The scope of enrolled nurse practice: A review of the literature
Sally Milson-Hawke
Acting Deputy Service Manager, John Hunter Hospital, Hunter New England Health, NSW
Isabel Higgins
OPAC, Research and Practice Development; Older Person Nursing, School of Nursing and Midwifery, University of Newcastle; Center for Practice Opportunity and Development, John Hunter Hospital, Hunter New England Health, Newcastle NSW
PP: 129 - 137
Abstract
In this paper the scope of nursing practice of enrolled nurses (EN) is discussed within the context of the current demands of the health care environment and the impact of a changing grade mix for qualified nurses.
Discussion is provided about EN practice, roles, functions, and competencies. The need for consistency in legislative and national guidelines, educational preparation, and the implementation of a decision-making framework is argued.
Keywords
scope of nursing practice; enrolled nurses; competencies
References
Anderson, B. (1991): Mapping the terrain of the discipline. In J. Gray, & R. Pratt (Eds.), Towards a discipline of nursing, pp. 95-123. Churchill Livingstone, Melbourne.
Australian Nursing Council. (2002): National competency standards for the enrolled nurse. [On line]. Available: http://www.anci.org.au/competencystandards.htm#/introduction
Australian Nursing Council Incorporated. (1990): National competency standards for the enrolled nurse. [On line]. Available: http://www.anci.org.au/nursing.htm
Australian Nursing Council Incorporated. (1998): National competency standards for the registered nurse (2nd ed.). [On line]. Available: http://www.anci.org.au/nursing.htm
Australian Nursing Federation. (1997): Competency standards for the advanced nurse. Melbourne. Australian Nursing Federation Publications Unit.
Blegen, M.A., Goode, C.J., & Reed, L. (1998): Nurse staffing and patient outcomes. Nursing Research, 47(1): 43-53.
Brand, S. (1993): Enrolled nurses surveys I and II. The Lamp, 50(60): 32-33.
Brand, S. (1994): Ens - The practical nurse #1 - Letter to the editor. The Lamp, 51(1).
Chaboyer, W., Forrester, K., & Harris, D. (1999):The expanded role of acute care nurses: The issue of liability. Australian health review, 22(3): 110-117.
Clinton, M., & Nelson, S. (1995): An overview of the Australian health care system. In M. Clinton & D. Scheiwe (Eds.), Management in the Australian health care industry (pp.1-52). Harper, Sydney.
Confederation of Australian Critical Care Nurses Incorporated. (1996): Competency standards for specialist critical care nurses. Confederation of Australian Critical Care Nurses Incorporated, Sydney.
Duckett, S.J. (2000): The Australian Health Care System. Oxford University Press, Melbourne, Victoria.
Ersek, M., Kraybill, B. M., & Hansberry, J. (1999): Investigating the educational needs of licensed nursing staff and certified nursing assistants in nursing homes regarding end-of-life care. American Journal of Hospice & Palliative Care, 16(4): 573-582.
Field, S., & Owen, C. (1995): Nurse management and the learning environment. In M. Clinton & D. Scheiwe (Eds.), Management in the Australian health care industry. pp. 53-76. Harper, Sydney.
Fox-Young, S. (1992):The future of the second-level nurse: Extension, elimination or evolution. In G. Gray & R. Pratt (Eds.), Issues in nursing 3, pp. 339-356. Churchill Livingstone, Melbourne.
Francis, B., & Humphreys, J. (1998): Regulating non-nursing healthcare workers. Nursing Standard, 12(47): 35-37.
Gibbs, I., McCaughan, D., & Griffiths, M. (1991): Skill mix in nursing: A selective review of the literature. Journal of Advanced Nursing, 16(2): 242-249.
Gibson, T. & Heartfield, M. (2003): Contemporary enrolled nursing practice: Opportunities and issues. Collegian, 10(1): 22-26.
Horgas, A. L., & Dunn, K. D. (2001): Pain in nursing home residents: Comparison of residents' self report and nursing assistants' perceptions. Journal of Gerontological Nursing, 27(3): 44-53.
Horsley, J. (1996): Enrolled nurse advocates: the not so quiet achievers. The Lamp, 53(2): 32-34.
