SACM - Jordan
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9658
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Item Restricted The Moderating Role of Organizational Environment Effectiveness on the Relationship Between Saudi Arabian Nurse Managers' Delegation Abilities and Leadership Practices(Zarqa University, 2025-05) Faranti, Amani Mohammed Omer; Alhusban, Raya YousefBackground: Effective leadership and delegation are critical competencies for nurse managers, particularly in healthcare systems characterized by hierarchical structures and resource limitations. In Saudi Arabia, limited evidence exists on how organizational environment factors influence the relationship between nurse managers’ delegation abilities and leadership practices. Aim: This study aims to examine the moderating role of organizational environment effectiveness on the relationship between delegation abilities and leadership practices among nurse managers in Saudi Arabian governmental hospitals. Methods: A descriptive cross-sectional correlational study was conducted with a convenience sample of 183 nurse managers from three governmental hospitals in Saudi Arabia. Data were collected using three validated instruments: the Delegation of Authority Scale (DoAS), the Leadership Practices Inventory (LPI), and the Organizational Environment Assessment (OEA). Descriptive statistics, multiple linear regression, and moderation analysis were performed using SPSS version 26. Results: The mean delegation score was low (M = 1.74, SD = 0.18), with 78.7% of participants classified in the low delegation category. Leadership practices were moderate (M = 127.98, SD = 12.55), with “Modeling the Way” scoring highest (M = 40.23, SD = 5.08). Organizational environment effectiveness was perceived as poor (M = 10.54, SD = 2.13). Moderation analysis revealed that the organizational environment significantly influenced the delegation–leadership relationship (interaction term B = -1.170, p = 0.006), weakening the effect of delegation in unsupportive settings. The number of units managed negatively predicted leadership (B = -1.965, p = 0.040). Conclusion: Organizational environment plays a critical moderating role in the effectiveness of delegation on leadership practices. Targeted interventions to enhance organizational support, resource availability, and manageable workloads are essential to foster effective nursing leadership.2 0Item Restricted Assessing Telehealth Readiness and Contributing Factors Among Nurses and Nurse Managers in Saudi Arabia: A Cross-Sectional Study(Alzarqa University, 2025) Alanazi, Wael Faleh; Alhusban, RayaAbstract Background: Telehealth is increasingly essential in modern healthcare, improving access and quality, particularly in rural regions like Aljouf, kingdom of Saudi Arabia (KSA). Therefore, understanding the factors influencing telehealth readiness is crucial for its successful implementation. Aim: This study aims to assess telehealth readiness among nurses and managers at Aljouf Hospitals, KSA and identify key predictors that influence telehealth readiness. Methodology: A descriptive cross-sectional correlational study was conducted with 153 nurses and managers from Aljouf Hospitals. Data were collected using the Telehealth Readiness Assessment Tool (TRAT). Results: A total of 163 nurses and managers participated. The mean total telehealth readiness score was 4.17 (SD = 0.90), indicating a high level of overall readiness. Among the subscales, structural readiness scored the highest (M = 4.20, xv SD = 0.90), followed by engagement (M = 4.19, SD = 0.95) and core readiness (M = 4.10, SD = 0.99).. Readiness scores significantly differed by variables including marital status, education, telehealth training, usage frequency, and organizational support (p < .05). Correlation analysis revealed strong positive relationships among readiness subscales with age. Multiple regression identified age, experience, and income as significant predictors of telehealth readiness (p < .05), explaining up to 93.5% of the variance in total readiness. Conclusion: The findings reveal a high level of telehealth readiness among nurses and managers in Aljouf hospitals, with structural factors and engagement emerging as key strengths. Organizational support, individual experience, and prior training significantly influenced readiness. These insights highlight the importance of targeted training, supportive infrastructure, and policy alignment to optimize telehealth implementation in similar healthcare settings. Keywords: Telehealth readiness, nurses, managers, Saudi Arabia, healthcare technology, cross-sectional study, predictors.6 0Item Restricted The Impact of Work Values and Communication Competence on Presenteeism of Al-Jawf Nurses(Saudi Digital Library, 2025) Alazmi, Raed; Rayan, AhmedBackground: Presenteeism is a critical issue in healthcare, particularly among nurses who are responsible for providing quality care under challenging conditions. Work values and communication competence play significant roles in shaping nurse behavior and performance, with strong work values linked to job satisfaction and professionalism, while communication competence ensures efficient collaboration and patient care. However, the interplay between these variables