. The guidance offers advice on how to implement and deliver a telephone advice line service, including how to present a business case, and important factors to consider at each stage. This advice is based on a systematic review of key publications and offers a comprehensive resources list for further reading. In addition, the appendices contain examples of a patient information leaflet, a telephone advice line card and call cards.
Temporary Working: Results from an on-line survey of bank & agency nurses, Employment Research Limited (PDF 111.3 KB)
Publication code: 003 092
Publication date: 30 August 2006
ISBN:
Abstract:
This survey was carried out by Employment Research on behalf of the RCN. It examines the experiences and views of bank and agency nurses using an entirely online approach to the research.
The Clinical Teams Project: Evaulation report (PDF 1.1 MB)
Publication code: 003 068
Publication date: 11 October 2006
ISBN: 1904114296
Abstract:
To support health and social care team working and increase the number of effective teams, the NHS Leadership Centre commissioned the RCN Institute to design, deliver and evaluate a team development programme (the Clincial Teams Programme) for 100 health and social care teams across England, between January 2004 and September 2005. Evidence from the evaluation programme demonstrates that the programme was successful and enabled participating teams to increase their effectiveness and team functioning, make improvements to client care and service delivery, and contribute to the strategic objectives of their organisations. This full report of the Clinical Teams Programme reviews programme outcome data in detail and provides recommendations and conclusions relating to the implementation of action-orientated change programmes.
The impact and effectiveness of inter-professional education in primary care (PDF 386.7 KB)
Publication code: 003 091
Publication date: 27 September 2007
ISBN: 1-904114-32-2
Abstract:
An in-depth review of literature published between 2000 and 2006 on the subject of inter-professional education (IPE) in primary care commissioned by the RCN Primary Care Educators Forum. The reviewers find there is no high quality of evidence about the effectiveness of IPE in pimary care but that the evidence available suggests it produces positive outcomes. The reviewers recommend sound and rigorous research into IPE. They call on researchers, educators and policy makers to work together to support IPE initiatives in primary care and ensure they are appropriately researched. Maggie Clifton, Colin Dale and Chris Bradshaw (2007)
The information needs of nurses. Summary report of an RCN survey (PDF 135.4 KB)
Publication code: 002 780
Publication date: 14 September 2005
ISBN:
Abstract:
This report outlines results from a UK wide survey to find out what information nurses, health visitors, midwives and health care assistants need to support their practice and lifelong learning. The conclusions are quite revealing, and show, for example, that the support of employers is crucial; nurses in the independent sector have less access to information; and that there is a very high demand for more information skills training.
The nursing care of lesbian and gay male patients or clients. Guidance for nursing staff (PDF 495.6 KB)
Publication code: 002 018
Publication date: 1 April 2003
ISBN:
Abstract:
Lesbian and gay patients report experiencing negative and hostile reactions from health care practitioners when their sexual orientation is known. It has also been found that negative reaction, or even fear of such reactions, may prevent lesbians and gay males from seeking health care when it is needed. This leaflet outlines how nurses can address these concerns, and how the RCN can help in providing advice and assistance.
The nursing team: Common goals (PDF 79.5 KB)
Publication code: 004 213
Publication date: 27 March 2012
ISBN:
Abstract:
Historically, the nursing team has consisted of nurses, midwives, students and support workers, all delivering aspect of nursing care, but with different levels of responsibility and decision making. The team has developed considerably and become more complex over recent years as new roles such as assistant practitioners (APs) have been created. This briefing aims to assist health care assistants (HCAs), APs, registered nurses, colleagues, patients and the public to understand how the team functions and works together.
The post registration and education training needs of nurses working with children and young people with mental health problems in the UK. (PDF 339.2 KB)
Publication code: 002 244
Publication date: 29 February 2004
ISBN:
Abstract:
This report presents the findings of a research study, looking into the post registration education and training needs of the nurses, how they want that education and training delivered, and what sort of qualifications and accreditation they want to recei
The RCN annual review of the year and summary accounts 2001-2002; putting care first (PDF 1.3 MB)
Publication code: 001 822
Publication date: 1 September 2002
ISBN:
Abstract:
This review highlights key areas of the RCN's work during the financial year, 2001-2002, and focuses on the contribution made by members to shaping the RCN's work.
