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Nurses in the Prince William Hospital study believed that there were benefits in taking as

little sick leave as possible.

A.Y

B.N

C.NG

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第1题
ABSENTEEISM IN NURSING: A LONGITUDINAL STUDYAbsence from work is a costly and disruptive p

ABSENTEEISM IN NURSING: A LONGITUDINAL STUDY

Absence from work is a costly and disruptive problem for any organization. The cost of absenteeism in Australia has been put at 1.8 million hours per day or $1400 million annually. The study reported here was conducted in the Prince William Hospital in Brisbane. Australia, where, prior to this time few active steps had been taken to measure, understand or manage the occurrence of absenteeism.

Nursing Absenteeism

A prevalent(普遍的) attitude amongst many nurses in the group selected for study was that there was no reward or recognition for not utilizing the paid sick leave entitlement allowed them in their employment conditions. Therefore. they believed they may as well take the days offsick or otherwise. Similar attitudes have been noted by James(1989), who noted that sick leave is seen by many workers as a right, like annual holiday leave.

Miller and Norton(1986), in their survey of 865 nursing personnel, found that 73 percent felt they should be rewarded for not taking sick leave, because some employees always used their sick leave. Further. 67 per cent of nurses felt, that administration was not sympathetic to the problems shift work causes to employees' personal and social lives. Only 53 per cent of the respondents felt that every effort was made to schedule staff fairly.

In another longitudinal study of nurses working in two Canadian hospitals, Hackett. Bycio and Gnion (1989) examined the reasons why nurses took absence from work. The rrtost frequent reason stated for absence was minor illness to self. Other causes, in decreasing order of frequency, were illness in family, family social function, work to do at home and bereavement.

Method

In an attempt to reduce the level of absenteeism amongst the 250 registered and enrolled nurses in the present study, the Prince William management introduced three different, yet potentially complementary, strategies over 18 months.

Strategy 1: Non-financial (material) incentives

Within the established wage and salary system it was not possible to use hospital funds to support this strategy. However, it was possible to secure incentives(刺激) from local businesses; including free passes to entertainment parks, theatres, restaurants, etc. At the end of each roster period, the ward with the lowest absence rate would win the prize.

Strategy 2: Flexible fair rostering

Where possible, staff were given the opportunity to determine their working schedule within the limits of clinical needs.

Strategy 3: Individual absenteeism and counseling

Each month, managers would analyze the pattern of absence of staff with excessive sick leave (greater than ten days per year for full-time employees). Characteristic patterns of potential ‘voluntary absenteeism' such as absence before and after days off, excessive weekend and night duty absence and multiple single days off were communicated to all ward(病房) nurses and then, as necessary, followed up by action.

Results

Absence rates for the six months prior to the incentive scheme ranged from 3.69 per cent to 4. 32 per cent. In the following six months they ranged between 2.87 per cent and 3.96 per cent. This represents a 20 per cent improvement. However, analyzing the absence rates on a year-to-year basis, the overall absence rate was 3.60 per cent in the first year and 3.43 per cent in the following year. This represents a 5 per cent decrease from the first to the second year of the study. A significant decrease in absence over the two-year period could not be demonstrated.

Discussion

The non-financial incentive scheme did appear to assist in controlling absenteeism in the short term. As the scheme progressed it became harder to secure prizes and this contributed to the program's losing momentum and finally ceasing.

A.Y

B.N

C.NG

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第2题
The prince __ in love with the country girl at first sight.

A.dropped

B.fell

C.came

D.went

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第3题
Hamlet is a prince of ___

A.England

B.Ireland

C.Britain

D.Denmark

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第4题
According to the passage, some doctors objected to the establishment of nursing schools be
cause they believed that ______.

A.nursing was an art that could not be taught

B.additional medical care from nurses was unnecessary

C.volunteer nurses from the upper-class were adequate

D.educated nurses would undermine their authority

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第5题
In relation to management attitude to absenteeism the study at the Prince William Hospital
found similar results to the two 199 studies.

A.Y

B.N

C.NG

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第6题
A.A Prince and His DogB.A Profit-making LieC.A Magnificent HotelD.A Faithful but Unluc

A.A Prince and His Dog

B.A Profit-making Lie

C.A Magnificent Hotel

D.A Faithful but Unlucky Dog

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第7题
Your story about the frog turning into a prince is ________ nonsense.A) sheerB) she

Your story about the frog turning into a prince is ________ nonsense.

A) sheer

B) shear

C) shield

D) sheet

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第8题
Nurses came out on strike ______ (声援) the doctors.

Nurses came out on strike ______ (声援) the doctors.

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第9题
It can be inferred that Prince William ______.A.will have difficulty in adapting to the no

It can be inferred that Prince William ______.

A.will have difficulty in adapting to the normal world

B.will be the richest man in the world

C.easily suffers from mental problems than common children

D.will bear the burden of ruling a country

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第10题
The author once heard a young man who for thirty minutes ______.A.interrupted an outstandi

The author once heard a young man who for thirty minutes ______.

A.interrupted an outstandingly witty speaker

B.in a group of witty people, hindered a prince from making a speech

C.in a group of witty people did not allow a prince to get a word in edgeways

D.delayed the speech which a prince was about to deliver to a group of intelligent people

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