Skip to main content Skip to search Skip to search

Health & Fitness Health Care Issues

Managing to Nurse

Inside Canada's Health Care Reform

by (author) Janet Rankin & Marie Campbell

University of Toronto Press
Initial publish date
Apr 2006
Health Care Issues, Issues
  • Paperback / softback

    Publish Date
    Apr 2006
    List Price
  • eBook

    Publish Date
    Dec 2006
    List Price

Add it to your shelf

Where to buy it


How does the contemporary restructuring of health care affect nursing practice? Increasingly since the 1970s, and more intensively under recent reforms, Canadian health care is the focus of information-supported, professionally based management. In Managing to Nurse, Janet M. Rankin and Marie L. Campbell probe the operation of this new form of hospital and its effect management on nurses and nursing.

Written from the nurse's perspective, this institutional ethnography discovers a major transformation in the nature of nursing and associated patient care: the work is now organized according to an accounting logic that embeds a cost-orientation into care-related activities. Rankin and Campbell illustrate how nurses adapt to this new reality just as they, themselves, perpetuate it – how they learn to recognize their adaptations as professionally correct and as an adequate basis for nursing judgement. Although Managing to Nurse may contradict contemporary beliefs about health care reform, the insiders' account that it provides is undeniable evidence that nurses' caring work is being undermined and patient care is being eroded, sometimes dangerously, by current health care agendas.

About the authors

Janet M. Rankin is a professor of nursing in the Faculty of Health and Human Services at Malaspina University-College.

Janet Rankin's profile page

Marie L. Campbell is a professor emeritus in the Faculty of Human and Social Development at the University of Victoria.

Marie Campbell's profile page

Other titles by