Abstract
The aim of the study was to analyse ward managers' working conditions to lead a nurse care organisation in a small hospital in Western Sweden. Twenty-one of 22 ward managers answered a questionnaire. The results are presented under two headings: working conditions and educational needs. Ward managers have been given more responsibility and new tasks in an increasingly decentralised organisation. A lack of competent personnel is considered a crucial obstacle to reach the work goals. Competence in leadership, to organise and to lead, to inform and to give advice, and to develop employees' skills are regarded as the most important tasks. A good leader is supposed to be a distinct and diplomatic person who can delegate, listen, support and value his/her colleagues' capabilities. Knowledge about conflict-solving and management of the economy were prioritised as educational needs. Half of the ward managers experienced an imbalance between responsibility and power in their management role. Higher education, professional networks, mentors and experience-based skills appear to be necessary for mastering the increased demands from the hospital management and the ward personnel.