The Impact of the Magnet Organizational Environment on Nursing Performance: A Mediation Analysis of Nurse Well-Being in the Saudi Healthcare Context

The global demand for safe, affordable, and high-quality healthcare continues to grow, increasing the need for organisational models that strengthen nursing practice and improve performance. The Magnet Recognition Program serves as a leading example, offering a framework that empowers nurses, fosters supportive environments, and enhances patient outcomes. While this model has been widely studied in Western systems, its impact on non-Western contexts remains less explored. Saudi Arabia, currently transforming its healthcare sector through Vision 2030, provides an ideal setting to evaluate the relevance of Magnet principles. This study examined how nurses’ well-being shapes the relationship between Magnet-based organisational systems and professional nursing performance in Saudi hospitals. A quantitative, cross-sectional approach was adopted, using validated instruments such as the Nursing Work Index and Practice Environment Scale to measure organisational conditions, the Six-Dimension Scale of Nursing Performance to assess outcomes, and standardised tools for well-being. Structural equation modelling was employed to analyse mediation effects. Results demonstrated that Magnet-aligned workplaces contributed to higher nursing performance, with well-being acting as a crucial mediator. Supportive organisational cultures improved well-being, which translated into stronger professional outcomes. These findings support the integration of Magnet concepts in Saudi healthcare, advancing nurse empowerment, retention, and patient care in alignment with Vision 2030 reforms.