Qualitative review identifies budgeting challenges and solutions in nursing education for new administrators.
Background: Effective budgeting is a cornerstone of sustainable management in nursing colleges. However, many newly appointed academic administrators—especially those with clinical backgrounds—struggle with financial planning due to a lack of training in budgeting principles. This can lead to poor resource allocation, program inefficiencies, and compromised educational quality. Amid increasing fiscal pressures from faculty shortages, infrastructure needs, and stagnant funding, strategic budgeting has become more critical than ever. Methods: This study employed a qualitative narrative review design to analyse published literature from 2003 to 2023, focusing on budgeting strategies, common challenges, consequences of financial mismanagement, and evidence-based solutions within nursing education. Peer-reviewed articles, institutional reports, and policy documents were reviewed thematically to extract key insights. Results: The findings revealed the adoption of structured budgeting models, such as the 10-step framework, and traditional tools, including ledger statements. Key challenges included financial illiteracy, overreliance on tuition fees, and poor forecasting. Budget mismanagement led to faculty burnout, reduced student access, infrastructure delays, and reputational damage. Interventions such as simulation-based learning, partnerships with healthcare providers, and diversified funding through grants were found to enhance budget sustainability. Conclusion: Strategic, data-driven budgeting is essential for maintaining the financial and academic health of nursing colleges. There is a pressing need to train rookie administrators in modern financial planning and resource optimisation. Future initiatives should focus on developing adaptable budgeting models and fostering financial leadership in nursing academia to ensure institutional resilience.
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Shaheen Nazakat (2025) studied this question.
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