Between a rock and a hard place: Nurse managers' experiences of large-scale organizational change in the public health service.

Background: Nurse managers are often at the forefront of implementing organizational changes. Studies suggest that conflicting pressures and stress are high during such times, though little is known of how nurse managers experience the continuing run of change initiatives.

Aims: To explore nurse managers' experience of large-scale organizational changes and its impact on their working lives and conditions.