Embed Size (px)
Citation preview
PRESENTATION SUMMARYNurses’ Perceptions of Health Care
and Their Profession
(Zambia)
New York Philadelphia Los Angeles Düsseldorf Beijing
2
Introduction
The purpose of this global survey is to provide an objective overview of nurses’ perceptions of health care, the nursing profession and their role in society today
Survey information areas include measurements of current satisfaction with their profession, future expectations, perceptions of the range of participants in health care systems today, the relative importance of specific problems and issues facing nurses and their professional associations in the future
The ultimate goal of this research project is to provide actionable guidelines for operating and communications strategies aimed at responding to the interests and priorities of the profession as a whole and in specific regions and countries
3
Research Methodology
In line with those objectives, Consensus Research Group conducted telephone interviews among a random sample of 1,000 nurses distributed equally across 10 countries: Argentina, Canada, China, Germany, Japan, South Africa, Turkey, UK, United States of America and Zambia Analyses by regions included:
North America (USA + Canada)
Europe (UK + Germany)
Africa (South Africa + Zambia)
Asia (China + Japan)
Interviews were conducted during the period January 3–25, 2007
A supplementary online survey was conducted among nurses recruited from the International Council of Nurses website. Findings from the supplementary survey will be reported separately.
4
Global Conclusions and Implications
As might be expected from survey research across countries with developed vs. emerging health care systems, significant differences in perceptions of health care and nursing issues emerge from this analysis.
The International Council of Nurses is faced with the task of establishing and maintaining a global leadership role in the nursing profession, while responding to the specific needs and interests of members and associations in selected regions.
5
Global Conclusions and Implications (cont’d)
A number of observations are consistent across all countries: Significant numbers of nurses are dissatisfied with their careers
today and pessimistic about the probability of improvements in the future
Nurses in China tend to be positive about their careers and futures in nursing --- more so than those in Japan and other regions
In North America, satisfaction levels are also positive but nurses in Germany and in some African countries register significant concerns about their profession
Older, more experienced nurses [age 50+], either as a function of professional experience or higher standards based on longer tenure, are more critical of health care trends. With 32% reporting declines in the quality of health care during the past l0 years compared to only 14% among younger nurses
Projecting to the future, however, nurses across all age/experience groups express similar forecasts of expected satisfaction with their profession: 34% expect greater satisfaction from their careers, but the 66% expecting no improvement includes a substantial 25% who think they will be less satisfied with nursing during the next ten years
6
Global Conclusions and Implications(cont’d)
Current dissatisfactions focus on workload issues — the numbers of patients nurses are responsible for, long work hours, inadequate compensation, the shortages of qualified medical professionals, the loss of skilled nurses to migration/relocation to other countries — and nurses’ lack of recognition and respect in society.
A significant proportion sense that many patients and other medical professionals are unfamiliar with or confused by the special skill levels, titles and special designations assigned to nurses.
To a somewhat lesser extent, nurses are dissatisfied with their lack of opportunities for career advancement and the difficulties they encounter in accessing continuing education and job opportunities.
In African and Asian countries, nurses are more likely to complain about difficulties in accessing the medicines and equipment they need for their patients — than in North American or Europe.
7
Global Conclusions and Implications (cont’d)
On the other hand, nurses are satisfied with the relationship of mutual respect they have with doctors, and feel that in most situations, doctors and nurses work well together in the best interests of their patients.
Nurses express strong anti-government sentiment in connection with the lack of improvement and perceived declines in the quality of health care in recent years.
Contrasting with those negative perceptions, nurses assign significant credit to pharmaceutical companies for research and discovery of new medicines and react favorably to the concept of joining a new health care alliance — one that includes pharmaceutical companies, doctors, educators, scientists, government officials and patient organizations to influence health care policy in the future.
8
Global Conclusions and Implications (cont’d)
The issues, concerns and goals that are most important to nurses today vary significantly by country but fall into four basis clusters: Influence: their inability to participate in the
development of health care policy they need for their practices and patients
Economic: increased compensation
Workload: working conditions that don’t allow them enough time to spend with their patients and the shortage of skilled medical personnel
Organization: inadequate representation and effectiveness of existing nursing associations
9
Global Conclusions and Implications (cont’d)
Members of nursing associations assign relatively low scores to their association on effectiveness in “influencing policy and improving the quality of health care in their country.”
Nurses look to their associations for training/practice/licensing standards and guidelines and as information sources — rather than as advocates.
To some degree, nurses do not identify their professional associations with their priority concerns: compensation, influencing government policy, increased recognition and respect for the profession.
