TOTAL QUALITY MANAGEMENT PRACTICES AND DISASTER PREPAREDNESS AMONG NURSES AT GOVERNMENTAL HOSPITALS IN SAUDI ARABIA
| dc.contributor.advisor | Kotb, heba | |
| dc.contributor.author | Alruwaili, Anwar | |
| dc.date.accessioned | 2026-05-04T09:37:03Z | |
| dc.date.issued | 2025 | |
| dc.description | Total Disaster preparedness has become a critical competency for nurses in Saudi Arabia, given the country’s exposure to mass-casualty events, pandemics, and large-scale public gatherings. Recent evidence indicates that although nurses often demonstrate adequate theoretical knowledge, their practical readiness and engagement remain suboptimal. For example, AlDulijand et al. (2023), in a descriptive study using a self-regulation–based survey, found that Saudi nurses reported sufficient pre-disaster knowledge but neutral levels of engagement, preparedness, and commitment to actual readiness. This distinction underscores a persistent gap between what nurses know and what they can effectively perform during real emergencies, 2 highlighting the urgent need for more interactive, skills-based, and competency- driven disaster training. Similar challenges are observed among emergency medical services (EMS) personnel. Al Harthi et al. (2021) reported that EMS workers in Saudi Arabia demonstrated only moderate levels of disaster knowledge, skills, and readiness. Their study emphasized the need for targeted support for younger EMS professionals, standardized disaster training across healthcare institutions, and improved communication of disaster policies and protocols. Collectively, these findings demonstrate that disaster preparedness among frontline healthcare workers is inconsistent and frequently limited by gaps in training quality, policy clarity, and system-level coordination. Given these limitations, researchers have increasingly proposed integrating organizational improvement frameworks—particularly Total Quality Management (TQM)—into disaster preparedness strategies. TQM principles such as leadership commitment, employee involvement, continuous improvement, and customer (patient) focus have been shown to strengthen organizational performance and enhance operational consistency (Aburayya et al., 2020; Fadhel & Alqurs, 2025). The incorporation of these principles into disaster preparedness programs may help reduce response delays, improve 3 inter-agency coordination, optimize resource utilization, and ultimately enhance patient outcomes during emergencies (Amberson et al., 2020; Fadhel & Alqurs, 2025). | |
| dc.description.abstract | Background: Total Quality Management )TQM( is a framework that many health-related organizations experience as an important way to improve service delivery by constantly getting better, involving employees, and making sure patients are satisfied with their services. (TQM) and crisis preparedness are closely linked because both aim to build resilient organizations that can deliver consistent quality even under disruption. TQM provides the cultural and operational foundation for excellence, while crisis preparedness ensures continuity when unexpected challenges arise. XIV Aim: This study aims to investigate the relationship between Total Quality Management (TQM) practices and Disaster Preparedness among nurses working in governmental hospitals in the Northern Region of Saudi Arabia. Methodology: A descriptive correlational cross-sectional design was used. The study was employed in three governmental hospitals located in the Al-Jouf region of Saudi Arabia: Metteb Bin Abdul-Aziz Hospital, King Abdul- Aziz Specialist Hospital, and Qurrayat General Hospital over the period for two months. The sample for this research was 360 including all available registered nurses working in selected hospitals by using validated tools: demographic and work-related variables, (TQM) Scale, and Emergency Preparedness Information Questionnaire. Results: The results showed a moderate level of disaster preparedness among nurses. The results also revealed a significant positive relationship between TQM practices and disaster preparedness among nurses. Multivariate analysis showed that TQM practices were the strongest predictor of disaster preparedness among nurses (P< 0.05). Conclusion: The findings validate that total quality management practices significantly influence nurses’ disaster preparedness. TQM, when XV embedded into the clinical culture, enhances nurses’ confidence, teamwork, and emergency decision-making fostering resilience in high-pressure environments Recommendation: Healthcare administrators should work toward strengthening TQM implementation by fostering leadership commitment, supporting employee engagement, and institutionalizing continuous improvement processes that contribute to better preparedness outcomes Keywords: Total Quality Management Practices, Disaster Preparedness, Nurses, Northern Region, Governmental Hospitals, Saudi Arabia | |
| dc.format.extent | 139 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14154/78846 | |
| dc.language.iso | en | |
| dc.publisher | Saudi Digital Library | |
| dc.subject | Keywords: Total Quality Management Practices | |
| dc.subject | Disaster Preparedness | |
| dc.subject | Nurses | |
| dc.subject | Northern Region | |
| dc.subject | Governmental Hospitals | |
| dc.subject | Saudi Arabia | |
| dc.title | TOTAL QUALITY MANAGEMENT PRACTICES AND DISASTER PREPAREDNESS AMONG NURSES AT GOVERNMENTAL HOSPITALS IN SAUDI ARABIA | |
| dc.type | Thesis | |
| sdl.degree.department | Nursing | |
| sdl.degree.discipline | Nursing administration | |
| sdl.degree.grantor | Alzarqa university | |
| sdl.degree.name | Master |