Predictors of Adaptive Performance Among Nurses in Tertiary Care Hospitals of Peshawar, the Islamic Republic of Pakistan: A Cross-Sectional Study
DOI:
https://doi.org/10.60099/prijnr.2026.281936Keywords:
Adaptive performance, Job crafting, Nurses, Pakistan, Tertiary care hospitals, Work engagementAbstract
Adaptive performance plays an important role in helping individuals and organizations to respond effectively to uncertain, rapidly changing, and complex work environments. Therefore, it is necessary for healthcare workers, especially nurses in private hospitals, to adjust themselves to changes, challenges, and dynamic environments. There is also the influence of factors such as job crafting, work engagement, and demographic variables on adaptive performance. Nurses in developing nations like Pakistan face challenges due to resource constraints, high patient loads, and shifting healthcare demands requiring exceptional adaptive performance to maintain quality of care. This study aimed to examine adaptive performance among nurses in three tertiary care hospitals in Peshawar, the Islamic Republic of Pakistan, and to examine the factors predicting adaptive performance, including age, years of experience, educational level, job crafting, and work engagement. The participants were 162 registered nurses, selected using a stratified random sampling. The study instruments included the Adaptive Performance Scale, the Job Crafting Scale, and the Utrecht Work Engagement Scale. Descriptive statistics and multiple regression were used for data analysis.
Results showed that the overall level of adaptive performance was high. Work engagement and job crafting contributed significantly to the model predicting adaptive performance. Two predictors could explain 33.8% of the variance in adaptive performance. Age, education, and years of experience could not predict adaptive performance. Results provide information for hospital administrators, nursing administrators, and health policymakers to enhance adaptive performance predictors, including job crafting and work engagement in nursing practice. This helps inform nurses to develop interventions enhancing adaptive performance and based on job crafting and work engagement, and test the effect of the interventions.
References
Enahoro A, Osunlaja O, Maha CC, Kolawole TO, Abdul S. Reviewing healthcare quality improvement initiatives: Best practices in management and leadership. Int J Manag Entrep Res. 2024;6(6):1869-84. doi:10.51594/ijmer.v6i6.1171.
Yusuf S. Contemporary nursing as a dynamic response to evolving health challenges. Indones Contemp Nurs J. 2025;10(1):1-2. doi:10.20956/icon.v10i1.46314.
Krijgsheld M, Tummers LG, Scheepers FE. Job performance in healthcare: a systematic review. BMC Health Serv Res. 2022;22(1):149. doi:10.1186/s12913-021-07357-5.
Viswesvaran C, Ones DS. Perspectives on models of job performance. Int J Sel Assess. 2000;8(4):216-26. doi:10.1111/1468-2389.00151.
Alonso JM, Clifton J, Diaz-Fuentes D. The impact of new public management on efficiency: an analysis of Madrid's hospitals. Health Policy. 2015;119(3):333-40. doi:10.1016/j.healthpol.2014.12.001.
Drotz E, Poksinska B. Lean in healthcare from employees' perspectives. J Health Organ Manag. 2014;28(2):177-95. doi:10.1108/JHOM-03-2013-0066.
Nilsen P, Seing I, Ericsson C, Birken SA, Schildmeijer K. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Serv Res. 2020;20(1):147. doi:10.1186/s12913-020-4999-8.
Oygarden O, Olsen E, Mikkelsen A. Changing to improve? Organizational change and change-oriented leadership in hospitals. J Health Organ Manag. 2020;34(6):687-706. doi:10.1108/JHOM-09-2019-0280.
Hamid S, Malik AU, Kamran I, Ramzan M. Job satisfaction among nurses working in the private and public sectors: a qualitative study in tertiary care hospitals in Pakistan. J Multidiscip Healthc. 2013;7:25-35. doi:10.2147/JMDH.S55077.
