Who is Nursing Them? It is Us

Jennifer Zelnick, Charles Levenstein, Robert Forrant, John Wooding

• Preface AcknowledgementsIntroduction: Understanding a Public Health Crisis from a Work Environment Perspective Introduces how the research came about through the author's interest in HIV/AIDS and the impacts of neoliberal globalization on health care workers. Chapter 1. Globalization and Health in sub-Saharan AfricaDescribes how the post-colonial experience in the 1970s, economic crisis, and subsequent structural adjustment policies had devastating impacts on health and health care systems.Chapter 2. Neoliberalism in Postapartheid South Africa and the HIV/AIDS Epidemic Describes how the African National Congress government adopted neoliberal macroeconomic policy and failed to address the HIV/AIDS epidemic in the early years of South African independence.Chapter 3. The Work Environment of NursesExplores the historical and current work environment of nurses in the context of 'brain drain', labor migration, and the global nursing shortage.Chapter 4. Case Study Setting: Three Public Hospitals In KwaZulu-Natal, South AfricaIntroduces the 3 KZN provincial hospitals that are the subject of this study; uses interviews with managers and administrators to explore the challenges faced in 3 disparate settings.Chapter 5. Staffing, Occupational Health, and HIV/AIDSUses interviews with managers and administrators to explore staffing, occupational health procedures and programs, and the impacts of HIV/AIDS in 3 provincial KZN hospitals.Chapter 6. Nurses SpeakThrough interviews, nurses explain their views on workplace health and safety, HIV/AIDS, and government health policies. Chapter 7. Discussion—Breathing Life into Policy: Toward a Labor/Work Environment Perspective on a Global Public Health CrisisThis concluding discussion argues that it will not be possible to meet the needs of poor people living with HIV/AIDS unless attention is paid to the work environment of frontline caregivers.Appendix: Group Interview Results Summary References Index