Godfrey C
Nurs Manage. 1994 Oct;25(10):90-3.
A new emphasis on primary and preventive care is hailed as long overdue by many in nursing. One effect of this paradigm shift, however, is being experienced in many hospitals. Acute-care facilities are rearranging services ("restructuring"), consolidating programs and eliminating large numbers of staff ("downsizing") in an effort to position themselves securely for the future. Downsizing can be devastating to those who lose jobs, so nurse managers and administrators can play a key role in planning the downsizing process sensitively. Whenever possible, loss of a traditional job should be balanced by the offer of a new opportunity within the healthcare system.
护理领域的许多人欢呼，对初级和预防保健的重新重视早就应该进行了。然而，这种范式转变的一个影响正在许多医院显现。急症护理机构正在重新安排服务（“重组”）、整合项目并裁减大量员工（“裁员”），以便为未来稳固地定位自己。裁员对那些失去工作的人来说可能是毁灭性的，所以护士经理和管理人员在敏感地规划裁员过程中可以发挥关键作用。只要有可能，传统工作的丧失应该通过在医疗系统内提供新机会来平衡。
