ArticlePloS one2025
The effect of health-promoting leadership of nursing managers on the work withdrawal behaviors and psychological safety of nurses.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Nurses' Experiences of Psychological Safety in Ad Hoc Teams During Emergency Care: An Interview Study.Journal of advanced nursing · 2026Article
- Article
- The mediating role of perceived organizational support in the association between challenge-hindrance stress and nurses' work withdrawal behavior: a cross-sectional study.Frontiers in public health · 2026Article
- Negative workplace gossip and turnover intention among kindergarten teachers: psychological safety as a mediator and organizational identification as a moderator.Frontiers in psychology · 2025Article
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Authors and funding
3 authors.
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Abstract
aimHealth-promoting leadership is a novel organizational strategy aimed at preventing the occurrence of diseases in the workplace and promoting the health needs of staff. The present study aimed to investigate the effect of health-promoting leadership of nursing managers on the nurses' withdrawal behaviors and psychological safety.
designStructural equation modelling was used to verify the conceptual model.
methodsA total of 346 nurses working in educational hospitals in the western provinces of Iran were included using stratified random sampling by 2023. The research instruments included a checklist of demographic and occupational characteristics, health-promoting leadership, withdrawal behaviors, and psychological safety questionnaires. Pearson's correlation and structural equation modelling were used to investigate the relationships between the variables. We followed the STROBE Checklist.
resultsThe findings showed a significant negative relationship between health-promoting leadership and withdrawal behaviors and a significant positive relationship with nurses' psychological safety. There was also a negative and significant relationship between the withdrawal behaviors and psychological safety. Health-promoting leadership can explain 45% and 52% of the variance in psychological safety and withdrawal behaviors, respectively.
conclusionsWhile emphasizing the importance of leadership styles, the findings of this study indicate that nurse leaders should acknowledge the significance of health promotion leadership as a crucial set of behaviors to foster psychological safety and reduce withdrawal behaviors among nurses, thereby enhancing their quality of care and performance. IMPLICATIONS FOR NURSING MANAGEMENT: The results draw the attention of nursing managers to health-promoting leadership and its relationships, and create an impetus for changing leadership styles and addressing the lack of mutual understanding. Considering this finding, it appears necessary to create clearer prospect for the nursing profession by teaching health-promoting leadership principles to nursing managers and nurses without managerial positions.
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