Is the nursing associate role an innovation or a step backwards?

Kendall-Raynor, Petra

doi:10.7748/ns.30.20.12.s14

Cited by 3 publications

(4 citation statements)

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“…Furthermore, pathways for career progression were unclear for TNAs. It has been suggested that TNAs could transition to become RNs via an 18-month nursing degree, or two and a half year nursing apprenticeship [19]. However, TNAs in this study were unsure of where and how to apply for such training.…”

Section: Discussionmentioning

confidence: 73%

“…Several other high income countries such as the USA, Australia and New Zealand deploy second level nurses with varying titles such as enrolled nurses, licenced vocational nurses, or licenced practical nurses [18]. In the UK, the new NA role has been compared to both state enrolled nurses (SENs) and assistant practitioners (APs) [19,20]. The SEN role was phased out in the 1990s after the restructuring of nurse education following criticism of its lack of career progression and the limitations imposed by employers in narrow interpretations of role competencies [19,20].…”

Section: Introductionmentioning

confidence: 99%

“…In the UK, the new NA role has been compared to both state enrolled nurses (SENs) and assistant practitioners (APs) [19,20]. The SEN role was phased out in the 1990s after the restructuring of nurse education following criticism of its lack of career progression and the limitations imposed by employers in narrow interpretations of role competencies [19,20]. More recently the assistant practitioner (AP) role was introduced [6], however it has experienced wide variation in titles, scope of practice and pay due to a lack of national regulation [21,22].…”

Section: Introductionmentioning

confidence: 99%

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Motivations, experiences and aspirations of trainee nursing associates in England: a qualitative study

King

Ryan

Wood

et al. 2020

BMC Health Serv Res

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Background: The nursing associate role was developed in England in response to the 'Shape of Caring' review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistants, and to provide an alternative route into registered nursing in light of workforce shortages. Other high income countries deploy second level nurses within their healthcare systems, however the UK has a turbulent history with such roles. The previous state enrolled nurse was phased out in the 1990s, and more recently the assistant practitioner (AP) role has faced wide variation in titles, scope and pay. Little is known about those who have embarked on the new nursing associate training course and their experiences of the role. Methods: An exploratory qualitative study was undertaken using focus groups of trainee nursing associates to generate in-depth discussion about their motivations, experiences of training, and career aspirations. Three focus groups (n = 15) took place in December 2018 using a purposive sample of trainee nursing associates registered at a University in the North of England. Two researchers facilitated each group discussion at a time and place convenient for participants. The discussions were audio recorded, transcribed and data was analysed thematically. Results: This study found that trainee nursing associates are motivated by affordable, local, career development. During training they face challenges relating to clinical support, academic workload and uncertainty about future career opportunities. They experience role ambiguity both individually and across the wider organisation. Trainee nursing associates rely on broad support networks to build their occupational identity. Conclusions: The barriers and facilitators of trainee nursing associate personal development have implications for policy and practice relating to recruitment and retention. The results increase our understanding of this emerging role, and have informed the development of a larger longitudinal cohort study. Further research is required to evaluate the impact of this new role.

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Section: Discussionmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Motivations, experiences and aspirations of trainee nursing associates in England: a qualitative study

King

Ryan

Wood

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In the UK, the new NA role has been compared to both state enrolled nurses (SENs) and assistant practitioners (APs) (19,20). The SEN role was phased out in the 1990s after the restructuring of nurse education following criticism of its lack of career progression and the limitations imposed by employers in narrow interpretations of role competencies (19,20). More recently the assistant practitioner (AP) role was introduced (6), however it has experienced wide variation in titles, scope of practice and pay due to a lack of national regulation (21,22).…”

Section: Introductionmentioning

confidence: 99%

Motivations, experiences and aspirations of Trainee Nursing Associates in England. A qualitative study

King

Wood

Robertson

et al. 2020

Preprint

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Background The nursing associate role was developed in England in response to the ‘Shape of Caring’ review. It has been implemented to fulfil two aims; to bridge the gap between registered nurses and healthcare assistants, and to provide an alternative route into registered nursing in light of workforce shortages. Other high income countries deploy second level nurses within their healthcare systems, however the UK has a turbulent history with such roles. The previous state enrolled nurse was phased out in the 1990s, and more recently the assistant practitioner (AP) role has faced wide variation in titles, scope and pay. Little is known about those who have embarked on the new nursing associate training course and their experiences of the role. Methods An exploratory qualitative study was undertaken using focus groups of trainee nursing associates to generate in-depth discussion about their motivations, experiences of training, and career aspirations.Three focus groups (n=15) took place in December 2018 using a purposive sample of trainee nursing associates registered at a University in the North of England. Two researchers facilitated each group discussion at a time and place convenient for participants. The discussions were audio recorded, transcribed and data was analysed thematically.Results This study found that trainee nursing associates are motivated by affordable, local, career development. During training they face challenges relating to clinical support, academic workload and uncertainty about future career opportunities. They experience role ambiguity both individually and across the wider organisation. Trainee nursing associates rely on broad support networks to build their occupational identity.Conclusions The barriers and facilitators of trainee nursing associate personal development have implications for policy and practice relating to recruitment and retention. The findings increase our understanding of this emerging role, and have informed the development of a larger longitudinal cohort study. Further research is required to evaluate the impact of this new role.

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Staff experiences of the nursing associate role in a community setting

et al. 2023

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Is the nursing associate role an innovation or a step backwards?

Abstract: A new support role is designed to open up the profession, but some say it will undermine nurses and assistant practitioners. Petra Kendall-Raynor reports.

Cited by 3 publications

References 0 publications

Motivations, experiences and aspirations of trainee nursing associates in England: a qualitative study

Motivations, experiences and aspirations of trainee nursing associates in England: a qualitative study

Motivations, experiences and aspirations of Trainee Nursing Associates in England. A qualitative study

Staff experiences of the nursing associate role in a community setting

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