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Nurse managers attitudes and perceptions regarding cost containment in public hospitals in the Port Elizabeth metropole

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dc.contributor.advisor Ehlers, Valerie Janet 1948- en
dc.contributor.advisor Booyens, S.W. (Prof) en Ntlabezo, Eugenia Tandiwe en 2009-08-25T10:54:56Z 2009-08-25T10:54:56Z 2009-08-25T10:54:56Z 2003-03-31 en
dc.identifier.citation Ntlabezo, Eugenia Tandiwe (2009) Nurse managers attitudes and perceptions regarding cost containment in public hospitals in the Port Elizabeth metropole, University of South Africa, Pretoria, <> en
dc.description.abstract This study investigated the attitudes and perceptions of nurse managers regarding cost containment issues in selected public hospitals in the Port Elizabeth metropole of the Eastern Cape. Four hospitals participated in the study, and 211 nurse managers completed questionnaires. The results obtained from the participants&#8217; responses indicated that: &#10022; Nurse managers are ill-prepared for many responsibilities regarding cost containment, and need appropriate orientation and preparation both during their initial formal, and during their nurse management and in service training in order to fulfil their &#8220;financial&#8221; or cost containment role more effectively. &#10022; Nurse managers perceived the relationship between the productivity of staff and cost containment positively, but were reportedly unable to &#8226; prevent nurses from leaving their points of duty &#8226; curb the rate of absenteeism among nurses &#8226; reduce the number of resignations &#10022; Nurse managers suggested that more effective hospital cost containment efforts should ensure that &#8226; effective security checks are performed to curb losses of stock and equipment &#8226; more public telephones are installed in hospitals &#8226; stricter controls regarding wheelchairs are implemented The rationalisation of staff and services, as well as specialised equipment among the four public hospitals could enhance these hospitals&#8217; cost containment results. However, this would necessitate reorganising these hospitals&#8217; services at provincial level. The nurse managers required more knowledge about hospitals&#8217; financial management and cost containment issues. Guidelines for such a course were developed addressing: analysis of monthly variance reports; budgeting for manpower; balance statement; calculations for the supplies and expenses budget; income statements; the hospital&#8217;s budgetary cycle; break-even analysis; analysis of cost-effectiveness and cost-benefit analysis. en
dc.format.extent 1 online resource (x, 182 leaves)
dc.language.iso en en
dc.subject cost containment en
dc.subject cost unit en
dc.subject financial escalation en
dc.subject financial resources en
dc.subject fiscal accountability en
dc.subject health care costs en
dc.subject hospital management en
dc.subject role model en
dc.subject nurse manager en
dc.subject budgeting en
dc.subject analysis of monthly variance en
dc.subject.ddc 362.110681
dc.subject.lcsh Hospitals -- Cost control
dc.subject.lcsh Hospitals -- Administration
dc.subject.lcsh Nurse administrators -- Attitudes
dc.subject.lcsh Hospitals -- South Africa -- Port Elizabeth
dc.title Nurse managers attitudes and perceptions regarding cost containment in public hospitals in the Port Elizabeth metropole en
dc.type Thesis en
dc.description.department ADVANCED NURSING SCIENCES en D.Litt. et Phil. en

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