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Machiavelli and the Politics of Democratic Innovation : Heritage - Christopher Holman

Machiavelli and the Politics of Democratic Innovation


Paperback Published: 4th March 2006
ISBN: 9780802037916
Number Of Pages: 224

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How does the contemporary restructuring of health care affect nursing practice? Increasingly since the 1970s, and more intensively under recent reforms, Canadian health care is the focus of information-supported, professionally based management. In "Managing to Nurse," Janet M. Rankin and Marie L. Campbell probe the operation of this new form of hospital and its effect management on nurses and nursing.

Written from the nurse's perspective, this institutional ethnography discovers a major transformation in the nature of nursing and associated patient care: the work is now organized according to an accounting logic that embeds a cost-orientation into care-related activities. Rankin and Campbell illustrate how nurses adapt to this new reality just as they, themselves, perpetuate it ? how they learn to recognize their adaptations as professionally correct and as an adequate basis for nursing judgement. Although "Managing to Nurse" may contradict contemporary beliefs about health care reform, the insiders? account that it provides is undeniable evidence that nurses? caring work is being undermined and patient care is being eroded, sometimes dangerously, by current health care agendas.

List of Figuresp. ix
Introductionp. 3
The Managerial Turn in Nursingp. 23
'Three in a Bed': Nurses and Technologies of Bed Utilizationp. 45
Doing the Right Thing at the Right Time: Adjusting the Mindset of Nursesp. 65
Managing Resistance to Restructuring: The Ruling Work of Nurse Leadersp. 89
Patient Satisfaction and the Management of Qualityp. 112
Language and the Reorganization of Nurses' Consciousnessp. 139
Conclusionp. 163
Notesp. 185
Referencesp. 199
Indexp. 211
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780802037916
ISBN-10: 0802037917
Series: Heritage
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 224
Published: 4th March 2006
Publisher: University of Toronto Press
Country of Publication: CA
Dimensions (cm): 22.8 x 15.1  x 1.5
Weight (kg): 0.38
Edition Number: 2

Earn 119 Qantas Points
on this Book