nach oben

Community Mental Health Journal

Erschienen in:

01.08.2013 | Original Paper

Transformational Leadership Moderates the Relationship Between Emotional Exhaustion and Turnover Intention Among Community Mental Health Providers

verfasst von: Amy E. Green, Elizabeth A. Miller, Gregory A. Aarons

Erschienen in: Community Mental Health Journal | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Public sector mental health care providers are at high risk for burnout and emotional exhaustion which negatively affect job performance and client satisfaction with services. Few studies have examined ways to reduce these associations, but transformational leadership may have a positive effect. We examine the relationships between transformational leadership, emotional exhaustion, and turnover intention in a sample of 388 community mental health providers. Emotional exhaustion was positively related to turnover intention, and transformational leadership was negatively related to both emotional exhaustion and turnover intention. Transformational leadership moderated the relationship between emotional exhaustion and turnover intention, indicating that having a transformational leader may buffer the effects of providers’ emotional exhaustion on turnover intention. Investing in transformational leadership development for supervisors could reduce emotional exhaustion and turnover among public sector mental health providers.

Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57, 1162–1169.PubMedCrossRef

Aarons, G. A., Dlugosz, L. R., & Ehrhart, M. G. (2011). LEAP: Leadership and practice. Retrieved May 31, 2011, from implementationleadership.com.

Aarons, G. A., Fettes, D. L., Flores, L. E., & Sommerfeld, D. H. (2009a). Evidence-based practice implementation and staff emotional exhaustion in children’s services. Behaviour Research and Therapy, 47, 954–960.PubMedCrossRef

Aarons, G. A., & Sawitzky, A. C. (2006). Organizational climate mediates the effect of culture on work attitudes and turnover in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 33, 289–301.PubMedCrossRef

Aarons, G. A., & Sommerfeld, D. H. (2011). The differential roles of transformational leadership and leader-member exchange in team climate for innovation and attitudes toward evidence-based practice during a randomized statewide implementation trial. (submitted).

Aarons, G. A., Sommerfeld, D. H., Hecht, D. B., Silovsky, J. F., & Chaffin, M. J. (2009b). The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology, 77, 270–280.PubMedCrossRef

Aarons, G. A., Sommerfeld, D. H., & Willging, C. (2011). The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services.

Abbasi, S. M., & Hollman, K. W. (2000). Turnover: The real bottom line. Public Personnel Management, 29, 333–342.

Albizu-García, C. E., Ríos, R., Juarbe, D., & Alegría, M. (2004). Provider turnover in public sector managed mental health care. Journal of Behavioral Health Services and Research, 31, 255–265.PubMedCrossRef

Antonakis, J., Avolio, B. J., & Sivasubramaniam, N. (2003). Context and leadership: An examination of the nine-factor full-range leadership theory using the multifactor leadership questionnaire. Leadership Quarterly, 14, 261–295.CrossRef

Argote, L., Insko, C. A., Yovetich, N., & Romero, A. A. (1995). Group learning curves: The effects of turnover and task complexity on group performance. Journal of Applied Social Psychology, 25, 512–529.CrossRef

Avolio, B. J., & Bass, B. M. (1998). You can drag a horse to water, but you can’t make it drink except when it’s thirsty. Journal of Leadership Studies, 5, 1–17.CrossRef

Bakker, A. B., Schaufeli, W. B., Sixma, H. J., & Bosveld, W. (2001). Burnout contagion among general practitioners. Journal of Social and Clinical Psychology, 20, 82–98.CrossRef

Barling, J., Weber, T. J., & Kelloway, E. K. (1996). Effects of transformational leadership training on attitudinal and financial outcomes: A field experiment. Journal of Applied Psychology, 81, 827–832.CrossRef

Bass, B. M. (1990). From transactional to transformational leadership: Learning to share the vision. Organizational Dynamics, 18, 19–31.CrossRef

Bass, B. M., & Avolio, B. J. (1995). MLQ: Multifactor leadership questionnaire (technical report). Binghamton University: Center for Leadership Studies.

