Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care / Edition 1

Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care / Edition 1

by Suzanne Gordon
ISBN-10:
080147292X
ISBN-13:
9780801472923
Pub. Date:
04/15/2006
Publisher:
Cornell University Press
ISBN-10:
080147292X
ISBN-13:
9780801472923
Pub. Date:
04/15/2006
Publisher:
Cornell University Press
Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care / Edition 1

Nursing against the Odds: How Health Care Cost Cutting, Media Stereotypes, and Medical Hubris Undermine Nurses and Patient Care / Edition 1

by Suzanne Gordon
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Overview

In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. In Nursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis.

Gordon examines how health care cost cutting and hospital restructuring undermine the working conditions necessary for quality care. She shows how the historically troubled workplace relationships between RNs and physicians become even more dysfunctional in modern hospitals. In Gordon's view, the public image of nurses continues to suffer from negative media stereotyping in medical shows on television and from shoddy press coverage of the important role RNs play in the delivery of health care.

Gordon also identifies the class and status divisions within the profession that hinder a much-needed defense of bedside nursing. She explains why some policy panaceas—hiring more temporary workers, importing RNs from less-developed countries—fail to address the forces that drive nurses out of their workplaces. To promote better care, Gordon calls for a broad agenda that includes safer staffing, improved scheduling, and other policy changes that would give nurses a greater voice at work. She explores how doctors and nurses can collaborate more effectively and what medical and nursing education must do to foster such cooperation. Finally, Gordon outlines ways in which RNs can successfully take their case to the public while campaigning for health care system reform that actually funds necessary nursing care.


Product Details

ISBN-13: 9780801472923
Publisher: Cornell University Press
Publication date: 04/15/2006
Series: The Culture and Politics of Health Care Work
Pages: 512
Sales rank: 1,149,332
Product dimensions: 6.62(w) x 9.25(h) x (d)
Age Range: 18 Years

About the Author

Suzanne Gordon is an award-winning journalist. She is the author of Life Support: Three Nurses on the Front Lines, the coauthor of From Silence to Voice: What Nurses Know and Must Communicate to the Public (also from Cornell), and has written for the New York Times, the Boston Globe, and the Toronto Globe and Mail, among many other publications. Gordon is also Assistant Adjunct Professor at the University of California, San Francisco School of Nursing and was a health care commentator on Public Radio International's Marketplace.

Table of Contents

IntroductionPart One: Nurses and Doctors at Work
Manufacturing the Dominant Doctor
Designing the Doctor-Nurse Game
The Disruptive Medical System
Fatal Synergy
Making Matters WorsePart Two: The Media and Nursing
Dropped from the Picture
Missing from the News
Unavailable for CommentPart Three: Hospitals and Nursing
Mangling Care
The New Nursing Universe
Nurses on the Ropes
No Nurse Left Behind
Management by Chum
Failure to RescueConclusion: Changing the OddsNotes
Index

What People are Saying About This

Richard SelzerMD

Nursing against the Odds is a brilliant and long-overdue assessment of nursing at a time of crisis in health care-what has gone wrong and what can be done to restore this once-esteemed profession to a position of equality with doctors. It should be read by anyone interested in the hierarchy of medicine, and the reasons why the nurse is becoming an endangered species.

Margaret L. McClure

Suzanne Gordon provides new and important insights into the complexities involved in the current nursing shortage. Nursing against the Odds contains the right mixture of patient/nurse anecdotes and scientific evidence for the conclusions reached and finishes with constructive suggestions for steps that can be taken to correct the situation.

Naomi Judd

Nursing is one of the most honorable professions I know. I'm proud of the service I provided during my nursing days. I learned so much about my beliefs, values, and passions as well as learning about others. Anyone who has spent time in a hospital knows that nurses are the true caregivers, the backbone of our health care system. Most doctors spend only a few minutes with their patients while nurses are there around the clock. This is an important book and needs to be required reading in all our medical schools.

From the Publisher

Suzanne Gordon's book contains a wealth of ideas for legislators and policymakers who want to protect patients from the consequences of managed care and hospital restructuring. Gordon shows that real health care reform requires strong coalitions between nurses and the communities they serve.

Barbara Ehrenreich

The nursing profession lacks many things, like decent working conditions, recognition, and respect on the job. But, with Suzanne Gordon, it has something other professions can only envy—a skilled reporter, brilliant analyst, and steadfast advocate.

Andrew Stern

The shocking real-life stories Gordon describes in Nursing against the Odds echo what our members experience every day. Readers will not only learn how the nursing profession has suffered over the years due to the many pressures of the nation's evolving health care system-they'll understand exactly what needs to be done to meet the challenges nurses and patients continue to face today. Gordon takes a candid look at the current nursing shortage and paints a vivid picture of how nurses are uniting throughout the profession to raise patient-care standards. This book is a must-read for anyone involved in the healthcare industry.

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