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DOCUMENT RESUME CE 075 263 ED 413 526 Seccombe, I.; Smith, G.; Buchan, J.; Ball, J. AUTHOR Enrolled Nurses: A Study for the UKCC. TITLE Sussex Univ., Brighton (England). Inst. for Employment INSTITUTION Studies. REPORT NO IES-R-344 ISBN-1-85184-272-1 ISBN 1997-00-00 PUB DATE NOTE 106p. Grantham Book Services, Isaac Newton Way, Alma Park AVAILABLE FROM Industrial Estate, Grantham NG31 9SD, England, United Kingdom. Tests/Questionnaires (160) Research (143) Reports PUB TYPE MF01/PC05 Plus Postage. EDRS PRICE Career Development; Certification; *Education Work DESCRIPTORS Relationship; *Educational Needs; *Employee Attitudes; *Employer Attitudes; Employment Patterns; Foreign Countries; Job Satisfaction; Labor Needs; *Labor Supply; Labor Turnover; National Surveys; *Nurses; Professional Development; Public Policy; Questionnaires; Tables (Data); Trend Analysis Employer Surveys; *United Kingdom IDENTIFIERS ABSTRACT Selected issues of concern to second-level enrolled (registered) nurses in the United Kingdom were examined through national (1) a random sample of 21,762 of the 115,459 nurses surveys of two groups: holding second-level registration in the United Kingdom, and (2) 700 employers who, included nurse executive directors in all National Health Service (NHS) trusts plus a sample of non-NHS employers. The number of individuals with second-level registration was discovered to have declined by almost one-fourth between March 1993 and March 1996. That decline was attributed to the following: cessation of training for entry to second-level registration; conversions to first-level registration; and retirement and nonrenewal of registration. It was concluded that a significant and continuing supply of second-level registrants would likely exist for the foreseeable future. Although most employers anticipated continued growth in employment of first-level registered nurses and health care assistants, they foresaw a continuing decline in their employment of enrolled nurses. Many enrolled nurses were pessimistic about their future prospects in nursing. (The report contains 55 references and 73 tables/figures. Appended are the following: list of organizations contacted; information about the registered practitioner and employer surveys; and the registrants' and employers' questionnaires.) (MN) ******************************************************************************** that can be made Reproductions supplied by EDRS are the be from the original document. ******************************************************************************** Institute the for Einployment Studies ENROLLED NURSES a Study for the UKCC PERMISSION TO REPRODUCE AND U.S. DEPARTMENT OF EDUCATION Mica of Educational Researcn ana improvement DISSEMINATE THIS MATERIAL EDUCATIONAL RESOURCES INFORMATION HAS BEEN GRANTED BY CENTER (ERIC) IQ This document has been reproduced as received from' the person or organization originating it. Minor changes have been made to improve reproduction quality. Points of view or opinions stated in this TO THE EDUCATIONAL RESOURCES document do not necessarily represent INFORMATION CENTER (ERIC) official OERI position or policy. IES Report 344 O ENROLLED NURSES: a study for the UKCC 3 Other titles from IES: Recruiting, Retaining and Motivating Nursing Staff: the Use of Clinical Ladders Buchan J, Thompson M IES Report 339, 1997. ISBN 1-85184-267-5 Taking Part: Registered Nurses and the Labour Market in 1997 Seccombe I, Smith G IES Report 338, 1997. ISBN 1-85184-266-7 Caring Costs Revisited Buchan J, Seccombe I, Ball J IES Report 321, 1996. ISBN 1-85184-248-9 In the Balance: Registered Nurse Supply and Demand, 1996 Seccombe I, Smith G IES Report 315, 1996. ISBN 1-85184-241-1 In the Balance: Registered Nurse Supply and Demand, 1996. A Summary Seccombe I, Smith G IES Report -315, 1996. ISBN 1-85184-243-8 Recruiting, Rewarding and Retaining Qualified Nurses in 1995 Seccombe I, Patch A IES Report 295, 1995. ISBN 1-85184-222-5 Nursing: the Next Generation Seccombe I, Jackson C, Patch A IES Report 274, 1995. ISBN 1-85184-199-7 Absent Nurses: The Costs and Consequences Seccombe I, Buchan J IES Report 250, 1993. ISBN 1-85184-173-3 A catalogue of these and over 100 other titles is available from IES. the INSTITUTE for EMPLOYMENT STUDIES Enrolled Nurses: a study for the UKCC I Seccombe G Smith )Buchan J Ball .1 IIP Report 344 5 Published by: THE INSTITUTE FOR