"足够是足够的":一项混合方法研究,研究推动英国NHS护士罢工的关键因素
1Centre for Medicine and Society, University of Freiburg, Fahnenbergplatz, 79085, Freiburg im Breisgau, Germany. daniel.sanfey@hotmail.co.uk.
BMC nursing
|April 16, 2024
概括
英国护士的罢工是由薪酬之外的复杂因素驱动的,包括患者安全,人员短缺和难以管理的工作负载. 为国家卫生服务 (NHS) 解决这些相互关联的问题至关重要.
科学领域:
- 医疗保健政策和护理研究.
- 影响医疗保健专业人员的社会经济因素.
- 公共卫生部门的劳动关系.
背景情况:
- 英国国家卫生服务 (NHS) 面临着2022年规模最大的护士罢工,原因是薪酬纠纷.
- 有证据表明,罢工的原因比最初认为的更复杂.
- 这项研究调查了英国NHS护士罢工决定背后的多方面的驱动因素.
研究的目的:
- 探索影响英国NHS护士参加罢工行动的关键因素.
- 了解导致护士职业内工业行动的问题复杂的相互作用.
- 为改善NHS护士保留和福祉提供见解.
主要方法:
- 在英国各地采用了融合并行混合方法设计.
- 通过在线调查 (n=468) 收集的定量数据和投票支持罢工行动的护士半结构化访谈 (n=13) 的定性数据.
- 单独分析定量 (描述和推断统计) 和定性 (诱导主题分析) 数据,然后对混合方法推断进行整合.
主要成果:
- 患者安全,人员短缺,工资和难以管理的工作负载是罢工的主要驱动因素.
- 定性主题揭示了深层的担忧:"拯救我们的NHS"",金钱谈话"和"这是不可持续的",突出了人们对NHS的看法以及薪酬和人员不足的后果.
- 综合发现显示出强烈的一致性,表明相互关联的因素影响护士的决策.
结论:
- 英国NHS的护理环境要求很高,影响了患者护理和护士福祉.
- 对患者福利,护士职业和NHS本身的担忧是罢工的重要因素.
- 招聘和保留策略对于解决潜在问题和支持NHS护士至关重要.
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