Code Green

Code Green

Money-Driven Hospitals and the Dismantling of Nursing
Dana Beth Weinberg
Foreword by Suzanne Gordon

This book is also available as an ebook from Amazon/Kindle, iBooks, Google EbooksKobo, and Nook.

An Alternate Selection of the Nurse's Book Society

A 2003 Choice Magazine "Outstanding Academic Title"



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.




Also of interest

Biomedical Ambiguity
Race, Asthma, and the Contested Meaning of Genetic Research in the Caribbean
Ian Whitmarsh

Series

The Culture and Politics of Health Care Work

Subjects

Labor and Workplace Issues : Anthropology/Sociology of Work
Social Science : Business, Economics, and Finance
Medicine : Health Care Professions and Policy

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