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Meaningful activity
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2022
- Place of publication:
- London
This guidance is to support staff to consider and plan meaningful activity when caring for people in a care home. The principles and practice of supporting people to engage in meaningful activity can, and should, be considered within all care settings. Meaningful activity incorporates physical, social and leisure activities which are led by and/or tailored to a person, taking into account their interests, needs, preferences and abilities. In addition to structured and planned/organised social and leisure activities such as groups, clubs or trips, meaningful activity can be as spontaneous and simple as the person engaging in meaningful conversation and/or activities of daily living. This could include supporting them with dressing, having a bath, eating a meal or helping with day-to-day tasks such as laying the table for a meal or making a bed. This type of activity also enables the person to retain some independence through care staff doing activities 'with' the person and not 'for' them. This guide explains what meaningful activity is, its many benefits, and offers links to ideas and resources. (Edited publisher abstract)
10 unsustainable pressures on the health and care system in England
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2021
- Pagination:
- 35
- Place of publication:
- London
This document identifies ten areas that currently demonstrate unsustainable, untenable conditions within the health and care system across England, calling on the Government to take action to invest in a number of measures to develop a sustainable nursing workforce supply to meet the needs of the population now and in the longer term, and to ensure staffing for safe and effective care in all health and care settings. The ten areas that present challenging aspects are: NHS bed occupancy rate; sickness absence in nurses working in the NHS and social care; NHS nursing workforce vacancy rate; high COVID-19 infection; NHS hospital waiting times; NHS elective / community waiting times; social care workforce vacancies; international recruitment in the NHS and social care; insufficient domestic NHS and social care nursing supply; increased demand for social care services. (Edited publisher abstract)
Connecting for change: for the future of learning disability nursing
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2021
- Pagination:
- 46
- Place of publication:
- London
This publication explores contemporary issues concerning the field of learning disability nursing and sets out a series of recommendations and priorities that the UK government and devolved administrations need to address. It also identifies priorities for the RCN to take forward. Report examines learning disability nursing in the UK; key health challenges for people with learning disabilities; supporting people who present challenging behaviours; supporting people who have committed or are at risk of committing offences; people with profound and multiple learning disabilities; children and young people; neglecting the human rights of people with learning disabilities; the impact of COVID-19 on people with learning disabilities; the UK policy context; and country-specific challenges and opportunities. Learning disability nursing in the UK is at a critical phase in terms of workforce development, leadership and education. Learning disability nurses at times feel that their contribution, to both the population they serve and nursing more broadly, is overlooked. In addition, learning disability nursing represents a significantly at-risk section of the nursing workforce, and the variations in approaches to funding for learning disability nurse education across the UK can highlight what is working and what increases risks to recruitment. All services must make reasonable adjustments for people with learning disabilities. Learning disability nursing is clearly a reasonable adjustment that can ensure people with learning disabilities have equity in access to health and social care and their human rights are upheld. (Edited publisher abstract)
How nurses can support the inclusion in research of older people who lack capacity to consent
- Author:
- SHEPHERD Victoria
- Journal article citation:
- Nursing Older People, 33(2), 2021,
- Publisher:
- Royal College of Nursing
- Place of publication:
- London
Research is important because it underpins evidence-based care. However, people who lack capacity to consent are often excluded from research, due partly to ethical concerns and practical challenges, and partly to a lack of awareness among professionals of the legal framework that supports their inclusion. The COVID-19 pandemic, which has extensively affected care home residents, has reinforced the importance of including older people with cognitive impairment in research. Nurses who care for older people with impaired cognition have an important role in ensuring these people have the opportunity to contribute to and benefit from research. This article discusses some of the challenges associated with the inclusion in research of older people who lack capacity to consent, including the involvement of relatives and friends in decision-making. The article describes the findings of recent research and shares resources with the aim of supporting nurses to ensure that older people in their care who lack capacity can participate in research. (Edited publisher abstract)
Defining, monitoring and improving quality in Welsh care homes
- Author:
- BLUNT Duncan
- Journal article citation:
- Nursing Older People, 32(3), 2020,
- Publisher:
- Royal College of Nursing
- Place of publication:
- London
Despite the focus on quality in care homes, and the body of evidence that drives policy and practice, care home residents in Wales experience variations in quality of care. Quality is not easily defined, and care providers may have differing views on quality and how it is monitored. Health and social care professionals – including nurses – should understand the factors that affect quality in care homes. Quality improvement projects can support the development of a workplace culture that can sustain quality in care homes. This article defines quality, details methods that may be used to monitor quality, and outlines how quality in care homes can be improved. (Edited publisher abstract)
Nursing Older People
- Publisher:
- Royal College of Nursing
- Place of publication:
- London
Articles published in the journal include original research, clinical updates and policy briefings, descriptions of practice, audits, service evaluations, quality improvement projects, literature reviews, case studies and opinion articles. Coverage on Social Care Online from this journal is limited primarily to relevant systematic reviews or key articles about social care. (Edited publisher abstract)
Care home journey
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2019
- Place of publication:
- London
An online resource to support nursing care in older people's care homes. The resource follows a resident’s care home journey through from pre-admission to end of life. Sections include: care home admission, assessment and care planning, short stay and respite care, discharge from care, acute admission and end of life care. Each section demonstrates the role of nursing staff when supporting the resident, their families and nursing colleagues at a particular stage of the resident’s journey. The resource provides real life scenarios signposting to high quality, evidence based resources to answer the clinical questions that frequently affect those caring for older people. (Edited publisher abstract)
Female genital mutilation: an RCN resource for nursing and midwifery practice
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2019
- Pagination:
- 47
- Place of publication:
- London
- Edition:
- 4th
This guidance provides an outline of the context in which Female genital mutilation (FGM) is being managed across the UK. It aims to raise awareness among nurses, midwives, nursing associates and related health care personnel about FGM, and to provide insight and understanding of the socio-cultural, legal and health issues surrounding the practice. Sections covers the prevalence of FGM in the UK; the health effects and risk of FGM; human rights and legal aspects; service provision and multi-agency working; and improving the quality of care those who have been adversely affected by FGM. (Edited publisher abstract)
Working with dogs in health care settings: a protocol to support organisations considering working with dogs in health care settings and allied health environments
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2019
- Pagination:
- 20
- Place of publication:
- London
Working therapy dogs in health care and allied health settings can provide support to people in many different ways. This document provides an update of a protocol originally published in 2018 to highlight the precautions that should be taken when bringing dogs into health care settings. The protocol provides guidance on safeguards that should be put in place to protect residents, patients, visitors and staff. These include infection prevention control, allergy management, and health and safety. The update includes additional information specifically related to animal assisted intervention in high risk clinical areas, such as critical care, emergency departments, respiratory inpatient areas and oncology. The protocol covers the role of both the dog and the owner/handler and includes information that all organisations should consider before allowing a dog to access their premises. (Edited publisher abstract)
Commitment to care of people living with dementia: SPACE principles
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2019
- Pagination:
- 14
- Place of publication:
- London
Updated guidance which sets out five principles to support people working in health and care settings to apply five principles for improving the quality of care and support for people with dementia and their carers. The five SPACE principles cover: Staff who are skilled and have time to care; partnership working with carers; Assessment, early identification of dementia and post diagnostic support; Care and support plans which are person-centred and individual; and Environments that are dementia friendly. Each principle includes information on what will support its implementation and considerations for training and education. It is recommended that the principles are used them to support the development of practice in a systematic way to support improvement. The principles can be used by nurses and other health and social care staff, as well as senior managers. (Edited publisher abstract)