PurposeIn modern healthcare environments, collective leadership within nursing teams serves as a fundamental pillar for providing high-quality patient care. The purpose of this study is to identify the factors to improve the collective leadership among the healthcare practitioners.Design/methodology/approachUsing data collected through an online survey of 417 registered nurses in 12 general hospital in Malaysia, the study uses partial least squares structural equation modeling to test the proposed hypotheses.FindingsThe result indicate that the collective leadership is directly driven by team shared vision, team commitment and team collaboration. Finding also shows that team shared vision, team commitment and team collaboration has a positive and significant impact on collective leadership. Finally, this study also revealed that, the team collaboration is the most significance factor that affecting the collective leadership among nurses.Originality/valueThis work contributes to a better understanding on collective leadership, ultimately improving team effectiveness and patient care outcomes.