<p>Very timely. The authors offer a thorough review of nurse-patient ratios, looking specifically at California and Victoria, Australia (both are places that have mandated low nurse-to-patient ratios)... showing how nurses, hospital administrators, and health care policy makers have embraced and implemented low, safe ratios. It is crucial reading for health care professionals and administrators, upper-level undergraduates and graduate students, researchers, and general readers—anyone who is a patient, may someday be a patient, or knows a patient.</p>

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Legally mandated nurse-to-patient ratios are one of the most controversial topics in health care today. Ratio advocates believe that minimum staffing levels are essential for quality care, better working conditions, and higher rates of RN recruitment and retention that would alleviate the current global nursing shortage. Opponents claim that ratios will unfairly burden hospital budgets, while reducing management flexibility in addressing patient needs. Safety in Numbers is the first book to examine the arguments for and against ratios. Utilizing survey data, interviews, and other original research, Suzanne Gordon, John Buchanan, and Tanya Bretherton weigh the cost, benefits, and effectiveness of ratios in California and the state of Victoria in Australia, the two places where RN staffing levels have been mandated the longest. They show how hospital cost cutting and layoffs in the 1990s created larger workloads and deteriorating conditions for both nurses and their patients—leading nursing organizations to embrace staffing level regulation. The authors provide an in-depth account of the difficult but ultimately successful campaigns waged by nurses and their allies to win mandated ratios. Safety in Numbers then reports on how nurses, hospital administrators, and health care policymakers handled ratio implementation. With at least fourteen states in the United States and several other countries now considering staffing level regulation, this balanced assessment of the impact of ratios on patient outcomes and RN job performance and satisfaction could not be timelier. The authors' history and analysis of the nurse-to-patient ratios debate will be welcomed as an invaluable guide for patient advocates, nurses, health care managers, public officials, and anyone else concerned about the quality of patient care in the United States and the world.
Les mer
The first book to examine the arguments for and against mandated nurse-to-patient ratios, utilizing survey data, interviews, and other original research to focus on two case studies (California and the Australian state of Victoria).
Les mer
Very timely. The authors offer a thorough review of nurse-patient ratios, looking specifically at California and Victoria, Australia (both are places that have mandated low nurse-to-patient ratios)... showing how nurses, hospital administrators, and health care policy makers have embraced and implemented low, safe ratios. It is crucial reading for health care professionals and administrators, upper-level undergraduates and graduate students, researchers, and general readers—anyone who is a patient, may someday be a patient, or knows a patient.
Les mer
Safety in Numbers is destined to become a classic. Well-written and engaging, it compares and contrasts mandated nurse-to-patient ratios in Australia and California and presents the broader context for the initiatives and their impact on nurses and the profession, as well as larger issues in health care and the labor movement more generally.
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A series edited by Suzanne Gordon and Sioban Nelson
The Culture and Politics of Health Care Work explores the historical, social, political, and economic forces that shape health care work and organizations. Focusing on the work of professional and nonprofessional staff as well as family caregivers, the series illuminates how the culture of health care work affects the structuring of health policy and practice. In an increasingly global marketplace, the series also seeks to better understand the international context within which all health systems function. Looking at health policy and the health professions from a variety of perspectives, including first-person accounts, the series is aimed at a wide audience including those who work in health care, academics, policy makers, and professional organizations, as well as general readers. Proposals and inquiries about the series should be sent to Suzanne Gordon (lsupport@comcast.net) or Sioban Nelson (dean.nursing@utoronto.ca) Series Editors Suzanne Gordon is an award-winning journalist whose work focuses on the health care work force, political culture, and women's issues. She is author of Life Support:Three Nurses on the Front Lines and Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care, coauthor of Safety in Numbers:Nurse-to-Patient Ratios and the Future of Health Care and From Silence to Voice: What Nurses Know and Must Communicate to the Public, editor of When Chicken Soup Isn't Enough: Stories of Nurses Standing Up for Themselves, Their Patients, and Their Profession, and coeditor (with Sioban Nelson) of The Complexities of Care: Nursing Reconsidered. Sioban Nelson is Dean and Professor at the Lawrence S. Bloomberg Faculty of Nursing at the University of Toronto. Her books include, as coeditor, The Complexities of Care: Nursing Reconsidered and Notes on Nightingale: The Influence and Legacy of a Nursing Icon.
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Produktdetaljer

ISBN
9780801446832
Publisert
2008
Utgiver
Vendor
ILR Press
Vekt
907 gr
Høyde
229 mm
Bredde
152 mm
Dybde
27 mm
Aldersnivå
01, G, 01
Språk
Product language
Engelsk
Format
Product format
Innbundet

Om bidragsyterne

Suzanne Gordon is an award-winning journalist. She is Visiting Professor at the University of Maryland School of Nursing and Assistant Adjunct Professor at the University of California, San Francisco, School of Nursing. She is the author of Life Support and Nursing against the Odds, the coauthor of From Silence to Voice, and the coeditor of The Complexities of Care, all from Cornell. John Buchanan is Director of the Workplace Research Centre at the University of Sydney. He is the coauthor of Fragmented Futures. Tanya Bretherton is a senior research fellow at the Workplace Research Centre, University of Sydney, and editor of Human Resource in Practice.