ABSTRACT
The two hospitals were significantly more complex in organizational structure than either of the two children’s homes. The hospitals employed larger staffs, who worked in more specialized departments, each with a greater number of hierarchical levels, and linked by less direct and more formalized channels of communication and decision-making. The hospitals were somewhat understaffed, particularly as far as nurses were concerned, who were seventy below the permitted establishment figure. The general administration of the two hospitals was in the hands of the group secretary, who, as well as being the chief executive officer for the group, was also the hospital secretary of both hospitals. The wards in both hospitals were staffed by nurses. There were some differences in numbers, training and organization of staff between the two hospitals. In the children’s homes there was very little specialization of roles as between staff.
