Advertisement

Academic Psychiatry

, Volume 15, Issue 2, pp 87–93 | Cite as

Attitudes of Psychiatry Residents Toward a Strike by Nursing Staff

A Case Report
  • Robert Kohn
  • Ronald M. Wintrob
Article

Abstract

A study of the attitudes of psychiatry residents and attending psychiatrists toward a strike by nurses and mental health workers in a psychiatric teaching hospital was performed. All residents (n = 20) and 47 (83% of the attending psychiatrists) completed a questionnaire within 4 weeks after the strike. The responses to the questionnaire indicated that resident’s behavior in response to the strike was significantly different from the behavior of the attendings: 20% of the residents volunteered service during the strike compared with 66% of the attendings (p ≤ 0.0001). The attending psychiatrists, when asked what action they would have taken if they were residents, indicated somewhat less of an inclination to volunteer; 16.7% changed their position about volunteering (NS). When asked what they would have done if they were attendings, 55% (p ≤ 0.008) of the residents indicated they would have volunteered service. The significance of these findings is that residents identify themselves more with the “frontline” mental health workers engaged in the strike than with the faculty/attending psychiatrists who serve as their professional role models.

Keywords

Health Care Worker Residency Program Professional Role Inpatient Unit Mental Health Worker 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Brecher R: Striking responsibilities. J Med Ethics 1985;11:66–69PubMedCrossRefGoogle Scholar
  2. 2.
    Railton P: Health care personnel and the right to strike: a social perspective. Prog Clin Biol Res 1980; 38:309–310Google Scholar
  3. 3.
    Norman RM: The effect of a mental hospital strike on general hospital psychiatric services. Psychol Med 1984; 14:913–921PubMedCrossRefGoogle Scholar
  4. 4.
    Rosenberg G, Speedling EJ, Rehr H, et al: Some effects of a hospital employee strike on patient satisfaction. Mt Sinai J Med 1985; 52:259–264PubMedGoogle Scholar
  5. 5.
    Schlosberg A, Zilber N, Avraham F: Effects of a psychiatrists’ strike on emergency psychiatric referral and admissions. Soc Psychiatry Psychiatr Epidemiol 1989; 24:84–87PubMedCrossRefGoogle Scholar
  6. 6.
    Cofler H: On the physician’s right to strike. Prog Clin Biol Res 1980; 38:303–307Google Scholar
  7. 7.
    Sachdev PS: Doctors’ strike—an ethical justification. N Z Med J 1986; 99:412–414PubMedGoogle Scholar
  8. 8.
    Arnold P: Australian doctors on strike. Br Med J 1984;289:175–177CrossRefGoogle Scholar
  9. 9.
    Drobinski G, Thomas D, Grosgogeat Y: Medical strikes in France. Ann Intern Med 1983; 99:862–863PubMedCrossRefGoogle Scholar
  10. 10.
    Gapen P: The Committee of Interns and Residents: New York’s big, brash union. New Physician 1981; 30:14–18PubMedGoogle Scholar
  11. 11.
    Grosskopf I, Buckman G, Garty M: Ethical dilemmas of the doctors’ strike in Israel. J Med Ethics 1985; 11:70–71PubMedCrossRefGoogle Scholar
  12. 12.
    Sinclair A: The Ontario doctors’ strike. Can Med Assoc J 1986; 135:429–450Google Scholar
  13. 13.
    Kravitz RL, Shapiro MF, Linn LS, et al: Risk factors associated with participation in the Ontario, Canada doctors’ strike. Am J Public Health 1989; 79:1227–1233PubMedCrossRefGoogle Scholar
  14. 14.
    Skodol AE, Maxmen JS: Role satisfaction among psychiatric residents. Compr Psychiatry 1981; 22:174–178PubMedCrossRefGoogle Scholar
  15. 15.
    Forssmann-Falck R: Role conflict: an important dimension of the psychiatric residency. Int J Soc Psychiatry 1986; 32:58–62PubMedCrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 1991

Authors and Affiliations

  • Robert Kohn
    • 1
    • 2
  • Ronald M. Wintrob
    • 1
  1. 1.Department of Psychiatry and Human BehaviorBrown UniversityProvidenceUSA
  2. 2.Columbia UniversityNew YorkUSA

Personalised recommendations