The effect of a nursing strike on emergency department operational metrics
In July of 2017, after more than 15 months of negotiations, an academic teaching hospital in Boston failed to reach an agreement on the terms of contract renewal with its nursing union resulting in a strike. Replacement nurses were hired by the hospital to fulfill nursing duties for five days. This...
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| Veröffentlicht in: | The American journal of emergency medicine 2021-06, Vol.44, p.1-4 |
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| creator | Youssef, Nadine A. Mostofi, Matthew B. Barnewolt, Brien A. Youssef, Rouba Weiner, Scott G. |
| description | In July of 2017, after more than 15 months of negotiations, an academic teaching hospital in Boston failed to reach an agreement on the terms of contract renewal with its nursing union resulting in a strike. Replacement nurses were hired by the hospital to fulfill nursing duties for five days.
This study aims to measure the effects of this nursing strike on the patients seen in the emergency department (ED) by examining operational metrics before and during the strike.
Methods: Retrospective analysis of patient visits occurring for the five days of the strike (July 12-16, 2017) compared with the analogous five-day period immediately preceding that of the strike (July 5-9, 2017).
During the strike, ED volume decreased by 23.6% (691 vs. 528 visits), and the decrease was more pronounced for adult vs. pediatric visits. There were no differences in patient sex, race/ethnicity or age groups. EMS transports decreased by 49.1% (171 vs. 87 transports). Although patient dispositions were similar in both periods, length of stay decreased for discharged patients (median 204 vs 178 minutes, p=0.01), and did not change significantly for admitted patients (median 322 vs. 320 minutes, p=0.33). There was one patient death in each of the periods.
Although rare, nursing strikes do occur. These data may be useful for hospitals preparing for a strike. |
| doi_str_mv | 10.1016/j.ajem.2021.01.048 |
| format | Article |
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This study aims to measure the effects of this nursing strike on the patients seen in the emergency department (ED) by examining operational metrics before and during the strike.
Methods: Retrospective analysis of patient visits occurring for the five days of the strike (July 12-16, 2017) compared with the analogous five-day period immediately preceding that of the strike (July 5-9, 2017).
During the strike, ED volume decreased by 23.6% (691 vs. 528 visits), and the decrease was more pronounced for adult vs. pediatric visits. There were no differences in patient sex, race/ethnicity or age groups. EMS transports decreased by 49.1% (171 vs. 87 transports). Although patient dispositions were similar in both periods, length of stay decreased for discharged patients (median 204 vs 178 minutes, p=0.01), and did not change significantly for admitted patients (median 322 vs. 320 minutes, p=0.33). There was one patient death in each of the periods.
Although rare, nursing strikes do occur. These data may be useful for hospitals preparing for a strike.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2021.01.048</identifier><identifier>PMID: 33556843</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Codes ; Collective bargaining ; Emergency medical care ; Labor unions ; Length of stay ; Nurses ; Nursing ; Patients ; Pediatrics ; Sensitivity analysis ; Strikes ; Wages & salaries ; Workforce planning ; Working conditions</subject><ispartof>The American journal of emergency medicine, 2021-06, Vol.44, p.1-4</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-e817bd0bd884f171f654568034b33e145375c0ba7e8961b02b0af85d279006353</citedby><cites>FETCH-LOGICAL-c384t-e817bd0bd884f171f654568034b33e145375c0ba7e8961b02b0af85d279006353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735675721000516$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33556843$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Youssef, Nadine A.</creatorcontrib><creatorcontrib>Mostofi, Matthew B.</creatorcontrib><creatorcontrib>Barnewolt, Brien A.</creatorcontrib><creatorcontrib>Youssef, Rouba</creatorcontrib><creatorcontrib>Weiner, Scott G.</creatorcontrib><title>The effect of a nursing strike on emergency department operational metrics</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>In July of 2017, after more than 15 months of negotiations, an academic teaching hospital in Boston failed to reach an agreement on the terms of contract renewal with its nursing union resulting in a strike. Replacement nurses were hired by the hospital to fulfill nursing duties for five days.
This study aims to measure the effects of this nursing strike on the patients seen in the emergency department (ED) by examining operational metrics before and during the strike.
Methods: Retrospective analysis of patient visits occurring for the five days of the strike (July 12-16, 2017) compared with the analogous five-day period immediately preceding that of the strike (July 5-9, 2017).
During the strike, ED volume decreased by 23.6% (691 vs. 528 visits), and the decrease was more pronounced for adult vs. pediatric visits. There were no differences in patient sex, race/ethnicity or age groups. EMS transports decreased by 49.1% (171 vs. 87 transports). Although patient dispositions were similar in both periods, length of stay decreased for discharged patients (median 204 vs 178 minutes, p=0.01), and did not change significantly for admitted patients (median 322 vs. 320 minutes, p=0.33). There was one patient death in each of the periods.
Although rare, nursing strikes do occur. 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Replacement nurses were hired by the hospital to fulfill nursing duties for five days.
This study aims to measure the effects of this nursing strike on the patients seen in the emergency department (ED) by examining operational metrics before and during the strike.
Methods: Retrospective analysis of patient visits occurring for the five days of the strike (July 12-16, 2017) compared with the analogous five-day period immediately preceding that of the strike (July 5-9, 2017).
During the strike, ED volume decreased by 23.6% (691 vs. 528 visits), and the decrease was more pronounced for adult vs. pediatric visits. There were no differences in patient sex, race/ethnicity or age groups. EMS transports decreased by 49.1% (171 vs. 87 transports). Although patient dispositions were similar in both periods, length of stay decreased for discharged patients (median 204 vs 178 minutes, p=0.01), and did not change significantly for admitted patients (median 322 vs. 320 minutes, p=0.33). There was one patient death in each of the periods.
Although rare, nursing strikes do occur. These data may be useful for hospitals preparing for a strike.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33556843</pmid><doi>10.1016/j.ajem.2021.01.048</doi><tpages>4</tpages></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Codes Collective bargaining Emergency medical care Labor unions Length of stay Nurses Nursing Patients Pediatrics Sensitivity analysis Strikes Wages & salaries Workforce planning Working conditions |
| title | The effect of a nursing strike on emergency department operational metrics |
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