and their collective impact on presenteeism in nursing remains underexplored, particularly in the Saudi Arabian context. Aim: This study aims to explore the impact of work values and communication competence on presenteeism among nurses in Al-Jawf, Saudi Arabia. The study investigates if these variables could predict of presenteeism. Methodology: A descriptive, cross-sectional, correlational design was employed to examine the relationships between work values, communication competence, XVI presenteeism, among nurses working in three major healthcare facilities in Riyadh, Saudi Arabia. A sample of 152 full-time registered nurses was recruited using a convenience sampling method. Data as collected through validated instruments, including the Work Values and Attitude Scale, the Communication Competence Scale (CCS), and the Presenteeism Scale in Nursing. Descriptive statistics, ANOVA, t-tests, and multivariate regression analysis were used to analyze the data. Results A total of 152 nurses participated in the study. The mean scores for work values, communication competence, and presenteeism were 62.3 (SD = 7.78), 114.6 (SD = 8.17), and 40.6 (SD = 13.9), respectively. Communication competence showed a strong inverse correlation with presenteeism across all domains (r = -0.49 to -0.51, p < 0.001). Longer work hours were unexpectedly associated with lower presenteeism scores (r = -0.25, p = 0.002), while higher income predicted lower physical presenteeism (r = -0.19, p = 0.021). Nurses living in rural areas and Saudi nationals reported significantly higher presenteeism compared to their counterparts (p = 0.035 and p = 0.048, respectively). Hierarchical regression confirmed communication competence as the strongest independent negative predictor of presenteeism (β = -0.45, p < 0.001), followed by nationality (β = 7.17, p = 0.012). Conclusion XVII Communication competence emerged as a key protective factor against presenteeism among nurses, highlighting its critical role in maintaining workforce effectiveness and patient care quality. The findings also underscore the influence of sociodemographic factors, such as nationality and place of residence, on presenteeism levels. Targeted interventions to enhance communication skills and address contextual challenges, particularly in rural and culturally diverse settings, may help reduce presenteeism and improve healthcare delivery. Keywords: work values, communication competence, presenteeism, Saudi Arabia3 0Item Restricted Nurses' Autonomy and Problem-Solving Skills as Predictors of Professional Quality of Life among Nurses in Saudi Arabia(Saudi Digital Library, 2025-05-21) Rwaili, Abdullah; Khalifeh, AnasAbstract Background: Professional Quality of Life (ProQOL), encompassing compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS), is vital to nurse well-being and patient care. In Saudi Arabia, centralized decision-making structures and limited training opportunities may restrict nurses' autonomy and problem-solving skills, which are essential for maintaining optimal ProQOL. Despite increasing interest in occupational well-being, studies integrating these variables remain scarce in this regional context. Aim: The study aims to examine the relationship between nurses’ autonomy, problem-solving skills, and ProQOL, and to identify significant predictors of ProQOL among registered nurses in Saudi Arabian hospitals. Methods: A cross-sectional correlational design was employed. A total of 173 registered nurses from three governmental hospitals in northern Saudi Arabia completed validated tools: the Dempster Practice Behaviors Scale (DPBS), Problem-Solving Inventory (PSI), and Professional Quality of Life Scale (ProQOL). Data were analyzed using descriptive statistics, ANOVA, Pearson’s correlation, and multiple linear regression. Results: Participants reported moderate autonomy (M = 89.18, SD = 7.60), moderate problem-solving ability (M = 107.41, SD = 10.87), and moderate levels across all ProQOL subscales—CS (M = 29.53), BO (M = 30.30), and STS (M = 30.43). PSI total score significantly predicted CS (β = .388, p < .001), and both autonomy (β = .316, p < .001) and PSI (β = –.174, p = .017) significantly predicted STS. No predictors were identified for BO. Evening shift and female nurses reported significantly higher STS (p < .05). Conclusion: Problem-solving skills are key to enhancing ProQOL, especially compassion satisfaction and STS mitigation. Organizational strategies must balance autonomy with adequate emotional and structural support.1 0Item Restricted Predictors of Cybersecurity Knowledge, Attitude, and Behaviours among Nurses in Saudi Arabia(Saudi Digital Library, 2025-05-21) Alanazi, Abdulhamid Khalifah; Khalifeh, AnasBackground: Cybersecurity is becoming increasingly critical in healthcare, as nurses frequently access sensitive patient data through electronic health records (EHRs) and other digital platforms. Despite this, gaps in nurses' knowledge, attitudes, and behaviors (KAB) regarding cybersecurity pose risks to data security, especially in Saudi Arabia, where healthcare digitization is expanding rapidly. Research in this area remains limited. Aim: The aim of this study is to explore the predictors of cybersecurity knowledge, attitudes, and behaviors among nurses in