Date of Award

January 2023

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Joan Kearney


The purpose of this QI project is to elevate the financial acumen of nurse managers (NMs) in a large urban healthcare organization through the development of an educational program to strengthen the science of managing the business, a core AONL competency domain for nurse managers. The nurse manager role has evolved in today’s rapidly changing and demanding healthcare landscape that has been stressed by an increased demand for services and a decrease in resources. The impending nursing shortage that has been accelerated by the COVID-19 pandemic is an added stressor to the workload of nurse leaders as they struggle to meet the expectations of delivering value-based care with limited resources. In order for nurse managers to secure a seat at the decision-making table, it is imperative that they obtain foundational competency in financial and business management. Previous studies examining financial-analysis education for nurse leaders indicate that having financial acumen is crucial to their success, yet this competency is the least developed among nurse managers. This QI project provides a targeted financial education live didactic program for nurse managers in multi-topic sessions. Descriptive and bivariate statistics and analysis of themes were used to evaluation this intervention. Paired-t tests was used to compare pre/post session knowledge acquisition and confidence levels.Pre/post survey results showed a statistically significant increase in mean scores for both measurable outcomes of knowledge acquisition and confidence levels.


This is an Open Access Thesis.

Open Access

This Article is Open Access