Navigating Cultural Boundaries: A Comparative Analysis of Islamic and Anglo-American Nursing Administration in Saudi Arabia

This study examines the cultural perceptions of Islamic and non-Islamic nurse leaders in Saudi Arabia’s healthcare sector and their influence on administrative practices. Given the country’s distinct socioreligious context, understanding how Islamic and Anglo-American (Western) administrative models are perceived and applied by nurse leaders is essential for effective management. Conducted at King Fahad Medical City, this research employed a cross-sectional, quantitative descriptive approach, analysing data from a purposive and random sample of 113 Islamic and non-Islamic nurse leaders. A structured questionnaire comprising 29 pretested items was used, with statistical analysis performed via SPSS 25.0, incorporating descriptive and inferential statistics. Findings revealed distinct leadership inclinations; Islamic nurse leaders aligned with Sharia-based principles emphasising collective welfare and ethical integrity, while non-Islamic leaders preferred Western administrative values centered on efficiency and individual accountability. These cultural distinctions underscore leadership complexities in a multicultural healthcare workforce. To foster administrative cohesion, integrating Islamic and Western leadership frameworks is recommended. Structured orientation programs and mentorship initiatives tailored to nonIslamic leaders can enhance cultural competence and align leadership practices with Saudi societal values, optimising decision-making and strengthening leadership effectiveness. Aligned with Vision 2030, this study highlights the need for culturally adaptive leadership, workforce Saudisation and modernisation of administrative practices. Findings provide evidence-based insights into governance strategies, aiding healthcare institutions in balancing Islamic values with global leadership standards to enhance leadership effectiveness in Saudi Arabia’s evolving healthcare sector.