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Nursing strike, America, 2019: Concept analysis to guide practice.

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This study defines nursing strikes, clarifying terms like "sympathy strike" for the nursing workforce. It establishes a clear definition and identifies key elements for nurses and management during labor disputes.

Keywords:
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Area of Science:

  • Nursing
  • Labor Relations
  • Healthcare Management

Background:

  • A 2018 nursing sympathy strike highlighted a lack of clear definitions for nursing strikes and sympathy strikes within the nursing workforce.
  • Existing literature lacked a seminal article defining these terms, necessitating a formal concept analysis.

Purpose of the Study:

  • To conduct a concept analysis to define "nursing strike" and "sympathy strike" for the nursing workforce.
  • To establish clear definitions, antecedents, and consequences related to nursing labor actions.

Main Methods:

  • The Hybrid Method of Concept Analysis was employed, integrating theoretical literature analysis with qualitative stakeholder interviews.
  • A comprehensive review of 33 articles and 7 books was conducted, supplemented by nine in-depth interviews.

Main Results:

  • A consensus was reached on the definition, antecedents, and consequences of nursing strikes through literature review and interviews.
  • Nursing strikes in the U.S. were defined as a "last resort effort" involving work stoppage after bargaining failures.
  • Interviews uniquely introduced the concept of a nurse's "duty to patients" during strikes, with model, contrary, and borderline cases presented.

Conclusions:

  • The study provides a robust definition and framework for understanding nursing strikes and sympathy strikes.
  • Recommendations for practice are offered to guide nurses, management, and policymakers regarding labor actions.