Blankertz, L. E., & Robinson, S. E. (1997). Turnover intention of community mental health workers in psychosocial rehabilitation services. Community Mental Health Journal, 33, 517–529.PubMedCrossRef

Bono, J. E., & Judge, T. A. (2004). Personality and transformational and transactional leadership: A meta-analysis. Journal of Applied Psychology, 89(5), 901–910.PubMedCrossRef

Bycio, P., Hackett, R. D., & Allen, J. S. (1995). Further assessments of Bass’s (1985) conceptualization of transactional and transformational leadership. Journal of Applied Psychology, 80, 468–478.CrossRef

Cropanzano, R., Rupp, D. E., & Byrne, Z. S. (2003). The relationship of emotional exhaustion to work attitudes, job performance, and organizational citizenship behaviors. Journal of Applied Psychology, 88, 160–169.PubMedCrossRef

Dvir, T., Eden, D., Avolio, B. J., & Shamir, B. (2002). Impact of transformational leadership on follower development and performance: A field experiment. Academy of Management Journal, 45, 735–744.CrossRef

Glisson, C., Dukes, D., & Green, P. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children’s service systems. Child Abuse and Neglect, 30, 849–854.CrossRef

Glisson, C., & James, L. R. (2002). The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior, 23, 767–794.CrossRef

Glisson, C., Schoenwald, S. K., Kelleher, K., Landsverk, J., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational and social context (OSC) of mental health services: Implications for research and practice. Administration and Policy In Mental Health, 35, 124–133.PubMedCrossRef

Gray, A., Phillips, V. L., & Normand, C. (1996). The costs of turnover: Evidence from the British national health service. Health Policy, 38, 117–128.PubMedCrossRef

Griffeth, R. W., Hom, P. W., & Gaertner, S. (2000). A meta-analysis of antecedents and correlates of employee turnover: Update, moderator tests, and research implications for the next millennium. Journal of Management, 26, 463–488.CrossRef

Halfhill, T. R., Huff, J. W., Johnson, D. A., Ballentine, R. D., & Beyerlein, M. M. (2002). Interventions that work (and some that don’t): An executive summary of the organizational change literature. In R. L. Lowman (Ed.), The California school of organizational studies: Handbook of organizational consulting psychology: A comprehensive guide to theory, skills, and techniques (pp. 619–644). San Francisco: Jossey-Bass.

Hedeker, D. R., Gibbons, R. D., & Davis, J. M. (1991). Random regression models for multicenter clinical trials data. Psychopharmacology Bulletin, 27, 73–77.PubMed

Hughes, L. W., Avey, J. B., & Nixon, D. R. (2010). Relationships between leadership and followers’ quitting intentions and job search behaviors. Journal of Leadership and Organizational Studies, 17, 351–362.CrossRef

Kelloway, K. E., Barling, J., & Helleur, J. (2000). Enhancing transformational leadership: the roles of training and feedback. Leadership & Organization Development Journal, 21, 145–149.CrossRef

Kleinbaum, D. G., Kupper, L. L., Muller, K. E., & Nizam, A. (2008). Applied regression analysis and multivariable methods. London: Duxbury.

Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2006). Counselor emotional exhaustion and turnover intention in therapeutic communities. Journal of Substance Abuse Treatment, 31, 173–180.PubMedCrossRef

Knudsen, H. K., Johnson, J. A., & Roman, P. M. (2003). Retaining counseling staff at substance abuse treatment centers: Effects of management practices. Journal of Substance Abuse Treatment, 24, 129–135.PubMedCrossRef

Lee, R. T., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81, 123–133.PubMedCrossRef

Lowe, K. B., Kroeck, K. G., & Sivasubramaniam, N. (1996). Effectiveness correlates of transformational and transactional leadership: A meta-analytic review of the MLQ literature. Leadership Quarterly, 7, 385–425.CrossRef

MacKenzie, S. B., Podsakoff, P. M., & Rich, G. A. (2001). Transformational and transactional leadership and salesperson performance. Journal of the Academy of Marketing Science, 29, 115–134.CrossRef

Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99–113.CrossRef

Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. Palo Alto: Consulting Psychologists Press.

