The impact of an employees' strike on a community mental health center.
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Labor stoppages in health care facilities occur periodically and strike terror into the hearts of those responsible for continuity of patient care and safety. This article describes preparation for and survival during an actual labor stoppage of support services personnel.
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This research found that strikes by public employees are most likely to be tolerated by younger people, by citizens who feel city wages should be higher, by blue-collar workers, by black people and by citizens dissatisfied with their treatment by police officers. Respondents to this survey did not distinguish among categories of public employees when evaluating the desirability of strikes.
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Recent moves by the National Labor Relations Board could accelerate union growth among healthcare organizations, making employee strikes a new concern for many of them. An urban hospital that recently faced potential strikes by two unions developed a strike contingency plan to cope with the situation. The plan, enacted before strike notices were received, reviewed staffing concerns, addressed strategic areas of operation, and helped managers set priorities.
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This paper compares the short-term outcome of a group of seven patients released from an inpatient facility during an employee strike and a group of eight released at the optimal time according to the treating physicians. There was no difference in the outcome of the two groups, only two fifth of the entire cohort could be considered as doing well. The reasons for the findings are explored.
An employer faced with a work stoppage that violates a contractual no-strike provision has several alternatives: the employer can seek an injunction against the strike, discipline employees involved in the strike, or attempt to recover damages for violations of the collective bargaining agreement. Each of these remedies, however, presents practical problems in terms of employer-employee relations as well as legal questions regarding the extent of relief available. In the following article, the author examines the remedies available to an employer when employees engage in activity that violates a no-strike provision. He also examines the impact of recent cases on an employer's ability to enforce a no-strike pledge.
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The authors sampled the feelings and attitudes of patients and staff toward an 8-day strike by 2,500 health care employees of a metropolitan hospital. The strike had a major impact, and most respondents felt angry at one of the parties of the strike. Sympathies toward the strikers and the hospital management were equally divided.
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Exploitation of resident physicians still occurs and can result in working conditions so unfavorable that patients are endangered. Because residents are vulnerable to exploitation, and because they are not fully accountable for patient care or for fully developed professionalism until they have completed their training, for just ends it is morally acceptable for residents to strike. Given that the ultimate responsibility for every patient rests not with the residents but with the attending and staff physicians, in the event of a resident strike the attending and staff physician supervisors should cover patient care, at least with respect to essential services. It is not morally acceptable for attending or staff physicians who are employees to strike. Attending and staff physicians should make every effort to resolve concerns about patient care without the use of confrontation. However, it may be necessary to consider collective actions to secure certain professional interests, including an interest in patient care. For such ends, patient endangerment is an unacceptable means and contrary to the professional virtue of altruism. The strategy for a just collective action is to identify the things that physicians normally do for their employer and collectively to withhold all of them, with the single exception of patient care.
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