Resource Pack
for CBT
Preparation
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Compiled by Ali Jones and Andy Lloyd December 2016
Index
2-3… Index
4 …. The Purpose of this Resource Pack
5 …. Essential Overview of NMC Requirements
6 …. Domain 1: Professional Values
6…
The Francis Report and the 6’Cs
8…
Lone Working
9…
Safeguarding Vulnerable Adults
10 … Risk assessment
11 … Data Protection
12 … Revalidation
14 … Domain 2: Communication and Interpersonal Skills
15 … Health Promotion
16 … Learning Disabilities
16 … Consent
17 … Record Keeping
18 … Professional Boundaries
19 … Advocacy
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20 … Domain 3: Nursing Practice and Decision-Making and Leadership
21
Key Legislation
22 … Self-Harm
23 … Medicines Management
25 … Blood Transfusion
26 … Infection Prevention and Control
28 … Respiratory Disorders
29 … Thyroid Disorders
30 … Nutrition
31 … Observations
32 … Manual Handling
33 … End of Life Care
34 … Diagnostic Tests
36 … Elimination
37 … Complications during Pregnancy
38 … Domain 4: Management and Team –Working
41 … Integrated care
41 … In Conclusion
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The Purpose of this Resource Pack
This Resource Pack has been prepared to assist overseas nurses who are preparing for the Test
of Competence (Part 1) Computer Based Test (CBT). The CBT is overseen by the Nursing and
Midwifery Council (NMC).
The NMC have created four distinct domains of learning which are to be tested: Professional
Values; Communication and Interpersonal Skills; Nursing Practice and Decision-Making and
Leadership, Management and Team -working. In addition to these four NMC Domains, there is
the field-specific competency of Adult Nursing. These domains each incorporate a wide area of
study for nurses preparing to undertake the CBT.
The aim of this document is to signpost you towards the wide range of easily accessible resources
available on-line, and in the hospital library, to help them to prepare for the test. Some of these
articles, books and educational websites are core texts, whilst others are suggestions for further
reading. Each of the resources listed will prove helpful to you during your studies, but this
collection is intended as a guideline only. Hyperlinks are current as of December 2016.
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Essential Overview of NMC
Requirements
This NMC webpage sets out what they expect of trained overseas nurses wishing to enrol on the
UK register:
NMC “Trained outside the EU/EEA” retrieved from:
https://www.nmc.org.uk/registration/joining-the-register/trained-outside-the-eueea/
Following on from this, you can find essential links to the 4 NMC Domains, the field-specific
competency of Adult Nursing, and the areas of theoretical learning to be covered here:
NMC “Adult (general) Nursing” retrieved from:
https://www.nmc.org.uk/registration/joining-the-register/trained-outside-the-eueea/adult-generalnursing/
The following document is an online revision guide put together by a recruitment agency for their
prospective employees to prepare them for undertaking the Test of competence Part 1 (CBT). The
document helps to clarify the areas to concentrate on (including the various competencies in the
NMC’s 4 Domains, as well as the Field Specific Competency of Adult Nursing):
Search Recruitment “CBT Study Guide” retrieved from:
http://www.searchrecruitment.jobs/admin/wgrane_pliki/file-cbt-study-guide[107].pdf
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Domain 1: Professional Values
The Nursing and Midwifery Council's (NMC) 2016 Code “presents the
professional standards that all nurses and midwives must uphold in order to be registered to
practice in the UK”. It supports nurses’ everyday practice covering conduct, performance and
ethics.
NMC (2015) "The Code for nurses and midwives" 31st March 2015, retrieved from
https://www.nmc.org.uk/standards/code/
The Francis Report and the 6’Cs
The scandal of neglect at Mid-Staffordshire Hospital between 2005 and 2009 lead to a landmark
public enquiry known as the 'Francis Report':
The Mid Staffordshire NHS Foundation Trust Public Inquiry (2013) "Final Report" 6 February
2013, retrieved from:
http://webarchive.nationalarchives.gov.uk/20150407084003/http://www.midstaffspublicinquiry.com/
report
Preserving patient safety is at the heart of the NMC’s Code of Practice. This handbook offers
detailed guidance and advice for healthcare professionals, in light of the outcome of the MidStaffordshire Inquiry:
Kline, R. & Khan, S. (2013) “The duty of care of health professionals: a handbook” retrieved
from:
http://www.publicworld.org/files/Duty_of_Care_handbook_April_2013.pdf
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In response to the crisis in public confidence, nursing leaders developed new strategies to get
things back on track:
Ford, S. (2012) "Nursing needs new 'narrative' to rebuild public confidence" Nursing Times,
6th November 2012, retrieved from:
https://www.nursingtimes.net/roles/nurse-managers/nursing-needs-new-narrative-to-rebuild-publicconfidence/5051398.fullarticle
This included the development of the 6C's, spearheaded by Jane Cummings:
Department of Health (2012) “Compassion in Practice. Nursing, Midwifery and Care Staff,
Our vision and Strategy”, retrieved from:
https://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.pdf
Cornwell, J. (2008) “Developing a culture of compassionate care” King’s Fund retrieved from:
http://www.kingsfund.org.uk/blog/2012/10/developing-culture-compassionate-care
This framework has been developed further as part of the NHS Five Year Forward View:
NHS England (2016) “Leading Change, Adding Value. A framework for nursing, midwifery
and care staff” retrieved from:
https://www.england.nhs.uk/wp-content/uploads/2016/05/nursing-framework.pdf
NHS England (2012) "Creating a new vision and strategy for Nurses, Midwives and CareGivers" 21st September 2012, retrieved from:
https://www.england.nhs.uk/2012/09/nursingvision/
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Lone Working
It is important that nurses are able to work as a team. However, there are certain
roles that require Professionals to work alone.