The right foundation? Guidance on foundation trusts for employers (PDF 122.5 KB)
Publication code: 002 234
Publication date: 8 March 2004
ISBN:
Abstract:
New guidance is now available aimed at employers in trusts that are in the process of achieving foundation trust status or where the option is being considered. The guidance will help them ascertain if the trust has achieved and can maintain the standards of quality expected by the RCN.
The role of school nurses in providing emergency contraception services in educational settings (PDF 1.1 MB)
Publication code: 002 772
Publication date: 10 May 2013
ISBN:
Abstract:
The role of school nurses has extended to provide emergency contraception and advice on sexual health to school-age students in education settings, following OFSTED’s report on sex and relationship education in schools (2006). This updated RCN position statement aims to clarify the responsibilities of school nurses when they are providing emergency contraception to students in education settings. It also highlights the importance of appropriate training, experience and working together with education providers and looks at the laws around providing emergency contraception to under 16s and the duty of confidentiality.
This is nursing - Northern region (PDF 1.1 MB)
Publication code: 004 257
Publication date: 11 May 2012
ISBN:
Abstract:
This report, in celebration of International Nurses' Day 2012, shines a light on the incredible contribution made by nurses and health care assistants in the North East and Cumbria.
Tools of the trade - RCN guidance on glove use (PDF 1.6 MB)
Publication code: 004 224
Publication date: 11 May 2012
ISBN: 978-1-908782-07-6
Abstract:
The protection of health care workers’ hands is crucial for both their own protection and the protection of patients. It lies at the heart of a holistic approach to infection prevention, occupational health and safety policies and strategies. This guidance focuses on contact dermatitis, the main work-related skin condition affecting health professionals’ hands, glove use, infection prevention and control practice as well as the importance of considering glove use. The glove use resource comprises two documents: a short quick reference guide (004 242) and the full version (004 224) covering the content in more detail, including case studies and appendices to support readers with further information.
Tools of the trade - RCN short guidance (PDF 569.2 KB)
Publication code: 004 242
Publication date: 11 May 2012
ISBN: 978-1-908-782-08-3
Abstract:
The protection of health care workers’ hands is crucial for both their own protection and the protection of patients. It lies at the heart of a holistic approach to infection prevention, occupational health and safety policies and strategies. This guidance focuses on contact dermatitis, the main work-related skin condition affecting health professionals’ hands, glove use, infection prevention and control practice as well as the importance of considering glove use. The glove use resource comprises two documents: a short quick reference guide (004 242) and the full version (004 224) covering the content in more detail, including case studies and appendices to support readers with further information.
Trade union recognition and the independent health care sector: a literature review for the Royal College of Nursing (PDF 378.5 KB)
Publication code: 003 803
Publication date: 31 August 2010
ISBN:
Abstract:
This literature review, commissioned by the RCN, considers the existing evidence about the benefits of trade union recognition in the workplace, specifically focusing on the independent sector in the UK. It largely covers literature published from 1997 onwards when voluntary agreements began to emerge in anticipation of the introduction of a statutory recognition procedure. It also looks at subsequent literature evaluating the impact of that procedure and the establishment of information and consultation bodies following 2004. Other areas included in this document include literature focusing on employment relations in the health sector, examining the role of recognition in the development of effective employment relations and exploring literature on the effect of employee relations strategies on staff satisfaction and turnover, health and safety, pay and terms and conditions and other issues affecting an organisation.
Transferring children to and from theatre. RCN position statement and guidance for good practice (PDF 218.9 KB)
Publication code: 004 127
Publication date: 21 July 2011
ISBN: 978-1-906633-77-6
Abstract:
Undergoing surgery can be a very stressful time for a child and their family. It is well recognised that family involvement reduces anxiety, for example, a family member accompanying the child to the anaesthetic room and being in the recovery area when the child wakes up. The results of a study by the RCN Children’s Surgical Nursing Forum highlighted an absence of standards for the transfer of children to and from the operating theatre. This publication aims to support health care staff to develop locally agreed guidelines for the assessment and management of children and young people being transferred between hospital departments, ensuring they are safely transferred to and from theatre.
