ArticleBMC nursing2024
Abusive supervision and nursing students' intention to leave the nursing profession: a moderated mediation model of emotional exhaustion and the nurse-patient relationship.
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 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cultural Differences in the Relationship Between Negative Leadership Behaviours and Nurses' Emotional Exhaustion: A Systematic Review.Journal of nursing management · 2026Pooled it
- The development trajectory of self-advocacy in patients with adjuvant chemotherapy after breast cancer surgery and its predictors.Medicine · 2026Article
- When nursing leadership turns toxic: mediating, amplifying, and buffering effects of emotional exhaustion, job insecurity, and coworker support.BMC nursing · 2026Article
- TheHealthcare (Basel, Switzerland) · 2026Article
- Good cop, bad cop? How (in-)consistencies in dual leadership shape employee strain and commitment.Frontiers in psychology · 2026Article
- The impact of helicopter teaching in nursing education and approaches to foster independent learning: A narrative review.Journal of education and health promotion · 2026Review
- The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses.BMC nursing · 2025Article
- 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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Authors and funding
4 authors.
Funding
Abstract
backgroundExploration of the relationship between nursing students' abusive supervision and their future intention to leave the nursing profession before completing the final clinical practicum is critical to the issue of nursing staff shortages and how to alleviate them. In order to further dissect the factors influencing turnover intention among student nurses in clinical practice, our study used the conservation of resources theory and job demands-resources model to explain the specific pathways that influence student nurses' intention to leave the nursing profession, with particular focus on nursing students' personality traits and certain organizational factors.
methodThis study followed a cross-sectional design. Between March and May 2022, a convenience sampling method was used to select 531 nursing students from two medical universities in Fuzhou. The Abusive Supervision, Emotional Exhaustion, Nurse-Patient Relationship, and Turnover Intention Scales were employed to collect data. The PROCESS macro (Models 4 and 7) for SPSS 25.0 by Hayes and 5,000 bootstrap samples were used to examine the moderation and mediation impacts.
resultsAbusive supervision was found to significantly positively predict nursing students' intention to leave the nursing profession. Emotional exhaustion significantly mediated the relationship between abusive supervision and an intention to leave the nursing profession. The moderating effect of the nurse-patient relationship in the mediation model was also found to be significant.
conclusionsAbusive supervision by clinical teaching staff is a work-related stressor that leads to emotional exhaustion, consequently decreasing nursing students' future intention to work as a nurse. A nurse-patient relationship based on trust could buffer the negative effect of abusive supervision on emotional exhaustion. Healthcare organizations and nurse educators should implement programs that educate and train individuals about abusive supervision, emotion regulation, and positive nurse-patient relationships; this would serve to decrease nursing students' intention to leave the nursing profession. This study provides relevant implications for helping nursing instructors develop effective intervention strategies to retain talented nursing personnel.
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