Roswyn Hakesley-Brown, president of the RCN told the congress that nurses felt" undervalued and underpaid".
Nurses had been urged to report problems to the RCN and seek support, she added.
"We're going to pleasantly surprise some people, " insists Robert Currey , RCN's vice chairman.
The RCN has highlighted giving nurses more power as a way of solving emergency care problems.
But delegates at the RCN conference in Harrogate voted two to one against the resolution.
RCN's salesmen conquer mainly as an opportunity to borrow more money to lay more of the stuff.
Closing hospital wards in Guernsey is "shocking and short-sighted", according to the Royal College of Nursing (RCN).
The NHS has disputed the survey saying the figures were wrong and the RCN had misinterpreted the data.
Of all the upstarts RCN, one of the Seattle dropouts, seemed to have the best shot at success.
But he rejected the RCN's warning that a regional approach to pay, terms and conditions would harm patient care.
He told the RCN nurses roles needed to be extended, including some of those now carried out by doctors.
Today RCN is limping along, albeit no less cocky, in the handful of cities in which the company remains.
The RCN said cuts would be damaging for the home care of patients.
Patricia Marquis, director of the RCN South East region, described it as "a direct attack on front-line clinical services".
The RCN has also suggested timescales within which these changes should be implemented.
The RCN says other potential areas of savings should be looked at including procurement, drug waste and expensive PFI contracts.
Dr Carter, the RCN's general secretary, said the college was not suggesting families be compelled to carry out any tasks.
Teresa Budrey, of the Sussex RCN, said staff were "desperately trying to deliver good care in difficult and challenging circumstances".
However Beverley Malone, general secretary of the RCN, said she was pleased that Mr Milburn had clearly listened to nurses.
Fiona Salter, an RCN representative at Cardiff and Vale NHS Trust, told BBC Radio Wales the situation had reached crisis point.
The RCN in Jersey has revealed the results of a ballot, which had a 44% turnout, did not have a clear mandate.
BBC: Meeting called after 'close' vote on Jersey nurses' pay
However the health minister, Dr Dan Poulter, said the RCN's use of the word "crisis" was scaremongering and did not reflect reality.
But the Royal College of Nursing (RCN) said it was "extremely concerned".
The Royal College of Nursing (RCN) said the report was "extremely worrying".
Steve Fouch from Christian Nurses and Midwives (CNM) criticised the RCN's decision.
Other U.S. deployments, such as RCN, which is now deploying non-DVR TiVo boxes, as well as Suddenlink and Grande, continue to progress well.
ENGADGET: TiVo releases Q4 results, announces transcoder and IP set-top box on the way
The RCN has long been campaigning about what it sees as a cull of jobs in the NHS as trusts tighten their belts.
The Royal College of Nursing (RCN) union said vouchers were becoming an "increasingly common" cheaper alternative to hiring agency staff from outside the hospital.
BBC: Ipswich Hospital nurses offered ?50 vouchers for weekends
The Royal College of Nursing (RCN) said in a statement that it was too early to tell what the restructure may mean for jobs.
Di Francis, RCN officer for Jersey, said they were urging members to go to a branch meeting on 18 April to come to a decision.
BBC: Meeting called after 'close' vote on Jersey nurses' pay
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