Summary of Findings
11
Global Trends in Quality of Health Care / Past 10 Years
58%
23%
19%
24%
8%
Improved (Improved a Great Deal + Improved Somewhat)
Improved a Great Deal
Has Not Changed Very Much
Declined (Declined Somewhat + Declined a Great Deal)
Declined a Great Deal
Q1. Thinking about the last 10 years or so, would you say that the quality of health care in your community has improved a great deal, improved somewhat, hasn’t changed very much, declined somewhat or declined a great deal?
Total
• A majority [58%] of nurses perceive improvements in the quality of health care in their countries during the past 10 years but only 23% see “significant” improvement – vs. 23% perceiving declines
12
Improvements in Quality of Health Care / Past 10 Years
58%
87%
78%
70%
66%
64%
54%
46%
45%
45%
27%
Total
China
Turkey
USA
Argentina
UK
Japan
Canada
South Africa
Zambia
Germany
Q1. Thinking about the last 10 years or so, would you say that the quality of health care in your community has improved a great deal, improved somewhat, hasn’t changed very much, declined somewhat or declined a great deal?
Improved (Improved a Great Deal + Improved Somewhat)
13
Decline in Quality of Health Care / Past 10 Years
23%
62%
45%
34%
26%
16%
15%
12%
11%
8%
1%
Total
Germany
South Africa
Zambia
Canada
USA
UK
Japan
Turkey
Argentina
China
Q1. Thinking about the last 10 years or so, would you say that the quality of health care in your community has improved a great deal, improved somewhat, hasn’t changed very much, declined somewhat or declined a great deal?
Declined (Declined Somewhat + Declined a Great Deal)
14
Q2. [IF “IMPROVED” IN Q1, ASK] If you had to assign credit for improvement in the quality of health care to each of the following representatives of the health care system, how would you divide l0 credits among these groups – I mean, how many of those credits would you assign to:
Global Credit for Improvements in Health Care Total
19%
14%
14%
13%
12%
10%
9%
9%
Nurses
Hospitals
Doctors
Local or National Government
Universities and Educational Institutions for
Health Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Improved (Improved a Great Deal + Improved Somewhat)
Nurses reporting improvements in health
care quality in recent years assign only 10% of the credit for those
improvements to pharmaceutical
companies – compared to 19% of credit
assigned to their own profession and 14% each to doctors and
hospitals
15
Q2. [IF “IMPROVED” IN Q1, ASK] If you had to assign credit for improvement in the quality of health care to each of the following representatives of the health care system, how would you divide l0 credits among these groups – I mean, how many of those credits would you assign to:
Credit for Improvements in Health Care / Zambia
13%
14%
16%
17%
11%
12%
8%
9%
Nurses
Hospitals
Doctors
Local or National Government
Universities and Educational Institutions for
Health Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Improved (Improved a Great Deal + Improved Somewhat)Zambia
16
Global Responsibility for Lack of Improvement in Health Care Total
10%
11%
10%
37%
9%
9%
7%
7%
Nurses
Hospitals
Doctors
Local or National Government
Universitiesand Educational
Institutionsfor Health
Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Q3. [IF “UNCHANGED” OR “DECLINED” in Q1] If you had to assign responsibility for lack of improvement in the quality of health care to each of the following representatives of the health care system, how would you divide l0 units of responsibility among these groups – I mean, how many of those credits would you assign to:
No Improvement (has not changed very much + declined somewhat + declined a great deal)
Nurses express strong anti-government sentiment in
connection with the lack of improvement and perceived
decline in the quality of health care in recent years. Among nurses perceiving no improvements in health care quality during the past
10 years, 37% of that responsibility is assigned to “government” compared to only 10% assigned to their
own profession, 10% to doctors and only 9% to
pharmaceutical companies
17
Responsibility for Lack of Improvement in Health Care / Zambia
5%10%
8%
48%
7%
9%
6%
7%
Nurses
Hospitals
Doctors
Local or National Government
Universitiesand Educational
Institutionsfor Health
Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Q3. [IF “UNCHANGED” OR “DECLINED” in Q1] If you had to assign responsibility for lack of improvement in the quality of health care to each of the following representatives of the health care system, how would you divide l0 units of responsibility among these groups – I mean, how many of those credits would you assign to:
No Improvement (has not changed very much + declined somewhat + declined a great deal)
Zambia
18
Global Credit for Discovery of New Medicines Total
11%
7%
22%
14%13%
13%
11%
9%Hospitals
Doctors
Local or National Government
Universities and Educational Institutions for Health Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Q4. How would you distribute the credit for the discovery and introduction of new medicines that save lives, improve the quality of life, and keep people well and living longer -- it you had l0 credits to divide among these same groups?
