Nursing unions: A scoping review of outcomes for employees, patients, and administrators

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2024-10-16 DOI:10.1016/j.outlook.2024.102292

Andrew M. Dierkes PhD , Kristin H. Gigli PhD, APRN, CPNP-AC , Branden Dutchess BA , Grant Martsolf PhD, MPH

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引用次数: 0

Abstract

Background

Nursing labor organization is consequential to many stakeholders, but collective evidence for outcomes associated with nurse unionization is lacking.

Purpose

To synthesize evidence of associations between nursing unions and nurse, patient, and system outcomes.

Methods

A scoping review.

Findings

Twenty-four articles spanning nearly 50 years were abstracted. Most studies (n = 16; 67%) included nurse outcomes, usually remuneration (n = 10; 42%). Patient and system outcomes were less common (for each: n = 7; 29%). Union wage premiums were modest. Evidence for other nurse outcomes (e.g., job satisfaction, retention) was limited and mixed. Unionization was associated with improvements in many but not all patient outcomes studied, and with operational differences, including decreased staffing and labor substitution.

Discussion

Collective bargaining outcomes may help administrators understand nurses’ needs and concerns and thereby improve nurse recruitment and retention. For example, modest wage effects may signal nonwage priorities among nurses, which are understudied and worthy subjects of future research.

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护理工会：对员工、患者和管理者成果的范围审查

背景护理劳工组织对许多利益相关者都具有重要意义，但缺乏与护士工会相关的集体成果证据。目的综合护理工会与护士、患者和系统成果之间的关联证据。大多数研究（n = 16；67%）包括护士的成果，通常是薪酬（n = 10；42%）。患者和系统结果的研究较少（各为 7 篇；29%）。工会的工资溢价并不高。有关其他护士成果（如工作满意度、留用率）的证据有限，且好坏参半。讨论集体谈判的结果可能有助于管理者了解护士的需求和关注点，从而改善护士招聘和留用。例如，适度的工资效应可能预示着护士的非工资优先事项，而这一问题尚未得到充分研究，值得在未来开展研究。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.