Abstract
The purpose of this paper is to describe the major issues from the literature which confront first-line nurse managers. The increasingly complex environment in which these managers function has, at the very least, significantly altered their role. However, there are other issues confronting those in first-line positions and these are discussed under four broad headings: the role of first-line nurse managers; role conflict and confusion; management skills and functions; and education for first-line nurse managers.

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