RCN2020 debate: Care Homes

23 Oct 2020 20:00 - 21:00

Online

Should the RCN develop a strategy to promote the unique role of registered nurses in care homes?

Proposed by RCN Southern Branch

The mantra frequently spoken by nursing staff in care homes is:

“Our residents do not live in our workplace, we work in their home.”

There is a unique professional balance to be struck when delivering nursing care in this setting, the ability to move fluidly from providing meaningful activity and maintaining personhood, to delivering sophisticated clinical nursing care for people living with the most complex health needs in our society. This care is delivered in environments that aim to be homely and requires tremendous leadership, skill and knowledge. 

Registered nurses and nursing support workers who are employed in care homes frequently face the perception that they are 'second class nurses' and are 'wasting their skills'. These perceptions can occur right across the UK, as recognised by the NMC Chief Executive and Registrar, who clearly explains “there is no distinction between the standards, behaviours and skills we expect nurses to uphold, regardless of the setting in which care is provided.” (NMC, 2019) 

The role of the care home nurse is key in the delivery of health and social care within all four UK countries, but the pivotal role of the nurse is frequently not articulated well. At the RCN there is recognition of the unique role of nursing in this sector and we believe there is an increased understanding of the need for national leadership and appropriate representation of nursing in the care home arena. 

Increasingly within care homes we are seeing the development of the role of nurses in caring for people with frailty alongside other complex care needs, comorbidities, long-term conditions, disability and polypharmacy . This is often combined with end of life care for residents with a wide range of diagnoses and the additional support for family members. 

It is important to remember there are more beds in care homes than in the NHS and care homes feature as one of the largest nurse-led services in the UK. There is increased potential for registered nurses to be working at their full scope of practice in this setting; providing comprehensive older age assessment, prescribing and advanced level practice. However, this should be matched by professional recognition and equal provision for a social care workforce strategy including pay, terms and conditions commensurate with other nursing colleagues. 

This debate will explore whether the RCN should develop a strategy to promote the unique role of registered nurses in care homes. 

References 

NMC (2019) Statement on the important contribution of adult social care nurses (Accessed: 4 September 2020).

Morris-Thompson T and Marks-Maran D (2015) Nurses in independent care homes: issues, challenges and potential. British Journal of Nursing, 24 (14), pp.734-737. Downloaded from magonlinelibrary.com by 061.016.135.116.

Craig, L (2019) The role of the registered nurse in supporting frailty in care homes. British Journal of Nursing, 28 (13), pp.833-837. doi: 10.12968/bjon.2019.28.13.833

 

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Preparation:

Read through the information about the event before joining the online meeting attending

Please do not share the link to your meeting with anyone else (or on any public/ unrestricted site or social platform). Instead, please advise colleagues to book a place – we have plenty of spaces available.

Allow yourself a few minutes before the start of the meeting to locate the meeting invitation and open your documentation ready to join.

Make sure you are set up properly

Prepare your environment. Ideally a quiet room, with door shut to prevent interruptions. Please never join a call or meeting whilst driving – this is a risk to both yours and other road user's safety.

If you intend to speak in the debate check your camera is positioned correctly. The camera should be pointing at you (so that your head and shoulders are seen). Please try and avoid sitting with your back to a bright light source, where possible.

Reduce or close unused applications and set other call systems to 'do not disturb'.

Mute any other devices or apps to prevent interruptions. If you require subtitles, you can click the ‘cc’ button in the bottom right of the screen to display these during the debate.

Joining the meeting:

Join the meeting a minute or so early so that the event can start on time.

Join the meeting with your microphone muted.

If you are joining with your camera on, consider using a blurred background or appropriate background image. This can help ensure your privacy and, where the background is busy, it is less distracting for other attendees.

Speaking in the debate

When you wish to join the speaker queue, put your name in the chat box. The Chair of Congress will then be able to manage the speaker queue more easily. Don’t use the “virtual” hand facility in these debates as not everyone has that facility and the Chair will not be able to see as easily who is in the queue.

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Good practice:

When you are not speaking, put yourself on mute to reduce background noise.

 

 

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Online

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We only have limited places available for each session so please only book a place if you are certain you can attend. If you book but then cannot attend, please do cancel your place so we can make it available for another member. Please cancel your place by calling 02920 546 460 or emailing eventsreg@rcn.org.uk


Preparation:

Read through the information about the event before joining the online meeting attending

Please do not share the link to your meeting with anyone else (or on any public/ unrestricted site or social platform). Instead, please advise colleagues to book a place – we have plenty of spaces available.

Allow yourself a few minutes before the start of the meeting to locate the meeting invitation and open your documentation ready to join.

Make sure you are set up properly

Prepare your environment. Ideally a quiet room, with door shut to prevent interruptions. Please never join a call or meeting whilst driving – this is a risk to both yours and other road user's safety.

If you intend to speak in the debate check your camera is positioned correctly. The camera should be pointing at you (so that your head and shoulders are seen). Please try and avoid sitting with your back to a bright light source, where possible.

Reduce or close unused applications and set other call systems to 'do not disturb'.

Mute any other devices or apps to prevent interruptions. If you require subtitles, you can click the ‘cc’ button in the bottom right of the screen to display these during the debate.

Joining the meeting:

Join the meeting a minute or so early so that the event can start on time.

Join the meeting with your microphone muted.

If you are joining with your camera on, consider using a blurred background or appropriate background image. This can help ensure your privacy and, where the background is busy, it is less distracting for other attendees.

Speaking in the debate

When you wish to join the speaker queue, put your name in the chat box. The Chair of Congress will then be able to manage the speaker queue more easily. Don’t use the “virtual” hand facility in these debates as not everyone has that facility and the Chair will not be able to see as easily who is in the queue.

When asked to speak remember to unmute yourself, and (if you wish) put your camera on.

Good practice:

When you are not speaking, put yourself on mute to reduce background noise.

 

 

Control Panel menu


Preparation:

Read through the information about the event before joining the online meeting attending

Please do not share the link to your meeting with anyone else (or on any public/ unrestricted site or social platform). Instead, please advise colleagues to book a place – we have plenty of spaces available.

Allow yourself a few minutes before the start of the meeting to locate the meeting invitation and open your documentation ready to join.

Make sure you are set up properly

Prepare your environment. Ideally a quiet room, with door shut to prevent interruptions. Please never join a call or meeting whilst driving – this is a risk to both yours and other road user's safety.

If you intend to speak in the debate check your camera is positioned correctly. The camera should be pointing at you (so that your head and shoulders are seen). Please try and avoid sitting with your back to a bright light source, where possible.

Reduce or close unused applications and set other call systems to 'do not disturb'.

Mute any other devices or apps to prevent interruptions. If you require subtitles, you can click the ‘cc’ button in the bottom right of the screen to display these during the debate.

Joining the meeting:

Join the meeting a minute or so early so that the event can start on time.

Join the meeting with your microphone muted.

If you are joining with your camera on, consider using a blurred background or appropriate background image. This can help ensure your privacy and, where the background is busy, it is less distracting for other attendees.

Speaking in the debate

When you wish to join the speaker queue, put your name in the chat box. The Chair of Congress will then be able to manage the speaker queue more easily. Don’t use the “virtual” hand facility in these debates as not everyone has that facility and the Chair will not be able to see as easily who is in the queue.

When asked to speak remember to unmute yourself, and (if you wish) put your camera on.

Good practice:

When you are not speaking, put yourself on mute to reduce background noise.

 

 

Control Panel menu