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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 (Experimental): Intervention Group | Experimental | 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. |
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| Arm 2 (No Intervention): Control Group | No Intervention | The control group will receive routine organizational practices without additional training. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured Leadership Educational Program. | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Nursing Work Environment | 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. | Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2). |
| Measure | Description | Time Frame |
|---|---|---|
| Turnover Intentions | 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). | Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zoromba, PhD | Contact | +201008388226 | zromba2010@mans.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31495010 | Background | Alharbi MF, Alahmadi BA, Alali M, Alsaedi S. Quality of nursing work life among hospital nurses in Saudi Arabia: A cross-sectional study. J Nurs Manag. 2019 Nov;27(8):1722-1730. doi: 10.1111/jonm.12863. Epub 2019 Sep 30. |
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