Burnout and Leadership Style in Behavioral Health Care: a Literature Review

Kelly, Reena Joseph; Hearld, Larry R.

doi:10.1007/s11414-019-09679-z

Cited by 44 publications

(35 citation statements)

References 67 publications

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“…Therefore, the present study contributes to the role of LMX in the wake of an extreme context, such as the COVID-19 pandemic. Further, regardless of the contextualized outlook, by acknowledging how LMX is linked to burnout among medical staff, our study addresses recent calls for research on the role of specific leadership perspectives on psychological syndromes, such as burnout and post-traumatic stress disorder (Kelly & Hearld, 2020).…”

Section: Discussionmentioning

confidence: 97%

The Burnout Epidemic During the Covid-19 Pandemic: The Role of LMX in Alleviating Physicians’ Burnout

2020

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During COVID-19 pandemic, physicians are being exposed to unprecedented adverse working conditions that lead to increased occurrence of burnout. While supportive leadership is considered effective in preventing burnout, little is known about the role of leadership in extreme situations. Drawing on leader-member exchange (LMX) theory, we hypothesize that high-LMX relationships lead to lower levels of burnout, as they shape physicians’ perceptions of psychosocial job demands and resources. We also contend that this effect will be stronger for frontline physicians, as they are more exposed to job stressors. In a field study with 2,708 Brazilian physicians, we found support to the alleviating role of LMX, but contrary to what we predicted, we found that this effect is weaker for frontline physicians. Overall, our findings reinforce the importance of establishing high-quality relationships between supervisors and medical staff to mitigate the experience of burnout, however, they also highlight that extreme conditions, such as the COVID-19 pandemic, might constrain the beneficial effects of leadership behaviors.

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Section: Discussionmentioning

confidence: 97%

The Burnout Epidemic During the Covid-19 Pandemic: The Role of LMX in Alleviating Physicians’ Burnout

2020

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“…Apart from that, the study by Aronsson et al [ 40 ] showed that high levels of job support, workplace justice, job control, and reward helped protect against exhaustion. Further examples of stressor/demand relevant resources are self-efficacy [ 47 ], having a transformative leader at work [ 48 ], and formal education relevant for the work and position at work [ 41 ].…”

Section: A Proposed Cognitive Behavioral Explanatory Model Of Clinmentioning

confidence: 99%

A Cognitive Behavioral Model Proposing That Clinical Burnout May Maintain Itself

Almén

2021

IJERPH

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Burnout is common in many countries and is associated with several other problems such as depression, anxiety, insomnia, and memory deficits, and prospectively it predicts long-term sick-leave, cardiovascular disease, and death. Clinical burnout or its residual symptoms often last several years and a common assumption is that recovery takes a long time by nature, despite full time sick-leave and the absence of work stress. The literature suggests models that hypothetically explain the development, but not maintenance, of the syndrome. Based on cognitive and behavioral principles, stress research, and stress theories, this paper describes a theoretical model explaining how clinical burnout can develop and be maintained. While the development of clinical burnout is mainly explained by prolonged stress reactions and disturbed recovery processes due to work related stressors, maintenance of the syndrome is particularly explained by prolonged stress reactions and disturbed recovery processes due to the new context of experiencing burnout and being on sick-leave. Worry about acquired memory deficits, passivity and excessive sleep, shame, fear of stress reactions, and the perception of not being safe are examples of responses that can contribute to the maintenance. The model has important implications for research and how to intervene in clinical burnout. For example, it can offer support to professional care providers and patients in terms of focusing on, identifying, and changing current contextual factors and behaviors that maintain the individual’s clinical burnout symptoms and by that facilitate burnout recovery. Regarding research, the model provides a highly important reason for researchers to study contextual factors and behaviors that contribute to the maintenance of clinical burnout, which has been neglected in research.

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“…The behaviours and leadership styles of supervisors and managers are important influences on frontline health worker mental health. 41,42 Transformational leadership behaviours (communicating a vision, motivating the group toward higher goals, encouraging creative thinking, and being considerate of individual employees), for instance, have been found to be negatively associated with stress and burnout, and positively associated with self-rated psychosocial well-being. [43][44][45][46] Transformational leadership behaviours can also decrease staff absenteeism, 47 turnover intention, 48,49 and enhance staff retention 50 -concerns currently of paramount importance as record numbers of health professionals in Canada are leaving their respective professions.…”

Section: Introductionmentioning

confidence: 99%

The pathway from mental health, leaves of absence, and return to work of health professionals: Gender and leadership matter

Bourgeault

Atanackovic

McMillan

et al. 2022

Healthc Manage Forum

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Health professions are ranked among the most stressful occupations and have a much higher likelihood of absenteeism from work. In this article, we present findings from four health professional case studies in our Healthy Professional Worker partnership, involving surveys with 1,860 respondents and 163 interviews with nurses, physicians, midwives, and dentists conducted between December 2020 and April 2021. We found that the pathway from mental health experiences through to the decision to take a leave of absence and return to work differed between the health professions and that both gender and leadership matter greatly. There is a need to de-stigmatize mental health issues and encourage greater awareness and support from supervisors and colleagues. Leadership can play an important role in mitigating mental health issues, and as such investment in both leadership training and mentorship are important first steps in acting upon our research findings.

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Burnout and Leadership Style in Behavioral Health Care: a Literature Review

Cited by 44 publications

References 67 publications

The Burnout Epidemic During the Covid-19 Pandemic: The Role of LMX in Alleviating Physicians’ Burnout

The Burnout Epidemic During the Covid-19 Pandemic: The Role of LMX in Alleviating Physicians’ Burnout

A Cognitive Behavioral Model Proposing That Clinical Burnout May Maintain Itself

The pathway from mental health, leaves of absence, and return to work of health professionals: Gender and leadership matter

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