ArticleInternational nursing review2025
Authentic Leadership, Psychological Safety, Missed Nursing Care, and Intention to Leave Among Hospital Nurses.
Article in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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.
Who cites it
15 citing papers in PubMed.
- The Role of Nurse Managers in Promoting Psychological Safety and Patient Safety Culture in Nursing Teams: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Frontline Nurse Managers' Views of Person-Centred Management in a Private Hospital: A Qualitative Study.Nursing open · 2026Article
- Moral distress among physicians and nursing staff in surgical settings: a comparative study.BMC health services research · 2026Article
- The relationship between psychological safety, patient safety culture, and work engagement with patient safety outcomes: a cross-sectional study in a Japanese university hospital.BMC health services research · 2026Article
- Missed Nursing Care Among Hospital Nurses in the Middle East: A Systematic Literature Review.Nursing reports (Pavia, Italy) · 2026Review
- Supporting Basic Psychological Needs in Medical Education: A Patient Best Practice.Perspectives on medical education · 2026Article
- Predictors of Intention to Stay in Healthcare Among Healthcare Students and Professionals in Czechia and Slovakia.Journal of nursing management · 2026Article
- Inclusive Leadership, Psychological Safety, AI Readiness, and Nurses' AI Literacy: A Longitudinal Study.Journal of nursing management · 2026Article
- A Cross-Sectional Methodological Study to Validate Authentic Leadership Questionnaire (ALQ) Among Selected Latin American Nursing Staff.Journal of healthcare leadership · 2026Article
- The impact of transformational leadership on nurses' work alienation: the chain mediation of organizational climate and psychological empowerment.Frontiers in psychology · 2026Article
- Lateral violence and turnover ideation in nurses: multiple mediating roles of coping styles and psychological resilience.Frontiers in public health · 2026Article
- Working Well in a Dynamic Nursing Career: A Critical Incident Technique Study of Nurses' Actions for a Sustainable Working Life.Journal of nursing management · 2026Article
- Applying Meta-Analytic Structural Equation Modeling to Examine the Relationships Among Work Stress, Job Burnout, and Turnover Intention in Taiwanese Nurses.Healthcare (Basel, Switzerland) · 2025Review
- Nurses' Perceptions of Authentic Leadership and Quality of Nursing Care: The Mediating Role of Psychological Empowerment.Journal of nursing management · 2025Article
- Upward violence against nurse managers in the workplace: a scoping review of prevalence, influencing factors and coping strategies.Frontiers in public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aims of this study were to examine the relationships between authentic leadership, missed nursing care, and intention to leave in hospital nurses and to investigate the mediating role of psychological safety in these relationships.
backgroundNursing managers' authentic leadership and unit psychological safety influence nursing practice and work attitudes. However, the relationships among authentic leadership, psychological safety, missed nursing care, and turnover intention remain underexplored, highlighting the need for further investigation.
methodsThis cross-sectional descriptive study analyzed online survey data collected from 504 registered nurses in the United States between April 2021 and July 2022. Multiple linear and logistic regression models, along with Hayes' PROCESS macro, were used for data analysis.
resultsNurses who perceived their unit managers as exhibiting greater authentic leadership reported fewer missed nursing care tasks and were less likely to intend to leave. Psychological safety mediated these relationships, as authentic leadership was positively associated with psychological safety. In turn, psychological safety was associated with reduced levels of missed nursing care and decreased turnover intention among hospital staff nurses. IMPLICATIONS: Organizational initiatives to enhance nurse managers' authentic leadership through targeted training, resource support, and relevant policies are essential for improving psychological safety, patient care quality, and nurses' job outcomes.
conclusionThese findings emphasise the need for organisational investment in authentic leadership development to promote safer, more supportive care environments and improve outcomes for both nurses and patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.