title: Conflicts of practice confronting second line nurse managers in an accident and emergency department. Part 2.
abstract: In recent times in Australia, there has been a proliferation of nursing career structures which aim to address the historical neglect of a career path for clinical nurses. Among these developments has been the formulation of a new and exciting nursing role, that of the second line nurse manager. This role was designed to give experienced nurses who traditionally worked 'in charge' formal recognition of their knowledge and skill, and sought to construct a role that encompassed both clinical and managerial responsibilities. However, the reality of these nurses' practice is fraught with problems and difficulties as they attempt to negotiate a new and uncharted domain. This paper recounts an action research study conducted by a group of second line nurse managers in an Accident and Emergency department, who sought to explore the dimensions of their practice. The study identifies problems with combining clinical and managerial responsibilities in the one role, within a context marked by a high level of unpredictability, and a culture which values clinical practice over other forms of nursing practice. The paper concludes with a number of recommendations to overcome these problems.
authors.forename: A L
authors.initials: AL
authors.lastname: Robinson
authors.forename: C M
authors.initials: CM
authors.lastname: O'Connell
mesh_terms: D003220:Conflict, Psychological; D016529:Emergency Nursing; D006801:Humans; D007587:Job Description; D015404:Nursing Methodology Research; D009745:Nursing, Supervisory