An Exploration of Nurse Manager Leadership Styles and the Effect on Work Engagement Among Staff Nurses: A Mixed‐Method Study
Year: 2026
Type: article
Study design: Observational Study
Abstract: AIM: To provide a comprehensive understanding of how nurse managers' leadership styles affect staff engagement and to identify key themes that influence engagement from both statistical and experiential perspectives within a multicultural healthcare context. DESIGN: Explanatory sequential mixed-methods design, with integration occurring across the design, methods and reporting stages using the Pillar Integration Process. METHODS: The study was conducted in four public hospitals in western Saudi Arabia. Quantitative data were collected from 278 registered nurses using the validated Multifactor Leadership Questionnaire (MLQ-5X) and Utrecht Work Engagement Scale (UWES-9). Thirteen nurses participated in follow-up semi-structured interviews. The study adhered to the Good Reporting of a Mixed Methods Study (GRAMMS) guidelines. RESULTS: Four integrated themes emerged: relational leadership, recognition and reward, impact of neglectful leadership and cultural competence in leadership. Saudi and non-Saudi nurses perceived leadership differently, influenced by cultural norms. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
Source: Nursing Open
DOI: 10.1002/nop2.70407
Language: English
Subfield: Research and Theory
Field: Nursing
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,390
Funder: Umm Al-Qura University
OpenAlex ID: W7130832054
