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Resultados 1 - 20 de 1.426
BMJ ; 380: 59, 2023 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-36627124

Greve , Humanos , Governo
Nature ; 613(7944): 422-423, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36631588
Am J Nurs ; 122(12): 20-21, 2022 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-36384790


Strikes highlight common nursing challenges and concerns.

Enfermeiras e Enfermeiros , Greve , Humanos
Lancet ; 400(10366): 1844-1845, 2022 11 26.
Artigo em Inglês | MEDLINE | ID: mdl-36375484
Lancet ; 400(10359): 1181, 2022 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-36215995

Médicos , Greve , Humanos
BMJ ; 379: o2384, 2022 10 03.
Artigo em Inglês | MEDLINE | ID: mdl-36191950
Health Econ ; 31(11): 2499-2511, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35929809


Hospital strikes in the Portuguese National Health Service (NHS) are becoming increasingly frequent. This paper analyses the effect of different health professionals' strikes (physicians, nurses, and diagnostic and therapeutic technicians (DTT) - DTT) on patient outcomes and hospital activity. Patient-level data, comprising all NHS hospital admissions in mainland Portugal from 2012 to 2018, is used together with a comprehensive strike dataset with almost 130 protests. Data suggests that hospital operations are partially disrupted during strikes, with sharp reductions in surgical admissions (up to 54%) and a decline on both inpatient and outpatient care admissions. The model controls for hospital characteristics, time and regional fixed effects, and case-mix changes. Results suggest a modest increase in hospital mortality limited for patients admitted during physicians' strikes, and a slight reduction in mortality for patients already at the hospital when a strike takes place. Increases in readmission rates and length of stay are also found. Results suggest that hospitals and legal minimum staffing levels defined during strikes are not flexible enough to accommodate sudden disruptions in staffing, regardless of hospital quality in periods without strikes.

Medicina Estatal , Greve , Mortalidade Hospitalar , Hospitais , Humanos , Tempo de Internação , Readmissão do Paciente , Portugal
BMJ ; 378: o1768, 2022 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-35840141
BMJ ; 377: o1458, 2022 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-35700985
Nurs Ethics ; 29(5): 1152-1173, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35411830


Strike action in healthcare has been a common global phenomenon. As such action is designed to be disruptive, it creates substantial ethical tension, the most cited of which relates to patient harm, that is, a strike may not only disrupt an employer, but it could also have serious implications for the delivery of care. This article systematically reviewed the literature on strike action in healthcare with the aim of providing an overview of the major justifications for strike action, identifying relative strengths and shortcomings of this literature and providing direction for future discussions, and theoretical and empirical research. Three major themes emerged related to (1) the relationship between healthcare workers, patients and society; (2) the consequences of strike action; and (3) the conduct of strike action. Those who argue against strike action generally cite the harms of such action, particularly as it relates to patients. Many also argue that healthcare workers, because of their skills and position in society, have a special obligation to their patients and society more generally. Those who see this action as not only permissible but also, in some cases, necessary have advanced several points in response, arguing that healthcare workers do not necessarily have any special obligation to their patients or society, and even if so, this obligation is not absolute. Overwhelmingly, when talking about the potential risks of strike action, authors have focused on patient welfare and the impact that a strike could have. Several directions for future work are identified, including greater explorations into how structural and systemic issues impact strike action, the need for greater consideration about the contextual factors that influence the risks and characteristics of strike action and finally the need to tie this literature to existing empirical evidence.

Greve , Atenção à Saúde , Pesquisa Empírica , Pessoal de Saúde , Humanos
Am J Nurs ; 122(3): 49-54, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-35200190


ABSTRACT: It's usually considered a violation of professional ethics for health care workers, including nurses, to refuse to work during mass medical emergencies, especially if their refusal is over concerns like compensation. Strikes and other forms of work stoppage may result in harm to patients and, therefore, violate professional obligations of beneficence. However, in rare circumstances a health care worker's choice to remain on the job despite risk or potential harm to themselves or even their family may be considered beyond their professional obligation. During a pandemic such as COVID-19, the ethical calculus (that is, finding the right balance between beneficence and harm before deciding on a course of action) must take account of a confluence of factors, including the risks to present patients, future patients, and health care workers; the severity and duration of the risks; and the availability of ameliorative or protective steps that reduce risk and harm. The principle of beneficence to both future patients and health care workers may be thwarted if the risk analysis is confined only to short-term concerns (that is, to concerns occurring within a narrow temporal window). If a significantly elevated risk has been demonstrated to affect nurses and other health care workers of color disproportionately, racial justice must also be considered. The purpose of this article is to assess the moral framework of a work stoppage by nurses during a pandemic.

COVID-19/epidemiologia , Ética em Enfermagem , Greve/ética , Pessoal de Saúde/ética , Humanos , Pandemias/ética , SARS-CoV-2
Int J Health Plann Manage ; 37(3): 1311-1326, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35043468


Strike action in healthcare has been common over the last several decades. The overarching aim of this systematic review was to synthesise and analyse the empirical literature that examines the impact of strike action on patient morbidity, that is, all patient outcomes except mortality. After conducting a search and apply eligibility criteria, 15 studies were included in this review. These articles included a variety of outcomes from hypertension control to rates of chlamydia. Strikes ranged from 13 to 118 days, with a mean strike length of 56 days. A textual narrative synthesis was employed to arrange studies by whether they had a positive, mixed or neutral or negative impact on patient morbidity. Results suggest that strike action has little impact on patient morbidity. The majority of studies reported that strike action had a neutral or mixed impact of strike action on patient morbidity. One study reported positive outcomes and three studies reported negative outcomes, however in both cases, the impact that the strike had was marginal.

Greve , Humanos , Morbidade