ArticleFrontiers in medicine2026
Impact of a charge nurse development program on nurses' confidence: a quasi-experimental study in a multinational tertiary hospital in the United Arab Emirates.
Article in Frontiers in medicine, 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
Background: Charge nurses are pivotal frontline leaders in acute care, yet many assume the role without formal preparation, particularly in multicultural health systems. Confidence in leadership, clinical judgment, and communication is central to safe and effective charge nurse practice, but evidence from Gulf-region tertiary hospitals remains limited. Aim: To evaluate the effectiveness of a structured Charge Nurse Development Program (CNDP) in improving nurses' confidence in leadership, clinical, and professional responsibilities within a large multinational tertiary hospital in the United Arab Emirates. Methods: A quantitative quasi-experimental pre-post design was conducted with 103 nominated registered nurses working in inpatient and critical care units. The three-phase CNDP combined self-directed e-learning, a didactic workshop with simulation and case-based activities, and three supervised charge nurse shadowing shifts, guided by Bandura's Self-Efficacy Theory, adult learning principles, and experiential learning. Confidence was measured before and 1 week after the program using the 21-item Confidence in Managing Challenging Situations Scale (CMCS). Data were analyzed using paired-samples Results: Confidence improved significantly across all 21 items and both subscales. Leadership & Ethical Practice increased from 27.48 ± 5.31 to 32.95 ± 4.05, and Clinical & Communication Confidence from 36.26 ± 7.01 to 43.56 ± 5.43; total confidence rose from 63.74 ± 11.74 to 76.51 ± 9.26 (all Conclusion: The CNDP was associated with educationally meaningful improvements in nurses' self-reported leadership and clinical confidence in a highly multicultural workforce. These findings suggest that structured, theory-informed charge nurse development may support perceived readiness for frontline leadership responsibilities. Further controlled and longitudinal studies using objective behavioral, clinical, and organizational outcomes are needed to determine whether confidence gains translate into sustained practice change.
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