The NHS Staff Council (2013) “Improving safety for lone workers. A guide for managers”
retrieved from:
http://www.nhsemployers.org/~/media/Employers/Documents/Retain%20and%20improve/Manage
rs%20guide_Le0882_3.pdf
The NHS Staff Council (2013) “Improving safety for lone workers. A guide for lone workers”
retrieved from:
https://www.evidence.nhs.uk/Search?q=lone+worker+policy
NHS (2009) “Not alone. A guide for the better protection of lone workers in the NHS”
retrieved from:
http://www.nhsbsa.nhs.uk/Documents/Lone_Working_Guidance_final.pdf
Brennan W. (2010) “Safer lone working: assessing the risk to health professionals” retrieved
from:
British Journal of Nursing, 2010, vol.19 no. 22 p. 428 - 430
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Safeguarding Vulnerable Adults
Information about safeguarding vulnerable patients is available from the
following sources:
NHS Choices “Abuse and neglect of vulnerable adults” retrieved from:
http://www.nhs.uk/Conditions/social-care-and-support-guide/Pages/vulnerable-people-abusesafeguarding.aspx
NMC (2015) “Safeguarding” retrieved from:
https://www.nmc.org.uk/standards/safeguarding/
Care Quality Commission (2016) “Safeguarding People” retrieved from:
https://www.cqc.org.uk/content/safeguarding-people
Age UK (2015) “Your Healthcare Rights” retrieved from:
http://www.ageuk.org.uk/health-wellbeing/your-healthcare-rights/what-you-can-expect-from-thenhs/
Social Care Institute for excellence (2012) “Protecting adults at risk: Good practice guide”
retrieved from:
http://www.scie.org.uk/publications/adultsafeguardinglondon/files/sections/risk-assessment.pdf
RCN “First steps for Health care Assistants” retrieved from:
http://rcnhca.org.uk/sample-page/safeguarding-adults-and-children/disclosure-or-confidentiality/
NMC (2015) “Introduction to safeguarding for adults” retrieved from:
https://www.nmc.org.uk/standards/safeguarding/
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Risk Assessment
Risk assessment is a vitally important process within health and social care
settings. The following articles and website discuss the processes involved, including working
examples of sensible practice:
Health and Safety Executive “Sensible risk assessment in care settings” retrieved from:
http://www.hse.gov.uk/healthservices/sensible-risk-assessment-care-settings.htm
NHS England (2015) “Risk Management Policy and Process Guide” retrieved from:
https://www.england.nhs.uk/wp-content/uploads/2012/11/risk-man-strat.pdf
NMC (2015) ”Guidance” retrieved from:
http://www.nmc-uk.org/Publications/Guidance/
Social care Institute for Excellence (2012) “Protecting adults at risk in London: Good
practice resource” retrieved from:
http://www.scie.org.uk/publications/adultsafeguardinglondon/riskassessment/
NHS (2012) “Patient Safety” retrieved from:
http://www.nrls.npsa.nhs.uk/
RCN (2016) “The management of waste from health, social and personal care” retrieved
from:
https://www2.rcn.org.uk/__data/assets/pdf_file/0008/571427/004187.pdf
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Data Protection
Information about data protection and the Data Protection Act: Including
principles, legal rights, responsibilities, security & retaining personal data:
Information Commissioner’s Office “Data protection principles” retrieved from:
https://ico.org.uk/for-organisations/guide-to-data-protection/data-protection-principles/
HM Government (2016) “Data protection” retrieved from:
https://www.gov.uk/data-protection/find-out-what-data-an-organisation-has-about-you
HM Government (2009) “Information Sharing: Guidance for practitioners and managers”
retrieved from:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/417696/Archivedinformation_sharing_guidance_for_practitioners_and_managers.pdf
Department of Health (2010) “Confidentiality: NHS Code of Practice Supplementary
Guidance: Public Interest Disclosures” retrieved from:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216476/dh_122031.
pdf
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Revalidation
It is important to reflect upon our own nursing practice as professional
practitioners. Revalidation is a process stipulated by the NMC to ensure that nurses and
midwives in the UK continue to remain updated with best practice, are reflective practitioners, and
have fulfilled minimum time requirements for training and work. Revalidation is undertaken every
three years to enable nurses to maintain their registration with the NMC.
