Evidence map›Paper›PMID 40156004›Full record

ArticleBMC nursing2025

Empowering nurse leaders: leveraging financial management practices to foster sustainable healthcare - a mixed-methods study.

Hossam Ali Ismail, Mohamed Hashem Kotp, Hassan Ahmed Awad Basyouny, Aliaa Ezz Eldin Abd Elmoaty, Abdelaziz Hendy, Rasha Kadri Ibrahim, Sally Mohammed Farghaly Abdelaliem, Ahmed Hendy, Mohamed Ahmed Aly

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In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Observational
  5. Exploring Nurses' Perceptions on Clinical Governance at Grey Hospital, Eastern Cape Province, South Africa.International journal of environmental research and public health · 2026
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hossam Ali IsmailNursing Administration Department, Faculty of Nursing, Helwan University, Cairo, Egypt. Hossam_elsayad@nursing.helwan.edu.eg.
Mohamed Hashem KotpNursing Administration Department, Faculty of Nursing, Helwan University, Cairo, Egypt.
Hassan Ahmed Awad BasyounyNursing Administration Department, Faculty of Nursing, Helwan University, Cairo, Egypt.
Aliaa Ezz Eldin Abd ElmoatyNursing Administration Department, Faculty of Nursing, Helwan University, Cairo, Egypt.
Abdelaziz HendyPediatric Nursing Department, Faculty Nursing, Ain Shams University, Cairo, Egypt. Abdelaziz.hendy@nursing.asu.edu.eg.
Rasha Kadri IbrahimNursing Department, Fatima College of Health Sciences, 50433, Al Dhafra region, Baynunah Complex, Madinat Zayed, UAE.
Sally Mohammed Farghaly AbdelaliemDepartment of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia.
Ahmed HendyDepartment of Computational Mathematics and Computer Science, Institute of Natural Sciences and Mathematics, Ural Federal University, Yekaterinburg, Russian Federation.
Mohamed Ahmed AlyNursing Administration Department, Faculty of Nursing, Helwan University, Cairo, Egypt.

Funding

Princess Nourah Bint Abdulrahman University PNURSP2025R844
6 · The paper itself

Abstract

introductionNurse leaders play a crucial role in balancing financial sustainability and high-quality patient care. Their financial management skills impact patient safety, care quality, and satisfaction. However, many nurse leaders lack formal training in financial management, making it challenging to navigate budget constraints while maintaining care standards.

aimTo assess nurse leaders' perceptions of their financial management practices and explore their relationship to patient care quality and outcomes.

methodsA convergent parallel mixed-methods approach was conducted with 87 nurse leaders in private hospitals across Egypt. Quantitative data (n = 87) were collected using the validated Nurse Leaders' Financial Management Practices Assessment (NLFMP) tool, a 15-item instrument measuring budgeting, resource allocation, cost-effectiveness, decision-making, and its impact on patient care. The data were analyzed using SPSS. Concurrently, qualitative data from open-ended responses underwent thematic analysis. The results were then integrated to compare statistical trends with key themes, providing deeper insights into the financial decision-making challenges faced by nurse leaders.

resultsFindings indicated moderate financial management proficiency among 70% of participants, with high scores in decision-making influence (mean = 4.10 ± 0.48) and cost-effectiveness (mean = 4.05 ± 0.45). Budgeting practices (mean = 3.90 ± 0.50) and resource allocation (mean = 3.85 ± 0.55) were rated slightly lower, highlighting areas for improvement. The majority (87.3%) of nurse leaders perceived a strong relationship between financial management and patient care outcomes. Regression analysis showed that age (p = 0.010), educational attainment (p = 0.044), and employment status (p = 0.009) were significant predictors of financial management proficiency. Thematic analysis highlighted key challenges, including budget constraints, staffing shortages, and balancing cost-efficiency with care quality.

conclusionNurse leaders perceive a strong link between financial management and patient care outcomes, emphasizing the need for targeted financial training and greater involvement in decision-making. Enhancing financial literacy among nurse leaders could foster better alignment between cost-efficiency and quality care, ensuring sustainable healthcare delivery. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

BudgetingFinancial managementHealth care qualityLeadershipNurse administration

Identifiers

PMID40156004
PMCPMC11951552

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.