Empowering leadership, perceived organizational support, trust, and job burnout for nurses

TLDR

Trusting nursing leadership is essential for effective health‑care organizations, promoting patient safety, care quality, recruitment, and retention. The study examined how empowering leadership style, perceived organizational support, and trust in the leader and organization affect nurses’ job burnout. A cross‑sectional survey of 273 nurses in an Italian public hospital collected anonymous questionnaire data. Empowering leadership predicts trust in the leader, while perceived organizational support and the informing dimension of empowering leadership predict trust in the organization, and both trust dimensions reduce job burnout and mediate the effects of leadership and support on burnout, underscoring the central role of trust and the potential of empowerment leadership training.

Abstract

Background: A strong nursing leadership that instills trust in the leader and in the organization is an important component for an effective leadership, particularly for health care organizations, because trust defines the heart of health care workplaces by promoting patient safety, excellence in care, recruitment, and retention of the nursing staff. Purpose: This study aimed to test the impact of perceived empowerment leadership style expressed by the nurse supervisor, nurses' perceived organizational support, trust in the leader, and trust in the organization on nurses' job burnout. Methodology/Approach: A group of 273 nurses from an Italian public general hospital took part in a cross-sectional study on a voluntary basis by filling out an anonymous questionnaire. Findings: Empowering leadership was an important predictor of trust in the leader. Trust in the organization was influenced by perceived organizational support and by the Informing dimension of the empowering leadership style. Trust in the leader and trust in the organization showed a negative impact on job burnout and also mediated the effects of some empowering leadership dimensions and perceived organizational support on job burnout. Practice Implications: The central role of trust in health care organizations was corroborated, as well as the beneficial effects of adopting specific features of empowerment leadership behaviors toward the nursing staff. Empowering leadership could be successfully proposed in training programs directed to nurses' supervisors and health care managers.