Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes

High levels of emotional exhaustion are frequently reported among clinicians working in community mental health settings. This study draws on social exchange theory and examines the relationships between emotional exhaustion and mental health provider work attitudes and turnover, and the moderating...

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Bibliographic Details
Published in:Community mental health journal 2019-07, Vol.55 (5), p.733-741
Main Authors: Dishop, Christopher R., Green, Amy E., Torres, Elise, Aarons, Gregory A.
Format: Article
Language:English
Subjects:
Adult
Attitude
Attitudes
Burnout, Professional
California
Community and Environmental Psychology
Community Mental Health Services
Cooperation
Emotions
Employee attitude
Fatigue
Fatigue - psychology
Female
Forecasting
Health behavior
Humans
Male
Medicine
Medicine & Public Health
Mental health
Mental health professionals
Middle Aged
Original Paper
Personnel Turnover - trends
Professional attitudes
Psychiatry
Role clarity
Social exchange theory
Structural equation modeling
Surveys and Questionnaires
Turnover
Well being
Work
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Summary:High levels of emotional exhaustion are frequently reported among clinicians working in community mental health settings. This study draws on social exchange theory and examines the relationships between emotional exhaustion and mental health provider work attitudes and turnover, and the moderating effect of functional psychological climates. Data were analyzed using multilevel structural equation modeling in a sample of 311 mental health providers from 49 community mental health programs. Results revealed that emotional exhaustion was negatively related to work attitudes, and the relationship was moderated by functional climates characterized by high levels of cooperation, growth and advancement opportunities, and role clarity. Specifically, the relationship between emotional exhaustion and work attitudes was attenuated for providers working in programs with a more functional psychological climate. Lower work attitudes significantly predicted higher clinician turnover. Results are discussed as they relate to improving climates and enhancing mental health provider and organizational well-being.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-019-00407-7