Quote from bethin
I don't think it matters the size of the hospital but the nurses and support staff. What do you think?
In a way, I agree with you. It does depend on the quality of nursing and support staff. You have to be able to attract people who are knowledgeable and committed to helping the patients. You could argue that a larger hospital in a larger city would have a larger pool of nurses to choose from in the area. Plus, if there are other hospitals competing for the same pool of patients, you would think that there would be a lot more attention to patient issues and promoting the quality of the hospital.
I heard that statement before at a smallish hospital I once worked. It was in response to my idea that we use some evidence-based developmental care for our neonates (I know... "crazy talk"). The comment, about being so much better than those big hospitals in X City, came totally out of the blue, and with a very defensive tone of voice.
I think it's difficult to generalize on something like this. Yes, I would think that a larger hospital could be impersonal and a bit imposing, but I also think that a smaller hospital can find it easier to get stuck in a rut, especially if they are the only show in town.