In a message dated 4/26/03 11:23:38 AM Eastern Daylight Time, [log in to unmask]
writes:

> The hospitals don't really care about their employees -- they only
> care about their bottom line and how they look when JCAHO comes around and
> how the hospital appears to outsiders.  Hospitals will keep taking and
> taking
> and taking -- and will give nothing in return.  Being altruistic is
> wonderful, but it doesn't prevent burnout and it doesn't put any vegemite
> on
> the table.
>

Jan, I totally agree about being altruistic vs. preventing burnout. I'm all
for documenting need and taking it up the chain of command. (OTOH, many
hospital clinicians talk and moan and complain but never do the research and
documentation that could validate making a change.)  But I've been working in
a management consulting role for the last 2 years (totally unrelated to LC
work) and I've been working with a LOT of different hospitals all over the
USA. I can honestly say that the administrators of all such hospitals care
very much about their employees and not just the bottom line. They are also
facing economic and regulatory pressures that have them on a tightrope most
of the time. It doesn't help that many administrators don't understand the
clinical roles or that they neglect--usually related to time
constraints--"management by walking around" and chances to thank employees or
find out what's up. But in many cases it really isn't a matter of not
caring...

Karen

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