Code Green: Money-Driven Hospitals and the Dismantling of Nursing / Edition 1

Code Green: Money-Driven Hospitals and the Dismantling of Nursing / Edition 1

by Dana Beth Weinberg
     
 

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ISBN-10: 0801489199

ISBN-13: 9780801489198

Pub. Date: 03/28/2004

Publisher: Cornell University Press

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

Overview

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.

Product Details

ISBN-13:
9780801489198
Publisher:
Cornell University Press
Publication date:
03/28/2004
Series:
The Culture and Politics of Health Care Work Series
Edition description:
New Edition
Pages:
240
Sales rank:
1,204,458
Product dimensions:
5.50(w) x 8.50(h) x (d)

Table of Contents

Forewordix
Acknowledgmentsxv
Introduction1
1A Troubled Hospital19
2No Working Model for Nursing Practice43
3Dismantling Nursing76
4Power Contests and Other Obstacles to Providing Patient Care98
5Doctor-Nurse Relationships116
6Not Enough Staff137
7Was Quality Affected?160
Conclusion175
AppendixStudying Change at BIDMC193
References199
Index207

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