Hospital Restructuring and the Work of Registered Nurses

Milbank Quarterly

Volumn 79, Issue 1, 2001, Pages 55-79

  Norrish, Barbara R ^b   Rundall, Thomas G ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

CLASSIFICATION; HOSPITAL ORGANIZATION; HOSPITAL PATIENT; HUMAN; JOB SATISFACTION; NURSE PATIENT RELATIONSHIP; NURSING; NURSING STAFF; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PSYCHOLOGICAL ASPECT; REVIEW; UNITED STATES; WORKLOAD;

DECISION MAKING, ORGANIZATIONAL; HOSPITAL RESTRUCTURING; HUMANS; INPATIENTS; JOB SATISFACTION; NURSE-PATIENT RELATIONS; NURSING SERVICE, HOSPITAL; NURSING STAFF, HOSPITAL; NURSING, TEAM; PERSONNEL STAFFING AND SCHEDULING; UNITED STATES; WORKLOAD;

EID: 0035230533     PISSN: 0887378X     EISSN: None     Source Type: Journal    
DOI: 10.1111/1468-0009.00196     Document Type: Article

References (70)

1. Aiken, L.H., and C.F. Mullinix. 1987. The Nurse Shortage: Myth or Reality? The New England Journal of Medicine 317:641-5.
2. Aiken, L.H., H.L. Smith, and T.E. Lake. 1994. Lower Medicare Mortality among a Set of Hospitals Known for Good Nursing Care. Medical Care 32:771-87.
3. Aiken, L.H., J. Sochalski, and G.A. Anderson. 1996. Downsizing the Hospital Nursing Workforce. Health Affairs 15(4):88-92.
4. Althaus, J.N., N.M. Hardyck, P.B. Pierce, and M.S. Rodgers. 1981. Nursing Decentralization: The El Camino Experience. Rockville, Md.: Aspen Systems.
5. Altman, S.H., S. Goldberger, and S.C. Crane. 1990. The Need for a National Focus on Health Care Productivity. Health Affairs 9(1):107-13.
6. American Hospital Association. 1989. The Center for Nursing's Restructuring the Workload ... Methods and Models to Address the Nursing Shortage. Chicago.
7. American Hospital Association. 1996-97. Hospital Statistics. Chicago.
8. American Nurses Association. 1995. Nursing Report Card for Acute Care. Washington, D.C.: American Nurses Publishing.
9. Ayala, G., and J. Fries. 1993. Real-time Redesign Experiences: Part I, The Community Hospital Perspective. Seminars for Nurse Managers 1(1):33-5.
10. Biegen, M.A., C.J. Goode, and C. Reed. 1998. Nurse Staffing and Patient Outcomes. Nursing Research 47:43-50.
11. Bostrom, J. 1992. Early Determinants of Required Nursing Care Hours in the Acute Care Setting. Inquiry 29:99-104.
12. Bostrom, J., and J. Zimmerman. 1993. Restructuring Nursing for a Competitive Health Care Environment. Nursing Economics 11:35-41, 54.
13. Brannon, R.L. 1988. The Production of Care: The Hospital Industry and the Nursing Labor Process. Unpublished doctoral dissertation, University of California, Berkeley.
14. Brannon, R.L. 1994. Professionalization and Work Intensification: Nursing in the Cost Containment Era. Work and Occupations 21(2):157-78.
15. Brett, J.L.L., and M.C. Tonges. 1990. Restructured Patient Care Delivery: Evaluation of the ProACT Model. Nursing Economics 8:36-44.
16. Buerhaus, P.I. and J. Needleman. 2000. Policy Implications of Research on Nurse Staffing and Quality of Patient Care. Policy, Politics, and Nursing Practice 1:5-15.
17. Buerhaus, P.I., and D.O. Staiger. 1996. Managed Care and the Nurse Workforce. Journal of the American Medical Association 276(18):1487-93.
18. Buerhaus, P.I., and D.O. Staiger. 2000. Trouble in the Nurse Labor Market? Recent Trends and Future Outlook. Health Affairs 18(1):214-22.
19. California Nurses Association. 1994.. RNs and Health Care Restructuring (special issue). California Nurse (June).
20. Chambliss, D.F. 1996. Beyond Caring: Hospitals, Nurses, and the Social Organization of Ethics. Chicago: University of Chicago Press.
