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A conceptual framework for cost management training in the L impopo P rovince of S outh A frica
Author(s) -
Jooste Karien,
Mothiba Tebogo Maria
Publication year - 2014
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12065
Subject(s) - training (meteorology) , conceptual framework , nursing management , geography , environmental resource management , business , environmental planning , nursing , political science , economic growth , medicine , sociology , economics , social science , meteorology
Aims This paper describes the perceptions of nurse managers about their dual role in nursing units as cost centres. Background The tertiary hospital in the L impopo province is the first institution to appoint nurse managers with a dual role in cost centres. The development of a conceptual framework for a context‐specific programme for C ost C entre M anagers is the first of its nature in S outh A frica. Method A qualitative, exploratory, descriptive design was followed. The target population included nurse managers ( n  = 35) formally appointed as cost centre managers with a dual role of delivering quality care and cost management. A focus group and individual interviews were conducted until data saturation occurred. Results Personal and professional distress, an empowering potential of being a cost centre manager, and the need for decentralized cost centre management were indicated as barriers for nurse managers that led to a framework for a context‐specific training programme. Conclusion There is a need for a context‐specific training programme for cost centre managers in a hospital with cost centres. Implications for nursing management The training of cost centre managers for their dual role in cost centres could enhance cost effectiveness, quality care and staff satisfaction.

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