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全省护士罢工对地区转诊中心医疗护理的影响。

Impact of a province-wide nurses' strike on medical care in a regional referral centre.

作者信息

Stabler C, Schnurr L, Powell G, Stewart B, Guenter C A

出版信息

Can Med Assoc J. 1984 Aug 1;131(3):205-10.

PMID:6744165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1483290/
Abstract

A 4-week, province-wide nurses' strike in Alberta in 1982 caused the closure of 57% of the acute care beds, including 47% of the intensive care beds, in Calgary. The effects of the strike on patient care at Foothills Provincial General Hospital, where nurses did not strike, were assessed. The number of emergency admissions, severity of illness and rate of death in the intensive care unit increased. On the other hand, the rate of death, length of stay and number of unexpected deaths on the medical wards were similar to those in the control periods before and after the strike. A subjective perception by hospital personnel of deteriorating patient care caused much anxiety; however, the results of analysis of measurable aspects of care suggested that the patients admitted to hospital received care during the strike that was comparable to care given before or after the strike. The inconvenience and potential harm to the patients not admitted because they had less severe illness were not measured.

摘要

1982年,艾伯塔省发生了一场为期四周的全省范围护士罢工,导致卡尔加里57%的急症护理床位关闭,其中包括47%的重症监护床位。对未参与罢工的山麓省立总医院的患者护理受到的影响进行了评估。重症监护病房的急诊入院人数、疾病严重程度和死亡率有所增加。另一方面,内科病房的死亡率、住院时间和意外死亡人数与罢工前后的对照期相似。医院工作人员对患者护理质量下降的主观感受引发了诸多焦虑;然而,对护理可衡量方面的分析结果表明,罢工期间入院的患者所接受的护理与罢工前后相当。未对因病情较轻而未入院的患者所面临的不便和潜在危害进行衡量。

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本文引用的文献

1
Be prepared for future strikes.为未来的罢工做好准备。
Health Care (Don Mills). 1980 May;22(5):31-5.
2
Detailed planning key to ongoing hospital functioning during strike.详细规划是罢工期间医院持续运转的关键。
Hospitals. 1981 Jul 1;55(13):73-6.
3
A 70-day strike by professional nurses.专业护士长达70天的罢工。
Superv Nurse. 1980 Sep;11(9):49-53.
4
How costly is a strike?罢工的代价有多大?
Hospitals. 1975 Sep 16;49(18):53-6.
5
Hospitals stand firm, ensure care in lengthy, areawide nurses' strike.医院坚守阵地,在长达数周的全市护士罢工期间确保医疗服务。 (原英文句子表述不太准确规范,这是根据大致意思翻译的,准确的英文应该是“Hospitals stand firm to ensure care during a lengthy, area-wide nurses' strike.” )
Hospitals. 1977 Aug 1;51(15):49-51.
6
Early planning helps hospitals run efficiently during strike.提前规划有助于医院在罢工期间高效运转。
Hospitals. 1978 Mar 16;52(6):105, 108, 110-2.
7
Strikes by health workers: a look at the concept, ethics, and impacts.医护人员罢工:审视这一概念、伦理及影响。
Am J Public Health. 1979 May;69(5):431-3. doi: 10.2105/ajph.69.5.431.
8
Strategic strike management helps hospital to carry on.战略打击管理有助于医院持续运营。
Hospitals. 1979 May 1;53(9):91-2, 94-5, 97.
9
Results and costs of intensive care.重症监护的结果与成本。
Anesthesiology. 1977 Aug;47(2):203-16. doi: 10.1097/00000542-197708000-00011.
10
Coping with hospital strikes.应对医院罢工。
Mt Sinai J Med. 1978 Nov-Dec;45(6):773-81.