Structured Leadership Intervention for Nurses in Saudi Arabia.

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.

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Key information

Conditions

Nursing

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Structured Leadership Educational Program.

Behavioral

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.

Primary outcomes

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.

Secondary outcomes

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).

Study contacts

Contact information is provided by the study sponsor or research team.

Zoromba, PhD

CONTACT

[email protected]

+201008388226

Sponsors and collaborators

Lead sponsor

Port Said University

Other

Registry information

Official study title

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

Important dates

Study start: 2026
Primary completion: 2026
Study completion: 2026
First posted: Jul 8, 2026
Registry last updated: Jul 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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