Health Care in Crisis: Hospitals, Nurses, and the Consequences of Policy Change
An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
New York, NY
New York University Press
[2018]
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| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients |
| Beschreibung: | Description based on online resource; title from PDF title page (publisher's Web site, viewed 08. Jun 2020) |
| Beschreibung: | 1 online resource 1 black and white illustrations |
| ISBN: | 9781479834204 |
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| 500 | |a Description based on online resource; title from PDF title page (publisher's Web site, viewed 08. Jun 2020) | ||
| 520 | |a An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. | ||
| 520 | |a Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. | ||
| 520 | |a As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients | ||
| 546 | |a In English | ||
| 650 | 4 | |a Affordable Care Act | |
| 650 | 4 | |a Medicaid funding | |
| 650 | 4 | |a advocate | |
| 650 | 4 | |a community hospital | |
| 650 | 4 | |a ethnographic methods | |
| 650 | 4 | |a ethnographic observations | |
| 650 | 4 | |a for-profit hospital system | |
| 650 | 4 | |a for-profit hospital systems | |
| 650 | 4 | |a hopstial administrators | |
| 650 | 4 | |a hopstial bureaucracy | |
| 650 | 4 | |a institutional context | |
| 650 | 4 | |a local community hospital | |
| 650 | 4 | |a malpractice | |
| 650 | 4 | |a medical documentation | |
| 650 | 4 | |a medical protocols | |
| 650 | 4 | |a not-for-profit hospitals | |
| 650 | 4 | |a nurse roles | |
| 650 | 4 | |a nursing | |
| 650 | 4 | |a obstetrical nurses | |
| 650 | 4 | |a obstetrical unit | |
| 650 | 4 | |a organizational change | |
| 650 | 4 | |a organizational crisis | |
| 650 | 4 | |a patient care | |
| 650 | 4 | |a patient-oriented nurses | |
| 650 | 4 | |a post-Axiom period | |
| 650 | 4 | |a pre-Axiom period | |
| 650 | 4 | |a process-oriented nurses | |
| 650 | 4 | |a resource dependence theory | |
| 650 | 4 | |a state-level policy | |
| 650 | 7 | |a SOCIAL SCIENCE / Sociology / General |2 bisacsh | |
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Datensatz im Suchindex
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| adam_txt | |
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| author | Morris, Theresa |
| author_facet | Morris, Theresa |
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| author_sort | Morris, Theresa |
| author_variant | t m tm |
| building | Verbundindex |
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| collection | ZDB-23-DGG |
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| dewey-full | 338.4/73621 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 338 - Production |
| dewey-raw | 338.4/73621 |
| dewey-search | 338.4/73621 |
| dewey-sort | 3338.4 573621 |
| dewey-tens | 330 - Economics |
| discipline | Wirtschaftswissenschaften |
| discipline_str_mv | Wirtschaftswissenschaften |
| format | Electronic eBook |
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| spelling | Morris, Theresa Verfasser aut Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change Theresa Morris New York, NY New York University Press [2018] © 2018 1 online resource 1 black and white illustrations txt rdacontent c rdamedia cr rdacarrier Description based on online resource; title from PDF title page (publisher's Web site, viewed 08. Jun 2020) An inside look into how hospitals, nurses, and patients are faring under the Affordable Care Act More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital’s obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses’ care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. In the context of a new environment where hospital reimbursements are tied to performance, nursing has come under much scrutiny as documentation of births—already laboriously high—has reached even greater levels. Providing patient-centered care is an organizational challenge that nurses struggle to master in this context. Some nurses become bogged down by new processes and bureaucratic procedures, while others focus on buffering patients from the effects of these changes with little success. Morris maintains that what is most important in delivering quality care to patients is the amount of interaction time spent with patients, yet finding that time is a real challenge in this new environment. As questions and policies regarding health care are changing rapidly, Health Care in Crisis tells an important story of how these changes affect nurses’ ability to care for their patients In English Affordable Care Act Medicaid funding advocate community hospital ethnographic methods ethnographic observations for-profit hospital system for-profit hospital systems hopstial administrators hopstial bureaucracy institutional context local community hospital malpractice medical documentation medical protocols not-for-profit hospitals nurse roles nursing obstetrical nurses obstetrical unit organizational change organizational crisis patient care patient-oriented nurses post-Axiom period pre-Axiom period process-oriented nurses resource dependence theory state-level policy SOCIAL SCIENCE / Sociology / General bisacsh Medical care United States Medical economics United States https://www.degruyter.com/isbn/9781479834204 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Morris, Theresa Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change Affordable Care Act Medicaid funding advocate community hospital ethnographic methods ethnographic observations for-profit hospital system for-profit hospital systems hopstial administrators hopstial bureaucracy institutional context local community hospital malpractice medical documentation medical protocols not-for-profit hospitals nurse roles nursing obstetrical nurses obstetrical unit organizational change organizational crisis patient care patient-oriented nurses post-Axiom period pre-Axiom period process-oriented nurses resource dependence theory state-level policy SOCIAL SCIENCE / Sociology / General bisacsh Medical care United States Medical economics United States |
| title | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change |
| title_auth | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change |
| title_exact_search | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change |
| title_exact_search_txtP | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change |
| title_full | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change Theresa Morris |
| title_fullStr | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change Theresa Morris |
| title_full_unstemmed | Health Care in Crisis Hospitals, Nurses, and the Consequences of Policy Change Theresa Morris |
| title_short | Health Care in Crisis |
| title_sort | health care in crisis hospitals nurses and the consequences of policy change |
| title_sub | Hospitals, Nurses, and the Consequences of Policy Change |
| topic | Affordable Care Act Medicaid funding advocate community hospital ethnographic methods ethnographic observations for-profit hospital system for-profit hospital systems hopstial administrators hopstial bureaucracy institutional context local community hospital malpractice medical documentation medical protocols not-for-profit hospitals nurse roles nursing obstetrical nurses obstetrical unit organizational change organizational crisis patient care patient-oriented nurses post-Axiom period pre-Axiom period process-oriented nurses resource dependence theory state-level policy SOCIAL SCIENCE / Sociology / General bisacsh Medical care United States Medical economics United States |
| topic_facet | Affordable Care Act Medicaid funding advocate community hospital ethnographic methods ethnographic observations for-profit hospital system for-profit hospital systems hopstial administrators hopstial bureaucracy institutional context local community hospital malpractice medical documentation medical protocols not-for-profit hospitals nurse roles nursing obstetrical nurses obstetrical unit organizational change organizational crisis patient care patient-oriented nurses post-Axiom period pre-Axiom period process-oriented nurses resource dependence theory state-level policy SOCIAL SCIENCE / Sociology / General Medical care United States Medical economics United States |
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