Mean Percent
NursesPotential support for pharmaceutical companies
among nurses is linked to the discovery of new medicines.
Where research and discovery of new medicines is concerned, nurses are more apt to credit pharmaceutical companies than any other participants in health care systems. 22% of credit for
new medicines is assigned to pharmaceutical companies
compared to 14% assigned to university medical centers,
doctors [13%] and government [13%]
19
Credit for Discovery of New Medicines / Zambia
11%
7%
24%
12%
17%
12%
11%6%
Hospitals
Doctors
Local or National Government
Universities and Educational Institutions for Health Professionals
Pharmaceutical Companies
Other Health Professionals
Pharmacists
Q4. How would you distribute the credit for the discovery and introduction of new medicines that save lives, improve the quality of life, and keep people well and living longer -- it you had l0 credits to divide among these same groups?
Mean PercentZambia
Nurses
20
Crediting Pharmaceutical Companies forDiscovery of New Medicines
22%
40%
37%
32%
26%
26%
24%
17%
16%
12%
12%
Total
Germany
Canada
UK
USA
South Africa
Zambia
China
Argentina
Turkey
Japan
Q4. How would you distribute the credit for the discovery and introduction of new medicines that save lives, improve the quality of life, and keep people well and living longer -- it you had l0 credits to divide among these same groups?
Percent of Credits Assigned to Pharmaceutical Companies
21
Nurses Perception of Doctors
47%
71%
64%
62%
58%
57%
52%
39%
26%
22%
21%
Total
Canada
UK
USA
Argentina
China
Zambia
South Africa
Turkey
Japan
Germany
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
22
Nurses Perception of Other Nurses
46%
67%
61%
59%
58%
52%
46%
42%
39%
20%
17%
Total
UK
USA
Canada
Zambia
China
Argentina
South Africa
Germany
Turkey
Japan
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
23
Nurses Perception of Hospitals
35%
59%
45%
45%
44%
34%
33%
31%
24%
19%
14%
Total
China
Canada
UK
USA
Zambia
South Africa
Argentina
Turkey
Japan
Germany
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
24
Nurses Perception of Schools for Health Professionals
34%
60%
48%
48%
44%
42%
38%
22%
21%
11%
3%
Total
Canada
China
USA
Argentina
UK
Zambia
Turkey
South Africa
Germany
Japan
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
25
Nurses Perception of Pharmacists
31%
58%
44%
38%
38%
31%
31%
29%
20%
11%
6%
Total
Canada
USA
China
UK
South Africa
Zambia
Argentina
Turkey
Germany
Japan
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
26
Nurses Perception of Other Health Professionals
29%
46%
45%
40%
35%
31%
30%
24%
17%
13%
10%
Total
Argentina
Canada
USA
Zambia
UK
China
South Africa
Turkey
Japan
Germany
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
27
Nurses Perception of Pharmaceutical Companies
25%
37%
34%
33%
32%
31%
26%
24%
14%
14%
7%
Total
Canada
Argentina
USA
South Africa
UK
China
Zambia
Germany
Turkey
Japan
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
28
Nurses Perception of Government Health Agencies
20%
37%
26%
24%
21%
19%
18%
17%
17%
14%
2%
Total
China
USA
Canada
UK
Japan
Zambia
Argentina
South Africa
Turkey
Germancy
Q5. For each of the following, please rate your impression using a scale from 0 to 10 – where 10 means you, as a nurse, have a “very favorable” impression and 0 means you have a “very unfavorable” impression of the group. You may choose any number between one and ten.
Favorable (8, 9, 10 on a 0 to 10 scale)
29
Dissatisfaction With Role in Health Care System
39%
61%
61%
57%
42%
41%
41%
35%
19%
17%
15%
Total
Canada
China
USA
Turkey
UK
Argentina
South Africa
Germany
Japan
Zambia
Q6. All things considered, as a nurse how satisfied are you with your current role in the health care system these days, on a scale from 0-10, with l0 meaning very satisfied and 0 meaning very dissatisfied.
Satisfied (8, 9, 10 on a 0 to 10 scale)
30
Dissatisfaction With Role in Health Care System
11%
28%
18%
16%
16%
9%
7%
7%
4%
3%
1%
Total
Argentina
South Africa
Zambia
Germany
UK
Japan
Turkey
Canada
USA
China
Q6. All things considered, as a nurse how satisfied are you with your current role in the health care system these days, on a scale from 0-10, with l0 meaning very satisfied and 0 meaning very dissatisfied.
