{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:53:46Z","timestamp":1791179626412,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":276,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014786","name":"Northern Border University","doi-asserted-by":"publisher","award":["NBU-FPEJ-2026-1041-01"],"award-info":[{"award-number":["NBU-FPEJ-2026-1041-01"]}],"id":[{"id":"10.13039\/501100014786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to examine the associational role of the nursing practice environment (NPE) in the relationship between nursing management practices (NMP) and community health nursing competency (CCNC) among primary healthcare (PHC) nurses in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although the NPE is established as a determinant of care quality and patient safety in hospital settings, its function as an organizational mechanism linking managerial practice to nursing competency in community and PHC contexts remains underinvestigated, particularly within administratively peripheral regions undergoing health\u2010system transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive, cross\u2010sectional, correlational survey was conducted with 205 registered nurses working in PHC centers across the Northern Border Region (Arar), Saudi Arabia. Data were collected using a structured questionnaire incorporating an adapted quality of nursing work life subscale set, the practice environment scale of the nursing work index (PES\u2010NWI), and the community care nursing competence (CCNC) scale. Reporting followed the STROBE guidance. Normality was assessed via the Shapiro\u2013Wilk test; parametric analyses were supplemented with nonparametric checks. Pearson correlations, hierarchical multiple regression, and bias\u2010corrected bootstrap mediation analysis (5000 resamples) were performed. Common method bias was assessed using Harman\u2019s single\u2010factor test and a marker\u2010variable procedure; variance inflation factors (VIFs) were computed for all regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All three constructs were strongly and positively associated (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.76\u20130.79,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). The NMP and NPE composites jointly explained 71.5% of the variance in CCNC (\n                      <jats:italic>F<\/jats:italic>\n                      [10, 191]\u2009=\u200944.62,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), with NMP (beta\u2009=\u20090.47) and NPE (beta\u2009=\u20090.38) as substantial independent predictors. VIF values did not exceed 4.2, indicating acceptable multicollinearity. Harman\u2019s single\u2010factor test extracted a first factor accounting for 43.6% of the total variance, below the 50% threshold, and the marker\u2010variable test yielded a change in fit of delta\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.002, suggesting that common method variance did not critically inflate observed associations. The NPE significantly and partially mediated the NMP\u2010CCNC pathway (indirect effect\u2009=\u20090.33, 95% CI [0.11, 0.52]; Sobel\n                      <jats:italic>Z<\/jats:italic>\n                      \u2009=\u20096.15,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), accounting for approximately 38.4% of the total effect. Consistent with the cross\u2010sectional design, these findings reflect association rather than causal pathways.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CCNC is associated with both NMP and the practice environment, with the NPE serving as a significant statistical intermediary in this pathway. These associations are consistent with organizational frameworks positing that work context conditions translate managerial inputs into professional capability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Strengthening unit\u2010level management capacity and the practice environment represents a potentially feasible and evidence\u2010informed strategy for advancing community nursing competency in PHC settings, particularly in geographically peripheral regions undergoing reform. Longitudinal and experimental designs are needed to establish directionality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/1916013","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:27:25Z","timestamp":1791178045000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Nexus of Practice Environment, Management, and Nursing Competency: A Cross\u2010Sectional Study of Community Nursing Services in Saudi Arabia\u2019s Northern Border Region"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5457-8404","authenticated-orcid":false,"given":"Fadiyah Jadid","family":"Alanazi","sequence":"first","affiliation":[{"name":"Public Health Nursing Department Faculty of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0465-6061","authenticated-orcid":false,"given":"Amal Ahmed","family":"Elbilgahy","sequence":"additional","affiliation":[{"name":"Maternal &amp; Child Health Nursing Department Faculty of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"},{"name":"Pediatric Nursing Department Faculty of Nursing Mansoura University  Mansoura Egypt  mans.edu.eg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8956-0066","authenticated-orcid":false,"given":"Mohamed Yehia Ali","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Public Health Nursing Department Faculty of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"},{"name":"Community Health Nursing Department Faculty of Nursing Cairo University  Cairo Egypt  cu.edu.eg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9360-2216","authenticated-orcid":false,"given":"Bindu","family":"Bharathi","sequence":"additional","affiliation":[{"name":"Public Health Nursing Department Faculty of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6450-5097","authenticated-orcid":false,"given":"Fathia Ahmed","family":"Mersal","sequence":"additional","affiliation":[{"name":"Public Health Nursing Department Faculty of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/inr.70128"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S504277"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.17665\/1676-4285.20246709"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-04263-7"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.59814\/resofro.2024.4(5)488"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/01939459221114079"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03520-z"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2021.1896072"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12367"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep11020038"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/21582440231208930"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3425"},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-020-00535-2"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-025-01010-6"},{"key":"e_1_2_15_16_2","article-title":"Knowledge and Perception of Nursing Staff Regarding Organizational Commitment in Northern Borders Government Hospitals in Saudi Arabia","volume":"16","author":"Alshammari F. 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