Health Care in Crisis : : Hospitals, Nurses, and the Consequences of Policy Change / / Theresa Morris.
An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most...
Saved in:
Superior document: | Title is part of eBook package: De Gruyter New York University Press Complete eBook-Package 2018 |
---|---|
VerfasserIn: | |
Place / Publishing House: | New York, NY : : New York University Press, , [2018] ©2018 |
Year of Publication: | 2018 |
Language: | English |
Online Access: | |
Physical Description: | 1 online resource :; 1 black and white illustrations |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
9781479834204 |
---|---|
ctrlnum |
(DE-B1597)547772 (OCoLC)1040072382 |
collection |
bib_alma |
record_format |
marc |
spelling |
Morris, Theresa, author. aut http://id.loc.gov/vocabulary/relators/aut Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / Theresa Morris. New York, NY : New York University Press, [2018] ©2018 1 online resource : 1 black and white illustrations text txt rdacontent computer c rdamedia online resource cr rdacarrier text file PDF rda Frontmatter -- Contents -- Introduction -- Part I. Fuller Hospital -- 1. Welcome to the Obstetric Unit -- 2. A Day in the Life of an Obstetrical Nurse -- Part II. Nursing and Organizational Change -- 3. Patient- Oriented Nurses -- 4. Process- Oriented Nurses -- Part III. The Root of the Problem -- 5. Health- Care Policy Changes and Organizational Crisis -- Conclusion -- Acknowledgments -- Notes -- Bibliography -- Index -- About the Author restricted access http://purl.org/coar/access_right/c_16ec online access with authorization star An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients. Mode of access: Internet via World Wide Web. In English. Description based on online resource; title from PDF title page (publisher's Web site, viewed 29. Jun 2022) Medical care-United States. Medical economics-United States. SOCIAL SCIENCE / Sociology / General. bisacsh Affordable Care Act. Medicaid funding. advocate. community hospital. ethnographic methods. ethnographic observations. for-profit hospital system. for-profit hospital systems. hopstial administrators. hopstial bureaucracy. institutional context. local community hospital. malpractice. medical documentation. medical protocols. not-for-profit hospitals. nurse roles. nursing. obstetrical nurses. obstetrical unit. organizational change. organizational crisis. patient care. patient-oriented nurses. post-Axiom period. pre-Axiom period. process-oriented nurses. resource dependence theory. state-level policy. Title is part of eBook package: De Gruyter New York University Press Complete eBook-Package 2018 9783110722741 print 9781479813520 https://doi.org/10.18574/nyu/9781479834204.001.0001 https://www.degruyter.com/isbn/9781479834204 Cover https://www.degruyter.com/document/cover/isbn/9781479834204/original |
language |
English |
format |
eBook |
author |
Morris, Theresa, Morris, Theresa, |
spellingShingle |
Morris, Theresa, Morris, Theresa, Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / Frontmatter -- Contents -- Introduction -- Part I. Fuller Hospital -- 1. Welcome to the Obstetric Unit -- 2. A Day in the Life of an Obstetrical Nurse -- Part II. Nursing and Organizational Change -- 3. Patient- Oriented Nurses -- 4. Process- Oriented Nurses -- Part III. The Root of the Problem -- 5. Health- Care Policy Changes and Organizational Crisis -- Conclusion -- Acknowledgments -- Notes -- Bibliography -- Index -- About the Author |
author_facet |
Morris, Theresa, Morris, Theresa, |
author_variant |
t m tm t m tm |
author_role |
VerfasserIn VerfasserIn |
author_sort |
Morris, Theresa, |
title |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / |
title_sub |
Hospitals, Nurses, and the Consequences of Policy Change / |
title_full |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / Theresa Morris. |
title_fullStr |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / Theresa Morris. |
title_full_unstemmed |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / Theresa Morris. |
title_auth |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / |
title_alt |
Frontmatter -- Contents -- Introduction -- Part I. Fuller Hospital -- 1. Welcome to the Obstetric Unit -- 2. A Day in the Life of an Obstetrical Nurse -- Part II. Nursing and Organizational Change -- 3. Patient- Oriented Nurses -- 4. Process- Oriented Nurses -- Part III. The Root of the Problem -- 5. Health- Care Policy Changes and Organizational Crisis -- Conclusion -- Acknowledgments -- Notes -- Bibliography -- Index -- About the Author |
title_new |
Health Care in Crisis : |
title_sort |
health care in crisis : hospitals, nurses, and the consequences of policy change / |
publisher |
New York University Press, |
publishDate |
2018 |
physical |
1 online resource : 1 black and white illustrations |
contents |
