4sight Health February 16, 2023
David W. Johnson

Note: This is Part 2 in a series about system dynamics in healthcare, exploring how healthcare organizations can change their mechanics along with their mindsets to serve their employees, patients and communities with greater effectiveness, compassion and sustainability. Read Part 1 here.

On January 9, 2023, over 7,000 nurses walked off the job at Mount Sinai Hospital and Montefiore Medical Center in New York City after four months of failed negotiations between the hospitals and their union, the New York State Nurses Association (NYSNA). Although higher pay was among their demands, the nurses’ primary concern was improving nursing-patient staffing ratios.

Interviewed for a New York Times article, nurses described double and triple work loads on extended shifts, particularly in...

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