Akdoğan Muzaffer, Yeşildal Ali, Tekin Büşra, Kıray Abdullah, Uslu Yeter Demir, Arslanoğlu Ali, Koç Oktay
Health Management Department, Health Sciences University, İstanbul, Türkiye.
Kocaeli Metropolitan Municipality, İzmit/Kocaeli, Türkiye.
BMC Nurs. 2025 Apr 28;24(1):462. doi: 10.1186/s12912-025-02929-w.
Nurses are integral to healthcare, ensuring the effective functioning of healthcare services. Despite their crucial role, they face significant stressors, including despotic leadership. This type of leadership results in adverse outcomes such as organizational silence, emotional exhaustion, and revanchist behaviors. This study aims to comprehensively understand the detrimental effects of despotic leadership on nurses' well-being and behaviors, and to investigate the complex relationships between despotic leadership, organizational silence, emotional exhaustion, and revanchist behaviors in the nurses.
In the study, data were collected from 216 nurses working at a public hospital in Kocaeli (Türkiye) and hypotheses were tested through path analysis based on structural equation modeling (sequential mediation model).
The data analysis revealed that despotic leadership contributes to emotional exhaustion and organizational silence respectively, which in turn lead to employees engaging in revanchist behaviors. However, although emotional exhaustion does not mediate the relationship between despotic leadership and revanchist behaviors, it does mediate the relationship between despotic leadership and organizational silence. Additionally, despotic leadership triggers organizational silence, which in turn results in revanchist behaviors.
The findings highlight the detrimental effects of despotic leadership on nurses' mental health and professional behavior. Despotic leadership creates a toxic work environment that suppresses nurses' voices, leading to emotional exhaustion and revanchist behaviors. Eliminating despotic leadership practices and promoting open communication are essential to improving nurses' well-being and maintaining a healthy healthcare environment.
护士是医疗保健不可或缺的一部分，确保医疗服务的有效运作。尽管他们发挥着关键作用，但他们面临着重大压力源，包括专制领导。这种领导方式会导致诸如组织沉默、情绪耗竭和报复行为等不良后果。本研究旨在全面了解专制领导对护士幸福感和行为的有害影响，并调查专制领导、组织沉默、情绪耗竭和护士报复行为之间的复杂关系。
在本研究中，从科贾埃利（土耳其）一家公立医院的216名护士那里收集了数据，并通过基于结构方程模型的路径分析（顺序中介模型）对假设进行了检验。
数据分析表明，专制领导分别导致情绪耗竭和组织沉默，进而导致员工出现报复行为。然而，虽然情绪耗竭并未介导专制领导与报复行为之间的关系，但它确实介导了专制领导与组织沉默之间的关系。此外，专制领导引发组织沉默，进而导致报复行为。
研究结果凸显了专制领导对护士心理健康和职业行为的有害影响。专制领导营造了一个压抑护士声音的有害工作环境，导致情绪耗竭和报复行为。消除专制领导行为并促进开放沟通对于改善护士的幸福感和维持健康的医疗环境至关重要。
