Structured Leadership Intervention for Nurses in Saudi Arabia.

July 1, 2026 updated by: Mohamed Ali Abdelsattar Zoromba, Port Said University

Effects of a Structured Leadership Intervention on Nursing Work Environment, Job Satisfaction, and Turnover Intentions: A Randomized Controlled Trial.

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.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

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

Enrollment (Estimated)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Registered nurses with 6 or more months of clinical experience.
  • Full-time employment in inpatient units.

Exclusion Criteria:

  • Nurse managers and administrative staff.
  • Nurses enrolled in concurrent leadership training programs.
  • Nurses on extended leave during the study period.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm 1 (Experimental): Intervention Group
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.
Behavioral: Structured Leadership Educational Program.
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.
No Intervention: Arm 2 (No Intervention): Control Group
The control group will receive routine organizational practices without additional training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Nursing Work Environment
Time Frame: Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2).
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).

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Turnover Intentions
Time Frame: Baseline (T0), immediately post-intervention (T1), and 3 months post-intervention (T2).
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).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Port Said University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

July 10, 2026

Primary Completion (Estimated)

October 10, 2026

Study Completion (Estimated)

November 1, 2026

Study Registration Dates

First Submitted

July 1, 2026

First Submitted That Met QC Criteria

July 1, 2026

First Posted (Actual)

July 8, 2026

Study Record Updates

Last Update Posted (Actual)

July 8, 2026

Last Update Submitted That Met QC Criteria

July 1, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • SCBR-723/2026

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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