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Money-Driven Hospitals and the Dismantling of Nursing

By:

Dana Beth Weinberg

Format:

Hardback

Series:

The Culture and Politics of Health Care Work

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Description

The US is on the verge of the worst nursing shortage in its 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 haemorrhaged 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.

Author Biography:

Dana Beth Weinberg is Assistant Professor of Sociology at Queens College. Suzanne Gordon is an award-winning journalist, author of Life Support: Three Nurses on the Front Lines, and coauthor of From Silence to Voice, also from Cornell.

Release date Australia

April 2nd, 2003

Author

Dana Beth Weinberg

Audience

General (US: Trade)

Contributor

Foreword by Suzanne Gordon

Illustrations

1 Tables, unspecified

Pages

240

Series

The Culture and Politics of Health Care Work

Dimensions

140x216x24

ISBN-13

9780801439803

Product ID

11971210

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