Advanced skills for enrolled nurses: a developing classification

Objective: This paper is a report of a literature review designed to identify strategies central to the implementation of the industrial classification of enrolled nurses (second level nurse) with advanced skills within Australia. Setting: Australian healthcare and aged care organisations that employ enrolled nurses. Primary Argument: Designing a clearly defined enrolled nurse with advanced skills role within an industrial classification, requires incorporation of advanced competencies, scope of practice articulation and specifically targeted organisational policies and procedures. These three areas are fundamental to successful role implementation. Conclusion: There is limited discussion in the literature on strategies to ensure effective implementation of the enrolled nurse with advanced skills role. In addition, minimal research has been reported on the effectiveness of these roles in enhancing patient care and increasing workforce flexibility and efficiency. Further research and evaluation of the enrolled nurse with advanced skills is urgently required.