Travel health nursing: career and competence development (PDF 2.0 MB)
Publication code: 003 146
Publication date: 10 May 2013
ISBN: 978-1-904114-39-0
Abstract:
Overall UK figures for overseas travellers have more than tripled since 1981 (ONS, 2010) and travel health medicine is a fast growing field. This RCN guidance provides information on current guidelines and standards of care of travellers. It builds on the original 2007 publication Competencies: an integrated career and competency framework for nurses working in travel health medicine and defines the standards of care expected for a competent nurse, experienced/proficient nurse and a senior practitioner/expert nurse working in travel health nursing.
Tuberculosis case management and cohort review. Guidance for health professionals (PDF 1.7 MB)
Publication code: 004 204
Publication date: 15 March 2012
ISBN: 978-1-908782-03-8
Abstract:
Tackling the resurgence of TB in the UK is a major public health challenge. This practical guidance is an invaluable compendium of evidence-based best practice for nurses and health care professionals who case manage patients with suspected and confirmed tuberculosis (TB). Complementing existing guidance from the National Institute for Health and Clinical Excellence it provides a clear and concise reference manual for frontline workers engaged in TB control and aims to promote standardisation of protocols and procedures, ensure accountability for delivery and establish clear performance measures through cohort review.
Tuppence for the doctor, penny for the nurse. Memories of public health nursing (PDF 104.4 KB)
Publication code: 003 582
Publication date: 1 September 2010
ISBN: 978 1 906633 39 4
Abstract:
The collections of the Royal College of Nursing Archives record the history of nursing through historical papers, publications, photographs, recordings and badges from the 19th century to 21st century. The recordings of almost 600 oral history interviews have been digitised and transcribed through a grant from the Heritage Lottery Fund. This publication uses extracts from these interviews and the RCN Archives’ photographic collection to bring to life the experiences of nurses working in the community throughout the 20th century. District, school and industrial nurses, health visitors and midwives are amongst those whose anecdotes are used in this booklet to illustrate past nursing practices and working conditions. To find out more about the Royal College of Nursing Archives visit: www.rcn.org.uk/archives Print only - available to purchase from RCN Direct on 0345 772 6100 at £5 plus postage and packaging.
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Understanding benchmarking. RCN guidance for nursing staff working with children and young people (PDF 1.6 MB)
Publication code: 003 144
Publication date: 15 April 2007
ISBN: 9.7819E+12
Abstract:
With changes and developments happening all the time in health care it can be difficult to keep pace - benchmarking can help. This guidance explains the advantages of benchmarking, provides a model of benchmarking to help get you started and includes an example of benchmarking in practice. This is a really useful tool that can support the development of best practice in your workplace.
Use of text messaging services: guidance for nurses working with children and young people (PDF 3.4 MB)
Publication code: 003 035
Publication date: 30 March 2006
ISBN:
Abstract:
With advances in technology and with increasing numbers of people owning mobile phones, text messaging is now an alternative method of communication. Text messaging can provide access and signposting to health and advice services, especially for young and vulnerable people who would not usually access services via traditional methods. This publication has been produced for nurses working with children and young people to raise awareness about the complex issues around use of mobile phones, including confidentiality and record keeping. It provides guidance for writing a policy, consideration for practice and further reading to assist nurses to develop a safe and effective service.
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The fragile frontline: RCN employment survey 2011 for Wales (PDF 469.1 KB)
Publication code: 004 200
Publication date: 2 March 2012
ISBN:
Abstract:
This report describes the results for Wales from the 2011 employment survey of a sample of RCN members. For the full UK report, see Views from the frontline, publication code 004 184.
