Hayward S, Fee E
Int J Health Serv. 1992;22(3):397-415. doi: 10.2190/CKJC-UGCX-DTFN-W9AK.
In early 1988 the nurses of Britain's National Health Service reached a peak of frustration. They took unprecedented industrial action to bring the state of nursing, and problems within the Health Service, to the attention of the nation. Throughout the crisis there was acrimonious debate between the Royal College of Nursing, which acts as both a professional association and a negotiating unit and opposed the strike, and the trade unions, which organized it. Their conflict undermined the nurses' solidarity and highlighted deep and complex tensions within the profession. On the day of action, labor withdrawal was widespread but inconsistent. In the end, the nurses made some gains, but most of their concerns were ignored. The government promoted the divisions between nursing unions; the media were critical of the nurses' actions; however, the labor movement supported them, and the British Medical Journal voiced the merits of the nurses' case. The struggle of the British nurses exemplifies issues and dilemmas facing nurses throughout the world. The increasing militancy of nurses in many countries reflects their dissatisfaction with pay, working conditions, and career opportunities. Many nurses are torn between the ideals of professionalism and the realities of their workplace and are ambivalent about the principles of collective bargaining. This article addresses these ambivalences and stresses the need to find creative solutions to match nurses' unique place in the political economy of health care.
1988年初，英国国家医疗服务体系的护士们 frustration 达到了顶点。他们采取了前所未有的劳工行动，以引起全国对护理状况及医疗服务体系内部问题的关注。在整个危机期间，作为专业协会和谈判单位且反对罢工的皇家护理学院与组织罢工的工会之间展开了激烈辩论。他们的冲突破坏了护士们的团结，凸显了该行业内深刻而复杂的紧张关系。在行动日当天，罢工行动广泛但并不一致。最终，护士们取得了一些成果，但他们的大多数担忧都被忽视了。政府加剧了护理工会之间的分歧；媒体批评护士们的行动；然而，劳工运动支持他们，《英国医学杂志》也阐述了护士诉求的合理性。英国护士的斗争体现了全世界护士面临的问题和困境。许多国家护士日益高涨的激进情绪反映了他们对薪酬、工作条件和职业机会的不满。许多护士在专业理想与工作场所现实之间左右为难，对集体谈判原则也态度矛盾。本文探讨了这些矛盾心理，并强调需要找到创造性的解决方案，以适应护士在医疗保健政治经济中的独特地位。
