TY - JOUR AB - 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. AU - Alluhaybi, A AU - Usher, K AU - Durkin, J AU - Wilson, A DA - 2026/02/01 DO - 10.1002/nop2.70407 JO - Nurs Open PB - WILEY PY - 2026/02/01 SP - e70407 TI - An Exploration of Nurse Manager Leadership Styles and the Effect on Work Engagement Among Staff Nurses: A Mixed-Method Study. VL - 13 Y1 - 2026/02/01 Y2 - 2026/11/04 ER -