""Dr. Forman's book is revolutionary and courageous in that it brings to light negative issues that exist in nursing management and patient care .Her use of plain, day-to-day language and methods will ultimately bring reform to health care at the bedside."" -Deborah M. Tascone, MS, RN,. Regional Executive Director North Shore Long Island Jewish Health System. Too often, both nurses and patients witness major breakdowns in the health care system-ineffective communication, unrealistic nurse-patient ratios, tension among staff, abuse of authority, and most importantly, managers drawn away from