Nursing
Conditions
Brief summary
This study is a randomized controlled trial designed to evaluate the effectiveness of a structured transformational leadership educational program on nurses' work environment, job satisfaction, and turnover intentions in acute care hospitals in Saudi Arabia.
Detailed description
Healthcare systems in Saudi Arabia are facing persistent challenges related to nurse retention, suboptimal work environments, and declining job satisfaction. This study addresses a critical methodological gap by employing a randomized controlled trial design to provide high-level evidence on the effectiveness of leadership interventions in improving workforce outcomes. The intervention focuses on transformational leadership, which has been associated with improved staff engagement, empowerment, and satisfaction.
Interventions
A structured program grounded in transformational leadership theory. The program includes 8 sessions over 6-8 weeks, with each session lasting 2-3 hours. Content covers leadership styles, communication and feedback, conflict management, team engagement, decision-making, and recognition strategies. Teaching strategies include interactive lectures, case-based discussions, role-playing, simulation, and reflective exercises.
Sponsors
Study design
Eligibility
Inclusion criteria
* Registered nurses with 6 or more months of clinical experience. * Full-time employment in inpatient units.
Exclusion criteria
* Nurse managers and administrative staff. * Nurses enrolled in concurrent leadership training programs. * Nurses on extended leave during the study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nursing Work Environment | Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2). | Will be measured using the Practice Environment Scale of the Nursing Work Index (PES-NWI). The scale uses 31 items on a 4-point Likert scale to measure the supportiveness of the nursing work environment. Higher scores indicate a better work environment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Turnover Intentions | Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2). | Measured using the Anticipated Turnover Scale (ATS). This uses 12 items on a 7-point Likert scale to assess staff perception of the possibility of voluntarily quitting. Scores range from 1 (low turnover intention) to 7 (high turnover intention). |