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The dangers of diminishing the EN role.

I read with great interest Claire Vekony's Letter published in the Only Kai Tiaki Nursing New Zealand re the altered intravenous policy for enrolled nurses (ENs) at Hurt Hospital (p4-5). There has been a deliberate policy to undermine the role of the EN at Hurt Hospital for some time. It appears to be gathering momentum and ferocity, with scant regard for the ability of ENs to deliver the safe nursing care and judgment that years of experience, as well as training, have taught them.

As a registered nurse (RN), I fully appreciate the value of an experienced EN. It is worrying indeed that, by drawing an arbitrary line in the sand, which is determined by individual district health boards in a hotchpotch manner, the EN role is being artificially diminished. Those RNs of a certain age will surely remember Alvin Toffler's book Future Shock that was required reading during our training. I believe the way change is managed is as important as the change itself. Let's not introduce changes that risk alienating our nursing colleagues and destroying their considerable skills, especially in these days of nursing shortages.

Watch and beware, fellow hospital-trained RNs, because to allow this to happen to ENs is to invite the same treatment to ourselves in the near future.

Hilary Hobmon, RN, RM, Lower Hutt
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Title Annotation:Letters
Author:Hobman, Hilary
Publication:Kai Tiaki: Nursing New Zealand
Article Type:Letter to the Editor
Date:Sep 1, 2004
Words:219
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