ArticleBMC nursing2023
Toxic leadership behaviour of nurse managers and turnover intentions: the mediating role of job satisfaction.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness and economic evidence of organizational and management interventions to promote mental wellbeing and resilience in elderly care workers and informal caregivers - a systematic review.BMC health services research · 2025Pooled it
- Toxic leadership, conscientious intelligence, and quality of nursing work life among registered nurses: A cross-sectional moderation study.International journal of nursing studies advances · 2026Article
- The Association Between Transformational Leadership and Nurses' Clinical Performance in the Tabuk Health Cluster, Saudi Arabia.Nursing open · 2026Article
- Article
- Evaluating the relationship between head nurses' leadership styles and nursing staff satisfaction: a comparison of specialized and general wards.BMC nursing · 2026Article
- When nursing leadership turns toxic: mediating, amplifying, and buffering effects of emotional exhaustion, job insecurity, and coworker support.BMC nursing · 2026Article
- The dark side of nurse-manager leadership: toxic leadership behaviours, adverse-event reporting, and care quality-an interpretive descriptive study.BMC nursing · 2026Article
- Machiavellianism in Healthcare: A Literature Review.Healthcare (Basel, Switzerland) · 2026Review
- Toxic Leadership in Hospital Nursing and Its Psychological Impact on Staff Well-Being: A Scoping Review.Journal of nursing management · 2026Article
- Assessing the Impact of Ambidextrous Leadership on Nurses' Presenteeism: A Latent Profile and Mediation Analysis Study.Journal of nursing management · 2026Article
- The association between toxic leadership behaviors and nurses' career resilience: heterogeneous indirect roles of regulatory focus profiles.Frontiers in psychology · 2026Article
- Understanding the Link Between Toxic Leadership and Employee Well-being: The Interplay of Employee Turnover, Organizational commitment, Shift timing & Industry Sector.F1000Research · 2026Article
- Staff nurses' perceptions of toxic leadership behaviors in nurse managers: a latent profile analysis.Frontiers in psychology · 2026Article
- A cross-sectional network analysis of toxic leadership behaviors among nursing managers and anxiety-depression-stress among nurses: an exploratory study.Frontiers in public health · 2026Article
- Unethical Leadership in Critical Care Teams Can Increase Burnout Among Healthcare Professionals.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Investigating factors influencing recruitment and retention of adult community nurses: an exploratory qualitative study across NHS trusts in England.Primary health care research & development · 2025Article
- Bridging Leadership Competency Gaps and Staff Nurses' Turnover Intention: Dual-Rater Study in Saudi Tertiary Hospitals.Healthcare (Basel, Switzerland) · 2025Article
- Toxic leadership and quality of work life: the moderating role of nurses' agility.BMC nursing · 2025Article
- The Impact of Toxic Leadership on Nurse Retention: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Grandiose narcissism, leadership, and workplace deviance: does self-interest always breed toxicity in leadership roles?BMC psychology · 2025Article
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Authors and funding
5 authors.
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Abstract
introductionGlobally, hospitals are confronted with major challenges of turnover of nurses. Knowledge of the factors that account for the turnover of nurses will aid in creating strategies that will enhance nurse managers' leadership behaviour and job satisfaction to reduce turnover. The study, therefore, investigated the mediating role of job satisfaction on toxic leadership and turnover intentions of nurses.
methodsA multi-centre cross-sectional study was undertaken to assess 943 nurses using the Toxic-leadership Behaviour of Nurse Managers scale, Minnesota Satisfaction Questionnaire and Turnover Intention scale. Descriptive statistics was used to assess the prevalence of toxic leadership, job satisfaction and turnover and Pearson's correlation examined the relationships between the variables. Hayes' PROCESS macro approach of mediation was used to determine the effect of toxic leadership behaviour on the turnover intention on the possible influence of job satisfaction.
resultsThe response rate for the study was 76.0%. Mean scores for turnover intentions and toxic leadership behaviour were 3.71 and 2.42 respectively. Nurses who work with toxic managers showed a higher propensity to leave their jobs. Job satisfaction acted as a mediator between the toxic leadership practices of managers and turnover intentions. The total effect of toxic leadership behaviour on turnover intention comprised its direct effect (β = 0.238, SE = 0.017, 95% CI [0.205, 0.271]) and its indirect effect (β = -0.020, SE = 0.017).
conclusionsJob satisfaction acted as a mediating factor for toxic leadership behaviour and nurses' turnover intentions. As part of nurse retention initiatives, avoiding toxic leadership behaviours will be the ultimate agenda. Nurse administrators should recognize the value of excellent leadership and develop a structured training programme through the use of evidence-based professional development plans for nurse managers.
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