RESUMEN
An extremely difficult contract negotiation between a collective bargaining unit and a hospital resulted in a vote to strike by the nursing staff before reaching a final agreement. The authors describe the factors that led up to the strike vote. Realistic yet optimistic strategies for developing a working relationship with the bargaining unit leadership and the nursing staff are described.
Asunto(s)
Negociación Colectiva , Reivindicaciones Laborales , Enfermeras Administradoras/psicología , Personal de Enfermería en Hospital/psicología , Huelga de Empleados , Boston , Toma de Decisiones en la Organización , Grupos Focales , Ambiente de Instituciones de Salud , Hospitales con más de 500 Camas , Humanos , Relaciones Interprofesionales , Satisfacción en el Trabajo , Enfermeras Administradoras/organización & administración , Asistentes de Enfermería/estadística & datos numéricos , Personal de Enfermería en Hospital/economía , Innovación Organizacional , Calidad de la Atención de Salud , Salarios y Beneficios , Estrés PsicológicoAsunto(s)
Liderazgo , Enfermeras Administradoras/organización & administración , Centros Médicos Académicos/organización & administración , Enfermería en Salud Comunitaria/organización & administración , Documentación , Hospitales de Enseñanza/organización & administración , Humanos , Programas Controlados de Atención en Salud , Salud Pública , Estados UnidosRESUMEN
The Harvard Nursing Research Institute organized a national invitational conference on executive nursing leadership in major teaching hospitals and academic health centers. The conference brought together many of the nation's eminent nurse executives and other prominent individuals in healthcare to analyze the unique and complex challenges facing these organizations, expose participants to other perspectives, and articulate specific aims and strategies that might be taken to increase their effectiveness in leading the nursing profession's efforts to shape the ongoing transformation of the healthcare system.
Asunto(s)
Reforma de la Atención de Salud , Liderazgo , Enfermeras Administradoras/organización & administración , Investigación en Administración de Enfermería , Centros Médicos Académicos , Hospitales de Enseñanza , Humanos , Gestión de la Calidad Total , Estados UnidosRESUMEN
When nurse providers fail to meet standards of practice and productivity, nursing administrators may confront a dispute resolution process. Preparation for this experience greatly affects its outcome. This article presents the method used by a nursing department in one such situation. It describes the perspectives and approach of the nursing administration and legal counsel as the process unfolded. The process can be applied to both unionized and nonunionized organizations.