21. Cleland, V., M.S. Marz, and M.B. Killeen. 1985. A Nurse Staffing Evaluation Model. Michigan Hospitals 21(1):13-17.
22. Clifford, J.C. 1982. Professional Nursing Practice in a Hospital Setting. In Nursing in the 1980s: Crises, Opportunities, Challenges, eds. L. H. Aiken and S. R. Gortner, 101-19. Philadelphia: J.B. Lippincott.
23. Clifford, J.C. 1998. Restructuring: The Impact of Hospital Organization on Nursing Leadership. Chicago: American Hospital Publishing.
24. Curtin, L.L. 1994. Restructuring: What Works - and What Does Not! Nursing Management 25(10):7-8.
25. DeGroot, H. 1994. Patient Classification Systems: Part 1, Problems and Promise. Journal of Nursing Administration 24(9):43-51.
26. Deiman, P.A., E. Noble, and M.E. Russell. 1984. Achieving a Professional Practice Model: How Primary Nursing Can Help. Journal of Nursing Administration 14(7-8):16-21.
27. Donovan, M.I., J. Slack, S. Robertson, and K.G. Andreoli. 1988. The Unit Assistant: A Nurse Extender. Nursing Management 19(10):70-71, 74, 76.
28. Georgetown University Hospital and Georgetown University School of Nursing. 1986. The National Invitational Conference on Nursing Productivity: Report of the Conference. Rockville, Md.: National Center for Health Services Research.
29. Gillilan, M. 1997. Workforce Reductions: Low Morale, Reduced Quality of Care. Nursing Economics 15(6):320-2.
30. Greiner, A. 1995. Cost and Quality Matters: Workplace Innovations in the Health Care Industry. Washington, D.C.: Economic Policy Institute.
31. Grillo-Peck, A.M., and P.B. Risner. 1995. The Effect of a Partnership Model on Quality and Length of Stay. Nursing Economics 13:367-72, 374.
32. Hall, C. 1998. Evidence Doesn't Back Kaiser Nurses' Claims. San Francisco Chronicle (February 5):A1.
33. Harju, M., and F. Sabatino. 1984. Productivity Efforts on the Rise. Hospitals 38(1):89-90.
34. Joiner, C., and G. Marram-van Servellen, 1984. Job Enrichment in Nursing: A Guide to Improving Morale, Productivity and Retention. Rockville, Md.: Aspen.
35. Kornhauser, W. 1962. Scientists in Industry: Conflict and Accommodation. Berkeley: University of California Press.
36. Kovner, C., and P.I. Gergen. 1998. Nurse Staffing Levels and Adverse Events Following Surgery in U.S. Hospitals. Image: Journal of Nursing Scholarship 30:315-21.
37. Kunen, J. 1996. The New Hands-Off Nursing. Time 148(16):56-7.
38. Lathrop, J.P. 1991. The Patient-focused Hospital. Healthcare Forum Journal 34(4):16-19, 21.
39. Lathrop, J.P. 1993. Restructuring Health Care: The Patient-focused Paradigm. San Francisco: Jossey-Bass.
40. Lawrenz, E. 1992. Are Patient Classification Systems the Best Way to Measure Workload? Perspectives on Staff ing and Scheduling 11(5):1-2, 4.
41. Lawrenz, E. 1995. Telling the Story of Erratic Census. Perspectives on Staffing and Scheduling 15(6):1.
42. Lengacher C.A., P.R. Mabe, D. Heinemann, M.L. VanCott, S. Swymer, and K. Kent. 1996. Effects of the PIPC Model on Outcome Measures of Productivity and Costs. Nursing Economics 14:205-12, 238.
43. Lepler, M. 1994. Restructuring of Hospitals May End Shared Governance. Nurseweek 7(17):1, 22.
44. Maas, M.L., J.P. Specht, and C.L. Ramler. 1997. Shared Governance Models in Nursing: What Is Shared, Who Governs, and Who Benefits? In Current Issues in Nursing, eds. J.C. McCloskey and H.K. Grace (5th ed.), 388-96. St. Louis, Mo.: Mosby.
45. Manthey, M. 1980. The Practice of Primary Nursing. Boston: Blackwell Scientific Publications.
46. Marram, G. 1976. The Comparative Costs of Operating a Team and Primary Nursing Unit. Journal of Nursing Administration 6(4):21-4.
