Management competencies of clinical and hospital managers in the eastern cape department of health: implications for further management training
- Authors: Chetty, Urvani
- Date: 2020
- Subjects: Medical personnel
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/47509 , vital:40130
- Description: Healthcare has been identified as a basic need and one of the key economic drivers in South Africa (Pravin Gordhan, 2017). With the majority of South Africans reliant on the public health sector for the management, the prevention and cure of all their healthcare issues and needs come the dire requirement of exceptional skills from healthcare professionals. Hospital and clinical managers play the dual role of clinician and manager, often without proper management training. With the impending introduction of the National Health Insurance (NHI) and ever-challenging constraints of medico-legal litigation on healthcare, it is imperative that healthcare professionals are adequately equipped with the core management competencies. The aim of the study is to identify management competencies of Clinical and Hospital managers and establish an implication/indication for further management training. This study used competencies identified in healthcare management courses currently offered in South Africa in conjunction with literature reviewed. A sample population of Clinical and Hospital managers in the public sector of the Eastern Cape was used using a non-random purposive/judgement probability sampling technique–the “snowball” sampling technique. The questionnaire link (Questionpro) was distributed to all respondents via email and WhatsApp distribution followed from the Eastern Cape Department of Health Head Office to the Chief Executive Officers of hospitals in the Eastern Cape and the Human Resources Director of the Eastern Cape Department of Health. The online link was made available for completion; thereafter data was collated and analysed using the STATISTICA programme. Based on a literature review, the theoretical model proposed six core competencies-leadership, risk management, financial management, corporate governance and ethics, people/human resources management and quality and evidence-based management. Of the six competencies, Clinical and Hospital Managers exhibited Leadership, Corporate Governance and Ethics and Quality and Evidence-based Management in high levels. The qualitative analysis demonstrated respondents’ intentions to study further, often in management fields and shared a unanimous need for management training for better job efficacy and performance. The researcher has made recommendations to aid in improving management skills as well as areas for further research such as short courses and mentorship programmes and further comparative studies between the private and public sector. The study concluded that management competencies are significant for Clinical and Hospital Managers and should be addressed in the future to aid in better clinical outcomes.
- Full Text:
- Date Issued: 2020
- Authors: Chetty, Urvani
- Date: 2020
- Subjects: Medical personnel
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/47509 , vital:40130
- Description: Healthcare has been identified as a basic need and one of the key economic drivers in South Africa (Pravin Gordhan, 2017). With the majority of South Africans reliant on the public health sector for the management, the prevention and cure of all their healthcare issues and needs come the dire requirement of exceptional skills from healthcare professionals. Hospital and clinical managers play the dual role of clinician and manager, often without proper management training. With the impending introduction of the National Health Insurance (NHI) and ever-challenging constraints of medico-legal litigation on healthcare, it is imperative that healthcare professionals are adequately equipped with the core management competencies. The aim of the study is to identify management competencies of Clinical and Hospital managers and establish an implication/indication for further management training. This study used competencies identified in healthcare management courses currently offered in South Africa in conjunction with literature reviewed. A sample population of Clinical and Hospital managers in the public sector of the Eastern Cape was used using a non-random purposive/judgement probability sampling technique–the “snowball” sampling technique. The questionnaire link (Questionpro) was distributed to all respondents via email and WhatsApp distribution followed from the Eastern Cape Department of Health Head Office to the Chief Executive Officers of hospitals in the Eastern Cape and the Human Resources Director of the Eastern Cape Department of Health. The online link was made available for completion; thereafter data was collated and analysed using the STATISTICA programme. Based on a literature review, the theoretical model proposed six core competencies-leadership, risk management, financial management, corporate governance and ethics, people/human resources management and quality and evidence-based management. Of the six competencies, Clinical and Hospital Managers exhibited Leadership, Corporate Governance and Ethics and Quality and Evidence-based Management in high levels. The qualitative analysis demonstrated respondents’ intentions to study further, often in management fields and shared a unanimous need for management training for better job efficacy and performance. The researcher has made recommendations to aid in improving management skills as well as areas for further research such as short courses and mentorship programmes and further comparative studies between the private and public sector. The study concluded that management competencies are significant for Clinical and Hospital Managers and should be addressed in the future to aid in better clinical outcomes.
