Background: Perceived inequity in work allocation has well-documented consequences for nurse job satisfaction, organizational commitment, and patient safety. Despite this recognition, empirical research examining how nurses in Middle Eastern healthcare contexts conceptualize allocation justice remains limited. This qualitative study explored Saudi registered nurses’ perceptions of work allocation justice, identified the organizational factors shaping those perceptions, and examined their implications for nurse well-being and quality of care. Methods: A qualitative design employing reflexive thematic analysis was used, grounded in constructivism. Semi-structured individual interviews were conducted with 17 purposively sampled registered nurses from three Riyadh-based healthcare facilities. Credibility was established through data, method, and analyst triangulation; peer debriefing; and member checking (12 of the 17 participants were purposively selected for member checking to represent the full range of experiences; 11 of those 12 confirmed thematic plausibility). Thematic saturation was reached at interview 13. Results: Six interconnected themes emerged: (1) Understanding Work Justice; (2) Personal Experiences; (3) Influencing Factors; (4) Psychological and Professional Impacts; (5) Institutional and Administrative Support; and (6) Future Perspectives. Participants define fairness as contextual equity and relational respect rather than simple numerical equality. Inequities were driven by staffing constraints, leadership styles, and policy gaps, leading to burnout and reduced organizational commitment. Conclusions: Saudi nurses experience meaningful allocation inequities arising from structural constraints, leadership variability, and the absence of written allocation policies. Addressing these inequities requires coordinated action on policy transparency, objective criteria, and psychologically safe communication channels. These findings provide contextually grounded, evidence-informed guidance for developing equitable nursing work environments that support workforce retention and patient safety.

Background: Rural and remote health systems are diverse; while many of these settings face persistent workforce shortages and access gaps, not all are underserved. Nurses play a critical role in improving access, continuity, and quality of care in these contexts. However, evidence on their roles, the challenges they face, and the outcomes associated with their contributions remains fragmented. Objective: To map the roles, challenges, and reported outcomes of nurses working in rural and remote healthcare settings, and to examine the quality and scope of the available evidence. Design: This study employed JBI scoping review methodology and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Methods: Eligible studies involved registered nurses (RNs) and nurse practitioners (NPs) providing care in rural or remote settings and reporting at least one outcome related to patients, services, or health systems. Six bibliographic databases (PubMed/MEDLINE, CINAHL, Embase, Scopus, Web of Science, Cochrane Library) plus Google Scholar for supplementary grey literature retrieval and targeted grey literature were searched (from 1 January 2000 to 30 September 2025). The lead author conducted screening and data extraction, supported by a 10% calibration pilot and structured peer debriefing. Design-specific critical appraisal was undertaken descriptively to inform interpretation but did not determine inclusion. Results: From 22 primary empirical studies (plus 2 contextual-only entries; 24 total, nurses’ roles clustered into direct clinical care, care coordination/navigation, telehealth facilitation, and health promotion. Reported outcomes were predominantly in access/utilization (e.g., time-to-care), quality and safety indicators, and patient-reported outcomes/experiences; clinical endpoints were less common. Conclusions: Nurses in rural and remote settings enact broad, adaptive roles that appear to support healthcare access and service continuity. The evidence base is predominantly descriptive, and causal claims about effectiveness cannot be drawn from the available studies. Standardized outcome frameworks, multi-reviewer methodologies, and effectiveness-focused primary research are needed to advance this field.

Background: Nurses played an essential role in handling suspected and confirmed COVID‐19 cases during the pandemic. Assessing nurses’ competencies is important to improve preparedness and quality of care during public health emergencies. Aim: This study aimed to assess nurses’ competencies in handling COVID‐19 cases at Al‐Quwayiyah General Hospital, Riyadh Region, the Kingdom of Saudi Arabia. Methods: A descriptive correlational research design was utilized. A purposive sample of 162 nurses participated in the study. Data were collected using a structured interviewing questionnaire and the nurse competence scale (NCS). Results: The mean total competence score was 158.27 ± 37.12. Based on quality‐of‐action (VAS) scores, 46.9% of nurses demonstrated a very good level of competence, while 41.4% demonstrated a good level of competence. Regarding frequency‐of‐action scores, the highest competency levels were observed in the managing situations (2.29–2.49), diagnostic functions (2.29–2.41), and therapeutic interventions (2.26–2.44) domains, whereas the lowest levels were reported in the ensuring quality (1.66–1.93) and work role (1.63–2.10) domains. Significant positive correlations were identified between diagnostic functions and managing situations ( r = 0.909, p < 0.01), teaching–coaching and diagnostic functions ( r = 0.900, p < 0.01), and the quality and frequency of action scores ( r = 0.905, p < 0.01). Non‐Saudi nurses demonstrated significantly higher competence scores than Saudi nurses ( t = −3.491, p = 0.001). Competence levels also differed significantly according to age group ( F = 10.738, p < 0.001) and hospital department ( F = 2.753, p = 0.003). Conclusion: Nurses reported relatively high levels of self‐perceived competence in handling COVID‐19 cases. Although frequency‐of‐action scores were generally moderate across competency domains, quality‐of‐action scores indicated good to very good competence levels. Higher competencies were observed in managing situations, diagnostic functions, therapeutic interventions, and teaching–coaching activities, whereas lower competencies were identified in quality improvement, work‐role responsibilities, mentorship, delegation, and evidence‐based practice activities. Continuous competency‐based education, disaster preparedness training, mentorship programs, and evidence‐based practice initiatives are recommended to strengthen nurses’ preparedness for future healthcare emergencies.

