ArticleJournal of nursing management2025
Nurse Managers' Toxic Leadership Behaviors and Their Influence on Nurses' Quality of Life: A Cross-Sectional Study.
Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Nurses' Roles in Supporting Mental Health Among Preoperative Cardiac Patients in Kazakhstan: A Qualitative Study.Journal of nursing management · 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
- Association between workplace gaslighting, mental health and work life in nurses: a cross-sectional study in Greece.AIMS public health · 2026Article
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Authors and funding
8 authors.
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Abstract
Background: Leadership and organizational climate significantly impact nurses' effectiveness, especially in the high-stress environments typical of healthcare institutions. However, toxic leadership characterized by micromanagement and bias can negatively affect employee morale and diminish service quality. Aim: This study aimed to examine how nurse managers' toxic leadership behaviors influence the quality of life of nurses in Kazakhstan. Methods: This research employed a quantitative, cross-sectional, and correlational design. The study was conducted at the University Medical Center in Astana, Kazakhstan. A convenience sample of 313 nurses participated in the survey, which included a paper questionnaire with three parts: a participant information sheet, the "Toxic Leadership Behaviors of Nurse Managers Scale" (ToxBH-NM), and the "World Health Organization Quality of Life" assessments. The demographic characteristics, toxic leadership behaviors of nurse managers, and quality of life were analyzed descriptively. Multiple regression analyses were used to examine the impact of nurse managers' toxic leadership behaviors on nurses' quality of life. Results: The findings indicated a generally positive nurse managers' leadership behaviors ( Conclusion: Experiences of humiliating behavior from nurse managers were linked to a poorer quality of life among nurses. Factors such as marital status, the specific hospital where the nurses worked, and the toxic leadership behaviors of nurse managers significantly affected the nurses' quality of life. Implication for Nursing Management: These findings can serve as a foundation for developing programs that specifically address the toxic leadership behaviors identified in the study, which adversely affect nurses' quality of life.
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