Introduction Understanding the factors influencing nurses' intent to stay is crucial for developing workforce retention strategies. This study examined the relationship between registered nurses’ intent to stay and the perceived leadership styles of their nurse managers in private hospitals in Jordan. Methods A cross-sectional, correlational design was employed. Data were collected from 220 registered nurses. Participants were recruited from private hospitals in Jordan using a convenience sampling technique. The Multifactor Leadership Questionnaire (MLQ Form 5X) and McCain’s Behavioral Commitment Scale were used to assess the study variables (Nursing Managers’ Leadership Styles and Registered Nurses’ Intent to Stay). Results Nurses reported moderate to high levels of intent to stay. Transformational leadership was positively and significantly associated with nurses' intent to stay, with the strongest relationships observed for Inspirational Motivation (r = .83, p < .001), followed by Individual Consideration (r = .79, p < .001), and Intellectual Stimulation (r = .46, p < .001). Negative relationships were found between nurses’ intent to stay and Management by Exception (Passive) (r = –.36, p < .001), Laissez-Faire (r = –.17, p = .014), and department capacity (r = –.14, p = .037). Statistically significant differences in intent to stay were observed based on gender and financial status. Conclusion Transformational leadership strongly influences nurses’ intent to stay. The findings of this study offer valuable clinical implications for enhancing nurse retention. They highlight the importance of focusing on workplace conditions, leadership style, and perceived organizational support when designing retention interventions.
Introduction Primary healthcare centers are a vital component of health systems worldwide. In Bahrain, primary health care centers not only manage minor health issues but also serve as an emergency unit by providing first aid and resuscitation until patients are transferred to main hospitals. Therefore, qualified staff nurses with high levels of clinical competence, self-efficacy, and emotional intelligence are essential to ensuring quality care. This study evaluated levels of clinical core competency, emotional intelligence, and self-efficacy among Bahraini nurses employed in primary health care facilities and investigated the relationships among these factors. Methods A descriptive quantitative design was used. A cluster random sampling technique was used to select 218 nurses from different primary health care facilities in Bahrain. Data were gathered by using the Competency Inventory for Registered Nurse (CIRN), the Schutte Self-Report Emotional Intelligence (SSEIT), and the Nursing Profession Self-Efficacy Scale (NPSE). Results Most participants were female (73.9%), aged 26–30 years (50.9%), and held a bachelor’s degree (93.1%). The majority had ≤5 years of experience (68.3). Nurses demonstrated moderate emotional intelligence. (3.72 ± 0.56), self-efficacy (3.31 ± 1.01), and satisfactory clinical competency (2.68 ± 0.88). For clinical competency, the highest scores were in legal–ethical practice (2.43 ± 0.94 and 2.39 ± 0.92, respectively), and the lowest were in critical thinking and coaching. Additionally, we identified significant relationships among self-efficacy, emotional intelligence, and clinical core competency ( p < 0.01). Discussion This study has several strengths. First, it is among the few studies examining the relationship between self-efficacy, emotional intelligence, and clinical competency among Bahraini primary health care nurses. Therefore, it provides valuable insights into an under-researched area. Second, the use of validated measurement tools and the inclusion of a diverse range of sociodemographic variables strengthened the reliability and depth of the findings. However, the design limits the ability to identify causal links between variables. Conclusion Ongoing staff development programs are essential to enhancing nurses' self-efficacy, emotional intelligence, and clinical competence. Practice implications include developing leadership skills, promoting clinical competency, and integrating emotional intelligence training into the nursing education curriculum.
Introduction Healthcare-associated infections (HCAIs) remain a major global health concern. In Saudi Arabia, the Basic Infection Control Skills License (BICSL) program was introduced to standardize infection prevention and control (IPC) training among healthcare workers. However, evidence on its effectiveness among nurses remains limited. Methods A multicenter, quasi-experimental, one-group pre-post study was conducted among 360 nurses from 5 public hospitals in Makkah, Saudi Arabia, during the 2024 BICSL implementation cycle. All participants received the same 3-day, in-person BICSL intervention; no random allocation or concurrent comparison group was used. A validated self-administered questionnaire assessed knowledge, attitude, and self-reported practice before and immediately after training. Paired t-tests, Wilcoxon signed-rank tests, effect sizes, reliability analyses, baseline-adjusted models, change-score models, and sensitivity analyses were conducted. Results Knowledge scores increased from 8.54 ± 2.03 to 10.71 ± 1.79, attitude scores from 2.30 ± 0.77 to 2.70 ± 0.51, and practice scores from 4.48 ± 1.91 to 5.90 ± 1.85 (all p < 0.001). Wilcoxon tests confirmed the pre-post differences. Cohen's dz values were 0.72 for knowledge, 0.43 for attitude, and 0.55 for practice. In adjusted analyses, improvement in knowledge remained significantly associated with post-training practice and practice improvement. Discussion The findings suggest that structured BICSL training may strengthen nurses' IPC-related knowledge and self-reported practice. However, interpretation should remain cautious because the one-group pre-post design cannot exclude testing effects, seasonal influences, concurrent IPC activities, or social desirability bias. Conclusion BICSL training was associated with improved knowledge, attitudes, and practices (KAP) scores among nurses in hospitals in Makkah. Future evaluations should include control groups, longer follow-up, observational audits, and IPC outcome indicators.
