Introduction of the Study Background of the Study The Qassim is one of the administrative regions in Saudi Arabia, with a population of approximately 1,370,727 people, suggesting a need for making certain that the healthcare facilities in the area are capable of delivering medical services to these individuals (Central Department of Statistics and Information, n.d.). There are 20 hospitals in the region, with a bed capacity of 50 to 500 each, employing a large number of nurses, physicians, and surgeons. Inevitably, the management of these entities requires an understanding of factors that affect the work of healthcare professionals, as the overall objective of operations declared by the Ministry of Health (n.d.) is to “transform healthcare delivery to a consistent, world-class standard” (para. 5). Since hospital personnel is the core aspect of quality, it is necessary to examine their work and identify areas of improvement, which in the case of this research, the focus is on motivation. The nursing workforce globally is responsible for a wide variety of tasks, including attending to the patient’s needs, administering tests and medications, aiding with procedures, and promoting healthy practices and lifestyle changes that will improve a person’s health. According to the Saudi Nursing Society (2016), one of the objectives of nurses’ work is to ensure the adoption of a culture of excellence and respond to challenges within the healthcare environment. This culture of excellence can be achieved if the conditions and opportunities provided to nurses align with their vision of career and future. Additionally, the number of nurses working in the Kingdom of Saudi Arabia continuously increases since the patient-nurse ratio has increased from 4.8 nurses per 1,000 patients to 5.7 in 2018 (“Kingdom of Saudi Arabia healthcare overview,” 2018). Although this is a positive change, several aspects must be considered, including the average patient-nurse ratio in other states and the fact the number of physicians per 1,000 patients is 2.2., suggesting that nurses have to perform many tasks as part of their day to day job. In other developed countries, this ratio is above 9, suggesting that the Qassim hospitals will have to undergo a significant transformation in the context of their hiring and management practices (“Nurses (per 1,000 people) – Health nutrition and population statistics,” n.d.). Therefore, the nursing workforce in Saudi Arabia, and Qassim, in particular, exceeds the number of other healthcare professionals, which implies a need to examine the leadership practices used to manage this population adequately. The motivation of nurses for work may vary and include financial incentives, desire to help others, or other extrinsic and intrinsic factors. For adequate management, it is essential to understand what underlying motivation of nurses in the Qassim region. Nurse motivation has been studied globally by scholars and practitioners because they believe that the link between motivation and work satisfaction exists. Similar studies were conducted in the United States, Europe, and Asia, with the findings suggesting that there are many similarities in nurse motivation (Toode, Routasalo, Helmin