Mor Barak, M. E., Nissly, J. A., & Levin, A. (2001). Antecedents to retention and turnover among child welfare, social work, and other human service employees: What can we learn from past research? A review and metanalysis. Social Service Review, 75, 625–661.CrossRef

Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2011). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-011-0352-1.

Paris, M., & Hoge, M. A. (2010). Burnout in the mental health workforce: A review. Journal of Behavioral Health Services and Research, 37, 519–528.PubMedCrossRef

Parry, K. W., & Sinha, P. N. (2005). Researching the trainability of transformational organisational leadership. Human Resource Development International, 8, 165–183.CrossRef

Rafferty, A. E., & Griffin, M. A. (2004). Dimensions of transformational leadership: Conceptual and empirical extensions. The Leadership Quarterly, 15, 329–354.CrossRef

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks: Sage Publications.

Salyers, M. P., Hudson, C., Morse, G., Rollins, A. L., Monroe-DeVita, M., Wilson, C., et al. (2011). BREATHE: A pilot study of a one-day retreat to reduce burnout among mental health professionals. Psychiatric Services, 62, 214–217.PubMedCrossRef

Schneider, B., Ehrhart, M. G., Mayer, D. M., Saltz, J. L., & Niles-Jolly, K. (2005). Understanding organization-customer links in service settings. Academy of Management Journal, 48, 1017–1032.CrossRef

Shirom, A. (1989). Burnout in work organizations. In C. L. Cooper (Ed.), International review of industrial and organizational psychology (pp. 25–48). Oxford: Wiley.

Stordeur, S., D’Hoore, W., & Vandenberghe, C. (2001). Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. Journal of Advanced Nursing, 35, 533–542.PubMedCrossRef

van Daalen, G., Willemsen, T. M., Sanders, K., & van Veldhoven, M. J. (2009). Emotional exhaustion and mental health problems among employees doing “people work”: The impact of job demands, job resources and family-to-work conflict. International Archives of Occupational and Environmental Health, 82, 291–303.PubMedCrossRef

Vandenberg, R. J., & Nelson, J. -B. (1999). Disaggregating the motives underlying turnover intentions: When do intentions predict turnover behavior? Human Relations, 52, 1313–1336.

Walsh, J. P., Ashford, S. J., & Hill, T. E. (1985). Feedback obstruction: The influence of the information environment on employee turnover intentions. Human Relations, 38, 23–46.CrossRef

Walumbwa, F. O., Orwa, B., Wang, P., & Lawler, J. J. (2005). Transformational leadership, organizational commitment and job satisfaction: A comparative study of Kenyan and US financial firms. Human Resource Development Quarterly, 16, 235–256.CrossRef

Wright, T. A., & Cropanzano, R. (1998). Emotional exhaustion as a predictor of job performance and voluntary turnover. Journal of Applied Psychology, 83, 486–493.PubMedCrossRef

Titel: Transformational Leadership Moderates the Relationship Between Emotional Exhaustion and Turnover Intention Among Community Mental Health Providers
verfasst von: Amy E. Green
Elizabeth A. Miller
Gregory A. Aarons
Publikationsdatum: 01.08.2013
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 4/2013
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-011-9463-0

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2013

Validating the NonParental Adult Inventory (NPAI) for Mental Health Assessment and Research

Complex Caring Trajectories in Community Mental Health: Contingencies, Divisions of Labor and Care Coordination

Factorial Structure of the Spanish Center for Epidemiologic Studies Depression Scales in HIV Patients

Adverse Impact of Coercive Treatments on Psychiatric Inpatients’ Satisfaction with Care