ArticleBMC nursing2024
Association between abusive supervision and nurses' withholding voice about patient safety: the roles of impression management motivation and speak up-related climate.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Classification of influencing factors of speaking-up behaviour in hospitals: a systematic review.BMC health services research · 2024Pooled it
- The Relationship between Negative Leadership Behaviours and Silence among Nurses.Journal of nursing management · 2024Pooled it
- The Role of Nurse Managers in Promoting Psychological Safety and Patient Safety Culture in Nursing Teams: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Drawing a sword to assist? How colleague's experienced abuse motivates helping behavior among nurses.BMC nursing · 2026Article
- Workplace Upward Networking Between Affective Leadership and Voice Behavior.The Journal of nursing administration · 2026Article
- The ideal-reality gap: a qualitative study of nurse middle managers' perspectives on speaking up for patient safety.Frontiers in public health · 2026Article
- Examining the effects of despotic leadership on nurses in the face of emotional exhaustion, organizational silence, and revanchist behaviors.BMC nursing · 2025Article
- The relationship between affective leadership and the voice behavior of nurses: a cross-level moderated mediation model.BMC nursing · 2025Article
- The Mediation of Workplace Upward Networking on Affective Leadership and Employee Safety Voice Among Primary Nurses: A Cross-Sectional Study.Journal of nursing management · 2025Article
- The hidden cost of abusive supervision: rudeness, sabotage, and ethics.BMC psychology · 2024Article
- Doctors' Abusive Supervision and Patients' Deviant Behavior in Taizhou, China: The Mediating Role of Patients' Negative Emotion.Psychology research and behavior management · 2024Article
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8 authors.
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Abstract
backgroundAbusive supervision by the nurse manager significantly influences nurses' withholding voice about patient safety. The role of impression management motivation and speak up-related climate is crucial in understanding their connection. This study aimed to explore the relationship between abusive supervision, impression management motivation, speak up-related climate, and withholding voice about patient safety.
methodsThis cross-sectional study employed a convenience sampling method to recruit 419 clinical nurses from Taizhou Hospital, Zhejiang Province, China, between 1 November 2022 and 31 January 2023. The study adhered to the STROBE checklist. Abusive supervision and impression management motivation were assessed using the Chinese versions of the Abusive Supervision Scale and the Impression Management Motivation Scale, respectively. Withholding voice about patient safety and speak up-related climate were identified using the Chinese version of the Speaking Up about Patient Safety Questionnaire.
resultsNurse leaders' abusive supervision (β=0.40, p<0.01) and nurses' impression management motivation (β=0.10, p<0.01) significantly and positively influenced nurses' withholding voice about patient safety. We introduced impression management motivation as a mediating variable, and the effect of abusive supervision on nurses' withholding voice decreased (β from 0.40 to 0.38, p< 0.01). Nurses' speak up-related climate played a moderating role between abusive supervision and impression management motivation (β= 0.24, p<0.05).
conclusionsAbusive supervision by nursing leaders can result in nurses withholding voice about patient safety out of self-protective impression management motives. This phenomenon inhibits nurses' subjective initiative and undermines their proactive involvement in improving patient safety, and hinders the cultivation of a culture encouraging full participation in patient safety, which should warrant significant attention.
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