Background Nursing documentation plays an essential role in nursing practice, which contributes to ensuring the continuity of nursing, enhancing communication among the care team, and reflecting the quality of patient care. Inadequate or inaccurate documentation may have a negative effect on patient safety and clinical decision-making. To assess the quality of nursing documentation for postoperative limb wound care based on the situation of compliance with a tool called the Surgical Wound Assessment Tool (SWAT) and identify related factors at nine hospitals in Vietnam in 2025. Methods The study used a descriptive, retrospective, cross-sectional design and was conducted at 9 general and specialized hospitals in Vietnam from May 2025 to September 2025. The sample size included 1,012 patient records related to limb wound care (systematic random sampling) and 286 nurses who directly tended wounds. The data collection instrument is a standardized checklist adapted from SWAT, including 27 clinical items. The quality of documentation is considered “Qualified” when the total score is at least 80%. Descriptive analyses were used to present the results, using Chi-square tests and logistic bivariate models ( p < 0.05). Results The quality of wound care documentation was low, with an overall qualification rate of 30.6%. A discrepancy in the documentation was observed: while the rate of qualification for administrative and surgical items was high, ranging from 85.9% to 88.8%, the key clinical parameters showed low rates, especially those related to surgical sites, sizes, and bases (0%). Regression analyses show that the quality of wound care documentation was associated with certain characteristics of patients ( i.e ., BMI, diabetes, and smoking) and nurses’ characteristics such as educational level, seniority (years of work experience), the number of patients that they tended, and the training on wound care documentation that they attended. Discussion This multi-center study highlights a significant gap between clinical guidelines and actual nursing documentation practice in postoperative wound care. The low qualification rate underscores the urgent need for standardized training programs and organizational support. In addition, the findings suggest that enhancing individual nursing competencies and streamlining documentation tools could effectively improve patient safety and the continuity of surgical care in the Vietnamese hospital context. Conclusion The quality of nursing documentation for postoperative limb wound care conducted by nurses at nine studied hospitals was poor, especially when it came to assessment of clinical characteristics of wounds. Related factors included patients’ medical conditions and nurses’ professional factors, especially professional training and workload. The standardization of forms for documentation using SWAT, enhancing training, and reducing the number of patients in need of care would contribute to improving the quality of documentation.
Introduction Numerous individuals with hypertension demonstrate non-compliance with pharmacological and non-pharmacological treatments, in addition to dietary and lifestyle modifications. Patient compliance is a crucial element in emergency scenarios, as demonstrated by multiple sources. Method A quantitative correlational study design was employed to investigate variables affecting lifestyle adherence. 138 respondents met the following criteria: outpatients at Sokaraja I and II Community Health Centers, with a minimum of elementary school education, and aged 45-65 years. Participants were selected via purposive sampling. Multivariate, univariate, and bivariate analyses were performed to identify the primary factors affecting patient adherence to hypertension treatment and quality of life. Result Bivariate analysis indicated that gender, salt intake, smoking habits, obesity, familial history of hypertension, and marital status were strongly correlated with lifestyle adherence ( p -values < 0.05). In the multivariate analysis, marriage emerged as the variable with the greatest influence on adherence, with an odds ratio of 3.347. Married individuals were 3.347 times more likely to maintain a healthy lifestyle compared to their unmarried counterparts. Discussion The findings of this study demonstrate the significance of marriage, as an individual’s lifestyle is profoundly affected by familial support. Social cognitive theory posits that behavioral modifications are affected by both internal and external variables, including familial influences. Conclusion Factors strongly associated with adherence to a healthy lifestyle include gender, salt intake, smoking, obesity, a familial history of hypertension, and marital status.
