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PubMed2004

Competition or coordination in hospital markets with unionised labour.

This paper study labour market responses to hospital mergers. The market consists of two hospitals providing horizontally and vertically differentiated services. Hospitals compete either in price and quality or just in quality (non-price competition). To provide medical care, hospitals employ health care workers (e.g., physicians, nurses). The workers collectively bargain wages either at a central level, firm level or plant level. Anticipating wage responses, hospitals decide whether or not to merge. The main finding is that the bargaining structure, the nature of competition and the patient copayment rate have a crucial impact on the profitability of hospital mergers.

Economic Competition↗
PubMed2002

The Työhön Job Search Program in Finland: benefits for the unemployed with risk of depression or discouragement.

The impact of preventive interventions for the unemployed may vary depending on the context of the labor policies and benefit systems of the country where it is implemented. The Työhön Job Search Program was based on a method developed in the United States for recently unemployed workers. This study examined outcomes of the intervention in the context of the European labor market for participants who had been unemployed for a longer period. A total of 1,261 unemployed Finnish job seekers participated in a randomized field study. At the 6-month follow-up, the program had a beneficial impact on the quality of reemployment, especially among those who had been unemployed for a moderate time period. The program also significantly decreased psychological distress.

Adult↗
PubMed2006

Screening older, blue-collar workers for drinking problems: an assessment of the efficacy of the drinking problems index.

The authors examine the performance of the Drinking Problems Index (DPI) as a screening instrument for the identification of drinking problems among older blue-collar workers. Performance was assessed using a random sample of 1055 retirement-eligible blue-collar workers with the CAGE as a problem-drinking criterion. The authors also assessed the relative performance of the DPI versus the CAGE on the basis of each instrument's sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) with regard to other alcohol-related criteria. DPI was found to offer reasonable levels of sensitivity and specificity, although its sensitivity varied by age. Moreover, for older, blue-collar workers, the DPI was found to more effectively screen for problematic patterns of alcohol consumption than the CAGE.

Adult↗
PubMed1998

The gatekeepers.

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Crystallography↗
PubMed1977

Closed shop?

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Labor Unions↗
PubMed1999

Passivity vs. militancy: a Q methodological study of nurses' industrial relations on Merseyside (England).

This paper describes a Q methodological study of accounts of nurses' industrial relations expressed by a sample of nurses (n = 60) drawn from the geographical area of Merseyside, United Kingdom (UK). The participants completed a 65-item Q sort made up of statements which could be ranked in terms of their relevance to an understanding of their industrial relations situation. Of interest was the importance of the narrative accounts which nurses draw upon in making sense of their employment relations, having the potential to underpin or delimit their actions. The notion of industrial action was an important focus of this research. Q methodology was chosen to allow the meaningful investigation of such subjectivity, with interesting tensions between differing notions of professionalism and militancy apparent from the analysis. Six accounts of industrial relations, which are available to be drawn on by nurses, are described and interpreted within a social constructionist framework. Some implications for the conduct of nurses' industrial relations in the UK are contemplated.

England↗
PubMed2001

Back to the bedpans: the debates over preregistration nursing education in England.

AIMS OF THE PAPER: This paper aims to examine the recent debates in both the general and professional press over the future of preregistration education in England, in the light of the sociological literature on the professions, and the nature of nursing knowledge. The literature on the Project 2000 reforms, although by now well worn, will also be discussed briefly. BACKGROUND/RATIONALE: The bulk of nursing education in England moved into higher education in the 1990s. Unlike other higher education in England, it is not funded by the Department for Education and Employment, but commissioned by the National Health Service (NHS), to which it is expected to be highly responsive. DESIGN/METHODS: This paper is based on a brief literature survey, plus policy documents and media reports. FINDINGS/CONCLUSION: It will be argued that the process of professionalization is not a straightforward one, and has its potential for reversals of fortune, and that nursing occupies a marginal place in higher education in England.

Education, Nursing, Baccalaureate↗
PubMed2000

Nursing and politics: a South African perspective.

The purpose of this paper is to provide a general introduction to politics, and to describe some political changes which have affected the rendering of multidisciplinary health care services in the Republic of South Africa since 1994. Political issues which will be addressed include: changed provincial borders; opening up of the Republic of South Africa's international borders; increased emphasis on primary health care services; enhanced international involvement of the Republic of South Africa; changes in the statutory bodies governing the nursing profession; and changed legislation affecting health care workers. Political know-how is essential for professional survival. Unless nurses in the Republic of South Africa collaborate proactively as a united group representing the largest proportion of health care professionals in the country, the nursing profession and nursing education might become irrelevant to the political realities of the country and its people. Unless nurses can succeed in engaging in successful political debates and in negotiating their rights, they might become an increasingly voiceless, faceless and powerless female profession in the Republic of South Africa. However, politically knowledgeable nurses may help to ensure that the people will get the nurses and the nursing care they deserve, whilst the nurses will enjoy the benefits to which they are entitled, including market-related salaries.

Delivery of Health Care, Integrated↗

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