Dissatisfied (0, 1, 2, 3 on a 0 to 10 scale)
31
Global Reasons for Career Satisfaction Ratings
Q7. What makes you say that?
• Overworked / too much work
• Understaffed / staff shortages
• Underpaid / low salaries
• Bad working conditions
• Lack of adequate medical supplies and equipment
• Nurses do not have enough influence on the system
Total
• Enjoy the work / satisfying / rewarding
• Good working conditions
• Nurses are doing an important job
Positives
Negatives
Top 3 Box Bottom 7 Box
56%
25%
18%
20%
17%
16%
14%
10%
7%
32
Reasons for Career Satisfaction Ratings / Zambia
Q7. What makes you say that?
• Overworked / too much work
• Understaffed / staff shortages
• Underpaid / low salaries
• Bad working conditions
• Lack of adequate medical supplies and equipment
• Nurses do not have enough influence on the system
Zambia
• Enjoy the work / satisfying / rewarding
• Good working conditions
• Nurses are doing an important job
Positives
Negatives
Top 3 Box Bottom 7 Box*
40%
27%
7%
13%
30%
36%
16%
17%
47%
*Base inadequate for statistical reliability
33
Global Future Expectation of Satisfactionwith Role in Health Care
Q8. Thinking ahead to the next ten years or so, will nurses like yourself be more satisfied with their role in the health care system, about as satisfied as they are now or less satisfied?
34%
41%
25%
More Satisfied
About as Satisfied
Less Satisfied
Total
• Overall expectations regarding satisfaction with the nursing profession are somewhat pessimistic, with only 34% of all nurses studied anticipating increased satisfaction in the future but those expectations vary significantly across regions and countries
34
Future Expectation of Satisfactionwith Role in Health Care / Zambia
Q8. Thinking ahead to the next ten years or so, will nurses like yourself be more satisfied with their role in the health care system, about as satisfied as they are now or less satisfied?
27%
37%
36%
More Satisfied
About as Satisfied
Less Satisfied
Zambia
35
Future Expectation of Satisfactionwith Role in Health Care
34%
64%
43%
42%
42%
36%
35%
28%
27%
23%
4%
Total
China
USA
Turkey
Argentina
South Africa
Canada
Japan
Zambia
UK
Germany
Q8. Thinking ahead to the next ten years or so, will nurses like yourself be more satisfied with their role in the health care system, about as satisfied as they are now or less satisfied?
More Satisfied
• Nurses in China express greater optimism regarding their satisfaction with their profession in the future than in any other country. More moderate expectations are expressed by nurses in the U.S., Turkey and Argentina – and greater pessimism among nurses in African countries, Japan, Canada and the UK. The consistently negative perceptions of nurses in Germany is confirmed by the finding that only 4% of nurses in that country today expect increased satisfaction from their profession in the future
36
Future Expectation of Satisfactionwith Role in Health Care
25%
72%
36%
34%
30%
18%
18%
16%
15%
8%
0%
Total
Germany
Zambia
UK
South Africa
USA
Japan
Canada
Turkey
Argentina
China
Q8. Thinking ahead to the next ten years or so, will nurses like yourself be more satisfied with their role in the health care system, about as satisfied as they are now or less satisfied?
Less Satisfied
• Stated conversely, while 25% of all nurses expect to be less satisfied with their roles in the health care system in the future, the proportion in Germany totals 72%
37
Relative Importance of Health Care Proposals
57%
82%
72%
71%
71%
70%
57%
40%
40%
36%
33%
Total
Germany
Argentina
China
USA
UK
Canada
South Africa
Zambia
Japan
Turkey
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
A School-Based Anti-Obesity Campaign to Raise the Awareness of Children, Parents and Teachers of the Importance of Diet and Exercise for a Healthy Lifestyle
38
Relative Importance of Health Care Proposals
55%
79%
76%
67%
61%
59%
55%
51%
41%
30%
28%
Total
Argentina
Germany
Zambia
USA
China
South Africa
UK
Canada
Japan
Turkey
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
Creation of an Alliance Composed of Doctors, Nurses, Educators, Health Care Officials, Scientists, Pharmaceutical Companies and Patient Organizations That Influences the Development of Government Health Care Policies and Decisions
39
Relative Importance of Health Care Proposals
54%
75%
71%
69%
67%
58%
55%
52%
48%
25%
23%
Total
Zambia
Germany
Argentina
USA
China
UK
South Africa
Canada
Japan
Turkey
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
Professional Nurses Associations in Your Country Increasing Their Communication and Political Efforts in Order to Exert Greater Influence on Government Health Care Policy
40
Relative Importance of Health Care Proposals
51%
76%
67%
64%
58%
55%
51%
50%
45%
27%
17%
Total
China
Germany
Argentina
UK
South Africa
US
Zambia
Canada
Turkey
Japan
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
A Centralized Help Wanted and Job Placement Information Source for Qualified Nurses
41
Relative Importance of Health Care Proposals
50%
71%
62%
61%
58%
50%
48%
42%
25%
12%
72%
Total
Argentina
China
Canada
US
UK
Germany
Zambia
South Africa
Turkey
Japan
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
Increase Government Programs and Medicines to Help People Quit Smoking
42
Relative Importance of Health Care Proposals
50%
75%
69%
59%
52%
48%
44%
38%
20%
5%
85%
Total
Zambia
Germany
Argentina
South Africa
USA
China
Canada
UK
Turkey
Japan
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
Strategies That Encourages Nurses to Remain in Their Present Positions and Not Relocate to Other Countries
43
Relative Importance of Health Care Proposals
49%
67%
59%
57%
50%
45%
43%
39%
30%
27%
70%
Total
Argentina
China
USA
Zambia
Germany
Canada
UK
South Africa
Turkey
Japan
Q9. How would you rate the importance of each of the following health care proposals or issues to you personally, on a scale from 0-10, with l0 meaning that it’s very important to you personally, and 0 meaning not at all important?
