000			02579cam a2200349 i 4500
001			ocm995629579
003			OCoLC
005			20190927095832.0
008			170726s2018 nyu b 001 0 eng
010			_a2017034390
020			_a9781479827695
020			_a147982769X
020			_a9781479813520
020			_a1479813524
035			_a(OCoLC)995629579
040			_aDLC _beng _erda _cDLC _dOCLCO _dOCLCF _dBDX _dYDX _dOCLCQ _dTOH _dNYP _dFHS _dYDX _dCOO _dOCLCO _dIAX _dNLM _dOCLCO _dUKMGB _dOCLCA _dFIE _dUCW _dZLM _dMiTN
042			_apcc
043			_an-us---
050	0	0	_aRA410.53 _b.M664 2018
100	1		_aMorris, Theresa, _d1956-
245	1	0	_aHealth care in crisis : _bhospitals, nurses, and the consequences of policy change / _cTheresa Morris.
264		1	_aNew York : _bNew York University Press, _c[2018]
300			_avii, 241 pages ; _c23 cm.
336			_atext _btxt _2rdacontent.
337			_aunmediated _bn _2rdamedia.
338			_avolume _bnc _2rdacarrier.
504			_aIncludes bibliographical references (pages 223-233) and index.
505	0		_aPart 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.
520			_aMore 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. -- _cProvided by publisher.
650		0	_aMedical economics _zUnited States.
650		0	_aMedical care _zUnited States.
999			_c236319 _d236319