Despite a high degree of scepticism, nurses in England appear to have more confidence in their managers than their counterparts in other countries, researchers have revealed.

Two thirds of nurses in England - 64 per cent - said they lacked confidence that management would act to “resolve patients’ problems”, findings from the RN4CAST study show.

Only nurses in Ireland, Germany and the US had more confidence in their managers, with England coming tenth out of the 13 countries involved in the study.

The countries with the least confidence in their managers were Greece, Spain and Poland.

There was no country in which more than half of nurses said they had confidence in their managers.

More than 150,000 nurses were surveyed in total for the study, which also looked at other issues such as levels of perceived burn out and staff to patient ratios.

Researchers from Southampton University and the National Nursing Research Unit at King’s College London surveyed over 2,900 nurses at 46 hospitals in England.

The results were compared with samples from 11 other European countries and the US.

Writing in the British Medical Journal, the study authors said: “Data from nurses in every country suggested a lack of confidence that hospital management would solve identified problems in patient care.

“Management’s scepticism of nurses’ complaints reflecting objective clinical observations of care quality might need to be tempered by our results, which show that nurses’ assessments concur with those made independently by patients.”


Not confident that hospital management would resolve patients’ problems 
Country  %
Poland 85
Netherlands 81
Switzerland 75
Norway 74
Sweden  73
Ireland 63