NMC (2016) “Revalidation” retrieved from:
http://revalidation.nmc.org.uk/
RCN (2016) “Revalidation” retrieved from:
https://www.rcn.org.uk/professional-development/revalidation
NMC (2016) “Standards” retrieved from:
http://www.nmc-uk.org/Publications/Standards/
Journal Articles
Watterson L. (2013) “6Cs + Principles = Care” London: Nursing Standard, 24 July 17, Vol 27 no
46, 2013, retrieved from:
http://www.alps-cetl.ac.uk/len/RCN6Cs.pdf
Natius Oelofsen (2015) “Using reflective practice in frontline nursing” retrieved from:
https://www.nursingtimes.net/home/courses/using-reflective-practice-in-frontlinenursing/5045779.article
Rassin, M. (2010) "Values grading among nursing students – Differences between the
ethnic groups" Nurse Education Today, July 2010, Volume 30, Issue 5, Pages 458–463 retrieved
from:
http://www.nurseeducationtoday.com/article/S0260-6917(09)00196-8/abstract
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Lin, Y-H & Wang, L. (2010) "A Chinese version of the revised nurses professional values
scale: Reliability and validity assessment" Nurse Education Today, August 2010, Volume 30,
Issue 6, Pages 492–498, retrieved from:
http://www.nurseeducationtoday.com/article/S0260-6917(09)00206-8/abstract
Middleton C & Llewellyn (2016) “How to prepare for revalidation” retrieved from:
Nursing standard, 15 June 2016, vol. 30 no. 42 p. 42 - 44
Book References
Morton-Cooper, A. & Palmer, A. (2000) "Mentorship, Preceptorship and Clinical
Supervision" Oxford: Blackwell Science, Chapter 2, pp139-143
Thompson, I., Melia, K. & Boyd, K. (2000) “Nursing Ethics” Edinburgh: Churchill Livingstone,
4th Ed., Chapter 3
Banks, S and Gallagher, A. (2009) “Ethics in Professional Life” Basingstoke: Palgrave
Macmillan
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Domain 2: Communication and
interpersonal skills
The Alzheimer's Society has produced a simple and practical tool that people
with dementia can use to tell staff about their needs, preferences, likes, dislikes and interests,
called ‘This is me’. A copy of the booklet can be downloaded from their website:
Alzheimer's Society (2013) “This is Me” retrieved from:
https://www.alzheimers.org.uk/thisisme
This document, also produced by the Alzheimer's Society, is a guide for effective communication
with people who live with dementia, as well as other impairments and disabilities:
Alzheimer’s Society “Communicating” retrieved from:
https://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=130
The following article explores how person-centred care should work in the care of people living
with dementia:
Alzheimer's Society "Person-Centred Care" retrieved from:
https://www.alzheimers.org.uk/site/scripts/services_info.php?serviceID=167
An awareness of various barriers to communication is an essential item in any
nurse’s toolkit:
Skills You need (2011 – 2016) “Barriers to Effective Communication” retrieved from:
http://www.skillsyouneed.com/ips/barriers-communication.html
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For example, this website focuses on effective communication with people who suffer
with hearing loss:
Action on Hearing Loss “Ways of Communicating” retrieved from:
http://www.actiononhearingloss.org.uk/your-hearing/ways-of-communicating.aspx
Various forms and methods of communication are explored within the Royal Marsden:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing Procedures”
(9th Ed.) Chichester, Wiley Blackwell, Chapter 4
Health Promotion
Health Promotion is a key aspect of nursing communication. The following website
contains a rich variety of guides for people to improve their health and well-being, and prevent
illness:
Patient “Health Promotion” retrieved from:
http://www.patient.co.uk/health/health-promotion-1321
The following is a short guide for U.S.-based nurses on professional etiquette and good bed-side
manner, including the concept of 'CLEAR': Connect. Listen, Explain, Ask, Re-connect:
Darice Britt (2013) "Healthcare Professionalism: How Important is Proper Bedside
Manner?" South University, retrieved from:
http://source.southuniversity.edu/healthcare-professionalism-how-important-is-proper-bedsidemanner-132067.aspx
A quiz by ‘One You’ to help you gauge your own level of fitness:
Public Health England “How Are You?” retrieved from:
https://www.nhs.uk/oneyou/how-are-you
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Learning Disabilities
Here’s a guide (aimed at doctors) for communicating with patients suffering with
learning disabilities, including various strategies to employ:
G.M.C. “Communication with patients” retrieved from:
http://www.gmc-uk.org/learningdisabilities/25.aspx
Patient (2016) “General Learning Disability” retrieved from:
http://www.patient.co.uk/doctor/general-learning-disability
NHS Choices (2015) “What is a learning disability?” retrieved from:
http://www.nhs.uk/Livewell/Childrenwithalearningdisability/Pages/Whatislearningdisability.aspx
Consent
It is important for consent to be gained prior to procedures being undertaken. The
following websites look at the importance of consent, the various types of consent and who can
give consent.
