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Financial responsibility and budget decision making.

L C Hodges1, G W Poteet

  • 1College of Nursing, University of Arkansas for Medical Sciences, Little Rock.

The Journal of Nursing Administration
|October 1, 1991
PubMed
Summary
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Nurse executives face challenges controlling hospital financial resources, impacting competitiveness amid nursing shortages. Limited authority over resource allocation persists, affecting strategic decision-making and hospital operations.

Area of Science:

  • Healthcare Management
  • Nursing Economics

Background:

  • Nursing budgets are significant financial components in hospitals, often exceeding millions of dollars.
  • Effective financial management by nurse executives is crucial for hospital competitiveness, especially during nursing shortages.

Purpose of the Study:

  • To examine the extent of nurse executive control over financial resources.
  • To identify challenges in resource allocation authority within hospital settings.

Main Methods:

  • Analysis of hospital financial structures.
  • Assessment of nurse executive decision-making power in budgeting.

Main Results:

  • Nurse executives often have limited control over substantial departmental budgets.

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  • Authority issues in resource allocation remain a persistent problem.
  • Conclusions:

    • Lack of financial control hinders nurse executives' ability to navigate market changes and address nursing shortages.
    • Addressing authority gaps in resource allocation is vital for hospital financial health and strategic positioning.