Restructuring, Reconsidering, Reconstructing: Implications for Health Human Resources
- 1 December 2003
- journal article
- Published by Informa UK Limited in International Journal of Public Administration
- Vol. 26 (14), 1561-1579
- https://doi.org/10.1081/pad-120024411
Abstract
In the 1990s, many health care organizations adopted restructuring strategies that were inappropriate to an industry in which the effective use of workers' knowledge, skills and social relations was essential to productivity. Workforce cuts and the withdrawal of workplace supports without sufficient consideration of human consequences led to a demoralized and short‐staffed workforce rather than cost containment. This paper uses two neo‐capitalist perspectives to illustrate the impact of restructuring initiatives on nursing, the most numerous health care profession. It describes how reconsideration of strategies adopted during restructuring has led to a search for new approaches to institutional change that make optimum use of human and social capital.Keywords
This publication has 32 references indexed in Scilit:
- Intellectual capital ROI: a causal map of human capital antecedents and consequentsJournal of Intellectual Capital, 2002
- Surviving Hospital RestructuringJONA: The Journal of Nursing Administration, 2001
- Hospital RestructuringJONA: The Journal of Nursing Administration, 2000
- Magnet nursing services recognition programmeNursing Standard, 2000
- The Impact of Re-Engineering and Other Cost Reduction Strategies on the Staff of a Large Teaching HospitalMedical Care, 1999
- Where Have All The Nurses Gone?The American Journal of Nursing, 1996
- Staff Nurse Work Empowerment and Perceived AutonomyJONA: The Journal of Nursing Administration, 1995
- Coping with transition: A study of layoff survivorsJournal of Organizational Behavior, 1994
- Lower Medicare Mortality Among a Set of Hospitals Known for Good Nursing CareMedical Care, 1994
- Nursing Studies Laid End to End Form a CircleJournal of Health Politics, Policy and Law, 1994