Background: Toxic leadership in nursing has become a common reality in many healthcare
organizations. It can cause harm not only to the followers but to the whole organization, resulting in
adverse negative consequences such as reduced motivation, productivity, and cooperation which
consequently affect their job satisfaction. Aim: to investigate the relationship between staff nurses'
perception of toxic leadership behaviors and their job satisfaction. Design: A descriptive correlational
research design was used. Setting: The study was conducted at Elrahmaniyah General Hospital in El-
Behera Governorate, affiliated with the Ministry of Health and Population. Subjects: 190 staff nurses
who accepted to participate with at least one year of experience. Data collection tools: Data were
collected by using two tools namely, Toxic Leadership Scale and Job Satisfaction Questionnaire Results:
The total levels of toxic leadership low level were (58.4%) and the total level of job satisfaction was
moderate (51.6%). Conclusion: The present study showed a highly negative correlation between toxic
leadership and job satisfaction. Recommendations: Establish leadership training programs to provide
healthcare leaders with the needed skills to build a collaborative and participatory management
organization.