Intended for healthcare professionals


Lack of leadership was at heart of hospitals’ failings, report says

BMJ 2015; 351 doi: (Published 10 July 2015) Cite this as: BMJ 2015;351:h3799

Rx for Hospitals

The hospital is a battlefield in which doctors and nurses fight sickness. Doctors are officers, and nurses are enlisted. Doctors have authority, issue orders, enjoy comforts, and receive rewards; while nurses lack authority, take orders, do dirty work, and receive blame. This gross inequality is counterproductive, because it hurts nurses, creates internecine conflict, subverts the hospital’s mission, and subjects patients to suboptimal healthcare. The Hippocratic Oath should include the doctor-nurse relationship.

Competing interests: No competing interests

10 July 2015
Hugh Mann
New York, USA