Janes, B. (1995): Factors affecting work practices of nurses. In M. Clinton & D. Scheiwe (Eds.), Management in the Australian health care industry, pp.335-362. Harper, Sydney.
Kovner, C., Mezey, M., & Harrington, C. (2000): Research priorities for staffing, case mix, and quality of care in U.S. Nursing homes. Journal of Nursing Scholarship, 32(1): 77-80.
Marshall, M. (1994): The role of the EN [Letter to the editor]. The Lamp, 51(6): 4.
McDonald, H. (1999): ENs are not unqualified [Letter to the editor]. Australian Nurses Journal, 6(6): 3.
McKenna, H.P. (1995): Nursing skill mix substitutions and quality of care: An exploration of assumptions from the research literature. Journal of Advanced Nursing, 21(3): 452-459.
McKenna, L., Sadler, R., Long, M., Burke, G. (2001): National Review of Nursing Education: Enrolled Nurse Education. Final Report to the National Review of Nurses Education. [On line]. Available: http://www.dest.gov.au/highered/eippubs/eip01_17/default.htm
McMillan, M., Conway, J., Little, P., & Bujack, L. (2002):The Scope of Nursing Practice: Implications for contemporary nursing education and practice. In National Review of Nursing Education 2002: Nursing Regulation and Practice, pp. 117-209. Commonwealth of Australia. McMillan Printing Group, Canberra.
National Review of Nursing Education (2002): Nursing Regulation and Practice. Commonwealth of Australia. McMillan Printing Group, Canberra.
National Review of Nursing Education (2001): National Review of Nursing Education - Discussion Paper. ACT: McMillan. McMillan Printing Group, Canberra.
Nay, R., & Closs, B. (1999): Staffing and Quality in non-acute facilities. In R. Nay & S. Garratt (Eds.), Nursing older people: Issues and Innovations, pp. 172-190: McClennan & Petty, Sydney
New South Wales Health Department. (1991): Enrolled nurse review. (State Health publication no (NB) 91-24).
New South Wales Health Department. (1995a): Issues relating to specialty nursing vacancies: Results of additional focus groups. (State Health publication no (NB) 950117).
New South Wales Health Department. (1995b): Statewide nursing skills audit and training needs analysis: Executive summary. (State Health publication no (NB) 950130).
New South Wales Health Department. (1998): Strategic directions 1998-2003 [On line]. Available: http://www.health.nsw.gov.au/public-health-affairs/sdir
New South Wales Health Department. (1999): Public hospital nurses' (state) award enrolled nurse - Special grade classification including rates of pay. (Circular No 99/94 File no98/ 1019-3).
New South Wales Nurses Act 1991. (2001): New South Wales Nurses Act 1991 no.9. Sydney: New South Wales Government Information Service.
Nolan, A., & Hazelton, L.(1995): The practicing nurse. Sydney: Saunders.
Ormerod, M. (1999a): Enrolled nurses unite. Nurse Review, August , p. 3.
Ormerod, M. (1999b): ENs and RNs must work together [Letter to the Editor]. Australian Nurses Journal, 6(6): 3.
Prescott, P.A. (1993): Nursing: an important component of hospital survival under a reformed health care system. Nursing Economics, 11(4): 192-199.
Queensland Nursing Council. (1996). Report of the scope of nursing practice. Queensland Nursing Council Incorporated, Queensland.
Queensland Nursing Council. (1998). Scope of nursing practice: Decision Making Framework. Queensland Nursing Council Incorporated, Queensland.
Renal Society of Australasia. (1999): Competency standards for the Australian advanced practice nephrology nurse. Renal Society of Australasia, Sydney.
Tobin, P. (1996): Enrolled nurses: Essential through performance or endangered by apathy? The Lamp, 53(11): 7.
Townsend. J. (1994): Pro-active practice: A sustainable resource for nursing In M McMillan & J. Townsend. (Eds.), Reflections on contemporary nursing practice, pp. 270-282. Butterworth-Heinmann, Sydney.
Turley, D. (1993): The practical nurses' role in the 90's. The Lamp, 50(9): 14-15.
Vagg, A. (1994):The practical nurse #3: Letter to the editor. The Lamp, 51(1): 4.
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