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Purpose
The purpose of this paper is to investigate the dramatic reforms in the health service in recent years.
Design/methodology/approach
Examines management development in health care, and explores the experiences of clinical nurse managers.
Findings
Duplication of agencies and multiplication of roles have led to tensions in terms of both the management and organisation of the health service and pressures to accommodate local and national agendas have proved difficult and, as such, a complex, bureaucratic organisation is seen to be the resultant outcome.
Originality/value
This paper fulfils the need of exploring the experiences of clinical nurse managers in the NHS.
© Emerald Group Publishing Limited
2005
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