Valued Equally? Results from the RCN membership survey 2002 (PDF 798.0 KB)
Publication code: 001 937
Publication date: 1 November 2002
ISBN:
Abstract:
The 2002 survey is the seventeenth survey of RCN members. It sets out to explore what feeling valued means to nurses and covers areas such as nurses pay and grading, job change and progression and quality of working life. (web only - this publication is o
Valuing and recognising the talents of a diverse healthcare workforce. Report from the REOH study: Researching Equal Opportunities for Overseas-trained Nurses and Other Healthcare Professionals (PDF 556.4 KB)
Publication code: 003 078
Publication date: 24 July 2006
ISBN:
Abstract:
This timely report details the findings from a research study looking at equal opportunities for overseas-trained nurses and other health care professionals. The research has explored the experiences of health professionals in the UK health services, in both the NHS and private sector. Other aims of the research include analysis of patterns of employment mobility and career progression; an understanding of the influences on employment strategies and choice; to inform policy debates aimed at supporting career paths; and, to inform policy development related to international recruitment.
Vetting and Barring Scheme and Independent Safeguarding Authority. Royal College of Nursing briefing (PDF 56.6 KB)
Publication code: 003 576
Publication date: 8 March 2010
ISBN:
Abstract:
This publication is a briefing about the Independent Safeguarding Authority (ISA). The ISA is the new public body charged with setting up a register of those who are considered to be fit to work with children and vulnerable adults in England, Wales and Northern Ireland (a separate but aligned scheme is being set up in Scotland). The ISA has replaced schemes such as the Protection of Children Act (PoCA), the Protection of Vulnerable Adults (PoVA) and List 99. It is intended that the ISA will be a database of all individuals who work with children and vulnerable adults.
Views from advanced and specialist nurses on national, regional and local nursing measures. An RCN survey (PDF 841.3 KB)
Publication code: 004268
Publication date: 2 October 2012
ISBN: 978-1-908782-23-6
Abstract:
This document reports on the results of a survey undertaken in October 2011, exploring the advanced and specialist nurse views of current national, regional and local nursing measures. The survey was completed as part of the nursing measurement workstream within the RCN Quality, Standards and Innovation Unit (QSIU). The findings indicate room for improvement across a number of factors, not least a greater understanding of which measures are being used, where, and why. The findings also support the conclusions of an appraisal of nursing metrics (Griffiths et al, 2008), which recommends that nursing measures must be sensitive to nursing, recognise the nursing contribution, and must lie within nursing’s area of responsibility and authority.
Views from the fronline: RCN Employment survey 2011 for Scotland (PDF 509.3 KB)
Publication code: 004 201
Publication date: 2 March 2012
ISBN:
Abstract:
This report describes the results for Scotland from the 2011 employment survey of a sample of RCN members. For the full UK report, see Views from the frontline, publication code 004 184.
Views from the frontline: RCN employment survey 2011 (PDF 1.0 MB)
Publication code: 004184
Publication date: 30 September 2011
ISBN:
Abstract:
This 23rd annual RCN employment survey of RCN members took place against a background of great uncertainty and turmoil in the UK and world economy. Across the whole nursing workforce, members are faced with decreasing household income at the same time as increasing household expenditure. All this comes on top of mounting concerns about redundancies and job security. The survey gives views of our members at the frontline.
Work-related violence. An RCN tool to manage risk and promote safer working practices in health care. (PDF 268.9 KB)
Publication code: 003271
Publication date: 1 October 2008
ISBN: 978-1-904114-70-3
Abstract:
Health care workers continue to be at risk of experiencing work-related aggression and violence while simply doing their job. The RCN has designed a tool to provide practical support, both to individuals and organisations, in completing assessments of work-related violence. The tool takes a practical approach which stimulates problem-solving. The idea is to allow employees and organisations as a whole to gain more knowledge of the risks involved, and subsequently more control over reducing work-related violence.
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Developing the healthcare workforce 2008/2009 (PDF 905.8 KB)
Publication code: 002685
Publication date: 7 November 2008
ISBN:
Abstract:
The brochure gives an overview of the high quality professional development the Open University and the Royal College of Nursing can provide, whether you are returning to study, developing your career or preparing for leadership. RCN members get a 10% discount on many OU courses.
