Developing personal values

Trainees' attitudes toward strikes by health care providers

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Worldwide, health care providers use strikes and job actions to influence policy. For health care providers, especially physicians, strikes create an ethical tension between an obligation to care for current patients (e.g., to provide care and avoid abandonment) and an obligation to better care for future patients by seeking system improvements (e.g., improvements in safety, to access, and in the composition and strength of the health care workforce). This tension is further intensified when the potential benefit of a strike involves professional self-interest and the potential risk involves patient harm or death. By definition, trainees are still forming their professional identities and values, including their opinions on fair wages, health policy, employee benefits, professionalism, and strikes. In this article, the authors explore these ethical tensions, beginning with a discussion of reactions to a potential 2005 nursing strike at the University of California, Davis, Medical Center. The authors then propose a conceptual model describing factors that may influence health care providers' decisions to strike (including personal ethics, personal agency, and strike-related context). In particular, the authors explore the relationship between training level and attitudes toward taking a job action, such as going on strike. Because trainees' attitudes toward strikes continue to evolve during training, the authors maintain that open discussion around the ethics of health care professionals' strikes and other methods of conflict resolution should be included in medical education to enhance professionalism and systems-based practice training. The authors include sample case vignettes to help initiate these important discussions.

Original languageEnglish (US)
Pages (from-to)580-585
Number of pages6
JournalAcademic Medicine
Volume86
Issue number5
DOIs
StatePublished - May 2011

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strike
trainee
Health Personnel
health care
Patient Care
Patient Harm
Health Manpower
Values
Bioethics
Salaries and Fringe Benefits
Negotiating
Health Policy
Medical Education
Ethics
Nursing
Delivery of Health Care
Physicians
Safety
obligation
moral philosophy

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Developing personal values : Trainees' attitudes toward strikes by health care providers. / Li, Su-Ting Terry; Srinivasan, Malathi; Der-Martirosian, Claudia; Kravitz, Richard L; Wilkes, Michael S.

In: Academic Medicine, Vol. 86, No. 5, 05.2011, p. 580-585.

Research output: Contribution to journalArticle

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