Evidence map›Paper›PMID 41716953›Full record

ReviewInternational journal of nursing studies advances2026

Nursing workforce challenges in gulf cooperation council countries: A systematic review of factors influencing shortage and retention.

Amani N Al Ansari, Alaa Ahmed Elshanbary, Mohamed Sayed Zaazouee, Kalpana Singh

Abstract readReview
In one paragraph

Review in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

4 authors.

Amani N Al AnsariDepartment of Pediatric Surgery, Hamad Medical Corporation, Doha, Qatar.
Alaa Ahmed ElshanbaryFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed Sayed ZaazoueeFaculty of Medicine, Al-Azhar University, Assiut, Egypt.
Kalpana SinghNursing Research Department, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: The Gulf Cooperation Council countries are experiencing a significant nursing workforce shortage, compounded by rapid population growth, a rising burden of chronic diseases, and heavy dependence on expatriate nurses. With the World Health Organization forecasting a global shortfall of 4.5 million nurses by 2030, this review aims to systematically explore the key factors contributing to nursing workforce shortages in the Gulf Cooperation Council region and offer evidence-based recommendations for improving retention. Method: A systematic review was conducted in accordance with PRISMA guidelines. A comprehensive literature search was performed across PubMed, Embase, Web of Science, and Scopus databases to identify relevant primary research published in English up to January 2025. Studies focused on nursing workforce issues in Gulf Cooperation Council countries were included. A total of eight eligible studies were critically appraised using the Newcastle-Ottawa Scale and the Critical Appraisal Skills tool. Results: The findings highlight a complex interplay of factors influencing nurse shortages in the Gulf Cooperation. A poor work environment, lack of interprofessional collaboration, and inadequate leadership support were strongly associated with high turnover intention. Excessive workloads, reported by 59.4% of nurses, and emotional exhaustion, affecting over 60%, were key stressors. Additional barriers included cultural challenges, limited access to professional development, and weak organizational support systems. Leadership was identified as the most influential factor negatively correlated with nurse retention. Conclusion: Addressing the nursing workforce crisis in the Gulf Cooperation Council requires multifaceted interventions. Priority areas include leadership development, structured career pathways, and improved cultural integration efforts. Further longitudinal and regionally inclusive research is recommended.

Indexed as

Expatriate nursesGulf cooperation council countriesHealthcare systemleadershipNursing shortageProfessional challengeswork environmentWorkforce retention

Identifiers

PMID41716953
PMCPMC12914116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.