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Nurses Rate Highest in Honesty, Ethics for 18th Time

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By Frieda Paton, M.Cur, RN

The nursing profession came out on top for the 18th time in the annual Gallup poll in which the American public is asked to rate the honesty and ethics of various professions. This year, the list included 22 different professions.

Nurses’ honesty and ethics were rated as “high” or “very high” by 85% of the respondents in the December 2019 poll – 1% up from 2018.  In all the years the profession’s lowest ever score 79%, back in 2004.

Nursing compared to other professions

The poll is conducted by interviewing a random sample of adults from all US states over the telephone. The sample matches the demographics of the country in terms of gender, age, race, education, region, and population density.

After nurses, engineers received the next highest rating at 66% of the US public valued their honesty and ethics as high or very high.

The health care professions are generally held in high esteem with at least six out of ten US adults rating the honesty and ethics of medical doctors (65%), pharmacists (64%) and dentists (61%) as “high” or very high.

Car salespeople were the least trusted profession, receiving a high or very high rating from only 9% of the respondents. Members of Congress fared only slightly better at 12%.

Nurses’ rating by different demographic groups

Overall, the rating of nurses’ honesty and ethics was:  

  • Very high – 31%
  • High – 54%
  • Average – 14%
  • Low – none
  • Very low – 1%

Equal percentages of men and women rated nurses’ trustworthiness as very high or high. 

There were, however, differences between race groups. According to the poll, compared to whites at 37%, only 18% of non-whites rated nurses’ honesty and ethics very high. The percentages for the race groups were about equal to the high rating.  More non-whites than whites rated nurses’ honesty and ethics as average and only non-whites gave a low rating

Gallup Poll Social Survey: Nurses. Image via: Gallup.com

There were slight differences in the age groups. Those in the 55+ age group were more likely to hold nurses in high esteem with 36% in this group rating them very high, compared to 26% in the 35-54 age group and 30% of those aged 18-34. None of the older respondents gave nurses a very low rating while a small number in each of the other age groups did.

The combined high and very high rating of nurses’ honesty and ethics by college graduates, those with some college education, and those with only high school or less, were very similar. However, those without any college education were less likely to have chosen a very high rating.

Nurses have public trust

An interesting exercise would be to reflect on the reasons for the demographic differences in the ratings. Are they related to the extent to which particular groups have been exposed to nursing care? Do they point to areas that we can improve on? For example, could the differences among race groups be a reflection of the level of service delivery to minority groups in the US? Are we giving enough attention to providing culturally sensitive care?

The public’s ongoing high level of trust in the integrity of nurses is good news at the start of 2020 the Year of the Nurse and Midwife.

It means that the profession is likely to continue getting strong support from ordinary citizens in this year-long campaign to highlight nurses’ contributions, the challenging conditions which they often face, and the need for greater investment by governments in the nursing and midwifery workforce.

Frieda Paton is a registered nurse with a Master’s degree in nursing education. Her passion for nursing education, nursing issues and advocacy for the profession were ignited while she worked as an education officer, and later editor, at a national nurses’ association. This passion, together with interest in health and wellness education since her student days, stayed with her throughout her further career as a nurse educator and occupational health nurse. Having reached retirement age, she continues to contribute to the profession as a full-time freelance writer. In the news and feature articles she writes for Nurseslabs, she hopes to inspire nursing students and nurses on the job to reflect on the trends and issues that affect their profession and communities - and play their part in advocacy wherever they find themselves.

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