ETHICAL PROBLEMS: Cutting corners

April 2006 
Volume 36  Number 4
Pages 28 - 28
  PDF Version Available!


I work in a transitional care unit (TCU) at a major medical center. Almost every hospital in our region has a similar unit, so competition for patients is fierce. Because our hospital wants to be a market leader, nurses on the TCU have been divided into care teams. The hospital offers financial bonuses and career incentives to teams with the best nurse/patient ratio, the fewest turnovers and call-ins (such as for illness), and the most economical patient care with shortest lengths of stay.

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