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Assessing Executive Nurse Leaders' Financial Literacy Level: A Mixed-Methods Study.

Garry Brydges1, Rebecca Krepper, Ainslie Nibert

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The Financial Management Competency Self-assessment (FMCA) is a reliable and valid tool for assessing financial literacy in executive nurse leaders (ENLs). Findings reveal how ENLs develop and apply financial knowledge, highlighting educational gaps.

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Area of Science:

  • Nursing Leadership
  • Healthcare Finance
  • Competency Assessment

Background:

  • Financial literacy is crucial for effective healthcare fiscal decision-making.
  • Executive nurse leaders (ENLs) often report deficiencies in financial management competency.
  • The Financial Management Competency Self-assessment (FMCA) aims to address this gap.

Purpose of the Study:

  • To psychometrically evaluate the reliability and validity of the FMCA for ENLs.
  • To explore how ENLs develop and apply financial knowledge.
  • To establish cutoff scores for determining financial literacy levels in ENLs.

Main Methods:

  • An explanatory-sequential mixed-methods study design was employed.
  • 178 ENLs across the United States participated in the study.
  • Psychometric testing of the FMCA and qualitative exploration of financial knowledge development and application were conducted.

Main Results:

  • The FMCA demonstrated good test-retest reliability and high internal consistency (Cronbach's α = .99).
  • Correlations confirmed the FMCA's reliability and validity, with cutoff scores effectively indicating financial literacy levels.
  • Qualitative themes included self-awareness, educational gaps in financial knowledge, and the application of financial principles.

Conclusions:

  • The FMCA is a reliable and valid instrument for assessing financial literacy in ENLs.
  • Established FMCA cutoff scores can differentiate financial literacy levels among ENLs.
  • The study provides insights into the lived experiences of ENLs regarding financial knowledge development and application.