NHS Choices (2016) “Consent to treatment” retrieved from:
http://www.nhs.uk/Conditions/Consent-to-treatment/Pages/Children-under-16.aspx
Department of Health (2009) “Reference guide to consent for examination or treatment” 2nd
Edition retrieved from:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/138296/dh_103653_
_1_.pdf
NHS Choices (2010) “Defining consent - Advanced Nursing Practice Toolkit” retrieved from:
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http://www.advancedpractice.scot.nhs.uk/legal-and-ethics-guidance/consent/defining-consent.aspx
NHS Choices (2016) “Consent to Treatment” retrieved from:
http://www.nhs.uk/conditions/consent-to-treatment/Pages/Introduction.aspx
Here is the GHNHSFT policy on consent:
http://glnt313/sites/ghnhsft_policy_library/ClinPolices/A0297.pdf
Record Keeping
Nurses and midwives should keep clear and accurate records which are relevant to their
practice. There is no specific document on keeping records - all nurses and midwives should
refer to the Code for this guidance:
NMC (2015) "The Code for nurses and midwives" 31st March 2015, retrieved from:
https://www.nmc.org.uk/standards/code/
RCN (2015) “Record keeping: the facts” retrieved from:
https://www.evidence.nhs.uk/Search?q=record+keeping+in+nursing
RCN (2013) “Delegating record keeping and countersigning records” retrieved from:
https://www2.rcn.org.uk/__data/assets/pdf_file/0005/486662/004_337.pdf
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Professional Boundaries
Advice on maintaining appropriate professional boundaries, and
a mass of relevant resources in the appendices:
NHS Employers & Council for Healthcare Regulatory Excellence “Clear sexual boundaries
between healthcare professionals and patients Information for patients and carers”
retrieved from:
http://www.professionalstandards.org.uk/docs/default-source/publications/policy-advice/clearsexual-boundaries-information-for-patients-and-carers.pdf?sfvrsn=6
An excellent generic presentation on establishing and maintaining professional boundaries:
Kelly Wolf (2008) “Maintaining Professional Boundaries in Interpersonal Work” Santa Cruz:
First 5 Santa Cruz County, retrieved from:
http://www.first5scc.org/sites/default/files/PDF/BoundariesTrainingCurriculum.pdf
An informative American leaflet discussing professional boundaries:
National Council of State Boards of Nursing (2014) "A Nurse’s Guide to Professional
Boundaries" Chicago: NCSBN retrieved from:
https://www.ncsbn.org/ProfessionalBoundaries_Complete.pdf
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Advocacy
NHS webpages on advocacy for vulnerable people:
NHS Choices “Advocacy Services” retrieved from:
http://www.nhs.uk/Conditions/social-care-and-support-guide/Pages/advocacy-services.aspx
NHS Lothian (2012) “What is Independent Advocacy?” retrieved from
http://www.nhslothian.scot.nhs.uk/HealthInformation/Advocacy/Pages/default.aspx
Journal Articles
An article about the importance of communication to effective care delivery:
Donna Davenport (2008) “Communication - how can we improve our skills?” Nursing in
Practice 14th April 2008 retrieved from:
http://www.nursinginpractice.com/article/communication-how-can-we-improve-our-skills
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Domain 3: Nursing Practice and
Decision-Making
When assessing, planning, implementing & evaluating the care that
we give, we need to ensure that it is evidence based and will benefit our patients. The following
websites and articles look at various nursing theories which are used within our practice today:
Jennifer Olin (2011) “7 Nursing Theories To Practice By” retrieved from:
http://www.rncentral.com/blog/2011/7-nursing-theories-to-practice-by/
Murphy, F. et al (2010) “Nursing models and contemporary nursing 1: their development,
uses and limitations” 15th June 2010, Nursing Times, London, retrieved from:
https://www.nursingtimes.net/roles/practice-nurses/nursing-models-and-contemporary-nursing-1their-development-uses-and-limitations-/5015918.article
Dorothy Orem’s Self- Care Theory retrieved from:
https://sites.google.com/site/oremstheory/description-of-the-model
Nursing theories (2012) “Virginia Henderson's Need Theory” retrieved from:
http://currentnursing.com/nursing_theory/Henderson.html
The Nursing Process and The Roy Adaptation Model retrieved from:
http://ahn.mnsu.edu/nursing/facultyformsandinfo/nursingprocessandram.pdf
Euro Med Info “A model of care for cultural competence” retrieved from:
http://www.euromedinfo.eu/a-model-of-care-for-cultural-competence.html/
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It is important that no one undertakes a task that they are not competent in and
had the relevant training for. The following website looks at delegation:
RCN (2015) “Accountability and delegation” retrieved from:
https://www.evidence.nhs.uk/search?q=delegation%20in%20nursing
NHS England (2013) “How to ensure the right people, with the right skills, are in the right
place at the right time. A guide to nursing, midwifery and care staffing capacity and
capability” retrieved from:
https://www.evidence.nhs.uk/search?q=delegation%20in%20nursing
Key Legislation
A clear guide to the Mental Capacity Act, Deprivation of Liberties and Power of Attorney:
NHS Choices “What is the Mental Capacity Act?” retrieved from:
http://www.nhs.uk/carersdirect/moneyandlegal/legal/pages/applying-the-mental-capacity-act.aspx
Mind (2015) “Mental Capacity Act 2005” retrieved from:
http://www.mind.org.uk/information-support/legal-rights/mental-capacity-act-2005/
Age UK (2015) “Your healthcare rights” retrieved from:
http://www.ageuk.org.uk/health-wellbeing/your-healthcare-rights/
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On this webpage you can find out about The Human Rights Act 1998 and the
fundamental rights and freedoms that everyone in the UK is entitled to:
Equality and Human Rights Commission “The Human Rights Act” retrieved from:
https://www.equalityhumanrights.com/en/human-rights/human-rights-act
Home Office. Gov.UK. (2010) “Equality and diversity” retrieved from:
https://www.gov.uk/government/organisations/home-office/about/equality-and-diversity
Equality and Human Rights Commission “Exercising your human rights” retrieved from:
https://www.equalityhumanrights.com/en/human-rights/exercising-your-human-rights
Self-Harm
Some patients may need help with everyday life and may cause themselves self-injury.