Frontmatter -- Contents -- Introduction -- Part I. Fuller Hospital -- 1. Welcome to the Obstetric Unit -- 2. A Day in the Life of an Obstetrical Nurse -- Part II. Nursing and Organizational Change -- 3. Patient- Oriented Nurses -- 4. Process- Oriented Nurses -- Part III. The Root of the Problem -- 5. Health- Care Policy Changes and Organizational Crisis -- Conclusion -- Acknowledgments -- Notes -- Bibliography -- Index -- About the Author |
isbn |
9781479834204 9783110722741 9781479813520 |
url |
https://doi.org/10.18574/nyu/9781479834204.001.0001 https://www.degruyter.com/isbn/9781479834204 https://www.degruyter.com/document/cover/isbn/9781479834204/original |
illustrated |
Not Illustrated |
dewey-hundreds |
300 - Social sciences |
dewey-tens |
330 - Economics |
dewey-ones |
338 - Production |
dewey-full |
338.4/73621 |
dewey-sort |
3338.4 573621 |
dewey-raw |
338.4/73621 |
dewey-search |
338.4/73621 |
doi_str_mv |
10.18574/nyu/9781479834204.001.0001 |
oclc_num |
1040072382 |
work_keys_str_mv |
AT morristheresa healthcareincrisishospitalsnursesandtheconsequencesofpolicychange |
status_str |
n |
ids_txt_mv |
(DE-B1597)547772 (OCoLC)1040072382 |
carrierType_str_mv |
cr |
hierarchy_parent_title |
Title is part of eBook package: De Gruyter New York University Press Complete eBook-Package 2018 |
is_hierarchy_title |
Health Care in Crisis : Hospitals, Nurses, and the Consequences of Policy Change / |
container_title |
Title is part of eBook package: De Gruyter New York University Press Complete eBook-Package 2018 |
_version_ |
1806143840298467328 |
fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>06031nam a22010095i 4500</leader><controlfield tag="001">9781479834204</controlfield><controlfield tag="003">DE-B1597</controlfield><controlfield tag="005">20220629043637.0</controlfield><controlfield tag="006">m|||||o||d||||||||</controlfield><controlfield tag="007">cr || ||||||||</controlfield><controlfield tag="008">220629t20182018nyu fo d z eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9781479834204</subfield></datafield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.18574/nyu/9781479834204.001.0001</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-B1597)547772</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)1040072382</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-B1597</subfield><subfield code="b">eng</subfield><subfield code="c">DE-B1597</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="044" ind1=" " ind2=" "><subfield code="a">nyu</subfield><subfield code="c">US-NY</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">SOC026000</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">338.4/73621</subfield><subfield code="2">23</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Morris, Theresa, </subfield><subfield code="e">author.</subfield><subfield code="4">aut</subfield><subfield code="4">http://id.loc.gov/vocabulary/relators/aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Health Care in Crisis :</subfield><subfield code="b">Hospitals, Nurses, and the Consequences of Policy Change /</subfield><subfield code="c">Theresa Morris.</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">New York, NY : </subfield><subfield code="b">New York University Press, </subfield><subfield code="c">[2018]</subfield></datafield><datafield tag="264" ind1=" " ind2="4"><subfield code="c">©2018</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 online resource :</subfield><subfield code="b">1 black and white illustrations</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">computer</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">online resource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="347" ind1=" " ind2=" "><subfield code="a">text file</subfield><subfield code="b">PDF</subfield><subfield code="2">rda</subfield></datafield><datafield tag="505" ind1="0" ind2="0"><subfield code="t">Frontmatter -- </subfield><subfield code="t">Contents -- </subfield><subfield code="t">Introduction -- </subfield><subfield code="t">Part I. Fuller Hospital -- </subfield><subfield code="t">1. Welcome to the Obstetric Unit -- </subfield><subfield code="t">2. A Day in the Life of an Obstetrical Nurse -- </subfield><subfield code="t">Part II. Nursing and Organizational Change -- </subfield><subfield code="t">3. Patient- Oriented Nurses -- </subfield><subfield code="t">4. Process- Oriented Nurses -- </subfield><subfield code="t">Part III. The Root of the Problem -- </subfield><subfield code="t">5. Health- Care Policy Changes and Organizational Crisis -- </subfield><subfield code="t">Conclusion -- </subfield><subfield code="t">Acknowledgments -- </subfield><subfield code="t">Notes -- </subfield><subfield code="t">Bibliography -- </subfield><subfield code="t">Index -- </subfield><subfield code="t">About the Author</subfield></datafield><datafield tag="506" ind1="0" ind2=" "><subfield code="a">restricted access</subfield><subfield code="u">http://purl.org/coar/access_right/c_16ec</subfield><subfield code="f">online access with authorization</subfield><subfield code="2">star</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients.