TY - BOOK ID - 77898563 TI - Code green : money-driven hospitals and the dismantling of nursing PY - 2003 SN - 0801464919 0801464927 9780801464928 0801439809 9780801439803 0801489199 9780801489198 9780801464911 PB - Ithaca : ILR Press, DB - UniCat KW - Nursing KW - Hospitals KW - Benevolent institutions KW - Infirmaries KW - Health facilities KW - Clinical nursing KW - Nurses and nursing KW - Nursing process KW - Care of the sick KW - Medicine KW - Finance. KW - gezondheidseconomie (gezondheidszorgeconomie) KW - gezondheidszorgkwaliteit KW - verpleegkunde KW - ziekenhuis (ziekenhuiszorg) KW - Finance KW - économie de la santé (économie des soins de santé) KW - qualité des soins de santé KW - soins infirmiers KW - hôpital (soins hospitaliers) KW - Beth Israel Deaconess Hospital Center UR - https://www.unicat.be/uniCat?func=search&query=sysid:77898563 AB - 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 1990's 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. ER -