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首页> 外文期刊>Journal of health management >Effects of Hospital Restructuring and Downsizing on Nursing Staff: The Role of Union Support
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Effects of Hospital Restructuring and Downsizing on Nursing Staff: The Role of Union Support

机译：医院重组和缩小规模对护理人员的影响：联盟支持的作用

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摘要

The healthcare system underwent considerable restructuring and downsizing in the early to mid-1990s as governments cut costs to reduce their budget deficits. Studies of the effects of these efforts on nursing staff and hospital functioning generally reported negative impacts. Healthcare restructuring and hospital downsizing was again being implemented as governments struggled to once again reduce deficits. The present study examines the relationship of union support during hospital restructuring initiatives with a range of individual and unit/hospital outcomes in a sample of nursing staff working in healthcare settings (hospitals) undergoing significant restructuring and downsizing. Data were collected from 289 nursing staff in California hospitals. Nurses reported a relatively large number of restructuring and downsizing initiatives during the preceding year. Levels of union support had a significant relationship with hospital functioning, but not with nursing staff work and well-being outcomes. Although union support has not shown many benefits for nursing staff during hospital restructuring and downsizing given their focus on adherence to collective agreements, nursing unions can play a larger role here. The present study adds to our understanding of the potential benefits of union support during the current hospital restructuring and downsizing, and highlights the role of union leadership and management.
机译：1990年代早期，医疗保健系统在20世纪90年代初完成了相当大的重组和缩小规模，因为政府降低了减少预算赤字的成本。这些努力对养老金员工和医院作用的影响普遍报告了负面影响。医疗保健重组和医院的缩小性再次实施，因为政府再次努力减少赤字。本研究探讨了工会支持在医院重组举措中的关系，这是一系列个人和单位/医院成果的一系列个人和单位/医院成果，该举措在医疗保健环境（医院）正在进行大量的重组和缩小规模。从加州医院的289名护理人员收集数据。护士报告了前一年中的相对大量的重组和缩小规模举措。工会支持的水平与医院运作有重要关系，但没有养老金人的工作和幸福的结果。虽然联盟支持在医院的重组和缩小期间，虽然他们的重点是坚持集体协议，但宣誓工会在这里可以在这里发挥更大的作用。本研究为我们在当前医院重组和缩小期间对工会支持的潜在利益的理解，并突出了联盟领导和管理的作用。

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