The journey from enrolled nurse to registered nurse: a mixed-methods study.
Objective: To explore the experiences of nursing students undertaking a vocational entry pathway of a Bachelor of Nursing course. Background: In Australia, there are three levels of nurses: Nurse Practitioners (NP), Registered Nurses (RN), and Enrolled Nurses (EN). ENs typically undertake vocational...
| Publicado en: | Australian Journal of Advanced Nursing Vol. 43; no. 1; pp. 27 - 38 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Australian Nursing & Midwifery Federation
Dec2025-Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194029170&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194029170 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08130531 GVT jtl: Australian Journal of Advanced Nursing issn: 08130531 maglogo: N pubinfo: dt: Dec2025-Feb2026 vid: 43 iid: 1 pid: 1812 pub: Australian Nursing & Midwifery Federation place: Melbourne, <Blank> artinfo: ui: 194029170 194029170 194029170 194029170 ppf: 27 ppct: 11 formats: fmt: @attributes: type: P tig: atl: The journey from enrolled nurse to registered nurse: a mixed-methods study. aug: au: KELLERMAN, TARYN ASHWORTH, PHILIPPA JOYCE-MCCOACH, JOANNE SAFARI, KOLSOOM MCKENNA, LISA affil: Higher Education College, Chisholm Institute, Melbourne, VIC, Australia sug: subj: Practical Nurses Registered Nurses Students, Nursing Psychosocial Factors Student Experiences Evaluation Education, Nursing, Baccalaureate Vocational Education Career Planning and Development Human Male Female Adolescence Adult Middle Age Australia Multimethod Studies Cross Sectional Studies Surveys Questionnaires Focus Groups Videorecording Purposive Sample Content Analysis Data Analysis Software Descriptive Statistics Thematic Analysis Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objective: To explore the experiences of nursing students undertaking a vocational entry pathway of a Bachelor of Nursing course. Background: In Australia, there are three levels of nurses: Nurse Practitioners (NP), Registered Nurses (RN), and Enrolled Nurses (EN). ENs typically undertake vocational diplomas, while RNs complete bachelor's degrees, and Nurse Practitioners undertake postgraduate master's degrees. Many ENs seek career advancement to become RNs through degree pathways, a transition that offers expanded knowledge, skills, and scope of practice. This study examined the difficulties and experiences of ENs undertaking bachelor's degrees to become RNs, particularly under challenges posed by the shift to online education during the COVID-19 pandemic. study Design and Methods: A concurrent mixed-methods approach was employed. Qualitative focus group interviews, individual interviews, and cross-sectional surveys were conducted among transitioning ENs at an Australian university in 2022 and 2023. The qualitative component comprised of three focus groups with a total of 18 participants and five semi-structured individual interviews. The quantitative survey was disseminated to the same student population. Descriptive frequencies were used to analyse demographic and rating survey questions, summative content analysis for open-ended survey questions, and thematic analysis for individual interviews and focus groups. Results: Of the 77 students surveyed, 70 responded (90.91% response rate), with most participants being female and Australian-born. Survey data showed academic writing and referencing as the top academic challenge (mean score = 2.21), while managing work and study was the leading personal challenge (mean score = 1.81). Content analysis of open-ended responses revealed key concerns such as pace of learning, work-life balance, and short-notice placements. Thematic analysis of interviews and focus groups identified five overarching themes: academic challenges with course structure and online learning, balancing diverse commitments, adapting to university expectations, course management and support systems, and the transformative impacts of COVID-19. conclusion: The transition from enrolled to registered nurse is marked by numerous obstacles, further exacerbated by the pandemic. Educational institutions and healthcare stakeholders need to recognise these challenges and provide individualised support. The study underscores the importance of holistic support mechanisms in assisting ENs in their professional development and ensuring the healthcare industry benefits from competent RNs. implications for Research, Policy, and Practice: Research should focus on effective educational models for transition programs, considering online and traditional environments. Policies need to support flexible learning, resource allocation, and clinical placement management. In practice, institutions should implement support systems and individualised learning approaches, and healthcare settings should develop holistic development programs for transitioning nurses. What is already known about the topic? * Enrolled Nurses frequently advance their careers by transitioning to Registered Nurses via degree pathways. * Transitioning from Enrolled to Registered Nurse involves gaining broader skills and knowledge. What this paper adds: * Offers detailed accounts of Enrolled Nurses' transitions during COVID-19, focusing on academic, personal, and professional hurdles. * Enrolled Nurses transitioning to the Registered Nurse qualification were uniquely affected by COVID-19, particularly within the online learning environment. * Sheds light on educators' roles in easing this transition and the importance of administrative support in nursing education. * Stresses the need for personalised support for transitioning nurses, mindful of socioeconomic and family challenges. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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