Six hospitals describe decentralization, cost containment, and downsizing

Journal for Nurses in Staff Development

Volumn 15, Issue 5, 1999, Pages 198-204

  Lineweaver, Lisa A ^a   Battle, Cheryl E ^b   Schilling, Rachelle M ^b   Nall, Christina M ^b  

^a Bay Area Medical Center   (United States)

^b NONE   (United States)

Author keywords

Cost containment; Decentralization; Downsizing; Hospital; Nursing

Indexed keywords

ARTICLE; COST CONTROL; EDUCATION; HEALTH PERSONNEL ATTITUDE; HOSPITAL COST; HOSPITAL ORGANIZATION; HUMAN; NEEDS ASSESSMENT; NURSE ADMINISTRATOR; NURSING STAFF; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; COST CONTROL; DECISION MAKING, ORGANIZATIONAL; FLORIDA; HOSPITAL COSTS; HOSPITAL RESTRUCTURING; HUMANS; NEEDS ASSESSMENT; NURSE ADMINISTRATORS; NURSING STAFF, HOSPITAL; ORGANIZATIONAL INNOVATION; PERSONNEL DOWNSIZING; QUESTIONNAIRES; STAFF DEVELOPMENT;

EID: 0033185685     PISSN: 10987886     EISSN: 15389049     Source Type: Journal    
DOI: 10.1097/00124645-199909000-00005     Document Type: Article

References (21)

1. American Nurses Association. (1995). Restructuring, work redesign, and the job and career security of registered nurses, [on-line], Available: http://www.nursingworld.org/readroom/position/workplac/wkcareer.htm
2. Barhyte, D. Y., Counte, M. D., & Christman, L. D. (1987). The effects of decentralization on nurses’ job attendance behaviors. Nursing Administration Quarterly, 11(4), 37-46.
3. Bumbaugh, M. (1998). Moving beyond survival after downsizing. Nursing Management, 29(2), 30-33.
4. Caroselli, C. (1996). Economic awareness of nurses: Relationship to budgetary control. Nursing Economic$, 14(5), 292-298.
5. Comack, M., Brady, J., & Porter-O’Grady, T. (1997). Professional practice: A framework for transition to a new culture. Journal of Nursing Administration, 27(12), 32.
6. Effken, J. A., & Stetler, C. B. (1997). Impact of organizational redesign. Journal of Nursing Administration, 27(7/8), 23-32.
7. Fanning, J. A., & Lovett, R. B. (1985). Decentralization reduces nursing administration budget. Journal of Nursing Administration, 15(5), 19-24.
8. Funk, D. (1997). This week healthcare: Plan would downgrade 35 hospitals to clinics. The Navy Times, 47(9), 16.
9. Goldberg, M. A., Marmor, T. R., & White, J. (1995). The relation between universal health insurance and cost control. The New England Journal of Medicine, 332(11), 742-744.
10. Himali, U. (1995). Managed care: Does the promise meet the potential? American Nurse: The Official Publication of the American Nurses Association, 27(4), 1, 14, 16.
11. Hoke, J. (1995). Virginia’s Carilion health chain restructures management. Richmond Times-Dispatch [Online]. Available: oclc-fs@oclc.org
12. Laliberty, R. (1988). Decentralizing healthcare management. Owings Mills, MD: National Health Publishing.
13. Marquis, B. L., & Huston, C. J. (1992). Leadership Roles and Management Functions in Nursing, (pp. 15-16, pp. 205-206). Philadelphia: J.B. Lippincott Company.
14. Mick, S. S., & Wise, C. G. (1996). Downsizing and financial performance in rural hospitals. Health Care Management Review, 21(2), 16-25.
15. Przestrzelski, D. (1987). Decentralization: Are nurses satisfied? Journal of Nursing Administration, 17(11), 23-28.
16. Salmond, S. W. (1985). Supporting Staff through decentralization. Nursing Economic$, 3(5), 295-300.
17. Shoemaker, H., & El-Ahraf, A. (1983). Decentralization of nursing service management and its impact on job satisfaction. Nursing Administration Quarterly, 7(2), 69-76.
18. Sovie, M. D. (1995). Tailoring hospitals for managed care and integrated health systems. Nursing Economic$, 13(2), 79-80.
19. Strasen, L. (1991). Redesigning hospitals around patients and technology. Nursing Economic$, 9(4), 233-238.
20. Thomas, D. O. (1996). We cut costs without cutting staff. RN, 59(4), 21-24.
21. Wellington, M. (1986). Decentralization: How it affects nurses. Nursing Outlook, 34(1), 36-39.