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Transformational Leadership as a Catalyst for Change: Impact on Working Nursing Students’ Intentions to Leave

Y. Surahaya Mohd Yusof, Aini Binti Ahmad, Yee Bit Lian, Aniszahura Binti Abu Salim, Raziana Binti Che Aziz, Dr. Siti Fatimah Binti Md Sharif, Noor Siah Binti Abd Aziz, Rozila Binti Ibrahim, Zuraida Binti Jorkasi and Joemmaicca Augustta Anak Joggery
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Y. Surahaya Mohd Yusof: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Aini Binti Ahmad: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Yee Bit Lian: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Aniszahura Binti Abu Salim: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Raziana Binti Che Aziz: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Dr. Siti Fatimah Binti Md Sharif: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Noor Siah Binti Abd Aziz: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Rozila Binti Ibrahim: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Zuraida Binti Jorkasi: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA
Joemmaicca Augustta Anak Joggery: Nursing Department, Faculty of Technology and Applied Sciences Open University Malaysia (OUM) MALAYSIA

International Journal of Research and Innovation in Social Science, 2025, vol. 9, issue 1, 1075-1086

Abstract: The global nursing shortage persists as a significant challenge, with the World Health Organization (WHO) estimating a deficit of six million nurses globally. In Malaysia, the nurse-to-patient ratio stands at only 3.4 per 1,000 people, far below the recommended 4.5, leading to workload increases and higher turnover rates. This study investigates the influence of transformational leadership on the intentions of working nursing students to leave the profession. Employing the Spiral Successful Outcomes (SSO) model, the research employs a mixed-methods design (70% quantitative, 30% qualitative). Surveys and interviews with 500 purposively selected nursing students from diverse healthcare settings provide insights into leadership’s impact on job satisfaction and organizational commitment. The study reveals transformational leadership reduces turnover intentions by fostering professional growth and inclusivity while addressing resource constraints and dual-role challenges. Recommendations include mentorship programs, AI-driven workload management, and evidence-based policies for retention.

Date: 2025
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