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.
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.
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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