Graduate School of Business


Doctor of Business Administration (DBA)


Connie Ostwald


Health Care, Financial Literacy, Decisions, Nursing


Economics | Medical Sciences


Nurses have to perform many clinical services that require efficient decision-making processes in support of quality patient care. Alongside staff nurse clinical literacy, health care financial literacy was described as an important, but vaguely defined component of the nursing role. The significance of having financially competent nurses to efficient hospital operations and financial management continues to increase. However, the topic of health care financial literacy and financial decision-making among nurses remains disproportionately represented in existing scholarly research. To address this knowledge gap, this study integrated a single-site instrumental case study research design to examine health care financial literacy among nurses to assess the impact on efficient health care financial decision-making. The research illustrated that financial concepts are formulated by staff nurses through patient care practices and revealed that lower levels of health care financial literacy are generally accepted within nursing. The study described the role that robust nursing support structures play in the distribution of health care financial knowledge and explained the implications literacy levels have on the support of leadership decisions. Lastly, the case study discovered that the health care financial decisions of staff nurses are imbedded in clinical interventions. The research findings were applied to professional practice and assessed to understand the implications to the business of health care, the health care financial decision-support discipline, and the biblical worldview. Lastly, the study provided ways the research study could be expanded to additional health care institutions, new geographical locations, different clinical professionals, and a variety of other health care topics.