Nursing against the odds : how health care cost cutting, media stereotypes, and medical hubris undermine nurses and patient care / Suzanne Gordon.

Format:

Book

Author/Creator:

Gordon, Suzanne, 1945-

Series:

Culture and politics of health care work.

ILR press book.

The culture and politics of health care work

An ILR Press book

Language:

English

Subjects (All):

Nursing--Social aspects--United States.

Nursing.

Nursing--United States--Public opinion.

Nurses--United States--Public opinion.

Nurses.

Nurses--United States--Social conditions.

Nurses in mass media.

Nurse and physician.

Public opinion--United States.

Public opinion.

Physical Description:

1 online resource (xi, 489 pages)

Edition:

1st ed.

Place of Publication:

Ithaca, NY : ILR ; Bristol : University Presses Marketing [distributor], 2005.

Language Note:

English

Summary:

In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. In Nursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis.Gordon examines how health care cost cutting and hospital restructuring undermine the working conditions necessary for quality care. She shows how the historically troubled workplace relationships between RNs and physicians become even more dysfunctional in modern hospitals. In Gordon's view, the public image of nurses continues to suffer from negative media stereotyping in medical shows on television and from shoddy press coverage of the important role RNs play in the delivery of health care.Gordon also identifies the class and status divisions within the profession that hinder a much-needed defense of bedside nursing. She explains why some policy panaceas-hiring more temporary workers, importing RNs from less-developed countries-fail to address the forces that drive nurses out of their workplaces. To promote better care, Gordon calls for a broad agenda that includes safer staffing, improved scheduling, and other policy changes that would give nurses a greater voice at work. She explores how doctors and nurses can collaborate more effectively and what medical and nursing education must do to foster such cooperation. Finally, Gordon outlines ways in which RNs can successfully take their case to the public while campaigning for health care system reform that actually funds necessary nursing care.

Contents:

Frontmatter

Contents

Preface

Introduction

Part One: Nurses and Doctors at Work

1. Manufacturing the Dominant Doctor

2. Designing the Doctor-Nurse Game

3. The Disruptive Medical System

4. Fatal Synergy

5. Making Matters Worse

Part Two: The Media and Nursing

6. Dropped from the Picture

7. Missing from the News

8. Unavailable for Comment

Part Three: Hospitals and Nursing

9. Mangling Care

10. The New Nursing Universe

11. Nurses on the Ropes

12. No Nurse Left Behind

13. Management by Churn

14. Failure to Rescue

Conclusion: Changing the Odds

Notes

Index

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

Description based on print version record.

ISBN:

9780801465000

0801465001

9781322503462

132250346X

9780801465048

0801465044

OCLC:

797828533