The work-life experiences of black nurses in the UK (PDF 304.7 KB)
Publication code: 003249
Publication date: 30 May 2008
ISBN:
Abstract:
This research was commissioned by the RCN in order to collate detailed narratives of the work-life experiences of nurses from established minority ethnic communities within the UK (rather than more recently arrived internationally recruited migrant nurses). The data on which this report is based was collated at three focus group sessions held in October and November 2007 involving a total of 30 black nurses. The main objective of the research was to provide illustrative examples of the work-life experiences of black nurses in the UK and also to encourage a discussion about how the RCN could be involved in helping to improve the working lives of its black members. The report makes some recommendations for the RCN to support these aims.
Ward rounds in medicine: Principles for best practice (PDF 1.8 MB)
Publication code: 004342
Publication date: 3 October 2012
ISBN:
Abstract:
The Royal College of Nursing and the Royal College of Physicians are united in calling for ward rounds to be made the cornerstone of patient care. Medical ward rounds are complex clinical activities, critical to providing high-quality, safe care for patients in a timely, relevant manner. They have often been a neglected part of the planning and organisation of inpatient care. The current pressures of capacity and staffing levels mean that ward rounds happen while nurses, for example, are engaged in constant care delivery. The principles in the statement aim to address the common problems affecting the prominence of ward rounds and provide recommendations. Reinstating ward rounds will facilitate the delivery of compassionate care, enabling doctors and nurses to plan for care jointly.
We need respect. Experiences of internationally recruited nurses in the UK (PDF 805.3 KB)
Publication code: 002 061
Publication date: 22 July 2003
ISBN:
Abstract:
This report, commissioned by the RCN, explores the motivations and experiences of internationally recruited nurses (IRNs) in order to understand why nurses come to work in the UK, what experiences they undergo and whether they plan to stay in the UK, return to their countries of origin or go to another country to work after a short period. The report covers many areas including IRNs experiences of discrimination, their coping strategies, and their wish for appreciation and trust from British nurses and employers.
Welcome to the Royal College of Nursing of the United Kingdom (English) (PDF 294.5 KB)
Publication code: 004114
Publication date: 13 April 2011
ISBN:
Abstract:
The RCN shapes health policies internationally, in the EU, Westminster and the devolved UK governments. This useful and informative booklet will introduce you to the RCN’s international and policy work.
What education and training do mental health nurses want? A survey of qualified mental health nurses working in acute inpatient psychiatric settings in the UK. (PDF 231.9 KB)
Publication code: 001 960
Publication date: 1 February 2003
ISBN:
Abstract:
This report presents the findings of a research study that has investigated the post-registration education and training needs of qualified mental health nurses working in acute inpatient psychiatric settings in the UK. (web only - this publication is onl
When someone asks for your assistance to die (PDF 1.5 MB)
Publication code: 004 167
Publication date: 19 October 2011
ISBN: 978-1-906633-86-8
Abstract:
Assisted suicide generates debate on a variety of levels – ethical, moral, religious, spiritual, political, cultural, psychological, professional and legal. It is an issue that affects the nursing workforce, both as individuals and as health professionals. Most people who are approaching the end of their lives in the UK do not ask a health professional to hasten their death, but a minority of individuals do express a readiness or desire to die. Nurses and health care assistants (HCAs) are often the members of staff that patients, and their families and carers, feel comfortable enough to approach and express a desire to actively hasten death. However, such requests can provoke concern for nurses and HCAs as they determine how best to respond professionally and compassionately and continue to support patients in their ongoing care. This guidance has been developed to support nurses, HCAs, and other health professionals in adult practice who may be asked by patients, or their families or carers, to become involved in assisting suicide. It covers the law on assisted suicide in the UK, as well as the law on advance decisions. The publication includes information on when and why people express a wish to die and guidance on professional accountability and end of life care, with frequently asked questions to help health professionals respond in such circumstances. It also includes details of further resources available to improve end of life care practice.
