Evidence map›Paper›PMID 42760510›Full record

ArticleBMC nursing2026

Job satisfaction among Saudi and Non-Saudi critical care and emergency nurses: associations with psychological distress, turnover intention, and perceived retention strategies.

Zyad T Saleh, Majed S Al-Za'areer, Rami A Elshatarat, Amal Ali Alasmari, Wesam T Almagharbeh, Faroq Abdulghani Alshameri, Hala Zaiton, Abdullah R Allugmani, Bader Hameed Aljuhani, Rami Saleem Aloufi and 4 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. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Zyad T SalehDepartment of Clinical Nursing, School of Nursing, The University of Jordan, Amman, Jordan.
Majed S Al-Za'areerDepartment of Respiratory Therapy, Faculty of Allied Medical Sciences, Jadara University, Irbid, Jordan.
Rami A ElshataratDepartment of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
Amal Ali AlasmariMedical and Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia.
Wesam T AlmagharbehMedical and Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia.
Faroq Abdulghani AlshameriMedical and Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia.
Hala ZaitonDepartment of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
Abdullah R AllugmaniDepartment of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
Bader Hameed AljuhaniCollege of Nursing, Taibah University, Madinah, Saudi Arabia.
Rami Saleem AloufiCollege of Nursing, Taibah University, Madinah, Saudi Arabia.
Khaled M Al-SayaghiDepartment of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
Ghaida Shujayyi AlsulamiDepartment of Clinical Nursing Practices, Faculty of Nursing, Umm Al- Qura University, Makkah, Saudi Arabia.
Abdallah Hussein AmoushDepartment of Allied Medical Sciences, Faculty of Applied Medical Sciences, Al Al-Bayt University, Mafraq, Jordan.
Maha Salah IsmailCritical Care and Emergency Nursing Department, Faculty of Nursing, Cairo University, Giza, Egypt. msismail@taibahu.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritical care and emergency nurses work in complex and demanding environments that may affect their occupational well-being, psychological health, and job satisfaction. Although previous studies have examined nurse retention challenges, limited evidence exists regarding factors associated with job satisfaction among Saudi and non-Saudi nurses working in high-acuity clinical settings in Saudi Arabia. PURPOSE: This study aimed to assess job satisfaction, psychological distress, turnover intention, and perceived organizational retention strategies among critical care and emergency nurses in Saudi Arabia and to identify factors statistically associated with higher job satisfaction.

methodsA descriptive cross-sectional correlational study was conducted among 494 critical care and emergency nurses recruited through convenience sampling from hospitals across five cities in northwestern Saudi Arabia. Data were collected using the McCloskey/Mueller Satisfaction Scale, Turnover Intention Scale, Patient Health Questionnaire-2, Generalized Anxiety Disorder-2, and a structured retention strategy questionnaire. Descriptive statistics, chi-square tests, Pearson correlation analysis, and multiple logistic regression analysis were performed.

resultsOverall, 57.9% of nurses reported moderate job satisfaction and 51.8% reported moderate turnover intention. Non-Saudi nurses reported higher perceived job distress and turnover intention compared with Saudi nurses. Job satisfaction was negatively associated with turnover intention (r = - 0.435, p = 0.021). Multiple logistic regression analysis showed that salary ≥ 10,000 Saudi Riyals (OR = 2.68), employment in governmental hospitals (OR = 3.14), working in emergency departments (OR = 1.92), lower perceived job distress (OR = 2.62), absence of anxiety symptoms (OR = 2.47), lower back pain severity (OR = 1.86), and absence of depressive symptoms (OR = 1.58) were statistically associated with higher job satisfaction.

conclusionJob satisfaction among critical care and emergency nurses was associated with workplace characteristics, physical health status, and psychological well-being. Although turnover intention was inversely correlated with job satisfaction, the cross-sectional design limits interpretation of temporal relationships. Organizational strategies focusing on supportive work environments, psychological well-being, equitable employment conditions, and professional development may contribute to improved nurse satisfaction and workforce stability. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Critical care nursingEmergency nursingJob satisfactionPsychological distressRetention strategiesSaudi ArabiaTurnover intention

Identifiers

PMID42760510
PMCPMC13587452

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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.