NHS choices (2015) “Self Harm” retrieved from:
http://www.nhs.uk/conditions/Self-injury/Pages/Introduction.aspx
NHS choices (2015) “Suicide” retrieved from:
http://www.nhs.uk/conditions/Suicide/Pages/Introduction.aspx
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Medicines Management
The NMC’s guide to medicines management, looking at the complex
framework of local and national policies, standards and legislation:
NMC (2007) “Standards for medicines management” retrieved from:
https://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/
MHRA (2016) “Yellow Card” retrieved from:
https://yellowcard.mhra.gov.uk/the-yellow-card-scheme/
Medicines & Healthcare Products Regulatory Agency (2014) “Guidance. E-learning
modules: medicines” retrieved from:
https://www.gov.uk/government/publications/e-learning-modules-medicines-and-medicaldevices/e-learning-modules-medicines-and-medical-devices#devices-in-practice
Gov.UK (2014) “Patient group directions: who can use them” retrieved from:
https://www.gov.uk/government/publications/patient-group-directions-pgds
Similarly, more specific medicines guidance from NICE (N.B. always adhere to local Trust
procedures and protocols in conjunction with these broader remits):
N.I.C.E. “Medicines management: general and other” retrieved from:
https://www.nice.org.uk/Guidance/Service-delivery--organisation-and-staffing/Medicinesmanagement/Medicines-management--general-and-other
Centre for Policy on Ageing (2011) “Managing and Administering Medication in care homes
for older people” retrieved from:
http://www.cpa.org.uk/information/reviews/Managing_and_Administering_Medication_in_Care_Ho
mes.pdf
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Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing Procedures”
(9th Ed.) Chichester. Wiley Blackwell, Chapter 12
This guideline covers medicines adherence in people aged 18 and over. It recommends how to
encourage adherence to medicines by supporting and involving people in decisions about their
prescribed medicines. It aims to ensure that a person’s decision to use a medicine is an informed
choice:
N.I.C.E. (2009) “Medicines adherence: involving patients in decisions about prescribed
medicines and supporting adherence” retrieved from:
http://www.nice.org.uk/guidance/CG76
Allied to this is an awareness of Medical Equipment safety and alerts/recalls:
Medicines and Healthcare products Regulatory Agency (MHRA) “Medical devices
regulation and safety” retrieved from:
https://www.gov.uk/topic/medicines-medical-devices-blood/medical-devices-regulation-safety
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Blood Transfusion
The following websites look at the policies and frameworks around blood
transfusion that are put in place to ensure patient safety.
NHS (2015) “Information for patients with sickle cell disease who may need a blood
transfusion” retrieved from:
http://hospital.blood.co.uk/media/27950/inf1308_1-transfusion-in-sickle-cell-disease-30nov15.pdf
NHS Choices (2016) “Sickle cell disease” retrieved from:
http://www.nhs.uk/conditions/Sickle-cell-anaemia/Pages/Introduction.aspx
Macmillan Cancer Support (2016) “Blood transfusions” retrieved from:
http://www.macmillan.org.uk/information-and-support/treating/supportive-and-othertreatments/supportive-therapies/blood-transfusions.html#17859
NHS Choices (2015) “Blood transfusion - Why it is necessary” retrieved from:
http://www.nhs.uk/Conditions/Blood-transfusion/Pages/Why-is-it-necessary.aspx
NHS (2015) “Blood Transfusion for Patients” retrieved from:
http://www.nhsbt.nhs.uk/what-we-do/blood-transfusion/
Medicinenet.com (2016) “Blood Transfusion” retrieved from:
http://www.medicinenet.com/blood_transfusion/article.htm
Jerry R. Balentine (2016) “Blood Transfusion” retrieved from
http://www.medicinenet.com/blood_transfusion/article.htm
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Infection Prevention and Control
A selection of training resources aimed at improving infection prevention and
control:
NHS Education for Scotland “Healthcare Associated Infections: Training Resources”
retrieved from:
http://www.nes.scot.nhs.uk/education-and-training/by-theme-initiative/healthcare-associatedinfections/training-resources.aspx
There are several good general infection control guides for nurses:
Royal College of Nursing (2005) “Good practice in infection prevention and control:
Guidance for nursing staff” retrieved from:
http://www.wales.nhs.uk/sites3/documents/739/rcn%20infection%20control.doc.pdf
NICE (2014) “Infection Prevention and Control” retrieved from:
https://www.nice.org.uk/guidance/qs61/chapter/Quality-statement-1-Antimicrobial-stewardship
NHS Professionals (2010) “Standard Infection Control Precautions” retrieved from:
http://www.nhsprofessionals.nhs.uk/download/comms/cg1_nhsp_standard_infection_control_prec
autions_v3.pdf
Infection Prevention and Control is also covered in the ‘Royal Marsden’, which is the go-to text
of clinical procedures for nursing staff. This is a ‘MUST read’:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing Procedures”
(9th Ed.) Chichester. Wiley Blackwell, Chapter 3
Public Health England (2016) “Norovirus: a nasty but common winter bug” retrieved from:
https://www.gov.uk/government/news/norovirus-a-nasty-but-common-winter-bug
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NHS Choices (2015) “Norovirus” retrieved from:
http://www.nhs.uk/conditions/Norovirus/Pages/Introduction.aspx
Heart of England Foundation Trust (2010) “Isolation Policy” retrieved from:
http://www.heartofengland.nhs.uk/wp-content/uploads/Isolation-Policy.pdf
NHS Choices (2014) “Diarrhoea” retrieved from:
http://www.nhs.uk/Conditions/Diarrhoea/Pages/Introduction.aspx
Travel Health Pro (2014) “Travellers’ diarrhoea” retrieved from:
http://travelhealthpro.org.uk/factsheet/53/travellers-diarrhoea
WHO (2009) “Glove Use Information Leaflet” retrieved from:
http://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf
‘Saving Lives’ also looked at Healthcare Associated Infections:
Department of Health (2010) “Clean, safe care, Reducing infections and saving lives”
retrieved from:
http://antibiotic-action.com/wp-content/uploads/2011/07/DH-Clean-safe-care-v2007.pdf
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Respiratory Disorders
People are now living longer, but along with that comes co-morbidities. The following
websites look at respiratory disorders.