Important (8, 9, 10 on a 0 to 10 scale)
Health Guides or Manuals to Help Families Maintain Accurate Health Records, Follow Their Prescriptions, and Create Nutritional, Exercise and Lifestyle Programs for All Family Members
44
Global Perceptions of Health Care and Nursing Today
Q10. Would you say you agree strongly, agree somewhat, disagree somewhat or disagree strongly with each of the following statements?
50%
25%
21%
36%
35%
17%
19%
28%
34%
14%
17%
37%
Agree strongly Disagree [ Disagree somewhat + Disagree strongly]
There is easy access to continuing education in the nursing profession in this
country
The general public understands and respects the role of nurses in health care
Doctors and nurses work well together in most situations
The relationship between doctors and nurses is one of mutual respect
There is ample opportunity for advancement within the nursing profession
in this country
Because of a shortage of qualified professionals, nurses in this country are
currently overworked
TOTAL
45
Global Perceptions of Health Care and Nursing Today (cont’d)
Q10. Would you say you agree strongly, agree somewhat, disagree somewhat or disagree strongly with each of the following statements?
21%
35%
21%
17%
18%
20%
32%
28%
39%
38%
38%
42%
Agree strongly Disagree [ Disagree somewhat + Disagree strongly]
Patients are confused by the different descriptions assigned to nurses*
Qualified nurses in your country are leaving the profession because of low
wages and an unsatisfactory work environment
Keeping up to date with job openings and advancement opportunities is easy for
most nursesFor the most part, nurses in this country find working conditions and access to necessary
medicines and equipment satisfactory for their purposes
The quality of nursing care in the country is reduced by the relocation of qualified
nurses to other countries
Skill levels and titles in the nursing profession are clear and understandable
by patients and professionals alike
TOTAL
* Like “registered nurse,” “physician assistant,” “nurse practitioner,” “practicing nurse,” “nursing supervisor” or “operating room nurse”
46
Perceptions of Health Care and Nursing Today / Zambia
Q10. Would you say you agree strongly, agree somewhat, disagree somewhat or disagree strongly with each of the following statements?
80%
55%
50%
30%
22%
19%
6%
24%
19%
26%
26%
35%
Agree strongly Disagree [ Disagree somewhat + Disagree strongly]
The quality of nursing care in the country is reduced by the relocation of qualified
nurses to other countries
Qualified nurses in your country are leaving the profession because of low
wages and an unsatisfactory work environment
Doctors and nurses work well together in most situations
The relationship between doctors and nurses is one of mutual respect
The general public understands and respects the role of nurses in health care
Because of a shortage of qualified professionals, nurses in this country are
currently overworked
ZAMBIA
47
Perceptions of Health Care and Nursing Today / Zambia (cont’d)
Q10. Would you say you agree strongly, agree somewhat, disagree somewhat or disagree strongly with each of the following statements?
