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THE EFFECTIVENESS OF NURSE
INDIVIDUAL AND ORGANIZATIONAL
APPROACHES UPON NURSE S
PERFORMANCE
ALNEAMI IBRAHIM ALI
GS51929
SUPERVISOR :
PROF. DR. SHAMSUL BAHRI HJ MOHD TAMRIN
1.0 PROBLEM STATEMENT
Ba ed on he 2010 cen , he Kingdom population grew at a 3.2% rate per
annum with a total fertility rate of 3.04 between 2004 and 2010. Based on
this, the United Nations (UN) projected that the Saudi Arabia population will
have reached 39.8 million by 2025, 54.7 million by 2050 and 61.3 million by
2100 with a total fertility rate of 3.04. The aspect of life expectancy
specifically the care for the elderly has also posed a new challenge for the
healthcare sector in the Kingdom. The elderly population is projected to
reach between 1 million to 2.5 million by 2020 (Barrage, Perillieux, &
Shediac, 2007).
2
1.0 PROBLEM STATEMENT
The current infrastructure is now burdened with the need to increase the
number of trained healthcare professionals. Meanwhile, the current ratio of
2.2 beds per 1000 population (Al-Hanawi et al., 2019) is significantly low to
the projected quantity of 10,200 beds needed by 2025 (Rahman &
Alsharqi, 2019).
3
2.0 STUDY JUSTIFICATION
 the population size and growth in Saudi Arabia impact the policies
made for strengthening the provision of public utility services. Among
such public utility service is healthcare facilities and services. Thus, in
2012, the MOH of the kingdom allocated SR 2 billion for its
development work in Jazan to provide healthcare facilities and
hospitals with a total of 3,495 beds within the governorate (Rasooldeen,
2012).
 the deputy minister of health for therapeutic medicine of the kingdom
pronounced that around 600 people will be provided with employment
opportunities in Jazan hospitals.
4
2.0 STUDY JUSTIFICATION
 Health care workers' development is tasks hospital managers and the Human
Resources Office.
 Unde anding he fac o ha affec n e job e fo mance i im o an in developing
strategies for mitigating the nursing shortage.
 the findings could be beneficial for policy makers and nurse administrators in
developing strategies for a management model explicitly for the Saudi
A abia con e . heal hca e deli e of he co n , enhance he n e job
satisfaction reduction of healthcare costs for both the organization and the
individual population.
5
3.0 RESEARCH OBJECTIVES
GENERAL OBJECTIVES
this study aims to investigate and ascertain the prospective contributions of personal and o
gani a ional fac o ha a ocia e i h n e e fo mance.
SPECIFIC OBJECTIVES
To determine the level of organizational factors (organization culture and leadership skills), personal
factors (motivation, stress and burnout and knowledge sharing) , job satisfaction and work
performance among health care workers in Jazan region-Saudi Arabia.
To assess the relationship between organizational factors (organization culture and leadership
skills), personal factors (motivation, stress and burnout and knowledge sharing) and work
performance among health care workers in Jazan region-Saudi Arabia2.
To examine the mediation effect of job satisfaction relationship between organizational factors
(organization culture and leadership skills), personal factors (motivation, stress and burnout and
knowledge sharing) and work performance among health care workers in Jazan region-Saudi
Arabia.
To evaluate the effect of demographic profile (age, education, work experience and income) on job
performance among health care workers in Jazan region-Saudi Arabia.
6
4.0 HYPOTHESIS
H1: There is significant and positive relationship between
organizational culture and n rses job performance.
H2: There is significant and positive relationship between leadership
skill and n rses job performance.
H3: There is significant and positive relationship between motivation
and n rses job performance.
H4: There is significant and negative relationship between stress and
n rses job performance.
H5: There is significant and negative relationship between burnout
and n rses job performance.
7
1
H6: There is significant and positive relationship between knowledge
sharing and n rses job performance.
H7: There is significant and positive relationship between job
satisfaction and n rses job performance.
H8: Job satisfaction significantly mediates the relationship
between organizational factors (organizational culture and
leadership skills) and job performance.
H9: Job satisfaction significantly mediates the relationship
between individual factors (motivation, stress, burnout and
knowledge sharing) with job performance.
1
H10: There is significant and positive relationship between
socio-demographic factors (age, education, work experience
and income) and n rses job performance.
1
6.0 CONCEPTUAL FRAMEWORK
1
1
5.0 LITERATURE REVIEW
Within the Gulf region, the most substantial and fastest growing population occurs
in the KSA. Based on the latest official census carried out in 2010, the KSA
population stood at 27.1 million from 22.6 million in 2004. This is attributable to the
high birth rate i.e. 23.7 per 1000 population.