Who will care? Nurses in the later stages of their careers (PDF 1.4 MB)
Publication code: 004 126
Publication date: 19 July 2011
ISBN:
Abstract:
The UK’s ageing population will place mounting challenges on the NHS and other health and social care providers, both in terms of the amount and kind of services provided and the workforce supply. In 2008, around one in three nurses were over 50 compared to just one in five in 1997. Greater reliance on older nurses in delivering nursing care means that it will be increasingly important to pay attention to the needs of older nurses. Over the next decade, key policy considerations will need to address such issues as the retention and motivation of older nurses and the extent to which nurses work beyond their retirement age. This research provides vital information about the employment patterns, preferences and retirement decisions of nurses approaching retirement age. The older nursing workforce shares many of the characteristics and employment requirements of their younger colleagues, yet they also have specific needs. This means an emphasis on support for continuing professional development, policies that enable a work-life balance, involvement and engagement in decision-making, as well as specific policies which positively acknowledge and value older nurses’ experience. This report is published alongside Who will care? Protecting employment for older nurses (publication code 003 849, web only) which provides information and advice on good practice management of the older nursing workforce.
Who will care? Protecting employment for older nurses (PDF 1.5 MB)
Publication code: 003 849
Publication date: 19 July 2011
ISBN:
Abstract:
It is well documented that the UK has an ageing population. The consequent increase in chronic and long-term conditions and the increased focus on a preventative approach to public health will change the demands for health care. The provision of high quality health care will be increasingly important in the future and nursing is vital in meeting this need. This guidance provides information for RCN representatives and officers to help them influence health and social care employers to apply good practice in the effective management of the older nursing workforce. It includes details on the changes in the nursing workforce demographic, the employment needs of older nurses, stereotypical assumptions that build barriers to their continuing in work, influencing employers and discrimination legislation. There is also a detailed section on sources of further information. This is published alongside Who will care? Nurses in the later stages of their careers (publication code 004 126, web only) which provides insightful information on employment patterns, preferences and needs, retirement decisions and the motivations of the older nursing workforce.
Witnessing Resuscitation: Guidance for nursing staff (PDF 1.4 MB)
Publication code: 001 736
Publication date: 22 April 2002
ISBN:
Abstract:
As witnessing resuscitation is becoming more common, it is quite likely in future that relatives may insist on being present. This booklet provides a literature review on the perceptions and effects of witnessing resuscitation and offers guidance to help nursing staff understand the issues and implications for nursing practice. Issues that nursing staff should be aware of include: when relatives should or should not be allowed into the resuscitation room; providing appropriate support for relatives, (including prior to resuscitation and when they are in the resuscitation area), the protocols following resuscitation; and medico-legal issues.
Work-related stress. A good practice guide for RCN representatives (PDF 1.3 MB)
Publication code: 003 531
Publication date: 8 October 2009
ISBN: 978-1-906633-30-1
Abstract:
Work related stress has overtaken musculoskeletal disorders as the main cause of absence and ill health in the health sector. Nursing is often seen as one of the most stressful occupations, therefore work-related stress is a major concern for RCN representatives. This guidance takes RCN representatives through the HSE's managament standards and the process of conducting a stress risk assessment. The guidance details how RCN safety representatives can get involved in each stage of the risk assessment process, with a number of case studies highlighting how representatives have implemented the HSE standards in their own workplaces. The standards are a useful tool and and can help in addressing issues such as workload, work patterns and organisational change. This publication may also be useful for stewards and learning representatives when supporting RCN members who are returning to work following a stress related illness or when negotiating learning and development opportunities for members.
Working well initiative: Dealing with bullying and harassment: a guide for nursing students (PDF 4.8 MB)
Publication code: 001 497
Publication date: 1 August 2002
ISBN:
Abstract:
This guidance is also aimed at students, to help them recognise if they or a colleague are being bullied or harassed and what action can be taken. Two case studies are also included which help highlight how appropriate action can resolve difficult situations. The publication will also raise awareness of the problem with employers and educators (as well as students) and hopefully encourage these groups to carry through anti-harassment policies.