8%
7%
5%
3%
2%
2%
84%
37%
64%
62%
61%
67%
Agree strongly Disagree [ Disagree somewhat + Disagree strongly]
There is easy access to continuing education in the nursing profession in this
country
Skill levels and titles in the nursing profession are clear and understandable
by patients and professionals alike
Patients are confused by the different descriptions assigned to nurses*
There is ample opportunity for advancement within the nursing profession in this country
Keeping up to date with job openings and advancement opportunities is easy for
most nurses
For the most part, nurses in this country find working conditions and access to necessary medicines and equipment
satisfactory for their purposes
ZAMBIA
* Like “registered nurse,” “physician assistant,” “nurse practitioner,” “practicing nurse,” “nursing supervisor” or “operating room nurse”
48
Satisfaction With the Nursing Profession
Q11. How would you rate your overall perceptions of each of the following aspects of the nursing profession in your country on a scale from 0-10, with l0 meaning that you are very satisfied with that aspect of the nursing profession today and 0 meaning very dissatisfied?
8%
10%
11%
13%
13%
13%
15%
20%
20%
21%
23%
24%The Availability of Needed Medicines and Equipment
The Quality of Nurses Graduating and Entering the Profession These Days
Nurses’ Access to Information About New Medicines and Treatments
The Recognition and Stature of Nurses in Society
The Reliability and Value of Information About Medicines That Healthcare Professionals Receive From Pharma Co's
The Time Nurses Have Caring for Patients
Current Working Conditions
The Effectiveness of Professional Nursing Assoc. and Their Impact onGovernment Health Care Policy
The Compensation Nurses Receive for Their Services
The Effectiveness of Organizations Created to Help Nurses Bargain or Negotiate for Increased Compensation
The Extent to Which Nurses Take an Active Role in Influencing Government Health Care Policies
The Extent to Which Nurses Can Influence Government Health Care Policy
Satisfied (8, 9, 10 on a 0 to 10 scale)
• Rating their profession as a whole, nurses assign their lowest satisfaction scores to the extent of their influence on government health care policy---their compensation, and the minimal effectiveness of their professional associations in negotiating salary increases---and their working condition, including the limited time they can spend caring for patients.
• At best, nurses express only moderate satisfaction with the ability to obtain the medicines and equipment they need for their patients, access to information about new medicines and treatments and their lack of standing and respect in society.
49
Satisfaction With the Nursing Profession / Zambia
Q11. How would you rate your overall perceptions of each of the following aspects of the nursing profession in your country on a scale from 0-10, with l0 meaning that you are very satisfied with that aspect of the nursing profession today and 0 meaning very dissatisfied?
Satisfied (8, 9, 10 on a 0 to 10 scale)
Zambia
14%
13%
10%
5%
4%
3%
3%
3%
3%
2%
1%
12%
The Time Nurses Have Caring for Patients
The Quality of Nurses Graduating and Entering the ProfessionThese Days
The Reliability and Value of Information About Medicines thatHealthcare Professionals Receive From Pharmaceutical Companies
The Recognition and Stature of Nurses in Society
Nurses' Access to Information About New Medicines andTreatments
Current Working Conditions
The Effectiveness of Profesional Nursing Associations and theirImpact on Government Health Care Policy
The Effectiveness of Organizations Created to Help Nurses Bargainor Negotiate for Increased Compensation
The Compensation Nurses Receive for Their Services
The Extent to Which Nurses Take an Active Role in InfluencingGovernment Healthcare Policies
The Extent to which Nurses can Influence Government Health CarePolicy
The Availability of Needed Medicines and Equipment
50
Perceived Effectiveness of Nursing Associations[Among Association Members Only]
22%
53%
43%
35%
32%
18%
17%
16%
15%
5%
0%
Total
Canada
Argentina
Japan
China
USA
UK
South Africa
Germany
Zambia
Turkey
Q12. How would you rate the overall effectiveness of your nursing association---in terms of influencing policy and improving the quality of the health care in your country – on a scale from 0-10, with l0 meaning very effective and 0 meaning not at all effective?
Significantly Effective (8, 9, 10 on a 0 to 10 scale)
• Overall effectiveness ratings for nursing associations in terms of influencing health care policy and the quality of health care are relatively low by normative standards, with only 22% of all nurses assigning significantly positive ratings – from a high of 53% in Canada to 18% or less in the U.S., UK, African countries, Germany and Turkey
51
Global Relative Importance of Association Functions
40%
39%
39%
38%
36%
Provides You With Standards and Guidelines for Training and Practice
Q13. Thinking about your nursing association, which of the following functions or responsibilities of the association are most important to you as a member – on a scale from 0-10, with 10 meaning very important and 0 meaning not important at all?