EMPLOYMENT STUDIES Mantell Building University of Sussex Brighton BN1 9RF UK Tel. + 44 (0) 1273 686751 Fax + 44 (0) 1273 690430 Copyright © 1997 The Institute for Employment Studies No part of this publication may be reproduced or used in any form by any means graphic, electronic or mechanical including photocopying, recording, taping or information storage or retrieval systems without prior permission in writing from the Institute for Employment Studies. British Library Cataloguing-in-Publication Data A catalogue record for this publication is available from the British Library ISBN 1-85184-272-1 Printed in Great Britain by Microgen UK Ltd The Institute for Employment Studies The Institute for Employment Studies an independent, is international centre of research and consultancy in human works closely with employers in the resource It issues. government and public sectors, manufacturing, service departments, agencies, professional and employee bodies, and foundations. Since it was established over 27 years ago the Institute has been a focus of knowledge and practical experience in employment and training policy, the operation of labour markets and human resource planning and development. IES is a not-for-profit organisation which has a multidisciplinary staff of over 50. IES expertise is available to all organisations through research, consultancy, training and publications. IES aims to help bring about sustainable improvements in employment policy and human resource management. IES achieves this by increasing the understanding and improving the practice of key decision makers in policy bodies and employing organisations. 7 v Acknowledgements We would like to thank all those individuals who took part in this study, either by participating in the group discussions or by completing a questionnaire. We are indebted to all the staff in NHS trusts and private sector providers, district and regional health authorities, professional bodies, national boards and government departments, who assisted with data collection and took part in interviews. We are grateful to Paul Hutchinson (UKCC) and Mark Sewards (EDS) for arranging the sampling from the Register. We should like to thank Carol Barber the project secretary at IES, Monica Haynes (MHH Surveys) for survey administration and Fiona O'May (Queen Margaret College, Edinburgh), Paul Heron, Adrian Patch and Sue Hayday (at IES) for help with data preparation. Finally, we should like to thank Mark Dar ley and Pam Walter at the UKCC for overseeing the project, and the other members of the project management group, Professor George Casteldine, UKCC Council, Mr Stuart Niven, UKCC Council, Mrs Linda Coey (EN), UKCC Council, Ms Jackie Furlong (EN(G), RGN), UKCC Council, for their advice. s vi Contents Summary ix 1. Introduction 1 1.1 Background 1 1.2 Aims and method 10 1.3 Report outline 11 2. Characteristics of Second Level Registrants 12 2.1 Introduction 12 2.2 Results 12 2.2.1 Country of residence 12 2.2.2 Age profile, gender mix and ethnicity 13 2.2.3 Caring responsibilities 14 2.2.4 Registration and education 14 2.2.5 Current employment 15 2.3 Summary 17 3. The Enrolled Nurse Workforce 18 3.1 Introduction 18 3.2 Results 21 3.2.1 Employment trends 21 3.2.2 Nursing staff mix 23 3.2.3 Employment sectors 24 3.2.4 Main workplace 25 Specialty 3.2.5 26 3.2.6 Employment contracts 27 3.2.7 Working hours 28 Shift patterns 3.2.8 29 Clinical grading 3.2.9 29 3.2.10 Job mobility 31 3.3 Summary 34 4. The Deployment and Role of Enrolled Nurses 35 4.1 Introduction 35 4.2 Results 36 4.2.1 Employers' views of Rule 18(2) 36 4.2.2 Role restrictions 38 4.2.3 Recruiting enrolled nurses 43 4.2.4 Job security 45 4.3 Summary 47 vii 9 5. Conversion, Professional Development and Careers 48 5.1 Introduction 48 5.2 Results 50 5.2.1 Conversion to first level registration 50 5.2.2 Respondents currently converting 53 5.2.3 Respondents trying to get on a conversion course 55 5.2.4 Respondents planning to convert one day 57 5.2.5 Respondents not planning to convert 58 5.2.6 Employers' views on enrolled nurse conversion 59 5.2.7 Continuing education and professional development 62 5.2.8 Career satisfaction and progression 64 5.3 Summary 66 6. Conclusion 68 References 71 Appendix 1: Organisations Contacted 75 Appendix 2: The Registered Practitioner Survey 77 Appendix 3: The Employer Survey 80 Appendix 4: Registrants' Questionnaire 81 Appendix 5: Employers' Questionnaire 89 viii