The reform that started in 1995 in health care system still is in progress in our country. It is necessary to evaluate the advantages and disadvantages of past period in order to achieving the objectives. For this aim we used the statistical facts gathered during the reforms and according to those data we tried to analyse the existing situation of urgent surgical service. We describe the main problems that would be the best way to solve them in the future. The results show that the urgent surgical help in a hospital still has enough reserve for optimization and reorganization, but it is clear, that for field working improvement there is necessity of the appropriate reformation of institutional organization, financing, program maintaining and human resources.
Although nurses make up the largest group of professionals working in th healthcare field, they are often left out of the decisions that shape the restructuring of healthcare in Canada. A feminist philosophy guided this qualitative study, conducted in New Brunswick, to gain an in-depth knowledge of the impact of restructuring on nurses working in all types of healthcare facilities across the province. Sixty-five nurses were interviewed, and a number of themes, including "having a voice," emerged from the data. While many of the nurses interviewed reported that they were not invited to participate in decisions related to healthcare restructuring, others noted that when they did have an opportunity to participate, they were frequently not heard. However, a number of nurses also reported that they believed they had some influence and could continue to make a positive difference when they were asked to be involved at the outset of a change process.