Code Green : Money-Driven Hospitals and the Dismantling of Nursing

Code Green : Money-Driven Hospitals and the Dismantling of Nursing

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  • 製本 Hardcover:ハードカバー版/ページ数 213 p.
  • 言語 ENG,ENG
  • 商品コード 9780801439803
  • DDC分類 610.730974461

基本説明

New in paperback. Hardcover was published in 2003. Provides a stinging indictment of standard industry practices that ignore the contribution nurses make both to hospitals and to patient care.

Full Description


We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one-not hospital administrators, not doctors-felt they could afford to listen to nurses.Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.

Table of Contents

Foreword                                           ix
Suzanne Gordon
Acknowledgments xv
Introduction 1 (18)
A Troubled Hospital 19 (24)
No Working Model for Nursing Practice 43 (33)
Dismantling Nursing 76 (22)
Power Contests and Other Obstacles to 98 (18)
Providing Patient Care
Doctor-Nurse Relationships 116(21)
Not Enough Staff 137(23)
Was Quality Affected? 160(15)
Conclusion 175(18)
Appendix: Studying Change at BIDMC 193(6)
References 199(8)
Index 207