First things first.  If you want to improve your healthcare system, do not consult specialists in the field, healthcare providers or physicians.  Consult with the nurses.  They can make you and break you, and rightly so.
    When Arnold Schwartzenegger became California's Governor, he ran into that snag;  losing considerable political popularity.  It's not that he was not wanting to do the right thing, he just ran off in the wrong and sensless direction.
    "We must assign more patients to each nurse's daily routine, increasing the officially recognized daily patient per nurse ratio from twelve to fifteen."  Announced on the news, my wife's nurse just wanted to cry.  "Everday, I just want to go home and immerse each of my sore hands into two big large jars of warm petroleum jelly", she told me one evening.  She was visibly distraught over this news announcement, and clearly, right then and there, her hands were hurting her.  My wife was one of her last patients before she went off duty at nine PM.
    It was the washing of hands that was getting to her skin, and the gloves.  It was a simple routine designed to prevent the spread of infections through the facility.
    Before exiting any patient's room, the nurses must thoroughly wash their hands, to prevent any spread of that patient's bacterial flora.  After entering a patient's room, the nurses must wash their hands in order to prevent the introduction of other bacteria to the patient.
    The equation is simple.  Two hand washings every time you visit a patient.  If you visit every patient of yours three times per hour, in a full eight hour shift, you will have washed your hands forty eight times for that one patient.  Assigned twelve patients in the ward, and that's 576 hand washings daily!
    Upon taking office, Governor S. thought that it would be a fine idea to increase the nurse's load from twelve to fifteen patients per day;  from 576 hand washings daily to 720, and it didn't fly, the Nurses Union almost running him out of office!