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 9
Disabled world towards tomorrow (2015) “Respiratory Disorder: Types, Symptoms &
Treatment” retrieved from:
https://www.disabled-world.com/health/respiratory/
Ivyrose Holistic (2016) “Conditions affecting the respiratory system” retrieved from:
http://www.ivyroses.com/HumanBody/Respiratory/Respiratory_Conditions.php
NHS choices (2015) “Home oxygen treatment” retrieved from:
http://www.nhs.uk/conditions/home-oxygen/Pages/Introduction.aspx
NHS Choices (2016) “Chronic obstructive pulmonary disease (COPD)” retrieved from:
http://www.nhs.uk/conditions/chronic-obstructive-pulmonary-disease/Pages/Introduction.aspx
NHS Choices (2015) “Tracheostomy - Why it's used” retrieved from:
http://www.nhs.uk/conditions/tracheostomy/Pages/Why-it-is-necessary.aspx
Resuscitation Council UK (2015) “Resuscitation guidelines” retrieved from:
https://www.resus.org.uk/resuscitation-guidelines/
NHS choices (2015) “Peak flow test“ retrieved from:
http://www.nhs.uk/Conditions/peak-flow/Pages/Introduction.aspx
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Thyroid Disorders
The following websites look at Thryoid related problems:
NHS Choices (2014) “Thyroiditis” retrieved from:
http://www.nhs.uk/Conditions/thyroiditis/Pages/Introduction.aspx
NHS choices (2015) “Underactive thyroid (hypothyroidism)” retrieved from:
http://www.nhs.uk/conditions/Thyroid-under-active/Pages/Introduction.aspx
NHS Choices (2016)“ Overactive thyroid (hyperthyroidism)” retrieved from:
http://www.nhs.uk/conditions/Thyroid-over-active/Pages/Introduction.aspx
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 11
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Nutrition
Nutrition is one of our basic needs. The following websites look at how we
assess our patient’s needs and look at different feeding routes:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 7
Bapen (2011) ‘Malnutrition Universal Screening Tool’ retrieved from:
http://www.bapen.org.uk/pdfs/must/must_full.pdf
NHS (2015) “Community Infection Prevention and Control Guidance for Health and Social
Care. Enteral Feeding” retrieved from:
http://www.infectionpreventioncontrol.co.uk/content/uploads/2015/03/07-Enteral-Feeding-January2015.pdf
East Sussex Healthcare NHS Trust (2016) “Protected meal times – what does it mean?”
Retrieved from:
www.esht.nhs.uk/EasysiteWeb/getresource.axd?AssetID=272740&type=full.