Help You Keep Up-to-Date with theLatest Information
Providing Training and Licensing to Maintain High Standards in the Nursing
Profession
Successfully Influences Nurses’ Compensation and Working Conditions
Represents Nurses’ Views on Health Care and Their Profession to Government
(8, 9, 10 on a 0 to 10 scale)
• In rating the importance of the functions and achievements their professional nursing associations provide, nurses assign higher scores to providing standards, guidelines and information – than to addressing governmental, societal or doctor/nurse relationship issues
52
Global Relative Importance of Association Functions(cont’d)
36%
35%
35%
33%
33%
Speaks Out on Health and Social Issues
Q13. Thinking about your nursing association, which of the following functions or responsibilities of the association are most important to you as a member – on a scale from 0-10, with 10 meaning very important and 0 meaning not important at all?
Acts as an Effective Voice to Enhance Recognition of Nurses and Their
Contribution to Society
Increasing the Number of Qualified Individuals Enrolled in Nursing School
Preserving and Improving theNurse/Doctor Relationship
Increasing Retention Within the Profession
(8, 9, 10 on a 0 to 10 scale)
53
Relative Importance of Association Functions / Zambia
Q13. Thinking about your nursing association, which of the following functions or responsibilities of the association are most important to you as a member – on a scale from 0-10, with 10 meaning very important and 0 meaning not important at all?
(8, 9, 10 on a 0 to 10 scale)
Zambia
65%
62%
55%
54%
56%
Increasing Retention Within theProfession
Successfully Influences Nurses’Compensation and Working
Conditions
Speaks Out on Health andSocial Issues
Increasing the Number ofQualified Individuals Enrolled in
Nursing School
Provides you with Standards andGuidelines for a Variety of
Practices
54
Relative Importance of Association Functions / Zambia
Q13. Thinking about your nursing association, which of the following functions or responsibilities of the association are most important to you as a member – on a scale from 0-10, with 10 meaning very important and 0 meaning not important at all?
(8, 9, 10 on a 0 to 10 scale)
Zambia
52%
50%
48%
41%
50%
Providing Training and Licensing to Maintain High Standards in theNursing Profession
Help you keep up-to-date with latest information
Represents Nurses’ Views on Health Care and Their Profession toGovernment
Acts as an Effective Voice to Enhance Recognition of Nurses andTheir Contribution to Society
Preserving and Improving the Nurse/Doctor Relationship
55
23%
18%
17%
17%
15%
14%
13%
10%
7%
6%
5%
2%
Most Important Issues for Nurses in the Future
Q14. What for you is the most important issue for the future of nursing?
Better Salaries
Increase Time and Care for Patients
Better Training and Education in Nurses Schools
More Medical Staff / Reduce Patient to Nurse Ratio
Better Working Conditions for Nurses
Opportunities for Educational and Career Development
Maintaining and Increasing the Level of Nurses
Increase Funding of the Health Care System
Increase Respect for Nurses
Investment in Medical Supplies and Equipment
Discovery of New Medicines, Technologies
Reduce Paperwork and Bureaucracy
% Important
• In rank order of priority issues in the future, nurses are most concerned about compensation issues, better working conditions including the need for more time to spend with patients, the need for staff increases and opportunities for career development
56
Most Important Issues for Nurses in the Future
23%
41%
40%
39%
28%
20%
18%
14%
11%
9%
6%
Total
Zambia
South Africa
Argentina
Turkey
China
USA
Canada
Germany
Japan
UK
Q14. What for you is the most important issue for the future of nursing?
Better Salaries
57
Most Important Issues for Nurses in the Future
18%
29%
27%
25%
21%
19%
18%
12%
12%
9%
8%
Total
China
Germany
Canada
UK
USA
Japan
South Africa
Turkey
Zambia
Argentina
Q14. What for you is the most important issue for the future of nursing?
Increase Time and Care for Patients
58
Most Important Issues for Nurses in the Future
17%
37%
28%
24%
18%
18%
18%
11%
9%
5%
0%
Total
South Africa
Turkey
Zambia
Canada
UK
USA
Germany
Argentina
Japan
China
Q14. What for you is the most important issue for the future of nursing?
Better Training and Education in Nursing Schools
59
Most Important Issues for Nurses in the Future
17%
32%
32%
28%
20%
17%
16%
6%
6%
4%
4%
Total
UK
Zambia
Canada
Japan
Germany
USA
China
Turkey
Argentina
South Africa
Q14. What for you is the most important issue for the future of nursing?
More Medical Staff/Reduce Patient to Nurse Ratio
60
Most Important Issues for Nurses in the Future
15%
23%
22%
20%
19%
19%
16%
14%
10%
7%
3%
Total
Canada
South Africa
Japan
Argentina
Zambia
Germany
Turkey
USA
China
UK
Q14. What for you is the most important issue for the future of nursing?
