Relationship between different leadership styles of nursing managers and nurses’ turnover intention in hospitals: an integrative review

Objective: To synthesize the current evidence on the relationship between different management leadership styles and nurses’ turnover intentions in hospital settings. Background: A shortage of nurses is a common problem in healthcare institutions in many countries. In this context, retaining nurses...

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Bibliographic Details
Authors: Jimenez-Caceres, Alicia, Agusti-Boada, Anna, Caro-Benito, Conxi, Monistrol Ruano, Olga
Format: article
Status:Published version
Publication Date:2025
Country:España
Institution:Universitat de Lleida (UdL)
Repository:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/468552
Online Access:https://doi.org/10.1186/s12912-025-03573-0
https://hdl.handle.net/10459.1/468552
Access Level:Open access
Keyword:Intention to leave
Leadership
Nursing staff hospital
Management styles
Nursing turnover
Description
Summary:Objective: To synthesize the current evidence on the relationship between different management leadership styles and nurses’ turnover intentions in hospital settings. Background: A shortage of nurses is a common problem in healthcare institutions in many countries. In this context, retaining nurses has become a critical priority for healthcare organizations. Methods: An integrative review was conducted. A comprehensive search strategy was implemented to retrieve articles from PubMed, Web of Science, CINAHL and the Cochrane Central Register of Controlled Trials. Articles were screened and evaluated using a pre-determined eligibility criteria and a quality assessment process. Results: Out of 237 articles screened, 17 studies met the inclusion criteria. Sixteen management leadership styles were identified, five of which transformational, ethical, inclusive, servant and authentic- were found to have a negative influence on nurses’ turnover, and four were associated with a positive impact. We identified fourteen different instruments for measuring turnover intention. Conclusions: Healthcare managers should encourage the adoption of effective leadership styles to enhance nurse retention and embed this approach within the organizational culture of the healthcare facilities. Clinical trial number: Not applicable