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. 2020 Jul;28(5):1104-1113.
doi: 10.1111/jonm.13053. Epub 2020 Jun 16.

Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study

Leodoro J Labrague  1 , Chidozie E Nwafor  2 , Konstantinos Tsaras  3
Affiliations

Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study

Leodoro J Labrague et al. J Nurs Manag. 2020 Jul.

Abstract

Aim: This study examined the influence of toxic and transformational leadership practices on nurses' job satisfaction, psychological distress, absenteeism and intent to leave the organisation or the nursing profession.

Background: Transformational leadership is attributed to favourable nurse consequences; however, the nursing literature is silent regarding the causal association between toxic leadership and nurses' job outcomes.

Methods: This is a cross-sectional study involving 770 registered nurses from 15 hospitals in Central Philippines. Data were collected using seven self-report scales during the months of December 2019 to February 2020.

Results: The composite scores for the transformational leadership scale and toxic leadership scale were 4.22 and 1.59, respectively. Toxic leadership predicted job satisfaction, absenteeism, psychological distress and intention to leave the profession. Transformational leadership predicted job satisfaction and intent to leave the profession.

Conclusion: Results suggest that nurses working with a transformational leader report higher job contentment and lower intent to leave the nursing profession. Nurses who work for a manager exhibiting toxic leadership behaviours demonstrated lower job contentment, higher stress levels, frequent absenteeism and higher intent to leave the nursing profession.

Implication for nursing management: Nurse retention strategies should include measures to foster transformational leadership and derail toxic leadership practices in nurse managers through evidence-based education, training and professional development.

Keywords: job satisfaction; job stress; nurse; toxic leadership; transformational leadership; turnover intention.

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References

REFERENCES

    1. AbuAlRub, R. F., & Nasrallah, M. A. (2017). Leadership behaviours, organizational culture and intention to stay amongst Jordanian nurses. International Nursing Review, 64(4), 520-527. https://doi.org/10.1111/inr.12368
    1. Akbiyik, A., Korhan, E. A., Kiray, S., & Kirsan, M. (2020). The effect of nurses' leadership behavior on the quality of nursing care and patient outcomes. Creative Nursing, 26(1), e8-e18. https://doi.org/10.1891/1078-4535.26.1.e8
    1. Al-Yami, M., Galdas, P., & Watson, R. (2018). Leadership style and organisational commitment among nursing staff in Saudi Arabia. Journal of Nursing Management, 26(5), 531-539. https://doi.org/10.1111/jonm.12578
    1. Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: Assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. https://doi.org/10.3390/ijerph16132381
    1. Bass, B. M., & Avolio, B. J. (Eds.) (1994). Improving organizational effectiveness through transformational leadership. New York, NY: Sage.

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