ArticleJournal of nursing management2023
Status and Influencing Factors of Nurses' Perception of Toxic Leadership Behavior: A Cross-Sectional Study.
Article in Journal of nursing management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Toxic Leadership in Hospital Nursing and Its Psychological Impact on Staff Well-Being: A Scoping Review.Journal of nursing management · 2026Article
- Staff nurses' perceptions of toxic leadership behaviors in nurse managers: a latent profile analysis.Frontiers in psychology · 2026Article
- Factors Influencing ICU Nurses' Proficiency in Point-of-Care Gastrointestinal Ultrasound: A National Cross-Sectional Study.Journal of nursing management · 2026Article
- Translation and psychometric validation of the Persian version of the toxic leadership behaviors questionnaire in nursing management.BMC nursing · 2025Article
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Authors and funding
11 authors.
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Abstract
Aim: The aim of this study is to analyse the toxic leadership behavior of nurse managers perceived by nurses and its related factors. Background: Toxic leadership is becoming more common as a risk factor in nursing. However, there is a scarcity of research on the elements that influence toxic leadership practices from the perspective of nurses' perceptions. Methods: A cross-sectional study was conducted with 455 nurses from August to October 2022. A demographic information questionnaire and a negative behavior scale for nurse managers were used. Descriptive statistics, Kruskal-Wallis H test or Mann-Whitney Results: The population was dominated by 423 (92.97%) females, 318 (69.89%) married, and 420 (92.31%) with a bachelor's degree. The toxic leadership behavior scale score for nurse managers was 109 (87, 123) and the score for each entry was (2.94 ± 0.92). Gender, educational level, department, number of night shifts, and nature of employment were the influencing factors of the negative leadership behavior of nurse leaders as perceived by nurses ( Conclusion: In general, nurses' perceived toxic leadership behaviors of nurse managers were at a moderate level. More toxic leadership behaviors were observed by nurses who were female, less educated, on busy units, with unstable nature of appointments, and with frequent night shift rotation.
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