Better Working Conditions for Nurses
61
Most Important Issues for Nurses in the Future
14%
25%
24%
22%
18%
15%
9%
9%
6%
6%
3%
Total
China
Canada
UK
Zambia
Turkey
Germany
Japan
USA
Argentina
South Africa
Q14. What for you is the most important issue for the future of nursing?
Opportunities for Educational and Career Development
62
Most Important Issues for Nurses in the Future
13%
27%
16%
15%
14%
12%
11%
11%
10%
9%
2%
Total
China
South Africa
USA
Canada
Argentina
Germany
Japan
UK
Zambia
Turkey
Q14. What for you is the most important issue for the future of nursing?
Maintaining and Increasing the Number of Nurses
63
Most Important Issues for Nurses in the Future
10%
25%
17%
13%
10%
9%
8%
7%
6%
3%
0%
Total
Zambia
Germany
Japan
Argentina
South Africa
Canada
UK
USA
China
Turkey
Q14. What for you is the most important issue for the future of nursing?
Increase Funding of the Health Care System
64
Most Important Issues for Nurses in the Future
7%
14%
11%
8%
7%
6%
6%
5%
3%
3%
2%
Total
Canada
Zambia
USA
South Africa
Argentina
Turkey
Germany
China
Japan
UK
Q14. What for you is the most important issue for the future of nursing?
Increase Respect for Nurses
65
Most Important Issues for Nurses in the Future
6%
20%
10%
8%
7%
5%
3%
3%
1%
0%
0%
Total
Zambia
Argentina
South Africa
China
USA
Turkey
UK
Canada
Germany
Japan
Q14. What for you is the most important issue for the future of nursing?
Investment in Medical Supplies and Equipment
66
Most Important Issues for Nurses in the Future
5%
18%
10%
9%
3%
3%
3%
3%
2%
0%
0%
Total
Zambia
Argentina
China
Canada
South Africa
Turkey
USA
Japan
Germany
UK
Q14. What for you is the most important issue for the future of nursing?
Discovery of New Medicines, Technologies
67
Most Important Issues for Nurses in the Future
2%
10%
4%
3%
2%
2%
0%
0%
0%
0%
0%
Total
UK
Canada
USA
Germany
Japan
Argentina
China
South Africa
Turkey
Zambia
Q14. What for you is the most important issue for the future of nursing?
Reduce Paperwork and Bureaucracy
68
Membership of Professional Nursing Organizations
Q15. Are you a member of a professional nursing organization?
43%
78%
73%
43%
40%
34%
33%
21%
20%
2%
57%
18%
22%
27%
57%
60%
66%
67%
79%
80%
98%
82%
Total
Zambia
UK
South Africa
Canada
Japan
China
USA
Argentina
Germany
Turkey
Yes
No
69
Global Time Spent with Patients
Q17. How much time do you spend with patients in a typical day?
5%
5%
8%
9%
9%
34%
9%
7%
2%
5%
8%
2
3
4
5
6
7
8
9
10
11
12
Total
70
Time Spent with Patients / Zambia
Q17. How much time do you spend with patients in a typical day?
0%
2%
8%
13%
12%
51%
1%
5%
1%
6%
1%
2
3
4
5
6
7
8
9
10
11
12
Zambia
71
Gender of Respondents
Q19. Gender
82%
89%
87%
85%
84%
82%
78%
77%
77%
67%
18%
5%
11%
13%
15%
16%
18%
22%
23%
23%
33%
95%
Total
USA
South Africa
Zambia
UK
Canada
Germany
Turkey
China
Japan
Argentina
Female
Male
72
Age Bracket of Respondents
Q20. What is your approximate age bracket
24%
30%
64%
51%
12%
17%
2%Total
Zambia
Under 3535-4950-6465+
73
Respondents’ Highest Level of Education
Q22. What is the highest level of education
32%
34% 8%
3%
2%
13%
8%
7%
63%
38%
Total
Zambia
Bachelor
Master Degree or five yearDegreeSpecialist or Six Year Degree
PHD or Other Advanced Degree
Other
74
Global Income Levels of Respondents
19%
24%
18%
7%
2%
6%
25%
- 13.000$
13.000$ - 26.000$
26.000$ - 40.000$
40.000$ - 60.000$
60.000$ - 80.000$
80.000$ +
Refused
Q23. What of the following categories represents your total annual income from your profession?
Total
75
Income Levels of Respondents / Zambia
50%
16%
6%
2%
0%
0%
26%
- 13.000$
13.000$ - 26.000$
26.000$ - 40.000$
40.000$ - 60.000$
60.000$ - 80.000$
80.000$ +
Refused
Q23. What of the following categories represents your total annual income from your profession?
Zambia
