ArticleBMC nursing2026
Workplace spirituality as a predictor of nursing self-efficacy and job embeddedness.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEgypt’s healthcare system faces significant challenges for the nursing workforce, including high turnover rates and job dissatisfaction. Understanding the factors that enhance nurse retention and self-efficacy is crucial for improving healthcare delivery in the Egyptian context, where workplace spirituality may play a significant role, given cultural and religious values.
aimThis study examined the relationships between workplace spirituality, self-efficacy, and job embeddedness among nurses and investigated whether self-efficacy mediates the relationships among these factors.
methodsA cross-sectional study was conducted in 2025 with 305 nurses employed at the Oncology Center of Mansoura University Hospitals. Data were collected using the workplace spirituality scale, self-efficacy scale, and job embeddedness scale. Statistical analyses included Pearson correlation, multiple regression, hierarchical regression, and path analysis using SPSS 23.0 and AMOS 23.0.
resultsCorrelation analyses revealed the strongest relationship between workplace spirituality and job embedding (r = 0.365), moderate correlations between self-efficacy and job embeddedness (r = 0.250), and weak associations between workplace spirituality and self-efficacy (r = 0.166). Regression analyses confirmed workplace spirituality was a significant predictor of outcomes with different effect sizes. While workplace spirituality weakly predicted self-efficacy (β = 0.166, 2.8% variance), it strongly predicted job embeddedness (β = 0.365, 13.3% variance). Years of experience dominated the self-efficacy prediction (27.6% variance). Path analysis revealed self-efficacy as a partial mediator, although the mediation effect was modest (indirect effect = 0.032) compared to the direct effect (0.270).
conclusionsWorkplace spirituality significantly predicted nursing self-efficacy and job embeddedness with more potent effects on job embeddedness. Self-efficacy partially mediates this relationship; however, workplace spirituality influences job embeddedness primarily through direct pathways, suggesting that multiple mechanisms enhance nurses’ retention and organizational attachment in nursing environments. CLINICAL TRIAL NUMBER: Not applicable.
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