Volume 28, Issue 4 pp. 804-813
ORIGINAL ARTICLE

Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave

Xiaxin Wu RN

Xiaxin Wu RN

Student Nurse

School of Nursing, Yangzhou University, Yangzhou, China

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Mark Hayter PhD

Mark Hayter PhD

Professor

Faculty of Health Sciences, University of Hull, Hull, UK

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Amanda J Lee RN, PhD

Amanda J Lee RN, PhD

Associate Dean

Faculty of Health Sciences, University of Hull, Hull, UK

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Yuan Yuan RN

Yuan Yuan RN

Director

Affiliated Hospital of Yangzhou University, Yangzhou, China

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Shuang Li RN

Shuang Li RN

Student Nurse

School of Nursing, Yangzhou University, Yangzhou, China

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Yaxin Bi RN

Yaxin Bi RN

Student Nurse

School of Nursing, Yangzhou University, Yangzhou, China

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Lu Zhang RN

Lu Zhang RN

Student Nurse

School of Nursing, Yangzhou University, Yangzhou, China

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Chaoyu Cao RN

Chaoyu Cao RN

Junior Sister

Yangzhou University Affiliated Northern Jiangsu People's Hospital, Yangzhou, China

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Weijuan Gong PhD

Weijuan Gong PhD

Professor

School of Nursing, Yangzhou University, Yangzhou, China

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Yu Zhang RN

Corresponding Author

Yu Zhang RN

Associate Professor

School of Nursing, Yangzhou University, Yangzhou, China

Correspondence

Yu Zhang, School of Nursing, Yangzhou University, Yangzhou, China.

Email: [email protected]

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First published: 07 March 2020
Citations: 61

Funding information

The study was funded by Postgraduate Research & Practice Innovation Program of Jiangsu Province (KYCX18_2384), China, and Program of International Academic Exchange for Postgraduate Students of Yangzhou University, China.

Abstract

Aim

To explore the relationship between spiritual climate and transformational leadership, and examine their impact on nurses perceived emotional exhaustion and intentions to quit.

Background

Transformational leadership is known to have a significant positive effect on work environment and job satisfaction. Additionally, promoting spiritual climate amongst staff can benefit workers by increasing self-worth. The relationship between the two is unknown.

Methods

Nurse clinicians from 2 sites in the Jiangsu Province of China completed self-report questionnaires based on spiritual climate, emotional exhaustion, clinical leadership and Turnover Intention Scales. Mediation analysis was applied to evaluate impact of spiritual climate.

Results

Perceived positive spirituality amongst nurse clinicians reinforces transformational leadership to reduce emotional exhaustion (indirect effect of −0.089, p < .01). Burnout and intention to leave showed significantly positive correlation with lower levels of perceived spirituality (= .545, p < .01).

Conclusion

Transformational leadership in the workplace can reduce nurses' burnout, and a positive spiritual climate increases meaningfulness in their work. This may help in nurse retention.

Implications for Nursing Management

Health care leaders must look beyond transformational leadership to maintain a positive and supportive clinical climate, and this may involve acknowledgement of nurses' spiritual needs.

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