Registered Nurse


A health professional responsible for the implementation of the nursing practice through the application of the nursing process in coordination with other healthcare professionals is called a Registered Nurse. The job of a Registered Nurse is to become an advocate of the patient in the promotion of their recovery and health maintenance. The nursing process is comprised of the assessment, diagnosis, planning, implementation and evaluation also known as ADPIE. The training of a Registered Nurse is more intensive compared to the Licensed Practical Nurses.

In this world of economic crisis, the demand for nurses is still prevalent in areas such as the United Kingdom and the United State of America. For a Registered Nurse to lawfully practice in the United Kingdom, he or she needs to possess a valid registration with the Nursing and Midwifery Council. The title “registered nurse” is only bestowed to those who hold the said registration as stated in the Nurses, Midwives and Health Visitors Act of 1997. In order to hold a valid registration, one is required to complete a degree or program which is widely offered in universities in the various specialties such as adult nursing, pediatric nursing, mental health nursing and psychiatric nursing. This leads to an academic recognition as well as a professional registration as a First Level Registered Nurse. As a student, time is allotted to 50% of learning in the university and the other 50% in practice in the hospital and community settings. The first year of these courses is known as the Common Foundation Program which includes the basic understanding and practice and the rest of the program is according to the chosen branch of the student.

The post-registration phase requires nurses to enhance their knowledge and skills through a 35-hour education at the end of the third year. Nurses can also enroll in trainings such as cannulations, venipunctures, Intravenous Drug Therapies, Male Catheterizations and Advanced Life Support among others. Nurses who possess a diploma study part-time in order to upgrade their qualifications into a degree. In England, it is more profitable to study in a specialist field because diploma student get complete compensation during the initial phase of their training. Nurses often need training above the bachelor’s degree level in order to become specialist nurses such as Masters Degrees or PhDs.

There are four major categories of nurses in the UK: the First Level Nurses, The Second Level Nurses, the Specialist Nurses, and the Managers.

The First Level Nurses are the major group of nurses in the UK. Beforehand, they were known as Registered General Nurses, Registered Sick Children’s Nurses, Registered Mental Nurses and/or Registered Nurse Learning Disabilities.

Second Level Nurses, although not anymore supplied are still officially permitted to practice as a nurse in the United Kingdom. Second Level Nurses at this time are either retired or have taken advanced courses to pursue a profession as a first level nurse.

The third category is the Specialist Nurses. There is a huge variety of specialist nurses being employed right now. They have undergone extra education and training as well as many years of experience. Specialist Nurses are divided into several major groups:

Nurse Practitioners: these practitioners are responsible for carrying out care at a higher practice rank.

Specialist Community Public Health Nurses: this group includes the district nurses, health visitors, school nurses and occupational health nurses.

Clinical Nurse Specialists: these nurses are the teachers of the staff nurses who are under their department, they are leaders who provide clinical and relevant information as well as advanced nursing skills.

Nurse consultants: this division is more or less similar to that of a clinical nurse specialist but slightly more advanced. They are in charged with educating and training of their department’s staff with the addition of active study and publication activities.

Lecturer-practitioners – they work twice or thrice in a week at both the NHS and universities. Their job in the university is to teach and prepare pre-registration nurses, and oftentimes train special courses for post-registrations nurses and post-degree critical nursing.

Lecturers: they work in the universities on a full-time basis, doing research and at the same time teaching.

The fourth major category is the Managers. These practitioners have chosen to join the NHS management in the advent of filling positions in the senior management structure.