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...

Full description

Saved in:
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
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863
cites cdi_FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863
container_end_page 741
container_issue 5
container_start_page 733
container_title Community mental health journal
container_volume 55
creator Dishop, Christopher R.
Green, Amy E.
Torres, Elise
Aarons, Gregory A.
description 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.
doi_str_mv 10.1007/s10597-019-00407-7
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8906191</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2229807705</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS0EokvhD3BAljiHzjhO7HBAqlZbqFQEh0Ucrawz3k3J2sV2Kvj3uN2lwIWTZb9v3jz5MfYS4Q0CqLOE0HSqAuwqAAmqUo_YAhtVV0Lp7jFbACBUtW7qE_YspWsAaBDVU3ZSIwolBSzY9DnSMNo8-i1fz9GHW4pv-XpH_GMYKPb3wso5spkHxy9mX9jg-4kvp3HfZ0o8eL7ah-Pr6seun9Pdhfd-4F9D_MbPcx7zPFB6zp64fkr04niesi8Xq_XyQ3X16f3l8vyqslLJXLWylk6S0M42G5BCqZakGIQQWjqB1jlLuGmURqSuFnajpbWtRByERdBtfcreHXxv5s2eBks-x34yN7Ekjj9N6Efzr-LHndmGW6M7aLHDYvD6aBDD95lSNtehfE7JbEqKToNS0BRKHCgbQ0qR3MMGBHPXkDk0ZEpD5r4ho8rQq7-zPYz8rqQA9QFIRfJbin92_8f2FwyPnU0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2229807705</pqid></control><display><type>article</type><title>Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Social Science Premium Collection</source><source>ABI/INFORM Global</source><source>Sociology Collection</source><source>Springer Link</source><source>Sociological Abstracts</source><creator>Dishop, Christopher R. ; Green, Amy E. ; Torres, Elise ; Aarons, Gregory A.</creator><creatorcontrib>Dishop, Christopher R. ; Green, Amy E. ; Torres, Elise ; Aarons, Gregory A.</creatorcontrib><description>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.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-019-00407-7</identifier><identifier>PMID: 31127420</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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 &amp; 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</subject><ispartof>Community mental health journal, 2019-07, Vol.55 (5), p.733-741</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Community Mental Health Journal is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863</citedby><cites>FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2229807705/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2229807705?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,11688,12846,21394,21395,27344,27924,27925,30999,33611,33774,34530,36060,43733,44115,44363,74221,74639,74895</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31127420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dishop, Christopher R.</creatorcontrib><creatorcontrib>Green, Amy E.</creatorcontrib><creatorcontrib>Torres, Elise</creatorcontrib><creatorcontrib>Aarons, Gregory A.</creatorcontrib><title>Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>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.</description><subject>Adult</subject><subject>Attitude</subject><subject>Attitudes</subject><subject>Burnout, Professional</subject><subject>California</subject><subject>Community and Environmental Psychology</subject><subject>Community Mental Health Services</subject><subject>Cooperation</subject><subject>Emotions</subject><subject>Employee attitude</subject><subject>Fatigue</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Forecasting</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental health</subject><subject>Mental health professionals</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Personnel Turnover - trends</subject><subject>Professional attitudes</subject><subject>Psychiatry</subject><subject>Role clarity</subject><subject>Social exchange theory</subject><subject>Structural equation modeling</subject><subject>Surveys and Questionnaires</subject><subject>Turnover</subject><subject>Well being</subject><subject>Work</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M0C</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9kUFv1DAQhS0EokvhD3BAljiHzjhO7HBAqlZbqFQEh0Ucrawz3k3J2sV2Kvj3uN2lwIWTZb9v3jz5MfYS4Q0CqLOE0HSqAuwqAAmqUo_YAhtVV0Lp7jFbACBUtW7qE_YspWsAaBDVU3ZSIwolBSzY9DnSMNo8-i1fz9GHW4pv-XpH_GMYKPb3wso5spkHxy9mX9jg-4kvp3HfZ0o8eL7ah-Pr6seun9Pdhfd-4F9D_MbPcx7zPFB6zp64fkr04niesi8Xq_XyQ3X16f3l8vyqslLJXLWylk6S0M42G5BCqZakGIQQWjqB1jlLuGmURqSuFnajpbWtRByERdBtfcreHXxv5s2eBks-x34yN7Ekjj9N6Efzr-LHndmGW6M7aLHDYvD6aBDD95lSNtehfE7JbEqKToNS0BRKHCgbQ0qR3MMGBHPXkDk0ZEpD5r4ho8rQq7-zPYz8rqQA9QFIRfJbin92_8f2FwyPnU0</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Dishop, Christopher R.</creator><creator>Green, Amy E.</creator><creator>Torres, Elise</creator><creator>Aarons, Gregory A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20190701</creationdate><title>Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes</title><author>Dishop, Christopher R. ; Green, Amy E. ; Torres, Elise ; Aarons, Gregory A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Attitude</topic><topic>Attitudes</topic><topic>Burnout, Professional</topic><topic>California</topic><topic>Community and Environmental Psychology</topic><topic>Community Mental Health Services</topic><topic>Cooperation</topic><topic>Emotions</topic><topic>Employee attitude</topic><topic>Fatigue</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Forecasting</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental health</topic><topic>Mental health professionals</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Personnel Turnover - trends</topic><topic>Professional attitudes</topic><topic>Psychiatry</topic><topic>Role clarity</topic><topic>Social exchange theory</topic><topic>Structural equation modeling</topic><topic>Surveys and Questionnaires</topic><topic>Turnover</topic><topic>Well being</topic><topic>Work</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dishop, Christopher R.</creatorcontrib><creatorcontrib>Green, Amy E.</creatorcontrib><creatorcontrib>Torres, Elise</creatorcontrib><creatorcontrib>Aarons, Gregory A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Nursing &amp; Allied Health Database</collection><collection>Social Services Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest_Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>ProQuest Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dishop, Christopher R.</au><au>Green, Amy E.</au><au>Torres, Elise</au><au>Aarons, Gregory A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>55</volume><issue>5</issue><spage>733</spage><epage>741</epage><pages>733-741</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31127420</pmid><doi>10.1007/s10597-019-00407-7</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0010-3853
ispartof Community mental health journal, 2019-07, Vol.55 (5), p.733-741
issn 0010-3853
1573-2789
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8906191
source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; ABI/INFORM Global; Sociology Collection; Springer Link; Sociological Abstracts
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
title Predicting Turnover: The Moderating Effect of Functional Climates on Emotional Exhaustion and Work Attitudes
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T00%3A43%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Predicting%20Turnover:%20The%20Moderating%20Effect%20of%20Functional%20Climates%20on%20Emotional%20Exhaustion%20and%20Work%20Attitudes&rft.jtitle=Community%20mental%20health%20journal&rft.au=Dishop,%20Christopher%20R.&rft.date=2019-07-01&rft.volume=55&rft.issue=5&rft.spage=733&rft.epage=741&rft.pages=733-741&rft.issn=0010-3853&rft.eissn=1573-2789&rft_id=info:doi/10.1007/s10597-019-00407-7&rft_dat=%3Cproquest_pubme%3E2229807705%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c474t-6434f4e28fc5b042776e42d22284f21cffce1b57811e932cb84cc6411d2c10863%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2229807705&rft_id=info:pmid/31127420&rfr_iscdi=true