Almabadi Ahlam A, Salem Olfat A, Aboshaiqah Ahmad E, Alanazi Naif H
College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Public Health Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Front Psychol. 2025 Jun 10;16:1569486. doi: 10.3389/fpsyg.2025.1569486. eCollection 2025.
An optimal work environment is essential for the effective performance of healthcare workers, particularly nurse managers, in order to achieve high-quality services. The current study aims to assess and compare nurse managers' perceptions of the adequacy of support within their work environment and availability of resources in four main hospitals in the Kingdom of Saudi Arabia.
Through a cross-sectional study design, 260 nurse managers from four main general hospitals in Jeddah and Riyadh were selected using convenience sampling and invited to participate in the study. Their perception of the work environment was assessed using the Quality Work Environment Study (QWEST) questionnaire, which has been proven valid and reliable. Data were stored and analyzed using the Statistical Package for the Social Sciences (SPSS, Version 26) software. In addition to descriptive statistics, independent sample -tests and ANOVA were used to test the significance of the differences between subgroups. Statistical significance was set at a value of < 0.05.
The perception of nurse managers toward items reflecting work environment ranged from moderate (mean = 3.72, SD = 0.678) regarding support from supervisors regarding acting on values, even if it was at personal cost, to too high to support teamwork to achieve goals and outcomes (mean = 4.13, SD = 0.621). There was no statistically significant difference in the perceived work environment in the studied hospitals. Non-Saudis had a higher positive perception of the work environment (mean = 4.0, SD = 0.52) than Saudis (mean = 3.8, SD = 0.50), = 0.006. They also showed moderate perceptions of the availability of resources and logistics, with no statistically significant differences between hospitals except for the availability of clerical support staff.
Nurse managers generally perceive a moderate-to-high level of empowerment and support, indicating a positive environment across general hospitals. Non-Saudi nurse managers viewed their work environments more positively than Saudi nurse managers did. Although all hospitals had uniform resources, there was variance in clerical support between them. Hospitals should empower clerical staffing levels and adjust them to reduce administrative burdens to enable nurse managers to focus more on clinical leadership and patient care.
为了提供高质量的服务，最佳的工作环境对于医护人员，尤其是护士长的高效工作至关重要。本研究旨在评估和比较沙特阿拉伯王国四家主要医院中护士长对其工作环境中支持的充分性和资源可用性的看法。
采用横断面研究设计，通过便利抽样从吉达和利雅得的四家主要综合医院中选取了260名护士长，并邀请她们参与研究。使用已被证明有效且可靠的优质工作环境研究（QWEST）问卷来评估她们对工作环境的看法。数据使用社会科学统计软件包（SPSS，版本26）进行存储和分析。除描述性统计外，还使用独立样本t检验和方差分析来检验亚组之间差异的显著性。统计学显著性设定为P值<0.05。
护士长对反映工作环境的各项内容的看法不一，从对上级在践行价值观方面的支持（即使要付出个人代价）的中等程度看法（均值 = 3.72，标准差 = 0.678）到对支持团队合作以实现目标和成果的过高看法（均值 = 4.13，标准差 = 0.621）。在所研究的医院中，对工作环境的感知没有统计学上的显著差异。非沙特籍人员对工作环境的积极看法（均值 = 4.0，标准差 = 0.52）高于沙特籍人员（均值 = 3.8，标准差 = 0.50），P = 0.006。她们对资源和后勤可用性的看法也较为中等，除文书支持人员的可用性外，各医院之间没有统计学上的显著差异。
护士长总体上认为授权和支持水平为中等偏高，表明综合医院的环境较为积极。非沙特籍护士长对其工作环境的看法比沙特籍护士长更为积极。尽管所有医院的资源统一，但它们在文书支持方面存在差异。医院应加强文书人员配备水平并进行调整，以减轻行政负担，使护士长能够更多地专注于临床领导和患者护理。