47. McClure, M.L., M.A. Poulin, M.D. Sovie, and M.A. Wandelt. 1983. Magnet Hospitals: Attraction and Retention of Professional Nurses. Kansas City, Mo.: American Nurses' Publishing.
48. McEachern, S. 1995. Nurses Resist Change, Need CEO's Attention. Health Care Strategic Management 13(5):1, 19-23.
49. Mitchell, P.H. and S.M. Shortell. 1997. Adverse Outcomes and Variations in Health Care Delivery. Medical Care 35(11):NS19-NS32.
50. Mularz, L.A., M. Maher, A.P. Johnson, B. Rolston-Blenman, and M.A. Anderson. 1995. Theory M: A Restructuring Process. Nursing Management 26(1):49-52.
51. Norrish, B.R. 1999. The Impact of Hospital Restructuring on the Work of Registered Nurses. Unpublished doctoral dissertation, University of California, Berkeley.
52. Pierson, D.A., and J.B. Williams. 1994. Remaking the Rules: Hospitals Attempt Work Transformation. Hospitals and Health Networks 68(17):30.
53. Piper, L.R. 1989. Patient Acuity Systems and Productivity. Topics in Health Care Finance 15(3):43-53.
54. Porter-O'Grady, T. 1994. Whole Systems Shared Governance: Creating the Seamless Organization. Nursing Economics 12:187-95.
55. Powers, P.H., C.A. Dickey, and A. Ford. 1990. Evaluating an RN/Co-worker Model. Journal of Nursing Administration 20(3):11-5.
56. Prescott, P. 1991. The Nurse Labor Market: Considerations for the 1990s. In Charting Nursing's Future: Agenda for the 1990s, ed. L.H. Aiken and C. M. Fagin, 40-60. Philadelphia: Lippincott.
57. Roberts, M.A., E. Minnick, E. Ginzberg, and C. Curran. 1989. What to Do about the Nursing Shortage. New York: Commonwealth Fund.
58. Rosenthal, E. 1996. Once in Big Demand, Nurses Are Now Targets for Hospital Cutbacks. New York Times (August 19):A16.
59. Rundall, T.G., D.B. Starkweather, and B.R. Norrish. 1998. After Restructuring: Empowerment Strategies at Work in America's Hospitals. San Francisco: Jossey-Bass.
60. Shaha, S.H., and C. Bush. 1996. Fixing Acuity: A Professional Approach to Patient Classification and Staffing. Nursing Economics 14:346-56.
61. Shuit, D.P. 1996. Hospital Nurses Feel the Pain of Health System's Restructuring. Los Angeles Times (July 1): A1, A17.
62. Sochalski, J., A. Boulis, J. Shamian, J. Buchan, and G. Muller-Mundt. 1997. Lessons for Restructuring the Nursing Workforce in North American and European Hospitals. Proceedings of the Association for Health Services Research, USA 14:207-8 (abstract).
63. Spetz, J. 1999. The Effects of Managed Care and Prospective Payment on the Demand for Hospital Nurses: Evidence from California. Health Services Research 34(5, pt. 1):993-1010.
64. Tidikis, F., and L. Strasen. 1994. Patient-focused Care Units Improve Service and Financial Outcomes. Healthcare Financial Management 48(9):38-44.
65. Trossman, S. 1998. The Human Connection: Nurses and Their Patients. American Nurse (September/October):1, 8.
66. Van Slyck, A. 1991. A Systems Approach to the Management of Nursing Services: Part III, Staffing System. Nursing Management 22(5):30-4.
67. Ventura, M.J. 1996. A New Survey: Workload, UAPs, and You. Registered Nurse 59(9):41, 44-5.
68. Walston, S.L., L.R. Burns, and J.R. Kimberly. 2000. Does Reengineering Really Work? An Examination of the Context and Outcomes of Hospital Reengineering Initiatives. Health Services Research 34(6):1363-88.
69. Weber, D.O. 1991. Six Models of Patient-focused Care. Healthcare Forum Journal 34(4):23-31.
70. Wunderlich, G.S., F.A. Sloan, and C.K. Davis, eds. 1996. Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? Washington, D.C.: National Academy Press.