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American Journal of Critical Care. 2004;13: 15

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The Editors Reply
We would like to thank our readers for taking us to task on what was viewed as an "anti-union" point of view in our last editorial. We would like to clarify several points:

  1. The Editors (a nurse and a physician) do not speak for AACN, and our editorials are not reviewed by the Association prior to publication.
  2. We agree with our readers that deteriorating working conditions in the hospital must be challenged. Exploitation of healthcare professionals in the name of "patient-centered care" is still exploitation.
  3. Collective bargaining and other union activities can lead to positive changes in the hospital environment that would not otherwise occur. Our history is filled with examples.
  4. The hallmark of a professional is personal autonomy. At times, unions lead professionals (nurses and physicians) to act in ways that conflict with personal and professional values.





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