Background: Leadership style is important to inspire employees and enhance job satisfaction at work. Previous studies have illustrated that leaders play a significant role to improve job satisfaction among nurses at hospitals. The main aim of this study is to discover the type of leadership style (transformational vs. transactional) of nurse leaders and how it affects the work satisfaction of Medical-Surgical nurses working in public hospitals in Qassim Region, KSA. Methods: A cross-sectional design was used. The following tools were utilized to be able to have an outcome of the research study; Multifactor Leadership Questionnaire (MLQ) and Job Satisfaction Survey (JSS) with demographics datasheet. The convenience sampling technique was employed for this study and the study recruited exactly 437 participants. This study was conducted in MOH hospitals; King Fahad Specialist Hospital (KFSH), Buraidah Central Hospital (BCH), and King Saud Hospital (KSH) in Qassim Region, KSA. The study used SPSS software to analyze the numeric data via using the following tests: descriptive analysis, Cronbach’s alpha, Pearson correlation, and Linear regression. Results: The result showed that leadership style was significant, transformational leadership (t=3.50, p<0.01) was more effective for predicting job satisfaction than transactional leadership (t=2.43, p<0.05). The result of JSS was measured by 36 items using a 6-point Likert scale, and the overall score was M=3.49 ± 1.30, a moderate level. Conclusion: To sum up, this study recommended improving leadership style among nurse managers, administrators, and supervisors, more particularly, the adoption of the transformational technique to improve staff job satisfaction, encourage them to stay in their current job, and enhance their self-progress in the profession.
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