Livre d'Or

Oh gosh, Nightingale would definitely not have prioritized 'frontline services' over physical and systemic infrastructure, and she actually experienced nursing on the literal frontline of a literal war. I think there's something to be said for specializing, if the amount of paperwork required from nurses is minimized because you employ admin specialists to do most of it, and create systems to streamline the amount of times the same information has to be written down, that might actually be a good thing. But trying to 'reduce' paperwork thoughtlessly usually means nurses have to do more of it, because there's no official budget for people whose job it is. I wouldn't be at all surprised if nurses resented having to do paperwork in a situation where there's no time allocated for it. It's important, but it doesn't necessarily follow that nurses should be doing it.

I completely agree that redundancy is way more efficient than running everything at capacity. But you can't do that kind of medium-range planning if you think strategic decision making is just paper-pushing.