THE IMPACT OF HOSPITAL STRUCTURE AND RESTRUCTURING ON THE NURSING WORKFORCE

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Professor Christine Duffield, RN, PhD
Mark Kearin RN, MHSM
Associate Professor Judy Johnston PhD
Ms Joanna Leonard, BA (Comm)

Keywords

hospital structure, restructuring, nursing, management

Abstract

Objective: Health systems throughout much of the world have been subject to 'reform' in recent years as countries have attempted to contain the rapidly rising costs of health care. Changes to hospital structures (restructuring) have been an important part of these reforms. A significant impact of current approaches to restructuring is the loss of, or changes to, nursing management roles and functions.


Setting: Australian hospitals


Primary argument: Little evaluation has been undertaken to determine the impact of hospital structure and organisational restructuring on the nursing workforce.


Conclusions: There is some indication that nurses have experienced a loss of key management positions, which may impact on their capacity to ensure that adequate and safe care is provided at the ward level.

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