Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

Tung, Fabian Ling Ngai; Yan, Vincent Chun Man; Tai, Winnie Ling Yin; Chen, Jing Han; Chung, Joanne Wai-yee; Wong, Thomas Kwok Shing

doi:10.1590/1518-8345.1152.2670

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Original Articles • Rev. Latino-Am. Enfermagem 24 • 2016 • https://doi.org/10.1590/1518-8345.1152.2670 copy

Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objectives:

to explore nurses' knowledge of universal health coverage (UHC) for inclusive and sustainable development of elderly care services.

Method:

this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN) or registered nurses (RN) was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs). Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services.

Results:

the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics.

Conclusion:

the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services.

Universal Coverage; Millennium Development Goals; Health Policy

Variables	n	%
Gender (N=326)
	Female	247	75.8
	Male	79	24.2
Age Group (N=320)
	≦ 20	3	24.2	0.9
	21 - 25	91	28.4
	26 - 30	76	23.8
	31 - 35	76	23.8
	36 - 40	22	6.9
	≧ 41	52	16.3
Post-registration Year (N=326)
	1 - 5	171	16.3	52.5
	6 - 10	76	23.3
	≧ 11	79	24.2
Current Job Title (N=326)
	Enrolled Nurse (EN)	73	24.2	22.4
	Registered Nurse (RN)	192	58.9
	Senior Clinician (RN)	16	4.9
	Management (RN)	26	8.0
	Education (RN)	19	5.8
Nature of Role (N=326)
	Clinician	269	5.8	82.5
	Management	39	12.0
	Education	18	5.5
Highest Qualification (N=326)
	Higher Diploma	88	5.5	27.0
	Bachelor's Degree	136	41.7
	Master's Degree or Higher	102	31.3

Question	By years of experience (%)		By job title (%)	By qualification (%)
Question	1-5	6-10	>10	Sig.	EN	RN	Sig.	C	M	E	Sig.	H	B	M	Sig.
2	86.5	90.8	89.9	NS	80.8	90.6	NS	87.7	94.9	83.3	NS	80.7	89.0	94.1	0.015
3	83.8	84.1	80.3	NS	84.7	82.8	NS	83.5	81.1	80.0	NS	80.3	89.3	77.1	NS
4	23.0	36.2	63.4	<0.001	25.4	30.5	<0.001	29.2	70.3	60.0	<0.001	19.7	28.9	57.3	<0.001
5	56.1	60.9	64.3	NS	49.2	58.6	NS	56.4	72.2	73.3	NS	53.5	62.8	58.9	NS
6a	7.2	11.9	19.6	NS	10.3	9.8	NS	9.8	14.8	27.3	NS	10.5	5.3	21.1	0.019
6b	72.3	66.7	84.8	NS	65.5	72.5	NS	71.4	85.2	81.8	NS	68.4	71.1	82.5	NS
6c	48.2	54.8	73.9	0.018	51.7	50.0	0.050	51.1	74.1	81.8	0.020	50.0	48.7	71.9	0.018

Question	By years of experience (%)		By job title (%)	By qualification (%)
Question	1-5	6-10	>10	Sig.	EN	RN	Sig.	C	M	E	Sig.	H	B	M	Sig.
7	57.3	50.0	50.6	NS	63.0	51.6	0.047	54.6	48.7	55.6	NS	56.8	55.9	49.0	NS
8	86.7	78.9	89.7	NS	91.3	82.8	NS	85.7	84.2	88.9	NS	96.0	82.9	79.6	0.043
9	36.7	34.2	41.0	NS	43.5	35.4	NS	38.1	36.8	22.2	NS	42.0	34.2	36.7	NS
10	74.5	73.7	84.6	NS	67.4	78.8	NS	74.8	88.9	84.2	NS	70.0	73.7	87.8	NS
11	19.9	19.7	14.1	NS	17.8	19.8	NS	19.0	17.9	11.8	NS	15.9	20.6	17.8	NS

