scholarly journals The provision and utilisation of casemix and demographic data by nursing managers in seven hospitals

2003 ◽  
Vol 26 (1) ◽  
pp. 209 ◽  
Author(s):  
Nicole Blay ◽  
Judith Donoghue
Keyword(s):  
Decision Making ◽  
Financial Management ◽  
Nurse Managers ◽  
Demographic Data ◽  
Aged Care ◽  
Public Hospitals ◽  
Management Decision ◽  
Essential Information ◽  
Related Data ◽  
Nursing Managers

The role of the nursing manager has evolved from clinician and bed manager to one with greater accountability for evidence based practice, benchmarking and more recently, budget liability. Casemix data are widely believed to be a means of providing essential information for effective decision making and financial management but have not been widely utilised by nursing managers (Diers & Bozzo,1999). This paper will report the results of a survey of nursing managers in seven hospitals within a metropolitan area health service. The hospitals include tertiary referral hospitals, specialist public hospitals and an affiliated public hospital for aged care and rehabilitation services. The survey sought to establish what casemix and related data were provided to nurse managers, who provided these data and how supplied data were utilised by the nurse managers. Results demonstrated that the majority of nursing managers surveyed received minimal (if any) casemix and/or demographic data on a routine basis. Some were provided with data in response to specific requests. The information that was provided varied both within and across hospitals, and no consistent methods of data distribution were available. Few nursing managers believed that the information provided aided their decision-making processes partly due to the minimalist nature of provided data while some nursing managers demonstrated a lack of understanding of the potential benefit of casemix data as a resource to support management decision making.

scholarly journals Comparison of managerial competence of Indonesian first-line nurse managers: a two-generational analysis

2019 ◽  
Vol 25 (1) ◽  
pp. 5-19
Author(s):  
Joko Gunawan ◽  
Yupin Aungsuroch ◽  
Mary L Fisher ◽  
Anna M McDaniel
Keyword(s):  
Professional Development ◽  
Financial Management ◽  
Nurse Managers ◽  
Age Groups ◽  
Public Hospitals ◽  
First Line ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Significant Difference ◽  
Managerial Competence

Background Much research provides evidence that four age groups or generations of nurse managers exist, and it is assumed that they work and act differently according to each generation’s characteristics and attitudes, which may influence their managerial competence. Aims To compare first-line nurse managers’ managerial competence according to generational analysis across public hospitals in Indonesia. Methods This study employed a cross-sectional survey in 18 public hospitals in Indonesia with 254 first-line nurse managers selected using simple random sampling. The Indonesian First-Line Nurse Managers Managerial Competence Scale (IFLNMMCS) was used to measure managerial competence. Data were analysed using descriptive analyses using means, standard deviations and independent t-test. Results There was no significant difference in the total score of managerial competence of Generation X and Millennial first-line nurse managers ( p = 0.077). Of five dimensions of managerial competence, only applying quality care improvement ( p = 0.028) and financial management ( p = 0.013) were significantly different, while leadership ( p = 0.142), facilitating spiritual nursing care ( p = 0.353), self-management ( p = 0.130), staffing and professional development ( p = 0.068) and utilizing informatics ( p = 0.304) were not significantly different. Conclusion This study serves as a foundation for better human resource management, education and professional development for first-line nurse managers among public hospitals in Indonesia.

scholarly journals Explaining Courage in Ethical Decision-making by Nursing Managers: A Qualitative Content Analysis

2021 ◽  
Vol 31 (4) ◽  
pp. 254-262
Author(s):  
Mostafa Roshanzadeh ◽  
◽  
Zohreh Vanaki ◽  
Afsaneh Sadooghiasl ◽  
Ali Tajabadi ◽  
...  
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Ethical Decision ◽  
Nurse Managers ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Qualitative Content Analysis ◽  
Role Playing ◽  
Face To Face ◽  
Nursing Managers

