Updated EN and RN scopes of practice and new standards of competence

The Nursing Council has released its updated enrolled and registered nurse scopes of practice and new standards of competence, which come into effect on 1 April 2025. These standards, which were developed in consultation with the sector, will underpin and guide the way in which nurses practise for years to come. The changes reflect the increasing and more complex healthcare needs across the motu. They promote safe, competent and professional practice which is at the heart of the Council’s regulatory role to deliver safe health care for the people of Aotearoa New Zealand.

The enrolled nurse scope of practice is enabling and recognises the breadth of EN practice. The registered nurse scope of practice reflects the complexity of practice and changing healthcare demands. Both scopes are aligned and designed to meet current and future nursing challenges. 
The standards of competence are intended to enable every nurse to apply them in their practice. It is important for all nurses to familiarise themselves with the new standards as these will be the basis for practice.

Education standards have also been updated to align with the scopes and are being implemented.

Our commitment to Te Tiriti o Waitangi has underpinned this work to provide a significant and powerful platform for ensuring high-quality nursing practice. An understanding of Te Tiriti o Waitangi, kawa whakaruruhau, cultural safety, and health equity is fundamental to patient safety.

We would like to thank again the many nurses, educators and employers who contributed to shaping this work during detailed consultation, and by taking part in design and reference groups. Your expertise was invaluable in delivering standards to improve health care.