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April 19, 2026Journal of Nursing Management1 citationsOpen Access

Effects of Toxic Leadership Behavior and Emotional Exhaustion on Patient Safety Incident Reporting

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CPCollins Atta PokuKwame Nkrumah University of Science and TechnologyYAYvonne Akpene AhiadzeseKwame Nkrumah University of Science and TechnologyHOHadassah Korkor OyorteyKwame Nkrumah University of Science and Technology

Key Points

  • This research aims to examine the relationship between toxic leadership behavior and emotional exhaustion in nurse managers, specifically regarding patient safety incident reporting.
  • Analyzed the mediating effect of toxic leadership behavior on emotional exhaustion and incident reporting.
  • Used surveys to gather data from nursing staff about their experiences.
  • Evaluated the impact of leadership behavior on reporting practices.
  • Toxic leadership significantly impacts the level of emotional exhaustion in nurse managers.
  • Emotional exhaustion negatively affects patient safety incident reporting.
  • Addressing toxic leadership could improve the culture of incident reporting.

Abstract

The toxic leadership behavior of nurse managers acts as a mediator, exacerbating the negative relationship between emotional exhaustion and patient safety incident reporting. The results highlight the need to address emotional exhaustion and toxic leadership behavior of nurse managers to foster a culture of transparent patient safety incident reporting. Improving reporting and minimizing the harmful effects of emotional exhaustion require addressing the role of toxic leadership.

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Cite This Study

Poku et al. (2026) studied this question.

synapsesocial.com/papers/69e472a8010ef96374d8e9echttps://doi.org/10.1155/jonm/5547937
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