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Observations
Observations are important in order to recognise the early deterioration in our
patients. The following websites and articles explore these essential nursing skills further:
Royal College of Physicians (2015) “National Early Warning Score (NEWS)” retrieved from:
https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 11
Slideshare (2011) “Vital signs and observation of patient” retrieved from:
http://www.slideshare.net/SusanEducation/vital-signs-and-observation-of-patient
NHS choices (2015) “Septic shock” retrieved from:
http://www.nhs.uk/Conditions/Septic-shock/Pages/Introduction.aspx
NHS Choices (2016) “Sepsis -Treatment” retrieved from:
http://www.nhs.uk/Conditions/Blood-poisoning/Pages/Treatment.aspx
NHS Choices (2016) “Anaphylaxis” retrieved from:
http://www.nhs.uk/conditions/Anaphylaxis/Pages/Introduction.aspx
Nursing Times (2011) “The Deteriorating Patient” retrieved from:
https://www.nursingNtimes.net/Journals/2011/08/24/f/p/p/The-Deteriorating-Patient.pdf
Resuscitation council UK (2015) “Resuscitation Guidelines 2015 Introduction” retrieved
from:
https://www.resus.org.uk/resuscitation-guidelines/introduction/
Gloucestershire Hospitals NHS foundation trust (2016) “Assessment of Acute Pain”
retrieved from:
http://www.gloshospitals.nhs.uk/en/Wards-and-Departments/Departments/PainManagement/Acute-and-Post-Operative-Pain/Assessment-of-Acute-Pain/
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Manual Handling
Moving & Handling is part of our everyday activity. It is important for us all to
be aware of how we handle people or things in order to ensure our safety. The following articles
and websites explore how to remain safe:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 6
Oxford University Hospitals NHS Trust (2015)“Using Elbow Crutches. Instructions for
patients” retrieved from:
http://www.ouh.nhs.uk/patient-guide/leaflets/files/11679Pcrutches.pdf
Eustice C. (2016) “Tips for Walker Use. There Is a Right Way and Wrong Way to Use Your
Walker” retrieved from:
https://www.verywell.com/tips-for-walker-use-2552074
Flicklearning (2015) ‘TILE(O)’ your way through manual handling risk assessment” retrieved
from:
https://www.flicklearning.com/blog/tileo-your-way-through-manual-handling-risk-assessment
Guy's and St. Thomas' NHS foundation Trust (2015) “Wearing anti-embolism stockings to
prevent blood clots” retrieved from:
http://www.guysandstthomas.nhs.uk/resources/patient-information/eye/Anti-embolismstockings.pdf
NHS England “Venous thromboembolism” retrieved from:
https://www.england.nhs.uk/patientsafety/venous-thromb/
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End of Life Care
As a nurse, it is a privilege to be able to care for someone as they near or come to
the end of their life. The following websites look at aspects around End of life Care.
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 8
The Liverpool Care Pathway was widely used for end of life care in the NHS. It was heavily
criticised over the crucial issue of patient hydration, and potentially hastening death. In 2013, the
government took the decision to stop basing end of life care on the LCP following extensive
criticism in the media:
Independent review of the Liverpool Care Pathway (2013) “ More Care, Less pathway a
review of the Liverpool care Pathway” retrieved from:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/212450/Liverpool_C
are_Pathway.pdf
WHO (2016) “Cancer” retrieved from:
http://www.who.int/cancer/en/
The following eLearning resource helps health care workers implement NICE Guidelines to
improve care for people who are in their last days of life:
Health Education England “End of Life Care” retrieved from:
http://www.e-lfh.org.uk/programmes/end-of-life-care/
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Diagnostic Tests
Thousands of Diagnostic Tests are undertaken each year in order to help
determine how best to treat our patients. The following websites look at different tests.
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 10
Gloucestershire Hospitals NHS Foundation Trust (2014) “Catheter urine (CSU)” retrieved
from:
http://www.gloshospitals.nhs.uk/en/Wards-and-Departments/Departments/Pathology/PathologySamples-and-Tests/Search/Microbiology/Urine-CSU/
Information regarding Perioperative care can be found in the Royal Marsden:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 12
The following website looks at how to care for peripheral venous access
devices and how to recognise any problems.
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 14
McCallum L, Higgins D (2012) “Care of peripheral venous cannula sites” retrieved from:
https://www.nursingtimes.net/Journals/2012/08/22/b/k/e/210812Care-of-peripheral-venouscannula-sites.pdf
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Information regarding wound management can be found from the following
resources:
Dougherty L. & Lister S. (2015) “The Royal Marsden Manual of Clinical Nursing
Procedures” (9th Ed.) Chichester. Wiley Blackwell, Chapter 15
Royal Cornwall Hospitals NHS Trust (2015) “Aseptic Non Touch Technique (ANTT) Policy”
retrieved from:
http://www.rcht.nhs.uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/InfectionPrevention
AndControl/AsepticNonTouchTechnique.pdf
NICE (2014)”Pressure ulcers: prevention and management” retrieved from:
https://www.nice.org.uk/guidance/cg179
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Elimination
Fluid balance and issues around Elimination are often not recorded properly.
The following websites explore continence, stoma care and kidney issues.
NHS England (2015) “Excellence in continence care: Practical guidance for commissioners,
providers, health and social care staff and information for the public” retrieved from:
https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/11/EICC-guidancefinal-document.pdf
NHSChoices (2015) “Can I get incontinence products on the NHS?” retrieved from:
http://www.nhs.uk/chq/pages/can-i-get-incontinence-products-on-thenhs.aspx?CategoryID=68&SubCategoryID=154
NHS Choices (2014) “Kidney Infection” retrieved from:
http://www.nhs.uk/conditions/Kidney-infection/Pages/Introduction.aspx
NHSchoices (2014) “glomerulonephritis” retrieved from:
http://www.nhs.uk/Conditions/Glomerulonephritis/Pages/Introduction.aspx
NHS choices (2016) “Chronic kidney disease” retrieved from:
http://www.nhs.uk/conditions/Kidney-disease-chronic/Pages/Introduction.aspx
Burch J. (2011) “Essential care for patients with stomas” retrieved from:
https://www.nursingtimes.net/clinical-archive/continence/essential-care-for-patients-withstomas/5037733.article
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Complications during Pregnancy
The following websites look at problems that can occur during pregnancy:
WebMD (2005 – 2016) “What to Know About Ectopic Pregnancy” retrieved from:
www.webmd.com/baby/guide/pregnancy-ectopic-pregnancy
NHS Direct Wales (2016) “Ectopic pregnancy” retrieved from:
www.nhsdirect.wales.nhs.uk/encyclopaedia/e/article/ectopicpregnancy/
Journal Articles
An article discussing ways nurses can support patients to make informed choices, and promote
self-care:
Hairon, N. (2008) “Core principles on self-care increase patient responsibility” Nursing
Times, 8th May 2008, retrieved from:
http://www.nursingtimes.net/core-principles-on-self-care-increase-patientresponsibility/1328256.article
Bucknell, T. (2003) "The Clinical Landscape of Critical Care: Nurses' Decision-Making"
Journal of Advanced Nursing Volume 43, Issue 3,
http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.2003.02714.x/pdf
Bakalis, N. & Watson, R. (2005) "Nurses' decision-making in clinical practice" Nursing
Standard 19.23 (Feb 16-Feb 22, 2005): 33-9.