Aslam MS, Awan TH, Nasir N, Anwar MJ. The role of thriving and determinants of adaptive performance: a moderated mediated model in the health sector of Pakistan. iRASD J Manag. 2022;4(1):61-76. doi:10.52131/jom.2022.0401.0062.
Ullah T, Ullah R, Khan A, Khan JZ, Jan SS. Factors affecting the performance of clinical nurses. Int J Soc Sci Manag. 2018;5(3):125-37. doi:10.3126/ijssm.v5i3.20601.
BIBI M. Training and adaptive performance of healthcare professionals in the era of digitization in Pakistan. Sarhad J Manag. Sci. 2020;6(1):81-98.
Sausen JdFCL, Baggio DK, Brizolla MMB, Roveda TS. Strategic adaptation and reinvention: the performance of private healthcare companies in pandemic times. 2022. doi: 10.5585/riae.v21i2.20742.
Amarneh BH. Nurses’ perspectives on readiness of organizations for change: a comparative study. Nurs Res Rev. 2017:37-44. doi:10.2147/NRR.S126703.
Ibraheem S, Mohammad S, AL-Zeaud H, Batayneg AM. The relationship between transformational leadership and employees' satisfaction at Jordanian private hospitals. Bus Econ Horiz. 2011;5(2):35-46. doi:10.15208/beh.2011.13.
Milella F, Minelli EA, Strozzi F, Croce D. Change and innovation in healthcare: findings from literature. Clinicoecon Outcomes Res. 2021;13:395-408. doi:10.2147/CEOR.S301169.
Khan S, Qureshi MSH. Privatization and public-private partnership in Pakistan. J Rehman Med Inst. 2017;3(1-2):50-7. doi:10.1186/s12913-021-07357-5.
Park Y, Lim DH, Kim W, Kang H. Organizational support and adaptive performance: The revolving structural relationships between job crafting, work engagement, and adaptive performance. Sustainability. 2020;12(12):4872. doi:10.3390/su12124872.
Baharum H, Ismail A, McKenna L, Mohamed Z, Ibrahim R, Hassan NH. Success factors in adaptation of newly graduated nurses: a scoping review. BMC Nurs. 2023;22(1):125. doi: 10.1186/s12912-023-01300-1.
Topa G, Aranda-Carmena M. Job crafting in nursing: mediation between work engagement and job performance in a multisample study. Int J Environ Res Public Health. 2022;19(19):12711. doi: 10.3390/ijerph191912711.
Khan A, Jabeen M, Naveed M. Job autonomy and nurses' empowerment; the mediating role of job crafting in Azad Kashmir’s healthcare sector. Soc Sci Rev Arch. 2026;4(1):740-53. doi:10.70670/sra.v4i1.1590.
Charbonnier‐Voirin A, Roussel P. Adaptive performance: a new scale to measure individual performance in organizations. Can. J. Adm. Sci. 2012;29(3):280-93. doi:10.1002/cjas.232.
Pulakos ED, Arad S, Donovan MA, Plamondon KE. Adaptability in the workplace: development of a taxonomy of adaptive performance. J Appl Psychol. 2000;85(4):612-24. doi:10.1037/0021-9010.85.4.612.
Andela M, Truchot D, Van der Doef M. Job stressors and burnout in hospitals: the mediating role of emotional dissonance. Int J Stress Manag. 2016;23(3):298. doi:10.1037/str0000013.
Wakim N. Occupational stressors, stress perception levels, and coping styles of medical surgical RNs: a generational perspective. J Nurs Adm. 2014;44(12):632-9. doi:10.1097/NNA.0000000000000140.
Ibrahim Mahmoud S, Ali Hassan H, Marzouk Amer S. Relation between nurses’ cultural intelligence and adaptive performance. Egypt J Health Care. 2022;13(4):1922-37. doi:10.21608/ejhc.2022.338895.
Naz S, Hashmi AM, Asif A. Burnout and quality of life in nurses of a tertiary care hospital in Pakistan. J Pak Med Assoc. 2016;66(5):532-6.