- Full Text:
- Date Issued: 2020
The development of best practice guidelines that will assist small businesses planning
- Authors: Kemp, John Morne
- Date: 2009
- Subjects: Small business-- Finance , New business enterprises -- Finance , New business enterprises -- Planning , Business planning
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8799 , http://hdl.handle.net/10948/d1016153
- Description: The research problem addressed in this study was to provide a planning guideline for Small, Medium and Micro Enterprises (SMME’s) to assist them to plan more effectively and be sustainable in their businesses. A guideline for planning is needed, as planning is one of the most difficult activities a business owner needs to undertake. Yet it is essential to do because, before taking action, you must know where you are going and how to get there. Well-developed plans can assist the business owner to interest banks and/or investors to invest in the business, guide the owner in operating the business, give direction to and motivate employees, and provide an environment to attract customers and prospective employees. To become an effective business owner, one must look ahead. Planning, which is the process of setting objectives and devising actions to achieve those objectives are imperative to be sustainable in business. The findings of the literature survey clearly highlights the reasons why a business owner needs to plan and provide a guideline how to plan. It was found in the empirical study that Standard Bank rate the SMME market as a very valuable part of their business. The SMME market has a benefit to various departments within the bank, not only the SMME business market. The empirical study also found that not every entrepreneur that holds a business plan is successful. Many reasons for this exist. One aspect that was identified, is that the wrong idea was implemented. The empirical study revealed that in all respondents agreed that planning forms an integral part of the entrepreneurs business. The empirical study found that a business plan will assist the entrepreneur to be sustainable in their business, only if a thorough feasibility study was conducted. The respondents agreed that the feasibility study, will either support or contradict the assumptions made in the business plan, this will assist the entrepreneur to decide to either continue or end the business activity. It was found that the entrepreneur, with especially a financial expert should be involved when a business planning is undertaken. Other experts in the various business arenas should also be requested to assist with the setting up of the business plan.
- Full Text:
- Date Issued: 2009
- Authors: Kemp, John Morne
- Date: 2009
- Subjects: Small business-- Finance , New business enterprises -- Finance , New business enterprises -- Planning , Business planning
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8799 , http://hdl.handle.net/10948/d1016153
- Description: The research problem addressed in this study was to provide a planning guideline for Small, Medium and Micro Enterprises (SMME’s) to assist them to plan more effectively and be sustainable in their businesses. A guideline for planning is needed, as planning is one of the most difficult activities a business owner needs to undertake. Yet it is essential to do because, before taking action, you must know where you are going and how to get there. Well-developed plans can assist the business owner to interest banks and/or investors to invest in the business, guide the owner in operating the business, give direction to and motivate employees, and provide an environment to attract customers and prospective employees. To become an effective business owner, one must look ahead. Planning, which is the process of setting objectives and devising actions to achieve those objectives are imperative to be sustainable in business. The findings of the literature survey clearly highlights the reasons why a business owner needs to plan and provide a guideline how to plan. It was found in the empirical study that Standard Bank rate the SMME market as a very valuable part of their business. The SMME market has a benefit to various departments within the bank, not only the SMME business market. The empirical study also found that not every entrepreneur that holds a business plan is successful. Many reasons for this exist. One aspect that was identified, is that the wrong idea was implemented. The empirical study revealed that in all respondents agreed that planning forms an integral part of the entrepreneurs business. The empirical study found that a business plan will assist the entrepreneur to be sustainable in their business, only if a thorough feasibility study was conducted. The respondents agreed that the feasibility study, will either support or contradict the assumptions made in the business plan, this will assist the entrepreneur to decide to either continue or end the business activity. It was found that the entrepreneur, with especially a financial expert should be involved when a business planning is undertaken. Other experts in the various business arenas should also be requested to assist with the setting up of the business plan.
