scholarly journals Development of a financial management competency framework for Nurse Managers in public health care organisations in the province of KwaZulu-Natal, South Africa

2019 ◽  
Vol 11 ◽  
pp. 100154 ◽  
Author(s):  
Nellie Naranjee ◽  
Maureen Nokuthula Sibiya ◽  
Thembelihle Sylvia Patience Ngxongo
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Financial Management ◽  
Nurse Managers ◽  
Competency Framework ◽  
Public Health Care ◽  
Kwazulu Natal ◽  
Management Competency

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.

Equity in the use of antiretroviral treatment in the public health care system in urban South Africa

Health Policy ◽  
2011 ◽  
Vol 99 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Susan Cleary ◽  
Sheetal Silal ◽  
Stephen Birch ◽  
Henri Carrara ◽  
Victoria Pillay-van Wyk ◽  
...  
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Health Care System ◽  
Antiretroviral Treatment ◽  
Public Health Care ◽  
Public Health Care System ◽  
The Public ◽  
Urban South ◽  
Care System

scholarly journals The need for biokineticists in the South African public health care system

2017 ◽  
Vol 28 (3) ◽  
Author(s):  
R Evans
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Public Health Care ◽  
The Public ◽  
Primary Health ◽  
Care System

Background: Noncommunicable diseases (NCDs) are increasingly prevalent within South Africa. Physical inactivity is a significant, independent and modifiable risk factor increasing the prevalence of NCDs.Discussion: The integration of physical activity programmes into the primary health care system through multidisciplinary platforms is thus advocated for and envisioned to be more cost-effective than current practices. However, currently within the primary health care setting of South Africa, there is an absence of health care professionals adequately equipped to develop and implement physical activity programmes. Biokineticists, whose scope of practice is to improve physical functioning and health through exercise as a modality, are ideally suited to developing and implementing physical activity programmes in the public sector. Yet despite their evident demand, the role of the biokineticist is not incorporated into the national public health care system.Conclusion: This short report calls firstly, for the inclusion of biokinetics into the public health care sector, and secondly, for the funding of multidisciplinary community health programmes supporting education, healthy eating and physical activity levels.

scholarly journals South Africa (2009) – Salient Contemporary Features in Facts and Figures

2010 ◽  
Vol 17 (2) ◽  
pp. 9-21
Author(s):  
Marthinus S. Badenhorst
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Developing Countries ◽  
Public Health Care ◽  
Dark Side ◽  
Racial Boundaries ◽  
Economic Problems ◽  
Wide Range ◽  
The Future

South Africa is a demographically diverse country where many divisions (still) tend to coincide with racial boundaries, beset by a wide range of socio-economic problems typical of developing countries and otherwise stemming from its colonial past and a discriminatory past policy of apartheid. The paper describes the country's salient features in facts and figures in order to highlight the strengths and weaknesses of society in terms of demography, education, employment, public health care, poverty, housing, crime and the economy. The picture presented tends to be on the dark side, but also hopeful for the future thanks to inter alia a strong globalised economy.

scholarly journals Authentic leadership and organisational citizenship behaviour in the public health care sector: The role of workplace trust

2016 ◽  
Vol 42 (1) ◽  
Author(s):  
Lynelle Coxen ◽  
Leoni Van der Vaart ◽  
Marius W. Stander
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Significant Influence ◽  
Indirect Effect ◽  
Authentic Leadership ◽  
Public Health Care ◽  
The Public ◽  
Workplace Trust ◽  
The Relationship

Orientation: The orientation of this study was towards authentic leadership and its influence on workplace trust and organisational citizenship behaviour in the public health care sector.Research purpose: The aim of this study was to investigate the influence of authentic leadership on organisational citizenship behaviour, through workplace trust among public health care employees in South Africa. The objective was to determine whether authentic leadership affects organisational citizenship behaviour through workplace trust (conceptualised as trust in the organisation, immediate supervisor and co-workers).Motivation for the study: Employees in the public health care industry are currently being faced with a demanding work environment which includes a lack of trust in leadership. This necessitated the need to determine whether authentic leadership ultimately leads to extra-role behaviours via workplace trust in its three referents.Research design, approach and method: A quantitative cross-sectional survey design was used with employees the public health care sector in South Africa (N = 633). The Authentic Leadership Inventory, Workplace Trust Survey and Organisational Citizenship Behaviour Scale were administered to these participants.Main findings: The results indicated that authentic leadership has a significant influence on trust in all three referents, namely the organisation, the supervisor and co-workers. Both trust in the organisation and trust in co-workers positively influenced organisational citizenship behaviour. Conversely, authentic leadership did not have a significant influence on organisational citizenship behaviour. Finally, authentic leadership had a significant indirect effect on organisational citizenship behaviour through trust in the organisation and trust in co-workers. Trust in the organisation was found to have the strongest indirect effect on the relationship between authentic leadership and organisational citizenship behaviour.Practical/managerial implications: The main findings suggest that public health care institutions would benefit if leaders are encouraged to be more authentic as this might result in increases in both trust among co-workers and in the organisation. Consequently, employees might be more likely to exert additional effort in their work.Contribution/value-add: Limited empirical evidence exists with regard to the relationship between authentic leadership, workplace trust in its three referents and organisational citizenship behaviour. This study aimed to contribute to the limited number of studies conducted.

scholarly journals Exploring Factors Associated with Diabetic Retinopathy Treatment Compliance Behaviour in Cape Town, South Africa

2021 ◽  
Vol 18 (22) ◽  
pp. 12209
Author(s):  
Annalie Wentzel ◽  
Zandile June-Rose Mchiza
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Diabetic Retinopathy ◽  
Cape Town ◽  
Treatment Compliance ◽  
Public Health Care ◽  
Public Health Care System ◽  
Key Informants ◽  
Factors Associated

Complete patient adherence to treatment for diabetic retinopathy (DR) is critical to limit vision loss. There is a dearth of evidence regarding the reasons why South African patients referred for suspected vision-threatening DR stay compliant to or default their treatment. The current study sought to explore factors associated with treatment compliance among patients living with diabetes who have been referred for suspected vision-threatening DR in the Northern/Tygerberg sub-Structure (NTSS) public health care system of Cape Town, South Africa. A qualitative research approach was used where semi-structured in-depth interviews were conducted with 13 adult patients living with DR, and 2 key informants who are primary eye care providers. Thematic data analysis was conducted using taguette.org. Fear of going blind was the most notable patient-related factor associated with compliance. Notable patient-related barriers reported were forgetfulness and a poor state of health. Notable institution-related barriers included suboptimal information received from health care service providers, poor referral management by the organisation delivering retinal screening services, as well as the inaccessibility of the main NTSS hospital via telephone calls. All these factors were confirmed by the key informants of the current study. Finally, all patients and key informants agreed that SARS-CoV-2 negatively affected patients’ adherence to their DR treatment. Hence, scaling up of health care, referral, and appointment setting services could increase the uptake of treatment and retinal screenings among patients attending the Cape Town, NTSS public health care system.

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