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Outcomes of corporate greed
1School of Nursing, University of Pennsylvania, Philadelphia 19106, USA.
Objective:
This study is the context portion of a larger study that described the experience of 30 nurses in Texas, USA who worked in for-profit psychiatric hospitals during a documented period of corporate deviance. The objective of the contextual portion was to describe the major findings in 1991-1992 of investigating agencies that probed the scandal.
Design:
Exploratory descriptive.
Sample:
Over 1,240 pages and 40 hours of corporate records obtained under subpoena, and written and oral testimony before the USA House Select Committee on Children, Youth, and Families.
Methods:
Content analysis, triangulating sources, and comparing as well as cross-checking themes.
Findings:
Four themes: insurance games, dumping patients, patient abuse, and playing with language.
Conclusions:
Organizational deviance may become more widespread in profit-driven systems of care. Lobbying for whistleblower protection, collective advocacy, and creative educational reforms are used.