Transformational leadership moderates the relationship between emotional exhaustion and turnover intention among community mental health providers

Community Mental Health Journal

Volumn 49, Issue 4, 2013, Pages 373-379

  Green, Amy E ^a,b   Miller, Elizabeth A ^a,b   Aarons, Gregory A ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b RADY CHILDREN'S HOSPITAL   (United States)

Author keywords

Burnout; Emotional exhaustion; Leadership; Mental health services; Turnover

Indexed keywords

ARTICLE; BEHAVIOR; BURNOUT; HEALTH CARE PERSONNEL; HUMAN; LEADERSHIP; MENTAL HEALTH SERVICE; PERSONNEL MANAGEMENT; PSYCHOLOGICAL ASPECT; PSYCHOLOGY;

BURNOUT, PROFESSIONAL; COMMUNITY MENTAL HEALTH SERVICES; HEALTH PERSONNEL; HUMANS; INTENTION; LEADERSHIP; PERSONNEL TURNOVER;

EID: 84881184269     PISSN: 00103853     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10597-011-9463-0     Document Type: Article

References (53)

1. Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57, 1162-1169.
2. Aarons, G. A., Dlugosz, L. R., & Ehrhart, M. G. (2011). LEAP: Leadership and practice. Retrieved May 31, 2011, from implementationleadership. com.
3. 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.
4. 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.
5. 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).
6. 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.
7. 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.
8. Abbasi, S. M., & Hollman, K. W. (2000). Turnover: The real bottom line. Public Personnel Management, 29, 333-342.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
14. 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.
15. Bass, B. M. (1990). From transactional to transformational leadership: Learning to share the vision. Organizational Dynamics, 18, 19-31.
16. Bass, B. M., & Avolio, B. J. (1995). MLQ: Multifactor leadership questionnaire (technical report). Binghamton University: Center for Leadership Studies.
17. 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.
18. Bono, J. E., & Judge, T. A. (2004). Personality and transformational and transactional leadership: A meta-analysis. Journal of Applied Psychology, 89(5), 901-910.
19. 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.
20. 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.
21. 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.
22. 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.
23. 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.
24. 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.
25. Gray, A., Phillips, V. L., & Normand, C. (1996). The costs of turnover: Evidence from the British national health service. Health Policy, 38, 117-128.
26. 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.
27. 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.
28. Hedeker, D. R., Gibbons, R. D., & Davis, J. M. (1991). Random regression models for multicenter clinical trials data. Psychopharmacology Bulletin, 27, 73-77.
29. 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.
30. Kelloway, K. E., Barling, J., & Helleur, J. (2000). Enhancing transformational leadership: the roles of training and feedback. Leadership & Organization Development Journal, 21, 145-149.
31. Kleinbaum, D. G., Kupper, L. L., Muller, K. E., & Nizam, A. (2008). Applied regression analysis and multivariable methods. London: Duxbury.
32. 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.
33. 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.
34. 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.
35. 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.
36. 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.
37. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113.
38. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual. Palo Alto: Consulting Psychologists Press.
39. 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.
40. 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.
41. Paris, M., & Hoge, M. A. (2010). Burnout in the mental health workforce: A review. Journal of Behavioral Health Services and Research, 37, 519-528.
42. Parry, K. W., & Sinha, P. N. (2005). Researching the trainability of transformational organisational leadership. Human Resource Development International, 8, 165-183.
43. Rafferty, A. E., & Griffin, M. A. (2004). Dimensions of transformational leadership: Conceptual and empirical extensions. The Leadership Quarterly, 15, 329-354.
44. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks: Sage Publications.
45. 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.
46. 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.
47. Shirom, A. (1989). Burnout in work organizations. In C. L. Cooper (Ed.), International review of industrial and organizational psychology (pp. 25-48). Oxford: Wiley.
48. 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.
49. 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.
50. Vandenberg, R. J., & Nelson, J. -B. (1999). Disaggregating the motives underlying turnover intentions: When do intentions predict turnover behavior? Human Relations, 52, 1313-1336.
51. 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.
52. 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.
53. Wright, T. A., & Cropanzano, R. (1998). Emotional exhaustion as a predictor of job performance and voluntary turnover. Journal of Applied Psychology, 83, 486-493.