In the years between 2006 and 2012, there was an increase in the number of
healthcare employees specifically 20% amongst physicians, 46% amongst
dentists, 35% amongst nurses, 47% amongst pharmacists, and 38% amongst
allied health specialists for every 10,000 of the people. There was also an increase
in the quantity of hospital beds i.e. from 28,751 in 2002 to 33,277 in 2008; for the
1
same period, hospital beds in private and quasi-government hospitals also
increased from 10,133 and 10,300 in 2002 to 11,822 and 10,833, respectively.
5.0 LITERATURE REVIEW
 During the same six year period, the total of hospital beds in the KSA increased
13.7% i.e. from 49,148 in 2002 to 55,932 beds in 2008, whilst the total of
hospitals increased 16.6% i.e. from 350 in 2002 to 408 in 2008. In 2012, the
number of MOH hospitals increased exponentially to 35,828 (Al-Hanawi, Khan,
& Al-Borie, 2019).
 when an individual employee displays a high level of work performance, the
productivity and ultimately the general performance of the organization would
also be high. As indicated by M. J. Almalki, FitzGerald, and Clark (2012).
 Nurses whose performance is acknowledged at the workplace are more likely
to stay loyal to the organization where they are working in (AbuAlRub and AL‐
ZARU (2008); Safarpour, Sabzevari, and Delpisheh (2018).
 On the other hand, lack of appreciation is likely to drive nurses to leave.
11
TITLE AUTHOR FINDING
12
13
7.0 METHODOLOGY
Research Design Cross-sectional ( correlational)
Study Location Jazan, Saudi Arabia
Study Population Nurses
Study Method Quantitative ( Survey approach)
14
Sample
Selection
Samples were selected among all hospital ( public and private)
hospitals in Jazan
Sample Size G*power (Hair et al, 2013), minimum sample size determined by
number of arrows pointing to latent variable ( 10 exogenouse variable
,minimum R2 value of 010, for 5% significance level)
N= sample size = 189 , Drop out rate=30%
Final sample size = 250
8.0 Study Instrument
Variable Number of
items
Refrences
Performance 5 Netemeyer & Maxham III, 2007
Leadership skills 18 Peter G. Northouse , 2011
Organization culture 17 Tracey L. Yap 2014
Job Stress 10 Alsaqri, 2014
Burnout 10 Alsaqri, 2014
Job Satisfaction 7 Alsaqri, 2014
Motivation 7 Ibrahim Yahya Alhakami 2018
Knowledge sharing 6 Masa'deh, Obeidat, & Tarhini,
2016
Validity
Pilot Study
Internal Consistency
Reliability
5 Experts
C bach Alha
Coefficient
Sampling method
Stratified proportional sampling method
Hospital n proportion sample
King Fahd central 733 0.28 70
Abu Arish 258 0.10 24
Samtah 256 0.10 24
Sabya 309 0.12 29
Gizan General 229 0.09 22
Alhaya 220 0.08 21
Al Emeis 305 0.12 29
Prince Mohamed Bin Nasser 323 0.12 31
Total 2633 250
17
26
9.0 Data Collection Flow
27
Data Analysis
28
Data screening & preliminary analysis (SPSS ver 25
)
Descriptive statistics ( Mean , standard deviation
and frequency analysis )
Structural Equation Modelling-SmartPLS ver 3
including measurement model ( construct validity)
and structural model (Bootstrap approach)
Mediation analysis
29
10.0 Statistical Analysis
Objectives
Statistical Analysis
To evaluate the effect of demographic profile (age, education, work
experience and income) on job performance among health care workers in
Jazan region-Saudi Arabia.
Descriptive statistics
Mean , standard
deviation, frequency
To determine the level of organizational factors (organization culture and
leadership skills), personal factors (motivation, stress and burnout and
knowledge sharing) , job satisfaction and work performance among health
care workers in Jazan region-Saudi Arabia.
Structural equation
modeling using PLS
approach (SEM-PLS)
To assess the relationship between organizational factors (organization
culture and leadership skills), personal factors (motivation, stress and
burnout and knowledge sharing) and work performance among health care
workers in Jazan region-Saudi Arabia2.
30
To examine the mediation effect of job satisfaction relationship between
organizational factors (organization culture and leadership skills), personal
factors (motivation, stress and burnout and knowledge sharing) and work
performance among health care workers in Jazan region-Saudi Arabia.
