A conceptual framework for cost management training in the Limpopo Province of South Africa

Abstract

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 Limpopo 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 Cost Centre Managers is the first of its nature in South Africa.

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.

Keywords: cost centre management; dual role; nurse manager; public hospital training; training programme.