Working Well Initiative:Managing your stress: a guide for nurses (PDF 346.2 KB)
Publication code: 001 484
Publication date: 1 March 2001
ISBN:
Abstract:
This booklet aims to raise awareness of the impact of occupational stress on nurses in today's society. This easy-to-read guide will help nurses understand how to manage personal stress and the responsibility of the employer in relation to occupational stress.This invaluable guide has been updated to include legal information and advice for members experiencing unacceptable levels of stress in the workplace
Working well? Results from the RCN Working well survey into the wellbeing and working lives of nurses (PDF 1.4 MB)
Publication code: 001 572
Publication date: 1 March 2002
ISBN:
Abstract:
This report describes the results from the Working well survey of 6000 RCN full members, looking specifically at wellbeing and working lives.
Working well? Summary from the working well survey (PDF 441.6 KB)
Publication code: 001 595
Publication date: 1 March 2002
ISBN:
Abstract:
The RCN has carried out an annual survey of a sample of its membership each year for over a decade. In 2000 a second survey was conducted of 6,000 RCN full members (excluding students), looking specifically at wellbeing and working lives.The Working wel
Working well? Survey questionnaire (PDF 3.0 MB)
Publication code: 003 200
Publication date: 1 March 2002
ISBN:
Abstract:
The RCN has carried out an annual survey of a sample of its membership each year for over a decade. In 2000 a second survey was conducted of 6,000 RCN full members (excluding students), looking specifically at wellbeing and working lives.This publication is the questionnaire.
Working with care: improving working relationships in health care. Self-assessment tools for health care teams (PDF 277.3 KB)
Publication code: 002 487
Publication date: 21 August 2006
ISBN:
Abstract:
Research has demonstrated that bullying and harassment are widespread in health care. Working with care is a set of tools designed to encourage health care staff to examine their interactions with colleagues, to enhance the positive interactions and to increase awareness of negative interactions, some of which can amount to bullying and harassment. This suite of tools is for use in work teams at any level of an organisation and if used throughout an organisation could assist in changing the culture to be more caring of staff and less accepting of bullying behaviour.
Working with humanitarian organisations: a guide for nurses, midwives and health care professionals (PDF 710.8 KB)
Publication code: 003 156
Publication date: 15 June 2007
ISBN: 978-1-904114-41-3
Abstract:
There will always be a need for experienced professionals to share their knowledge and skills with those in need. This publication, jointly developed by the Royal College of Nursing, Royal College of Midwives, Voluntary Service Overseas and Médecins Sans Frontières, provides advice for health care professionals contemplating working either as an aid volunteer in an emergency situation or helping in ongoing development work. This guidance looks at the different strands of aid work; where you might be working; what skills you will need; courses available; how it can develop your career. It also includes some great case studies, plus an extensive list of useful contacts.
World's apart? The UK and International Nurses. Interim Labour Market Review (PDF 177.2 KB)
Publication code: 003 049
Publication date: 24 April 2006
ISBN:
Abstract:
Interim report following on from the 'Past Trends, future imperfect?' Labour Market Review 2004/2005.
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You're not alone - the RCN campaigning to protect lone workers (PDF 160.7 KB)
Publication code: 003 172
Publication date: 9 July 2007
ISBN:
Abstract:
This lobby leaflet relates to publication 003 167 - Lone worker Suvery. Up to 100, 000 health care professionals are working on their own in the NHS every day. More than half of those taking part in an RCN survey said they thought the risk of violence or abuse had risen over the last two years."I was assaulted and subjected to high levels of aggression and threats to kill us on a home visit with a social worker. The social worker sustained a serious injury and we were both traumatised for months" said one district nurse working in the North East of England.Now the RCN is calling upon trusts to comply with their legal duty to protect nurses, by implementing a five-point plan of action covering: risk assessments, prevention, policy, training, and support from the employer. It is essential that employers support staff and the RCN believes that employers should:1. provide information to help health care professionals assess risks and ensure safety2. invest in mobile devices that help nurses to call discretely for help3. provide a clear policy for lone workers4. provide training, for example, on conflict management5. take action to put preventive measures in place as well as creating systems that provide immediate support in the event of violence.By ensuring the above are in place demonstrates a clear commitment to protecting nurses, so patients benefit too.