Introduction: Ethical decision-making by nursing managers is influenced by various essential factors, such as courage, without which it is impossible to act on them. Objective: This study aimed to explore the experiences of nursing managers about courage in ethical decision-making. Materials and Methods: The current study was conducted in Iran by a qualitative content analysis approach in 2018. Nineteen nurse managers were selected purposefully from hospitals in Tehran and Shahrekord cities. Data were collected using semi-structured, in-depth, face-to-face interviews, and after transcription, they were analyzed according to the Graneheim and Lundman method. Results: Based on data analysis, we extracted 2 categories (obligation, decisiveness) and 8 subcategories (clearness in expressing decisions, the ability of the manager to make decisions in critical and complex situations, authority/decision-making as a religious responsibility, follow the decision process, being responsible, making compensatory decisions, making preventive decisions). Conclusion: The findings showed that managers who are committed to ethical decision-making have enough assertiveness to make the decisions. Educating, empowering, and sensitizing managers and enhancing their insight into ethical issues through problem-solving and role-playing techniques can play an essential role in promoting their commitment and responsibility.

Group Decision Support Systems

2011 ◽  
pp. 1543-1550 ◽  
Author(s):  
John Wang ◽  
James Yao
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Financial Management ◽  
Group Decision ◽  
Support Systems ◽  
Group Decision Support ◽  
Group Decision Support Systems ◽  
Management Decision ◽  
Trace Back

Group decision support systems (GDSSs) which aim at increasing some of the benefits of collaboration and reducing the inherent losses are interactive information technology-based environments that support concerted and coordinated group efforts toward completion of joint tasks (Dennis, George, Jessup, Nunamaker, & Vogel, 1998). The term group support systems (GSSs) was coined at the start of the 1990’s to replace the term GDSS. The reason for this is that the role of collaborative computing was expanded to more than just supporting decision making (Patrick & Garrick, 2006). For the avoidance of any ambiguities, the latter term shall be used in the discussion throughout this paper. If we trace back, GDSSs are specialized model-oriented decision support systems (DSSs) or management decision systems that were born in the late 1960s. By the late 1970s, a number of researchers and companies had developed interactive information systems that used data and models to help managers analyze semi-structured problems. From those early days, it was recognized that DSSs could be designed to support decision makers at any level in an organization. DSSs could support operations, financial management, and strategic decision making.

scholarly journals Gender and managerial competence: a comparison of male and female first-line nurse managers in Indonesia

2021 ◽  
Vol 8 (1) ◽  
pp. 49-58
Author(s):  
Joko Gunawan ◽  
Yupin Aungsuroch ◽  
Mary L. Fisher ◽  
Anna M. McDaniel
Keyword(s):  
Financial Management ◽  
Nurse Managers ◽  
Quality Care ◽  
Public Hospitals ◽  
Comparative Approach ◽  
First Line ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Male And Female ◽  
Managerial Competence

Abstract Objective First-line nurse managers are more likely to work according to gender beliefs and stereotypes, which may affect their managerial competence. This study is aimed at comparing managerial competence of male and female first-line nurse managers in public hospitals in Indonesia. Methods This study employed a descriptive comparative approach with a cross-sectional survey with a total of 256 participants selected from 18 public hospitals. To measure managerial competence, the managerial competence scale for Indonesian first-line nurse managers was used. Data were analyzed using descriptive analyses using mean, standard deviation, and Independent t-test. Results Managerial competence of male and female first-line nurse managers was not significantly different (P = 0.555). Female nurse managers descriptively reported/received higher ranking in facilitating spiritual nursing care, managing self, staffing and professional development, utilizing informatics, and applying quality care improvement. Male nurse managers reported higher in leadership and financial management. Conclusions Female and male first-line nurse managers should be treated equally for leadership and managerial development.

