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Peer-reviewedCC BY 4.0PLOS One

Resilience as an indirect pathway linking perceived skill development and institutional support with job satisfaction and burnout among nurses in Saudi Arabia: A cross-sectional study

  • Rayhanah R. Almutairi1
  • Wjdan A. Almutairi2
  • Faihan F. Alshaibany3
  • Waleed M. Alshehri4
  • Asrar S. Almutairi5
  • Thurayya Eid6
  • Ashwaq A. Almutairi7
  • Norah M. Alyahya8
  • Bandar S. Alharbi
  • Abdulaziz M. Alodhailah
8 affiliations
  1. 1Community and Psychiatric Mental Health Nursing Department, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
  2. 2College of Nursing, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
  3. 3King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
  4. 4Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
  5. 5Department of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, Saudi Arabia
  6. 6Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
  7. 7Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia
  8. 8Department of Community and Psychiatric Mental Health Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
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Abstract

Burnout among nurses threatens healthcare quality and workforce sustainability. This study examined associations between perceived skill development, institutional support, resilience, job satisfaction, and burnout among nurses in Saudi Arabia, testing resilience as a mediator linking organizational resources to outcomes. In this cross-sectional study, 190 registered nurses from three hospitals in Riyadh completed validated instruments: Professional Development Scale in Nursing, Survey of Perceived Organizational Support, Connor–Davidson Resilience Scale-25, Index of Work Satisfaction, and Copenhagen Burnout Inventory. Hierarchical regression and regression-based mediation (PROCESS Model 4; 5,000 bootstrap samples) were conducted, controlling for age, gender, experience, hospital type, and nationality. Reporting follows STROBE guidelines. Skill development (β = 0.38, p < 0.001) and institutional support (β = 0.34, p < 0.001) were independently associated with resilience (R2 = 0.412). Resilience was positively associated with job satisfaction (r = 0.48) and negatively with burnout (r = −0.54). Indirect effects via resilience were statistically significant for the paths from skill development to job satisfaction (0.15,95% CI [0.09,0.22]), skill development to burnout (−0.23,95% CI [−0.32, −0.15]), institutional support to job satisfaction (0.14,95% CI [0.09,0.21]), and institutional support to burnout (−0.19,95% CI [−0.28, −0.12]). Nationality was not significantly associated with resilience (β = 0.03, p = 0.660). Higher perceived skill development and institutional support were associated with higher resilience, which in turn correlated with improved job satisfaction and reduced burnout. These findings suggest that strengthening organizational resources is associated with higher nurse resilience and, in turn, with more favorable job satisfaction and burnout profiles; given the cross-sectional design, causal or directional claims cannot be made.

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Cite

BibTeXRIS
BibTeX
@article{almutairi2026resilience,
  title = {{Resilience as an indirect pathway linking perceived skill development and institutional support with job satisfaction and burnout among nurses in Saudi Arabia: A cross-sectional study}},
  author = {Rayhanah R. Almutairi and Wjdan A. Almutairi and Faihan F. Alshaibany and Waleed M. Alshehri and Asrar S. Almutairi and Thurayya Eid and Ashwaq A. Almutairi and Norah M. Alyahya and Bandar S. Alharbi and Abdulaziz M. Alodhailah},
  journal = {PLOS One},
  year = {2026},
  month = oct,
  doi = {10.1371/journal.pone.0345356},
  url = {https://doi.org/10.1371/journal.pone.0345356},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Resilience as an indirect pathway linking perceived skill development and institutional support with job satisfaction and burnout among nurses in Saudi Arabia: A cross-sectional study
AU  - Rayhanah R. Almutairi
AU  - Wjdan A. Almutairi
AU  - Faihan F. Alshaibany
AU  - Waleed M. Alshehri
AU  - Asrar S. Almutairi
AU  - Thurayya Eid
AU  - Ashwaq A. Almutairi
AU  - Norah M. Alyahya
AU  - Bandar S. Alharbi
AU  - Abdulaziz M. Alodhailah
PY  - 2026
DA  - 2026/10/08
JO  - PLOS One
DO  - 10.1371/journal.pone.0345356
UR  - https://doi.org/10.1371/journal.pone.0345356
AB  - Burnout among nurses threatens healthcare quality and workforce sustainability. This study examined associations between perceived skill development, institutional support, resilience, job satisfaction, and burnout among nurses in Saudi Arabia, testing resilience as a mediator linking organizational resources to outcomes. In this cross-sectional study, 190 registered nurses from three hospitals in Riyadh completed validated instruments: Professional Development Scale in Nursing, Survey of Perceived Organizational Support, Connor–Davidson Resilience Scale-25, Index of Work Satisfaction, and Copenhagen Burnout Inventory. Hierarchical regression and regression-based mediation (PROCESS Model 4; 5,000 bootstrap samples) were conducted, controlling for age, gender, experience, hospital type, and nationality. Reporting follows STROBE guidelines. Skill development (β = 0.38, p < 0.001) and institutional support (β = 0.34, p < 0.001) were independently associated with resilience (R2 = 0.412). Resilience was positively associated with job satisfaction (r = 0.48) and negatively with burnout (r = −0.54). Indirect effects via resilience were statistically significant for the paths from skill development to job satisfaction (0.15,95% CI [0.09,0.22]), skill development to burnout (−0.23,95% CI [−0.32, −0.15]), institutional support to job satisfaction (0.14,95% CI [0.09,0.21]), and institutional support to burnout (−0.19,95% CI [−0.28, −0.12]). Nationality was not significantly associated with resilience (β = 0.03, p = 0.660). Higher perceived skill development and institutional support were associated with higher resilience, which in turn correlated with improved job satisfaction and reduced burnout. These findings suggest that strengthening organizational resources is associated with higher nurse resilience and, in turn, with more favorable job satisfaction and burnout profiles; given the cross-sectional design, causal or directional claims cannot be made.
SN  - 1932-6203
ER  -