Essex Ryan, Burns Calvin, Evans Thomas Rhys, Hudson Georgina, Parsons Austin, Weldon Sharon Marie
Institute for Lifecourse Development, University of Greenwich, London, UK.
School of Human Sciences, University of Greenwich, London, UK.
Nurs Inq. 2023 Apr;30(2):e12535. doi: 10.1111/nin.12535. Epub 2022 Oct 17.
While strike action has been common since the industrial revolution, it often invokes a passionate and polarising response, from the strikers themselves, from employers, governments and the general public. Support or lack thereof from health workers and the general public is an important consideration in the justification of strike action. This systematic review sought to examine the impact of strike action on patient and clinician attitudes, specifically to explore (1) patient and health worker support for strike action and (2) the predictors for supporting strike action and the reasons given for engaging in strike action. A systematic scoping review was employed to identify all relevant literature, followed by a textual narrative synthesis. A total of 34 studies met inclusion criteria. Support for strike action was largely context-dependent. A range of factors impact support for strike action; broader cultural and structural factors, such as unionisation and general acceptance of strike action; systemic factors, such as the nature of the healthcare system, including infrastructure and work conditions; the strike itself and a range of individual factors, the most notable of which was being a student or in an early career stage. There were also some surprising results, for example, during doctors strike, nurses were provided with the opportunity to expand their role, which led to greater professional autonomy and job satisfaction.
自工业革命以来，罢工行动屡见不鲜，它常常引发罢工者自身、雇主、政府和公众的强烈且两极分化的反应。卫生工作者和公众的支持与否是罢工行动正当性的一个重要考量因素。本系统评价旨在研究罢工行动对患者和临床医生态度的影响，具体而言是探讨：（1）患者和卫生工作者对罢工行动的支持情况；（2）支持罢工行动的预测因素以及参与罢工行动的理由。采用系统的范围综述来识别所有相关文献，随后进行文本叙述性综合分析。共有34项研究符合纳入标准。对罢工行动的支持在很大程度上取决于具体情境。一系列因素影响着对罢工行动的支持，包括更广泛的文化和结构因素，如工会化程度和对罢工行动的普遍接受度；系统因素，如医疗保健系统的性质，包括基础设施和工作条件；罢工本身以及一系列个体因素，其中最显著的是身为学生或处于职业生涯早期阶段。也有一些令人惊讶的结果，例如，在医生罢工期间，护士获得了扩大其角色的机会，这带来了更大的职业自主权和工作满意度。
