The Impact of Nurse Self-Efficacy and Transformational Leadership on Nursing Practice Improvements in Hail Cluster: The Mediating Role of Collaborative Teamwork

Amal Abdulmohsen Alomar

Abstract

Quality of nursing practice and effective group healthcare are fundamental pillars of modern healthcare delivery, particularly within the evolving landscape of the Saudi healthcare system. In the Hail Health Cluster, the high demands placed on nursing staff require not only clinical proficiency but also strong psychological and organizational support to ensure patient safety and operational excellence. This study aimed to evaluate the impact of nurse self-efficacy and transformational leadership on nursing practice improvements, specifically examining the mediating role of collaborative teamwork. Using a quantitative, cross-sectional design, data were collected from 278 registered nurses within the Hail Health Cluster. The research model was analyzed using SmartPLS 4 to assess both the measurement and structural models, ensuring high reliability and validity of the constructs. The results demonstrated that both transformational leadership and nurse self-efficacy have a significant positive influence on nursing practice improvements. Notably, collaborative teamwork was found to be a critical mediator, indicating that leadership and individual confidence drive practice enhancements primarily by fostering a cooperative and communicative team environment. Additionally, the study found that ethical leadership styles contribute to organizational justice, thereby reducing negative workplace dynamics such as bullying. These findings suggest that to achieve the goals of Saudi Vision 2030, healthcare administrators must prioritize leadership development and team-based interventions. This integrated approach ensures that personal self-belief and organizational guidance translate into superior clinical outcomes and a healthier professional work environment.

Keywords

Nurse Self-Efficacy; Transformational Leadership; Collaborative Teamwork; Nursing Practice Improvements; Hail Health Cluster

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References

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DOI: http://dx.doi.org/10.25157/ihc.v2i1.25176

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