the uaw are they re thinking about striking. that s what you re talking about with a potential strike. even broadway, they are potentially going to strike. and if you look at, this is a cornell report earlier this year, the rikes in the u.s., up 52%, and that was before what i just mentioned is going on, and jeff, as somebody who s on the trail a lot, do you think that is part of what s going on, that it s the gulf between the haves and the have nots that is keeping people bitter? no question. the rising gap between the different sort of ends of the spectrum of the workers scale and the management scale, it s huge. this is something that i mean, it s one of the reasons that explains the populism rise out of the country for donald trump and other politicians. there is this growing chasm there. that s why joe biden is trying to be the president for the working man and woman. that s what they re trying to do.
Objective: The objective of the study was to evaluate the effect of two self-designed structured clinical tools on overall self-perceptions of confidence in the assessment, management and communication of acutely unwell residents in nursing and care staff of residential aged care facilities (RACFs). Methods: Quasi-experimental pre-post design using surveys in 22 RACFs in Metropolitan Sydney, Australia. A convenience sample of 254 nursing and care staff were recruited. Two structured tools were developed to enhance confidence: (1) RACF Emergency Decision Index (REDI) and (2) Clinical Handover Assessment Tool (CHAT). The REDI is a clinical decision guide for treatment implementation and escalation, and the CHAT is a structured communication aid. Surveys were administered to participating nursing and care staff working within the RACFs prior to the implementation of the two structured tools (T0) and 6 months later (T1). Results: There was a significant increase in reported overall confide