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卫生部门的危机:对护士工作条件的影响。

Crisis in the health sector: Impact on nurses' working conditions.

作者信息

Granero-Lázaro Alberto, Blanch-Ribas Josep M, Roldán-Merino Juan Francisco, Torralbas-Ortega Jordi, Escayola-Maranges Ana María

机构信息

Centro de Salud Mental, Parc Taulí Hospital Universitario, Instituto de Investigación e Innovación Parc Taulí I3PT, Sabadell (Barcelona), España.

Departamento de Psicología Social, Facultad de Psicología, Universidad Autónoma de Barcelona (UAB), Bellaterra (Barcelona), España.

出版信息

Enferm Clin. 2017 May-Jun;27(3):163-171. doi: 10.1016/j.enfcli.2017.03.005. Epub 2017 Apr 10.

DOI:10.1016/j.enfcli.2017.03.005
PMID:28408097
Abstract

UNLABELLED

In a context of economic crisis and policies to reduce the public deficit, the budgets of the Catalan Health Institute (CHI) were cut by 15.33% between 2010 and 2014.

OBJECTIVE

To assess the perceived impact on nurses' work conditions of measures to contain health spending.

METHOD

The study design was descriptive and transversal. A sample of 1,760 nurses from the province of Barcelona answered a questionnaire on the perceived impact of health spending containment measures implemented in their workplace during the early years of the crisis.

RESULTS

Among the main aspects of the perceived impact of these measures, 86.6% of the nurses identified a pay cut and an increase in the following relevant parameters of their working conditions: number of hours worked (66.7%), final ratio of treated patients (35.2%), task complexity and workload (75.3%), rotation through various departments (31.5%), work shifts (21.4%) or work areas (23.4%), job insecurity (58.4%) and loss of employment by dismissal (6.6%) or non-renewal of contract (9%).

CONCLUSIONS

The perceived impact of the crisis showed a triple negative component: Pay cut, work overload and job insecurity. As a combined effect of this multiple trend, the nurses acknowledged a deterioration in their working conditions and quality of working life.

摘要

未标注

在经济危机和削减公共赤字政策的背景下,加泰罗尼亚卫生研究所(CHI)的预算在2010年至2014年间削减了15.33%。

目的

评估控制医疗支出措施对护士工作条件的感知影响。

方法

研究设计为描述性横断面研究。来自巴塞罗那省的1760名护士样本回答了一份关于危机初期在其工作场所实施的医疗支出控制措施的感知影响的问卷。

结果

在这些措施的感知影响的主要方面中,86.6%的护士指出工资削减以及以下工作条件相关参数增加:工作时长(66.7%)、最终治疗患者比例(35.2%)、任务复杂性和工作量(75.3%)、在各科室轮岗(31.5%)、工作班次(21.4%)或工作区域(23.4%)、工作不安全感(58.4%)以及因解雇(6.6%)或合同未续签(9%)导致的失业。

结论

危机的感知影响呈现出三重负面因素:工资削减、工作负担过重和工作不安全感。作为这种多重趋势的综合影响,护士们承认其工作条件和工作生活质量有所恶化。

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