Mada Ibrahim Hamzi
Background: Healthcare organizations increasingly recognize that an engaged nursing workforce is fundamental to achieving high-quality patient care and sustainable organizational performance. Nurses' engagement has been associated with improved productivity, workforce retention, and patient outcomes; however, evidence regarding its contribution to organizational effectiveness within Saudi Arabian hospitals remains limited. Aim: This study aimed to assess the level of nurses' engagement and organizational effectiveness, examine the relationship between these variables, determine whether nurses' engagement predicts organizational effectiveness, and explore their associations with selected demographic and professional characteristics among registered nurses working in public hospitals in Jazan, Saudi Arabia. Methods: A quantitative cross-sectional correlational study was conducted between January and March 2026 among 458 registered nurses employed at three Ministry of Health hospitals in the Jazan region. Participants were selected using proportionate stratified random sampling. Data were collected using standardized questionnaires measuring nurses' engagement and organizational effectiveness. Descriptive statistics were used to summarize participants' characteristics and study variables. Pearson's correlation analysis examined the association between nurses' engagement and organizational effectiveness, while multiple linear regression identified predictors of organizational effectiveness after controlling for demographic and professional variables. Statistical analyses were performed using IBM SPSS Statistics version 29, with statistical significance set at p < 0.05. Results: Nurses reported a high level of work engagement (Mean = 3.70, SD = 0.623) and perceived organizational effectiveness (Mean = 3.50, SD = 0.465). Correlation analysis demonstrated a statistically significant positive association between nurses' engagement and organizational effectiveness (r = 0.684, p < 0.001). Multiple linear regression analysis showed that the overall model was statistically significant (F(7,450) = 62.81, p < 0.001), explaining 49.4% of the variance in organizational effectiveness (Adjusted R² = 0.486). Nurses' engagement emerged as the strongest independent predictor of organizational effectiveness (β = 0.674, p < 0.001), while hospital affiliation also showed a significant positive association (p = 0.010). Gender, age, educational level, years of experience, and current clinical unit were not significant predictors. Conclusion: The findings indicate that nurses' engagement is a major contributor to organizational effectiveness in public hospitals. Strengthening work engagement through supportive leadership, professional development, recognition, effective communication, and participatory management may enhance organizational performance, workforce sustainability, and the quality of patient care. Healthcare administrators should prioritize engagement-focused strategies as part of organizational improvement initiatives and workforce planning.