Saudi Arabia. Methodology: This cross-sectional, descriptive correlational study was conducted in three hospitals in northern Saudi Arabia: King Khalid Hospital, Prince Abdulaziz Bin Musaed Hospital, and Qurayyat General Hospital. A total of 190 nurses were selected using a convenient sampling method, and then they were surveyed using the Human Aspects of Information Security Questionnaire (HAIS-Q) to assess their cybersecurity knowledge, attitude, and behavior (KAB). Sociodemographic, work-related, and organizational variables were analyzed using multiple regression to identify significant predictors of cybersecurity KAB. Results: Overall, 190 nurses participated in the study, with a mean age of 30.69 years (SD = 7.96). The results showed moderate levels of cybersecurity knowledge, attitudes, and behaviors among nurses in Saudi Arabian hospitals. The highest-scoring domain was mobile device usage, while password management scored the lowest. Significant differences in cybersecurity knowledge were found based on educational level (F = 3.626, p = .029) and monthly income (F = 3.196, p = .043), with nurses holding master’s or doctoral degrees and those earning higher salaries showing better knowledge scores. A statistically significant difference in knowledge scores was also observed based on the clarity of cybersecurity policies (F = 3.179, p = .044). No significant differences were found in attitudes or behaviors based on these variables (p > .05). Cybersecurity knowledge was strongly and positively correlated with both attitude and behavior (p < .001). Similarly, cybersecurity attitude was positively associated with behavior (p < .001). No significant correlations were found between the main variables and demographic factors such as age or years of experience. Cybersecurity attitude (β = .696, p < .001) and behavior (β = .231, p < .001) were significant predictors of cybersecurity knowledge. In turn, cybersecurity knowledge (β = .605, p < .001) and behavior (β = .358, p < .001) significantly predicted attitude. Finally, cybersecurity knowledge (β = .333, p < .001) and attitude (β = .571, p < .001) significantly predicted behavior. Conclusion: The study highlights moderate cybersecurity KAB among nurses, influenced by education, policy clarity, and work-related factors. Strong correlations exist between knowledge, attitudes, and behaviors, emphasizing the need for targeted training and institutional cybersecurity reinforcement15 0Item Restricted PREDICTORS OF CYBERSECURITY KNOWLEDGE, ATTITUDE, AND BEHAVIOURS AMONG NURSES IN SAUDI ARABIA(Saudi Digital Library, 2025-05-21) Alanazi, Abdulhamid Khalifah; KHALIFAH, ANASAbstract Background: Cybersecurity is becoming increasingly critical in healthcare, as nurses frequently access sensitive patient data through electronic health records (EHRs) and other digital platforms. Despite this, gaps in nurses' knowledge, attitudes, and behaviors (KAB) regarding cybersecurity pose risks to data security, especially in Saudi Arabia, where healthcare digitization is expanding rapidly. Research in this area remains limited. Aim: The aim of this study is to explore the predictors of cybersecurity knowledge, attitudes, and behaviors among nurses in Saudi Arabia. Methodology: This cross-sectional, descriptive correlational study was conducted in three hospitals in northern Saudi Arabia: King Khalid Hospital, Prince Abdulaziz Bin Musaed Hospital, and Qurayyat General Hospital. A total of 190 nurses were selected using a convenient sampling method, and then they were surveyed using the Human Aspects of Information Security Questionnaire (HAIS-Q) to assess their cybersecurity knowledge, attitude, and behavior (KAB). Sociodemographic, work-related, and organizational variables were analyzed using multiple regression to identify significant predictors of cybersecurity KAB16 0Item Restricted PREDICTORS OF FINANCIAL COMPETENCIES AMONG NURSE MANAGERS IN SAUDI ARABIA(Saudi Digital Library, 2025) Alanazi, Ali; Owaidat, IslamBackground: Financial competency is a critical skill for nurse managers to ensure effective resource allocation, cost control, and financial sustainability in healthcare organizations. Despite its importance, global studies reveal moderate to low levels of financial skills among nurse managers, with a notable research gap in Saudi Arabia. Aim: This study aims to identify the predictors of financial competency among nurse managers in Saudi Arabia and explore the variation in competencies based on socio-demographic, work-related, and organizational variables. Methods: A descriptive correlational, cross-sectional study design was used. A total of 211 nurse managers from public hospitals across three regions participated by completing an electronic survey. Financial competencies were measured using the Nurse Managers Competencies Instrument (NMCI). Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multivariate linear regression, with a significance level set at p < 0.05. Results: The overall mean NMCI score was 3.42 (SD = 0.47), indicating moderate financial competency. About 45.5% of the participants had moderate competency, 39.8% high competency, 4.3% excellent, and 10.4% low. Significant differences were found based on education level (p = 0.007), job title (p = 0.031), financial training (p < 0.001), and department turnover rate (p = 0.044). Regression analysis showed that age (p < 0.001), total nursing experience (p < 0.001), and monthly salary (p < 0.001) were strong positive predictors, while the number of dependents was a negative predictor (p = 0.002). Conclusion: Financial competencies among Saudi nurse managers were moderate, with professional experience, education, and salary being key predictors. Targeted training programs are recommended to enhance financial skills in nursing leadership. Keywords: Financial competency, Nurse managers, Predictors, Saudi Arabia, Nursing leadership3 0Item Restricted THE INFLUENCE OF TEAM DYNAMIC AND NURSE-PHYSICIAN COLLABORATION ON PATIENT SAFETY CULTURE AMONG CRITICAL CARE UNITS NURSES IN SAUDI ARABIA(Saudi Digital Library, 2025-05-27) ALruwaili, Sana Mutlaq Mazer; Khalifeh, AnasAbstract Background: Patient safety culture is critical in high-pressure environments like critical care units, where team dynamics and nurse-physician collaboration profoundly influence outcomes. Aim: This study examines the influence of team dynamic and nurse-physician collaboration on patient safety culture among critical care nurses in Saudi Arabia. Methods: A descriptive, cross-sectional study was conducted in five Saudi hospitals using convenient sampling of 145 participants. Data were collected through electronic surveys utilizing the Primary Care Team Dynamics Survey, Nurse-Physician Collaboration Scale, and Hospital Survey on Patient Safety Culture, along with demographic data. Results: A total of 145 critical care nurses from Saudi Arabian hospitals participated in the study. The participants’ age ranged from 24 to 39 years, with a mean age of 31.03 years (SD = 4.332), and 121 participants were females (83.4%) and 24 were male (16.6%). Team dynamics were found to be high, with a mean score of 118.20 (SD = 27.34). Nurse–physician collaboration was moderate (M = 79.21, SD = 17.77). The results showed statistically significant differences in patient safety culture based on shift type (F = 4.329, p = 0.015), while gender and education level were not significant. There was a strong relationship between team dynamics, nurse-physician collaboration, and most dimensions of patient safety culture (P ≤ 0.01), except for communication openness, hospital management support, and handoffs/information exchange (P > 0.05). Regression analysis revealed predictors of patient safety culture included age, marital status, monthly income, years of experience, shift pattern, patient load, team dynamics, and nurse-physician collaboration. Conclusion: Critical care nurses in Saudi Arabia perceived their team dynamics as effective and nurse-physician collaboration as moderate. Although collaboration exists, further efforts are needed to foster cohesive teamwork and enhance patient safety culture in critical care settings.1 0Item Restricted NURSING INFORMATICS COMPETENCY AND EFFECTIVE CLINICAL DECISION-MAKING AMONG NURSES IN SAUDI ARABIA(Saudi Digital Library, 2025) ALRUWAILI, SABIRIN; Al Osta, MohammadABSTRACT Introduction: Clinical Decision-Making (CDM) is among the essential skills in the nursing profession that affect the outcomes of provided care. Nurses utilize various resources to achieve optimal care outcomes, including nursing informatics tools and skills, where nurses’ competencies play a vital role. Aim: To examine the relationship between nursing informatics competency and the levels of clinical decision-making skills among nurses in Saudi Arabia. Methods: A descriptive correlational design with convenience sampling methods was used to conduct the current study. A self-report questionnaire that consists of questions about demographic characteristics, the Nursing Informatics Competency Assessment Tool (NICAT), and the Clinical Decision-Making in Nursing Scale (CDMNS). Data were collected between May and July 2024 using online Google Forms from registered nurses at three governmental hospitals in Saudi Arabia. Results: 160 registered nurses participated in the study. The results show that nurses in Saudi Arabia were “proficient” in their nursing informatics competencies with total scale average (M=110.5, SD ±24.3), and have a perceived “medium” level in their effective clinical decision-making with total average score (148.6, SD ±32.0). Moreover, there was a statistically significant strong linear relationship between nursing informatics competency and perceived levels of clinical decision-making (r=.734, p<.001). However, nursing informatics competency was the sole statistically significant predictor (β=0.7, p<.001) of their perceived level of clinical decision-making. Conclusion and Implications: The study presented the critical role of nursing informatics competency in clinical decision-making among nurses. The results highlight to the healthcare stakeholders and nursing management the importance of investing in targeted informatics training and the integration of nursing informatics clinical decision support tools into the clinical nursing practice. Moreover, the findings encourage researchers to explore additional factors influencing clinical decision-making through longitudinal and qualitative research methods to gain a deeper understanding of this complex process.20 0