ArticleBMC nursing2024
The effect of toxic leadership on workplace deviance: the mediating effect of emotional exhaustion, and the moderating effect of organizational cynicism.
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 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cultural Differences in the Relationship Between Negative Leadership Behaviours and Nurses' Emotional Exhaustion: A Systematic Review.Journal of nursing management · 2026Pooled it
- Investigation of the relationship between organizational cynicism and counterproductive work behaviors: a systematic review and meta-analysis.Frontiers in psychology · 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
- Article
- Role conflict and organizational cynicism in critical care nurses: evidence from a cross-sectional study.BMC nursing · 2026Article
- Anger, Cynical Distrust, Nightmare Distress and Insomnia Among Nursing Personnel.Journal of clinical medicine · 2026Article
- Examining the moderating role of work engagement in predicting deviant behaviour: a study of work culture and organisational injustice among police officers.BMC psychology · 2026Article
- Presenteeism and Emotional Exhaustion as Mechanisms Linking Abusive Leadership to Non-Green Behavior in Hotel Enterprises: The Buffering Role of Co-Worker Support.European journal of investigation in health, psychology and education · 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
- Emotional exhaustion as a key factor: examining the impact of perceived organizational support on nurses' trust in colleagues.BMC nursing · 2026Article
- An Exploration of Nurse Manager Leadership Styles and the Effect on Work Engagement Among Staff Nurses: A Mixed-Method Study.Nursing open · 2026Article
- Staff nurses' perceptions of toxic leadership behaviors in nurse managers: a latent profile analysis.Frontiers in psychology · 2026Article
- Joint latent profiles of workplace violence and burnout among healthcare workers and their associated factors: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Understanding the Link Between Toxic Leadership and Employee Well-being: The Interplay of Employee Turnover, Organizational commitment, Shift timing & Industry Sector.F1000Research · 2026Article
- 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 nurses' patient safety competencies on key performance indicators (KPIs) for patient safety outcomes at Tamale Teaching Hospital: the mediating role of leadership and barriers to competency development.BMC health services research · 2025Article
- Investigating the role of perceived career growth as a mediator in linking job autonomy, occupational self-efficacy, and LMX to workplace deviance.BMC psychology · 2025Article
- Leadership behaviours and practices assessment among nurse managers in riyadh second health cluster.BMC nursing · 2025Article
- Transforming nursing education: the power of educational leadership in optimizing time management and competency.BMC nursing · 2025Article
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4 authors.
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Abstract
backgroundToxic leadership is abusive, destructive, and detrimental to nurses, can decrease nurse morale, increase stress levels, diminish organizational performance, and cause employee emotional exhaustion. Emotional exhaustion, a key component of burnout, has been linked to decreased job performance and increased likelihood of engaging in deviant behaviors at work. Organizational cynicism, as a negative attitude or distrust towards the organization and its leadership, may exacerbate the relationship between toxic leadership and workplace deviance. This study aims to explore how toxic leadership, workplace deviance, emotional exhaustion, and organizational cynicism are interrelated in the nursing profession.
methodA multicenter descriptive, cross-sectional research design was conducted at three university hospitals affiliated with three Egyptian governorates: Zagazig, El-Fayoum, and Alexandria. Two hundred forty-three nurses completed the Personal and Job-related Data Questionnaire, Toxic Leadership Scale, Emotional Exhaustion Scale, Workplace Deviance Scale, and Organizational Cynicism Scale. Mediation analysis using SPSS PROCESS revealed that emotional exhaustion indirectly influences the relationship between toxic leadership and workplace deviance, while hierarchical multiple regression showed that organizational cynicism moderates this relationship, with linear regression confirming the predictive impact of these variables on workplace deviance.
resultsToxic leadership exhibits a substantial positive influence on workplace deviance (B = 16.132, p < 0.001), as does emotional exhaustion (B = 8.760, p < 0.001) and organizational cynicism (B = 5.376, p = 0.036). Furthermore, the interaction terms of toxic leadership, organizational cynicism, and emotional exhaustion are significant (B = -3.012, p = 0.036). The negative coefficient of the interaction term implies a mitigating impact, indicating that the combined presence of high toxic leadership, high emotional exhaustion, and high organizational cynicism may counterintuitively reduce workplace deviance (t = -2.110).
conclusionThese results suggest that while toxic leadership, emotional exhaustion, and organizational cynicism each independently increase workplace deviance, their combined presence may unexpectedly reduce deviant behaviors. IMPLICATION FOR NURSING: These results highlight the significance of tackling toxic leadership practices and cultivating a positive organizational culture to enhance a healthier work environment and reduce instances of workplace deviance. Healthcare settings should prioritize interventions to improve leadership practices, enhance employee well-being, and cultivate a supportive organizational climate.
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