Evidence map›Paper›PMID 40604748›Full record

ArticleBMC nursing2025

Mediating effect of psychological safety on the relationship between inclusive leadership and nurses' absenteeism.

Ayman Mohamed El-Ashry, Bashair Mohamed Elsayed Abdo, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed, Islam Sameh Abdelhay, Mennat-Allah G Abou Zeid

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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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ayman Mohamed El-AshryPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0000-0001-7718-4942
Bashair Mohamed Elsayed AbdoDepartment of Nursing Administration, Faculty of Nursing, Damanhour University, Beheira, Egypt.
Mahmoud Abdelwahab KhedrPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Mona Metwally El-SayedPsychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt. mona-afefy@alexu.edu.eg.
Islam Sameh AbdelhayDepartment of Nursing Administration, Faculty of Nursing, Mansoura University, Dakahlia, Egypt.
Mennat-Allah G Abou ZeidNursing Administration Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-1791-4867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the mediating role of psychological safety in the relationship between inclusive leadership and implicit absenteeism among nurses.

designA descriptive, correlational cross-sectional design was conducted in accordance with the STROBE guidelines.

methodsData were collected from 407 nurses working in two public hospitals in El-Behara Governorate, Egypt, using validated Arabic versions of the Inclusive Leadership Scale, Psychological Safety Scale, and the Stanford Presenteeism Scale (SPS-6). Descriptive statistics, Pearson's correlations, multiple regression, and structural equation modeling (SEM) were employed to analyze the data using SPSS and AMOS (version 26).

resultsInclusive leadership was significantly and negatively associated with implicit absenteeism (r = - 0.207, p = 0.030) and positively associated with psychological safety (r = 0.204, p = 0.036). Psychological safety was also negatively correlated with implicit absenteeism (r = - 0.202, p = 0.041). Regression analysis revealed that both inclusive leadership (β = - 0.098, p = 0.049) and psychological safety (β = - 0.091, p = 0.048) significantly predicted lower implicit absenteeism. Furthermore, SEM results confirmed that psychological safety partially mediated the relationship between inclusive leadership and implicit absenteeism (indirect effect β = - 0.010). The model demonstrated an acceptable fit (RMSEA = 0.091; CFI = 1.000; IFI = 1.000; χ² = 9.748, p < 0.001).

conclusionThe findings highlight the critical role of inclusive leadership in reducing implicit absenteeism by fostering psychological safety. Promoting inclusive leadership practices and psychologically safe work environments may enhance nurse engagement, reduce presenteeism-related productivity loss, and ultimately improve patient care outcomes. CLINICAL

trial registrationNot applicable.

Indexed as

AbsenteeismLatent class analysisLeadershipNursesPsychological safety

Identifiers

PMID40604748
PMCPMC12225396

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Registered trials

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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.