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

Code Green

Money-Driven Hospitals and the Dismantling of Nursing

By: Dana Beth Weinberg, Suzanne Gordon (Foreword by)

eBook | 14 November 2011 | Edition Number 1

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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.

Industry Reviews

"Weinberg provides an incredible account of her observations of the state of nursing at the newly merged Beth Israel-Deaconess Medical Center. Her goal was 'to find out why the nurses are crying.' Each chapter thoroughly examines current issues faced by the professional nursing staff as seen through their eyes. These issues are similar to those faced by nurses nationally as financial goals take precedence to quality patient care.... An excellent account of challenges faced by nurses today. Summing Up: Essential."

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You Can Find This eBook In

Non-FictionEconomicsLabour EconomicsMedicineMedicine in GeneralHealth Systems & ServicesMedical Administration & ManagementNursing & Ancillary ServicesNursingNursing SociologyHistoryRegional & National History
History of the AmericasIndustry & Industrial StudiesIndustrial Relations, Health & SafetyIndustrial Relations

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