- Full Text:
- Date Issued: 2009
First and second born twins: a comparative study utilizing the Graffiths mental development scales - extended revised
- Authors: Davidson, Gabrielle
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9921 , http://hdl.handle.net/10948/669 , Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Description: Despite the concept of twins and twinning being a highly explored area of research for many years, limited research has been conducted on the comparison of first and second born twin development. The nature of twins leads people to believe that twins will present with similar characteristics, however, this study explores the possibility that due to their ordinal position they could in fact present with differing characteristics and could differ developmentally. The early holistic development of a child influences the rest of their lives. Concerning twins, the development of individuality and self-knowledge is especially important. Theorists, such as Piaget (1950), propose that child development takes place in stages and that although the order in which children proceed through these stages is the same, the pace at which this takes place can vary. The necessity of monitoring the child’s journey through these stages highlights the value of child developmental assessment. This form of assessment needs to be holistic, needs to involve a multidisciplinary team of professionals and needs to utilize assessment measures that are valid, reliable, culture-fair and standardized. The Griffiths Mental Development Scales-Extended Revised (GMDS-ER) is one such measure. This study, focusing on twin development, aimed to contribute and provide valuable information to a larger research project that is currently under way aiming to increase the applicability of the Griffiths Mental Development Scales-Extended Revised (GMDS-ER) in the South African context. The primary aim of the study, however, was to explore and compare the performance of normal first born and second born twins, aged between 2 and 8 years 4 months old, on the GMDS-ER. The purpose of the study was to generate information on the relationship between first born twins’ general development and second born twins’ general development. An exploratory, descriptive quantitative design was used. Participants were selected through a combination of non-probability purposive, convenience and snowball sampling. Data was analysed using descriptive statistics and dependent sample t-tests were employed to compare the General Quotients (GQ’s) of the first and second born twins in the sample. Results showed that no significant differences were found between the first and second born twins’ general development. Information generated from this study contributed to 1) child development research; 2) twin developmental research within a South African context; and 3) a greater group of studies on the GMDS-ER, currently underway in the United Kingdom and South Africa, aiming to contribute to the international credibility of this measure
- Full Text:
- Date Issued: 2008
- Authors: Davidson, Gabrielle
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9921 , http://hdl.handle.net/10948/669 , Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Description: Despite the concept of twins and twinning being a highly explored area of research for many years, limited research has been conducted on the comparison of first and second born twin development. The nature of twins leads people to believe that twins will present with similar characteristics, however, this study explores the possibility that due to their ordinal position they could in fact present with differing characteristics and could differ developmentally. The early holistic development of a child influences the rest of their lives. Concerning twins, the development of individuality and self-knowledge is especially important. Theorists, such as Piaget (1950), propose that child development takes place in stages and that although the order in which children proceed through these stages is the same, the pace at which this takes place can vary. The necessity of monitoring the child’s journey through these stages highlights the value of child developmental assessment. This form of assessment needs to be holistic, needs to involve a multidisciplinary team of professionals and needs to utilize assessment measures that are valid, reliable, culture-fair and standardized. The Griffiths Mental Development Scales-Extended Revised (GMDS-ER) is one such measure. This study, focusing on twin development, aimed to contribute and provide valuable information to a larger research project that is currently under way aiming to increase the applicability of the Griffiths Mental Development Scales-Extended Revised (GMDS-ER) in the South African context. The primary aim of the study, however, was to explore and compare the performance of normal first born and second born twins, aged between 2 and 8 years 4 months old, on the GMDS-ER. The purpose of the study was to generate information on the relationship between first born twins’ general development and second born twins’ general development. An exploratory, descriptive quantitative design was used. Participants were selected through a combination of non-probability purposive, convenience and snowball sampling. Data was analysed using descriptive statistics and dependent sample t-tests were employed to compare the General Quotients (GQ’s) of the first and second born twins in the sample. Results showed that no significant differences were found between the first and second born twins’ general development. Information generated from this study contributed to 1) child development research; 2) twin developmental research within a South African context; and 3) a greater group of studies on the GMDS-ER, currently underway in the United Kingdom and South Africa, aiming to contribute to the international credibility of this measure
- Full Text:
- Date Issued: 2008
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