Autism Spectrum Disorder and Health-Determining Behaviors: Assessing Physical Activity, Screen Time, and Sleep with the National Survey of Children's Health.

Nurses are central to any healthcare system, serving as the front‐line link between clinical policy and patient outcomes (AL‐Dossary ). Improving their clinical performance is not only an operational goal but a strategic requirement for high‐quality care (Yuxiu et al. ). In Saudi Arabia, this role has been elevated under Saudi Vision 2030, which aims to develop a more integrated, efficient and patient‐centred healthcare system. Central to this is the professionalization of nursing to meet international benchmarks (AL‐Dossary ). Leadership style is an important correlate of organizational climate and staff efficiency in nursing management (Specchia et al. ). Transformational approaches in particular have been linked with greater empowerment, psychological safety and clinical innovation among nurses (Ye and Liu ). As healthcare organizations become more complex, the leadership style adopted by nursing managers is relevant to clinical performance, particularly during systemic change (Renkema et al. ; Shakil et al. ). Currently, the Saudi Ministry of Health is implementing a Health Cluster Transformation model. By grouping hospitals and primary care centres into integrated “Clusters,” such as the Tabuk Health Cluster, the system aims to streamline care delivery. This organizational shift requires nursing leadership that can support the transition while maintaining high standards of care (AL‐Dossary ). Understanding how current leadership practices relate to frontline performance within these clusters is relevant to the national health reforms.