SACM - Canada
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9651
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Item Restricted The impact of nurse work environment on nurse outcomes, nurse-perceived quality of care and patient safety in Saudi Arabia(University of British Columbia, 2018) Alharbi, Amal Ali; Dahinten, SusanBackground: The current shortage of nurses jeopardizes the quality and safety of patient care globally, and is particularly serious in Saudi Arabia. There is ample evidence that nurse work environments are important to nurses’ job satisfaction, burnout, and retention, and the quality and safety of patient care. However, most of this research has been conducted in the United States and Europe with very little emanating from Saudi Arabia or the Middle East. Purpose: This study investigated relationships between components of nurse work environment and nurse outcomes and nurse-perceived quality of care and patient safety. Methods: This correlational study was conducted using cross-sectional data collected from 496 registered nurses working in a large tertiary hospital in Riyadh, Saudi Arabia. Participants completed an online survey similar to that used in RN4Cast studies. Nurse-reported measures were used to assess nurses’ perceptions of their work environments, nurse-outcomes (i.e., job satisfaction, burnout, and intent to leave), and nurses’ perceptions of quality of care and patient safety. Hierarchical logistic regression was conducted to examine the relationships between components of nurse work environment and nurse and patient outcomes, after controlling for nurse and patient characteristics. Findings: Nurses’ perceptions of staffing and resource adequacy was predictive of all nurse outcomes except for intent to leave whereas nurse manager ability and leadership was found to be predictive only of job satisfaction. In terms of patient outcomes, staffing and resources adequacy and nursing foundation for quality of care were found to be the only independent predictors of quality of care and patient safety. Implications for Nurse Leaders: Nurse leaders in Saudi Arabia should give special attention to staffing and resources adequacy, nursing management and leadership, and nursing foundation for care delivery at the unit level. Hospitals in Saudi Arabia should strive for magnet-like qualities as they play a critical role in the recruitment and retention of nurses and contribute to better quality and safe care delivery. Conclusion: Magnet-like work environments that are culturally sensitive are critical to attracting and retaining Saudi nurses and nurses from other countries who are currently vital to alleviating the nursing shortage in Saudi Arabia.16 0Item Restricted The impact of Authentic Leadership, Structural Empowerment, Psychological Empowerment, Interpersonal Conflict, and Job Satisfaction on Turnover Intention among Early Career Nurses in Saudi Arabia(Saudi Digital Library, 2023-12-20) Alkaabi, Ohood; Babenko-Mould, Yolanda; Kerr, Michael; Cranley, Lisa; Aboshaiqah, AhmedLeadership plays a vital role in the creation and sustainment of healthy work environments that are both structurally and psychologically empowering. Authentic leaders are instrumental in creating the conditions necessary to facilitate such environments for nurses in acute care contexts. By extension, healthy work environments are invaluable to enabling early career nurses (ECN) to focus on providing optimal care to clients in collaboration with their colleagues. Such collegial relationships in practice can support ECNs’ satisfaction in their role and desire to remain in their practice contexts and the nursing profession. A non-experimental, predictive, correlational, cross-sectional survey design study was used to assess the relationship between authentic leadership, structural empowerment, psychological empowerment, interpersonal conflict, job satisfaction, and turnover intention among ECNs (n=215) working at public hospitals affiliated with the Ministry of Health in Saudi Arabia. The hypothesized model was analyzed using structural equation modelling (SEM). The results of this dissertation revealed that authentic leadership had a significant positive effect on structural empowerment and a significant indirect positive effect on psychological empowerment. Authentic leadership also had a significant indirect negative (inverse) effect on interpersonal conflict and a significant indirect and positive effect on job satisfaction. Structural empowerment had a significant direct effect on psychological empowerment and on job satisfaction, and a significant negative (inverse) direct effect on interpersonal conflict. Psychological empowerment was found to be significantly and positively related to interpersonal conflict, job satisfaction, and turnover intention. The results showed that interpersonal conflict had a significant and positive effect on turnover intention, whereas job satisfaction had a significant negative (inverse) effect on turnover intention. The results reinforce the importance of authentic leadership in facilitating structural empowerment, which subsequently fosters psychological empowerment of ECNs working in Saudi Arabia. Findings highlight the influence that authentic leadership could have in reducing interpersonal conflict and increasing ECNs’ job satisfaction through enabling and creating empowering working conditions, which could ultimately support the delivery of quality and safe client care. Key words: Authentic leadership, structural empowerment, psychological empowerment, interpersonal conflict, job satisfaction, turnover intention, early career nurses.20 0