http://search.proquest.com/openview/753cd3b39d45c6dfcb4e2ab38872ea76/1?pqorigsite=gscholar
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GHNHSFT eLearning Resources
The Trust’s intranet contains a wealth of knowledge on many topics, and how these apply to local
practice. Make use of the A-Z index to navigate your way around to find the information you
require. You can also test your knowledge through the quizzes at the end of the Trust’s elearning packages. Examples of topics include:
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Safeguarding level 1
CHANNEL prevent training
Equality & diversity
Dementia Awareness Levels 1 & 2
Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS) level 1 v2
The patient with a Learning disability
Safety awareness v2
Infection control v2
“Blood Transfusion”
http://intranet/en/Your-Division/Corporate-Services/Education-Learning-andDevelopment/eLearning/
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Domain 4: Leadership, Management
and Team-Working
Published in October 2014, the ‘NHS Five Year Forward View’ is a strategy document setting out
the direction of travel for the NHS, and the changes that are likely to be needed to meet impending
challenges. There is a greater emphasis on Public Health - promoting health through the
organised efforts and informed choices of society, organisations, public and private, communities
and individuals.
NHS England (2014) “Five Year Forward View” London, October 2014, retrieved
from:
https://www.england.nhs.uk/ourwork/futurenhs/
Whilst the following operational manual is aimed at staff working in areas with a high HIV
prevalence, the chapter on Leadership and Management contains some excellent reading
material for general healthcare workers:
World Health Organisation (2008) “Operational Manual for Staff at Primary Health Care
Centres” Chapter 10, retrieved from:
http://www.who.int/hiv/pub/imai/om_10_leadership_management.pdf
C Watts and J Gordon, 2012 “Leadership and pre-registration nurse education” retrieved
from:
http://www.williscommission.org.uk/__data/assets/pdf_file/0009/480087/Leadership_and_preregistration_nurse_education.pdf
Here is an American article on the importance of team work in healthcare, from a professional
nurse’s perspective:
Jennifer Ward (2013) “The Importance of Teamwork in Nursing” retrieved from:
http://www.nursetogether.com/the-importance-of-teamwork-in-nursing
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A collection of online articles, videos and resources for healthcare professionals, aimed at
improving informed decision-making and leadership:
The Health Foundation (2016) “Patient safety resource centre: Helping you make the right
change” London, retrieved from:
http://patientsafety.health.org.uk/resources
Building relationships is central to nursing work and communication skills can be improved by
avoiding jargon and ensuring patients are not labelled. This anecdotal study highlights the lessons
that can be learned from some poor practice:
Collins, S. (2015) “Good communication helps to build a therapeutic relationship” Nursing
Times, 14th May 2015, retrieved from:
https://www.nursingtimes.net/roles/nurse-educators/good-communication-helps-to-build-atherapeutic-relationship/5003004.article
The Clinical Governance handbook provides for registered nurses about governance issues
including giving colleagues feedback, monitoring performance, and supporting the NMC
Revalidation process:
NHS Professionals (2012) “Clinical Governance Information Brochure for RN” Watford,
August 2012 retrieved from:
http://www.nhsprofessionals.nhs.uk/Download/CG%20Brochure%20Final%20Version%20RN%20
August%2012th.pdf
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Integrated Care
The introduction of greater ‘integrated care’ provision into acute hospital settings is part of the
NHS's 5 Year Forward Plan, and challenges us to find better ways of working across disciplines
and between healthcare providers:
Naylor, C. et al (2015) "Acute hospitals and integrated care: From hospitals to health
systems" London: The King's Fund, retrieved from:
https://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/acute-hospitals-andintegrated-care-march-2015.pdf
This study assesses patient experience in the Integrated Care Pilot in North West London with the
aim to help clinicians and policy makers understand patients’ acceptability of integrated care and
design future initiatives:
Mastellos, N. et al (2014) "Assessing patients’ experience of integrated care: a survey of
patient views in the North West London Integrated Care Pilot" International Journal of
Integrated Care, 2014;14(2). DOI: http://doi.org/10.5334/ijic.1453 retrieved from:
http://www.ijic.org/articles/10.5334/ijic.1453/
In Conclusion
Well done for working your way through this resource pack. We hope you have found it useful. This pack
should have helped you to gain knowledge to help you take the Test of Competence Part 1 (CBT). We
would recommend that you attempt the quiz which follows to help test your knowledge base. We wish you
the very best of luck with your exams.
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