Khair-Un-Nisa Khan DZ, Tanveer N, Urooj S, Usman U, Peter C, Pardhan S. Factors contributing to increased stress among bedside nurses working in Tertiary Care Hospitals in Karachi, Pakistan. Pak J Med Health Sci. 2024;18(9):33-7. doi:10.53350/pjmhs020241897.
Ageiz MH, Abd El Mageed HH. Job crafting intervention program: a means for promoting interprofessional learning and performance adaptability among nurses. Menoufia Nurs J. 2023;8(4):291-319. doi:10.21608/menj.2023.345667.
Badran F, Akeel AF. Job crafting and adaptive performance among staff nurses. Int J Novel Res Healthc Nurs. 2020;7(1):485-96.
Shahidan AN, Azizan FL, Arifin MA, Abumandil MS, Arshad MZ. Person environment fit and adaptive performance among nurses in Malaysian public hospitals. IJARBSS. 2021;11(8):593-604. doi:10.6007/IJARBSS/v11-i8/10167.
Tims M, Bakker AB, Derks D. Development and validation of the job crafting scale. J Vocat Behav. 2012;80(1):173-86. doi:10.1016/j.jvb.2011.05.009.
Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire: a cross-national study. Educ Psychol Meas. 2006;66(4):701-16. doi:10.1177/0013164405282471.
Saptarini NI, Mustika MD. Workforce agility and adaptive performance in government institution: the mediating role of work engagement. J Manaj Dan Kewirausahaan. 2023;25(1):55-62.doi:https://doi.org/10.9744/jmk.25.1.55-62.
Rojas Reyes J, Rivera Álvarez LN, Morera Pomarede MJ. Pedagogic aspects in nursing education: integrative review. Inves Educ Enferm. 2018;36(3). doi:10.17533/udea.iee.v36n3e03.
Moule P, Goodman M, Aveyard H. Nursing research: an introduction. California: Sage Publication; 2016. doi:10.4135/9781036234799.
Charbonnier-Voirin A, El Akremi A, Vandenberghe C. A multilevel model of transformational leadership and adaptive performance and the moderating role of climate for innovation. Group Organ Manag. 2010;35(6):699-726. doi:10.1177/1059601110390833.
Wihler A, Meurs JA, Wiesmann D, Troll L, Blickle G. Extraversion and adaptive performance: integrating trait activation and socioanalytic personality theories at work. Pers Individ Differ. 2017;116:133-8. doi:10.1016/j.paid.2017.04.034.
Iida M, Sakuraya A, Watanabe K, Imamura K, Sawada U, Akiyama H, et al. The association between team job crafting and work engagement among nurses: a prospective cohort study. BMC Psychol. 2024;12(1):66. doi: 10.1186/s40359-024-01538-7.
Seppälä P, Harju L, Hakanen JJ. Interactions of approach and avoidance job crafting and work engagement: a comparison between employees affected and not affected by organizational changes. Int J Environ Res Public Health. 2020;17(23):9084. doi: 10.3390/ijerph17239084.
Vimonvattana A, Benjakul N. The work engagement among nurses in an urban-based tertiary hospital. Nurs Rep. 2025;15(7):241. doi:10.3390/nursrep15070241.
Naveed M. Work engagement and burnout relationship with adaptive job performance: role of psychological ownership. JISR Manag Soc Sci Econ. 2022;20(2):38-60. doi:10.31384/jisrmsse/2022.20.2.3.u43.
Bakker A. Strategic and proactive approaches to work engagement. Org Dyn. 2017;46(2):67-75. doi:10.1016/j.orgdyn.2017.04.002.
Al-Hasnawi AA, Aljebory MKA. Relationship between nurses' performance and their demographic characteristics. J Port Sci Res. 2023;6(1):11-5. doi:10.36371/port.2023.1.3.
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