School of Economics and Management, Wuhan University, Wuhan 430072, China.
Department of Business Administration, Moutai Institute, Zunyi 563000, China.
Int J Environ Res Public Health. 2022 Oct 12;19(20):13102. doi: 10.3390/ijerph192013102.
Globally, employee burnout (EBO) is a black swan in healthcare management. Previous organizational management literature shows that EBO was often misunderstood by assuming it as a personal issue. However, the new definition by the World Health Organization (WHO) clearly indicates that EBO is an occupational phenomenon that places responsibility on organizations to manage it. Although recent evidence suggests ethical leadership (ELP) style may be important to mitigate EBO, shockingly, such relationships were not tested in healthcare systems, especially in low- and middle-income countries. Filling this knowledge gap in the existing body of knowledge, this study aimed to investigate the ELP-EBO relationship. To explain the underlying mechanism of how ELP reduces EBO, this study included two psychological factors as a mediator and a moderator: altruism (AL) and intrinsic motivation (IM). The data were obtained from hospital employees via a self-administered questionnaire ( = 289, paper-pencil method). A hypothetical framework was designed and tested for empirical validation through structural equation modeling (SEM). Empirical evidence confirmed that ELP reduces the risk of burnout among hospital employees, and AL mediates this relationship. The results also confirmed the conditional indirect role of IM in the above proposed mediated relationship. This study's outcomes can help hospital administration deal with EBO's epidemic in an ELP framework. Other, different implications have also been discussed in detail.
在全球范围内,员工倦怠(EBO)是医疗保健管理中的黑天鹅事件。先前的组织管理文献表明,EBO 经常被误解为个人问题。然而,世界卫生组织(WHO)的新定义明确指出,EBO 是一种职业现象,组织有责任对此进行管理。尽管最近的证据表明,道德领导(ELP)风格可能对减轻 EBO 很重要,但令人震惊的是,这种关系尚未在医疗保健系统中进行测试,尤其是在中低收入国家。为了填补现有知识体系中的这一知识空白,本研究旨在探讨 ELP-EBO 关系。为了解释 ELP 如何降低 EBO 的潜在机制,本研究将利他主义(AL)和内在动机(IM)这两个心理因素作为中介和调节因素纳入其中。数据通过自填式问卷从医院员工处获得(n = 289,纸笔法)。通过结构方程模型(SEM)设计并测试了一个假设框架以进行实证验证。实证证据证实,ELP 降低了医院员工倦怠的风险,而 AL 则在这种关系中起中介作用。结果还证实了 IM 在上述提出的中介关系中的条件间接作用。本研究的结果可以帮助医院管理部门在 ELP 框架下应对 EBO 的流行。此外,还详细讨论了其他不同的含义。