This study tiled “Fostering a Culture of Well-being and Civility: Pathways to Enhance Staff Retention and Improved Patient Outcomes in Nursing” aimed to explore how well-being and civility initiatives influence nurse engagement, retention, and patient outcomes within the Executive Nursing Affairs of Prince Sultan Military Medical City (PSMMC)-Ministry of Defense (MSD). Using a mixed methods descriptive correlational design, the study employed the Nursing Retention & Recognition Committee (NRCC) bilingual (Englisg-Arabic) questionaire as the main research intrument to measure nurses’ perceptions of workplace well-being, civility, engagement, and retention. Institutional data from the Nursing Retention & Recognition Committee (NRCC) covering 2022 to 2025 were also analyzed to validat the results and strengthen the interpretation. The findings revealed that PSMMC demosntates a strong commitment to fostering well-being and civility through effective recognition programs, empowerment opportunities, and initiatives promotion mutual respect. The extent of implementation of these initiatives was rated high (Mean=4.05), reflecting strong organizational support and leadership engagement. Nurse engagement and satisfaction were also moderately high (Mean=3.95), largely influenced by teamwork, morale, and professional fulfillment. Pearson’s correlation analysis showed a strong positive relationship (r = 0.74, p  0.05) between well-being and civility initiatives and staff retention. Regression analysis futher inidcated that improved well-being and civility significantly enhance patience outcomes (=0.62, p 0.05), particularly in quality of care and satisfaction. The results affirm PSMMC’s leadership excellence in nurturing a professional, respectful, and supportive nursing environment. Continuous evaluation, mentorship for newly hired nurses, and sustained recognition initiatives are recommended to strenghthen engagement and retention. Ultimately, the study emphasizes that cultivating a culture of well-being and civility is vital for promoting workforce stability and achieving excellence in patient care.