The Mediating Role of Job Rotation Between Clinical Leadership Skills and Clinical Decision‐Making Among Jordanian Nurses
Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine
Background Nurses in resource‐limited settings like Jordan require strong leadership and clinical judgment. Job rotation is believed to improve adaptability and self‐efficacy, but its effect on clinical decision‐making is unclear. sec-0001 Purpose This study aimed to examine whether job rotation mediates the relationship between clinical leadership skills and clinical decision‐making among nurses. sec-0002 Methods A cross‐sectional correlational study was conducted among 395 registered nurses employed in Jordanian governmental hospitals. Participants were recruited using a proportional random sampling technique. Data were collected using validated questionnaires assessing clinical leadership skills, job rotation, and clinical decision‐making. Statistical analyses, including ANOVA and regression analysis, were performed to examine relationships among the study variables. Structural equation modeling (SEM) was additionally used to assess mediation effects. sec-0003 Findings The results showed significant differences between clinical decision‐making and gender, marital status, and educational level. Clinical leadership significantly predicted decision‐making (= 0.433, 95% CI [0.331, 0.535],= 8.226,< 0.001). In contrast, job rotation indicated no significant direct effect (= 0.000, 95% CI [−0.052, 0.051],= −0.010,= 0.992) and did not mediate the relationship between leadership and decision‐making (= 0.008, 95% CI [−0.041, 0.057],= 0.325,= 0.745). sec-0004 Conclusion Leadership sk
Abstract
Background Nurses in resource‐limited settings like Jordan require strong leadership and clinical judgment. Job rotation is believed to improve adaptability and self‐efficacy, but its effect on clinical decision‐making is unclear. sec-0001 Purpose This study aimed to examine whether job rotation mediates the relationship between clinical leadership skills and clinical decision‐making among nurses. sec-0002 Methods A cross‐sectional correlational study was conducted among 395 registered nurses employed in Jordanian governmental hospitals. Participants were recruited using a proportional random sampling technique. Data were collected using validated questionnaires assessing clinical leadership skills, job rotation, and clinical decision‐making. Statistical analyses, including ANOVA and regression analysis, were performed to examine relationships among the study variables. Structural equation modeling (SEM) was additionally used to assess mediation effects. sec-0003 Findings The results showed significant differences between clinical decision‐making and gender, marital status, and educational level. Clinical leadership significantly predicted decision‐making (= 0.433, 95% CI [0.331, 0.535],= 8.226,< 0.001). In contrast, job rotation indicated no significant direct effect (= 0.000, 95% CI [−0.052, 0.051],= −0.010,= 0.992) and did not mediate the relationship between leadership and decision‐making (= 0.008, 95% CI [−0.041, 0.057],= 0.325,= 0.745). sec-0004 Conclusion Leadership skills were significantly associated with nurses’ clinical decision‐making, and leadership development may play a more substantial role in clinical decision‐making than job rotation within this sample. sec-0005 Implication for Nursing Management Job rotation implementation has to be intentional, by putting real effort into structured training, mentoring, and embedding workplace learning into daily routines, which improves decision‐making quality, increases professional confidence, and ultimately enhances patient outcomes. sec-0006