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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
40
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.
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.
Time frame: Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2).
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).
Time frame: Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2).
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