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Nurses respond to healthcare restructuring: the transformation of the Massachusetts Nurses Association.

Authors
Wilson-B; Slatin-C; O'Sullivan-M
Source
J Health Soc Policy 2006 Jan; 21(4):51-72
NIOSHTIC No.
20031054
Abstract
The most recent period of Massachusetts healthcare system reorganization began in the early 1980s. In part, this has been a response to soaring healthcare costs, countering them with diminished reimbursements. To decrease labor costs and survive in an increasingly competitive and market-driven healthcare environment, hospitals downsized and laid off nursing staff. Patient care and safety has concomitantly suffered. These efforts severely challenged nurses' status. Radicalized rank and file members of the Massachusetts Nurses Association mobilized against the association leadership's weak efforts to protect nurses' social and economic interests and the deteriorating quality of care. They transformed an association whose main focus was supporting nursing's professional image to one which became an activist labor union of professional workers. The history of this often contentious transformation is presented here within the context of these healthcare system changes. The MNA's successes and pending challenges within the Massachusetts healthcare system are also discussed.
Keywords
Nurses; Nursing; Health-care-personnel; Medical-personnel; Health-care; Health-care-facilities; Medical-care; Medical-facilities
CODEN
JHSPEH
Publication Date
20060110
Document Type
Journal Article
Email Address
craig_slatin@uml.edu
Funding Type
Grant
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-0c
Issue of Publication
4
ISSN
0897-7186
Source Name
Journal of Health and Social Policy
State
MA
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