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Nursing Community Survey
March 2007
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Survey Background
• Survey includes 507 Epocrates nurses
• Primary working regions
– Urban
51%
– Suburban 35%
– Rural
14%
• Primary clinical setting
–
–
–
–
–
Hospital 69%
Outpatient clinic or physician practice 14%
Academic center 7%
Long-term care facility 3%
Other
7%
Female: 75%
Male:
25%
• Years in practice
– Less than 10 years 30%
– 10 – 19 years
34%
– More than 25 years 34%
Slide | 2
Primary motivators for nurses:
desire to help and interest in medicine
Which factors were most important to you in choosing to
enter the medical profession and become a nurse? (n=507)*
Wanted to help people
69%
Interested in science & medicine
64%
Reputable profession
38%
Desired guaranteed employment
28%
Wanted flexible hours
19%
Experienced something medically traumatic
11%
Family tradition
8%
Didn't know w hat else to do
3%
Nursing recruitment program
3%
0
10
20
30
40
50
60
70
80
% of nurse respondents
*Nurses allow to select up to 3 choices
Slide | 3
Nurses are dedicated to career choice
Knowing what you do now, would
you still choose a career in
nursing? (n=507)
Top reasons why not:
• Poor compensation
No 15%
• Feel overworked, under
appreciated
• Would rather be a doctor
• High stress
• Too political
Yes 85%
Slide | 4
65% of nurses spend more time on
administration today than 3 yrs ago
Compared to three years ago, please estimate if you spend more,
less or the same amount of time on the following activities:
100%
90%
80%
% of nurses
70%
More
60%
The Same
Less
50%
40%
30%
20%
10%
0%
Patient
Administration
Administering & Providing acute care Maintaining a safe
communication/counsel
monitoring medications
environment
Slide | 5
3-yr trends expected to continue –
growth in admin and focus on safety
Thinking ahead three years from now, please estimate if you spend more,
less or the same amount of time on the following activities:
100%
90%
80%
% of nurses
70%
More
60%
The Same
Less
50%
40%
30%
20%
10%
0%
Patient
Administration
Administering & Providing acute care Maintaining a safe
communication/counsel
monitoring medications
environment
Slide | 6
Patients show nurses the most
respect; medical students the least
In general, what degree do you feel the below
groups respect nurses? (n=507)
100
80
83%
78%
% of respondents
75%
60
54%
51%
40
44%
41%
Patients
NPs
Nurses
Pharmacists
PAs
Physicians
Med students
20
0
Respected
Slide | 7
72% believe staffing shortages are
the greatest healthcare challenge
What do you feel are the greatest challenges facing the
healthcare industry today? (n=507)*
Insufficient staffing/resources
72%
Not enough time w/ patients
46%
Uninsured patients
34%
Managed care restrictions
23%
Increasing drug costs
21%
Increasing medical device/test costs
20%
Underinsured patients
19%
Administrative burdens
17%
Declining reimbursement
16%
0
10
20
30
40
50
% of nurse respondents
60
70
80
*Nurses allowed to select up to 3 choices; includes responses above 15%
Slide | 8
Nursing shortage translates to more
responsibilities in less time
How has the nursing shortage impacted
your practice? (n=507)*
Increased patient load
76%
Increased responsibilities
75%
Decreased time spent
with patients
74%
Decreased quality of
patient care
64%
Increased # of hours I
work
55%
Increased my salary
20%
0
*Nurses allowed to select up to 3 choices
10
20
30
40
50
60
70
80
% of nurse respondents
Slide | 9
Over 60% of nurses expect healthcare
system to worsen in 5 years
Over the next 5 years, how do you believe the U.S.
healthcare system will change? (n=507)
Improve
24%
Worsen
62%
Remain
unchanged
14%
Slide | 10
Over 90% believe better working conditions
& financial incentives will attract students
Please rate the degree to which you believe the following would be
effective in attracting more students into the nursing profession:
Improved working
conditions
93%
Tuition reimbursement
91%
Better compensation
91%
More recognition as
essential caregiver
87%
More nursing education
programs
76%
0
10
20
30
40
50
% of nurses
60
70
80
90
100
Slide | 11
Over 50% avoid 2 or more medical errors
per week with mobile clinical references
Please estimate how often mobile clinical references help you
avoid an adverse drug event or medical error (n=507)
35
35%
30
% of nurses
25
20
19%
15
18%
15%
14%
10
5
0
3 or more
times per week
2 times per
week
Once per week
Once per
month
Less than
once per
month
Slide | 12
Mistakes and handwriting top
contributors to medical errors
What factors do you feel contribute the most to medical errors?
70
60
64%
60%
50
# of nurses
48%
40
30
33%
31%
20
10
0
Human error
Illegible
handwriting
Inadequate
staffing
Lack of
communication
among clinicians
Fatigue
*Nurses allowed to select up to 3; includes responses above 15%
Slide | 13
Over 50% believe better staff/patient
ratios could improve safety
Please identify which initiatives could most positively impact
medication error reduction? (n=507)*
Improved staff/patient ratios
51%
Bedside bar code scanning of drugs
42%
Computerized prescriber order entry
39%
Penalty-free systems for reporting errors
14%
Electronic prescribing
13%
Electronic medical record systems
Note: 69% are
hospital-based
nurses
12%
More education and training on safety
10%
Mobile clinical references
8%
Advanced degrees in nursing
6%
0
10
20
30
40
50
60
% of nurse respondents
*Nurses allowed to select up to 2 choices
Slide | 14
77% expect to be using EMRs within
three year
Looking ahead three years, please estimate if you will be using the below
technologies more, less or the same compared to today
100%
80%
% of nurses
More
The Same
60%
Less
40%
20%
0%
EMRs
CPOE
PDA
Bar coding
Laptop
Desktop Tablet PC SmartphoneBlackberry
computer computer
Slide | 15
~75% believe cost is the main hurdle
to nurses adopting technology
Why do you believe nurses have not adopted
technology as quickly as physicians (n=507)*
Too expensive
74%
Don't understand the
benefits of using PDAs
56%
Uncomfortable with
technology
51%
Not enough valuable PDA
applications
21%
Pefer standard reference
books
14%
Prefer the Internet
7%
Less need for clinical
information
5%
0
10
20
30
40
50
60
70
80
% of nurse respondents
*Nurses allowed to select two
Slide | 16
97% believe mobile clinical
references provide an advantage
To what extent do you agree/disagree that having access to clinical
information on your PDA give you an advantage over your nursing
colleagues that do not use a PDA (n=507)
Somewhat
agree
7%
Neutral
3%
Agree
19%
Strongly
agree
71%
Slide | 17
Using the Survey Results
Thank you for your interest in the Nursing
Community Survey.
The results are available for unrestricted use. Please
reference the ISMP and the Epocrates Market
Research Panel when sourcing the survey data.
Slide | 18