31
GANTT CHART
11.0
# Activities 2020 2021
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
1 Proposal Preparation &
Presentation
X
2 Focus Group Discussion X
3 Data Collection (Phase 1) X
4 Data Analysis (Phase 1) X
5 Development of Software X X X
6 Site Visit & Software Testing X X
7 Data Collection (Phase 2) X X
8 Data Analysis (Phase 2) X
9 Data Interpretation X
10 Thesis Writing X X X X X X
11 VIVA X
12 Thesis Review & Submission X
32
12.0 REFERENCES
THANK YOU

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  • 1. THE EFFECTIVENESS OF NURSE INDIVIDUAL AND ORGANIZATIONAL APPROACHES UPON NURSE S PERFORMANCE ALNEAMI IBRAHIM ALI GS51929 SUPERVISOR : PROF. DR. SHAMSUL BAHRI HJ MOHD TAMRIN
  • 2. 1.0 PROBLEM STATEMENT Ba ed on he 2010 cen , he Kingdom population grew at a 3.2% rate per annum with a total fertility rate of 3.04 between 2004 and 2010. Based on this, the United Nations (UN) projected that the Saudi Arabia population will have reached 39.8 million by 2025, 54.7 million by 2050 and 61.3 million by 2100 with a total fertility rate of 3.04. The aspect of life expectancy specifically the care for the elderly has also posed a new challenge for the healthcare sector in the Kingdom. The elderly population is projected to
  • 3. reach between 1 million to 2.5 million by 2020 (Barrage, Perillieux, & Shediac, 2007). 2 1.0 PROBLEM STATEMENT The current infrastructure is now burdened with the need to increase the number of trained healthcare professionals. Meanwhile, the current ratio of 2.2 beds per 1000 population (Al-Hanawi et al., 2019) is significantly low to the projected quantity of 10,200 beds needed by 2025 (Rahman &
  • 4. Alsharqi, 2019). 3 2.0 STUDY JUSTIFICATION  the population size and growth in Saudi Arabia impact the policies made for strengthening the provision of public utility services. Among such public utility service is healthcare facilities and services. Thus, in 2012, the MOH of the kingdom allocated SR 2 billion for its
  • 5. development work in Jazan to provide healthcare facilities and hospitals with a total of 3,495 beds within the governorate (Rasooldeen, 2012).  the deputy minister of health for therapeutic medicine of the kingdom pronounced that around 600 people will be provided with employment opportunities in Jazan hospitals. 4
  • 6. 2.0 STUDY JUSTIFICATION  Health care workers' development is tasks hospital managers and the Human Resources Office.  Unde anding he fac o ha affec n e job e fo mance i im o an in developing strategies for mitigating the nursing shortage.  the findings could be beneficial for policy makers and nurse administrators in developing strategies for a management model explicitly for the Saudi A abia con e . heal hca e deli e of he co n , enhance he n e job satisfaction reduction of healthcare costs for both the organization and the individual population.
  • 7. 5 3.0 RESEARCH OBJECTIVES GENERAL OBJECTIVES this study aims to investigate and ascertain the prospective contributions of personal and o gani a ional fac o ha a ocia e i h n e e fo mance. SPECIFIC OBJECTIVES To determine the level of organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) , job satisfaction and work performance among health care workers in Jazan region-Saudi Arabia. To assess the relationship between organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) and work performance among health care workers in Jazan region-Saudi Arabia2.
  • 8. To examine the mediation effect of job satisfaction relationship between organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) and work performance among health care workers in Jazan region-Saudi Arabia. To evaluate the effect of demographic profile (age, education, work experience and income) on job performance among health care workers in Jazan region-Saudi Arabia. 6 4.0 HYPOTHESIS H1: There is significant and positive relationship between organizational culture and n rses job performance. H2: There is significant and positive relationship between leadership skill and n rses job performance.
  • 9. H3: There is significant and positive relationship between motivation and n rses job performance. H4: There is significant and negative relationship between stress and n rses job performance. H5: There is significant and negative relationship between burnout and n rses job performance. 7
  • 10. 1 H6: There is significant and positive relationship between knowledge sharing and n rses job performance. H7: There is significant and positive relationship between job satisfaction and n rses job performance. H8: Job satisfaction significantly mediates the relationship between organizational factors (organizational culture and leadership skills) and job performance. H9: Job satisfaction significantly mediates the relationship between individual factors (motivation, stress, burnout and knowledge sharing) with job performance.
  • 11. 1 H10: There is significant and positive relationship between socio-demographic factors (age, education, work experience and income) and n rses job performance.
