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Self-Efficacy Modulates Nurses’ Response to Abusive Supervision

October 3, 2025
in Medicine
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In an intriguing exploration of workplace dynamics, a recent study conducted by Yürür, Koç, and Yurtseven has shed light on a troubling phenomenon: the relationship between abusive supervision and deviant behaviors among nurses. Published in BMC Nursing, this research emphasizes not only the adverse effects of toxic leadership on healthcare professionals but also delves into the moderating role of self-efficacy, offering a fresh perspective on how these factors interplay in clinical settings.

Abusive supervision, characterized by hostile verbal and nonverbal behaviors, poses a serious threat to employee well-being and organizational health. The healthcare sector, where the demand for high-quality care is relentlessly increasing, also faces the challenge of maintaining a supportive work environment. Unfortunately, instances of abusive supervision can lead to increased stress among nurses, often resulting in behaviors that deviate from standard practice, which can compromise patient care and safety.

Central to this study is the concept of self-efficacy, defined as the belief in one’s ability to succeed in specific situations. The authors hypothesized that nurses with high levels of self-efficacy would exhibit resilience in the face of abusive supervision, mitigating the likelihood of engaging in deviant behaviors. This finding highlights an essential psychological aspect that can preserve professional integrity even in the most challenging circumstances encountered within healthcare settings.

Quantitative research methods were employed in this study, utilizing structured questionnaires distributed among a sizable sample of nursing professionals across various healthcare facilities. The data gathered presented compelling evidence, supporting the assertion that nurses facing abusive supervisors are indeed more likely to engage in behaviors that might be deemed deviant, such as absenteeism, decreased job performance, and even negligence in patient care.

Notably, the analysis illustrated how self-efficacy plays a critical protective role. Nurses who believed in their ability to manage stressors and navigate workplace challenges exhibited lower tendencies toward deviant behaviors despite the negative influence of abusive supervisors. This suggests that fostering a culture of positive reinforcement and empowering nursing staff could be instrumental in improving both employee morale and patient outcomes.

To augment the authenticity of the findings, the researchers implemented rigorous statistical analysis to control for various factors, including socio-demographic variables and job-related stressors. This meticulous approach not only bolstered the reliability of the results but also illuminated the importance of contextual factors that contribute to the workplace environment experienced by nurses.

The healthcare industry must take note of these findings, particularly as the sector continues to grapple with workforce shortages and high turnover rates among nursing staff. Addressing the roots of abusive supervision, such as inadequate management training and a lack of support for nursing staff, is imperative for cultivating a workplace atmosphere conducive to both employee satisfaction and optimal patient care.

Moreover, healthcare organizations are encouraged to invest in self-efficacy enhancement programs. Training sessions focused on resilience building, stress management, and fostering a supportive leadership approach can empower nurses, enhancing their professional capabilities. When nurses feel competent, they are more likely to resist negative influences and maintain high practice standards.

As the research underscores, the well-being of nursing professionals and the quality of care provided to patients are inextricably linked. By prioritizing a positive workplace culture and focusing on the psychological well-being of nurses, healthcare facilities stand to gain immensely. Not only does this benefit the nursing workforce, but it significantly impacts patient satisfaction and safety, bolstering the overall reputation of healthcare institutions.

Without intervention, the cycle of abuse and reluctance to speak out often persists, perpetuating an unhealthy workplace that fosters deviant behaviors. The study prominently asserts the necessity for policies that protect nurse’s rights and provide avenues for reporting abusive management practices without fear of retaliation. Organizational leaders must cultivate an ethos of accountability and transparency within their teams, fostering an atmosphere where support and respect are foundational pillars.

In conclusion, Yürür, Koç, and Yurtseven’s study serves as a critical reminder that healthcare systems must not only address the symptoms of abusive supervision but also the underlying issues that facilitate such behaviors. By adopting practices that bolster self-efficacy and promote systemic change in leadership approaches, the healthcare sector may witness a paradigm shift in nurse well-being and patient care.

As we move forward in the ever-evolving landscape of healthcare, it is essential to prioritize the mental and emotional health of nursing professionals. The ripple effects of supportive supervision can lead to a transformed healthcare environment—one that champions resilience, encourages excellence, and ultimately improves patient outcomes across the board.

This study offers a pivotal insight into the intricate dynamics of healthcare supervision and the necessity for robust, evidence-based interventions that empower nurses in their challenging roles. By creating a healthier workplace, we can expect to see a corresponding improvement in care delivery, ensuring that patients receive the best possible outcomes in their healthcare journey.

In light of this research, healthcare organizations have a unique opportunity to lead by example, advocating for a nurturing and respectful environment. With a collective effort to combat abusive supervision and promote self-efficacy, the healthcare workforce can be revitalized, paving the way for a future where nurse well-being is prioritized alongside patient care.

Subject of Research

Abusive supervision and nurses’ deviant behaviors

Article Title

Abusive supervision and nurses’ deviant behaviors: the moderating effect of self-efficacy.

Article References

:

Yürür, S., Koç, O. & Yurtseven, H.R. Abusive supervision and nurses’ deviant behaviors: the moderating effect of self-efficacy.
BMC Nurs 24, 1212 (2025). https://doi.org/10.1186/s12912-025-03892-2

Image Credits

AI Generated

DOI

10.1186/s12912-025-03892-2

Keywords

abusive supervision, self-efficacy, nurses, deviant behaviors, workplace culture, healthcare.
Tags: abusive supervision effectscoping strategies for nursesdeviant behaviors in nursingemployee well-being in nursingimpact of abusive supervisionmaintaining supportive work environmentnurses' psychological resilienceorganizational health in healthcarepatient care and safetyself-efficacy in nursingtoxic leadership in healthcareworkplace dynamics in healthcare
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