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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Updated: Jan 13, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Leading With Authenticity: Reducing Workplace Violence in the Emergency Department.

Patricia Kunz Howard, JoAnn Lazarus, Margaret Spencer

    Journal of Emergency Nursing
    |January 6, 2026
    PubMed
    Summary

    Workplace violence in emergency departments is a serious risk. Authentic leadership can reduce this violence by promoting trust, open communication, and a strong safety culture for healthcare workers.

    Keywords:
    Authentic leadershipEmergency departmentNursing leadershipSafety cultureWorkplace violence

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    Area of Science:

    • Healthcare Management
    • Organizational Psychology
    • Patient Safety

    Background:

    • Workplace violence is prevalent in emergency departments, endangering healthcare workers.
    • This violence leads to significant physical and emotional harm, impacting staff well-being.
    • Existing strategies have not fully eradicated the problem, necessitating new approaches.

    Purpose of the Study:

    • To explore the role of authentic leadership in mitigating workplace violence.
    • To investigate how authentic leadership fosters a safety culture in healthcare settings.
    • To determine the impact of authentic leadership on staff outcomes and patient safety.

    Main Methods:

    • Qualitative analysis of leadership styles and their impact on safety culture.
    • Review of existing literature on workplace violence interventions.
    • Case studies examining authentic leadership in high-stress healthcare environments.

    Main Results:

    • Authentic leadership, characterized by transparency and empathy, builds trust among staff.
    • Open communication and ethical role modeling by leaders reduce violence incidents.
    • Empowerment through training and supportive environments enhances staff resilience.

    Conclusions:

    • Authentic leadership is a viable strategy to combat workplace violence in emergency departments.
    • Implementing authentic leadership principles can improve staff safety and job satisfaction.
    • A positive safety culture, driven by authentic leaders, benefits both healthcare professionals and patients.