Reluctant managers: nurses surviving despite the bottom line

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Gough, Richard and Fitzpatrick, Maree (2004) Reluctant managers: nurses surviving despite the bottom line. New Zealand Journal of Employment Relations, 29 (2). pp. 49-66. ISSN 1176-4716


Chronic hospital bed shortages and compromised patient care has dominated the media over the past decade. Restructure and change are the catch cries for the survival of a quality public health system. The majority of existing Australian research has focused on the impact of hospital restructuring and retrenchment from the perspectives of the non-professional staff, such as cleaners and kitchen hands. This research investigates the perceptions of middle management nurses in a major Victorian hospital. Unlike other managerial survivors of restructuring, this research reveals that this group of nurse managers have remained committed to their vocation and their workplace, despite the unrelenting pressures they have endured.

Item type Article
Official URL
Subjects Historical > RFCD Classification > 350000 Commerce, Management, Tourism and Services
Historical > FOR Classification > 1110 Nursing
Historical > Faculty/School/Research Centre/Department > School of Management and Information Systems
Keywords restructure, Victorian catholic public hospital, decentralised multi-skilled teams, patient-focused nursing care, Nurse Unit Managers, NUMs, Kennett National Liberal Party government, Weighted Inlier Equivalent Separations WIES, Diagnosis Related Groups, DRGs, WIES based funding system,
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