Description |
1 online resource (xx, 492 pages) : diagrams, plan, tables |
Contents |
Analysis of the Problem -- Formal Organization of the Hospital -- Ward Organization -- Institutional Integration -- Informalities -- Appendices |
Summary |
This book is both disturbing and encouraging: disturbing because it highlights so many of the imperfections of current hospital practices, and encouraging because it indicates how change and improvement may be brought about. It is a serious inquiry into the social setting in which hospital administration occurs, and it concerns itself primarily with the frequently unrecognized forces which influence patient and staff behavior. The book is, and necessarily must be, a composite of observations and opinions, data and inference. It is, therefore, a rather accurate mirror of the stresses and strains encountered in a hospital when existing practice is under scrutiny and when change is proposed. The rigorous examination of clinical administrative procedure at Chestnut Lodge marks a significant stage in the development of our hospital. The study here reported was made during the stage of development at Chestnut Lodge when there was still a separate administrator for each floor and should be viewed as reflecting the state of affairs during that period. It was at this point that Drs. Stanton and Schwartz undertook to examine our procedures and to identify what actually took place. This planned examination, of course, brought into focus the existence of many stereotypes which had grown up about the way the hospital worked and which had at times been uncritically accepted. It was in part due to findings made in the present study that our step to a single administrator for each service was made. As differences of opinion between therapists, administrators, and nurses were investigated, it became clear that many times administrative, therapeutic or nursing procedures reflected personal needs of those involved rather than reality needs of the patients. Although their conclusions have been derived from work on a small ward of a small hospital, Drs. Stanton and Schwartz have developed principles which are applicable in large settings and in different types of hospital organizations. Such applications are possible if there are present both a desire to determine the actual situation in a given hospital and a willingness to accept change without fear. (PsycINFO Database Record (c) 2005 APA, all rights reserved) |
Bibliography |
Includes bibliographical references |
Notes |
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL |
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Print version record |
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digitized 2010 HathiTrust Digital Library committed to preserve pda MiAaHDL |
In |
PsycBooks |
SUBJECT |
Rockville, Md Chestnut Lodge Sanitarium |
Subject |
Psychiatric hospital care.
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Psychiatric hospitals.
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Mental illness.
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Hospitals, Psychiatric
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Mental Disorders
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psychiatric hospitals.
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mental disorders.
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44.16 mental health service.
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Psychiatric hospitals
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Mental illness
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Psychiatric hospital care
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Psychiatrische inrichtingen.
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Psychiatrische patiƫnten.
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Form |
Electronic book
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Author |
Schwartz, Morris S
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LC no. |
54012017 |
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