Code Green : : Money-Driven Hospitals and the Dismantling of Nursing / / Dana Beth Weinberg.

• Superior document: Title is part of eBook package: De Gruyter Cornell University Press Backlist 2000-2013
• VerfasserIn: Weinberg, Dana Beth,
• MitwirkendeR: Gordon, Suzanne,
• TeilnehmendeR: Gordon, Suzanne.
• Place / Publishing House: Ithaca, NY : : Cornell University Press, , [2011]; ©2011
• Year of Publication: 2011
• Language: English
• Series: The Culture and Politics of Health Care Work
• Physical Description: 1 online resource (240 p.) :; 1 table

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

Frontmatter -- Contents -- Foreword -- Acknowledgments -- Introduction -- 1. A Troubled Hospital -- 2. No Working Model for Nursing Practice -- 3. Dismantling Nursing -- 4. Power Contests and Other Obstacles to Providing Patient Care -- 5. Doctor-Nurse Relationships -- 6. Not Enough Staff -- 7. Was Quality Affected? -- Conclusion -- Appendix. Studying Change at BIDMC -- References -- Index