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These concerns were initially raised via informal complaints about ��near misses��, parental dissatisfaction, perceived competency weaknesses and rising cost associated with their use. Method? [Young��s (2009) Journal of Organisational Change, 22, 524�C548] nine-stage change framework was used to guide the implementation of the competency assessment tool within a paediatric acute care setting. Implications for Nursing Management? The ongoing success of the initiative, from a nurse manager��s perspective, relies on structured communication with the agency provider before employing competent agency nurses. Sustainability of the change will depend on nurse managers�� persistence in attending the concerns of those resisting the change while simultaneously supporting those championing the change. These key communication and supporting roles highlight the pivotal role held by nurse managers, SERCA as gate keepers, in safe-guarding children while in hospital. Leadership qualities of nurse managers will also be challenged in continuing to manage and drive the change where resistance might prevail. ""To evaluate the advancement of knowledge on the impact of an empowering leadership style on the risk of mobbing behaviour among nurse working teams. The secondary aim was to evaluate, along with leadership style, the contribution selleckchem of other organisational- and individual-related mobbing predictors. The style of leadership in reducing the onset of mobbing risk in nurse working teams still remains a matter of discussion. Nurse working teams are particularly affected by mobbing and studies exploring individual and organisational inhibiting/modulating factors are needed. An empirical study involving 175 nurses of various public hospital corporations in northern Italy. Data were collected via structured and anonymous questionnaires and analysed through a logistic regression. Organisational, individual and participative leadership variables explained 33.5% (P?Wortmannin clinical trial style adopted by the nurse manager allows for the reduction of tensions in nurse working teams. However, mobbing remains a multifaceted phenomenon that is difficult to capture in its entirety and the leadership style cannot be considered as a panacea for resolving this problem in nurse working teams. ""Aim? To identify and discuss the current state of knowledge about end-of-life care (EOLC) pathways in relation to nursing. Background? Enhancing EOLC has become a central concern in governments�� health policies worldwide.