Managing to Nurse: Inside Canada's Health Care Reform

By Janet M. Rankin and Marie L. Campbell

© 2006

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.

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Product Details

  • Series: Heritage
  • World Rights
  • Page Count: 224 pages
  • Dimensions: 6.0in x 0.6in x 9.0in
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SKU# SP000723

  • PUBLISHED APR 2006

    From: $32.96

    Regular Price: $43.95

    ISBN 9780802037916
  • PUBLISHED DEC 2006

    From: $31.46

    Regular Price: $41.95

Quick Overview

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.

Managing to Nurse: Inside Canada's Health Care Reform

By Janet M. Rankin and Marie L. Campbell

© 2006

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.

Continue Reading Read Less

Product Details

  • Series: Heritage
  • World Rights
  • Page Count: 224 pages
  • Dimensions: 6.0in x 0.6in x 9.0in
  • Author Information

    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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