title: A span of control tool for clinical managers.
abstract: During the second half of the 1990s, healthcare in Canada experienced significant downsizing and reform. One of the consequences of these reorganizations has been a reduction in the number of clinical managers and a significant increase in their span of control, to the point that often their abilities to fulfil their role as clinical managers are hindered (Altaffer 1998; Counsell et al. 2001; Pabst 1993). The first-line manager plays a critical role in the delivery of healthcare, in particular, within nursing services. Therefore, providing support for the professional practice of clinical managers should become a priority.
authors.affiliation: Geriatric Assessment Unit and Day Hospital, The Ottawa Hospital, ON. rmorash@ottawahospital.on.ca
authors.forename: Robin
authors.initials: R
authors.lastname: Morash
authors.forename: Janet
authors.initials: J
authors.lastname: Brintnell
authors.forename: Ginette Lemire
authors.initials: GL
authors.lastname: Rodger
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003625:Data Collection / Q000379:methods* / Q000592:standards; D003659:Decision Making, Organizational; D017144:Focus Groups; D017408:Guidelines as Topic; D006273:Health Facility Merger / Q000458:organization & administration; D006801:Humans; D007389:Internal-External Control; D007587:Job Description; D016294:Models, Nursing; D009718:Nurse Administrators / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role; D015401:Nursing Administration Research / Q000379:methods* / Q000592:standards; D015404:Nursing Methodology Research; D009745:Nursing, Supervisory / Q000458:organization & administration; D009864:Ontario; D009936:Organizational Innovation; D020415:Personnel Downsizing / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D017009:Professional Autonomy; D012944:Social Support; D011795:Surveys and Questionnaires; D016526:Workload