TY  - BOOK
AU  - Morris,Theresa
TI  - Health care in crisis: hospitals, nurses, and the consequences of policy change 
SN  - 9781479827695
AV  - RA410.53 .M664 2018
PY  - 2018///]
CY  - New York
PB  - New York University Press
KW  - Medical economics
KW  - United States
KW  - Medical care
N1  - Includes bibliographical references (pages 223-233) and index; Part I. Fuller hospital; 1. Welcome to the obstetric unit -- 2.  A day in the life of an obstetrical nurse -- Part II.  Nursing and organizational change;  3. Patient-oriented nurses -- 4. Process-oriented nurses -- Part  III. The root of the problem; 5. Health care policy changes and organizational crises -- Conclusion
N2  - More and more not-for-profit hospitals are becoming financially unstable and being acquired by large hospital systems. The effects range from not having necessary life-saving equipment to losing the most experienced nurses to better jobs at other hospitals. In Health Care in Crisis, Theresa Morris takes an in-depth look at how this unintended consequence of the Affordable Care Act plays out in a non-profit hospital's obstetrical ward. Based on ethnographic observations of and in-depth interviews with obstetrical nurses and hospital administrators at a community, not-for-profit hospital in New England, Health Care in Crisis examines how nurses' care of patients changed over the three-year period in which the Affordable Care Act was implemented, state Medicaid funds to hospitals were slashed, and hospitals were being acquired by a for-profit hospital system. Morris explains how the tumultuous political-economic changes have challenged obstetrical nurses, who are at the front lines of providing care for women during labor and birth. --
ER  -