  • 13. 1
  • 14. 1 5.0 LITERATURE REVIEW Within the Gulf region, the most substantial and fastest growing population occurs in the KSA. Based on the latest official census carried out in 2010, the KSA population stood at 27.1 million from 22.6 million in 2004. This is attributable to the high birth rate i.e. 23.7 per 1000 population. In the years between 2006 and 2012, there was an increase in the number of healthcare employees specifically 20% amongst physicians, 46% amongst dentists, 35% amongst nurses, 47% amongst pharmacists, and 38% amongst allied health specialists for every 10,000 of the people. There was also an increase in the quantity of hospital beds i.e. from 28,751 in 2002 to 33,277 in 2008; for the
  • 15. 1 same period, hospital beds in private and quasi-government hospitals also increased from 10,133 and 10,300 in 2002 to 11,822 and 10,833, respectively.
  • 16. 5.0 LITERATURE REVIEW  During the same six year period, the total of hospital beds in the KSA increased 13.7% i.e. from 49,148 in 2002 to 55,932 beds in 2008, whilst the total of hospitals increased 16.6% i.e. from 350 in 2002 to 408 in 2008. In 2012, the number of MOH hospitals increased exponentially to 35,828 (Al-Hanawi, Khan, & Al-Borie, 2019).  when an individual employee displays a high level of work performance, the productivity and ultimately the general performance of the organization would also be high. As indicated by M. J. Almalki, FitzGerald, and Clark (2012).
  • 17.  Nurses whose performance is acknowledged at the workplace are more likely to stay loyal to the organization where they are working in (AbuAlRub and AL‐ ZARU (2008); Safarpour, Sabzevari, and Delpisheh (2018).  On the other hand, lack of appreciation is likely to drive nurses to leave. 11 TITLE AUTHOR FINDING
  • 18. 12 13
  • 20. Research Design Cross-sectional ( correlational) Study Location Jazan, Saudi Arabia Study Population Nurses Study Method Quantitative ( Survey approach)
  • 21. 14 Sample Selection Samples were selected among all hospital ( public and private) hospitals in Jazan Sample Size G*power (Hair et al, 2013), minimum sample size determined by number of arrows pointing to latent variable ( 10 exogenouse variable ,minimum R2 value of 010, for 5% significance level) N= sample size = 189 , Drop out rate=30% Final sample size = 250
  • 22. 8.0 Study Instrument Variable Number of items Refrences Performance 5 Netemeyer & Maxham III, 2007
  • 23. Leadership skills 18 Peter G. Northouse , 2011 Organization culture 17 Tracey L. Yap 2014 Job Stress 10 Alsaqri, 2014 Burnout 10 Alsaqri, 2014 Job Satisfaction 7 Alsaqri, 2014 Motivation 7 Ibrahim Yahya Alhakami 2018 Knowledge sharing 6 Masa'deh, Obeidat, & Tarhini, 2016 Validity Pilot Study Internal Consistency Reliability 5 Experts C bach Alha Coefficient
  • 24. Sampling method Stratified proportional sampling method Hospital n proportion sample King Fahd central 733 0.28 70 Abu Arish 258 0.10 24 Samtah 256 0.10 24 Sabya 309 0.12 29 Gizan General 229 0.09 22 Alhaya 220 0.08 21 Al Emeis 305 0.12 29
  • 25. Prince Mohamed Bin Nasser 323 0.12 31 Total 2633 250 17
  • 28. 28 Data screening & preliminary analysis (SPSS ver 25 ) Descriptive statistics ( Mean , standard deviation and frequency analysis ) Structural Equation Modelling-SmartPLS ver 3 including measurement model ( construct validity) and structural model (Bootstrap approach) Mediation analysis
  • 29. 29 10.0 Statistical Analysis Objectives Statistical Analysis To evaluate the effect of demographic profile (age, education, work experience and income) on job performance among health care workers in Jazan region-Saudi Arabia. Descriptive statistics Mean , standard deviation, frequency To determine the level of organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) , job satisfaction and work performance among health care workers in Jazan region-Saudi Arabia. Structural equation modeling using PLS approach (SEM-PLS) To assess the relationship between organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) and work performance among health care workers in Jazan region-Saudi Arabia2.
  • 30. 30 To examine the mediation effect of job satisfaction relationship between organizational factors (organization culture and leadership skills), personal factors (motivation, stress and burnout and knowledge sharing) and work performance among health care workers in Jazan region-Saudi Arabia.
  • 31. 31 GANTT CHART 11.0 # Activities 2020 2021 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 1 Proposal Preparation & Presentation X 2 Focus Group Discussion X 3 Data Collection (Phase 1) X 4 Data Analysis (Phase 1) X 5 Development of Software X X X 6 Site Visit & Software Testing X X 7 Data Collection (Phase 2) X X 8 Data Analysis (Phase 2) X 9 Data Interpretation X 10 Thesis Writing X X X X X X 11 VIVA X 12 Thesis Review & Submission X