The resistance of nurses to austerity measures in the health sector during the financial crisis in Spain
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Bibliographic record
Abstract
This study explores nurses’ perspectives on how the financial crisis and austerity measures introduced in the Spanish Health System affected their ability to provide care in these new circumstances Cross-sectional observational study. In 2013, during an international annual congress in Spain, 123 nurses out of a total of 350 attendees completed a 14-item open-ended response questionnaire to examine the perceived impact of the financial crisis and austerity measures on quality of services and their experiences at work. 84% of the sample were women and the mean age of the respondents was 40 (standard deviation: 11.13). Seventy-seven percent of the nurses reported austerity measures introduced in their workplace. The nurses voiced strong disagreement with austerity measures (86%), due to the negative repercussions on nurses’ working conditions (47%), a decrease in human resources (37%), negative effects such as work overload (37%); a perceived deterioration in the quality of healthcare (77%) and pharmaceutical services (86%); and worsening conditions in access to health services by vulnerable populations (43%), leading to ethical dilemmas in clinical practice (26%). This study showed that nurses participating in this study overwhelmingly opposed austerity measures imposed on the National Health System as a response to the financial crisis, which had a negative effect both on nurses’ working conditions and on the quality of health services. Institutional measures to improve recruitment and retention of nurses including policies for preventing stress and burnout, a decrease of patient-nurse ratio, and greater work stability should be considered. Explorar la perspectiva de las enfermeras sobre cómo la crisis financiera y las medidas de austeridad en el Sistema Nacional de Salud afectan al cuidado que prestan en España. Estudio observacional transversal. Durante un congreso internacional anual celebrado en España en 2013, 123 enfermeras de un total de 350 asistentes completaron un cuestionario compuesto por 14 ítems de respuesta abierta, para examinar las consecuencias percibidas de la crisis financiera y las medidas de austeridad en la provisión de los cuidados. El 84% de la muestra eran mujeres con una media de edad de 40 años (desviación estándar: 11,13). El 77% reportó medidas de austeridad en su lugar de trabajo y el 86% mostró un fuerte desacuerdo con las medidas de austeridad debido al descenso en los recursos humanos (37%), la sobrecarga de trabajo (37%) y el deterioro de sus condiciones de trabajo (47%), de la calidad de los servicios de salud (77%) y farmacéuticos (86%), y del acceso a los servicios de salud de las poblaciones vulnerables (43%), que lleva a dilemas éticos en la práctica clínica (26%). Las enfermeras que participaron en este estudio se oponían de manera abrumadora a las medidas de austeridad impuestas al Sistema Nacional de Salud como respuesta a la crisis financiera, que han tenido efecto negativo tanto en sus condiciones de trabajo como en la calidad de los servicios. Se necesitan medidas institucionales para mejorar el reclutamiento y la retención de enfermeras, incluidas políticas para prevenir el estrés y el agotamiento, una disminución de la relación paciente-enfermera y una mayor estabilidad laboral.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it