</subfield></datafield><datafield tag="538" ind1=" " ind2=" "><subfield code="a">Mode of access: Internet via World Wide Web.</subfield></datafield><datafield tag="546" ind1=" " ind2=" "><subfield code="a">In English.</subfield></datafield><datafield tag="588" ind1="0" ind2=" "><subfield code="a">Description based on online resource; title from PDF title page (publisher's Web site, viewed 29. Jun 2022)</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Medical care-United States.</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Medical economics-United States.</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">SOCIAL SCIENCE / Sociology / General.</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">Affordable Care Act.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">Medicaid funding.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">advocate.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">community hospital.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">ethnographic methods.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">ethnographic observations.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">for-profit hospital system.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">for-profit hospital systems.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">hopstial administrators.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">hopstial bureaucracy.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">institutional context.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">local community hospital.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">malpractice.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">medical documentation.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">medical protocols.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">not-for-profit hospitals.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">nurse roles.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">nursing.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">obstetrical nurses.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">obstetrical unit.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">organizational change.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">organizational crisis.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">patient care.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">patient-oriented nurses.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">post-Axiom period.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">pre-Axiom period.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">process-oriented nurses.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">resource dependence theory.</subfield></datafield><datafield tag="653" ind1=" " ind2=" "><subfield code="a">state-level policy.</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Title is part of eBook package:</subfield><subfield code="d">De Gruyter</subfield><subfield code="t">New York University Press Complete eBook-Package 2018</subfield><subfield code="z">9783110722741</subfield></datafield><datafield tag="776" ind1="0" ind2=" "><subfield code="c">print</subfield><subfield code="z">9781479813520</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.18574/nyu/9781479834204.001.0001</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://www.degruyter.com/isbn/9781479834204</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="3">Cover</subfield><subfield code="u">https://www.degruyter.com/document/cover/isbn/9781479834204/original</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">978-3-11-072274-1 New York University Press Complete eBook-Package 2018</subfield><subfield code="b">2018</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_BACKALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_CL_SN</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_EBACKALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_EBKALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_ECL_SN</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_EEBKALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_ESSHALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_PPALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">EBA_SSHALL</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV-deGruyter-alles</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">PDA11SSHE</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">PDA13ENGE</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">PDA17SSHEE</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">PDA5EBK</subfield></datafield></record></collection> |