title: [The firing of nurse managers: literature and experiences].
abstract: BACKGROUND
  The firing of a nursing manager was first documented in the 80' in US.
  
  
  OBJECTIVE
  To describe the involuntary turnover according to the literature and a case-story.
  
  
  METHODS
  Literature review and interview to a key informant.
  
  
  RESULTS
  The involuntary turnover is preceded by a hard time with indicators of a difficult relationships with the management; it initiates a profound crisis comparable to the loss of a significant person and feelings of failure prevail, self esteem and self confidence decrease. If the manager is fired, external help may be necessary - included psychological counseling - to overcome the traumatic experience. Before effectively facing the future, some time may be needed to deal with the loss effectively.
  
  
  CONCLUSIONS
  The firing of a nursing manager is not an exception in Italy but the literature and discussion on the problem is lacking.
authors: Universita degli studi di Udine.
authors: Alvisa
authors: A
authors: Palese
authors: Sara
authors: S
authors: Scarsini
authors: Meri
authors: M
authors: Marin
authors: Luisa
authors: L
authors: Saiani
mesh_terms: D006801:Humans; D007558:Italy; D017008:Negotiating; D009718:Nurse Administrators; D063545:Personal Narratives as Topic; D010563:Personnel Turnover; D019555:Physician-Nurse Relations