Evidence map›Paper›PMID 41514229›Full record

ArticleBMC nursing2026

Exploring how organizational support shapes nurses' clinical leadership: evidence from Tunisia.

Mohamed Ayoub Tlili, Maali Haoues, Haifa Kamoun, Chaima Rjeb, Maha Sanat Alrashedi, Nojoud Abdullah Alrashidi, Hind Mobark Fahd Alshamry, Nadia Falah Shatti Alenzi, Teflah Saud Alshammari, Laila Wanies Freeh Alshammari and 1 more

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mohamed Ayoub TliliNursing Administration Department, College of Nursing, University of Hail, Hail, Saudi Arabia. medtlili@hotmail.fr.
Maali HaouesUniversity of Sousse, Higher School of Health Sciences and Techniques of Sousse, Sousse, Tunisia.
Haifa KamounFaculty of Health Sciences (UPSAT), University of Sousse, Sousse, Tunisia.
Chaima RjebFaculty of Health Sciences (UPSAT), University of Sousse, Sousse, Tunisia.
Maha Sanat AlrashediNursing Administration Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Nojoud Abdullah AlrashidiMaternal and Child Health Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Hind Mobark Fahd AlshamryMedical Surgical Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Nadia Falah Shatti AlenziMaternal and Child Health Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Teflah Saud AlshammariCollege of Nursing, University of Hail, Hail, Saudi Arabia.
Laila Wanies Freeh AlshammariCollege of Nursing, University of Hail, Hail, Saudi Arabia.
Aziza Zakaria AliNursing Administration Department, College of Nursing, University of Hail, Hail, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical nurse leadership is a key driver for improving care quality within the ongoing reform of the Tunisian healthcare system. This study aimed to assess the correlation between nurses’ clinical leadership levels and the organizational support available to them, as well as to identify individual and professional factors associated with clinical leadership.

methodsA cross-sectional study was conducted among nurses in the Sahel region (Sousse, Monastir, and Mahdia), using two validated instruments: the Clinical Leadership Survey (CLS) and the Organizational Environment Assessment (OEA) scales. Descriptive statistics, bivariate analyses (t-tests and ANOVA), and multiple linear regression were used to analyze the data.

resultsA total of 508 nurses participated. They demonstrated a satisfactory level of clinical leadership (M = 54.15 ± 8.64), particularly in communication and collaboration. Perceived organizational support was moderate (M = 16.20 ± 3.46). A significant positive correlation was found between clinical leadership and organizational support (r = 0.501; p < 0.001). Bivariate analysis showed that female gender (p = 0.021), prior leadership training (p = 0.004), longer work experience (p = 0.017), and older age (p = 0.045) were significantly associated with higher CLS scores. In the multivariate model, previous training (p = 0.002), female gender (p = 0.028), and work experience > 10 years (p = 0.034) remained independent predictors, while age showed a marginal association (p = 0.067).

conclusionOrganizational support plays a crucial role in fostering clinical nurse leadership. In addition to structural support, individual factors such as training, experience, and gender also influence leadership expression. Investing in professional recognition, continuing education, and participatory governance is essential for strengthening leadership capacities and improving the quality of care.

Indexed as

Clinical leadershipNursesOrganizational supportPredicting factors

Identifiers

PMID41514229
PMCPMC12882198

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.