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

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Cornell University Press, Apr 3, 2003 - Medical - 240 pages
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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.


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Code green: money-driven hospitals and the dismantling of nursing

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Hospitals frequently devise a system of color codes to convey a message to their personnel succinctly and exclusively. Weinberg (senior research associate, Schneider Inst. for Health Policy, Heller ... Read full review


A Troubled Hospital
No Working Model for Nursing Practice
Dismantling Nursing
Power Contests and Other Obstacles to Providing
DoctorNurse Relationships
Not Enough Staff
Was Quality Affected?

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About the author (2003)

Weinberg is a Senior Research Associate at the Schneider Institute for Health Policy at the Heller School of Social Policy and Management, Brandeis University.

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