Code Green: Money-Driven Hospitals and the Dismantling of Nursing (The Culture and Politics of Health Care Work)

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.-- A Troubled Hospital -- No Working Model For Nursing Practice -- Dismantling Nursing -- Power Contests And Other Obstacles To Providing Patient Care -- Doctor-nurse Relationships -- Not Enough Staff -- Was Quality Affected? Dana Beth Weinberg ; Foreword By Suzanne Gordon. Includes Bibliographical References (p. 199-205) And Index.

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.

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. Beth Israel Deaconess Medical Center in Boston was once known for the excellence of its nursing care, but in recent years has witnessed the same crisis in nursing experienced across the United States' medical sector. The author examines the impact of managed care and hospital cost cutting, and concentrating on the effects of the restructuring strategies chosen and implemented by Beth Israel Hospital, 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, the author provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patien care "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."-- Provided by publisher In 1995, Mitchell Rabkin recognized that the hospital he had headed since 1996 now faced some serious problems.