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Preplacement examination of temporary hospital workers.

One hundred ninety-nine temporary hospital employees were given preplacement medical examinations during the New York City hospital strike in 1984. Major findings pertain to susceptibility to communicable disease and to drug abuse. Sixty-three percent of individuals examined were found to be inadequately immunized against diphtheria and tetanus, 41% to be susceptible to rubella, and 12.6% to be tuberculin skin test positive. Three percent had positive urine toxicologies for either cocaine, heroin, or phencyclidine and were subsequently denied employment. Thirteen percent had potentially significant physical findings. One individual was denied employment pending treatment; two individuals with seizure disorders were placed in noncritical areas. Forty-one percent of individuals examined smoked and were eligible for smoking cessation programs.

Adolescent↗

Labour pains.

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Employee Grievances↗

Strikes--an appropriate action for health care employees? A personal perspective.

In this article I would like to express my personal ideas and points of view about strike action, which I think many colleagues will share. I am a qualified paediatric nurse, currently working in the central operating theatre of a university hospital in Germany. At the same time, I am also finishing my studies in health care sciences. Apart from two short protest strikes, I have not taken part in any strike, because there have not been any during my whole professional career at the hospitals where I have worked. I am personally deeply convinced that strikes are important and are a good and useful tool, in particular to protest against 'rationalizations', which so far have led only to lower salaries and fewer jobs for nurses, and have brought no improvement in the conditions for staff or patients.

Attitude of Health Personnel↗

The breaking point.

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Collective Bargaining↗

The use of dilemma situations to analyse industrial action by nurses.

Traditionally, the history of nursing has emphasised sacrifice and the obligation to care, placing limits on the way that nurses could argue for improved conditions and status. However, over the past decade nursing has changed significantly both in terms of its educational system and in respect of the context in which nurses now work. In an increasingly technological environment, nurses now seem more ready to consider the industrial actions that other professions take. The present study measures the particular orientation to care (personal or technical) that nurses currently hold and then looks at whether this orientation has an effect on nurses' industrial activism, and the degree of difficulty felt by nurses when faced with choosing between industrial options. Orientation to care was measured through the choice of actions in a series of behaviours which were pre-rated as to whether they primarily involved technical or personal care. Industrial activism was measured through a series of vignette situations, with behavioural options ranging from low to high activism. Results of the study demonstrated that a particular orientation to care does in fact impact on industrial activism and difficulty scores. Overall, the results of this study demonstrated, firstly, that nurses who preferred to express their care in a personal rather than a technical manner were more ready to take industrial action. Secondly, those nurses who held a strong duty of care towards their patients were less ready to take industrial action than those who considered workers' rights as the more important issue. However, at the same time, nurses who held a strong duty of care had more difficulty in choosing between options.

Adult↗