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The strong presence of small and medium sized enterprises (SMEs) is a key feature of the Irish economy. The sector is considered to be a crucial factor in the nation’s competitive development, particularly in recognition of its contribution to economic renewal which is primarily witnessed through employment generation, innovation and wealth creation. The organisational implementation of new technologies and electronic commerce in particular can aid SMEs in coping with their operational environment and can provide numerous organisational opportunities. However, current literature stipulates that SMEs are not proficient in their exploitation of electronic commerce and are weak in their provision of training thereof. The factors influencing this phenomenon are explored in this paper.

The purpose of this paper is to investigate the dramatic reforms in the health service in recent years.

Examines management development in health care, and explores the experiences of clinical nurse managers.

Duplication of agencies and multiplication of roles have led to tensions in terms of both the management and organisation of the health service and pressures to accommodate local and national agendas have proved difficult and, as such, a complex, bureaucratic organisation is seen to be the resultant outcome.

This paper fulfils the need of exploring the experiences of clinical nurse managers in the NHS.