{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:17:45Z","timestamp":1787811465437,"version":"build-2784847793"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examined the relationship between transformational leadership and clinical work performance among nursing professionals within the Tabuk Health Cluster. It focused specifically on the association of leadership behaviours with nursing performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study utilized a cross\u2010sectional analytical quantitative research design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants: A convenience sample of 280 nursing professionals (staff nurses and head nurses) from within the Tabuk Health Cluster was enrolled. Measures: Transformational leadership was measured with the Global Transformational Leadership (GTL) scale, and clinical performance through a 51\u2010item scale derived from Yuxiu et\u00a0al. (2011). Data Collection: This was a self\u2010administered online questionnaire conducted over approximately 6\u2009weeks, between November and January 2024. Analysis: Data were analysed using SPSS version 26 with descriptive statistics, independent samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, ANOVA, and multiple linear regression to determine the predictive value of transformational leadership.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nurses perceived leadership positively (mean\u2009=\u20093.96\/5). Overall clinical work performance was moderate (Mean\u2009=\u20092.70\/4), with the leadership (2.75) and critical\u2010care (2.79) subscales scoring highest. Transformational leadership significantly predicted clinical performance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), accounting for 26.9% of its variance. Nurses with 1\u20135\u2009years of critical\u2010care experience scored significantly higher than those with more than 5\u2009years on both leadership perception and clinical performance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transformational leadership was positively associated with nurses' clinical performance and represents a modifiable target for improvement. The lower scores among more experienced nurses indicated a need to re\u2010engage mid\u2010to late\u2010career staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>\n                      The findings support investment in transformational leadership development, direct support for clinical performance, a stronger feedback culture, continuing professional development\u2014particularly for mid\u2010 to late\u2010career nurses\u2014and quality\u2010improvement efforts within the Health Cluster system.\n                      <jats:italic>No patient or public contribution:<\/jats:italic>\n                      While the study acknowledges the vital participation of nursing staff at the Tabuk Health Cluster, patients and members of the public were not involved in the design, conduct or reporting of this research.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70708","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T11:47:39Z","timestamp":1786016859000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association Between Transformational Leadership and Nurses' Clinical Performance in the Tabuk Health Cluster, Saudi Arabia"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4803-0844","authenticated-orcid":false,"given":"Ali Amer","family":"Albargi","sequence":"first","affiliation":[{"name":"Faculty of Nursing Tabuk University  Tabuk Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5175-5305","authenticated-orcid":false,"given":"Faroq Abdulghani","family":"Alshameri","sequence":"additional","affiliation":[{"name":"Medical and Surgical Nursing Department, Faculty of Nursing Tabuk University  Tabuk Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8023-1583","authenticated-orcid":false,"given":"Waled A. M.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Community Health Nursing Department, Faculty of Nursing Al\u2010Baha University  Al\u2010Baha Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8823-8424","authenticated-orcid":false,"given":"Mugahed Ali","family":"Alkhadher","sequence":"additional","affiliation":[{"name":"Medical and Surgical Nursing Department, Nursing College Najran University  Najran Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9805-4669","authenticated-orcid":false,"given":"Yahya Hussein Ahmed","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Community Health Nursing. Community and Mental Health Department. Nursing College Najran University  Najran Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0505-6068","authenticated-orcid":false,"given":"Abdualrahman Akasha","family":"Abdualrahman","sequence":"additional","affiliation":[{"name":"Medical and Surgical Nursing Department Al\u2010Rayan National College of Nursing, Al\u2010Rayan National Colleges  Al Madinah Al Munawwarah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled Saleh Mohammed","family":"Algaradi","sequence":"additional","affiliation":[{"name":"Al Liath General Hospital, The First Health Cluster in Jeddah Ministry of Health  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahad A.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Al\u2010Baha University  Al\u2010Baha Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.9790\/1959\u20100702046571"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/NICC.12745"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/INR.12458"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/NUF.12160"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/JONM.12863"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JTUMED.2019.11.003"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.21608\/MSNJ.2020.188021"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/NOP2.1117"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12960\u2010020\u201000535\u20102"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JTUMED.2019.04.006"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/NURSREP11020038"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.30994\/jnp.v7i1.430"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022991115523\/METRICS"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJNURSTU.2018.04.016"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/NOP2.1147"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987120976176;WGROUP:STRING:PUBLICATION"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.21608\/znj.2022.244982"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.ENFCLI.2019.04.078"},{"key":"e_1_2_15_20_1","unstructured":"Gurusinga R. 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