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精神科住院医师对护理人员罢工的态度:案例报告。

Attitudes of psychiatry residents toward a strike by nursing staff : a case report.

机构信息

Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.

出版信息

Acad Psychiatry. 1991 Jun;15(2):87-93. doi: 10.1007/BF03341302.

DOI:10.1007/BF03341302
PMID:24430516
Abstract

A study of the attitudes of psychiatry residents and attending psychiatrists toward a strike by nurses and mental health workers in a psychiatric teaching hospital was performed. All residents (n = 20) and 47 (83% of the attending psychiatrists) completed a questionnaire within 4 weeks after the strike. The responses to the questionnaire indicated that resident's behavior in response to the strike was significantly different from the behavior of the attendings: 20% of the residents volunteered service during the strike compared with 66% of the attendings (p ≤ 0.0001). The attending psychiatrists, when asked what action they would have taken if they were residents, indicated somewhat less of an inclination to volunteer; 16.7% changed their position about volunteering (NS). When asked what they would have done if they were attendings, 55% (p ≤ 0.008) of the residents indicated they would have volunteered service. The significance of these findings is that residents identify themselves more with the "frontline" mental health workers engaged in the strike than with the faculty/attending psychiatrists who serve as their professional role models.

摘要

一项针对精神病学住院医师和主治精神科医生对精神病教学医院护士和心理健康工作者罢工态度的研究进行了。在罢工后 4 周内,所有住院医师(n=20)和 47 名(83%的主治精神科医生)完成了一份问卷。对问卷的回答表明,住院医师对罢工的反应与主治医生的行为有显著差异:20%的住院医师在罢工期间自愿服务,而主治医生的比例为 66%(p≤0.0001)。当被问及如果他们是住院医师,他们会采取什么行动时,主治精神科医生表示他们自愿服务的倾向略低;16.7%的人改变了他们的志愿立场(无统计学意义)。当被问及如果他们是主治医生,55%的住院医师(p≤0.008)表示他们会自愿服务。这些发现的意义在于,住院医师将自己更多地认同为参与罢工的“一线”心理健康工作者,而不是作为他们职业榜样的教职员工/主治精神科医生。

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本文引用的文献

1
The Committee of Interns and Residents: New York's big, brash union.实习医生与住院医生委员会:纽约规模庞大、行事大胆的工会。
New Physician. 1981 Apr;30(4):14-8.
2
Health care personnel and the right to strike. Summary of discussion results.医护人员与罢工权。讨论结果总结。
Prog Clin Biol Res. 1980;38:309-10.
3
On the physician's right to strike.论医生罢工的权利。
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Role satisfaction among psychiatric residents.精神科住院医师的职业满意度。
Compr Psychiatry. 1981 Mar-Apr;22(2):174-8. doi: 10.1016/0010-440x(81)90066-3.
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Medical strikes in France.法国的医疗罢工。
Ann Intern Med. 1983 Dec;99(6):862-3. doi: 10.7326/0003-4819-99-6-862.
6
The effect of a mental hospital strike on general hospital psychiatric services.精神病院罢工对综合医院精神科服务的影响。
Psychol Med. 1984 Nov;14(4):913-21. doi: 10.1017/s0033291700019875.
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Australian doctors on strike.澳大利亚医生举行罢工。
Br Med J (Clin Res Ed). 1984 Jul 21;289(6438):175-7. doi: 10.1136/bmj.289.6438.175.
8
Ethical dilemmas of the doctors' strike in Israel.以色列医生罢工中的伦理困境。
J Med Ethics. 1985 Jun;11(2):70-1. doi: 10.1136/jme.11.2.70.
9
Striking responsibilities.显著的职责。
J Med Ethics. 1985 Jun;11(2):66-9. doi: 10.1136/jme.11.2.66.
10
Some effects of a hospital employee strike on patient satisfaction.医院员工罢工对患者满意度的一些影响。
Mt Sinai J Med. 1985 Apr;52(4):259-64.