Understanding management buzzwords

  1. 13
    From the Massachusetts Nurse Newsletter
    When they say… ................They mean…
    · "Efficiency" ......................... Spending as little as possible on patient care.
    · "Performance"...................... How close patient-care spending comes to zero.
    ·
    "Quality” ............................ See “Efficiency."

    · Flexibility" ............................ Freedom for management to downsize, outsource, subcontract, use travelers, require floating and overtime and cut RN staffing.

    · "Partnership" ......................... Union-busting.

    · "Adding value...........................Selling out union members to increase the employer’s profit margin.

    · "Trust" ...................................As a property of management: Artifice; cunning; deceit; double-dealing; duplicity; equivocation; falsity; guile; hypocrisy; insincerity; lying; mendacity; prevarication. As a property of labor: Folly; foolishness; gullibility; naïveté.

    · "Win-win" ...............................We get the pie, you get crumbs.

    · "Service enhancement" ............. Modeling patient care on fast food customer service.

    · "Employment security” ............... See “Flexibility."

    · "Cooperation"............................. Empowering management to limit patient care, intensify your work, and deskill (fragment, simplify, routinize, automate) and outsource your job.

    · "Team" .....................................Group of individual workers pitted against each other to benefit management.
    · "Problem-solving" Helping management by getting others to work harder or eliminating their jobs.

    · "Stable workforce" ........................Docile workforce.

    · "Alignment of interests" ................ We’ll pretend to care more about patients than profit if pretending will increase profit.

    http://www.massnurses.org/news-and-e.../openItem/6445
    fuzzywuzzy, kalevra, fiveofpeep, and 10 others like this.
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  3. 11 Comments so far...

  4. 3
    Disagree with several of the definitions this nuring union has listed, especially as it perpetuates the us (nursing union) vs them (facility management) mentality.
    Bortaz, RN, lindarn, and herring_RN like this.
  5. 6
    I don't like "us" versus "them" either.
    But after decades on not needing a union my hospital was purchased by a for profit, traded on the stock market corporation.
    We needed to unionize to save our patients, our hospital, and our sanity.

    It became all about the "BUDGET".

    Nurse managers and supervisors were no longer evaluated on the quality of nursing care we provided under their leadership. They were evaluated on efficiency and adherance to a staffing algorithm.

    They were forced to send staff home in the middle of a shift based on strict adherance to "THE MATRIX"
    But never provided another nurse when we admitted more patients.

    Once during CPR a supervisor said, "When he dies I have another patient for you in the ER"

    He survived.

    Once we won our election we started filling out assignment despite objection (ADO) forms to document unsafe conditions.
    One night all nurses in ICU illegally were assigned three patients. We were told all registries and off duty nurses had been called. "There is no one available."

    We all filled out an ADO documenting the situation and stating that the hospital, not the nursing staff, was responsible for any adverse effects on patient care. we handed a copy to the supervisor. In less than 1/2 hour three registry nurses had arrived and were taking report.

    Sorry when we worked for that corporation they taught managers that stuff. My manager was terminated for patient advocacy and i think as an example to others.
    Truly great nurse managers stepped down from management positions. They are now back since we are no longer owned bu that greedy bunch.
    Last edit by herring_RN on Jan 12, '12 : Reason: typos
    kalevra, laborer, Esme12, and 3 others like this.
  6. 7
    I would happily work in partnership with my management , but I 'm damned if I will be subjugated by them .Unfortunately our corporations idea of partnership is you do every thing we want ,we will do nothing you or the patients want
    kalevra, Chico David RN, laborer, and 4 others like this.
  7. 5
    I could be happy with management.....if they were just honest. Be "transparent" and up front. Don't tell us one thing and immediately do the opposite.
    kalevra, brandy1017, lindarn, and 2 others like this.
  8. 3
    Wow, you work for my hospital! The matrix rules! Patient care suffers but mgt doesn't care because stock price is up!
    kalevra, laborer, and lindarn like this.
  9. 4
    For those who object to the "us vs them" paradigm of unions. I don't like it, either, & tried to tell myself it didn't have to be that way.
    But the fact is, it IS that way, and not because nurses want it that way.
    Face reality - not easy but necessary for good changes to have a chance.
    kalevra, laborer, brandy1017, and 1 other like this.
  10. 2
    I am a proud member of an NNU affiliate also, but putting out petty, childish crap like this doesn't help anyone.

    If you have issues, address them, but thumbing your nose and wiggling your finger is not going to get any positive changes made.
    kalevra and lindarn like this.
  11. 8
    I have worked at Union and NonUnion facilities....I am very familiar with the MNA. The sad reality is that many of these administrations that they negotiate with are deserving of these definitions. I can place names and facilities side by side their definitions and I would be willing to bet any outsider looking in would agree with my observations. I was, at one time, an opponent of unions in one part of the country. BUt they were not nurses negotiating for nurses. I always had negative feeling of non-nursing persons representing nurses. I was happy in my job, I loved my job......I loved my boss and they loved me. Then I moved. I discovered that not all hospitals were created equal....health care was changing. Who's running the show shifted from medical directors and nursing personnel, to CEOs and financial wizards from corporations.

    Then I saw behavior that made me see, why nurses feel so abused and cheated. I sat in on administrative meetings where they drew the line in the sand and we were instructed to not cooperate or it was our jobs. We were sent to administrative "retreats" where we were taught how to weed out the malcontents, or loud mouths, and plotted their expulsion......legally(barely). I witnessed myself the maniacal pursuit of profits at the expense of patients and those who did not play their way.....were fired. I saw cooperation of the union during financial hardship make concessions to the administration only to be cheated when making record profits. How can administration be shocked that the nurses aren't happy when you cut their pay when you needed help and they said OK but when the administrator gets some $1.3 bonus check and the nurses ask for a raise and are told there's no money.....then administration is shocked when they strike.

    Union's have been historically developed to protect workers who have no voice. When my Grandfather was 8 years old and working in the coal mines because they used small children to set the dynamite, to going to the Company store, the Company school, buying and learning only company goods. Unions came and gave them a voice and made it better for them.....benefits and more came later....it was the voice they needed.

    Unions at hospitals begin because the workforce has no voice and administrators aren't listening. The nurses are screaming loudly and administration have become deaf mutes. They both come to the bargaining table with chips on their shoulders, each refusing to communicate with the other........each refusing to cooperate. I wondered who's right? Now I think that maybe they (the union) might be right. Police and firefighters have pensions and a nationwide "brotherhood" they are protected in number and are supported by each other. Their retirements are secure that include health care, and can retire when they are 55. They take care of their sick and injured. Now tell me who has the better idea.

    All I have to say is if you keep beating the dog....eventually he's going to bite and growl every time you are near. When all along if humane treatment provided there would never be this angst and conflict. I know why this union feel the way it does and my feeling is that the administrations they deal with acted consistently to deserve the name tag.

    JMHO. Peace
    fuzzywuzzy, kalevra, Merced, and 5 others like this.
  12. 2
    Thank God that Obama care will take the profits out patient-care........... Medicare For All
    smoke over fire and lindarn like this.


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