ISBN-10:
0802037917
ISBN-13:
9780802037916
Pub. Date:
04/28/2006
Publisher:
University of Toronto Press, Scholarly Publishing Division
Managing to Nurse: Inside Canada's Health Care Reform / Edition 1

Managing to Nurse: Inside Canada's Health Care Reform / Edition 1

by Janet Rankin, Marie Campbell
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Overview

How does the contemporary restructuring of health care affect nursing practice? Increasingly since the 1970s, and more intensively under recent reforms, Canadian health care is the focus of information-supported, professionally based management. In Managing to Nurse, Janet M. Rankin and Marie L. Campbell probe the operation of this new form of hospital and its effect management on nurses and nursing.

Written from the nurse's perspective, this institutional ethnography discovers a major transformation in the nature of nursing and associated patient care: the work is now organized according to an accounting logic that embeds a cost-orientation into care-related activities. Rankin and Campbell illustrate how nurses adapt to this new reality just as they, themselves, perpetuate it – how they learn to recognize their adaptations as professionally correct and as an adequate basis for nursing judgement. Although Managing to Nurse may contradict contemporary beliefs about health care reform, the insiders' account that it provides is undeniable evidence that nurses' caring work is being undermined and patient care is being eroded, sometimes dangerously, by current health care agendas.

Product Details

ISBN-13: 9780802037916
Publisher: University of Toronto Press, Scholarly Publishing Division
Publication date: 04/28/2006
Series: Heritage Series
Edition description: New Edition
Pages: 224
Product dimensions: 5.96(w) x 8.99(h) x 0.58(d)

About the Author

Janet M. Rankin is a professor of nursing in the Faculty of Health and Human Services at Malaspina University-College.


Marie L. Campbell is a professor emeritus in the Faculty of Human and Social Development at the University of Victoria.

Table of Contents

List of Figures

Introduction

  1. The Managerial Turn in Nursing
  2. ‘Three in a Bed’: Nurses and Technologies of Bed Utilization
  3. Doing the Right Thing at the Right Time: Adjusting the Mindset of Nurses
  4. Managing Resistance to Restructuring: The Ruling Work of Nurse Leaders
  5. Patient Satisfaction and the Management of Quality
  6. Language and the Reorganization of Nurses’ Consciousness

Conclusion

Notes

References

Index

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