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Background  Clinical nurses at the crux of health care service delivery experienced radical organizational restructuring during the 1990s in Australia. Despite the implications organizational restructuring has for patient care delivery, clinical nurses continue to lack presence in policy decision‐making processes.

Aims  The aim of this paper is to provide an explanation for clinicians' undisputed acceptance of change. This will be performed by examining the process of organizational restructuring across three analytical levels – the macro, meso and micro; identifying the consequences of restructuring for clinical nurses' performance; and evaluating organizational restructuring using a micro‐political theoretical framework.

Findings  Utilizing Hoyle's (1988) micro‐political theory, it would appear that clinical nurses are functioning within a paradigm of maintenance. In order to provide quality patient care, effective …