Document Detail


Hospital CEOs, CFOs, and nurse executives: opportunities for a new alliance.
MedLine Citation:
PMID:  10179016     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article examines the involvement of Utah acute care hospital nurse executives (NEs) in financial management roles. The authors surveyed NEs and their career supporters and hinderers. Findings suggest that NFs: 1. lack financial management skills, support, involvement, and satisfaction; 2. recognize financial management's importance and desire to improve performance; and 3. consider chief executive officers (CEOs) as their major supporters and chief financial officers (CFOs) their major hinderers in financial management. These "supporters" and "hinderers" of NEs showed consensus regarding the primacy of NEs' leadership and patient advocacy roles. These findings contrast with major professional association policy directives and expert opinions that advocate expanded financial management roles for NEs that will enable them to fully realize their executive potential. CEOs are positioned to establish norms that balance the traditional leadership-patient advocacy roles of NEs with newer financial management roles. CEOs can offer NEs and CFOs opportunities to improve NEs' financial management participation and performance. CEOs can provide empowerment and encourage CFOs to offer NEs "power tools" (for example, information, expertise, resources, and support). The three groups, however, must negotiate reasonable expectations for NEs in financial management and adequate preparation for these consequent responsibilities. Together, CEOs, CFOs, and NEs can successfully take hospitals into the future by leading them in ongoing learning and change.
Authors:
R B Dwore; B P Murray; D Fosbinder; R P Parsons; P Smith; K Dalley; L Vorderer; G Gustafson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of healthcare management / American College of Healthcare Executives     Volume:  43     ISSN:  1096-9012     ISO Abbreviation:  J Healthc Manag     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-06-15     Completed Date:  1998-06-15     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  9803529     Medline TA:  J Healthc Manag     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  136-51; discussion 152-4     Citation Subset:  H    
Affiliation:
University of Utah, USA. richard.dwore@health.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Chief Executive Officers, Hospital
Data Collection
Decision Making, Organizational*
Financial Management, Hospital / statistics & numerical data*
Hospital Administrators
Interprofessional Relations
Joint Commission on Accreditation of Healthcare Organizations
Nurse Administrators / education,  statistics & numerical data*,  utilization
Social Responsibility
Staff Development
Utah

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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