An exploratory study in a community National Health Service Trust to understand why enrolled nurses choose not to convert to first-level registration.

AIM

The aim of this research study was to more fully understand at local level what it was that prevented enrolled nurses (ENs) coming forward for conversion to the first level of the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) nursing register.

BACKGROUND

An NHS Trust had first-level nursing shortages and looked to the 69 ENs nurses -- 12% of the nursing workforce -- to meet that shortfall via conversion to first-level UKCC nurse registration. Based on local surveys, their intention to convert was the same as national findings, in that high numbers said they wanted to convert. In addition, this NHS Trust provided support and fully funded conversion courses, yet they did not come forward.

METHODS

A qualitative approach based on focus groups with ENs was adopted to research this 'problem' within the local organizational context.

FINDINGS

ENs were unaware that fully funded course places were available, extremely fearful of the academic expectations of the conversion course and highly committed to family needs. Conclusions Nationally, policymakers advocated the retention of and/or the conversion of ENs, on the grounds that research participants did not perceive or believe that managers were supportive of this proposal.

KEY RECOMMENDATIONS

Create managers who looked beyond the immediate 'problem' of nursing shortages and invested in ENs to retain them in the NHS workforce. Establish local policy and an implementation plan to address the needs of ENs in line with clinical governance and the local nurse retention strategy. Empower ENs who would secure solutions to the issues for themselves.