Evidence map›Paper›PMID 42363792›Full record

ArticleJournal of nursing management2026

The Mediating Role of Job Rotation Between Clinical Leadership Skills and Clinical Decision-Making Among Jordanian Nurses.

Luma Ghazi Alzamel, Samar Thabet Jallad, Khitam Alsaqer, Maram Taher Alghabbashi

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Luma Ghazi AlzamelNursing Leadership and Management, Department of Nursing, Nursing Faculty, Applied Science Private University, Amman, Jordan, asu.edu.jo.ORCID https://orcid.org/0000-0001-5245-4678
Samar Thabet JalladNursing Education, Department of Nursing, Faculty of Health Professions, Al-Quds University, Jerusalem, State of Palestine, alquds.edu.ORCID https://orcid.org/0000-0002-1781-978X
Khitam AlsaqerCommunity and Mental Health Nursing Department, Faculty of Nursing, Zarqa University, Zarqa, Jordan, jadara.edu.jo.ORCID https://orcid.org/0000-0002-2180-0432
Maram Taher AlghabbashiFaculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia, uqu.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNurses in resource-limited settings like Jordan require strong leadership and clinical judgment. Job rotation is believed to improve adaptability and self-efficacy, but its effect on clinical decision-making is unclear. PURPOSE: This study aimed to examine whether job rotation mediates the relationship between clinical leadership skills and clinical decision-making among nurses.

methodsA cross-sectional correlational study was conducted among 395 registered nurses employed in Jordanian governmental hospitals. Participants were recruited using a proportional random sampling technique. Data were collected using validated questionnaires assessing clinical leadership skills, job rotation, and clinical decision-making. Statistical analyses, including ANOVA and regression analysis, were performed to examine relationships among the study variables. Structural equation modeling (SEM) was additionally used to assess mediation effects.

findingsThe results showed significant differences between clinical decision-making and gender, marital status, and educational level. Clinical leadership significantly predicted decision-making (β = 0.433, 95% CI [0.331, 0.535], t = 8.226, p < 0.001). In contrast, job rotation indicated no significant direct effect (β = 0.000, 95% CI [-0.052, 0.051], t = -0.010, p = 0.992) and did not mediate the relationship between leadership and decision-making (β = 0.008, 95% CI [-0.041, 0.057], t = 0.325, p = 0.745).

conclusionLeadership skills were significantly associated with nurses' clinical decision-making, and leadership development may play a more substantial role in clinical decision-making than job rotation within this sample. IMPLICATION FOR NURSING MANAGEMENT: Job rotation implementation has to be intentional, by putting real effort into structured training, mentoring, and embedding workplace learning into daily routines, which improves decision-making quality, increases professional confidence, and ultimately enhances patient outcomes.

Indexed as

Clinical CompetenceClinical Decision-MakingLeadershipNursesAdultCross-Sectional StudiesFemaleHumansJordanMaleMiddle AgedSurveys and Questionnairesclinical decision-makingclinical leadershipjob rotationJordanmediation analysisnurses

Identifiers

PMID42363792
PMCPMC13309901

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.