Almukhaini, Salma2023-11-072023-11-072023-11-01http://hdl.handle.net/10222/83067The purpose of this thesis is to explore the role development and utilization of master's-prepared Omani nurses working in clinical settings within two governmental health organizations in Oman. Multiple case study was used as a methodology. Data was collected using a descriptive survey and semi-structured individual interviews. This research found that master's-prepared Omani nurses working in clinical settings in Oman are yet to be fully utilized.Background: Healthcare systems are transforming worldwide in response to the needs of aging populations, use of complex technologies, increased costs, and the drive to improve access to care. Additionally, the desire to improve chronic disease management and prevention, and to shift care from hospital to community have contributed to healthcare system transformation. This has necessitated the need for nurses practising in advanced roles. The utilization of master's-prepared nurses varies within and across clinical settings, especially as advanced practice nurses. Positive patient and organizational outcomes have been linked to their practice. Advanced practice nursing roles are evolving in Arab countries, and little is known regarding the utilization of master’s-prepared nurses in these countries, including those practicing advanced nursing roles. Aim: This research aimed to identify how master’s-prepared Omani nurses, working in clinical settings at the governmental healthcare system in Oman, have been utilized, how their roles were developed, and what factors have facilitated and hindered their utilization. Methods: Multiple case study methodology was used and involved two governmental healthcare organizations. Data were collected using a descriptive survey targeting master’s-prepared Omani nurses (n=61), semi-structured individual interviews with master’s-prepared Omani nurses (n=19), policymakers (n=8), co-workers (n=8), and a nurse educator. Official documents were reviewed. Descriptive statistics were used to analyse the survey data and thematic analysis was employed for qualitative data analysis. Results: Master’s-prepared Omani nurses were mainly utilized in leadership and managerial roles, clinical nurse educator roles, and a few worked in in specialized and advanced practice nursing roles. More than half of participants reported being underutilized, developing policies and practice protocols, and having a restricted scope of practice. Factors impacting their utilization were identified at individual, organizational, and system levels. Nurses’ personal characteristics and team support were the main identified facilitators. Role ambiguity, and a lack of clear job descriptions, career trajectories, and regulations were the main identified barriers. Nurse administrators’ support was identified as both a facilitator and a barrier. Significance: Master’s-prepared Omani nurses are valuable health human resources. They have the potential to improve patient care, enhance nursing care and advance the nursing profession in Oman. Implications for practice, policy, and education to optimize their utilization were identifieden-USRole developmentutilizationmaster's-prepared nursesgraduate educationmultiple case studyThesis