I felt the closure of the State Enrolled Nurse role was a great loss for patients and staff alike. Training in District Nursing for the State Enrolled Nurse' has been pub-lished. It was a bit like an apprentiship, you had a few weeks in "school" followed by 2/3 months on the wards. This content is for health professionals only, To read the full article with images and more information, open the attached PDF below. Our training equipped us to have inquiring minds and to learn something about the patients in our care even during the execution of the most menial tasks. Caring Hands & Kind Hearts Versus Clinical Practitioners? Instead, there's a widely shared sense that this was how today's compassion deficit began. These student nurses, only in their third of training were already well acquainted with much of the theory. The student nurses from Project 2000 who attended my clinics were attentive and enthusiastic. Diploma program: Diploma programs are the traditional way that many in the past joined the nursing profession. In Fiscal Year 2000, Medicare and Medicaid paid more than $45 billion to nursing homes. Some critics see NAs as a threat to nursing's graduate-entry status, implemented five years ago, and a reinvention of the state-enrolled nurse (SEN), training for which was phased out. We would work a 12-week stint on each ward and then, at the end, wed consolidate what we had learned In Block (as it was called). But if you're the patient, as Alan Baddeley, Professor of Psychology at York, pointed out to me, it can feel as if a management consultant has "tried to make a list of all the components needed for care" and "assigned them to the minimal level of competence that might be able to achieve that task". Lynn Coleman, Hi, I too trained as an SRN in the 1970's. It is up to the regulator, legislation, staff side and management to address these problems and come with solutions not to just dismiss it because it might be messy. Will COVID-19 Be the Straw That Breaks the Back of Practice Restrictions and Collaborative Requirements for NPs and Other APRNs? It is these same individuals who inspired me as a young nurse, and instilled in me the values that I continued to hold throughout my nursing career. Nurses, said its champions, needed to have a full intellectual grasp of the increasingly complex treatments they were involved in delivering. Ask questions, comment and like this article below! Very enlightening to those trained in more recent years,where often required paperwork has replaced time talking with/observing patients. Often we were referred to in abusive terms such as the green belt (green by belt and green in brain), or worse the ESN not the SEN (ESN = educationally sub normal).