Background: Digital technology overuse in healthcare settings has introduced new forms of workplace disruption, including supervisor phubbing, defined as the act of diverting attention from subordinates to mobile devices. Supervisor phubbing may be associated with nurses’ cyberloafing behavior, while the organizational cultural context may influence this relationship. Aim: To examine the association between supervisor phubbing and nurses’ cyberloafing behavior and to investigate the mediating role of clan organizational culture in this relationship. Methods: A cross‐sectional correlational study was conducted among 520 nurses from four university hospitals in Egypt. Data were collected using standardized and psychometrically validated self‐report instruments measuring supervisor phubbing, cyberloafing behavior, and perceived clan culture. Structural equation modeling was used to examine the hypothesized mediation model by estimating direct and indirect associations among the study variables. Results: Nurses reported moderate levels of perceived supervisor phubbing, cyberloafing behavior, and clan culture. Supervisor phubbing was positively associated with cyberloafing behavior. Clan culture was also significantly associated with both supervisor phubbing and cyberloafing behavior and statistically mediated the association between supervisor phubbing and cyberloafing. These findings suggest that higher perceptions of clan culture are associated with a weaker relationship between supervisor phubbing and cyberloafing behavior. Conclusions: The findings indicate that supervisor phubbing is associated with higher levels of cyberloafing behavior among nurses and that clan culture statistically mediates this relationship. Given the cross‐sectional design, these findings should be interpreted as associative rather than causal. Longitudinal studies are warranted to confirm the temporal ordering of these relationships. Implications for Nursing Management: Nursing managers should foster a clan‐oriented organizational culture and encourage appropriate supervisory digital behavior and relational leadership practices. Although causal inferences cannot be drawn, these strategies may contribute to healthier workplace relationships and may be associated with lower levels of cyberloafing behavior among nurses.

Background: Caring for older adults with multimorbidity represents one of the most challenging aspects of contemporary nursing practice. While research has examined clinical outcomes and care models, limited attention has been given to how nurses develop resilience and adapt their professional practice to meet these complex care demands. This study aimed to examine how nurses build resilience and adapt their professional practice when caring for older adults with multimorbidity in acute care environments. Methods: This qualitative study employed in-depth semi-structured interviews with 15 registered nurses across general and specialized hospital settings. Data were analyzed using interpretive phenomenological analysis to understand the essence of nurses’ adaptation and resilience-building experiences. Results: Three superordinate themes emerged: (1) Professional evolution through complexity navigation, (2) Emotional resilience and meaning-making in challenging care situations, and (3) Collaborative networks as sources of strength and learning. Nurses demonstrated remarkable capacity for professional growth, developing sophisticated coping mechanisms and finding meaning in their challenging work. Conclusions: Nurses caring for older adults with multimorbidity undergo significant professional development, building resilience through experiential learning, peer support, and meaning-making processes, though these gains are accompanied by real emotional costs, including moral distress and exhaustion. Understanding these adaptation mechanisms is crucial for supporting nursing workforce sustainability and optimizing patient care quality.

Gender shapes healthcare experiences, yet its influence on palliative care (PC) in Middle Eastern contexts remains under-researched. Understanding how male and female patients differently experience PC is essential for delivering gender-sensitive nursing care. A cross-sectional study was conducted among 200 cancer patients recruited from healthcare facilities in Saudi Arabia. PC quality perceptions were measured using the Palliative Care Experience and Quality Questionnaire (PCEQQ), assessing communication, symptom management, emotional support, and overall quality. Independent-samples t-tests compared mean scores between male (n = 99) and female (n = 101) participants. Chi-square tests and logistic regression examined gender differences in access and associated factors. Female patients reported significantly higher overall satisfaction (M = 4.12 vs. M = 3.85, p = 0.008) and communication quality (M = 4.10 vs. M = 3.65, p = 0.002) compared to males. Females also demonstrated greater PC awareness (69.3% vs. 47.5%, p = 0.008) and access rates (64.4% vs. 47.5%, p = 0.013). Emotional support ratings approached significance, favoring females (p = 0.052), while symptom management showed no significant gender differences. These findings suggest that gender significantly shapes the PC experience in Saudi Arabia, with the most robust disparity appearing in provider, patient communication. Nurses should adopt gender-sensitive strategies to bridge the engagement gap for male patients, who may face cultural barriers to accessing supportive care.