Sensitivity in ethical decision-making: The experiences of nurse managers

2019 ◽  
Vol 27 (5) ◽  
pp. 1174-1186
Author(s):  
Mostafa Roshanzadeh ◽  
Zohreh Vanaki ◽  
Afsaneh Sadooghiasl
Keyword(s):  
Decision Making ◽  
Healthcare System ◽  
Ethical Decision ◽  
Nurse Managers ◽  
Ethical Decision Making ◽  
Qualitative Content Analysis ◽  
Ethical Principles ◽  
Ethical Decisions ◽  
Healthcare Settings ◽  
Nursing Managers

Background In order to achieve the goals of the healthcare system, nursing managers are required to comply with ethical principles in decision-making. In complex and challenging healthcare settings, it is shown that the managers’ mere awareness of ethics does not suffice and managers need to be sensitive toward making ethical decisions. Aim To explore nursing managers and their sensitivity toward ethical decision-making by analyzing their related experiences. Method The current study has been conducted in Iran in 2017 through a qualitative content analysis approach. Nineteen nurse managers were selected purposefully from different hospitals in Tehran. Data were collected using semi-structured, in-depth, face-to-face interviews, and after transcription, they were analyzed according to the Graneheim and Lundman method. Ethical considerations The research was approved by the ethics committee of Tarbiat Modares University, Tehran, Iran. Participants were informed about the purpose of the study and submitted written informed consents regarding their participation. The principle of autonomy, confidentiality, and anonymity was taken into account in data collection. Results Fifteen subcategories, three categories (assertiveness, commitment, and insight), and one theme of excellent decision-making were the results of data analysis. Discussion Findings showed that nursing managers’ sensitivity to ethical decision-making allows them to make the best decision by insight, commitment, and assertiveness. Making a morally excellent decision ensures that ethical principles are followed in the healthcare system. Conclusion Considering that most managers are committed to making ethical decisions, it is required to develop the scope of their insights even further using a professional management and ethical principles training program. Also, by addressing some of the ethical barriers at personal and organizational levels, the assertiveness in managers can be improved, which in turn can facilitate their ethical decision-making.

scholarly journals Financial management roles of nurse managers in selected public hospitals in KwaZulu-Natal province, South Africa

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Nellie Naranjee ◽  
Thembelihle S.P. Ngxongo ◽  
Maureen N. Sibiya
Keyword(s):  
Public Health ◽  
South Africa ◽  
Chief Executive Officers ◽  
Financial Management ◽  
Nurse Managers ◽  
Chief Executive ◽  
Public Hospitals ◽  
Kwazulu Natal ◽  
Management Roles ◽  
Executive Officers

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.

Which is More Reliable, Expert Experience or Information Itself? Weight Scheme of Complex Cases for Health Management Decision Making

2015 ◽  
Vol 14 (03) ◽  
pp. 597-620 ◽  
Author(s):  
Dongxiao Gu ◽  
Changyong Liang ◽  
Kyung-Sun Kim ◽  
Changhui Yang ◽  
Wenjuan Cheng ◽  
...  
Keyword(s):  
System Theory ◽  
Decision Making ◽  
Information Entropy ◽  
Public Hospitals ◽  
Retrieval Algorithm ◽  
Management Decision ◽  
Case Based Reasoning ◽  
Gray System Theory ◽  
Gray System ◽  
Management Decision Making

How to obtain valuable knowledge more effectively from historical cases and satisfy the requirements of supporting diagnosis or management decision making is one of the important and challenging issues in the research field of modern historical information management and intelligent decision-making science. In this study, we develop a novel case-based reasoning (CBR) method which is based on information entropy and improved gray systems theory for knowledge acquisition of historical diagnosis decision-making cases. Specially, information entropy for weight determination is introduced into the CBR, as well as a gray system theory combined to support the diagnosis decision making of breast cancer. Based on two different real-world data sets, we conduct experimental studies to compare the performance of the Delphi method and information entropy. We also investigate which combination is best among different weight determination methods and retrieval algorithms. The results suggest that: generally, information entropy is a better approach to weight derivation and better matching effect can be obtained if it is integrated into the retrieval algorithm based on gray system theory rather than Euclidean distance algorithm. Our study can provide a novel approach to obtain weight values of cases, as well as an effective tool to mine valuable decision knowledge from historical cases in public hospitals.

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