Abstract
Background. In the rapidly evolving healthcare management landscape, technology integration and artificial intelligence utilization play pivotal roles in shaping employee productivity. This research investigates these dynamics within Riyadh Province, Kingdom of Saudi Arabia, focusing on the relationships between technology integration, the use of artificial intelligence in nursing profession, nursing workforce competencies, technological leadership, and employee productivity. Methods. A quantitative approach was employed, involving 329 nurses from five hospitals in Riyadh Province. Partial Least Squares Structural Equation Modeling facilitated comprehensive analysis of direct and indirect relationships among variables. Results. Findings reveal that technology integration significantly enhances nursing productivity, while the use of artificial intelligence initially presents disruptions before yielding productivity gains. Nursing workforce competencies mediate these relationships, emphasizing the critical role of workforce readiness in harnessing technology’s benefits. Surprisingly, technological leadership did not significantly moderate these effects. Conclusions. This research offers vital insights for healthcare organizations, advocating strategic technology integration and workforce development. It underscores the significance of nursing competencies in navigating technological transformations and affirms the enduring importance of leadership in guiding these changes. As healthcare evolves, these findings provide guidance for optimizing technology and artificial intelligence to enhance employee productivity and patient care.