Question	By years of experience (%)		By job title (%)	By nature of role (%)	By qualification (%)
Question	1-5	6-10	>10	Sig.	EN	RN	Sig.	C	M	E	Sig.	H	B	M	Sig.
12a	30.4	15.7	29.1	0.025	43.8	19.3	<0.001	26.1	30.8	27.8	NS	32.9	24.2	24.5	NS
12b-i	43.9	23.6	35.5	0.001	56.1	29.8	0.001	36.8	43.6	27.8	NS	46.6	36.8	29.4	0.015
12b-ii	61.4	44.8	41.9	0.009	63.0	51.0	NS	53.9	46.1	50.1	NS	59.1	55.1	44.1	0.038
12c	44.4	36.9	48.1	NS	49.3	37.5	0.027	41.3	51.3	61.1	NS	42.0	41.8	43.5	NS
12d-i	33.9	18.4	34.1	0.026	42.5	25.5	0.029	30.5	35.9	16.7	NS	34.1	33.1	23.6	0.043
12d-ii	22.8	21.0	35.5	0.040	28.8	20.8	0.043	23.4	41.0	22.2	NS	21.6	28.0	25.4	NS
12d-iii	27.4	22.4	34.1	0.045	35.6	22.4	0.024	26.8	38.5	22.3	NS	23.8	33.1	24.5	NS
12e	29.3	18.4	36.7	NS	38.3	22.9	0.020	27.6	38.5	22.3	NS	29.6	28.6	27.4	NS
12f-i	44.4	32.9	53.1	0.007	52.0	35.9	0.002	40.8	53.8	66.7	0.031	45.5	41.2	46.1	NS
12f-ii	45.6	31.5	57.0	0.006	52.1	36.5	<0.001	41.2	59.0	72.2	0.005	44.3	44.1	47.1	NS
12g	59.1	47.4	63.3	NS	63.0	52.1	0.023	55.4	64.1	72.2	NS	61.4	53.8	58.8	NS
12h-i	40.3	34.2	37.9	NS	46.6	33.9	NS	37.8	46.2	27.8	NS	44.3	36.0	36.3	NS
12h-ii	31.6	25.0	27.8	NS	41.1	23.4	0.005	29.0	35.9	16.7	NS	37.5	25.7	26.5	0.049
12i	32.8	27.6	44.3	NS	42.4	27.0	0.017	32.0	53.8	27.8	NS	36.4	32.3	35.2	NS

Question	By years of experience (%)		By job title (%)	By qualification (%)
Question	1-5	6-10	>10	Sig.	EN	RN	Sig.	C	M	E	Sig.	H	B	M	Sig.
13a.	79.5	84.2	86.1	NS	71.2	85.4	0.022	81.8	94.9	61.1	0.027	73.8	88.2	81.4	NS
13b-i.	84.2	93.5	91.1	0.009	80.9	89.6	NS	87.3	94.9	83.3	NS	85.3	86.8	92.2	NS
13b-ii.	86.6	97.4	92.4	NS	86.3	92.2	NS	90.7	92.3	83.3	NS	87.5	89.7	94.1	NS
13c.	85.4	98.7	93.7	<0.001	82.2	93.2	NS	90.4	94.8	83.4	NS	85.2	90.4	95.1	0.018
13d-i.	79.5	90.8	89.8	0.045	76.7	87.0	NS	84.4	92.3	72.2	0.032	80.7	83.1	90.2	NS
13d-ii.	83.0	93.4	93.6	NS	78.1	91.2	0.028	87.7	94.9	77.7	0.005	81.8	87.5	94.1	NS
13d-iii.	81.3	93.4	91.2	NS	79.4	88.0	NS	85.9	92.3	83.3	NS	83.0	83.1	94.1	NS
13e.	81.3	92.1	88.6	NS	78.1	88.5	0.035	85.9	89.7	72.2	0.023	80.7	86.1	89.2	0.027
13f-i.	83.0	90.8	88.6	NS	82.2	88.1	NS	86.6	87.1	77.7	NS	84.1	86.0	88.3	NS
13f-ii.	85.4	96.0	89.9	0.030	82.2	92.2	NS	89.6	89.7	77.7	NS	85.2	89.0	92.2	NS
13g.	86.6	96.0	92.4	0.029	82.1	94.3	NS	91.1	89.7	77.8	NS	87.5	91.1	91.2	NS
13h-i.	78.4	90.7	84.8	0.013	78.1	84.9	NS	83.3	87.2	66.7	NS	76.1	83.9	87.2	NS
13h-ii.	83.0	90.8	83.5	NS	80.8	88.0	0.027	86.2	82.0	72.2	0.031	84.1	85.3	85.3	NS
13i.	83.7	88.2	88.6	NS	79.4	89.6	0.005	87.0	87.2	66.7	0.012	80.7	89.0	86.3	NS

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[1] Corresponding Author: Fabian Ling Ngai Tung The Hong Kong Institute of Education Lo Ping Road, 10 Tai Po, New Territories, Hong Kong E-mail: fabiantung@s.ied.edu.hk