Negotiators, mediators and arbitrators.
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It is time for hospital executives to face up to the practical implications of increased union organizing, says attorney K. Bruce Stickler. Get ready for special-interest negotiations, increased job protection demands, escalating wage and benefits costs, and more.
Absenteeism of 130 direct-care staff was reduced by 27% through a mixed consequence procedure consisting of positive reinforcement for reliable attendance and punishment (progressive discipline) for attendance abuse. Reduced rates of absenteeism were maintained over a 12-month period. A 17% reduction in overtime and an increase in annual staff turnover from 34% to 45% also occurred. Results extend the findings of mixed consequence procedures to residential facilities for persons with developmental disabilities. Development of a more powerful positive reinforcement component was discussed.
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