Intended for healthcare professionals

Observations Yankee Doodling

The end of US hospitals as we know them?

BMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k2023 (Published 08 May 2018) Cite this as: BMJ 2018;361:k2023

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

08 May 2018
Hugh Mann
Physician
Retired
New York, NY, USA