Journal article
Organisational empowerment and speaking up against unsafe practice: The case for newly qualified nurses in Saudi Arabia

Research Areas
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Publication Details
Author list: Mansour Mansour, Maha Al-Madani, Abdelrahman Al-Anati and Aysar Jamama
Publisher: Mark Allen Healthcare
Publication year: 2020
Journal: British Journal of Healthcare Management
Journal name in source: British Journal of Health Care Management
Journal acronym: BJHM
Volume number: 26
Issue number: 3
Start page: 94
End page: 102
Number of pages: 9
ISSN: 1358-0574
Web of Science ID:
PubMed ID:
Scopus ID: 85081693038


Nurses' sense of empowerment and ability to speak up against unsafe clinical practice are crucial to patient safety and staff wellbeing. However, research examining these attitudes among newly qualified nurses is lacking. This study aimed to investigate perceptions of organisational empowerment and willingness to speak up against perceived unsafe practice among newly qualified nurses in Saudi Arabia.


A questionnaire was completed by a convenient sample of 83 newly qualified nurses in the Eastern Province of Saudi Arabia. Descriptive statistics and Spearman's correlation coefficient (rho) were used for data analysis.


The nurses reported moderate levels of both empowerment and willingness to speak up against unsafe practice. There was a statistically significant correlation between the participants' total structured empowerment score and their speaking up score. Willingness to speak up against potentially unsafe practice was also correlated with participants' perceived access to support at work.


These findings highlight the need to support newly qualified nurses to develop their level of empowerment and assertive communication skills. Nurse managers, educators and peers must therefore consider practical strategies to help build and sustain newly qualified nurses' sense of work empowerment and assertiveness.

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Last updated on 2020-20-04 at 07:34