Financial management roles of nurse managers in selected public hospitals in KwaZulu-Natal province, South Africa
| Autor: | Nellie Naranjee, Maureen Nokuthula Sibiya, Thembelihle Sylvia Patience Ngxongo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Financial Management Financial management framework Control (management) Financial plan lcsh:Medicine Sample (statistics) Nurse Administrator Grounded theory Financial management South Africa 03 medical and health sciences Professional Competence 0302 clinical medicine Nursing medicine Constructivist grounded theory Humans Nurse Administrators 030212 general & internal medicine Original Research Competency 030504 nursing Hospitals Public business.industry Public health lcsh:Public aspects of medicine lcsh:R Public Health Environmental and Occupational Health Theoretical sampling lcsh:RA1-1270 General Medicine Knowledge Naturalistic paradigm 0305 other medical science Family Practice business Public hospitals Nurse manager |
| Zdroj: | African Journal of Primary Health Care & Family Medicine, Volume: 11, Issue: 1, Pages: 1-8, Published: 2019 African Journal of Primary Health Care & Family Medicine, Vol 11, Iss 1, Pp e1-e8 (2019) African Journal of Primary Health Care & Family Medicine |
| Popis: | Background: The public health sector in South Africa has been facing severe financial cutbacks and financial constraints in recent times. The nurse manager (NM) is faced with the task of managing and reducing expenditure in the nursing sector without compromising the quality care. This requires skills and understanding of financial management. Aim: This study aimed to explore the financial management roles of NMs and to identify financial management development needs necessary for NMs’ practice. Setting: The study was conducted in KwaZulu-Natal. A total of eight hospitals from the five health districts were included. Methods: The study used the naturalistic paradigm with a constructivist grounded theory approach. Interviews were used to initially gather data from six NMs who were purposively selected. Theoretical sampling was used to further recruit financial managers, chief executive officers, assistant nurse managers and operational managers. The final sample consisted of 18 participants. Results: Financial management of the hospitals is the primary function of the financial managers and the chief executive officers. However, the role of NMs extends to the performance and participation in various activities relating to the financial functioning of the hospital. These include financial planning, financial monitoring, financial decision-making and financial control. Conclusion: Nurse managers have a financial management function in public health care organisations but lack the necessary skills, knowledge and competencies to function in this role and require additional training. Recommendations included that a competency framework be developed to improve the financial management competencies of NMs. |
| Databáze: | OpenAIRE |
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