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The contemporary crisis of hallway healthcare: Implications of neoliberal health policy on the rise of emergency overcrowding.

Authors
  • Lopez, Lorena K1, 2
  • Weerasinghe, Navisha1, 3
  • Killackey, Tieghan1, 4
  • 1 Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. , (Canada)
  • 2 Trillium Health Partners-Credit Valley Hospital, Mississauga, Ontario, Canada. , (Canada)
  • 3 William Osler Health System-Brampton Civic Hospital, Brampton, Ontario, Canada. , (Canada)
  • 4 Child Health Evaluative Sciences (CHES), The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada. , (Canada)
Type
Published Article
Journal
Nursing Inquiry
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jul 01, 2022
Volume
29
Issue
3
Identifiers
DOI: 10.1111/nin.12464
PMID: 34558766
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The provision of hallway healthcare is a growing concern within contemporary healthcare systems. Hallway healthcare or hallway medicine is defined as the use of unconventional spaces, such as hallways, to provide patient care in the acute care setting. Negative effects associated with the prevalence of hallway healthcare may hinder the healing trajectory of vulnerable and ageing populations. Nurses have an intimate role in the provision of care and can offer valuable insight for the advocacy of high quality and safe patient care. Moreover, hallway healthcare is associated with the development of suboptimal working conditions that have resulted in negative impacts on the nursing profession. The authors seek to better understand the occurrence of this phenomenon by exploring the development of healthcare policies in relation to the neoliberal tenets of, individualism, free market via deregulation and privatization, and decentralization. This article provides an analysis of the historical evolution of hallway healthcare and neoliberalism. Furthermore, the authors aim to explore and demonstrate how the COVID-19 pandemic has shed light on the inefficiency of neoliberalism ideologies for healthcare. Based on the analysis, the authors shall provide suggestions for nurses and stakeholders to enact meaningful change in an international context. © 2021 John Wiley & Sons Ltd.

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