“…This happens within a powerful ruling discourse that inserts the interests of politics, government, and economics into health care delivery and, more specifically, into nurses' work. In the larger context of health care reform, the infiltration of business values, economic rationalism, and corporate accounting practices is rampant and there is ongoing pressure to commodify health care (Armstrong et al ., ; Weiss et al ., ; Shannon & French, ; Rankin & Campbell, ; Rudge, ). While most reports suggest that health care is benefiting from the application of ‘waste reduction thinking’ that is the cornerstone of ‘lean’ initiatives (de Koning et al ., ; Shiver, ; Ng et al ., ), there is some indication that the corporate models being introduced into health care resource allocation and efficiency have significantly disrupted the culture of health care resulting in negative effects for patients and health professionals (Varcoe, ; Weiss et al ., ; Shannon & French, ; Storch, ).…”