title: First-line managers: scope of responsibility in a time of fiscal restraint.
abstract: Fiscal restraint and government cost control have contributed to the downsizing and restructuring of Canadian health care organizations. As key players in the hospital sector, the role and responsibilities of first-line nurse managers have been significantly affected by these changes. This paper presents data from a survey of 200 first-line nurse managers in British Columbia which investigated the current scope of the first-line manager's role, the number of hierarchical levels within nursing departments, and views on managerial union membership.
authors.affiliation: School of Nursing, University of British Columbia, Vancouver.
authors.forename: S
authors.initials: S
authors.lastname: Acorn
authors.forename: M
authors.initials: M
authors.lastname: Crawford
mesh_terms: D001955:British Columbia; D003363:Cost Control; D006302:Health Services Research; D006608:Hierarchy, Social; D006754:Hospital Restructuring; D007587:Job Description; D007588:Job Satisfaction; D007750:Labor Unions; D009718:Nurse Administrators / Q000706:statistics & numerical data*; D009738:Nursing Service, Hospital / Q000191:economics / Q000458:organization & administration*; D009745:Nursing, Supervisory / Q000706:statistics & numerical data*; D017009:Professional Autonomy; D011361:Professional Competence; D011795:Surveys and Questionnaires