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    The expanded role of enrolled nurses (ENs) in healthcare is debated, with some health boards adopting them while others resist. Workforce planning may be key to addressing EN integration challenges.

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    Area of Science:

    • Nursing Workforce Development
    • Healthcare Policy
    • Health Services Management

    Background:

    • District health boards are exploring the integration of enrolled nurses (ENs) into their healthcare teams.
    • There is variability in the adoption and acceptance of ENs across different health boards.
    • Concerns exist regarding the optimal utilization and potential resistance to ENs within the existing skill mix.

    Purpose of the Study:

    • To investigate whether the enrolled nurse (EN) workforce is at a critical juncture regarding its integration into healthcare settings.
    • To examine the role of strategic workforce planning in the successful adoption and utilization of ENs.
    • To understand the factors contributing to resistance or acceptance of ENs in district health boards.

    Main Methods:

    • Qualitative analysis of district health board policies and practices regarding ENs.
    • Review of existing literature on nursing workforce composition and skill mix.
    • Case study approach examining specific health board initiatives and challenges.

    Main Results:

    • Evidence suggests a divergence in how district health boards are incorporating ENs.
    • Resistance to integrating ENs is present in some sectors, potentially linked to traditional role perceptions.
    • The study highlights a potential gap in proactive workforce planning for EN roles.

    Conclusions:

    • The enrolled nurse (EN) workforce may be approaching a tipping point in its integration into healthcare systems.
    • Effective workforce planning is crucial to overcome barriers and optimize the role of ENs.
    • Addressing resistance and promoting consistent adoption strategies are necessary for maximizing the EN workforce's contribution.