ArticleBMC nursing2025
Examining the effects of despotic leadership on nurses in the face of emotional exhaustion, organizational silence, and revanchist behaviors.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 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 association of leadership with nurses' turnover intention: A two-wave cross-sectional study.International journal of nursing studies advances · 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
- The prevalence and experience of upward bullying of nurse managers in China: a multicenter mixed methods survey.BMC nursing · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses are integral to healthcare, ensuring the effective functioning of healthcare services. Despite their crucial role, they face significant stressors, including despotic leadership. This type of leadership results in adverse outcomes such as organizational silence, emotional exhaustion, and revanchist behaviors. This study aims to comprehensively understand the detrimental effects of despotic leadership on nurses' well-being and behaviors, and to investigate the complex relationships between despotic leadership, organizational silence, emotional exhaustion, and revanchist behaviors in the nurses.
methodsIn the study, data were collected from 216 nurses working at a public hospital in Kocaeli (Türkiye) and hypotheses were tested through path analysis based on structural equation modeling (sequential mediation model).
resultsThe data analysis revealed that despotic leadership contributes to emotional exhaustion and organizational silence respectively, which in turn lead to employees engaging in revanchist behaviors. However, although emotional exhaustion does not mediate the relationship between despotic leadership and revanchist behaviors, it does mediate the relationship between despotic leadership and organizational silence. Additionally, despotic leadership triggers organizational silence, which in turn results in revanchist behaviors.
conclusionThe findings highlight the detrimental effects of despotic leadership on nurses' mental health and professional behavior. Despotic leadership creates a toxic work environment that suppresses nurses' voices, leading to emotional exhaustion and revanchist behaviors. Eliminating despotic leadership practices and promoting open communication are essential to improving nurses' well-being and maintaining a healthy healthcare environment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.