Cited by 165Nursing education and managementHealthcare Education and Workforce IssuesJob Satisfaction and Organizational Behavior

Relationship between authentic leadership and nurses' intent to leave: The mediating role of work environment and burnout

Lee, Huan-Fang, Chiang, Hui-Ying, Kuo, Hui-Ting·2019·Journal of Nursing Management

Abstract

AIM: The aim of this study was to explore the mediating effects of work environment and burnout on the relationship between authentic leadership and the intention of nurses to leave their job. BACKGROUND: Authentic leadership can contribute to a good work environment. Burnout is a critical factor that affects nurses‧ intent to leave. The mediating roles of work environment and burnout on the relationship between authentic leadership and intent to leave is unclear. METHODS: A cross-sectional design was used, and 946 nurses from three different levels of hospital (medical center, regional, and district), defined in terms of the number of beds and type of medical care provided, responded to four self-report questionnaires. RESULTS: Work environment and burnout mediated the effect of authentic leadership on intent to leave among nurses. The mediating effects of burnout on authentic leadership was present both for junior (β = 0.073) and senior (β = 0.081) nurses. CONCLUSION: Authentic leadership can affect nurses‧ intent to leave but the work environment and burnout are important mediators of this influence. IMPLICATIONS FOR NURSING MANAGEMENT: Administrators should adopt authentic leadership practices and make efforts to improve the work environment and decrease burnout in order to decrease nurses‧ intent to leave.

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Crossref · 10.1111/jonm.12648

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  • Emotional Exhaustion mediates the relationship between authentic leadership and intention to leave the job.

    “Emotional Exhaustion mediated the relationship between authentic leadership and intention to leave the job [89]”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [89]

  • Emotional Exhaustion mediates the effect of authentic leadership on intention to leave.

    “one article reported that Emotional Exhaustion mediated the effect of authentic leadership on intention to leave [89]”

    From Burnout in nursing: a theoretical review. (2020) · cites this paper as [89]

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Authors
Lee, H.-F., Chiang, H.-Y., & Kuo, H.-T.
Affiliations
  • Chung Hwa University of Medical Technology (TW)
  • Chi Mei Medical Center (TW)
Corresponding author
Chiang, Hui-Ying
Venue
Journal of Nursing Management
Publisher
Wiley
Published
2018-09-20
Volume
27
Issue
1
Pages
52-65
ISSN
0966-0429 (ISSN-L)
OpenAlex
W2889942709
Cited by
165
References
68
Citations by year
2026: 12 · 2025: 19 · 2024: 22 · 2023: 27 · 2022: 38 · 2021: 18 · 2020: 19 · 2019: 10
FWCI
22.47
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Nursing Management (publishedVersion)
  • PubMed (publishedVersion)
Funders
Chi Mei Medical Center (CMFHR10326)
Topics
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Job Satisfaction and Organizational Behavior
Keywords
authentic leadership, turnover intention, work environment, burnout, mediating effect, nursing management, hospital nurses, nurse retention
MeSH terms
Adult, Burnout, Professional, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Leadership, Male, Nurses, Psychometrics, Surveys and Questionnaires, Taiwan, Chi-Square Distribution, Workplace, Intention

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