Evidence map›Paper›PMID 41914260›Full record

SynthesisJournal of nursing management2026

Cultural Differences in the Relationship Between Negative Leadership Behaviours and Nurses' Emotional Exhaustion: A Systematic Review.

Shiyi Chen, Xinze Zhang, Huan Chen, Feng Zhang, Tao-Hsin Tung, Haixiao Chen

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Shiyi ChenEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0002-0059-7751
Xinze ZhangEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0005-4266-8062
Huan ChenEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0006-8416-8653
Feng ZhangEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0009-0006-6354-3987
Tao-Hsin TungEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0003-2097-8375
Haixiao ChenDepartment of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China, wmu.edu.cn.ORCID https://orcid.org/0000-0002-6178-0974

Funding

National Natural Science Foundation of China 72374157
6 · The paper itself

Abstract

aimsNurses face the risk of emotional exhaustion due to high-intensity work, resource shortages and multiple stressors. Negative leadership behaviours exacerbate emotional exhaustion through the abuse of power and psychological oppression. Therefore, this study aims to summarise the current evidence on the relationship between negative leadership behaviours and nurse emotional exhaustion in different cultures.

methodsDatabases such as PubMed, Web of Science, Embase, the Cochrane Library, Scopus, CINAHL, APA PsycInfo, CNKI, Wanfang and VIP were searched for related studies, from inception until 20 November 2025, without any language restrictions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to review these studies. The PEO (population, Exposure and outcome) framework was followed with nurses as the population, negative leadership behaviour as the exposure and emotional exhaustion as the outcome. The final studies were reviewed and selected using EndNote 21, with information extracted according to specific criteria. The Newcastle-Ottawa Scale was used to evaluate the methodological quality of the included studies.

resultsThe initial search yielded 1990 records, and after duplicate removal and screening, 11 studies published between 2007 and 2025 were included. Of these, four were longitudinal studies and seven were cross-sectional studies. Eight of the 11 articles included in this systematic review were conducted in Asia. The correlation coefficients between negative leadership behaviour and emotional exhaustion ranged from 0.18 to 0.76, indicating moderate to strong positive associations, and other variables were found to play a role in the relationship between them.

conclusionThis systematic review summarises that negative leadership behaviours are significantly positively correlated with nurses' emotional exhaustion, and this correlation shows significant cultural differences. Future research should conduct cross-cultural longitudinal studies and develop targeted intervention strategies.

Indexed as

Emotional ExhaustionLeadershipNursesBurnout, ProfessionalHumansabusive supervisionburnoutemotional exhaustionleadershipnegative leadership behavioursnurses

Identifiers

PMID41914260
PMCPMC13140215

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.