“…Therefore, toxic leadership could also negatively influence patient safety outcomes. Evidently, studies that examine mechanisms by which toxic leaders influence outcomes in the nursing workforce remained under research, with only six studies found (Abdelaliem and Abou Zeid, 2023;Bakkal et al, 2019;Budal and Erdal, 2022;Erdal and Budak, 2021;Koç et al, 2022;Reyhanoglu and Akin, 2022). Finally, as the samples from all but three studies (Labrague, 2021a(Labrague, , 2021bLabrague et al, 2020aLabrague et al, , 2020bOfei et al, 2022) were derived from a single site, future studies should consider multi-site data collection to further increase the reliability and validity of the results.…”